Health Care System

Topics: Health care, Health economics, Public health Pages: 10 (3057 words) Published: January 7, 2013
Health system
From Wikipedia, the free encyclopedia
A health system, also sometimes referred to as health care system or healthcare system is the organization of people, institutions, and resources to deliver health care services to meet the health needs of target populations. There is a wide variety of health systems around the world, with as many histories and organizational structures as there are nations. In some countries, health system planning is distributed among market participants. In others, there is a concerted effort among governments, trade unions, charities, religious, or other co-ordinated bodies to deliver planned health care services targeted to the populations they serve. However, health care planning has been described as often evolutionary rather than revolutionary.[1][2] Contents [hide]

1 Goals
2 Definitions
2.1 World Health Organization Definition
3 Providers
4 Financial resources
4.1 Payment models
4.1.1 Fee-for-service
4.1.2 Capitation
4.1.3 Salary arrangements
5 Information resources
6 Management
7 Health systems performance
8 International comparisons
9 See also
10 References
11 External links

The goals for health systems, according to the World Health Organization, are good health, responsiveness to the expectations of the population, and fair financial contribution. Progress towards them depends on how systems carry out four vital functions: provision of health care services, resource generation, financing, and stewardship.[3] Other dimensions for the evaluation of health systems include quality, efficiency, acceptability, and equity.[1] They have also been described in the United States as "the five C's": Cost, Coverage, Consistency, Complexity, and Chronic Illness.[4] Also, continuity of health care is a major goal.[5] [edit]Definitions

Often health system has been defined with a reductionist perspective, for example reducing it to health care system. In many publications, for example, both expressions are used interchangeably. Some authors[6] have developed arguments to expand the concept of health systems, indicating additional dimensions that should be considered: Health systems should not be expressed in terms of their components only, but also of their interrelationships; Health systems should include not only the institutional or supply side of the health system, but also the population; Health systems must be seen in terms of their goals, which include not only health improvement, but also equity, responsiveness to legitimate expectations, respect of dignity, and fair financing, among others; Health systems must also be defined in terms of their functions, including the direct provision of services, whether they are medical or public health services, but also "other enabling functions, such as stewardship, financing, and resource generation, including what is probably the most complex of all challenges, the health workforce."[6] [edit]World Health Organization Definition

The World Health Organization defines health system as follows: "A health system consists of all organizations, people and actions whose primary intent is to promote, restore or maintain health. This includes efforts to influence determinants of health as well as more direct health-improving activities. A health system is therefore more than the pyramid of publicly owned facilities that deliver personal health services. It includes, for example, a mother caring for a sick child at home; private providers; behaviour change programmes; vector-control campaigns; health insurance organizations; occupational health and safety legislation. It includes inter-sectoral action by health staff, for example, encouraging the ministry of education to promote female education, a well known determinant of better health."[7] [edit]Providers

Main article: Health care provider
Health care providers are institutions or individuals providing health care services. Individuals including health...
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