[1.4] Health Delivery System

Question 1

It is the combination of resources, organization,
financing and management that culminate in the delivery of health services to the population.”

Answer 1

Roemer 1991

Question 2

Main goals of Health Systems

Answer 2

• To improve health of the population
• To improve responsiveness of health system to people’s health expectations
• Providing financial risk protection

Question 3

4 main health system functions

Answer 3

1. Health service provision
2. Health service inputs
3. Stewardship
4. Health financing

Question 4

Direct provision of services to patients and public and private health services

Answer 4

Health service provision

Question 5

Health products and supply chain, manufacturing, sales, and distribution of key assets

Resource generation: investing in people, facilities, and equipment

Answer 5

Health service inputs

Question 6

The process of setting the strategic goals of a health system
Sets the context and policy framework for the overall health system

Answer 6

Stewardship

Question 7

Generating, pooling, and purchasing/allocating resources towards healthcare.

Answer 7

Health Financing

Question 8

Entails collection of money to pay for health
care services

Answer 8

Revenue collection

Question 9

Refers to the collection and management of
financial resources in a way that spreads financial risks from an individual to all pool members

Answer 9

Risk pooling

Question 10

Funding is based on taxation

Answer 10

Beveridge model

Question 11

Based on the principles of plurality, liberty, and solidarity

Answer 11

Bismarck model

Question 12

Advantages: Care is provided by non-profit hospitals and individual practitioners; and
Subsidizes the poor and vulnerable

Answer 12

Bismarck model

Question 13

Disadvantages: Difficulty on cost control;
Over-utilization of health car; and delivery systems

Answer 13

Bismarck model

Question 14

Advantages: Utilizes universal coverage; and
administers general taxation – large scope to raise resources

Answer 14

Beveridge model

Question 15

Disadvantages: High risk of under-funding or unstable funding; requires decisive political actions; and overspending

Answer 15

Beveridge model

Question 16

Strategic collection and pooling of financial resources to finance or buy health care services for their members.

Answer 16

Purchasing and allocation of resources

Question 17

deliver effective, safe, quality personal and non-personal health interventions to those who need them, when and where needed, with
minimum waste of resources.

Answer 17

Service Delivery

Question 18

Works in ways that are responsive, fair and efficient to achieve the best health outcomes possible, given available resources
and circumstances.

Answer 18

Health workforce

Question 19

Ensures the production, analysis, dissemination and use of reliable and timely information on health determinants, health systems performance and health status.

Answer 19

Information

Question 20

A well-functioning health system ensures equitable access to essential ________ of
assured quality, safety, efficacy and cost-effectiveness, and their scientifically sound and cost-effective use.

Answer 20

medical products, vaccines and technologies

Question 21

Raises adequate funds for health, in ways that ensure people can use needed services, and are protected from financial catastrophe or impoverishment associated with having to pay for them

Answer 21

Health Financing

Question 22

Involves ensuring strategic policy frameworks exist and are combined with effective oversight,
coalition-building, the provision of appropriate regulations and incentives, attention to system design, and accountability

Answer 22

Leadership/ Governance

Question 23

Short/Long Term:

Preserve fishing and tourism

Answer 23

Short term

Question 24

Short/Long Term:

Stable climate

Answer 24

Long term

Question 25

Short/Long Term:

Require expensive equipment
[Safety of workers]

Answer 25

Short term

Question 26

Short/Long Term:

Add up cost to consumer
[Safety of workers]

Answer 26

Long term

Question 27

Short/Long Term:

Competitiveness in the international market
[Pollution control in the industry]

Answer 27

Short term

Question 28

Short/Long Term:

Good environment
[Pollution control in the industry]

Answer 28

Long term

Question 29

Short/Long Term:

Less use of cars, less pollution

Answer 29

Long term

Question 30

Short/Long Term:

Lost market share and profits

Answer 30

Short term

Question 31

Short/Long Term:

Expensive screening of cows

Answer 31

Short term

Question 32

Short/Long Term:

Prevention of the spread of disease

Answer 32

Long term

Question 33

Short/Long Term:

Less harvest and production, increase price

Answer 33

Short term

Question 34

Short/Long Term:

Prevention of chronic diseases such as cancer

Answer 34

Long term

Question 35

Formed by the Union of Concerned Scientists, composed of 60 leading scientists including 20 nobel prize winners in 2004 during the _______

Answer 35

George Bush Administration