Abstract
This article is contribution to a current discussion concerning the changes and challenges of restructuralization of our health care system and its financing in the Czech Republic. The authors analyze two attributes of health care systems.
Firstly, it is the trend of ever growing expenditures of health care systems all across the world. Secondly it is the efficiency of chosen mixed health care systems, where mixed system is one which features both private and public sector in significant size.
The choosen countries are the USA as the country with the highest influence of private sector in health care, France with its mediocre influence and Japan, where the private sector is let inside the health care but is very strictly regulated by a zero profit rule. The result is that the systems with higher influence of the private sector tend to have lesser occupancy, worse quality factors and significantly higher expenditure.
This suggests the hypothesis that influence of the private sector on health care is negatively correlated to its efficiency. The confirmation or refusal of this hypothesis is left for further more detailed analysis.
The paradox of today's era is, and one can't exclude that in the near future, a situation may appear, in which the costs of patient therapy will set such high demands on society, that politicians will finally critically understand the importance of investing into primary prevention.The challenge of 21st century medicine is the anticipation of diseases and their primary prevention as an substantial, elementary contribution towards lowering health expenditures and the same time increasing the quality of life of not only our, but for coming generations as well.