issues regarding delivery of health care

8/22/2019 Issues Regarding Delivery of Health Care

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Issues RegardingDelivery ofHealth Care


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Political Agenda


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Factors that affect theHealth Care Delivery1. Corruption

Corruption in the national or local government, reducesits capacity to fund on different health care programsaround the country, which in turn affected health caredelivery.

2. LocationAlmost in every nation, difference in health caredelivery between urban places and rural places isevident. In rural places there is low number of doctors,poor facilities, poor access and transportation means.While health care advancements and mostly gooddoctors choose to work in urban areas


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Factors that affect theHealth Care Delivery3. Political Will

The determination of the local government leader to pursuehealth care to its people is also one factor affecting its delivery,because even though there are a numbers of hospitals, NGOsand private sector who wishes to deliver health care, itsimplementation will not pushed through because of poorpolitical will to change health status of its people.


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Government onHealth Care DeliveryFUNDING

* On health programs of different institutions to the

society.

*Assistance on health cost from a certainhealth institution, that a certain individualor group of people cannot respond toimmediately.

* On necessary needs and assistance acertain health institution must have indelivering health care to rural areas


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FUNDING in Global SettingSouth Africa

South Africa 9.1% budget on health care; but it is still too smallbecause it still has to be divided into 9 provinces. So the time it is distributed to 9 provinces the cost of health careis too small for the large demand. So various help from NGOs, other productive countries andvoluntary health mission from other nation is given.


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FUNDING in Global SettingUnited States of America

Health care is funded through public and private insurance Private health insurance is most often offered or givento employed Americans and to those who have thecapacity to avail it. However public insurance are offered to the otherAmericans, but these insurance has a strict standardmeasures.

Old and disabled people. Poor Children Military Personnel

Because of this policy, the America still has 45.7 millionpeople who dont have health insurance (2006). America is considered now is the only wealthy country that

dont have universal health care.


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FUNDING in Global SettingUnited Kingdom United Kingdom is the first health system which offers freemedical care to ENTIRE population.

This country gives care on the basis of needs not on the capacityto pay, patient just give 1.3% of total health cost; 90.3% is fromtaxation and 8.4% from national insurance.


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FUNDING in Local SettingPhilippines 55% of total health expenditures in the Philippines are fromprivate sources, mainly out-of-pocket expenditures. Relianceon private funding of health perpetuates the inequity ofhealth care access and health care goals. Although much remains to be done in shifting the burden of healthfinancing to social insurance, some slight improvements have beenachieved in this area. The share of social insurance in healthspending has increased form 7.1% in 2000 to 7.8% in 2001, as PhilHealth continued implementing varied programs (like SponsoredProgram, Outpatient Diagnostic Package, Plan 500 andIndividuallypaying Program). This is so far the largest contributionof the social insurance sector since 1992.


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Government onHealth Care DeliveryPOLICIES

* Manage health programs initiated by health institutions;health programs funded by the local government should bescreened properly for the specific needs of the community. Thisis to properly manage scarce resources.* Manage the communities health demand,rather than ration supply of care.* Manage health priorities of the community toimplement priority programs by health institution.


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No to Poor Policy Implementation Waste of local government scarce resources because specificneeds were not met because of mismanagement of healthprograms There is opportunity cost to health needs that should have met,rather than giving health services not particularly needed at themoment. Insurance policies of developed countries will not be

implemented properly, which will a cost a failure for somepeople to received health care program or services.


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Government onHealth Care DeliveryREGULATION

* Regulate and manage the health institutions continuity of healthprotection and illness prevention programs for the community.*Regulate and monitor the continuity of the health programs thatwere given to the community, this to assure the successfulattainment of the therapeutic goal of the program


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No to Poor Regulation Some health programs needs continuous monitoring, as a local leader inthe vicinity, monitoring and continuous regulation on the program isneeded. This is to assure proper implementation to achieve the commongoal. Goal attainment of health services, sometimes takes months toseveral years, continuity of this project should be properlyregulated and manage by the local government. If this will nothappen, scarce resources will only be wasted and the therapeuticgoal will not be met.


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Government onHealth Care DeliveryLEADERSHIP

* The government should have a leadership position in drivinghealth care institution to improve safety and quality of health careservices.* Act as leaders who will listen to the citizen within thecommunity, of health services mostly needed and healthissues that should be treated as early as possible.* Initiate programs for maintenance and enhancement ofhealth, by collaborating with health institutions within theircommunity.


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No to Poor Leadership Quality and safety of each health services should bemonitored will, the local government can properly monitorits health workers with collaboration with its ministry ofhealth. This is to properly see the systematic process ofadministering health services. Health issues are sometimes forwarded to the localgovernment, on the absence of action the health institution,the leader which is the local government should initiateimplementation of the needed health care program, withcollaboration to the nearest health institution or the ministryof health.


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References Essay by Dr. Philippe Couillard, Qubec Minister of Health and Social

Services between 2003 and 2008, Priorities for Government Action

Leadership by Example: Coordinating Government Roles in Improving

Health Care Quality (2002), Committee on Enhancing Federal

Healthcare Quality Programs, Janet M. Corrigan, Jill Eden, and Barbara

M. Smith, Editors

World Health Organization. The World Health Report 2000: Health

Systems: Improving performance. Geneva 2000: World Health

Organization

Mossialos E, Dixon A. Funding Health Care: an Introduction. In: Mossialos E,

Dixon A, Figueras J, Kutzin Mossialos E, Dixon A, Figueras J, et al, eds.

Funding health care: options in Europe. Buckingham: Open University Press,2002.

Ikegami N, Campbell JC. Health care reform in Japan: the virtues of

muddling through. Health Aff (Millwood)1999;18:56-75.


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If each one does their duty asan individual and if each oneworks in their own propervocation, it will be right withthe whole.

Johann Wolfgang Von Goethe


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THANK YOU

issues regarding delivery of health care

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