复旦大学公共卫生学院：《预防医学英文班（Preventive Medicine I）》参考讲义_13-Health system

http:/lwww.premed.fudanedu.cn 国家精品课程 探索 创新 山 reventive Medicin Health system 倾听 Sha Tao Department of Preventive Medicine, School of Public Health, Fudan University

Department of Preventive Medicine, School of Public Health, Fudan University http://www.premed.fudan.edu.cn 国 家 精 品 课 程 探索 倾听 思考 创新 Health system Sha Tao

刻 Outline 4 Health system definition o What do health systems do? Framework for health system-siX building blocks e What resources are needed? Key functions ◆ Public health system t Tasks for the next session 29May2018 2

Outline  Health system definition  What do health systems do?  Framework for health system - six building blocks  What resources are needed?  Key functions  Public health system  Tasks for the next session 29 May 2018 2

29May2018

29 May 2018 3

y Health system definition 4 All the activities whose primary purpose is to promote, restore or maintain health the sum total of all the organizations institutions and resources not only health care services primary purpose is to improve health needs to provide services that are responsive and financially fair, while treating people decently 29May2018

Health system definition  All the activities whose primary purpose is to promote, restore or maintain health. – the sum total of all the organizations, institutions and resources – not only health care services – primary purpose is to improve health – needs to provide services that are responsive and financially fair, while treating people decently 29 May 2018 4

川 hat do health systems do? 4 Improving the health of the population Help with a much wider variety of problems Not just for the relief of pain and treatment of physical limitations and emotional disorder But for advice on diet, lifestyle etc E.g. Seat belts saved =112,000 lives in US(1975 1998): 9000 people died because they did not use their seat belts in 1998 29May2018

What do health systems do?  Improving the health of the population – Help with a much wider variety of problems – Not just for the relief of pain and treatment of physical limitations and emotional disorder – But for advice on diet, lifestyle etc. E.g. Seat belts saved ≈112,000 lives in US (1975- 1998) ; 9000 people died because they did not use their seat belts in 1998 29 May 2018 5

川 What do health systems do? Responding to peoples expectations Their needs should be promptly attended to Without long delays-respect the value of peoples time To reduce their anxiety Providing financial protection against the costs of ill-health Health equity 29May2018

What do health systems do?  Responding to people’s expectations – Their needs should be promptly attended to – Without long delays-respect the value of people’s time – To reduce their anxiety  Providing financial protection against the costs of ill-health – Health equity 29 May 2018 6

y Health system reform o the founding of national health care systems and the extension to middle income nations of social Insurance systems the promotion of primary health care achieve affordable universal coverage ◆ supply- oriented demand/supposed needs oriented 29May2018

Health system reform  the founding of national health care systems and the extension to middle income nations of social insurance systems  the promotion of primary health care achieve affordable universal coverage  supply-oriented demand/supposed needs oriented 29 May 2018 7

E Framework SYSTEM BUILDING BLOCKS OVERALL GOALS / OUTCOMES SERVICE DELIVERY HEALTH WORKFORCE ACCESS IMPROVED HEALTH (LEVEL AND EQUITY) COVERAGE INFORMATION RESPONSIVENESS MEDICAL PRODUCTS, VACCINES TECHNOLOGIES SOCIAL AND FINANCIAL RISK PROTECTION QUALITY FINANCING SAFETY MPROVED EFFICIENCY LEADERSHIP/ GOVERNANCE 29May2018

Framework 29 May 2018 8

川 Six building blocks service delivery t Good health services are those which deliver effective, safe, quality personal and non-personal health interventions to those who need them when and where needed. with minimum waste of resources 29May2018

Six building blocks – service delivery  Good health services are those which deliver effective, safe, quality personal and non-personal health interventions to those who need them, when and where needed, with minimum waste of resources. 29 May 2018 9

川 Service delivery Supply Demand needs-oriented Demand need Non Perceived demand perceived need need Need

Service delivery Need Perceived need Demand Non￾perceived need need demand Supply-oriented Demand needs-oriented