Table 7.
Countries | Median number of extra professions in GP practice (apart from GPs) [22] | Model of healthcare systema | Role of GP as gatekeepera | Overall Primary Care system strength [30–33] |
---|---|---|---|---|
Austria | 1 | Social health insurance (Bismarck) | No | Weak |
Belgium | 0 | Social health insurance (Bismarck) | No | Strong |
Bulgaria | 1 | Mixed model: tax-funded and social health insurance | Yes | Weak |
Cyprus | 6 | Mixed model: tax-funded and private insurance | No, but planned | Weak |
Czech Republic | 1 | Social health insurance (Bismarck) | Yes, partially | Medium |
Denmark | 2 | Tax-funded (Beveridge) | Yes | Strong |
Estonia | 2 | Social health insurance (Bismarck) | Yes, partially | Strong |
Finland | 7 | Tax-funded (Beveridge) | Yes, partially | Strong |
Germany | 1 | Social health insurance (Bismarck) | No | Medium |
Greece | 2 | Tax-funded (Beveridge) | No | Weak |
Hungary | 1 | Social health insurance (Bismarck) | Yes, partially | Weak |
Iceland | 5 | Tax-funded (Beveridge) | Yes, partially | Weak |
Ireland | 3 | Tax-funded (Beveridge) | Yes | Weak |
Italy | 1 | Tax-funded (Beveridge) | Yes | Medium |
Latvia | 2 | Tax-funded, but with high out-of-pocket payments | Yes | Medium |
Lithuania | 8 | Transitional with National health insurance | Yes | Strong |
Luxembourg | 1 | Social health insurance (Bismarck) | No | Weak |
Malta | 3 | Tax-funded (Beveridge) | Yes | Weak |
Netherlands | 3 | Social health insurance (Bismarck) | Yes | Strong |
Norway | 1 | Tax-funded (Beveridge) | Yes | Medium |
Poland | 4 | Transitional with National health insurance | Yes | Medium |
Portugal | 3 | Tax-funded (Beveridge) | Yes | Strong |
Romania | 1 | Transitional with Social health insurance | Yes | Medium |
Slovakia | 1 | Social health insurance (Bismarck) | Yes, partially | Weak |
Slovenia | 4 | Transitional with Social health insurance | Yes | Strong |
Spain | 6 | Tax-funded (Beveridge) | Yes | Strong |
Sweden | 5 | Tax-funded (Beveridge) | Yes, partially | Medium |
Switzerland | 1 | Social health insurance (Bismarck) | No, but planned | Medium |
Turkey | 2 | Social health insurance (Bismarck) | No | Weak |
UK (England) | 5 | Tax-funded (Beveridge) | Yes | Strong |
Australia | 4 | Tax-funded (Beveridge) | Yes | Strong |
Canada | 3 | Tax-funded (Beveridge) | Yes | Strong |
New Zealand | 4 | Tax-funded (Beveridge) | Yes | Strong |
FYR Macedonia | 1 | Social health insurance (Bismarck) | Yes | Medium |
aThe information were extracted from the last published countries reports “Health Systems in Transition” of European Observatory on Health Systems and Policies