[1.4] Health Delivery System Flashcards
It is the combination of resources, organization,
financing and management that culminate in the delivery of health services to the population.”
Roemer 1991
Main goals of Health Systems
- To improve health of the population
- To improve responsiveness of health system to people’s health expectations
- Providing financial risk protection
4 main health system functions
- Health service provision
- Health service inputs
- Stewardship
- Health financing
Direct provision of services to patients and public and private health services
Health service provision
Health products and supply chain, manufacturing, sales, and distribution of key assets
Resource generation: investing in people, facilities, and equipment
Health service inputs
The process of setting the strategic goals of a health system
Sets the context and policy framework for the overall health system
Stewardship
Generating, pooling, and purchasing/allocating resources towards healthcare.
Health Financing
Entails collection of money to pay for health
care services
Revenue collection
Refers to the collection and management of
financial resources in a way that spreads financial risks from an individual to all pool members
Risk pooling
Funding is based on taxation
Beveridge model
Based on the principles of plurality, liberty, and solidarity
Bismarck model
Advantages: Care is provided by non-profit hospitals and individual practitioners; and
Subsidizes the poor and vulnerable
Bismarck model
Disadvantages: Difficulty on cost control;
Over-utilization of health car; and delivery systems
Bismarck model
Advantages: Utilizes universal coverage; and
administers general taxation – large scope to raise resources
Beveridge model
Disadvantages: High risk of under-funding or unstable funding; requires decisive political actions; and overspending
Beveridge model
Strategic collection and pooling of financial resources to finance or buy health care services for their members.
Purchasing and allocation of resources
deliver effective, safe, quality personal and non-personal health interventions to those who need them, when and where needed, with
minimum waste of resources.
Service Delivery
Works in ways that are responsive, fair and efficient to achieve the best health outcomes possible, given available resources
and circumstances.
Health workforce
Ensures the production, analysis, dissemination and use of reliable and timely information on health determinants, health systems performance and health status.
Information
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.
medical products, vaccines and technologies
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
Health Financing
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
Leadership/ Governance
Short/Long Term:
Preserve fishing and tourism
Short term
Short/Long Term:
Stable climate
Long term
