Publications

Health system summaries

Health System Summaries are stand-alone, concise documents summarising the main elements of a country’s health system in an engaging, policy-relevant way. They analyse core evidence and data on the organization, financing and delivery of health care.  They also provide insights into key reforms and the varied challenges testing the performance of the health system.

The information derives from the most recently published Health Systems in Transition (HiT) review on a country and is then updated for new editions of Summaries every two years, incorporating new data, policy developments and important reforms, as highlighted by the Health Systems and Policies Monitor (HSPM)

Like HiTs, Health System Summaries follow a common template and allow comparisons across countries.

The Health System Summaries series is a complementary resource to HiTs, enhancing the Observatory’s country monitoring activities, and supporting rapid access to country evidence.

Most recent Health System Summaries

Portugal: health system summary 2024

Portugal has a predominantly tax-based health system with universal coverage. The National Health Service (NHS) co-exists with health subsystems that provide...

Poland: health system summary 2024

Poland has a health system based on social health insurance (SHI), covering almost all of the resident population. The scope of services covered under...

Finland: health system summary 2024

Since January 2023, the health system in Finland has been organized into 21 Well-being Service Counties (WSC), the city of Helsinki, and the HUS group...

Czechia: health system summary 2024

Czechia’s health system provides virtually universal membership and a broad benefits package. Stewardship and the health system policy process are...

Slovenia: health system summary 2024

Slovenia’s health care system is nearly universally accessible and predominantly publicly owned, with mandatory employment-based social health insurance...

Cyprus: health system summary 2024

Cyprus introduced a comprehensive General Healthcare System (Geniko Systima Ygeias, GeSY) in June 2019, which provides universal coverage and free access...

Spain: health system summary 2024

The Spanish national health system (SNS) provides virtually universal coverage and a comprehensive benefits package. The SNS is mainly funded from taxes,...

Germany: health system summary 2024

The governance of the German health system is complex and decentralized, involving both the federal and state levels, as well as corporatist bodies of...

Italy: health system summary 2024

Italy has a regionalized National Health Service (Servizio Sanitario Nazionale, SSN), that provides universal coverage to all citizens and legal residents....

Latvia: health system summary 2024

The Latvian National Health System serves a population of 1.8 million. Despite near universal population coverage, the benefits package is rather limited...

The Netherlands: health system summary 2024

The Netherlands has a decentralized health system with private insurers and private providers. Nearly all (99.9%) of the Dutch population has access to...

Sweden: health system summary 2024

Sweden’s tax-funded health system provides coverage for nearly everyone who lives or works in the country. The Ministry of Health and Social Affairs,...

Croatia: health system summary 2024

Health insurance is mandatory in Croatia and covers all residents. No opting out of mandatory health insurance is possible and almost the entire population...

Austria: health system summary 2024

Austria has a complex health system with responsibilities for health system governance divided between the federal and the regional level. Health insurance...

Malta: health system summary 2024

The Maltese national health system is tax-based and offers nearly universal access to its citizens and residents – approximately half a million people...

France: health system summary 2024 (updated)

The French health system combines a social health insurance system with a national health system approach. It provides universal pop­ulation coverage...

Norway: health system summary 2024

The national health system in Norway provides universal coverage for the entire population, with a broad range of services included in the benefit basket....

Luxembourg: health system summary 2024

Luxembourg has a mandatory statutory health insurance (SHI) system for economically active individuals, which also covers their non-earning spouse and...

Estonia: health system summary 2024 (updated)

Estonia has a social health insurance (SHI) system that covers about 94% of the population of 1.3 million, leaving those with temporary or unstable employment...

Bulgaria: health system summary 2024

Bulgaria has a compulsory social health insurance (SHI) scheme, with a single purchaser – the National Health Insurance Fund. Voluntary health insurance...

The Caribbean Netherlands: health system summary 2024

This Health System Summary is based on the Caribbean Netherlands: Health System Review published in 2024 in the Health Systems in Transition (HiT) Series....

Denmark: health system summary 2024

The national health system in Denmark serves around 5.9 million inhabitants. It is mainly tax-funded and organized into three administrative levels: the...

Belgium: health system summary 2024

Compulsory social health insurance covers most Belgian residents (99%), who are affiliated to a sickness fund of their choice or to the public auxiliary...

Kyrgyzstan: health system summary 2022

Kyrgyzstan has a single mandatory health insurance system with a defined package of publicly covered services called the State-Guaranteed Benefits...

United Kingdom: health system summary 2022

The United Kingdom has a national health service (NHS) with access based on clinical need, and not ability to pay. All individuals, irrespective...

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