Reforming Health Care. Basic Data IndicatorResultCzech Republic Total costs of Health Care4 100 000...
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Transcript of Reforming Health Care. Basic Data IndicatorResultCzech Republic Total costs of Health Care4 100 000...
Reforming Health Care
Basic Data
Indicator Result Czech Republic
Total costs of Health Care
4 100 000 000 000 000 000
15 000 000 000
Annula costs/person 639 1382
Highest Costs/person USA – 6103
Lowest costs per person
Burundi – 2,90
Highest public costs per person
Norsko – 4508
Lowest publiccosts per person
Burundi 0,70
Highest annual household costs
Švýcarsko 1787 178 (osoba)
Minimal recommendation/person(WHO)
35-50
2
Basic parts of HC system
Health care servicesHuman resourcesInformation systemsHC technologiesFinancingGovernance, management
3
HC services
Individual and population HC that is effective, safe, of high quality and is provided to those that need it at the time and place of need with minimal waste of resources.
4
Human resources
Non judgmentalResponsiveEffectiveAim: The best possible outcome of HC at the
present resources and conditions.
5
Information systems
Collection, analysis, sharing and use of reliable and timely information of health state indicators and of the outcomes of HC system and pupolation health.
6
Medical Technology
Equal access to basic technology and drugs. HC technology must be of guaranteed quality, safety, effectivity and cost efficiency.
Use of drugs and technology is evidence based and cost effective.
7
Financing
Appropriate financing for use of needed services, prevention of bankrupcy.
Incentives for effective use o services.
8
Governance, management
Strategic documentsControl/oversightRegulationAccountability
9
Motto:10
Where there is no vision, people perish
Proverbs, 29,18
11
Reform drivers12
Demographic changesTechnologic progressIncreased number of providersIncreasing demend for (quality) health careInformation assymetry
Increasing costs
Demographic changes
Aging populationChanging needs of patients/clientsCURE x CAREReaction:
Changeing the structure of hospitals Changing the structure of human resources Home care, Hospice
13
Technologic changes
RegulationPricing drugsAccessCentralisation
14
Increasing No of providers
Supply induced demandNew types of providers
15
Information assymetry
Physician/patientPatient rights/Family rights
Moral code Legal code
16
Basic systém balance17
Costs
Quality Access
Physicians/1000 population – 2009Graduates/1000 population - 2009
0
5
10
15
20
25
AUS
BEL
CR FIN
FRA
GER
GRE
HUN IRE
ITA
LUX
NET
POL
POR
SPA UK
USA
Lékaři
Absolventi
18
Citisens role
WANTSNEEDSDEMANDS
20
21
HC expenditure22
02468
1012141618
AUS
BEL
CR DK
FIN
FRA
GER
GRE
HUN IRE
ITA
LUX
NET
POL
POR SR SPA
SWE
UK
USA
Total
Public
Quality23
Measurable outputs Quality indicators benchmarking
External assessment of quality akreditation certification
Patient/citizen rights