3. Models of payment in the health sector

Question 1

4 major functions for achieving goals in the health system

Answer 1

1. stewardship
2. creating resources
3. service delivery
4. financing

Question 2

3 major goals of the health system

Answer 2

1. health
2. responsiveness
3. financial protection

Question 3

4 models of payment in the health sector

Answer 3

1. Model of reimbursement of costs to customers
2. A model of contracting services between policyholders and healthcare providers
3. Model of integrating insurance with the health service
4. Mixed model

Question 4

The contractual relationship defines the
rights and obligations between the ________ and the ________________

Answer 4

Insurer
Service providers

Question 5

Impact of different methods of payment for health services on the control of total health care costs, quality of service and administration

Answer 5

Tabela p10 u PPT

Question 6

Health actions are defined as

Answer 6

“any effort, either in personal health care, public health services or through intersectoral initiatives, whose primary purpose is to promote, restore and maintain health.”

Question 7

Health system is defined as

Answer 7

“all organizations, institutions and resources that are devoted to producing health actions.”

Question 8

Key dimensions of performance in the health care system (8)

Answer 8

1. physical access
2. availability of personnel
3. availability of materials
4. organisation
5. relevance of services
6. accuracy and continuity
7. quality
8. participation

Question 9

Health system in BiH is _______

Answer 9

decentralised