Systems of health care Flashcards
this comprises all organizations, institutions and resources devoted to producing actions whose primary intent is to improve health
health system
what are the essential functions of health system?
- service provision
- resource generation
- health financing
- stewardship
sources of funding of healthcare systems
- direct or out-of-pocket payments
- general taxation
- social health insurance
- voluntary or private health insurance
- donations or community health insurance/NGO
health care system model:
relatively rare
well-off subpopulation
ex. private clinics
purely private enterprise
health care system model:
social security health care model
publicly funded health care model
social health insurance
public insurance systems
health care system model:
government health care system
parallel private system
two-tier health care
modes of payment for doctors
fee for service (out of pocket)
insurance payments
salary
capitation
president who signed philhealth act
fidel v. ramos
purpose of phil health
affordable, available and accessible health care for all
goal of phil health
universal coverage by year 2010
sources of funds of phil health
premiums
grants and donations
investment earnings
sin taxes
phil health member classification
employeeys- 2.5% of salary (1.25 employer/employee)
individual paying members- 100 php/ month
paying members
phil health member classification:
share by national and local government
indigent members
phil health member classification:
retirees
non-paying members
phil health benefit packages
in-patient hospital care
out-patient care
health education packages
emergency and transfer services
