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Pressing Research Needs to Advance an Equitable Health Policy

Pressing Research Needs to Advance an Equitable Health Policy. Nalaka Mendis University of Colombo Sri Lanka Conference on International Collaborative Research and Health Ethics  Jakarta, Indonesia 29 November-01 December 2005 . Health Care Universal Values.

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Pressing Research Needs to Advance an Equitable Health Policy

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  1. Pressing Research Needs to Advance an Equitable Health Policy Nalaka Mendis University of Colombo Sri Lanka Conference on International Collaborative Research and Health Ethics  Jakarta, Indonesia 29 November-01 December 2005

  2. Health Care Universal Values • Equity of access • Quality • Efficiency • Human Rights

  3. Health Care Importance of equity in Sri Lanka Extent of reference to equity in Public documents Education/training activities Public debate Professional discourse

  4. Equitable Health Policy or Equitable Access to Health Care Issues on focus Equity Access to Needs of Services Individual

  5. Key conceptsGeneral problems • Understanding • Definition • Measurement • Comparison

  6. Health needs Concept and Definition • Normative need • Felt need • Expressed need • Comparative need • Pretreatment health • Capacity to benefit

  7. Health needs Concept and Definition This can be either • What an individual requires to achieve or maintain health • An estimation of the programmes required to improve the health of populations.

  8. Access to Health Care Concept and Definition Ability to secure a • Specified set of health care services • At a specified level of quality • Subject to specified maximum level of inconvenience/cost • While in possession of a specified amount of information

  9. Concept and Definition Equity Principles • Equal access to health care for those in equal need of health care • Equal utilization of health care for those in equal need of health care • Equal (or rather equitable)health outcomes ( as measured by QALE) • Horizontal equity • Vertical equity

  10. Advancing an equitable Health Policy areas needing study Supply side Regulation Resources Orgasnisation Services Funding Demand side Population variables

  11. Advancing an equitable Health Policy,research needs- Regulation • Expression given to the concept in Policy • Policy frame work to realize equity • Continuing monitoring mechanisms • Responsible agency

  12. Advancing an equitable Health Policy, research needs- Resources Distribution of Facilities Manpower Equipment Services

  13. Advancing an equitable Health Policy, research needs- organisation • Decentralisation • Community participation

  14. Advancing an equitable Health Policy, research needs- funding • Social insurance • General taxation • Third party payment  • Out of pocket payment

  15. Advancing an equitable Health Policy, research needs- individual/ community variable Income Geography Ethnicity Education Gender Knowledge Social class Preference

  16. Advancing an equitable Health Policy,research needsSummary • Value attached to equity • Need to clearly define concepts • Define, improve and secure equity of access • Factors influencing equity supply side, demand side • Identification of priority areas for research

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