Ch3 State and the private sector in health policy Flashcards
Tasks of the state
- Licensed health providers, facilities
- Controles the number and sizes of medical schools, number of doctors in areas, introduction of high technology
- Incentives for health practitioners in rural areas
- Negotiated salary scales, reimbursement rates
- Regulate quality of health services: accreditations of facilities and curricula, established complaints procedures, set requirements for education permanent
Tasks of private company
- Elderly homes
- Pharmaceutical coompanies pharmacists hospitals
- GPs, Dentists, Medical specialist
- Health insurer Business associatin
- Think thank, patient group, commercial scientific network, PR firm, loose network
Problems of health system
- Technological developments increase costs and make choices necessary
- Rise in chronic diseases put pressure on services
- Demographic developments increase demand
Basic pillars of health system
- Affordable
- Accessible
- Acceptable
- Appropriate
New public management
An approach to government involving the application of private sector management techniques
Two aspects of new public management
- Competition for contracts
- Competitive tendering of support services
Decentralization
The transfer of authority and responsibilities from central government to local levels
How does the decentralization of Ministry of Health looks like
- Functions of MoH –> new executive agencies (NZA)
- Authority of MoH –> district or local levels
- Autonomy for hospitals –> higher
Influence on public health policy
- Financial supports of political parties and campaigns (money)
- Participation in gov’t committees and working groups (knowledge)
- Establishment of sectional interest group of joint companies (power)
Two types of self-regulation
- Market standards
- Social standards
Market standards, self-regulation
Aspects of products, process and business practice are subject to self-regulation for the purpose of facilitating commerce
Social standards, self-regulation
Response to concerns raised by consumers, shareholders, impending public regulation
Types of social standards
- Corporate social responsibility
- Voluntary codes and reporting initiatives
- Corporate philantrophic programmes
Co-regulation
Public and private sectors negotiate on an agreed set of policy or regulatory objectives
