Module 2 Flashcards
(41 cards)
What are the two ways that organisation can be defined?
The overall structure of the health care system
An individual institution
What are the three key questions to ask about a health system’s organisation?
Who is the boss?
Where does the money come from?
What do they do in the health system?
What are the three varieties of health care organisation?
Public
Private non-profit
Private for profit
Who is the boss in a public health care organisation?
The electorate but run by a board appointed by the government
Who is the boss in a private non-profit organisation?
A board of elected members
Who is the boss in a private for profit organisation?
Company owners-shareholders, directors or individuals
Accountable to a board of directors
Where does the money come from in a public organisation?
Directly from government revenue
Where does the money come from in a private non profit organisation?
Donations, membership fees, contracts from the government
Where does the money come from in a private for profit organisation?
Funded by investment and revenue
Can get contracts from the government
What do public organisations do in the health system?
Provide health services
Fund health service providers
Formulate health policy
What do private non profit organisations do in the health system?
Provide services that public and private for profit don’t or won’t provide
Represent professions and industries
Lobby government over policy
What do private for profit organisations do in the health system?
Provide insurance
Supply pharmaceuticals
Run old people’s homes
Lobby government over policy
What are some examples of private non-profit organisations?
Plunket
Southern Cross Insurance
What are the advantages of public sector organisations?
Set up to serve public interest Provide services for which there are no markets Won't go bankrupt Public has a voice in what they do Able to promote equity of access
What are the disadvantages of public sector organisations?
Can be inflexible or slow to change
May be inefficient
Difficult to measure performance
What are the advantages of private non-profit organisations?
Can respond to health needs when there is no market demand
More responsive to local groups and communities
Provide different ideas to government
Are able to represent different groups
What are the disadvantages of private non-profit organisations?
Can be difficult to control effectively
Often dependent on voluntary commitment
Performance can be difficult to assess
Often struggle to gain adequate funding
What are the advantages of private for profit organisations?
Respond to market demand Likely to be efficient Responsive to change in market environment May be flexible and innovative Profit an easy measure of success
What are the disadvantages of private for profit organisations?
Do not act on public’s best interest
Access determined by ability to pay
Prone to cream skimming
How does the ownership of a public sector organisation relate to patients?
It means equal treatment
How does the ownership of a private non-profit organisation relate to patients?
Organisations can choose who they serve
How does the ownership of a private for profit organisation relate to patients?
Quantity and quality of service linked with ability to pay
What is a provider?
Provider organisations are those that provide goods and services
What is a payer/purchaser?
Payer organisations are there to look after the interest of the taxpayer and contributors to private insurance
They determine which goods and services will be paid for and how much to pay for them
