02 Health Care System Flashcards

(53 cards)

1
Q

an arrangement of parts , and their interconnections come together for a purpose

A

system (Bertalanffy, 1968)

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2
Q

mechanism that mobilizes/governs medical institutions

A

health care system

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3
Q

combination of resources, organization, and management that culminate in the delivery of health services to the population

A

health care system (roemer, 1991)

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4
Q

defined as all organizations, institutions, and resources that are devoted to producing health actions

A

health care system (WHO, 2004)

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5
Q

any effort, whether personal or public, whose primary purpose is to improve health

A

health actions

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6
Q

goals of a health system

A

improving the health of the population
improving the responsiveness of the health system to the population it serves
providing fair health financing

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7
Q

this is the overarching goal of the health system

A

improving the health of the population

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8
Q

TRUE OR FALSE: the health system should strive for equality in health by minimizing inequitable disparities

A

FALSE; equity

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9
Q

this refers to the provision of satisfactory health services and engaging people as active partners

A

responsiveness

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10
Q

an ideal health system provides ______ and ______ risk protection in health

A

social and financial

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11
Q

this is one that does not deter individuals from receiving needed care due to payments

A

financed health system

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12
Q

functions of a health system

A

health service provision
health service inputs
stewardship
health financing

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13
Q

types of health financing

A

revenue collection
risk pooling
strategic purchasing

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14
Q

types of risk pooling models

A

bismarck model
beveridge model

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15
Q

any service aimed at improving the health of the population

A

health service

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16
Q

the most visible product of the health care system

A

public and private health service provision

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17
Q

this refers to preventive measures as well as promotion of a healthy way of living to avoid illnesses

A

health service

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18
Q

health service inputs is aka…

A

managing resources

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19
Q

the assembling of essential resources for delivering health services

A

health service inputs

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20
Q

generating the essential physical resources for the delivery of health services which include medications, human resources, and medical equipment

A

health service inputs

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21
Q

this sets the direction, context, and policy framework for the health system

A

stewardship

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22
Q

core stewardship functions include

A

identifying health priorities for allocation of public resources
identifying an institutional framework
coordinating activities with other systems related to external healthcare
analyzing health priorities and resource generation trends and their implications
generating appropriate data for effective decision-making and policymaking in health matters

23
Q

this includes raising and pooling resources to pay for health services

A

health financing

24
Q

entails monetary collection to pay for health services including general taxation, direct out-of-pocket expenditures, personal savings, etc.

A

revenue collection

25
a form of risk management which aims to spread financial risks from an individual to all pool members
risk pooling
26
this is considered as a core function of health insurance companies
risk pooling
27
this uses an insurance system where the sickness fund finances both the employers and the employees through payroll deduction
bismarck model
28
insurers in bismark model are called...
sickness funds
29
bismarck model is named after who
Prussian Chancellor Otto von Bismarck
30
this model is where healthcare is provided and funded by the government thru tax payments
beveridge model
31
beveridge model is named after...
William Beveridge
32
risk pooling organizations uses collected funds and pooled financial resources to finance healthcare services for the members
strategic purchasing
33
this raises sufficient and sustainable revenues in an efficient and equitable manner to provide individuals with both a basic package of essential services and financial protection
revenue collection
34
this manages revenues to equitably and efficiently pool health risks
risk pooling
35
this assures the purchase of health services in an allocatively and technically efficient manner
strategic purchasing
36
Health System building blocks of the health system framework
service delivery health workforce information medical products. vaccines, and technologies financing leadership/governance
37
overall goals/outcomes of the WHO health system framework
improved health (level and equity) responsiveness social and financial risk protection improved efficiency
38
those which deliver effective, safe, quality personal and non-personal health interventions to those who need them when needed, with minimum waste of resources
service delivery
39
one which works in ways that are responsive, clear, and efficient to achieve the best health outcomes possible
health workforce
40
one that ensures the production, analysis, dissemination, and use of reliable and timely information on health determinants, health systems performance, and health status
information
41
ensure equitable access to essential medical products, vaccines, and technology of assured quality, safety, efficacy and cost-effectiveness, and their scientifically sound and cost-effective use
medical products, vaccines, and technologies
42
raises adequate funds for health, in ways that ensure people can use needed services and are protected from financial catastrophe or impoverishment associated with having to pay for them
financing
43
ensures strategic policy frameworks exist and are combined with effective stewardship
leadership and governance
44
this law developed a largely centralized gov-funded and operated health care system
Primary Health Care for All (1970)
45
promoted participatory management of the local health care system
Adoption of the Primary Health Care (1979)
46
integrated public health and hospital services
Reorganization of DOH (1982)
47
prevention and nutrition to promote breastfeeding
Milk Code of 1986
48
prescriptions are written using the generic name of the drug in an attempt to lower expenditure
The Generics Act 1988
49
transfer of responsibility of health service provisions to the LGUs
The Local Government Code 1991 (RA 7160)
50
aims to provide all citizens a mechanism for financial protection with priority given to the poor
National Health Insurance Act (1995)
51
what year was PhilHealth established
1995
52
major organizational restructuring of the DOH to improve health care delivery, regulation, and financing
Health Sector Reform Agenda (1996)
53