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Table 4 Reimbursement adequacy index and social health insurance system

From: International comparison of the factors influencing reimbursement of targeted anti-cancer drugs

 

UK

Canada

Australia

Sweden

France *

Japan

Korea

Taiwan

Germany *

Reimbursement adequacy index

0.79

0.68

0.63

0.58

0.58

0.58

0.53

0.53

0.47

Financing system

76% General tax +18% National insurance +3% user charge

100% General tax

98.5% General tax +1.5% Levy

100% General tax

33% General tax +43% National insurance + Levies + other social security

Premium

Premium

Premium

Premium

Health technology assessment (HTA)

Government independent

Government independent

Government agency

Government agency

Government agency

N/A

Government agency

Government agency

Government independent

Date of HTA foundation

1999

1990

1993

1987

2004

N/A

2009

2007

2004

Form of Health Security

National Healthcare Service

Social Health Insurance

Social Health Insurance

National Healthcare Service

Social Health Insurance

Social Health Insurance

Social Health Insurance

Social Health Insurance

Social Health Insurance

  1. N/A, not available.
  2. *Germany and France have the HTA agencies that apply an evaluation process based on evidence but not based on comparative cost effectiveness.