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Chronic Diseases Continued

Countries compared with 20 in high income countries

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Unformatted text preview: r governments to weigh health risks above commerce/trade interests Separates industry from public health policy- making Dangers ahead Some countries trying to buy its way around tobacco legislation (eg. Mexico) Paying health trusts Risk factors that cause chronic diseases to be out of our control as patients: Socioeconomic factors Article 2: It’s a health systems thing: “The factors that limit countries’ capacity to implement proven etc.” WHO definition of health care system: Primary care: day- to- day physician Secondary care: spets Tertiary care: “super- spets” Six components of a health systems: Health financing: finance services Aims to raise adequate funds to ensure people can access services and are protected from impoverishment through catastrophic health care costs (insurance and social welfare) Ironically, the poor currently pay more out- of- pocket for health care than the rich (60% in low- income countries compared with 20% in high- income countries) ! risk pooling has been an effective way to fund community healthcare (as a substitute to insurance) Costs can prevent poor from seeking treatment or encourage poor treatment adherence What can be done? Communal risk- sharing through pre- paid revenues Public subsidies not just for global- disease specific initiatives Redirect ODA toward chronic diseases to match disease burden Less than 3% ODA directed at healthcare Governance: need a governing structure that guides this and sets policies Ensuring strategic- policy frameworks exist and are combined with effective oversight, coalition building, provision of a...
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