Videos de Experimentos Relacionados
Evaluación temprana de las enormes y complejas reformas sanitarias de China
Winnie Chi-Man Yip1, William C Hsiao, Wen Chen
1University of Oxford, Department of Public Health, Oxford, UK. winnie.yip@dph.ox.ac.uk
Lancet (London, England)
|March 6, 2012
Resumen
China China China China también.
Área de la Ciencia:
- Salud Pública La salud pública.
- Economía de la salud Economía de la salud
- Política de salud Política de salud
Sus antecedentes:
- China inició una importante reforma de salud en 2009 con el objetivo de lograr una cobertura universal de salud para 2020.
- La reforma priorizó los cambios sistémicos, la financiación gubernamental, la prevención, la atención primaria y la redistribución de los recursos.
Objetivo del estudio:
- Evaluar el progreso y los desafíos de la reforma de la cobertura universal de salud de China.
- Identificar las barreras para transformar la cobertura de seguros en servicios de atención médica rentables.
Principales métodos:
- Análisis del plan de reforma de salud de 2009 de China y su implementación.
- Evaluación del rendimiento del sistema de salud, incluyendo la eficiencia, la calidad y la distribución de la fuerza laboral.
Principales resultados:
- La cobertura de seguros casi universal se logró rápidamente, una hazaña encomiable.
- Sigue habiendo desafíos significativos en la traducción de la cobertura en servicios rentables y de calidad debido a los despilfarros, ineficiencias y problemas de mano de obra.
Conclusiones:
- Si bien la cobertura de seguros es alta, mejorar la prestación de servicios de atención médica requiere abordar los incentivos para los proveedores, la gobernanza hospitalaria y la regulación.
- Un ritmo de reforma más lento, la creación de capacidades y el monitoreo independiente son cruciales para el éxito de las correcciones de mitad de curso y la rendición de cuentas.
Videos de Conceptos Relacionados
01:26Methods 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...
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...
01:29Issues 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...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
01:30Primary 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...
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...
01:18Introduction 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...
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
01:11Secondary 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...
01:20Integrated Healthcare System
An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...