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Related Concept Videos

International Nursing Organizations II01:28

International Nursing Organizations II

The World Health Organization (WHO) is a specialized agency of the United Nations based in Geneva. The WHO has many initiatives that center around health. Primarily, they lead global efforts to expand universal health coverage using science-based policies and programs. They are also responsible for shaping health research agendas and developing norms and standards.
The WHO provides expert team support, including funding, vaccines, testing, and treatment tools at the country level to fight...
Introduction To Health Care Delivery System01:18

Introduction To Health Care Delivery System

The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Primary Healthcare Services01:30

Primary Healthcare Services

Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
Secondary Healthcare System01:11

Secondary Healthcare System

Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
Issues And Trends In Healthcare Delivery System01:29

Issues And Trends In Healthcare Delivery System

The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...

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The Future of Medical Care Outside the Hospital [Abridged].

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Will managed care work in Europe?

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Comprehensive & Cost Effective Laboratory Monitoring of HIV/AIDS: an African Role Model
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Health insurance in developing countries: lessons from experience.

B Abel-Smith1

  • 1London School of Economics and Political Science, UK.

Health Policy and Planning
|August 6, 1992
PubMed
Summary

Compulsory health insurance can help developing countries fund healthcare by pooling resources and improving service quality. Examining developed nations

Area of Science:

  • Health economics
  • Public health policy

Background:

  • Developing nations face challenges in healthcare financing and service delivery.
  • Dissatisfaction with existing public health services is a common concern.

Purpose of the Study:

  • To analyze the historical experiences of developed countries with compulsory health insurance.
  • To outline the advantages and disadvantages of various health insurance models.
  • To provide guidance and warnings for developing countries considering health insurance implementation.

Main Methods:

  • Review of historical data from developed countries regarding health insurance.
  • Analysis of consensus on health insurance principles, particularly in Western Europe.
  • Description of diverse health insurance structures and their outcomes.

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Main Results:

  • Compulsory health insurance can mobilize additional resources for the health sector.
  • It allows for better targeting of limited tax funds towards vulnerable populations.
  • Different models of health insurance exist, each with unique benefits and drawbacks.

Conclusions:

  • Developed countries' experiences offer valuable lessons for developing nations.
  • Careful consideration of different health insurance models is crucial for successful implementation.
  • Potential pitfalls must be recognized and mitigated to ensure effective resource allocation and service improvement.