OECD Economics Department Working Papers

Working papers from the Economics Department of the OECD that cover the full range of the Department’s work including the economic situation, policy analysis and projections; fiscal policy, public expenditure and taxation; and structural issues including ageing, growth and productivity, migration, environment, human capital, housing, trade and investment, labour markets, regulatory reform, competition, health, and other issues.

The views expressed in these papers are those of the author(s) and do not necessarily reflect those of the OECD or of the governments of its member countries.

English, French

Improving the Czech health care system

The Czech health care system is doing well in terms of health outcomes compared to other Central East European economies that inherited similar health systems after the transition and has been converging to OECD averages. However, benchmarking the Czech health system to countries with comparable institutional setting points to potential for efficiency gains. This paper assesses the performance and emerging key challenges of the Czech health system, and provides recommendations to adapt the system to remain effective and financially sustainable in the context of an ageing society. Further, the contribution of various disincentives in the system on the supply and the demand side of health care are discussed.

This Working Paper relates to the 2018 OECD Economic Survey of Czech Republic. (www.oecd.org/eco/surveys/economic-survey-czech-republic.htm).


Keywords: Czech Republic, health disparities, healthcare coordination, prevention, hospital, generics, health insurance, health care system, ageing, health policy, fee-for-services, pharmaceutical expenditures, primary healthcare, health practitioners
JEL: I11: Health, Education, and Welfare / Health / Analysis of Health Care Markets; I12: Health, Education, and Welfare / Health / Health Behavior; I18: Health, Education, and Welfare / Health / Health: Government Policy; Regulation; Public Health; I15: Health, Education, and Welfare / Health / Health and Economic Development; I13: Health, Education, and Welfare / Health / Health Insurance, Public and Private
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