Yannick Pots
Free University Brussels | Belgium
Title: New fair financing system on health & pharmaceuticals creating sustainable health services & health care
Biography
Biography: Yannick Pots
Abstract
Background: Macroeconomics, according to health income & expenditure account, based on OECD-data1 for Belgium (B) resp. OECD-average (O) for 2015, total public income on health is 77% (B) [72% (O)], from which government social security system is 18% (B) [36% (O)], resp. compulsory social insurance contributions is 59% (B) [36% (O)]. Total private income on health is 23% (B) [28% (O)], from which private health insurance is 5% (B) [6% (O)], resp. out-of-pocket is 18% (B) [20% (O)].
Aim: To describe, according to Pareto Principle [80/20-rule] that total expenditure on personal health [HC.1-HC.5] for B has to decrease from 95% to 84%, total medical services [HC.1-HC.4] from 79% to 68% (from which service of curative and rehabilitative care (SCRC) [HC.1-HC.2] from 55% to 46% (inpatient-care-scrc from 30% to 24%; outpatient-care-scrc from 25% to 22%). In SCRC, Pharmaceuticals from 28% to 19%. Medical goods dispensed to outpatients [HC.5] from 16% to 5%.
Methods and results: According to Pareto Principle, expenditures on services of prevention [HC.6] have to be revolutionary increased from 5% to 16%, which will (r)evolutionary increase both total personal and collective health status and will (r)evolutionary decrease total expenditure on personal health [HC1-HC5], i.e. on total medical services [HC.1-HC.4] – service of curative and rehabilitative care [HC.1-HC.2], scrc-in- resp.outpatient care and consequently pharmaceuticals, and medical goods [HC.5].
Conclusions: A new financing system by increasing total expenditure on prevention according to Pareto Principle will balance health income(s) and expenditure(s) in the world. Financial details will be presented at the congress.
Keywords: financing system, expenditure, revolutionary increase total expenditure on prevention, increase total health status , increase total personal health status, increase total collective health status, decrease total expenditure on personal health, decrease expenditure on total medical services, decrease expenditure on service of curative and rehabilitative care , decrease expenditure on scrc-inpatient care, decrease expenditure on scrc-outpatient care, decrease expenditure on pharmaceuticals, decrease expenditure on goods dispensed to outpatients