Health Care System & Delivery System Flashcards
define healthcare system
- combination of resources, organization, financing, and
management that culminates in the delivery of health services to the population - their primary purpose is to improve health
what are the goals/functions of health system?
- improve the health of populations
- improve the responsiveness of the health system to the population
- fairness in financial contribution
what are the four vital health system functions?
- health service provision
- health service inputs
- stewardship
- health financing
health financing include:
- revenue collection
- risk pooling
- strategic purchasing
two main models of risk pooling
birmarck and beveridge model
what does it mean to improve the health of populations?
- populations must be protected from existing/emerging health risks
- preparation for resilience to future yet unknown health risks
- equity in health
- minimize inequitable disparities
what are the source of disparities in the health of populations?
- income
- ethnicity
- occupation
- gender
- geographic loc
- sexual orientation
how to improve the responsiveness of the health system?
- providing services in the manner that engages ppl as active partners
- respectfulness, non-discrimination, humaneness, confidentiality
- maximize people’s autonomy and control so they can make choices, placing them at the center of health care system
what does fair health financing mean?
- healthcare bills should not impoverish indiv/families
- must have adequate funding to provide essential services
- health financing the deters ppl to seek/avail needed services only worsens health outcomes
what is health service provision?
promotion of health and averting illness thru education and preventive measures
what is health service inputs?
human resources, medication, medical equipment
what is stewardship in health system?
- governmental responsibility
- identifying health prio to with resources should be targeted
- regulating the sector, tracking health system performance, effectiveness, and impact
collection of money to pay for healthcare services: general taxation, donor financing, payroll contributions, risk-rated contri, direct expenditures
revenue collection
what is risk pooling?
risk management aimed at spreading financial risk from an indiv to all pool members
who invented bismarck model?
prussian chancellor otto von bismarck
who invented beveridge model?
william beveridge
birmarck model is aka?
bismarck’s law on health insurance of 1883
beveridge model is aka
social insurance and allied services of 1942
- invented welfare state as part of germany’s unification in the 19th century
- insurance plan covers everybody = no profit
- germany, netherlands, japan, switzerland, latin america
bismarck model
- social reformer designed britain’s national health service
- health care is provided and financed by the government thru tax payments
- the government is the sole payer-controls the doctors and what they can charge
- great britain, spain, scandinavia, new zealand, hongkong, cuba
beveridge model
the way most risk-pooling organizations use collected and pooled financial resources to finance/buy health care services for their members
strategic purchasing
what are the 6 building blocks/prio to strengthen health systems and improve health outcomes
- service delivery
- leadership and governance
- financing
- health products, vaccines, and technologies
- health workforce
- information
those which deliver effective, safe, quality personal, and non-personal heath interventions to those who need them
service delivery
one which works in ways that are responsive, fair, and efficient to achieve the best health outcomes possible (ex. sufficient no. and mix of staff, fairly distributed - competent, responsive, productive)
health workforce
one that ensures the production, analysis, dissemination, and use of reliable timely information
information
ensure equitable access to essential medical products vaccines, and technologies of assured quality, safety, efficacy and cost-effectiveness
medical products, vaccines, and technologies
raise adequate funds for health > ensures ppl can use needed services and are protected from financial catastrophe
financing
involve ensuring strategic policy frameworks
leadership and governance
