Summary
EPH3021 Y3 Exam summary of all cases (Health Systems in Europe)
- Course
- Institution
Exam summary of EPH3021 Y3 Health Systems in Europe. A summary of all six cases.
[Show more]
Seller
Follow
MaastrichtFHML
Reviews received
Content preview
EPH3011 – Health Systems in EuropeCase 1
A health system consists of all organizations, people, and actions whose primary intent is to promote, restore, or
maintain health. Its key purposes are:
- Promote common understanding of what a health system is;
- What constitutes health systems strengthening;
- Define a discrete number of building blocks that make up the system.
A health system has six building blocks: service delivery, health workforce, information, medical products, vaccines
and technologies, financing, and leadership and governance. These building blocks serve three purposes:
- They allow a definition of desirable attributes;
- They provide one way of defining WHO’s priorities;
- They provide a means for identifying gaps in WHO support.
Health systems have
multiple goals. Overall health
system goals are improving health
and health equity in ways that
are responsive,
financially fair, and make the
best, or most efficient, use of
available resources.
Types of health system frameworks:
- The WHO Health System Framework see above
- Framework for Action the framework is about ways of working in the WHO. Two sets of issues are
particularly important. How can we develop more synergistic working relationships between the technical
programmes, which focus on particular health outcomes, and the specialist health system groups in the
organization? And, how can we ensure better links between WHO’s engagement in policy processes at
country level and the health systems strengthening activities that flow from them?
- WHO’s Health System Performance Framework
- The Healthcare Triangle (Busse)
The providers transfer health care
resources to patients and patients or third parties transfer
financial resources to the provider. The development of the
third-party mechanism in health care results in part from the
uncertainty of ill health. It allows risks to be shared.
, - Rothgang et al. house (2010)
Healthcare system typologies
- In the domain of health systems research it is not uncommon to divide health systems into two broad
categories:
o National Health Services (NHS) Beveridge
Funded by means of general taxation
Strong influence of the state
Hierarchical and strict geographic subdivision
Gate-keeping system
Hospitals are state owned and individual GPs have contracts with the NHS
Weakness: risk for under-funding
o Social Security (based) health care systems (SSH) Bismarck
Funded by means of earmarked premiums, mainly from salaried employees
More loosely organised, with less state influence and more pluralistic
Strong influence of health care providers and (social) insurers
Parallel access and no strict geographic subdivision
Care is provided by non-profit hospitals and individual practitioners
Weakness: lack of a power centre, cost control is difficult
- The Private Health System type: core features are coordination by market actors, private financing sources,
and for-profit providers.
Summary:
Health care reforms refer to major health policy creation or changes. There have been three waves of heath care
reforms in the past:
1. Universal coverage and equal access (since md-19 th century);
2. Controls, rationing, and expenditure caps (from mid 1970s onwards);
3. Incentives and competition (starting in the early 1990s).
Case 2
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller MaastrichtFHML. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $6.47. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
67866 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now