Sustaining Universal Health Coverage in France : A Perpetual Challenge

While universal health coverage (UHC) offers a powerful goal for a nation, all countries-irrespective of income are struggling with achieving or sustaining UHC. France is a high-income country where HC is in effect universal. Health-related costs a...

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Bibliographic Details
Main Authors:	Barroy, Helene, Or, Zeynep, Kumar, Ankit, Bernstein, David
Format:	Working Paper
Language:	English en_US
Published:	World Bank Group, Washington, DC 2014
Subjects:	ABILITY TO PAY ACCESS TO HEALTH CARE ACCESS TO HEALTH SERVICES ACCESSIBILITY OF CARE ACUTE CARE ALCOHOL CONSUMPTION ALCOHOLISM ALLOCATIVE EFFICIENCY AMBULATORY CARE AMBULATORY SECTOR BASIC HEALTH SERVICES BREAST CANCER BURDEN OF DISEASE CANCER PATIENTS CAPITAL INCOME CARDIOVASCULAR DISEASES CARE TECHNIQUES CATASTROPHIC HEALTH SPENDING CERVICAL CANCER CHOICE OF PROVIDER CHRONIC DISEASES CHRONICALLY ILL PATIENTS CLINICAL GUIDELINES CLINICAL QUALITY CLINICIAN CLINICIANS CLINICS COMPETENCIES COST CONTROL COST OF HEALTH CARE COST OF SERVICES COST SHARING COST-EFFECTIVENESS COST-EFFICIENCY DEATHS DECISION MAKING DELIVERY SYSTEM DENTAL CARE DENTAL HEALTH DENTAL HEALTH CARE DIABETES DIAGNOSIS DIAGNOSTIC SERVICES DIRECT COSTS DOCTORS DRUG CONSUMPTION DRUGS EMERGENCY CARE ENROLLEES ENTITLEMENT EXPENDITURE CONTROL FEE FOR SERVICE FEE-FOR-SERVICE FINANCIAL CONSEQUENCES FINANCIAL IMPACT FINANCIAL INCENTIVES FINANCIAL PROTECTION FINANCIAL RESOURCES FINANCING HEALTH CARE FLAT RATE FREE CHOICE GAMBLING GENERAL PRACTICE GENERAL PRACTITIONERS GLOBAL BUDGETS GROWTH OF HEALTH EXPENDITURE HEALTH CARE HEALTH CARE COSTS HEALTH CARE DELIVERY HEALTH CARE FACILITIES HEALTH CARE FINANCING HEALTH CARE NEEDS HEALTH CARE NETWORKS HEALTH CARE POLICIES HEALTH CARE POLICY HEALTH CARE PROFESSIONALS HEALTH CARE PROVIDERS HEALTH CARE PROVISION HEALTH CARE RESOURCES HEALTH CARE SERVICES HEALTH CARE SPENDING HEALTH CARE SYSTEM HEALTH CARE UTILIZATION HEALTH CENTERS HEALTH COVERAGE HEALTH ECONOMICS HEALTH EXPENDITURE HEALTH EXPENDITURE BY SOURCE HEALTH EXPENDITURE GROWTH HEALTH EXPENDITURES HEALTH FINANCING HEALTH INEQUALITIES HEALTH INSURANCE HEALTH INSURANCE COVERAGE HEALTH INSURANCE FUNDS HEALTH INSURANCE MARKETS HEALTH INSURANCE SYSTEM HEALTH MANAGEMENT HEALTH NEEDS HEALTH ORGANIZATION HEALTH OUTCOMES HEALTH POLICY HEALTH PROFESSIONALS HEALTH PROMOTION HEALTH SECTOR HEALTH SERVICE HEALTH SERVICE PROVIDERS HEALTH SERVICES HEALTH SPECIALIST HEALTH SPENDING HEALTH STATUS HEALTH SYSTEM HEALTHCARE HIGH BLOOD PRESSURE HOSPITAL BEDS HOSPITAL CARE HOSPITAL EXPENDITURE HOSPITAL MANAGEMENT HOSPITAL SECTION HOSPITAL SECTOR HOSPITALISATION HOSPITALIZATION HOSPITALS HOUSEHOLD INCOME HUMAN DEVELOPMENT IMMIGRANTS INCOME INCOME COUNTRIES INCOME DISTRIBUTION INCOME GROUPS INDEXES INDUCED DEMAND INFORMATION SYSTEM INSURANCE CONTRACTS INSURANCE COVERAGE INSURANCE PREMIUMS INSURERS LIFE EXPECTANCIES LIFE EXPECTANCY LOW INCOME MEDICAL ACTIVITIES MEDICAL CARE MEDICAL DEVICES MEDICAL FEES MEDICAL INFORMATION MEDICAL PERSONNEL MEDICAL STAFF MEDICATION MENTAL ILLNESS MINISTRIES OF HEALTH MONITORING MECHANISMS MORBIDITY MORTALITY NATIONAL HEALTH NATIONAL HEALTH INSURANCE NATIONAL HEALTH INSURANCE FUND NURSES NURSING NURSING HOMES NUTRITION OUTPATIENT CARE PATIENT PATIENT OUTCOMES PATIENTS PHARMACEUTICAL COMPANIES PHARMACEUTICAL INDUSTRY PHYSICIAN PHYSICIANS PHYSIOTHERAPISTS PHYSIOTHERAPY POCKET PAYMENTS POLIOMYELITIS PREGNANT WOMEN PRESCRIPTION DRUG PRESCRIPTIONS PREVENTIVE CARE PRICES OF HEALTH CARE PRIMARY CARE PRIVATE CLINICS PRIVATE HOSPITALS PRIVATE INSURANCE PRIVATE SECTOR PRIVATE SECTORS PROBABILITY PSYCHIATRISTS PUBLIC HEALTH PUBLIC HOSPITAL PUBLIC HOSPITAL STAFF PUBLIC HOSPITALS PUBLIC INSURANCE PUBLIC POLICY PUBLIC SECTOR PUBLIC SPENDING QUALITY OF CARE REFUGEES REHABILITATION REIMBURSEMENT RATES SCREENING SERVICE DELIVERY SICKNESS FUNDS SMOKING SOCIAL HEALTH INSURANCE SOCIAL INSURANCE SOCIAL INSURANCE SYSTEM SOCIAL SECURITY SOCIAL SECURITY FINANCING SURGERY TREATMENTS TUBERCULOSIS UNEMPLOYMENT USE OF HEALTH SERVICES VACCINATION VISITS WORKERS WORKING CONDITIONS
Online Access:	http://documents.worldbank.org/curated/en/2014/06/20279044/sustaining-universal-health-coverage-france-perpetual-challenge http://hdl.handle.net/10986/20754

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Summary:	While universal health coverage (UHC) offers a powerful goal for a nation, all countries-irrespective of income are struggling with achieving or sustaining UHC. France is a high-income country where HC is in effect universal. Health-related costs are covered by a mix of mandatory social health insurance (SHI) and private complementary schemes, while benefit packages are comprehensive, uniform, and of good quality. France provides some of the highest financial protection among countries in the Organization for Economic Co-operation and Development (OECD). Still, under pressure to sustain UHC without compromising equity of access, the system has been fine-tuned continually since inception. Much can be learned from France's experience in its reforms toward better fiscal sustainability, equity, and efficiency. The main purpose of the study is to assess major challenges that France has faced for sustaining UHC, and to share its experiences and lessons in addressing system bottlenecks to benefit less developed countries as they embark on the path to UHC.

Sustaining Universal Health Coverage in France : A Perpetual Challenge

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