On this webpages we provide and share results of our research project Decision-Making Processes and Distributive Effects - The Allocation of Health Care in OECD Countries. One of the aims of the project is to gather information about the decision-making processes within which the content of public health benefit baskets is determined and to analyse potential relationships between the institutional structure of these decision-making processes and decision outcomes. Within the past three years, we have collected information about various institutional characteristics of those decision-making processes, including information on the institutional design of decision-making bodies, as well as general information about the public health care systems of OECD-countries.
This website provides more or less detailed INFORMATION for each of the countries concerning:
- Decision-making processes in health care priority-setting and the definition of benefit baskets in different areas such as drugs, medical services and medical devices
- Institutional design of bodies (agencies, commissions) involved in decision-making: their composition, tasks & competences, institutional affiliation, quorum & vote, transparency & publicity, and assessment criteria
- Services and goods covered in the respective public health care system, including links to positive lists and benefit catalogues
- Fees and co-payments for different service areas in the respective health care system
- Organisation, provision and financing of public health care systems and health care system type
- Further literature and links to relevant laws and regulations.
In collaboration with a working group at the Collaborative Research Center 597 Transformations of the State  we have also developed a new classification of health care systems for which you can find the empirical data in the country chapters. A full description of the theoretical background, the deductive derivation of health care system types and a discussion of empirical cases is published in a working paper by Böhm et al. (2010): Classifying OECD Healthcare Systems: A Deductive Approach.
All information you find in our database has been collected between 2009 and 2011. Information about health care systems was last up-dated early in 2012, information about priority setting processes in June 2011. Given the high frequency of health care reforms, we know that the data rapidly becomes obsolete. This is one of the reasons why we provide our findings as a wiki-database. Using this format, information can easily be up-dated by everyone. We invite you to contribute and to keep the database up-dated. If you want to contribute, you find more information about how to submit and change data in the Manual. In order to edit country chapters you have to create an account and to log in.
We hope that this health care system wiki will be a useful resource for your own research.
If you have any questions, suggestions, or comments please do not hesitate to contact us Contact.
Prof. Dr. Claudia Landwehr, professor for politics and economy at Johannes-Gutenberg University, Mainz
Katharina Böhm, research associate at Johannes-Gutenberg University, Mainz