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Luxembourg

Population (2011): 511,840
GDP per capita, US$ PPP at current prices (2011) 89,801.19
Health expenditure per capita, US$ PPP (2009): 4,785.9
Life expectancy at birth, years (2010): 80.7

The Luxembourgish National Health System covers the entire population and is mainly supplied from employers and insured contributions (around 60%from both) and 38% from governmentcontributions. «The fundamental principles of the regime of health are based on the free choice of the doctor, the direct access to the doctors specialists and to the hospital outpatient clinics, as well as on the taking care of expenses generated by care and assistant of a third person to perform the essential acts of life.»

Health providers are registered, and must apply the rates listed in the classifications of medical procedures. Only acts listed in the classifications are supported. Sickness and maternity supports the following treatments:

  • Primary care, dental care, nursing or assistance of a midwife, the ambulant or stationary hospital treatment, the analyses of laboratory and medical, physiotherapy.
  • Accessories, such as glasses, dental and orthopedic prosthesis
  • The rehabilitation, therapeutic treatments and recovery.
  • Travel expenses and transportation.

The repayment rate is about 90% based on the rates set by the conventions, a relatively high rate. To this is added cash benefits (incomes of replacement in case of stopping-illness or of maternity leave). The registered doctors' incomes are dependent on fees set by the nomenclature of medical acts, but also by the volume of procedures performed.

Health System Data in Luxembourg

Concerning the health data sources, it is important to notices that Luxembourg is a very small country and, in consequences, it is not easy to have access to health data. In particular, there are only three institutions collecting health data: the General Inspectorate of Social Security (IGSS), the Ministry of Health, and the National Institute of Statistics and Economic Studies in Luxembourg (STATEC). Luxembourg also participates to different European projects that collect data as SHARE, EVS or EU-SILC which are not exactly health surveys but were it is possible to find some block of questions on the health status of individuals.  

 

Health Status

Aggregate data

  • STATEC: information on life expectancy, healthy life expectancy, diseases and causes of mortality.
  • Ministry of Health: since 1967, information on death for the entire population, by age and by causes of death like diabetes, CVA, etc

Individual level data

    • PSELL3/EU-SILC: this database contains individual information on the state of health perception, the presence of chronic diseases and on limitations of activity due to health problems. pfeil zu

    Quality (valued outcomes)

    Efficiency/Economy

    Physical Inputs (infrastructure)

    Aggregate data

    • STATEC proposes information on the number of hospitals, number of beds, on facilities for the elderly, the health professions, drugstore, etc.
    • IGSS: the IGSS annual report has information on the human resources of the heath sector (doctors, health professionals, hospitals), and health spending.pfeil zu

    Activity/Utilization

    Aggregate data

    • IGSS: IGSS annual report contains information on the average number of visits to doctors, number of hospitalizations. pfeil zu

    Individual level data

    • PSELL3/EU-SILC: information on the medical and dental care and the reasons for the denial of treatment. pfeil zu

    Cost and Expenditure

    Aggregate data

    • IGSS: IGSS annual report contains information on the funding system, medicament costs, the costs of hospital care. pfeil zu

    Individual level data

    • IGSS: contains individual data on the medicament consumption. pfeil zu

    Access/Equity

    Individual level data

    • PSELL3/EU-SILC contains information on the socioeconomic conditions of individuals, like income, living conditions, level of education, etc. pfeil zu
    • IGSS: individual data on the occupations of insured individuals. pfeil zu

    Non-health care determinants

    Aggregate data

    • Ministry of Health: information on risk factors of health as obesity, tobacco consumption and alcohol, among other information.

    Health System Design and Context