Health Systems Flashcards
1
Q
How do you define health systems
A
- Health systems are defined as all activites (people and actions) whose primary purpose is to promote, restore and maintain health
2
Q
Name an example of something that would be part of a health system
A
- a programme desgined to increase uptake of childhood vaccinations = this is part of the health system as its primary purpose is to promote, restore and maintain health
3
Q
Define a health care system
A
- provision and the investment in health services (preventitive, curative, and aplliative) directed both to individuals or populations
4
Q
Health systems are …
A
- purveyors of a wider set of social norms and values
- they are soical and cultural institiutions and are a vital part of the social fabric of any society
5
Q
health systems help define..
A
the kind of society we want and have
6
Q
What is the popular choice theory
A
- Suggests that health systems evolve over time based on the wants and preferences of citizens following in other words citizens voice in the marketplace and the legisature
7
Q
What is the power group theory
A
- Argues that the health system is a function of the different degree of power that the several actors/groups within the system (e.g. healthcare professionals, hospitals, insurance companies) have in the decision making process
8
Q
What is the marxist approach
A
- Assumes that health systems have been shaped by the power relations between social classes (class struggles)
- national health systems and social health insurance have been established mainly due to the struggles of social movements and trade unions
- international differences in health systems can be understoof as differences in the degree to which class aims have been achieved
9
Q
What is a structural adjustment programme
A
- These consist of laons provided by the international monetary fund (IMF) and the world bank to countries that experienced economic crises
- the instititutions require borrowing countries to implemetn certain new policies in order to obtain new loans
10
Q
What is the purpose of a structural adjustment programme
A
- purpose it to adjust the countries economic structure, improve international competitiveness and restore its balance of payments
11
Q
what is the arguement for the introduction of SAP programmes by the world bank
A
- Failure to adjust will impose huge costs of the poor with unsustainable budge and trade deficits leading to hyperinflamtion, currecy instability and economic collapse
- SAPs when properly implemented have not only creaetd conditions for growth but growth that benefits the poor
- SAPs incorporate soical conditionality and provisions that aim at protecting welfare service delivery in aras of concern to the poor
12
Q
Define soical systems
A
- Social systems are defined as a set of interdependent elements which operate and can be seen as a purposeful whole
- in this sense the perception of a single element cannot provide a comprehensive understanding of the whole arrangement
13
Q
What do social systems reflect
A
- set of values, beliefs and political arrangements of the society they originate
14
Q
What does health care systems include
A
- the provision and the investment in health services (preventive, curative and palliative) directed both to individuals or populations
15
Q
What are the objectives of health systems
A
- Avaliability of services
- accessibility of services
- continuity of care
- equity in the health and healthcare - horizontal and vertical equity
