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II

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III

IV

VI

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- VIII

- I:
2

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( "

16 %18

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.

II :
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subsystems :
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2 .
3

1
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:2
.1
.
.2 .
.3 .
.4
.
.5

.


.
1975 1991

:
.1 .
.2
.
.3 .
.4 .
.5

) (

.
2 Revealing facts on health in Lebanon
1996

 " "
.

:
. :
.
" "
.

.
.3

- III :

.
%50
.


.4

. ) (
1995 1986 33.5

3 : .
4 : :
.

 5 "
) (:
) (1
) (
)(1995 1986

) (
54.5
51.1
29.6
30.5
14.8
33.5

) 28"(
38.2
33.3
23.4
23.6
12.8
24.9

: 1996 .

. %60
%25 .6

6.55 0.86
.7

IV

5 1996
Health sector rehabilitation project Staff appraisal report World Bank. 1994
7
Source: Ministry of Public Health. Rep. Of Lebanon. Lebanon National Health Accounts 1998
)(December 2000
6


.
8
" "
:

1 :


.
1964 1971


" %35
: 9 .
15
30 .10

2 :
) (
.
11
)

8 90 80
.
" :
" .1999
9 %25 .
10 1996 308591") 241.330
" 1997 (
11 133.000.


(.

3 :
.
65 .

4 :
Risques
) (
.

5 :


....

6 :

)
.(...

7 :
:

- .

" %85
12 %100 ) ...(.
12 184" 1996 %20 .
44-40 )

- .

8 :
860 " " " 760 13
1998
.%10

.
".
1992
300.8

1995-94-93

%52-23" .1995 "

%9 .1995


. "
" " .
1995 )
1082 (1996 % 11.4 .
1998
) (2000 996 %12.32

: .
13 1998

 " .
. :
.
.

.

- VI :
:

.



.

Destructive competition

"
.


.

10

 %86
.%9 167 11.533" 2.88
1000 .14
%78 %12
%9 350
. 1998
996 %12.32 )
(.
) %60 (



%12.2 )
( ) %1
%9.8 . %4.9 %31.2
( .15 300.000
12.000
.16


17

.
14

Source: Ministry of Public Health. Rep. Of Lebanon. Lebanon National Health Accounts 1998
)(December 2000
15 1996
16 1995
17 : .

11

 1996 104.890 "

1997 %12.6 .18

.
" 27
) 500(
2001 .
:
" "

.
" ".
"

.


" .
1991 429" "
1974 1991
.19

VII
18 1997
19
1982 .
" " 88"
.
2.459 " 23.095 " 649
200 37.770 .

12


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.20




. " "



.21
.
. " :
" .
.

.
:
-


.
20

Source: Ministry of Public Health. Rep. Of Lebanon. Lebanon National Health Accounts 1998
)(December 2000
21 :

13

 -
.
.
"
"

....

.

.
.

.

" .

.
.
- : 167 11.533" %12
%10 . 2.88 1.000
6.55 :
0.86 .
.

14

 22
- 1 ) (flat rate
) .
5 (.
- 2 (one day clinic) : :

%30 %50 .
3

RELATED

DIAGNOSIS

.(GROUPS (DRG . .
4 .
30 .23%40
5 )) (Home Care

(.
760" " "
.
6
.
" ) (
.
- 7 :
:

. .
.
22 . - -
- 2002
23 41 1998 8071

15

 :
"
"
.
" "

.
%13
%26 .

Double burden of disease

.
:
.1
.
.2

.
...
.3
.
.4
.
.5

.

16

.6

"
.

.

17

 VIII :4
1998-1995
) (

WHO
((2

(UNDP (1

WB

)(3

)(4

-1
-2

7
27.3

-3

14.7

16.6

9.7

11.3

5.3

7
32.2

6
15.4
10

17.1
20
14

8
30

10.6
15.2

15
13.1

-4
-5
-6

49
51

55.8
44.2

31.4
68.6

51.1
48.9

60-48
40-52

UNDP 1997 (1) :

)WHO-EMRO 1996 (2
)WORLD BANK, 1998 (3
) (4 : .1997

18

2.9
4
58

 1997

-1
-2

1.000
1719
-

%
15
-

214.1
1198.9

15.2
84.8

1167

29

282.9

20

556

83

388.4

27.4

358

74

221.5

15.7

249

46

96.2

6.8

520

33.7

2.4

705

30

176.2

12.5

: : 1997

19

1998
Summary Statistics (FY 1998)24
Total Population:

4.000.000

Total Health Expenditure:

2.994.118.532.000 LL

(1.996.079.000 USD)
Per Capita Expenditure:

748.529 LL (499 USD)

Total GDP

24.300.000.000.000 LL

(16.200.000.000 USD)
Health Expenditure as Persent GDP:

12..32%

Persent GOL budget allocated to health

6.6%

Sources of Funds:
Public

17.98%

Private
Households

69.745%

Employers

10.32%

Donors

01.96%

Distribution of Health Care Expenditures

Public Hospitals

1.7%

Private Hospitals

22.8%

Private Non-Institutional Providers

41.0%

Pharmaceuticals

25.4%

Others

9.1%

24

Source: Ministry of Public Health. Rep. Of Lebanon. Lebanon National Health Accounts 1998
(December 2000)

20

Growth in Number of High Technology Centers 1997 - 1998

Number of Centers (1997)
Number of Centers (1998)
Open Heart Surgery
12
16
Cardiac Lab
19
24
Linear Accelerator
6
6
Bone Marrow Transplant
2
2
Lithotripsy
27
27
Dialysis Centers
39
45
Kidney Transplant
3
3
Specialized Center for Burned 2
2
In Vitro Fertilization
12
12
CT Scan
54
60
MRI
12
16
Total
188
213
Source: NHA Matrix

Percentage of Population Covered by Various Financing Agencies:

Financing Agency
Percent of Population Covered
NSSF
26.1%
CSC
4.4
Army
8.8
IS
1.9
GS+SS
0.4
Private Insurance
8.00 (complete coverage)
4.60 (gap insurance)
Mutual Funds
1.6
MOH
42.70
Source: NSSF, CSF, Army, IS, GS, and SS figures obtained from agency or DOS

Percent of Population Covered by Various Financing Agencies (Based on Household)

Type of Insurance
Alone
With
another Total
insurance
NSSF
14.6%
3.2%
17.8%
Army
8.1%
0.0%
8.1%
Private Insurance
7.6%
0.7%
8.3%
CSC
4.3%
0.3%
4.6%
Complementary Insurance 2.5%
2.5%
Group Insurance
1.8%
0.1%
1.9%
Provided by Municipalities 0.4%
0.4%
Insurance at Work
0.8%
0.8%
Other Types of Insurance
4.8%
0.3%
5.1%
Total
44.9%
4.6%
49.5%
Source: NHHEUS
Note: this will add up to more than 46% because people have multiple coverage

21