The master thesis deals with the health care systems of Spain and Portugal. The theoretical part of the thesis describes the general types of health care systems and the way they compare. In the next part the health systems of both countries are introduced with a focus on the financing, provision of services and health care reforms. The practical part of the thesis aims to analyse the relation between health expenditures and selected indicators of quality of health care in Spain and Portugal. For this purpose is used the correlation coefficient and the cost effectiveness analysis, which provides a comparison of the two countries with selected OECD countries.

The goal of this master thesis is the analysis of trends in public and private expenditures on health care in the Czech republic, which have a tendency to develop above possibility o public budget in the context of long-term sustainability. This create pressure on the increase of share of private expenditures. In this thesis will be attention also focus on the proportion of public and private expenditures in total expenditures with evaluation of consequences for availability of needed health care for citizen in social deprivation. Part of the thesis will be focus on elasticity of demand for health care in view of the sensitivity, that have citizen in social deprivation to the increase of private expeditures on health care. The thesis will include quest to find a possibility of financing health care from private resources and describe prices of health care in the public system of health service.

nÃo hà / No Brasil, a saÃde pÃblica à motivo de inÃmeras crÃticas por parte da populaÃÃo e dos ÃrgÃos de imprensa, sendo que os responsÃveis se queixam da falta de verbas para o setor. Uma das tentativas de debelar este problema veio com a vinculaÃÃo de 12% da Receita LÃquida de Impostos e TransferÃncias â RLIT para gastos com saÃde no Ãmbito dos estados e do Distrito Federal, pela Emenda Constitucional N 29. Este trabalho tem por objetivo verificar a efetividade desta polÃtica pÃblica e responder se o cumprimento desta vinculaÃÃo financeira corresponde a melhorias nos Ãndices de saÃde. A relevÃncia do tema à definida pela prÃpria ConstituiÃÃo Federal quando declara que âsaÃde à direito de todos e dever do Estadoâ. A pesquisa, do tipo documental-quantitativa, foi realizada com a aplicaÃÃo de mÃtodos estatÃsticos sobre dados de gastos com saÃde de seis estados selecionados, referentes ao perÃodo de 2001 a 2009, e sobre os Ãndices de saÃde selecionados para a pesquisa. As fontes sÃo publicaÃÃes de organismos oficiais na internet, e, com base na coleta, os dados receberam tratamento estatÃstico, utilizando-se para isto as ferramentas dos softwares SPSS, acrÃnimo de Statistical Package for the Social Sciences e Microsoft Excel, fazendo comparaÃÃes entre os entes da FederaÃÃo selecionados do ponto de vista dos gastos com saÃde e procurando estabelecer as correlaÃÃes entre estes gastos e a evoluÃÃo dos Ãndices de saÃde, a fim de perceber os impactos da aplicaÃÃo da Emenda Constitucional na melhoria, ou nÃo, da saÃde da populaÃÃo. Os resultados mostram que, em grande parte, pode-se considerar bom o grau de cumprimento da obrigatoriedade e que, apesar de uma melhora nos Ãndices de saÃde da populaÃÃo, esta nÃo deve ser creditada somente à aplicaÃÃo da Lei, demonstrando a importÃncia da preocupaÃÃo com a qualidade do gasto. Ao final, sugerem-se outras pesquisas que possam responder questÃes surgidas no decorrer da anÃlise dos dados. / In Brazil , public health is a matter of considerable criticism by the public and agencies press, and that those responsible are complaining about the lack of funding for the sector . One attempt to address this problem came with the binding of 12 % of Net Revenue and Taxation Transfers - RLIT for health spending within the states and the Federal District , the Constitutional Amendment No. 29 . This study aims to assess the effectiveness of this policy public and respond if the fulfillment of this binding corresponds to improvements in financial health indices . The relevance is defined by the Federal Constitution states when that " health is a right and duty of the State ." The research , documentary - type quantitative , was performed with the application of statistical methods on data from health spending six states selected , for the period 2001-2009 , and on the health indicators selected for research . The sources are publications of official bodies in the Internet, based on the collection, the data were treated statistically using the tools for that of SPSS , acronym of Statistical Package for the Social Sciences and Microsoft Excel , making comparisons between members of the Federation selected from the standpoint of health spending and looking establish correlations between these costs and the development of health indices , in order to realize the impacts of the Constitutional Amendment on improving or not the health of the population . the Results show that in large part, it can be considered good degree of compliance requirement and that despite an improvement in health indices of the population , this should not be credited only to the application of the law, demonstrating the importance of quality concern spending . At the end , we suggest that further research can answer questions arising in During the data analysis.

This diploma thesis aims to describe Czech health care system participants` motivations and impact and meaningfulness of setting up regulatory payments on supply of health care. It also attempts to suggest other meanings to rising effectiveness of whole system. This work is based on theoretical concepts of various health care systems and endeavours to expose their positive and also negative features. The theory of health care markets comes out from works of Stiglitz (1997) and Arrow (1963). They focused rather on US, but this thesis aims to use this knowledge also in conditions of Czech Republic. Thesis sum up expenditures on health care during the time in Czech Republic, compare with expenditures abroad and estimate their trend in future. The central point of this paper is the analysis of the introduction of regulatory payments and its influence on concrete types of health services and on the consumption of drugs. It includes also a short survey.

MESQUITA, Luiz Jarbas de. Avaliação da efetividade da vinculação de 12% da receita líquida de impostos e transferências para gastos com saúde. 2012. 115f. – Dissertação (Mestrado) – Universidade Federal do Ceará, Programa de Pós-graduação em Avaliação de Políticas Públicas, Fortaleza (CE), 2012. / Submitted by Márcia Araújo (marcia_m_bezerra@yahoo.com.br) on 2014-01-10T14:20:26Z No. of bitstreams: 1 2012-DIS-LJMESQUITA.pdf: 1258863 bytes, checksum: 665df99fbe182f15e2172d73fd667804 (MD5) / Approved for entry into archive by Márcia Araújo(marcia_m_bezerra@yahoo.com.br) on 2014-01-10T15:55:33Z (GMT) No. of bitstreams: 1 2012-DIS-LJMESQUITA.pdf: 1258863 bytes, checksum: 665df99fbe182f15e2172d73fd667804 (MD5) / Made available in DSpace on 2014-01-10T15:55:33Z (GMT). No. of bitstreams: 1 2012-DIS-LJMESQUITA.pdf: 1258863 bytes, checksum: 665df99fbe182f15e2172d73fd667804 (MD5) Previous issue date: 2012 / In Brazil , public health is a matter of considerable criticism by the public and agencies press, and that those responsible are complaining about the lack of funding for the sector . One attempt to address this problem came with the binding of 12 % of Net Revenue and Taxation Transfers - RLIT for health spending within the states and the Federal District , the Constitutional Amendment No. 29 . This study aims to assess the effectiveness of this policy public and respond if the fulfillment of this binding corresponds to improvements in financial health indices . The relevance is defined by the Federal Constitution states when that " health is a right and duty of the State ." The research , documentary - type quantitative , was performed with the application of statistical methods on data from health spending six states selected , for the period 2001-2009 , and on the health indicators selected for research . The sources are publications of official bodies in the Internet, based on the collection, the data were treated statistically using the tools for that of SPSS , acronym of Statistical Package for the Social Sciences and Microsoft Excel , making comparisons between members of the Federation selected from the standpoint of health spending and looking establish correlations between these costs and the development of health indices , in order to realize the impacts of the Constitutional Amendment on improving or not the health of the population . the Results show that in large part, it can be considered good degree of compliance requirement and that despite an improvement in health indices of the population , this should not be credited only to the application of the law, demonstrating the importance of quality concern spending . At the end , we suggest that further research can answer questions arising in During the data analysis. / No Brasil, a saúde pública é motivo de inúmeras críticas por parte da população e dos órgãos de imprensa, sendo que os responsáveis se queixam da falta de verbas para o setor. Uma das tentativas de debelar este problema veio com a vinculação de 12% da Receita Líquida de Impostos e Transferências – RLIT para gastos com saúde no âmbito dos estados e do Distrito Federal, pela Emenda Constitucional Nº 29. Este trabalho tem por objetivo verificar a efetividade desta política pública e responder se o cumprimento desta vinculação financeira corresponde a melhorias nos índices de saúde. A relevância do tema é definida pela própria Constituição Federal quando declara que “saúde é direito de todos e dever do Estado”. A pesquisa, do tipo documental-quantitativa, foi realizada com a aplicação de métodos estatísticos sobre dados de gastos com saúde de seis estados selecionados, referentes ao período de 2001 a 2009, e sobre os índices de saúde selecionados para a pesquisa. As fontes são publicações de organismos oficiais na internet, e, com base na coleta, os dados receberam tratamento estatístico, utilizando-se para isto as ferramentas dos softwares SPSS, acrônimo de Statistical Package for the Social Sciences e Microsoft Excel, fazendo comparações entre os entes da Federação selecionados do ponto de vista dos gastos com saúde e procurando estabelecer as correlações entre estes gastos e a evolução dos índices de saúde, a fim de perceber os impactos da aplicação da Emenda Constitucional na melhoria, ou não, da saúde da população. Os resultados mostram que, em grande parte, pode-se considerar bom o grau de cumprimento da obrigatoriedade e que, apesar de uma melhora nos índices de saúde da população, esta não deve ser creditada somente à aplicação da Lei, demonstrando a importância da preocupação com a qualidade do gasto. Ao final, sugerem-se outras pesquisas que possam responder questões surgidas no decorrer da análise dos dados.