MD 1010:12 Lecture Notes - Lecture 10: Health Policy, Sare, Copayment

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Department
Professor
EH 10. Health Policy
Learning Outcome
overview
• What is health policy?
• Who’s involved?
• How is health policy made?
• Models of policy making and analysis
1. Explore the concept and variety of health policies
Type of Policies
i. Distributive
1. Allocates benefits to certain segments of the population
2. The wider the distribution, the more the poular the policy
3. Payment for this policy is often diffuse or indirect
4. Likely more acceptable
Examples:
- National Immunisation Program
- Direct government services (e.g. public schools)
ii. Regulatory
1. Imposed to constraints on people/groups
2. May result in conflicts
3. indirect
Examples:
- Legislation
- Smoke-free environments
- Bike helmets
- Taxes and incentives
iii. Self-regulatory
1. (similar to regulatory)
2. Except powerful group sare given the authority and discretion to formulate
and police the regulations governing them
3. Often formed outside public scrutiny ( can create conflict)
Examples
- Medical Board of Australia
- Australian Council on Health Care Standards (independently
accredits public and hospitals for their compliance to the National
Safety and Quality Health Services Standards
iv. Redistributive
1. Controversial, ideological and partisan
2. These policies tend to meet needs and address inequity
3. Often involves taxing the ‘haves’ in order to provide for the ‘ have nots’
++ Clearly evident (compared to redistributive)
Examples:
- Medicare - imposes 2% tax to cover health costs of everyone
unequal
- Age pension e.g. health care card
- Rent assistance
- Disability support pension
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Document Summary

Direct government services (e. g. public schools: regulatory, imposed to constraints on people/groups, may result in conflicts indirect. Taxes and incentives: self-regulatory, (similar to regulatory, except powerful group sare given the authority and discretion to formulate and police the regulations governing them, often formed outside public scrutiny ( can create conflict) Australian council on health care standards (independently accredits public and hospitals for their compliance to the national. Safety and quality health services standards: redistributive, controversial, ideological and partisan, these policies tend to meet needs and address inequity, often involves taxing the haves" in order to provide for the have nots". Medicare - imposes 2% tax to cover health costs of everyone unequal. Age pension e. g. health care card. Disability support pension: describe, with examples, how health policies can influence health and the delivery of health care. Example 1: children need to be fully immunised / have an australian government immunisation. Medical exemption form signed by a doctor (federal government policy)

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