RT Generic T1 Using income-based caps to protect people from user charges for health care. Lessons from Austria, Belgium, Germany and Spain A1 García-Ramírez, Jorge Alejandro A1 Thomson, Sarah A1 Urbanos Garrido, Rosa María A1 Bouckaert, Nicolas A1 Czypionka, Thomas A1 Blümel, Miriam A1 Evetovits, Tamás A2 WHO Regional Office for Europe, AB A small number of countries in Europe protect people from user charges for health care by setting a limit – a cap – on co-payments. Some of these countries go a step further and link the cap to income, so that it gives greater protection to people with lower incomes. Linking caps to income enhances equity and efficiency in the use of public funds and softens the impact of the cap on the health budget. This brief summarizes the use and impact of income-based caps in Austria, Belgium, Germany and Spain and draws lessons for the four countries and for other countries concerned about the negative effects of user charges on affordable access to health care. PB World Health Organization. Regional Office for Europe YR 2025 FD 2025-03-19 LK https://hdl.handle.net/20.500.14352/122371 UL https://hdl.handle.net/20.500.14352/122371 LA eng DS Docta Complutense RD 27 ago 2025