Health Care System Flashcards
Is a complex network of organizations, institutions, resources, and people whose primary purpose is to improve health
health System
he defined health system as “The combination of resources, organization, financing and management that culminates in the delivery of health services to the population.”
Milton I. Roemer 1883
Defined health system as “All the organizations, institutions, resources and people whose primary purpose is to improve health”
WHO, 2000
Roemer Model of Health Services System
Organization of Programs (PriMoVo)
Management (HALeR)
Economic Support (PeChaI ni SoGo Fo)
Resource Production ( MaFaCK)
Delivery of Services (Primary, Secondary, Tertiary)
WHO 3 Main Goals of Health System
- Improve the health of the population
- Improve health care system’s responsiveness
- Provide Fair Health Financing
FOUR VITAL HEALTH SYSTEM FUNCTIONS (DOH)
Health Service Provision
Health Service Input
Stewardship
Health Financing
Any service, not limited to clinical services, aimed at improving the health of populations
Health Service
Preventive measures as well as promotion of a healthy way of living to avoid illnesses are also part of the best system.
Health Service Provision
Generating the essential physical resources for the delivery of health services ▪ ○ Medications, human resources, and medical equipment
Health Service Inputs / Managing Resources
Sets the direction, context, and policy framework
Stewardship
Raising and pooling resources to pay for health services
Health Financing
Health Financing Components
Revenue Collection
Risk Pooling
Strategic Purchasing
2 components of Revenue Collection
Public health system- tax payments
Social Security organization - mandatory contributions from workers and employers
objective of Risk Pooling
Manage these revenues to
equitably and efficiently pool health risks
Objective of Strategic purchasing
Assure the purchase of
health services in an allocatively and technically efficient manner.
Spread financial risks from an individual to all pool members
● Core function of health insurance companies
Risk Pooling
2 models of Risk pooling
Beveridge Model (Beveridge Report 1942)
Bismarck Model (Bismarck’s Law on health insurace of 1883)
Risk pooling organizations use collected funds and pooled financial resources to finance health care services for the members.
Strategic Purchasing
SYSTEM BUILDING BLOCKS
Service Delivery
Leadership and Governance
Information
Financing
Health Products, Vaccines
Healthcare Workforce
Mandated to provide the appropriate direction for the nation’s health care industry
Department of Health