ABSTRACT

The 1990s has seen radical changes to the Finnish economy and health care system. In its institutional structure, financing and goals, the Finnish health care system closely resembles the systems both of other Nordic countries and Great Britain, in that it covers the whole population and services are mainly produced by the public sector and financed through general taxation. The changes in the Finnish economy and the health care system are also reflected in the usual indicators. Finnish health care consists of two main systems with different financial mechanisms: municipal health care services and private health services covered by National Health Insurance. The statutory National Health Insurance Scheme is administered by the Social Insurance Institute, which is governed by Parliament. The state subsidy varies from 25 per cent to 50 per cent of capital investments, depending on the per capita income of the municipality.