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Table 1 Access to primary care (survey from 2011 part of ERS taskforce) [5]

From: Achieving Thoracic Oncology data collection in Europe: a precursor study in 35 Countries

Country

Remarks

“free for everyone”

 Austria

 

 Belarus

 

 Denmark

 

 Hungary

 

 Ireland

For those individuals with a ‘medical card’.

 Italy

 

 Kyrgyzstan

 

 Lithuania

 

 Malta

 

 Poland

 

 Portugal

 

 Spain

 

 Turkey

 

 Ukraine

 

United Kingdom

“free but Insurance pay”

 Albania

Single level of Health Insurance which is mandatory in order to allow access to public hospitals. Additional voluntary Health Insurance in order to access private hospitals.

 B & H

Public health care is organised at the cantonal level; with Insurance paid by employers to the Public Fund.

 Croatia

Two levels of Health Insurance, basic and additional.

Czech Republic

 Estonia

There is a State-run Health Insurance.

 Netherlands

Mandatory basic level of Health Insurance which is paid by everyone in employment. There are voluntary supplements available too.

 Romania

National Public Health Insurance agency.

 Serbia

Mandatory Social Health Insurance Scheme.

 Slovakia

Mandatory Health Insurance, paid for by employer or State. 3 companies at present, 1 State run, 2 are private.

 Slovenia

Health Insurance scheme run by the Government

 Switzerland

Compulsory Basic level of Health Insurance. Additional ‘complementary’ health Insurance available too.

“Pay at time of consultation”

 Bulgaria

1.2E assuming individual paid contribution to National Health Fund. If not met contributions to National Health Fund then 10-15E.

 Cyprus

Given inadequate Primary care physicians, if choose to see one privately will have to pay 50E.

 Germany

10E per visit, or 40E per year and consultations are free.

 Iceland

4E. Department of Health covers the rest via taxation.

 Ireland

If not got a medical card (see above) then pay 60E. Some or all of this can be claimed from private Insurance scheme (50% population.

 Norway

22E per visit, up to maximum of 260E per year including primary and secondary care appointments and prescription charges etc. In-patient stay is free. Government does collect income tax of which some goes to Department of Health.

 Sweden

24E per visit, up to maximum of 180E per year.

“Pay a certain amount/proportion”

 Belgium

10% paid by patient, 90% paid by ‘social security’.

 Finland

13.7E/visit for first 3 visits, then free.

 France

23E at time of appointment but individual can claim back 70% of this from Social Security.

 Greece

3-10E

 Luxembourg

Individual pays 20% of 39.9E (ie 8E). Compulsory Public Health and Longterm Care Insurance means Government pays 80% of primary and secondary care consultation costs.

  1. B & H Bosnia Herzegovina. E Euros