Innovation on classification of healthcare systems / 中国卫生政策研究

ABSTRACT

This article addresses the issue of the classification of healthcare systems, with the intent to take a step further than the previously analysed models of healthcare organisation. As concerns the financing of healthcare services, the standard tripartite classification ( according to which healthcare systems are divided into three groupsvoluntary insurance, social health insurance and universal coverage) is enriched with two additionaltypes compul-sory national health insurance and residual programs. With respect to the provision of services and the relationship between insurers and providers, it is important to distinguish between vertically integrated and separated systems. What differentiates this analysis from the majority of previous studies is its underlying logic. Assuming that all sys-tems are hybrid,the article proposes to put aside the classic logic for classifying healthcare systems ( according to which individual countries are pigeonholed into different classes depending on the prevailing system) in favour of the identikit logic. The concept of segmentation ( of healthcare services or population) proves to be remarkably use-ful to this purpose.