Comparison between the health systems of two Member States of the European Union: France and Netherlands
- The Association Agreement: A bilateral reference to Euro-Moroccan cooperation
- The normative foundation of the Association Agreement
- The Association Agreement of 1996: Towards a comprehensive approach to Euro-Moroccan cooperation
- The Barcelona Declaration: A regional reference to Euro-Moroccan cooperation in human development
- The context of the Barcelona Declaration
- The contents of the declaration and its contribution to human development
- The mechanisms of the Euro-Moroccan cooperation in human development
- The institutional mechanisms
- Funding mechanisms
Before entering the structure and functioning of the health system, one should draw up an inventory of the demographic situation in France and the Netherlands to see the differences between the two populations and understand the different needs of each of them. We will make an inventory of the structure of health systems, financing, and infrastructure. Finally, we will compare the numbers of the health care professionals between the two countries. France has 63.8 million inhabitants.
It is positioned in the EU and has the following distribution of age groups: 26% of youth under 20 years, 15.4% of people aged over 65 years, and 6.6% over 75 years. Approximately 75% of the French population is concentrated in a few urban areas. In the European scale, the health status of the French is very good. Over the last thirty years, life expectancy has increased dramatically for both the sexes. Life expectancy rose to 77.60 for men and 84.50 years for women, which makes the country the second largest in the EU after Sweden. The difference in mortality between the sexes is greatest among Member States.
The financing of the health system is made largely by social insurance.
A supplement is provided by government and the patient participation costs are also granted.
The Department submits to Parliament for approval an overall budget for health spending. Expenditure targets are also set in different sectors, such as hospitals and ambulatory care. The share paid by the employer is five times the employee's contribution.
Policy holders pay a lump sum in an amount determined by each fund. These premiums represent about 10% of total health expenditure. This dual funding mechanism fund was introduced in 1993; it replaces the old system based on the coverage of spending cash.
The choice between different health insurance companies has been expanded and they are now allowed to expand their customer base. There is strong competition between them concerning the quality of care, and for the services they can cover.
The area of private health insurance is still based on competitiveness. Private insurers have mastered the techniques of price competitiveness, as well as the quality of care also benefits that may be offered.
Premiums are set by individual insurers, usually depending on the age of the insured. The fee schedules are negotiated between public funds and private insurers and care providers under contract.
Hospital services are funded by a global budget allocated by each county council since 1983.
Tags: Life expectancy, Member States, social insurance, expenditure targets, quality of care, global budgets