[1.4] Health Delivery System Flashcards

1
Q

It is the combination of resources, organization,
financing and management that culminate in the delivery of health services to the population.”

A

Roemer 1991

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2
Q

Main goals of Health Systems

A
  • To improve health of the population
  • To improve responsiveness of health system to people’s health expectations
  • Providing financial risk protection
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3
Q

4 main health system functions

A
  1. Health service provision
  2. Health service inputs
  3. Stewardship
  4. Health financing
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4
Q

Direct provision of services to patients and public and private health services

A

Health service provision

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5
Q

Health products and supply chain, manufacturing, sales, and distribution of key assets

Resource generation: investing in people, facilities, and equipment

A

Health service inputs

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6
Q

The process of setting the strategic goals of a health system
Sets the context and policy framework for the overall health system

A

Stewardship

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7
Q

Generating, pooling, and purchasing/allocating resources towards healthcare.

A

Health Financing

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8
Q

Entails collection of money to pay for health
care services

A

Revenue collection

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9
Q

Refers to the collection and management of
financial resources in a way that spreads financial risks from an individual to all pool members

A

Risk pooling

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10
Q

Funding is based on taxation

A

Beveridge model

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11
Q

Based on the principles of plurality, liberty, and solidarity

A

Bismarck model

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12
Q

Advantages: Care is provided by non-profit hospitals and individual practitioners; and
Subsidizes the poor and vulnerable

A

Bismarck model

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13
Q

Disadvantages: Difficulty on cost control;
Over-utilization of health car; and delivery systems

A

Bismarck model

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14
Q

Advantages: Utilizes universal coverage; and
administers general taxation – large scope to raise resources

A

Beveridge model

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15
Q

Disadvantages: High risk of under-funding or unstable funding; requires decisive political actions; and overspending

A

Beveridge model

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16
Q

Strategic collection and pooling of financial resources to finance or buy health care services for their members.

A

Purchasing and allocation of resources

17
Q

deliver effective, safe, quality personal and non-personal health interventions to those who need them, when and where needed, with
minimum waste of resources.

A

Service Delivery

18
Q

Works in ways that are responsive, fair and efficient to achieve the best health outcomes possible, given available resources
and circumstances.

A

Health workforce

19
Q

Ensures the production, analysis, dissemination and use of reliable and timely information on health determinants, health systems performance and health status.

A

Information

20
Q

A well-functioning health system ensures equitable access to essential ________ of
assured quality, safety, efficacy and cost-effectiveness, and their scientifically sound and cost-effective use.

A

medical products, vaccines and technologies

21
Q

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

A

Health Financing

22
Q

Involves ensuring strategic policy frameworks exist and are combined with effective oversight,
coalition-building, the provision of appropriate regulations and incentives, attention to system design, and accountability

A

Leadership/ Governance

23
Q

Short/Long Term:

Preserve fishing and tourism

A

Short term

24
Q

Short/Long Term:

Stable climate

A

Long term

25
Q

Short/Long Term:

Require expensive equipment
[Safety of workers]

A

Short term

26
Q

Short/Long Term:

Add up cost to consumer
[Safety of workers]

A

Long term

27
Q

Short/Long Term:

Competitiveness in the international market
[Pollution control in the industry]

A

Short term

28
Q

Short/Long Term:

Good environment
[Pollution control in the industry]

A

Long term

29
Q

Short/Long Term:

Less use of cars, less pollution

A

Long term

30
Q

Short/Long Term:

Lost market share and profits

A

Short term

31
Q

Short/Long Term:

Expensive screening of cows

A

Short term

32
Q

Short/Long Term:

Prevention of the spread of disease

A

Long term

33
Q

Short/Long Term:

Less harvest and production, increase price

A

Short term

34
Q

Short/Long Term:

Prevention of chronic diseases such as cancer

A

Long term

35
Q

Formed by the Union of Concerned Scientists, composed of 60 leading scientists including 20 nobel prize winners in 2004 during the _______

A

George Bush Administration