Health System Flashcards
Goals of Health System
Improving the health of people
Improving the responsiveness of health system
Fairness in financial contribution
2 components of improving the responsiveness of health system
Respect for people
Client Orientation
4 key functions of the health system
Stewardship
Financing
Human and Physical Resources
Organization and Management of Service Delivery
Relevance of the size of the total government health budget
Sets overall limit on what a government can spend
Relevance of financing mechanisms for funding the healthcare system
Determine what flexibility the government has for financing health care…
Relevance of the government health budget
Reflects how the government uses its tax resources.
Relevance of regulation of civil society programs
Facility or constrain the functioning of private voluntary organizations, NGOs, and community organizations.
Relevance of political support to raise awareness for specific health messages and behaviors
Can be powerful for stigmatized or polemic health initiatives and promoting high impact health interventions
Relation of adoption of specific health standards
Improve the quality of care, expand or constrain the number of providers, and facilitate the implementation of approaches
Relation of regulation of pharmaceuticals
Improve the medicine quality assurance and rational use of medicines.
Relevance of business regulations and taxation
Influences the degree to which private sectors participate in health care
Proponent of Bismark model
Otto Von Bismarck (1883)
Principles of Bismarck Model
Government is responsible for universal access to healthcare
Health policy is implemented by the smallest political and administrative units in society
Elected government officials negotiate the terms of medical care and reflect the interest of different medical professions
How does the insurance system work in the Bismarck Model?
Finance jointly by employers and employees through payroll taxes called “sickness funds”
Advantages of the Bismarck Model
Insured healthcare bills
Low administrative costs
Little waiting time to receive primary care services
Disadvantages of the Bismarck Model
Less healthcare services for citizens in rural areas
High employment taxes
Longer waiting time for secondary and tertiary services.
Proponent of the Beveridge Model
William Beveridge
Most organized health system in the world
Beveridge model
How does the Beveridge model work?
Citizens do not directly pay for their medical or other health-related bills.
What are the countries that use the Beveridge Model?
GB
Spain
Italy
Scandinavia
Finland
NZ
Hong Kong
Cuba
Advantages of the Beveridge Model
Accessible due to universal coverage
The government is responsible for healthcare
Free healthcare for citizens
Disadvantages of the Beveridge Model
Higher taxes for citizens
Compensation of healthcare quality
Long waiting lists
What are the countries that have the most well-developed public healthcare systems?
Denmark
Sweden
Canada
UK
Germany
System building blocks of WHO health system framework
Service Delivery
Health Workforce
Information
Medical Products, Vaccines, and Tech
Financing
Governance