Health Care System & Delivery System

Question 1

define healthcare system

Answer 1

• 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

Question 2

what are the goals/functions of health system?

Answer 2

• improve the health of populations
• improve the responsiveness of the health system to the population
• fairness in financial contribution

Question 3

what are the four vital health system functions?

Answer 3

• health service provision
• health service inputs
• stewardship
• health financing

Question 4

health financing include:

Answer 4

• revenue collection
• risk pooling
• strategic purchasing

Question 5

two main models of risk pooling

Answer 5

birmarck and beveridge model

Question 6

what does it mean to improve the health of populations?

Answer 6

• populations must be protected from existing/emerging health risks
• preparation for resilience to future yet unknown health risks
• equity in health
• minimize inequitable disparities

Question 7

what are the source of disparities in the health of populations?

Answer 7

• income
• ethnicity
• occupation
• gender
• geographic loc
• sexual orientation

Question 8

how to improve the responsiveness of the health system?

Answer 8

• 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

Question 9

what does fair health financing mean?

Answer 9

• 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

Question 10

what is health service provision?

Answer 10

promotion of health and averting illness thru education and preventive measures

Question 11

what is health service inputs?

Answer 11

human resources, medication, medical equipment

Question 12

what is stewardship in health system?

Answer 12

• governmental responsibility
• identifying health prio to with resources should be targeted
• regulating the sector, tracking health system performance, effectiveness, and impact

Question 13

collection of money to pay for healthcare services: general taxation, donor financing, payroll contributions, risk-rated contri, direct expenditures

Answer 13

revenue collection

Question 14

what is risk pooling?

Answer 14

risk management aimed at spreading financial risk from an indiv to all pool members

Question 15

who invented bismarck model?

Answer 15

prussian chancellor otto von bismarck

Question 16

who invented beveridge model?

Answer 16

william beveridge

Question 17

birmarck model is aka?

Answer 17

bismarck’s law on health insurance of 1883

Question 18

beveridge model is aka

Answer 18

social insurance and allied services of 1942

Question 19

• 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

Answer 19

bismarck model

Question 20

• 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

Answer 20

beveridge model

Question 21

the way most risk-pooling organizations use collected and pooled financial resources to finance/buy health care services for their members

Answer 21

strategic purchasing

Question 22

what are the 6 building blocks/prio to strengthen health systems and improve health outcomes

Answer 22

• service delivery
• leadership and governance
• financing
• health products, vaccines, and technologies
• health workforce
• information

Question 23

those which deliver effective, safe, quality personal, and non-personal heath interventions to those who need them

Answer 23

service delivery

Question 24

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)

Answer 24

health workforce

Question 25

one that ensures the production, analysis, dissemination, and use of reliable timely information

Answer 25

information

Question 26

ensure equitable access to essential medical products vaccines, and technologies of assured quality, safety, efficacy and cost-effectiveness

Answer 26

medical products, vaccines, and technologies

Question 27

raise adequate funds for health > ensures ppl can use needed services and are protected from financial catastrophe

Answer 27

financing

Question 28

involve ensuring strategic policy frameworks

Answer 28

leadership and governance