Shared Flashcard Set

Details

GH Frameworks
Health Systems Financing (T Pierce)
20
Health Care
Graduate
11/11/2010

Additional Health Care Flashcards

 


 

Cards

Term
health systems relationship with programs and determinants
Definition
  • improve health outcomes by
    • address health problems
    • tackle health determinants
    • strengthen health systems
      • governance, finaciting
      • social, cultural, economic, environment, political
      • promotive, preventative, curative
Term
health styems definition
Definition
  • all of organizations, institutions and resources that are devoted to producting health actions
  • health action- any effort whehter in personal health care, public health services, or through intersectorial initiatives, whose primary purpose is to promote, restore, or maintain health
Term
HS building blocks
Definition
  • service delivery
  • workforce
  • info
  • medical technology
  • financing
  • leadership/governance
Term
objectives of health systems
Definition
  • protect/improve health
  • provide finacial protection against the risk and consequences of illness
  • satisfy people's expectations
  • to do all of this efficiently
Term
function of health systems
Definition
  • financing
  • public health function
  • health service provision
  • stewardship
Term
Factors governing health systems
Definition
  • effectiveness and quality
  • equity
  • social participation
  • sustainability
  • efficiency
Term
Importance of studying HS's
Definition
  • potential of health sytem and actual performance
  • tremendous variation in outcomes among countries with same resources and possibilities
Term
measuring HS
Definition
  • attainment
  • performance
    • attainments with what should be accomplished
    • fair financing in HS means risks each household faces due to costs of HS are distributed accordin to ability to pay rather than to risk of illness
    • is achievement relative to resource that is the critical measure of a HS performance
Term
consideration of HS
Definition
  • about 50% of med equipment in developing nations not used either due to lack of spare parts/maintenance or because health workers dont know how to use them
  • private providers are used by poor as well as rich people
  • rapid increase in GH partnerships (mainly via WHO)
Term
priority setting in HS
Definition
  • cost analysis to drive efficient care
  • setting priorities realistically requires great deal of info, starting with epi data
  • governments need to know how to influence the health seeking behavior of target groups in need of care
  • quality of service delivery needs to be ensured
Term
cost effectiveness
Definition
  • essential for ID services that will produce most health gain for available resources, but has to be applied to individual interventions, not broadly against diseases or causes
Term
functions of financing
Definition
  • functions
    • collecting financial contributions
    • purchasing- pooled funds paid to providers to deliver health interventions 
    • pooling (spread risk among participants)
Term
health financing organization
Definition
  • WHO- headin large network of public providers organized as a national health service, relying on general taxation
  • social security organization
  • community or provider based pooling organizations
  • private health insurance fund
Term
Data of HS
Definition
  • total health expenditure as percentage of GDP
  • government HE as percentage of THE
  • private HE as percentage of THE
  • goverment HE as percentage of TGE
  • health spending per capita
Term
country with highest total spending per person per year on health? lowest?B
Definition
  • highest- United States ($6,000 per person per year)
  • lowest- Burundi- ($2.90 per person per year)

 

Term
percentage of world's total financial resources devoted to health currently spent on OECD countries
Definition
  • 80% (although it is 20% of world population)
Term
percentage of funds spent on health in WHO's Africa Region that has been provided by donors
Definition
14%
Term
percentage of GDP spent on HC in US
Definition
16%
Term
assessing performance
Definition
  • little relation between expenditure and outcomes at macro levels
  • micro studies suggest its about how you spend your money
  • suggest two things
    • how health system is organized is important
    • better way of measuring output of the sector is required to assess perforance
Term
Three financing systems
Definition
  • private expenditure
  • public expenditure
  • out of pocket
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