慕尼黑再保險健康險系列培訓(xùn)課件2世界醫(yī)療保健市場WorldwideHealthInsuranceMarketsfinal

WorldwideHealthcareMarkets世界醫(yī)療保健市場MARKETCLUSTERS–OVERVIEWPRELIMINARYFinancialprotectionQualityofpublicsystemDegreeofcoverage*DevelopmentofPHI**marketInformationandguidanceDemandforinformationandguidanceManagementofcareDegreeofdevelopmentQualityDeliveryofcareQualityofpublicprovidersQualityofprivateprovidersSizeofPHI**market,estimate2021EURbillionsUSA~1,078Beta~65Gamma~23Delta~22DegreeofdevelopmentofhealthcaresystemLowHighAlpha~119市場群體劃分財務(wù)保護公共效勞系統(tǒng)的質(zhì)量覆蓋程度私人健康險*市場的興旺程度信息與指導(dǎo)對信息與指導(dǎo)的需求醫(yī)療衛(wèi)生的管理興旺程度質(zhì)量醫(yī)療衛(wèi)生的提供公立提供者的質(zhì)量私立提供者的質(zhì)量*預(yù)計2021年私人健康險市場的規(guī)模(單位：10億歐元)美國~1,078Beta~65Gamma~23Delta~22醫(yī)療系統(tǒng)的興旺程度低高Alpha~119COUNTRYCLUSTERS

Source: MunichRe,McKinseyBetaArgentinaAruba,

Bonaire,CuracaoBrazilChileCyprusGreeceItalyJordanLebanonKoreaMexicoPeruSaudiArabiaTurkeyUnitedArabEmiratesUKGammaCentralAmericaHongKongIndonesiaPhilippinesMalaysiaSouthAfricaVenezuelaAlphaAustriaBelgiumCanadaColombiaDenmarkFinlandGermanyFranceIsraelJapanNetherlandsNorwayPortugalSingaporeSpainSwedenSwitzerlandDeltaBelorussiaBoliviaBulgariaChinaCzechRepublicEcuadorEstoniaEx-JugoslaviaGeorgiaHungaryIndiaLatviaLithuaniaMoldaviaPolandRomaniaRussiaSlovakiaSloveniaSriLankaThailandUkraineWITHOUTUSA國家群

Source: MunichRe,McKinseyBeta阿根廷阿魯巴島,

博內(nèi)爾島,庫拉索島巴西智利塞浦路斯希臘意大利約旦黎巴嫩韓國墨西哥秘魯沙特阿拉伯土爾其阿拉伯聯(lián)合酋長國英國Gamma中美洲香港印尼菲律賓馬來西亞南非委內(nèi)瑞拉Alpha奧地利比利時加拿大哥倫比亞丹麥芬蘭德國法國以色列日本荷蘭挪威葡萄牙新加坡西班牙瑞典瑞士Delta白俄羅斯玻利維亞保加利亞中國捷克厄瓜多爾愛沙尼亞原-南斯拉夫喬治亞匈牙利印度拉脫維亞立陶宛摩爾達維亞波蘭羅馬尼亞俄羅斯斯洛伐克斯洛文尼亞斯里蘭卡泰國烏克蘭美國除外HEALTHEXPENDITUREINPUBLICANDPRIVATESECTORPERCLUSTER,1998 * Includesprivatehealthinsurance,out-of-pocket

disbursement,andotherexpenditures Source: WHO,McKinseyInEURbillionsOut-of-pocketdisbursementforhealthClusterAlphaBetaGam-

maDeltaUSPublichealthexpenditure765556ClusterAlphaBetaGam-

maDeltaUSPrivatehealthexpenditure*685ClusterAlphaBetaGam-

maDeltaUSPrivatehealthinsuranceexpenditure415ClusterAlphaBetaGam-

maDeltaUSTotalhealthexpenditure1,2401,021ClusterAlphaBetaGam-

maDeltaUS1998年醫(yī)療衛(wèi)生支出分類(單位：10億歐元)個人自付用于醫(yī)療衛(wèi)生的支出國家群AlphaBetaGam-

maDeltaUS公共醫(yī)療衛(wèi)生支出765556國家群AlphaBetaGam-

maDeltaUS私立醫(yī)療衛(wèi)生支出*685國家群AlphaBetaGam-

maDeltaUS私人健康險支出415國家群AlphaBetaGam-

maDeltaUS總的醫(yī)療衛(wèi)生支出1,2401,021國家群AlphaBetaGam-

maDeltaUS Amongtheadvancedeconomies,fivedifferenthealthacresystemshaveemergedNationalServicesModel(UK)NationalHealthInsuranceModel(Canada)SocialInsuranceModel(Germany)SocialInsurancewithVoluntaryPrivateInsurance(Australia)VoluntaryHealthInsurance(U.S.A.)Overview>>概覽>>NationalServiceModelU.K.NationalHealthInsuranceModelCanadaSocialInsuranceModelGermanySocialInsurancewithVoluntaryPrivateInsuranceAustraliaUSAVoluntaryHealthInsuranceWelfare

StateIndividual

Responsibility(U.K.;Italy;Spain)(France;Belgium)(Germany;Netherlands)>>Overview國家服務(wù)模式英國國家醫(yī)療保險模式加拿大社會醫(yī)療保險模式德國社會保險與自愿私人保險結(jié)合模式澳大利亞美國自愿健康保險模式福利國家個人負(fù)責(zé)制>>概覽NationalServiceModel(U.K.)StrengthMorehealthinformationMostequitable(fair)HighertransparencyCost-effectiveMoretailoredcareservicesIntegrationofprimarycare,specialityandcommunityservicesGreaterdecisionmakingpowerFreechoiceofGP’sLowhealthexpenditureinflationDraw-backLongwaitinglistforspecialityservices國家效勞模式(英國)優(yōu)點：更多的醫(yī)療衛(wèi)生信息，最公平本錢效益具有更高的透明度將初級護理，特殊護理及社團效勞融為一體，具有更多有針對性的效勞對醫(yī)生的自由選擇有更大的決定權(quán)醫(yī)療衛(wèi)生支出增長較低缺乏之處：特殊效勞的需求要經(jīng)過長期等待SocialInsuranceModel(Germany)StrengthQuiteequitable(fair)CapabletomanagehealthexpenditureinflationthroughnegotiationsBalanceofdemandandsupplyFreechoiceofprovidersDraw-backInefficiencySeparationofprimarycarefromspecialityandhospitalcare優(yōu)點：相當(dāng)公平能夠通過協(xié)商管理醫(yī)療費用的上漲供需平衡醫(yī)療效勞提供者的自由選擇缺乏之處：效率不夠初級護理與特殊護理及住院治療別離VoluntaryHealthInsurance(USA)StrengthChoiceofdifferent“quality〞levelsofserviceServicesarepatient-centredRapidorganisationalinnovationsDraw-back15%uninsuredExpenditureinflationishardtomanageHighadministrativecosts優(yōu)勢：不同效勞檔次的選擇以患者為核心的效勞快速的機構(gòu)革新缺乏之處：15%的未保人群費用上漲難于控制很高的管理本錢BalanceTrendtomore