Chapter 5 Handout - 9/19/11 Chapter 5: What about Health...

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9/19/11 1 N309 Global Health Chapter 5 Alexandra Garcia, PhD, RN UT Austin School of Nursing Chapter 5: What about Health Systems? ! Why are healthy systems interesting and important? ! What is a health system? ! What are the functions of a health system? ! How are health systems organized? ! What are some examples of health systems? ! What are the challenges for Health Systems? ! What are examples of successful solutions and e f orts within a health systems? Levels of Health Care ! Primary Care ! Secondary Care ! Tertiary Care Levels of Health Care ! Primary - Frst point of contact ! Secondary - some specialist physicians and general hospitals ! Tertiary - variety of specialist physicians and specialized hospitals Many low- and middle-income countries organize these levels geographically Is it primary, secondary, or tertiary care? ! Surgery to repair fractured tibia ! Immunizations for toddler ! Treatment and surgery for rare cancer Primary Health Care ! ±oundation of HC systems ! Prevent illness and accidents ! Vaccines, well baby care ! Promote good health ! Oral health, family planning ! Treat disease or injury ! Manage minor and chronic illnesses
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9/19/11 2 The Push for Primary Care ! Comes from the Declaration of Alma-Ata ! Speaks of health as a human right ! DeFnes primary health care as care that is essential and socially acceptable ! “Primary health care” became a movement and central tenet of global health 7 What is so important (and interesting ) about health systems? ! People receive health care services from systems ! Countries ` national income towards systems ! A f ect family income ! Health outcomes in±uenced by e f ectiveness of health system ! Global forces impact health systems ! Available health interventions in±uenced by health systems ! MDG ` s Health System ! l the sum total of all the organizations, institutions and resources whose primary purpose is to improve health z ! (WHO, 2005 from http://www.who.int/features/qa/28/en/ ) Health System ! People (doctors, nurses, lay health workers, traditional healers, etc.) ! + $$ ! + activities of organizations and companies that deliver and in±uence the healthcare process (medical & nursing schools, pharmaceutical and device manufacturers, non-proFt agencies) ! + planners and policy makers (governments, insurance etc.) Health System Goals ! Good health ! Responsiveness to needs and expectations of population ! ²airness of Fnancial contributions What a Health System Does ! Provides health services ! Raise money for health services ! Pays for health services (Fnancing) ! Governs and regulates the health system
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9/19/11 3 Health System Building Blocks !"#$%& ()*+ ,# -./ 0&1234 5673&8 9$"2:";# 92<=>7 Categorizing Health Systems ! Does health system provide a basic package of health services as a “right”? ! Who owns health facilities?
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Chapter 5 Handout - 9/19/11 Chapter 5: What about Health...

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