Subject(s): National health services. -- Health insurance. -- Medical care -- Worldwide innovations in health insurance reform -- New approaches in extending health care coverage : New strategies for formal sector- focus on Vietnam and Zimbabwe, health protection for the informal sector workers- new approach to a long standing problem -- Confronting resource scarcity- innovative strategies : Managed care in US, China- innovations in health care financing mixing individual and collective responsibility -- Refining benefits to meet current needs : Moving to integrate prevention, curative prevention an curation, new benefits dealing with aging populations- long term care, establishment of long term care insurance -- New institutional and administrative framework : Should health care be part of social security system or a separatescheme, private participation in supporting the social contact in health- new insights from institutional economics, mutual benefit societies- solutions in Europe, north Africa and Latin America -- Transformation through information technology systems : Possibilities offered by new information technology, building up telecommunications in German health insurance system, data protection and data security in shared care information system