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Reforming Health Care

Reforming Health Care. Basic Data. Basic parts of HC system. Health care services Human resources Information systems HC technologies Financing Governance , management. HC services.

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Reforming Health Care

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  1. ReformingHealth Care

  2. Basic Data

  3. Basic partsof HC system • Health care services • Humanresources • Informationsystems • HC technologies • Financing • Governance, management

  4. HC services • Individualandpopulation HC thatiseffective, safe, ofhighqualityandisprovided to thosethatneeditatthetimeandplaceofneedwithminimalwasteofresources.

  5. Humanresources • Non judgmental • Responsive • Effective • Aim: Thebestpossibleoutcomeof HC atthepresentresourcesandconditions.

  6. Informationsystems • Collection, analysis, sharingand use ofreliableandtimelyinformationofhealthstateindicatorsandoftheoutcomesof HC systemandpupolationhealth.

  7. Medical Technology • Equalaccess to basic technology anddrugs. HC technology mustbeofguaranteedquality, safety, effectivityandcostefficiency. • Use ofdrugsand technology is evidence basedandcosteffective.

  8. Financing • Appropriatefinancingfor use ofneededservices, preventionofbankrupcy. • Incentivesforeffective use o services.

  9. Governance, management • Strategicdocuments • Control/oversight • Regulation • Accountability

  10. Motto: Wherethereis no vision, peopleperish Proverbs, 29,18

  11. Reformdrivers • Demographicchanges • Technologicprogress • Increasednumberofproviders • Increasingdemendfor (quality) health care • Informationassymetry  Increasingcosts

  12. Demographicchanges • Agingpopulation • Changingneedsofpatients/clients • CURE x CARE • Reaction: • Changeingthestructureofhospitals • Changingthestructureofhumanresources • Home care, Hospice

  13. Technologicchanges • Regulation • Pricingdrugs • Access • Centralisation

  14. Increasing No ofproviders • Supplyinduceddemand • New typesofproviders

  15. Informationassymetry • Physician/patient • Patientrights/Familyrights • Moralcode • Legalcode

  16. Basic systém balance Costs Access Quality

  17. Physicians/1000 population – 2009Graduates/1000 population - 2009

  18. Citisens role • WANTS • NEEDS • DEMANDS

  19. HC expenditure

  20. Quality Measurableoutputs • Qualityindicators • benchmarking • Externalassessmentofquality • akreditation • certification • Patient/citizenrights

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