IDSB04H3 Study Guide - Barefoot Doctor, Health Promotion, Human Capital Flight

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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
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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
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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
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Ch12
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understanding and organizing health care systems
November-09-10
1:19 PM
Lecture Page 1
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Document Summary

Lecture 9- ch12- understanding and organizing health care systems. Box 12. 3- a centrally planned health care system [602] Box 12. 4- market socialism in the people"s republic [604] Locate workers, selected by locate people to have so medical training. 1/6 of the population are either not insured or low coveraged. Mix of public and private financing and delivery. Three generation of h/ c reforms during the last century. Hc system reform: in stratified systems (l. america and caribbean) [609] Hc access deteriorated with the intro to private sectors. Hc system reform: in emerging economies (s. korea, s. africa, india) [612] Hc system reform: in under-resourced system (sub-saharan africa) [616] Proliferation of donors --> further harmful effects on vast marginalized populations. Principles and building black of a hc system [616] Indicates proportion of residents who have a legal right to obtain benefits and care. High accessibility= all members who fit the eligibility criteria area equally able to obtain care.

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