1.Lesson Flashcards
The Health system is multifactorial:
- Health services
- Utilization
- Quality
- “Costs”
What is the main reason that Americans die?
- Cancer
- Cardiovascular disease
- Medical (miss)treatment/care
( 780000 medical error - rate 5x more then suicid)
Goal of health system…
not only health
There is a lot of health services research but not….
… health policy research
…health system research
G ? P
G
? z.B Clinical
P
Good = gute Arbeitspraxis
Practice = Praxis
GCP = Good Clinical Practice
GLP = Good Lab Practice
GMP = Good Medicine Practice
Thalimoid
Medikament Contergan
- Schlaft und Beruhigungsmittel für Schwangere
- Kinder mit schwersten Schädigungen
Effectiveness
Does it work
Efficacy
We use that in drug trails
Efficieny
Adequate care :
is not to do always more
We have to think about how to organize the system … and it is not about money..
it is about effectiveness
- Need research for that!
Goals for health systems
- Den Erwartungen der Population entspricht
- Emproving health
- Fairness of financial contribution
Primary Ineten Health
- Improving health
- Erwartungen der Population erfüllt
- Fairness of financial contribution
Nach Prof noch Country competitivness ( how well the country does itself).
Intrincis goals