Ch 6. An introduction to Health systems Flashcards
What is a Health system ?
- The sum of organizations , institutions , and resources whose primary purpose is to improve health
What is included in a health system ?
- The agencies that plan , fund and regulate health care
- The money that finances health care
- Those who provide preventative health services , clinical services , rehabilitative services and specialized inputs , such as the education of the healthcare profession
What are the three goals for every health system suggested by the World Health Report 2000?
- Good health
- Responsiveness to the expectations of the population
- Fairness of financial contribution
What are the four functions of a health system suggested by the World Health Report 2000?
- Provide health services
- Generate resources : Raise money that can be spent on health
- Financing : pay for health services
- Stewardship : govern and regulate the health system
what income bracket countries have fragmented health systems that include both public and private providers ?
- Low income countries
What are the three levels of care?
- Primary : physician/doctor , this is the first point of contact with patient
- Secondary : Doctor for instance find the serious problems and refers you to proper treatment
- Tertiary : Higher level of doctors that provide higher level of care in hospitals and surgeries like neurosurgeons
What are the characteristics of public health care?
- Essential and socially acceptable
- Its based on evidence and universally available
- Addresses the needs of the community and is affordable
- Provides preventative , promotive , curative and rehabilitative services
What is the public sector responsible ?
- Stewardship of the system
- Raising the funds for the health system
- Making decisions about allocating those funds
- Establishing approaches to health insurance
What is the private for profit sector responsible ?
- Involved in the provision of services including non licensed “medical practitioners “
- Involved in the operation of health clinics , hospitals , services and laboratories
- Is involved in essentially all countries
What is the private non for profit sector responsible for ?
- Often involved in community based efforts to promote better health through education
- often carry out health services
WHO suggested the aim of UHC reflects which three fundamental concerns
- People should have access to services , regardless of their ability to pay for them
- Services must be appropriate quality
- Financial arrangements for services must protect people from suffering financial hardship
What are some of the questions faced by countries to develop UHC?
- Who should be covered
- What services should be covered
- What share of the costs should the insurance scheme pay?
What are some characteristics for German heaja
, it is the first country to have universel health care
90% is covered usually by financier insurances a
In Germany why was the statutory health insurance package created ?
- It was designed for people who earned under a certain amount
What is UK main goal of health ?
- To provide a comprehensive set of health services to all people in the UK, regardless of their ability pay
