Year 2019, Volume 2 , Issue 2, Pages 185 - 204 2020-04-03

The Organization of Health Sector Financing in the Member States of the European Union and Health Policies

Mihalache IULİANA- CLAUDİA [1] , Mihaela TOMAZIU-TODOSIA [2] , Felicia- Catalina APETROİ [3]

The elaboration of the present paper starts from the idea of the interdependence between the state of health of the population and the economy of a state, namely, that, on the one hand, the financial resources existing in the health sector can improve the health of the population and, on the other hand, healthy people will have labour, an aspect that contributes to economic growth. Thus, the main hypothesis on which the work is based is that a way of efficiently financing the healthcare sector can lead, in the long run, to improving the health of the population. The main purpose of this article is to analyse the financing modalities of the health sector in the EU Member States as well as the percentage contribution of each form of funding to the types of services provided to the population; the analysis of this aspect is useful given that the way in which the health sector finances directly influences the range and quality of health services provided to the population. The research methodology used combines the qualitative and quantitative method; the qualitative method supports the revision of the specialized literature, which is based on a series of largely conceptual studies, international studies, which present a fundamental theoretical orientation related to the concept, policies and financing modalities of the health sector. The quantitative method is based on grouping method, comparison method, indicator method, data analysis methods using statistical techniques such as graphs and tables; the data required for quantitative analysis were collected from official sources, Health system financing accounts for more than 10% of GDP in the most developed countries, so one of the conclusions is that the choice of funding method determines the type of organization of the health system, who has access to health care, the cost of such care, productive efficiency and, last but not least, the quality of the services offered.
Economy, Financing, Health Sector
  • Bossert, T.; Beauvais, J., (2002), Decentralization of health systems in Ghana, Zambia, Uganda and the Philippines: a comparative analysis of decision space, Health Policy and Planning, Vol. 77(1), pp. 14 – 31 Carrin, Guy, 2008, Health Systems Policy, Finance, and Organization, World Health Organization, Geneva, Switzerland, Academic Press Culyer, Anthony, John, (1989), The normative economics of health care finance and provision, Oxford Review of Economic Policy, Vol 5(1), pp. 34 – 58 Carrin, Guy, J.; Waelkens, Maria- Pia; Criel, B., (2005), Community-based health insurance in developing countries: a study of its contribution to the performance of health financing systems, Tropical Medicine and International Health, Vol. 10(8), pp. 799 – 811 Culyer, Tony; Jonsson, Bengt, (1986), Public and Private Health Care Services: Complementarities and Conflicts, Basil Blackwell, Oxford Di Matteo, Livio, (2005), The macro determinants of health expenditures in the United States and Canada: assessing the inpact of income, age distribution and time, Health Policy, Vol. 71, pp. 23 – 42 Di Matteo, Livio; Di Matteo, Rosanna, (1998), Evidence on the determinants of Canadian provincial health ependitures 1965 – 1991, Journal of Health Economics, Vol. 17 (2), pp. 211 – 228 Donaldson, Dayl, S.; Dunlop, David, W., (1986), Financing Health Services in Developing Countries, Social Science & Medicine, Vol. 22(3), pp. 313 – 314 Edelman, M., (1985), Symbolic uses of politics, University of Wisconsin, Urbana, IL Fried, Bruce, J.; Gaydos, Laura, M., (2002), World Health Systems: Challenges and Prospects, Health Administration Press, Chicago, IL Gerdtham, Ulf, G.; Jönsson, Bengt, (1991), Price and quantity in international comparisons of health care expenditure, Applied Economics, Vol. 23, pp. 1519 – 1528 Getzen, Tom, E.; Poullier, Jean- Pierre, (1991), An income- weighted international average for comparative analysis of health expenditures, International Journal of Health Planning and Management, Vol. 6(1), pp. 3 – 22 Gruen, Reinhold; Howarth, Anne, (2005), Financial Management in Health Services, Open University Press, USA Garber, Allan, M; Phelps, Charles, E., (1997), Economic Foundation of Cost-Effectiveness Analysis, Journal of Health Economics 16(1), pp. 1 – 31 Graig, L., (1999), Health o f nations: An international perspective on U. S. health care reform, (3rd ed.), Congressional Quarterly, Inc., Washington, DC Hansen, Paul; King, Alan, (1996), The determinants of health care expenditure: a cointegration approach, Journal Of Health Economics, Vol. 15(1), pp. 127 – 137 Hitiris, Theo; Posnett, John, (1992), The determinants and efects of health expenditure in developed countries, Journal of Health Economics, Vol. 11(2), pp. 173 – 181 Kleiman, Ephraim, (1974), The determinants of national outlays on health, în Perlman Mark (ed.), The Economics of Health and Medical Care, pp. 66 – 88, Macmillan, London Kreuter, M.; Lezin, N., (1998), Are consortia/collaboratives effective in changing health status and health systems? A critical review o f the literature, Atlanta: Health, Inc. Kutzin, Joseph, (2013), Health financing for universal coverage and health system performance: concepts and implications for policy, Bulletin of the World Health Organization, Vol. 91, pp. 602 – 611 Lee, Keun; Mills, Anne, (1984), The Economics of Developing Countries, Oxford University Press, Oxford Green, Andrew, (2007), An Introduction to Health Planning for Developing Health Systems, Oxford University Press, UK Milne, Robin; Molana, Hassan, (1991), On the effect of income and relative price on the demand for health care: EC evidence, Applied Economics, Vol. 23, pp. 1221 – 1226 Munoz, Eric; Barrau, Lionel; Goldstein, Jonathan; Benacquista, Teresa; Mulloy, Katherine; Wise, Leslie; (1989), Health Care Financing Policy for Hospitalized Pulmonary Medicine Patientspp, Health Care Financing of Pulmonary Patients, pp. 174 – 178 Murthy, Vasudeva, N., R.; Ukpolo, Victor, (1994), Aggregate health care expenditure in United States: evidence frrom cointegration tests, Applied Economics, Vol. 26, pp. 797 – 802 Murgea, Mihaela, Narcisa, (2016), Modalități de finanțare a sistemelor de sănătate, București, online, available at, accessed 29.09.2019 Newhouse, Joseph, P., (1977), Medical- care expenditure: a cross national survey, The Journal of Human Resources, Vol. 12(1), pp. 115 – 125 Newhouse, Joseph, P., (1987), Cross- national differences in health spending: what do they mean?, Journal of Health Economics, Vol. 6(2), pp. 159 – 162 OECD/ European Union, (2018), Health at a Glance: Europe 2018: State of Health in the EU Cycle, OECD Publishing, Paris, online, available at, accessed 05.09.2019 Parkin, David; McGuire, Alistar; Yule, Brian, (1987), Aggregate health care expenditures and national income: is health care a luxury good?, Journal of Health Economics, Vol. 6(2), pp. 109 – 127 Putnam, R., (2000), Bowling alone: America’s declining social capital, Simon & Schuster Print, New Zork Schieber, George; Baeza, Cristian; Kress, Daniel; Maier, Margaret, (2006), Financing Health Systems in the 21st Century. Disease Control Priorities in Developing Countries, 2nd Edition, Oxford University Press, New York Tobin, Christine, T., 2015, Health Care Policy, Finance, and Law, Cost Concepts for Diabetes Educators: An Introduction, The Diabetes Educator, Vol. 16(16), pp. 456 – 459 Twaddle, A., (1996), Health system reforms- Toward a framework for international comparisons, Social Science and Medicine, Vol. 43(5), pp. 637-654 Sekhir, Neelam; Savedoff, William, (2005), Private health insurance: implications for developing countries, Bulletin of the World Health Organisation, Vol. 83(2), pp. 127 – 134 Vogel, Ronald, J., (1988), Cost Recovery in the Health Sector: Selected Countries in West Africa, WorldBank, Washington, DC Wagstaff, Adam; Doorslaer, Eddy, (1992), Equity in the finance of healthcare: some internationalcomparisons, Journal of Health Economics, Vol. 11, pp. 361 – 387 Waitzkin, H.; Jasso-Aguilar, R.; Landwehr, A.; Mountain, C., (2005), Global trade, public health, and health services: Stakeholders' constructions of the key issues, Social Science and Medicine, Vol. 61, pp. 893 – 906 White, Arlette, Campbell; Merrick, Thomas, W.; Yazbeck, Abdo, S, (2006), Reproductive Health- The Missing Millennium Development Goal Poverty, Health, and Development in a Changing World, The World Bank, Washington, DC. World Health Organization, (1978), Primary Health Care, WHO Press, Geneva, Switzerland, online, available at, accessed 05.09.2019 World Health Organization, (2008), Health systems financing, online, available at, accessed 07.09.2019, accessed 07.09.2019
Primary Language en
Subjects Economics
Journal Section Articles

Author: Mihalache IULİANA- CLAUDİA (Primary Author)
Institution: Alexandru Ioan Cuza University
Country: Romania

Institution: Alexandru Ioan Cuza University of Iasi
Country: Romania

Author: Felicia- Catalina APETROİ
Institution: University of Seville
Country: Spain


Publication Date : April 3, 2020

APA IULİANA- CLAUDİA, M , TOMAZIU-TODOSIA, M , APETROİ, F . (2020). The Organization of Health Sector Financing in the Member States of the European Union and Health Policies. InTraders International Trade Academic Journal , 2 (2) , 185-204 . Retrieved from