Health System Organization Explorer / Country organization profile

Iceland

Organization and delivery profile covering institutional roles, decision rights, provider relationships, referral pathways, and changes over time.

How the health system is organized

This profile follows the organizational chain from national institutions and subnational authorities to purchasers, provider organizations, referral networks, and people using services.

Formal source

Actors and responsibilities

The official sources support specified service contracting and a stated purchasing-and-payment role without inferring a complete public-private market structure.

Period
2022 annual-report address and service webpage retrieved August 2026
Territory
Iceland
Locator
Ageing services; Psychological services; Director's address - Annual report 2022.

Iceland Health, Service, 2026; Iceland Health, Director's address - Annual report 2022.

Open cited source

Formal source

Actors and responsibilities

The sources retain a dated state-centred system description alongside the Directorate's current stated licensing and register functions.

Period
2014 reported context and Directorate webpage retrieved August 2026
Territory
Iceland
Locator
Overview; License to practice and Health services.

European Observatory, Iceland health system review, 2014; Directorate of Health, 2026.

Open cited source

Formal source

Decision rights and autonomy

The Directorate's stated licensing role is shown without converting it into a full allocation of provider decisions.

Period
Webpage retrieved August 2026
Territory
Iceland
Locator
License to practice.

Directorate of Health, The Directorate of Health, 2026.

Open cited source

Reported source

Decision rights and autonomy

The cited sources do not support a categorical hospital or primary-care autonomy score by decision domain.

Period
2014 review context and Directorate webpage retrieved August 2026
Territory
Iceland
Locator
Directorate License to practice; Observatory Overview.

Directorate of Health, 2026; European Observatory, Iceland health system review, 2014.

Open cited source

Reported source

Delivery and referrals

The historic district description and the 2023 profile's broad delivery context are not converted into a current facility inventory.

Period
2014 review context; 2023 profile finalised September 2023
Territory
Iceland
Locator
Overview; Country Health Profile 2023, section 4, physical PDF page 10.

European Observatory, Iceland health system review, 2014; OECD and European Observatory, Iceland: Country Health Profile 2023.

Open cited source

Observed source

Delivery and referrals

The evidence distinguishes stated primary-care first contact from narrow dated arrangements and a historic clinician survey without implying current national pathway performance.

Period
Webpages retrieved August 2026; waiting-list dates in late 2025 and January 2026; survey in 2007
Territory
Iceland; observed arrangements and study have the stated scopes
Locator
Registration and change of healthcare centre; Waiting for health services; Björnsson et al., Abstract, Methods and Results.

Iceland Health, For individuals, 2026; Government of Iceland, Waiting for health services, 2026; Björnsson et al., 2013.

Open cited source

Formal source

Relationships and networks

The stated health-centre first-contact arrangement is retained separately from any observed referral or bypassing measure.

Period
Webpage retrieved August 2026
Territory
Iceland
Locator
Registration and change of healthcare centre.

Iceland Health, For individuals, 2026.

Open cited source

Reported source

Reform and institutional change

The historical review and first-year Capital Region study remain explicitly time- and scope-bounded.

Period
2014 health-system review; 2017 model introduction and 2018 first-year comparison
Territory
Iceland; reimbursement study limited to the Reykjavík Capital Region
Locator
Overview; Sigurdsson et al., Abstract and Methods.

European Observatory, Iceland health system review, 2014; Sigurdsson et al., 2022.

Open cited source

Formal source

Reform and institutional change

The official index supplies a dated legal-instrument timeline without representing these instruments as measured reforms.

Period
Listed instruments dated 2017 and 2025; index retrieved August 2026
Territory
Iceland
Locator
The Health Insurance Act; Medical assistance.

Iceland Health, Laws and regulations, 2026.

Open cited source

Open the interactive organization graph and national-subnational decision matrix

Methods, evidence, and data

Source traceability, coverage, citations, locators, source versions, and annotation materials are grouped here so the organizational synthesis remains the primary reading flow.

Directly mapped computable objects

Source-linked mappings drive the visible country synthesis and remain open for annotation. Canonical registries are reported separately so a zero in that publication layer is never mistaken for absent evidence.

Structured country layers with explicit fields for analysis
ObjectCountMeaning
Source-linked analytical mappings10Cited mappings rendered across the organization, decision, delivery, network, autonomy, and reform views.
Source-linked analytical object rows19Named graph nodes and edges, function assignments, decision cells, autonomy cells, pathways, and reform events supplied by those mappings.
Actors0Actors with explicit identity, territory, time, and evidence lineage.
Relationships0Evidence-backed actor-to-actor or actor-to-provider edges.
Decision rights0Actor, function, decision, and role assignments.
Provider organizations0Named or typed providers with evidence-backed ownership and management.
Autonomy records0Decision-domain authority paired with an autonomous-from actor.
Accountability records0Accountable-to actor and mechanism.
Referral designs0Formal referral, choice, bypass, and counter-referral arrangements.
Observed flows0Observed referral, bypass, mobility, or network flows.

Source traceability and coverage

These six documentation measures describe the traceability available for displayed materials: domain coverage, public URLs, exact locators, source versions, and typed mappings. They do not measure health-system performance, source truth, institutional quality, or country success. A zero never means that an actor, authority, relationship, service, or activity is absent.

Documentation status: Explicit analytical mappings. All six source-traceability measures meet or exceed 80%. Materials remain open for annotation and country-specific refinement.

Domain leads
100%17 of 17
Source layers
100%3 of 3
Public URLs
100%29 of 29
Exact locators
100%29 of 29
Source versions
100%29 of 29
Typed mapping
100%5 of 5

Traceability gaps to address

  1. Review and annotate the country synthesis
    All six preparation dimensions meet the target. Every source-linked finding and supporting material remains open for correction, qualification, and additional evidence through annotations.

Coverage by organizational domain

Source traceability across all 17 organizational domains
Displayed materials and source traceability by domain
DomainStateMaterialsURLsLocatorsVersionsStatementsContextsTyped
ActorsCriticalDirect typed mapping161616161064
Government responsibilitiesCriticalDirect typed mapping15151515642
Provider ownershipCriticalDirect typed mapping8888844
Decision rightsCriticalDirect typed mapping12121212844
Provider autonomyCriticalDirect typed mapping2222211
Primary care organizationCriticalDirect typed mapping171717171376
Hospital organizationCriticalDirect typed mapping151515151156
Referral designCriticalDirect typed mapping8888853
Observed referralDirect typed mapping7777743
Provider networksDirect typed mapping12121212853
Facility dataDirect typed mapping4444422
UtilizationDirect typed mapping8888853
Patient flowsDirect typed mapping7777743
Governance and accountabilityCriticalDirect typed mapping13131313963
Market structureDirect typed mapping9999963
Reform historyCriticalDirect typed mapping9999532
Authoritative reviewDirect typed mapping11111111523
Materials with the most complete source traceability
  1. Gatekeeping and referrals to cardiologists: General practitioners' views on interactive communications
    Country Improvement Source Lead. Readiness checks: 5 of 5.
    material:fa0c831d076cf6054ca2383e
  2. Laws and regulations
    Country Improvement Source Lead. Readiness checks: 5 of 5.
    material:f1dca151b48c1753da60b734
  3. Iceland: health system review 2014
    Country Improvement Source Lead. Readiness checks: 5 of 5.
    material:dd9346a8328c55f3eadb581b
  4. Waiting for health services
    Country Improvement Source Lead. Readiness checks: 5 of 5.
    material:d5cd968499cb1723743d8934
  5. The Directorate of Health
    Country Improvement Source Lead. Readiness checks: 5 of 5.
    material:d53686d27b754e2b90f49425

Complete country materials

Every collected library candidate, queue record, source lead, statement, context, machine flag, and public projection assigned to this country is rendered below. Each item remains open for text-anchored annotation. A missing direct analytical mapping never hides the broader material.

All material records
29
Library documents
0
Queue records
27
Public-stage records
2
Cited source records
2
Source-linked statements
0
Exact contexts
0
Structured source-linked findings
10
Direct typed relationships
0

All collected materials

29 records are rendered in full. Stage duplicates remain visible because a document candidate, triage record, statement, and exact context are separately annotatable objects.

Candidate Analytical Mapping · Open for annotation

Dated insurance and referral instruments are not outcome evidence

Iceland Health, Laws and regulations, 2026.

Statement or annotation question

The official index supplies a dated legal-instrument timeline without representing these instruments as measured reforms.

Material reference
material:88289223f1af3b05924a860a
Pipeline stage
Candidate-Analytical-Mappings
Evidence mode
Formal
Publication date
not supplied
Institution
not supplied
Document type
Not Supplied
Territory
Iceland
Period
Listed instruments dated 2017 and 2025; index retrieved August 2026
Source layers
Official
Coverage domains
Actors, Decision rights, Governance and accountability, Referral design, Reform history
Current display status
Shown in full and open for annotation
Previous Boundary Detected
False
Previous Visibility
Previously not projected
Description
The Health Insurance Act; Medical assistance.
Detected Media Type
text/html
Response Sha256
dbd532b86cd7957aab806b2743d93228105950eb1f597359dc62fb6167063bcc

Source links

Candidate Analytical Mapping · Open for annotation

Delivery context retains dated and broad current review evidence

European Observatory, Iceland health system review, 2014; OECD and European Observatory, Iceland: Country Health Profile 2023.

Statement or annotation question

The historic district description and the 2023 profile's broad delivery context are not converted into a current facility inventory.

Material reference
material:1ce5bc4c0368f1f44f16c572
Pipeline stage
Candidate-Analytical-Mappings
Evidence mode
Reported
Publication date
not supplied
Institution
not supplied
Document type
Not Supplied
Territory
Iceland
Period
2014 review context; 2023 profile finalised September 2023
Source layers
Review Literature
Coverage domains
Authoritative review, Facility data, Hospital organization, Provider ownership, Primary care organization, Utilization
Current display status
Shown in full and open for annotation
Previous Boundary Detected
False
Previous Visibility
Previously not projected
Description
Overview; Country Health Profile 2023, section 4, physical PDF page 10.
Detected Media Type
text/html
Response Sha256
5b47de52391b1cb7b19253dab46adcb70fb3434ee0788423496e1ad89a7ac5d5

Source links

Candidate Analytical Mapping · Open for annotation

First-contact registration is distinct from observed patient flow

Iceland Health, For individuals, 2026.

Statement or annotation question

The stated health-centre first-contact arrangement is retained separately from any observed referral or bypassing measure.

Material reference
material:c5c8835c669ed25f3ab5709c
Pipeline stage
Candidate-Analytical-Mappings
Evidence mode
Formal
Publication date
not supplied
Institution
not supplied
Document type
Not Supplied
Territory
Iceland
Period
Webpage retrieved August 2026
Source layers
Official
Coverage domains
Provider networks, Observed referral, Patient flows, Primary care organization, Referral design
Current display status
Shown in full and open for annotation
Previous Boundary Detected
False
Previous Visibility
Previously not projected
Description
Registration and change of healthcare centre.
Detected Media Type
text/html
Response Sha256
f090f65a30afb64e3723240f9685efd08b7282ba60966164c36e3a0b08dfba16

Source links

Candidate Analytical Mapping · Open for annotation

Formal first contact and dated observed referral evidence remain separate

Iceland Health, For individuals, 2026; Government of Iceland, Waiting for health services, 2026; Björnsson et al., 2013.

Statement or annotation question

The evidence distinguishes stated primary-care first contact from narrow dated arrangements and a historic clinician survey without implying current national pathway performance.

Material reference
material:cd43f19172dde73f13600ce0
Pipeline stage
Candidate-Analytical-Mappings
Evidence mode
Observed
Publication date
not supplied
Institution
not supplied
Document type
Not Supplied
Territory
Iceland; observed arrangements and study have the stated scopes
Period
Webpages retrieved August 2026; waiting-list dates in late 2025 and January 2026; survey in 2007
Source layers
Official
Coverage domains
Hospital organization, Observed referral, Patient flows, Primary care organization, Referral design, Utilization
Current display status
Shown in full and open for annotation
Previous Boundary Detected
False
Previous Visibility
Previously not projected
Description
Registration and change of healthcare centre; Waiting for health services; Björnsson et al., Abstract, Methods and Results.
Detected Media Type
text/html
Response Sha256
f090f65a30afb64e3723240f9685efd08b7282ba60966164c36e3a0b08dfba16

Source links

Candidate Analytical Mapping · Open for annotation

Historical specialist and primary-care reimbursement reform context

European Observatory, Iceland health system review, 2014; Sigurdsson et al., 2022.

Statement or annotation question

The historical review and first-year Capital Region study remain explicitly time- and scope-bounded.

Material reference
material:c93aec7029c64e18ef3e5c9e
Pipeline stage
Candidate-Analytical-Mappings
Evidence mode
Reported
Publication date
not supplied
Institution
not supplied
Document type
Not Supplied
Territory
Iceland; reimbursement study limited to the Reykjavík Capital Region
Period
2014 health-system review; 2017 model introduction and 2018 first-year comparison
Source layers
Review Literature
Coverage domains
Authoritative review, Hospital organization, Market structure, Provider ownership, Primary care organization, Reform history
Current display status
Shown in full and open for annotation
Previous Boundary Detected
False
Previous Visibility
Previously not projected
Description
Overview; Sigurdsson et al., Abstract and Methods.
Detected Media Type
text/html
Response Sha256
5b47de52391b1cb7b19253dab46adcb70fb3434ee0788423496e1ad89a7ac5d5

Source links

Candidate Analytical Mapping · Open for annotation

Iceland Health identifies specified contracting arrangements

Iceland Health, Service, 2026; Iceland Health, Director's address - Annual report 2022.

Statement or annotation question

The official sources support specified service contracting and a stated purchasing-and-payment role without inferring a complete public-private market structure.

Material reference
material:68d7ec506f397a31faf204b3
Pipeline stage
Candidate-Analytical-Mappings
Evidence mode
Formal
Publication date
not supplied
Institution
not supplied
Document type
Not Supplied
Territory
Iceland
Period
2022 annual-report address and service webpage retrieved August 2026
Source layers
Official
Coverage domains
Actors, Hospital organization, Market structure, Provider networks, Provider ownership, Primary care organization
Current display status
Shown in full and open for annotation
Previous Boundary Detected
False
Previous Visibility
Previously not projected
Description
Ageing services; Psychological services; Director's address - Annual report 2022.
Detected Media Type
text/html
Response Sha256
ec97e847557c23e0a93647c290c7e7dd708f7cbf40384e3772c3a6a9a814fae4

Source links

Candidate Analytical Mapping · Open for annotation

Licensing role is not a complete provider decision matrix

Directorate of Health, The Directorate of Health, 2026.

Statement or annotation question

The Directorate's stated licensing role is shown without converting it into a full allocation of provider decisions.

Material reference
material:76f8840282598b030feedc6b
Pipeline stage
Candidate-Analytical-Mappings
Evidence mode
Formal
Publication date
not supplied
Institution
not supplied
Document type
Not Supplied
Territory
Iceland
Period
Webpage retrieved August 2026
Source layers
Official
Coverage domains
Actors, Decision rights, Governance and accountability, Government responsibilities
Current display status
Shown in full and open for annotation
Previous Boundary Detected
False
Previous Visibility
Previously not projected
Description
License to practice.
Detected Media Type
text/html
Response Sha256
4d46c62d4dc522db987877c634941f0375bdbe3cd18290e867e3c4d79d768e1b

Source links

Candidate Analytical Mapping · Open for annotation

Named waiting-list provider links are narrowly scoped

Government of Iceland, Waiting for health services, 2026.

Statement or annotation question

A reported, named waiting-list arrangement is shown without extrapolating it to the national provider market.

Material reference
material:81ca554745cdb746e30da5de
Pipeline stage
Candidate-Analytical-Mappings
Evidence mode
Observed
Publication date
not supplied
Institution
not supplied
Document type
Not Supplied
Territory
Iceland; named institutions only
Period
Waiting-list dates in late 2025 and January 2026
Source layers
Official
Coverage domains
Hospital organization, Market structure, Provider networks, Observed referral, Patient flows, Utilization
Current display status
Shown in full and open for annotation
Previous Boundary Detected
False
Previous Visibility
Previously not projected
Description
Waiting for health services.
Detected Media Type
text/html
Response Sha256
1afb24522d8c2a943a5655ef19a4791e7901cae15c3bcbebbc3a356cdf5e5d83

Source links

Candidate Analytical Mapping · Open for annotation

Provider autonomy remains unclassified

Directorate of Health, 2026; European Observatory, Iceland health system review, 2014.

Statement or annotation question

The cited sources do not support a categorical hospital or primary-care autonomy score by decision domain.

Material reference
material:c54024a0bf8a8b700ed574ec
Pipeline stage
Candidate-Analytical-Mappings
Evidence mode
Reported
Publication date
not supplied
Institution
not supplied
Document type
Not Supplied
Territory
Iceland
Period
2014 review context and Directorate webpage retrieved August 2026
Source layers
Review Literature
Coverage domains
Provider autonomy, Decision rights, Hospital organization, Provider ownership, Primary care organization
Current display status
Shown in full and open for annotation
Previous Boundary Detected
False
Previous Visibility
Previously not projected
Description
Directorate License to practice; Observatory Overview.
Detected Media Type
text/html
Response Sha256
4d46c62d4dc522db987877c634941f0375bdbe3cd18290e867e3c4d79d768e1b

Source links

Candidate Analytical Mapping · Open for annotation

State-centred organisation with national supervision functions

European Observatory, Iceland health system review, 2014; Directorate of Health, 2026.

Statement or annotation question

The sources retain a dated state-centred system description alongside the Directorate's current stated licensing and register functions.

Material reference
material:823f149862e587553b5aeb16
Pipeline stage
Candidate-Analytical-Mappings
Evidence mode
Formal
Publication date
not supplied
Institution
not supplied
Document type
Not Supplied
Territory
Iceland
Period
2014 reported context and Directorate webpage retrieved August 2026
Source layers
Official
Coverage domains
Actors, Authoritative review, Decision rights, Facility data, Governance and accountability, Government responsibilities
Current display status
Shown in full and open for annotation
Previous Boundary Detected
False
Previous Visibility
Previously not projected
Description
Overview; License to practice and Health services.
Detected Media Type
text/html
Response Sha256
5b47de52391b1cb7b19253dab46adcb70fb3434ee0788423496e1ad89a7ac5d5

Source links

Country Improvement Source Lead · Open for annotation

Director's address - Annual report 2022

Iceland Health. Director's address - Annual report 2022. 2022. https://island.is/_next/data/RvbwioCn1-R6MeilC5Nyb/en/o/iceland-health/directors-address-annual-report-2022.json

Statement or annotation question

Iceland Health's annual-report address describes contracting, determining rights, payments for services, and payment models as part of the institution's role.

Source context or anchor

By contracting, determining rights, payments for services provided
Material reference
material:77dd4c710c540de1ab25807f
Pipeline stage
Country-Evidence-Improvement-Sources
Evidence mode
Formal
Publication date
2022
Institution
Iceland Health
Document type
Not Supplied
Territory
Iceland
Period
Annual-report address published in 2022
Source layers
Official
Coverage domains
Actors, Decision rights, Governance and accountability, Government responsibilities, Market structure
Current display status
Shown in full and open for annotation
Previous Boundary Detected
False
Previous Visibility
Previously not projected
Locator Type
next_data_payload_and_paragraph
Source Word Anchor
By contracting, determining rights, payments for services provided
Source Word Count
7
Detected Media Type
application/json
Response Sha256
fe22353a5089b604f9c20403104f63078a7f3fef01a5dec83b2b079506996481

Annotation prompts and machine flags

  • This institutional address describes a stated role; it does not quantify all contracts, payments, or market shares.

Source links

Country Improvement Source Lead · Open for annotation

For individuals

Iceland Health. For individuals. Accessed 21 August 2026. https://island.is/en/o/iceland-health/for-individuals

Statement or annotation question

Iceland Health states that a health-care centre is the first port of call and that everyone must register with a health-care centre or a self-employed general practitioner.

Source context or anchor

the first port of call
Material reference
material:86351abdadf6633a76680da5
Pipeline stage
Country-Evidence-Improvement-Sources
Evidence mode
Formal
Publication date
2026
Institution
Iceland Health
Document type
Not Supplied
Territory
Iceland
Period
Iceland Health webpage retrieved 21 August 2026
Source layers
Official
Coverage domains
Actors, Governance and accountability, Provider networks, Patient flows, Primary care organization, Referral design
Current display status
Shown in full and open for annotation
Previous Boundary Detected
False
Previous Visibility
Previously not projected
Locator Type
web_heading_and_paragraph
Source Word Anchor
The healthcare centre, or Heilsugæslan, is the first port
Source Word Count
9
Detected Media Type
text/html
Response Sha256
f090f65a30afb64e3723240f9685efd08b7282ba60966164c36e3a0b08dfba16

Annotation prompts and machine flags

  • A stated first-contact arrangement is not treated as observed compliance, bypassing, or referral completion.

Source links

Country Improvement Source Lead · Open for annotation

Gatekeeping and referrals to cardiologists: General practitioners' views on interactive communications

Björnsson S, Sigurdsson JA, Svavarsdóttir AE, Gudmundsson GH. Gatekeeping and referrals to cardiologists: General practitioners' views on interactive communications. Scandinavian Journal of Primary Health Care. 2013;31(2):123-128. NCBI full-text XML record: https://eutils.ncbi.nlm.nih.gov/entrez/eutils/efetch.fcgi?db=pmc&id=PMC3656399

Statement or annotation question

A 2007 general-practitioner survey reports views on the temporary cardiology-referral reimbursement arrangement and referral communications.

Source context or anchor

The response rate was 63%
Material reference
material:fa0c831d076cf6054ca2383e
Pipeline stage
Country-Evidence-Improvement-Sources
Evidence mode
Observed
Publication date
2013
Institution
Scandinavian Journal of Primary Health Care
Document type
Not Supplied
Territory
Iceland; survey contrasts Reykjavík and nearby urban areas with rural areas
Period
Questionnaire survey of practising Icelandic general practitioners in November 2007, following the 2006 cardiology-referral reimbursement requirement
Source layers
Research Literature
Coverage domains
Provider networks, Observed referral, Patient flows, Primary care organization, Referral design, Utilization
Current display status
Shown in full and open for annotation
Previous Boundary Detected
False
Previous Visibility
Previously not projected
Locator Type
jats_xml_section_and_paragraph
Source Word Anchor
The response rate was 63%
Source Word Count
5
Detected Media Type
text/xml
Response Sha256
68564fbc2a97eac813bb2bf11271acbd8009568d42003c1533982e349b2152f3

Annotation prompts and machine flags

  • This is a dated survey of general-practitioner views on cardiology referrals, not a current national referral-completion measure.

Source links

Country Improvement Source Lead · Open for annotation

Iceland: Country Health Profile 2023

OECD and European Observatory on Health Systems and Policies. Iceland: Country Health Profile 2023. State of Health in the EU; 2023. https://www.oecd.org/content/dam/oecd/en/publications/reports/2023/12/iceland-country-health-profile-2023_e26a337c/f2868adb-en.pdf

Statement or annotation question

The 2023 profile reports that Iceland's health system is primarily publicly funded and that most primary care is publicly provided.

Source context or anchor

The health system in Iceland is primarily funded
Material reference
material:a32baa640a45fff72481decf
Pipeline stage
Country-Evidence-Improvement-Sources
Evidence mode
Reported
Publication date
2023
Institution
OECD and European Observatory on Health Systems and Policies
Document type
Not Supplied
Territory
Iceland
Period
Profile finalised September 2023; underlying data available through the first half of September 2023
Source layers
Grey Literature
Coverage domains
Authoritative review, Hospital organization, Market structure, Provider ownership, Primary care organization, Utilization
Current display status
Shown in full and open for annotation
Previous Boundary Detected
False
Previous Visibility
Previously not projected
Locator Type
pdf_page_anchor
Source Word Anchor
The health system in Iceland is primarily funded
Source Word Count
8
Detected Media Type
application/pdf
File Sha256
491619568dbd36760f3a1081d2cdb263ebc35a9a0a2ce7cc356e2effdd09b16d

Annotation prompts and machine flags

  • This profile gives a broad 2023 system description, not a facility-level inventory or provider-autonomy matrix.

Source links

Country Improvement Source Lead · Open for annotation

Iceland: health system review 2014

Sigurgeirsdóttir S, Waagfjörð J, Maresso A, editors. Iceland: health system review 2014. Health Systems in Transition, Vol. 16 No. 6. European Observatory on Health Systems and Policies; 2014. https://eurohealthobservatory.who.int/publications/i/iceland-health-system-review-2014

Statement or annotation question

The dated review describes a state-centred, publicly funded system, seven health-care districts, public primary-care centres and public hospitals, while noting private specialist care and direct specialist access in the Capital Region.

Source context or anchor

The health system is mostly publicly funded
Material reference
material:dd9346a8328c55f3eadb581b
Pipeline stage
Country-Evidence-Improvement-Sources
Evidence mode
Reported
Publication date
2014
Institution
WHO European Observatory on Health Systems and Policies
Document type
Not Supplied
Territory
Iceland
Period
Health-system review published December 2014; describes a dated system context
Source layers
Review Literature
Coverage domains
Actors, Authoritative review, Decision rights, Facility data, Governance and accountability, Government responsibilities, Hospital organization, Market structure, Provider networks, Provider ownership, Patient flows, Primary care organization, Referral design, Reform history, Utilization
Current display status
Shown in full and open for annotation
Previous Boundary Detected
False
Previous Visibility
Previously not projected
Locator Type
web_heading_and_paragraph
Source Word Anchor
The health system is mostly publicly funded
Source Word Count
7
Detected Media Type
text/html
Response Sha256
5b47de52391b1cb7b19253dab46adcb70fb3434ee0788423496e1ad89a7ac5d5

Annotation prompts and machine flags

  • This is historical reported context, not current legal authority or a current measure of referral performance.

Source links

Country Improvement Source Lead · Open for annotation

Laws and regulations

Iceland Health. Laws and regulations. Accessed 21 August 2026. https://island.is/en/o/iceland-health/laws-and-regulations-iceland-health

Statement or annotation question

The index identifies the Health Insurance Act and lists a 2025 regulation on health-insurance co-payments and a 2017 regulation on referrals of children aged 2 to 18.

Source context or anchor

Regulation on referrals of children aged 2-18
Material reference
material:f1dca151b48c1753da60b734
Pipeline stage
Country-Evidence-Improvement-Sources
Evidence mode
Formal
Publication date
2026
Institution
Iceland Health
Document type
Not Supplied
Territory
Iceland
Period
Official laws-and-regulations index retrieved 21 August 2026; linked instruments have their own dates
Source layers
Official
Coverage domains
Actors, Decision rights, Governance and accountability, Government responsibilities, Referral design, Reform history
Current display status
Shown in full and open for annotation
Previous Boundary Detected
False
Previous Visibility
Previously not projected
Locator Type
web_heading_and_paragraph
Source Word Anchor
Regulation on referrals of children aged 2-18
Source Word Count
7
Detected Media Type
text/html
Response Sha256
dbd532b86cd7957aab806b2743d93228105950eb1f597359dc62fb6167063bcc

Annotation prompts and machine flags

  • This English index identifies linked instruments; it is not a substitute for the Icelandic operative texts for detailed legal interpretation.

Source links

Country Improvement Source Lead · Open for annotation

New reimbursement model in Icelandic primary care in 2017: first-year comparison of public and private primary care

Sigurdsson H, Gudmundsson KG, Gestsdottir S. New reimbursement model in Icelandic primary care in 2017: first-year comparison of public and private primary care. Scandinavian Journal of Primary Health Care. 2022;40(2):238-245. NCBI full-text XML record: https://eutils.ncbi.nlm.nih.gov/entrez/eutils/efetch.fcgi?db=pmc&id=PMC9397416

Statement or annotation question

The study compares 15 public and four private primary-care centres in the Capital Region using first-year reimbursement data.

Source context or anchor

Fifteen public and four private primary care centers
Material reference
material:2dd8c56bb92ce0818295f368
Pipeline stage
Country-Evidence-Improvement-Sources
Evidence mode
Observed
Publication date
2022
Institution
Scandinavian Journal of Primary Health Care
Document type
Not Supplied
Territory
Reykjavík Capital Region, Iceland
Period
First-year comparison using 2018 reimbursements after the 2017 reimbursement-model introduction
Source layers
Research Literature
Coverage domains
Market structure, Provider ownership, Primary care organization, Reform history, Utilization
Current display status
Shown in full and open for annotation
Previous Boundary Detected
False
Previous Visibility
Previously not projected
Locator Type
jats_xml_section_and_paragraph
Source Word Anchor
Fifteen public and four private primary care centers
Source Word Count
8
Detected Media Type
text/xml
Response Sha256
ec99a216bcdfad0671e909654c3f9218be2360535b7e4fc77bd45fa9726b03cf

Annotation prompts and machine flags

  • The study is limited to the Capital Region and first-year data; it does not establish national market shares or causal reform effects.

Source links

Country Improvement Source Lead · Open for annotation

Service

Iceland Health. Service. Accessed 21 August 2026. https://island.is/en/o/iceland-health/services-sjukra

Statement or annotation question

The service page identifies Iceland Health contracting for nursing-home and day-care services outside fixed budgets, and describes framework agreements for some psychological services.

Source context or anchor

contracts for the services of nursing homes
Material reference
material:c6cf242e3a9e55df20d366c5
Pipeline stage
Country-Evidence-Improvement-Sources
Evidence mode
Formal
Publication date
2026
Institution
Iceland Health
Document type
Not Supplied
Territory
Iceland
Period
Iceland Health service webpage retrieved 21 August 2026
Source layers
Official
Coverage domains
Actors, Governance and accountability, Hospital organization, Market structure, Provider networks, Provider ownership, Primary care organization
Current display status
Shown in full and open for annotation
Previous Boundary Detected
False
Previous Visibility
Previously not projected
Locator Type
web_heading_and_paragraph
Source Word Anchor
Iceland Health contracts for the services
Source Word Count
6
Detected Media Type
text/html
Response Sha256
ec97e847557c23e0a93647c290c7e7dd708f7cbf40384e3772c3a6a9a814fae4

Annotation prompts and machine flags

  • The named service arrangements are not a complete provider ownership or market-share inventory.

Source links

Country Improvement Source Lead · Open for annotation

The Directorate of Health

Directorate of Health, Iceland. The Directorate of Health. Accessed 21 August 2026. https://island.is/en/o/directorate-of-health

Statement or annotation question

The Directorate states that it licenses health-care professionals and provides registers of licensed practitioners and facilities, alongside health-service quality and supervision content.

Source context or anchor

grants licenses to healthcare professionals
Material reference
material:d53686d27b754e2b90f49425
Pipeline stage
Country-Evidence-Improvement-Sources
Evidence mode
Formal
Publication date
2026
Institution
Directorate of Health, Iceland
Document type
Not Supplied
Territory
Iceland
Period
Directorate webpage retrieved 21 August 2026
Source layers
Official
Coverage domains
Actors, Provider autonomy, Decision rights, Facility data, Governance and accountability, Government responsibilities, Hospital organization, Primary care organization
Current display status
Shown in full and open for annotation
Previous Boundary Detected
False
Previous Visibility
Previously not projected
Locator Type
web_heading_and_paragraph
Source Word Anchor
The Directorate of Health grants licenses
Source Word Count
6
Detected Media Type
text/html
Response Sha256
4d46c62d4dc522db987877c634941f0375bdbe3cd18290e867e3c4d79d768e1b

Annotation prompts and machine flags

  • Licensing and register information does not allocate all provider management decisions.

Source links

Country Improvement Source Lead · Open for annotation

Waiting for health services

Government of Iceland. Waiting for health services. Accessed 21 August 2026. https://island.is/en/waiting-for-health-services

Statement or annotation question

The page reports a specified arrangement for people on named hospital and provider waiting lists, with Iceland Health agreements for a stated number of joint replacement surgeries per month.

Source context or anchor

agreements with Klíníkin Ármúla and Orkuhúsið
Material reference
material:d5cd968499cb1723743d8934
Pipeline stage
Country-Evidence-Improvement-Sources
Evidence mode
Observed
Publication date
2026
Institution
Government of Iceland
Document type
Not Supplied
Territory
Iceland; stated waiting-list arrangement names Landspítali, Akureyri Hospital, West Iceland Healthcare Institute, Klíníkin and Orkuhúsið
Period
Waiting-list dates cited are 30 November 2025 and 10 January 2026
Source layers
Official
Coverage domains
Hospital organization, Market structure, Provider networks, Observed referral, Patient flows, Referral design, Utilization
Current display status
Shown in full and open for annotation
Previous Boundary Detected
False
Previous Visibility
Previously not projected
Locator Type
web_heading_and_paragraph
Source Word Anchor
Iceland Health has agreements with Klíníkin
Source Word Count
6
Detected Media Type
text/html
Response Sha256
1afb24522d8c2a943a5655ef19a4791e7901cae15c3bcbebbc3a356cdf5e5d83

Annotation prompts and machine flags

  • This is a named, dated waiting-list arrangement and not a national observed referral-completion series.

Source links

Displayed source projection · Open for annotation

Iceland: health system review 2003

European Observatory Health Systems Reviews. Iceland: health system review 2003. European Observatory Health Systems Reviews; 2003. https://iris.who.int/server/api/core/bitstreams/0bcb9c0c-09cb-4682-a4e9-92f1756f4879/content

Material reference
candidate-source:ISL:05ba5ef06259d4d6cd1a
Pipeline stage
Current-Public-Source-Projection
Evidence mode
Not classified
Publication date
2003
Institution
not supplied
Document type
Candidate Source Metadata
Territory
not supplied
Period
Not supplied
Source layers
Candidate Source Metadata, Grey Literature
Coverage domains
Actors, Authoritative review, Government responsibilities
Current display status
Shown in full and open for annotation
Page Locator Linked From Priority Acquisition
True
Previous Visibility
Previously projected
Source Version Linked From Priority Acquisition
True
Paragraph Index On Page
1
Physical Pdf Page
7
Source Word Anchor
to Dav d Gunnarsson Ministry of Health and Social Security Reykjav k
Source Word Count
12
Detected Media Type
application/pdf
Page Count
118
Response Sha256
202a909d9831b0608d582011aeb30c6300e08c65efda7fa1dcc0cd4e00640e1d

Annotation prompts and machine flags

  • Public source projection retained as a distinct stage record.
  • Immutable source-version metadata was retrieved from this exact public source URL in the priority traceability audit.
  • A recoverable source locator was retrieved from this exact public source URL in the priority traceability audit.

Source links

Displayed source projection · Open for annotation

Iceland: health system review 2014

WHO European Observatory on Health Systems and Policies. Iceland: health system review 2014. 2014. https://eurohealthobservatory.who.int/publications/i/iceland-health-system-review-2014

Material reference
candidate-source:ISL:6109ca6672e2c658f085
Pipeline stage
Current-Public-Source-Projection
Evidence mode
Not classified
Publication date
2014
Institution
not supplied
Document type
Candidate Source Metadata
Territory
not supplied
Period
Not supplied
Source layers
Candidate Source Metadata, Review Literature
Coverage domains
Actors, Authoritative review, Decision rights, Governance and accountability, Government responsibilities, Hospital organization, Provider networks, Primary care organization, Reform history
Current display status
Shown in full and open for annotation
Page Locator Linked From Country Score Acquisition
True
Previous Visibility
Previously projected
Source Version Linked From Priority Acquisition
True
Html Text Block
1
Locator Type
html_text_anchor
Source Word Anchor
Iceland health system review 2014
Source Word Count
5
Detected Media Type
text/html
Response Sha256
d65a9332924e6758478dd61a38190bab9d23653b2c1be35a5d21a5e5a04b7c0a

Annotation prompts and machine flags

  • Public source projection retained as a distinct stage record.
  • Immutable source-version metadata was retrieved from this exact public source URL in the priority traceability audit.
  • A recoverable source locator was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Grey Literature Source Lead · Open for annotation

Iceland: health system review 2003

European Observatory Health Systems Reviews. Iceland: health system review 2003. European Observatory Health Systems Reviews; 2003. https://iris.who.int/server/api/core/bitstreams/0bcb9c0c-09cb-4682-a4e9-92f1756f4879/content

Material reference
material:f0f6148942d6629fe9bbc1c0
Pipeline stage
Global-Grey-Source-Leads
Evidence mode
Not classified
Publication date
2003-11-11
Institution
European Observatory Health Systems Reviews
Document type
Health System Review
Territory
not supplied
Period
Not supplied
Source layers
Regional Systems
Coverage domains
Actors, Authoritative review, Government responsibilities
Current display status
Shown in full and open for annotation
Candidate Status
Candidate
Page Locator Linked From Priority Acquisition
True
Previous Boundary Detected
True
Previous Visibility
Previously not projected
Earlier source-record status
Unreviewed
Source Version Linked From Priority Acquisition
True
Status
Candidate
Triage Status
New
Url Status
Available
Paragraph Index On Page
1
Physical Pdf Page
7
Source Word Anchor
to Dav d Gunnarsson Ministry of Health and Social Security Reykjav k
Source Word Count
12
Detected Media Type
application/pdf
Page Count
118
Response Sha256
202a909d9831b0608d582011aeb30c6300e08c65efda7fa1dcc0cd4e00640e1d

Annotation prompts and machine flags

  • Catalogue lead displayed in full for source and claim annotation.
  • Check the catalogue geography, title match, and taxonomy tags against the source metadata.
  • This catalogue entry does not itself supply source bytes, an exact locator, or an atomic country statement.
  • Grey literature does not by itself establish current formal authority.
  • Catalogue ISO3 jurisdiction and an explicit metadata country alias in the title both matched.
  • Catalogue document type: health system review.
  • Source family: regional_systems.
  • Title signal: health_system.
  • Immutable source-version metadata was retrieved from this exact public source URL in the priority traceability audit.
  • A recoverable source locator was retrieved from this exact public source URL in the priority traceability audit.

Source links

Grey Literature Source Lead · Open for annotation

Iceland: health system review 2014

European Observatory Health Systems Reviews. Iceland: health system review 2014. European Observatory Health Systems Reviews; 2014. https://iris.who.int/server/api/core/bitstreams/849c4625-48fd-4597-a792-37f8c1b8575d/content

Material reference
material:47a2fefa7fe16e9f800b141a
Pipeline stage
Global-Grey-Source-Leads
Evidence mode
Not classified
Publication date
2014-12-07
Institution
European Observatory Health Systems Reviews
Document type
Health System Review
Territory
not supplied
Period
Not supplied
Source layers
Regional Systems
Coverage domains
Actors, Authoritative review, Government responsibilities
Current display status
Shown in full and open for annotation
Candidate Status
Candidate
Page Locator Linked By Exact Url
True
Previous Boundary Detected
True
Previous Visibility
Previously not projected
Earlier source-record status
Unreviewed
Source Version Linked From Priority Acquisition
True
Status
Candidate
Triage Status
New
Url Status
Available
Paragraph Index On Page
1
Physical Pdf Page
5
Source Word Anchor
9 2 Organization and governance 15 2 1 Overview of the health
Source Word Count
12
Detected Media Type
text/html
Response Sha256
d65a9332924e6758478dd61a38190bab9d23653b2c1be35a5d21a5e5a04b7c0a

Annotation prompts and machine flags

  • Catalogue lead displayed in full for source and claim annotation.
  • Check the catalogue geography, title match, and taxonomy tags against the source metadata.
  • This catalogue entry does not itself supply source bytes, an exact locator, or an atomic country statement.
  • Grey literature does not by itself establish current formal authority.
  • Catalogue ISO3 jurisdiction and an explicit metadata country alias in the title both matched.
  • Catalogue document type: health system review.
  • Source family: regional_systems.
  • Title signal: health_system.
  • Published in 2010 or later.
  • Immutable source-version metadata was retrieved from this exact public source URL in the priority traceability audit.
  • The page locator is linked from another displayed stage record with the exact same source URL.

Source links

Review Literature Context · Open for annotation

Review Literature Context

WHO European Observatory on Health Systems and Policies. Iceland: health system review 2014. 2014. https://eurohealthobservatory.who.int/publications/i/iceland-health-system-review-2014

Material reference
material:77f0c0dc491b8cef569416a4
Pipeline stage
Global-Review-Evidence-Context
Evidence mode
Not classified
Publication date
2014
Institution
not supplied
Document type
Not Supplied
Territory
not supplied
Period
Not supplied
Source layers
Not supplied
Coverage domains
Decision rights, Governance and accountability, Government responsibilities, Hospital organization, Provider networks, Primary care organization, Reform history
Current display status
Shown in full and open for annotation
Context Status
Metadata only
Page Locator Linked By Exact Url
True
Previous Boundary Detected
True
Previous Visibility
Previously not projected
Earlier source-record status
Open for annotation
Source Version Linked From Priority Acquisition
True
Paragraph Index On Page
1
Physical Pdf Page
5
Source Word Anchor
9 2 Organization and governance 15 2 1 Overview of the health
Source Word Count
12
Detected Media Type
text/html
Response Sha256
d65a9332924e6758478dd61a38190bab9d23653b2c1be35a5d21a5e5a04b7c0a

Annotation prompts and machine flags

  • Citation metadata identifies a country-scoped review lead, but no locally acquired full text was selected for an exact excerpt.
  • No country statement is created from title or bibliographic metadata alone.
  • Immutable source-version metadata was retrieved from this exact public source URL in the priority traceability audit.
  • The page locator is linked from another displayed stage record with the exact same source URL.

Source links

Review Literature Source Lead · Open for annotation

Iceland: health system review 2014

Iceland: health system review 2014. 2014. https://eurohealthobservatory.who.int/publications/i/iceland-health-system-review-2014

Material reference
material:7b777b20f15c7b66563eec68
Pipeline stage
Global-Review-Source-Leads
Evidence mode
Not classified
Publication date
2014-12-07
Institution
WHO European Observatory on Health Systems and Policies
Document type
Country Health System Review
Territory
not supplied
Period
Not supplied
Source layers
Not supplied
Coverage domains
Decision rights, Governance and accountability, Government responsibilities, Hospital organization, Provider networks, Primary care organization, Reform history
Current display status
Shown in full and open for annotation
Page Locator Linked By Exact Url
True
Previous Boundary Detected
True
Previous Visibility
Previously not projected
Earlier source-record status
Open for annotation
Source Version Linked From Priority Acquisition
True
Triage Status
New
Downloaded
False
Extracted
False
Metadata Only
True
Source Bytes Verified
False
Paragraph Index On Page
1
Physical Pdf Page
5
Source Word Anchor
9 2 Organization and governance 15 2 1 Overview of the health
Source Word Count
12
Detected Media Type
text/html
Response Sha256
d65a9332924e6758478dd61a38190bab9d23653b2c1be35a5d21a5e5a04b7c0a

Annotation prompts and machine flags

  • Catalogue metadata only. The underlying publication and its edition must be checked before use.
  • A Health System Review is contextual evidence, not formal authority for jurisdictional rules.
  • National country health-system review in the local Global Health Systems Library.
  • National Health System Review selected from the local library by exact document type and title, retaining the newest edition per country.
  • Immutable source-version metadata was retrieved from this exact public source URL in the priority traceability audit.
  • The page locator is linked from another displayed stage record with the exact same source URL.

Source links

Source Triage Record · Open for annotation

Iceland: health system review 2003

European Observatory Health Systems Reviews. Iceland: health system review 2003. European Observatory Health Systems Reviews; 2003. https://iris.who.int/server/api/core/bitstreams/0bcb9c0c-09cb-4682-a4e9-92f1756f4879/content

Material reference
material:e41692e227d6f57d6c04166b
Pipeline stage
Global-Source-Triage-Queue
Evidence mode
Not classified
Publication date
2003
Institution
not supplied
Document type
Not Supplied
Territory
not supplied
Period
Not supplied
Source layers
Regional Systems
Coverage domains
Actors, Authoritative review, Government responsibilities
Current display status
Shown in full and open for annotation
Page Locator Linked From Priority Acquisition
True
Previous Boundary Detected
True
Previous Visibility
Previously not projected
Earlier source-record status
Open for annotation
Source Version Linked From Priority Acquisition
True
Paragraph Index On Page
1
Physical Pdf Page
7
Source Word Anchor
to Dav d Gunnarsson Ministry of Health and Social Security Reykjav k
Source Word Count
12
Detected Media Type
application/pdf
Page Count
118
Response Sha256
202a909d9831b0608d582011aeb30c6300e08c65efda7fa1dcc0cd4e00640e1d

Annotation prompts and machine flags

  • Verify the exact bibliographic citation against the original source.
  • Confirm that the document applies to the named country and intended territorial scope.
  • Confirm document type, issuing institution, authority, and claim-specific suitability.
  • Retrieve and hash the exact source version when it is not already verified.
  • Check publication date, effective period, currency, and supersession risk.
  • Confirm only domains directly supported by the reviewed source.
  • Add substantive feedback directly through the text-anchored annotation layer.
  • Immutable source-version metadata was retrieved from this exact public source URL in the priority traceability audit.
  • A recoverable source locator was retrieved from this exact public source URL in the priority traceability audit.

Source links

Source Triage Record · Open for annotation

Iceland: health system review 2014

WHO European Observatory on Health Systems and Policies. Iceland: health system review 2014. 2014. https://eurohealthobservatory.who.int/publications/i/iceland-health-system-review-2014

Material reference
material:8f198088a3f84c2390e5c4db
Pipeline stage
Global-Source-Triage-Queue
Evidence mode
Not classified
Publication date
2014
Institution
not supplied
Document type
Not Supplied
Territory
not supplied
Period
Not supplied
Source layers
Global Health Systems Library Health System Review
Coverage domains
Decision rights, Governance and accountability, Government responsibilities, Hospital organization, Provider networks, Primary care organization, Reform history
Current display status
Shown in full and open for annotation
Page Locator Linked From Country Score Acquisition
True
Previous Boundary Detected
True
Previous Visibility
Previously not projected
Earlier source-record status
Open for annotation
Source Version Linked From Priority Acquisition
True
Html Text Block
1
Locator Type
html_text_anchor
Source Word Anchor
Iceland health system review 2014
Source Word Count
5
Detected Media Type
text/html
Response Sha256
d65a9332924e6758478dd61a38190bab9d23653b2c1be35a5d21a5e5a04b7c0a

Annotation prompts and machine flags

  • Verify the exact bibliographic citation against the original source.
  • Confirm that the document applies to the named country and intended territorial scope.
  • Confirm document type, issuing institution, authority, and claim-specific suitability.
  • Retrieve and hash the exact source version when it is not already verified.
  • Check publication date, effective period, currency, and supersession risk.
  • Confirm only domains directly supported by the reviewed source.
  • Add substantive feedback directly through the text-anchored annotation layer.
  • Immutable source-version metadata was retrieved from this exact public source URL in the priority traceability audit.
  • A recoverable source locator was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Source Triage Record · Open for annotation

Iceland: health system review 2014

European Observatory Health Systems Reviews. Iceland: health system review 2014. European Observatory Health Systems Reviews; 2014. https://iris.who.int/server/api/core/bitstreams/849c4625-48fd-4597-a792-37f8c1b8575d/content

Material reference
material:d78d44ade7b66748065d0bc8
Pipeline stage
Global-Source-Triage-Queue
Evidence mode
Not classified
Publication date
2014
Institution
not supplied
Document type
Not Supplied
Territory
not supplied
Period
Not supplied
Source layers
Regional Systems
Coverage domains
Actors, Authoritative review, Government responsibilities
Current display status
Shown in full and open for annotation
Page Locator Linked From Country Score Acquisition
True
Previous Boundary Detected
True
Previous Visibility
Previously not projected
Earlier source-record status
Open for annotation
Source Version Linked From Country Score Acquisition
True
Paragraph Index On Page
1
Physical Pdf Page
5
Source Word Anchor
9 2 Organization and governance 15 2 1 Overview of the health
Source Word Count
12
Detected Media Type
application/pdf
Page Count
211
Response Sha256
356988dfb6e7637f01383e4fa362637fbd9bd70a3a5e6a8a92bb64818426298a

Annotation prompts and machine flags

  • Verify the exact bibliographic citation against the original source.
  • Confirm that the document applies to the named country and intended territorial scope.
  • Confirm document type, issuing institution, authority, and claim-specific suitability.
  • Retrieve and hash the exact source version when it is not already verified.
  • Check publication date, effective period, currency, and supersession risk.
  • Confirm only domains directly supported by the reviewed source.
  • Add substantive feedback directly through the text-anchored annotation layer.
  • Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.
  • A recoverable source locator was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links