From: A review of health promotion funding for older adults in Europe: a cross-country comparison
Country | Who is funding health promotion interventions in general? | Who is funding health promotion interventions for older adults? | What are the mechanisms of funding? | Who is the collecting agent? | Sources |
---|---|---|---|---|---|
Austria | Government Social Insurance fund NGOsa EU funding | Health promotion for older population groups are also funded by Fund for Healthy Austria and health insurance funds. For individuals who use health promotion activities, they are covered by health insurance package(Article 154b, ASVG) | General taxes Insurance contributions | Fund for Healthy Austria 9 regional health insurers 6 professional health insurers | Hofmarcher et al. (2006) [26] Schang LK, et al. (2012) [12]. |
Belgium | Regional and local entities | Same as general health promotion | General taxes Local taxes Earmarked taxes | Government Local communities | Gerkens S, et al. (2010) [18] |
Bulgaria | Government Social insurance fund EU projects | There is a National Plan to Promote Active Aging among Elderly in Bulgaria (2012-2030) adopted through Protocol â„– 24.2 of the Council of Ministers on 20.06.2012. The objectives of the plan are to promote active aging among the elderly and to develop long-term care and voluntary work directed at the needs of elderly people. The funding of this plan comes from the state budget. | General taxes Private insurance contributions Grants (EU projects) | Ministry of health National health insurance fund | http://journal.frontiersin.org/article/10.3389/fpubh.2015.00175/full http://www.insurancebulgaria.com/health-insurance-package-health-improvement-and-disease-prevention |
Croatia | Government Social insurance fund | Same as general health promotion | General taxes Insurance contributions | Croatian Insurance Fund | Vulic & Healy (1999) [27] |
Cyprus | Ministry of Health Different private stakeholders | Same as general health promotion | General taxes Private contributions | Government | |
Czech Republic | Ministry of health NGO EU projects | Same as for general health promotion | General taxes Private contributions Grants (EU projects) | Ministry of Health | Bryndová et al (2009) [28] |
Denmark | Government Private stakeholders | Same as for general health promotion | General taxes Private insurance contributions Private payments | Government | Christiansen (2002) [29] |
Estonia | Estonian Insurance fund European social funding EU projects | Same as for general health promotion | Insurance contributions Grants | Estonian Insurance fund | http://programs.jointlearningnetwork.org/content/estonian-health-insurance-fund |
Finland | Municipality entities | Financed by municipalities | General taxation Local taxes | Local municipalities | World Health Organization. (2002) [30] |
France | Insurance funds | Same as for general health promotion | Insurance contributions Earmarked taxes Taxes on alcohol and tobacco products | Social insurance funds | Fund (2012) [31] |
Germany | Statutory health insurance funds Ministry of Health, Labor, Family and Social affairs Federal Association for Prevention and Health Promotion Local communities State Associations for Health Promotion and Prevention; Private insurance funds Financial resources from foundations (e.g. Robert Bosch Foundation, Bertelsmann Foundation) | Same as for general health promotion | General taxes Social insurance fund Private households Workers payments Donations | Social insurance fund | Prävention und Gesundheitsförderung weiterentwickeln. Positionspapier des GKV-Spitzenverbandesbeschlossen vom Verwaltungsrat am 27. Juni 2013 Brussig (2014) [32] Conflicting Rules and Incentives for Health Promotion and Prevention in the German Statutory Health Insurance (GKV). Health promotion effectiveness: testing the German statutory health insurance agencies evaluation system in health promotion, and preliminary findings from 212 health training courses |
Greece | Government EU funding | Same as for general health promotion | General taxation Insurance contributions Grants | Government | http://www.ep.liu.se/ej/hygiea/v9/i1/a18/hygiea10v9i1a18.pdf http://www.euro.who.int/__data/assets/pdf_file/0004/130729/e94660.pdf |
Hungary | Government Health fund for health promotion | Same as for general health promotion | General taxes | There is a special fund for HEALTH PROMOTION financing | Schang LK, et al. (2012) [12] |
Ireland | Healthy Ireland Fund Local communities | Same as for general health promotion | General taxes Social insurance contributions Private insurance Pit of pocket patient payments | Healthy Ireland Fund | What works in health promotion for older people? NATIONAL COUNCIL ON AGEING AND OLDER PEOPLE 22 CLANWILLLIAM SQUARE GRAND CANAL QUAY DUBLIN 2, report |
Italy | Government | Same as for general health promotion | Tax based | Government | Fund (2012) [31] |
Iceland | Government EU projects NGOs | Same as for general health promotion | General taxes Grants | Government | Fund (2012) [31] http://www.chrodis.eu/wp-content/uploads/2015/02/Italy-CHRODIS-final-draft_rivistoBD_DG.pdf |
Lithuania | Government Insurance fund | Same as for general health promotion | General taxes Insurance contributions | Insurance fund | http://www.mepactiveageing.ipleiria.pt/files/2012/01/Klaipeda-State-College1.pdf |
The Netherlands | Government NGOs | Government | Local taxes Private payments | Government | http://www.nationaalkompas.nl/preventie/gericht-op-doelgroepen/ouderen/ Schippers et al (2009) [33]. http://www.rivm.nl/bibliotheek/rapporten/270102001.pdf http://www.healthproelderly.com/pdf/National_report1_Netherlands.pdf |
Norway | Organized and covered by municipalities via general taxes. Some funds are obtained also via Norwegian Health Economics Administration fund | Same as for general health promotion | Local taxes Private payments | Government | Thomson et al (2011) [34] |
Poland | Government Regional entities Local communities National insurance fund NGOs | Same as for general health promotion | General taxes Earmarked taxes Social insurance contribution | Governments Territorial self-government National insurance fund | Izabela Nawrolska (2013) [35] |
Slovakia | Government | Same as for general health promotion | General tax Social insurance Users payments | Government | Colombo and Tapay (2004) [36] |
Slovenia | Insurance funds NGOs EU funding | Same as for general health promotion | Voluntary health care insurance contributions Grants Donations | Insurance fund Specialized fund for health promotion | Jakubowski (Ed.) (2002) [37] |
Spain | Government Ministry of Health | Same as for general health promotion | General taxes | Insurance fund | World Health Organization. (2000) [38] |
Sweden | Included in universal coverage | Spare evidence of users payments for older population groups | General taxes | Insurance fund | Care of the Elderly in Sweden Today |
Switzerland | Insurance funds | Users payments exists among older population groups | Insurance contributions Private payments | Fund for health promotion Gesundheitsförderung Schweiz GFS | Gesundheitsförderung Schweiz, Geschäftbericht e.g. 2013 under: http://geschaeftsberichte.gesundheitsfoerderung.ch/2013/ |
United Kingdom | NHS | Users payments exists among older population groups | Same as general health promotion | Covered by NHS Financed by government or charity organizations or private payments | Courbage and Coulon (2004) [19]. Ashton (2001) [39] |