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BASIC FACTS ON THE CZECH HEALTH SYSTEM. Financing Payor and provider structure Access to care. Statutory insurance - 13,5% „payroll tax“ on economically active citizens, ca 30% of sources supplied from the state budget Private spending amounts to 1 8 % of total

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basic facts on the czech health system
BASIC FACTS ON THE CZECH HEALTH SYSTEM

Financing

Payor and provider structure

Access to care

  • Statutory insurance - 13,5% „payroll tax“ on economically active citizens,

ca 30% of sources supplied from the state budget

  • Private spending amounts to 18% of total
  • 7,2% of GDP translates into 1780 USD per capita (in PPP in 2008)
  • 9 (competing) payors (VZP has 60% of the market)
  • 100% of premiums subject to risk adjustment
  • Payors limited in their efforts to purchase care
  • High number of hospitals, acute hospital beds, patient-physician

interactions and drug prescriptions

  • Most outpatient practices in private hands
  • Teaching hospitals managed by the central government, regional and

district ones by regional governments, 10% of hospitals beds private

  • Low specialization of providers, provision of care fragmented
  • Generally very good access to physician and hospital services
  • Until recently very good access to some modern technologies
  • Some health indicators belong to the EU top, some to the bottom
  • Quality and accessibility of services varies between providers
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