ArticleHealth policy (Amsterdam, Netherlands)2022
Tackling the COVID-19 pandemic: Initial responses in 2020 in selected social health insurance countries in Europe
Article in Health policy (Amsterdam, Netherlands), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed, 35 citations in OpenAlex.
- Financing Regimes and Case-Mix Complexity in Psychiatric Hospitals Beyond the Pandemic Shock-Insights from a Regional European Healthcare System.Healthcare (Basel, Switzerland) · 2026Article
- The overuse of antimicrobials during the COVID-19 pandemic: data from 25 general hospitals in Shanxi, China.BMC infectious diseases · 2025Article
- Article
- Responding to COVID-19: an exploration of EU country responses and directions for further research.BMC health services research · 2024Article
- Adjustments in purchasing arrangements to support the COVID-19 health sector response: evidence from eight middle-income countries.Health policy and planning · 2024Article
- Covid-19 vaccination: a mixed methods analysis of health system resilience in Latin America.International journal for equity in health · 2024Article
- Examining universal access to acute hospital care in Ireland during the first three months of COVID-19: Lessons from the policy process.HRB open research · 2024Article
- Cardiac rehabilitation patient perspectives during COVID-19 pandemic: quantitative and qualitative study.Frontiers in cardiovascular medicine · 2024Article
- Lessons from health insurance responses in counteracting COVID-19: a qualitative comparative analysis of South Korea and three influential countries.Archives of public health = Archives belges de sante publique · 2023Article
- Quick adaptation of the organisation of general practices during the COVID-19 pandemic in the Netherlands.BMC primary care · 2023Article
- The COVID-19 pandemic posed many dilemmas for policymakers, which sometimes resulted in unprecedented decision-making.Israel journal of health policy research · 2023Article
- Treatment cost assessment for COVID-19 inpatients in Shenzhen, China 2020-2021: facts and suggestions.Frontiers in public health · 2023Article
- The Health Insurance Fund Participates in Controlling the Epidemic: Insights from German Experience in Dealing with the COVID-19 Pandemic.Risk management and healthcare policy · 2023Article
- Has the COVID-19 Pandemic Led to Changes in the Tasks of the Primary Care Workforce? An International Survey among General Practices in 38 Countries (PRICOV-19).International journal of environmental research and public health · 2022Article
- Strategic purchasing and health systems resilience: Lessons from COVID-19 in selected European countries.Health policy (Amsterdam, Netherlands) · 2022Review
- Health care patterns and policies in 18 European countries during the first wave of the COVID-19 pandemic: an observational study.European journal of public health · 2022Observational
- Lessons learned from the COVID-19 pandemic.Health policy (Amsterdam, Netherlands) · 2022Article
- Expanding Medical Surge Capacity to Counteract COVID-19: South Korea's Medical Fee Adjustment Through the National Health Insurance System.Risk management and healthcare policy · 2022Article
Corrections and comments
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Authors and funding
16 authors at 8 institutions in 8 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Countries with social health insurance (SHI) systems display some common defining characteristics - pluralism of actors and strong medical associations - that, in dealing with crisis times, may allow for common learnings. This paper analyses health system responses during the COVID-19 pandemic in eight countries representative of SHI systems in Europe (Austria, Belgium, France, Germany, Luxembourg, the Netherlands, Slovenia and Switzerland). Data collection and analysis builds on the methodology and content in the COVID-19 Health System Response Monitor (HSRM) up to November 2020. We find that SHI funds were, in general, neither foreseen as major stakeholders in crisis management, nor were they represented in crisis management teams. Further, responsibilities in some countries shifted from SHI funds to federal governments. The overall organisation and governance of SHI systems shaped how countries responded to the challenges of the pandemic. For instance, coordinated ambulatory care often helped avoid overburdening hospitals. Decentralisation among local authorities may however represent challenges with the coordination of policies, i.e. coordination costs. At the same time, bottom-up self-organisation of ambulatory care providers is supported by decentralised structures. Providers also increasingly used teleconsultations, which may remain part of standard practice. It is recommended to involve SHI funds actively in crisis management and in preparing for future crisis to increase health system resilience.
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