reforming health care

Reforming Health Care

Basic Data

Indicator Result Czech Republic

Total costs of Health Care

4 100 000 000 000 000 000

15 000 000 000

Annula costs/person 639 1382

Highest Costs/person USA – 6103

Lowest costs per person

Burundi – 2,90

Highest public costs per person

Norsko – 4508

Lowest publiccosts per person

Burundi 0,70

Highest annual household costs

Švýcarsko 1787 178 (osoba)

Minimal recommendation/person(WHO)

35-50

2

Basic parts of HC system

Health care servicesHuman resourcesInformation systemsHC technologiesFinancingGovernance, management

3

HC services

Individual and population HC that is effective, safe, of high quality and is provided to those that need it at the time and place of need with minimal waste of resources.

4

Human resources

Non judgmentalResponsiveEffectiveAim: The best possible outcome of HC at the

present resources and conditions.

5

Information systems

Collection, analysis, sharing and use of reliable and timely information of health state indicators and of the outcomes of HC system and pupolation health.

6

Medical Technology

Equal access to basic technology and drugs. HC technology must be of guaranteed quality, safety, effectivity and cost efficiency.

Use of drugs and technology is evidence based and cost effective.

7

Financing

Appropriate financing for use of needed services, prevention of bankrupcy.

Incentives for effective use o services.

8

Governance, management

Strategic documentsControl/oversightRegulationAccountability

9

Motto:10

Where there is no vision, people perish

Proverbs, 29,18

11

Reform drivers12

Demographic changesTechnologic progressIncreased number of providersIncreasing demend for (quality) health careInformation assymetry

Increasing costs

Demographic changes

Aging populationChanging needs of patients/clientsCURE x CAREReaction:

Changeing the structure of hospitals Changing the structure of human resources Home care, Hospice

13

Technologic changes

RegulationPricing drugsAccessCentralisation

14

Increasing No of providers

Supply induced demandNew types of providers

15

Information assymetry

Physician/patientPatient rights/Family rights

Moral code Legal code

16

Basic systém balance17

Costs

Quality Access

Physicians/1000 population – 2009Graduates/1000 population - 2009

0

5

10

15

20

25

AUS

BEL

CR FIN

FRA

GER

GRE

HUN IRE

ITA

LUX

NET

POL

POR

SPA UK

USA

Lékaři

Absolventi

18

Citisens role

WANTSNEEDSDEMANDS

20

21

HC expenditure22

02468

1012141618

AUS

BEL

CR DK

FIN

FRA

GER

GRE

HUN IRE

ITA

LUX

NET

POL

POR SR SPA

SWE

UK

USA

Total

Public

Quality23

Measurable outputs Quality indicators benchmarking

External assessment of quality akreditation certification

Patient/citizen rights