Health Systems Flashcards
What does the WHO defines as a “Health System” and what are its components?
A system that delivers health care to all people when and where they need them
Requires:
Workforce
Equipment
Knowledge for policy and treatment
What is the latest approach to systems in Health?
That it is multilevel and not linear.
What is the concept behind stepped care?
That there increasing levels of complexity to treatment which usually track decreasing numbers of people who need them
What was the research into the Bujitara made up of and what did it find?
Tasc study looked at the effect of non-specialist treatment in a non-inferiority study.
1: Consultation meetings
2: Focus groups
Results: Transformative effect of care, therefore no disruption.
Serivice users: Assumed they did not have expertise to make changes and more reticent.
Suggestions: Ease of access, reduced cost (transport), reduced caregiver burden, and increased ability to address unmet needs.
What were the concerns with the Tasc study?
Concerns: 1: Disruption of service 2: Staff competence 3: Respectful relationships 4: problems lead to alternative treatments 5: No additional stigma anticipated
What suggestions were there to address the concerns of TaSC?
Supervision,
Training and refreshers,
Increasing confidence in the approach to service users,
Monitoring
What is the Theory of Change?
A method of illustrating how, why and to what extent change happens.
What are the goals of ToC
To provide a roadmap
Help identify the key barriers
Supports feasibility and acceptability of programmes
What are the four points of summary regarding health systems in LMIC?
1: The treatment gap is fuelled by lack of resources
2: Models of care evidence is based on HIC
3: More research needed into feasibility and accessibility in LMIC
4: Research tools can help understand barriers and design adaptions.
What is the issue with care in LMIC?
The mismatch between burden and resources. The stepped care pyramid is top heavy therefore:
What is distress due to task shifting?
What is the level of acceptance of workforce by other health care?
