The 2nd HPD report - Health Policy Monitor

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“Pilot” characterizes any innovation or model experiment implemented at a local or institutional level. “Policy” means any formal written statement or policy paper short of a draft bill. Included under this heading is also a growing degree of acceptance of an idea within a relevant professional community. “Legislation” covers all steps of the legislative process from the formal introduction of a bill/draft piece of legislation through parliamentary hearings, driving forces, the influence of professional lobbyists in the process, up to the effective enactment or rejection of the proposal. “Adoption”: This stage is about all measures taken towards legal and professional implementation. Adoption does not necessarily result from legislation; it may also follow the evidence of best practice tried out in model or pilot projects. “Evaluation” refers to all health policy issues scrutinized for their impact during the period observed. Any review mechanism, internal or external, mid-term or final, is reported under this heading. “Change” may be a result of evaluation or abandonment of development. Policy ratings A second figure is used to give the reader an indication of the character of the policy. For this purpose, three criteria are shown: visibility, impact and transferability. “Visibility” refers to the public awareness and discussion of the reform, e.g., demonstrated by media coverage or public hearings. The ratings range from “very low” (on the left) to “very high” (on the right). “Impact”: Ranging from “marginal” to “fundamental,” this rating criterion illustrates the structural or systemic scope and relevance of a reform given the country’s current health care system. “Transferability”: This rating indicates whether a reform approach could be adapted to other health care systems. Our experts assess the degree to which a policy or reform is system neutral (transferable) or strongly context dependent. 13
The figure below illustrates a policy that scores low on visibility and impact but medium on transferability. Project management Public Visibility Impact Transferability The Bertelsmann Foundation’s Health Program organizes and implements the half-yearly surveys. The Department of Health Care Management, Berlin University of Technology (TUB), assisted with the development of the semi-standardized questionnaire (see Annex) and produced and edited this summarizing report. We owe special thanks to Susanne Weinbrenner and Annette Zentner at the University of Technology for producing the English and German summaries respectively, to Celia Bohannon for an excellent proof-reading job and to Christina Brickenkamp for her technical and editorial support at the Bertelsmann Foundation. The results from the second biannual survey, covering the period April to November 2003, are presented in this booklet. Out of 68 reforms reported, 39 were selected. Reform reports from the first and second survey rounds can be looked up and researched on the network’s Web site, www.health policymonitor.org. Both the detailed description on the Web and this brochure draw upon the partner institution’s reports and do not necessarily reflect the Bertelsmann Foundation’s point of view. Thanks of course go to all experts from our partner institutions: Rob Anderson, Toni Ashton, Mickael Bech, Wim Buiten, David Casado, Terkel Christiansen, Agnès Couffinhal, Luca Crivelli, J.K. van Dijk, Cathy Fooks, Michel Grignon, Tom van der Grinten, Marion Haas, Jane Hall, Jan-Kees Helderman, Maria M. 14
Page 1 and 2: Reinhard Busse, Sophia Schlette (ed
Page 4 and 5: Reinhard Busse, Sophia Schlette (ed
Page 6 and 7: Contents Editorial ................
Page 8: Newsflash .........................
Page 11 and 12: Partner institutions were selected
Page 13: - Relevance and scope - Impact on s
Page 18 and 19: Introduction This second issue of
Page 20 and 21: the extent to which private financi
Page 22 and 23: Health and Aging Long life expectan
Page 24 and 25: To address such a broad spectrum of
Page 26 and 27: The “National Strategy for an Age
Page 28 and 29: Finally, the reform introduces pers
Page 30 and 31: Idea Pilot Policy Paper Legislation
Page 32 and 33: Sources and further reading: Depart
Page 34 and 35: insurance. An employee who requests
Page 36 and 37: Sources and further reading: “Obs
Page 38 and 39: independent life), an in-kind benef
Page 40 and 41: Reform of long-term care coverage A
Page 44 and 45: ciated with removing assets testing
Page 46 and 47: Sources and further reading: Depart
Page 48 and 49: coverage only to seniors enrolled i
Page 50 and 51: Pharmaceutical Policies Pharmaceuti
Page 52 and 53: eimbursement rate is 35 percent. Mo
Page 54 and 55: From 1994 to 2003, prices for all p
Page 56 and 57: keep products eligible for reimburs
Page 58 and 59: Austria: Criteria for reimbursable
Page 60 and 61: Federation of Austrian Social Secur
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Spain has now introduced a variety
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Idea Pilot Policy Paper Legislation
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Human Resources for Health The past
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California: First-in-nation rules o
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Idea Pilot Policy Paper Legislation
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Canada: A co-coordinated and compre
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Newsflash In this section, we follo
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ance (“Haut Conseil pour l’Aven
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law will allow some 14 percent of C
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Lieberman) proposed to finance the
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The policy emphasizes personal resp
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Canada: Independent council for qua
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New Zealand: Improving quality—a
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1 International Monitor on Health P
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- Degree of innovation (compared wi
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9. Long-term care: Long-term care a
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Please photocopy and fill out the f
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6 Responsiveness to and empowerment
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Sources of information Please indic
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❒ International organizations ❒
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Patients Civil society Private sect
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Structured summary Q 5.4 (optional)
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7. Rating this policy (expert opini
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Call for Support International Netw
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Topics could be - Integrated care a
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The 2nd HPD report - Health Policy Monitor

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