6. Health care reforms Flashcards
Reform is defined as
a process of sustainable and deep institutional and structural changes with a purpose of achieving explicit political goals.
Health sector reform implies
activities aimed at changes in health policies and improving them, defining priorities and reforms of institutions through which these policies are being implemented.
Prerequisites for reform changes (6)
Growing economic and social insecurity
Pandemics
Negative demographic trends
Population ageing
Increasing burden of chronic diseases
Rising costs for healthcare
In WHO documents fundamental principles of health care reform are
oriented towards the needs of beneficiaries, taking into account their expectations about health and health care
The main goal of governments is oriented in
reforming health policy towards reorganization of financing and reduction of costs
Perspectives (5)
Societal
Health-care system
Payers
Providers
Patients
Ljubljana conference/WHO Europe principles and values of health reforms (6)
VALUE- LED
HEALTH-FOCUSED
PEOPLE-FOCUSED
QUALITY-FOCUSED
STRENGTHENED FINANCING SYSTEMS
ORIENTED ON PRIMARY HEALTH CARE
VALUE- LED
Health system reforms must be guided by the principles of human dignity, equality, solidarity and professional ethics
HEALTH-FOCUSED
Any major reform of the health care system should be linked to clear goals aimed at achieving health benefits.
Health protection and promotion must be the primary motive of the whole society.
PEOPLE-FOCUSED
Health system reforms must address the needs of citizens, taking into account, through the democratic process, their expectations in terms of health and health care.
QUALITY-FOCUSED
Continuous improvement of the quality of healthcare provided, including its cost-effectiveness
STRENGTHENED FINANCING SYSTEMS
is based on universal coverage and equal access for all people to the healthcare they need.
ORIENTED ON PRIMARY HEALTH CARE
Primary health care as a core philosophy
