ch 12

4 Pages
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Department
International Development Studies
Course Code
IDSB04H3
Professor
Anne- Emanuelle Birn

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Box 12.1-Germany's Social Insurance System
Publicly founded social health insurance
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Competing "sickness funds"
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Prospective system of diagnosis related fees
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Fee for service, under regulated rates
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Select any provider
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Box 12.2-UK's National Health Service [599]
Comprehensive coverage
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Funded through taxation
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Free at point of service
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PHC overseen by national gov
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Specialists employed by public hospitals
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Independent GPs as gatekeepers
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Box 12.3-a centrally planned Health care system [602]
Centrally planned
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Preventaion, occupational and community health
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Doctors= state employees
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Full coverage
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Box 12.4-market socialism in the People's Republic [604]
Locate workers, selected by locate people to have so medical training
|
Went into private doctors
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"barefoot doctor' system abandoned
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Urban
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Rural
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Two systems
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Public and private funding and provision
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Private health expenditures high
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Box 12.5-unsystematic health care: US [608]
Public coverage for some
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1/6 of the population are either not insured or low coveraged
|
Large uninsured population
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Proliferation of for-profit HC plans
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Mix of public and private financing and delivery
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H/C system Reform [608]
Social insurance and national health care system
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PHC-primary health care
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Diverging reform aims
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Three generation of h/c reforms during the last century
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HC system reform: in stratified systems (L. America and Caribbean) [609]
Separate health insurance and social security
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Stratified HC arrangements
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1980s: Health sector reform
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Limited gain
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Outcome:
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Lecture 9
-
Ch12
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understanding and organizing health care systems
November-09-10
1:19 PM
Lecture Page 1
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Description
Lecture9- C h12- understandingandorganizinghealth caresystems November-09-10 1:19PM Box12.1- GermanysSocial InsuranceSystem - Publiclyfounded social healthinsurance - Competingsickness funds - Prospectivesystemof diagnosisrelated fees - Feefor service,under regulatedrates - Select anyprovider Box12.2- UKsNational Health Service[599] - Comprehensivecoverage - Funded through taxation - Freeat point of service - PHCoverseenbynational gov - Specialistsemployedbypublichospitals - Independent GPsasgatekeepers Box12.3- acentrallyplannedHealth caresystem[602] - Centrallyplanned - Preventaion,occupational andcommunityhealth - Doctors=stateemployees - Full coverage Box12.4- market socialisminthePeoplesRepublic[604] - barefoot doctor systemabandoned Locateworkers, selectedbylocatepeopleto havesomedical training Went into privatedoctors - Two systems Urban Rural - Publicandprivatefundingandprovision - Privatehealthexpenditureshigh Box12.5- unsystematichealthcare: US[608] - Publiccoveragefor some - Largeuninsured population 16of thepopulationareeither not insured or low coveraged - Proliferationof for-profit HCplans - Mixof publicandprivatefinancingand delivery HCsystemReform [608] - Threegenerationof hcreformsduringthelast century Social insuranceand national health caresystem PHC-primaryhealth care Divergingreformaims HCsystemreform: instratified systems(L. AmericaandCaribbean) [609] - StratifiedHCarrangements Separatehealth insuranceandsocial security - 1980s: Healthsector reform - Outcome: Limitedgain www.notesolution.com
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