The French Healthcare System.ppt

The French Healthcare System Lecture 7 Tracey Lynn Koehlmoos, PhD, MHA HSCI 609 Comparative International Health Systems The Best in the World A very controversial study released by the World Health Organization in 2000 declared France had the BEST healthcare system in the world! Still the French citizens were dissatisfied! Where are we now? French Republic (France) Capital: Paris Population: 60,876,000 Government: Republic Divisions: 22 Regions, 96 Departments Updated Facts about France Life Expectancy: 76.1 m/ 83.5 f (2006) Infant Mortality: 4.21 per 1000 (2006) Population 65: 16.4% (2006) Health care expenditures as percent of GDP: 9.7 (2002) Per capita health expenditure: $2762 US Leading causes of mortality: cancer, heart disease Organization Ministry of Health—runs two large organizations that cover the funding and provision of health services: General Health Management Hospital and Healthcare Management 22 Regional level service organizations 96 departmental level services organizations Public Health Agencies in France National Institute of Health (1998) French Agency of Health Safety of Health Products: (1998) (like our FDA) reviews drugs, cosmetics, foods Agency of Environmental Health Safety (2000) French Institute of Blood (1992): safe blood French Institute of Transplants: (1994)—arms and faces! Ministry for Health, Family and the Disabled Planning The government presents a law to parliament every year in order to finance social security which includes the national expenditure on health insurance. Delineates specific goals for the healthcare system. Ministry of Health—delegates to the Regions who develop: General Regional Health Organization Plans How does French Health Insurance Work? National Health Insurance (NHI) guarantees universal access Administered in schemes according to occupation 80%: CNAMTS, salaried workers and their families The rest: 17 separate funds—occupationally specific, doctors, agricultural workers, students Financing th