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Author Notes:

Correspondence: rsaltma@emory.edu; Department of Health Policy and Management, Rollins School of Public Health, Emory University, 1518 Clifton Rd NE, Atlanta, GA 30338, USA

Richard Saltman ORCID: https://orcid.org/0000-0003-1430-6265

Helpful comments were made on an early draft of this article by Per-Olof Brogren, Ingvar Karlberg, Leon Gross, and this journal’s external reviewers.

The author declares that he has no competing interests.


Research Funding:

No funding sources for this research or manuscript.


  • Science & Technology
  • Life Sciences & Biomedicine
  • Health Policy & Services
  • Public, Environmental & Occupational Health
  • Health Care Sciences & Services
  • European health systems
  • Tax-funded health systems
  • European health policy
  • health services reform
  • health systems management

Structural effects of the information revolution on tax-funded European health systems and some potential policy responses


Journal Title:

Israel Journal of Health Policy Research


Volume 8, Number 1


, Pages 8-8

Type of Work:

Article | Final Publisher PDF


The ongoing information revolution has re-configured the policymaking arena for tax-funded health systems in Europe. A combination of constrained public revenues with rapid technological and clinical change has created a particularly demanding set of operational challenges. Tax-funded health systems face three ongoing struggles: 1) finding badly needed new public revenues despite inadequate GDP growth 2) channeling additional funds into new high-quality provider capacity 3) re-configuring the stasis-tied organizational structure and operations of existing public providers. This commentary reviews key elements of this new information-revolution-driven context, followed by a consideration of seven specific policy challenges that it creates and/or worsens for tax-funded European systems going forward.

Copyright information:

© 2019 The Author(s).

This is an Open Access work distributed under the terms of the Creative Commons Attribution 4.0 International License (https://creativecommons.org/licenses/by/4.0/).
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