DOCSLIB.ORG

Introduction and Frameworks

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Introduction and Frameworks Introduction and frameworks Reinhard Busse, Prof. Dr. med. MPH FFPH FG Management im Gesundheitswesen, Technische Universität Berlin (WHO Collaborating Centre for Health Systems Research and Management) & European Observatory on Health Systems and Policies 21 November 2017 Introduction and frameworks 1 Outline of the course- Week 1 Topic Date Lecturer Introduction and Outline of the course 20.11.2017 Wilm Quentin and Daniel Opoku 15-17 Uhr Introduction and frameworks 21.11.2017 Reinhard Busse 09-12 Uhr Financing I: Raising Resources 13.30-17 Uhr Wilm Quentin Seminar on health system relevant 22.11.2017 Anne Spranger databases and information for term paper 10-12 Uhr (H8173/74) Financing II: Pooling and re-allocation 13.30-17 Uhr Reinhard Busse Financing III: Purchasing and payment 23.11.2017 Wilm Quentin systems 09-12 Uhr Leadership and Governance + Care 13.30-17 Uhr Reinhard Busse Delivery Workforce 24.11.2017 Claudia Maier 9-10.30 Uhr Introduction to group exercise 10.30-12 Uhr Anne Spranger Medical products 13.30-17 Uhr Reinhard Busse 21 November 2017 Introduction and frameworks 2 Outline of the course - Week 2 Topic Date Lecturer Preliminary Summary of building blocks 27.11.2017 Reinhard Busse 09-10.30 Uhr Presentation by GIZ on health system 10.30-12 Uhr Ursula Bürger, Fachplanerin related German development cooperation Kompetenz-Center Gesundheit und Soziale Sicherung, GIZ Access and Coverage 13.30-17 Uhr Reinhard Busse Quality and Safety 28.11.2017 Reinhard Busse 09-12 Uhr Financial and social risk protection 13.30-17 Uhr Wilm Quentin Improved Health 29.11.2017 Wilm Quentin 13.30-17 Uhr Efficiency and Responsiveness 30.11.2017 Reinhard Busse 09-12 Uhr Summary of Health System Performance 13.30-17 Uhr Reinhard Busse Assessment Group Presentations and Wrap-up 01.12.2017 Reinhard Busse or Wilm Quentin 21 November 2017 Introduction 09and -frameworks12 Uhr 3 Organisational matters 13.30 onwards WHO building blocks 30 Nov/1 Dec 21 Nov 27 Nov 23 Nov 24 Nov 29 Nov 27 Nov 22 Nov (seminar) 30 Nov Week 8 24 Nov 28 Nov 28 Nov 21 to 23 Nov 30 Nov 23 Nov WHO 2007 21 November 2017 Introduction and frameworks 4 What is a health system? People, institutions and resources, arranged together in accordance with established policies, to improve the health of the population they serve, while responding to people’s legitimate expectations and protecting them against the cost of ill-health through a variety of activities whose primary intent is to improve health. European Observatory for Health Systems and Policies (2007) 21 November 2017 Introduction and frameworks 5 A starting point: 2000 World Health Report This report sets out to analyse the role of health systems and suggest how to make them more efficient and, most importantly, more accessible and responsive…. 21 November 2017 Introduction and frameworks 6 The first health system framework = strategy behind World Health Report 2000 2000 (WHR) 21 November 2017 Introduction and frameworks 7 2000 World Health Report • First attempt to rank performance of 191 national health systems • Identifies and measures performance of member states on ‘key health system objectives’ • Examines whether each health system is performing as well as it can, given existing resources • Based on Murray & Frank framework (2000) 21 November 2017 Introduction and frameworks 8 And the winner was… 21 November 2017 Introduction and frameworks 9 … but not everyone agreed 21 November 2017 Introduction and frameworks 10 Health system frameworks I (an adapted version of the original from 2000) Source: World Health Organization (WHO). (2007) Everybody’s business: Strengthening health systems to improve health outcomes. WHO’s framework for action. Geneva: WHO Document Production Services. 21 November 2017 Introduction and frameworks 11 Health system frameworks II Control Knobs Roberts et al. 2004 21 November 2017 Introduction and frameworks 12 Health system frameworks III Atun et al. Atun 2008 21 November 2017 Introduction and frameworks 13 A Q R 21 November 2017 14 Introduction and frameworks Health system framework V (a further WHO development) WHO building blocks Week 14 Week 1 Week 5 Week 4 Week 9 Week 11 Week 7 (seminar) Week 13 Week 8 Week 6 Week 12 Week 10 Week 2 + 3 Week 13 Week 7 (lecture) WHO 2007 21 November 2017 Introduction and frameworks 15 Health system frameworks VI WHO systems thinking “Building blocks do not constitute a system …. It is the multiple relationships and interactions among the blocks …. that convert these blocks into a system” De Savigny and Adam 2009: Systems thinking for health systems strengthening 21 November 2017 Introduction and frameworks 16 Overview: frameworks 1. Boundaries of the system 2. Architecture/functions 3. Goals/ objectives + focus on HSPA 21 November 2017 Introduction and frameworks 17 What are the Health system boundaries? Source: Murray, CL. and Evans, DB. (2003) Health systems performance assessment: Debates, Methods and Empiricism. Geneva: World Health Organization. 21 November 2017 Introduction and frameworks 18 Different definitions of boundaries ... – WHO: “The resources, actors and institutions related to the financing, regulation and provision of health actions. Where health actions are any set of activities whose primary intent is to improve or maintain health”. (Murray & Frenk 2000) – Commonwealth Fund: “The way in which health care services are financed organized and delivered to meet societal goals for health. It includes the people, institutions, and organizations that interact to meet the goals, as well as the processes and structures that guide these interactions”. (Commonwealth Fund 2006) – OECD (old!): “The health care system, not including public health activities or other wider issues”. (Hurst & Hughes 2001) WHO Commonwealth Fund OECD 21 November 2017 Introduction and frameworks 19 21 November 2017 Introduction and frameworks 20 What are health system functions? Framework Health System Functions WHO (2000) • Resource Generation • Financing • Service Provision • Stewardship In summary: WHO (2007) • Service Delivery 1. Leadership/ • Health Workforce • Information governance/ • Medical products, vaccines and technologies organization/ • Financing regulation • Leadership and Governance 2. Resource Control Knobs • Financing (2003) • Payment generation/ • Organization financing/payment • Regulation 3. Human/ • Behaviour technological Atun (2008) • Financing resources • Organization and Regulation • Resource Allocation 4. Service provision 21 November 2017 • Provision Introduction and frameworks 21 What are health system objectives? Framework Intermediate Ultimate Objectives Objectives WHO (2000; 2007) • Access • Level and distribution of health • Coverage • Level and distribution of responsiveness • Quality • Fairness in financing • Safety In summary: • Efficiency 1. Health (level and Commonwealth • High quality care • Long Healthy and Fund (2004) • Efficient care Productive Lives distribution • Access 2. Responsiveness/ • System and workforce innovation and consumer improvement satisfation (level Control Knobs • Efficiency • Health status and distribution) (2003) • Quality • Consumer satisfaction • Access • Risk protection 3. Financial Atun (2008) • Equity • Health protection (level • Choice • Financial risk protection • Efficiency • Consumer satisfaction and distribution) • Effectiveness 4. Efficiency 21 November 2017 Introduction and frameworks 22 So why bother with a framework? Health system framework • understand • describe • compare • analyze Health Systems Performance Assessment framework • Much more contentious 21 November 2017 Introduction and frameworks 23 The European Observatory Activities: • Country- monitoring (HiTs) • Studies • Dissemination (Publications, 21 November 2017 dialogues,Introduction etc.) and frameworks 24 Observatory‘s approach to country-monitoring = Health Systems in Transition (HiT) . Describe and analyze a country’s health system and key reform initiatives . Based on a common set of questions and follow the same structure, enabling easy cross-country comparisons ( next slide) . Seek to provide relevant information to support policy-makers and analysts in the development of health systems in Europe and beyond 21 November 2017 Introduction and frameworks 25 Observatory‘s approach to country-monitoring 1. Context 2. Organization and governance 3. Financing 4. Physical and human resources 5. Provision of services 6. Principal health reforms 7. Assessement of the health system 8. Conclusions 9. Appendices European Observatory 2010 21 November 2017 Introduction and frameworks 26 Chapter 7: Assessment of the health system WHO goals 21 November 2017 Introduction and frameworks 27 Country Monitoring: HSPM 21 November 2017 Introduction and frameworks 28 Similar initiative in Africa 21 November 2017 Introduction and frameworks 29 … and in Asia 21 November 2017 Introduction and frameworks 30 Group Work 21 November 2017 Introduction and frameworks 31 Group Work • 4 Groups of 5 students each • 30 minutes group work – Discuss/answer to questions on boundaries of health systems and health system goals • 25 minutes presentation/discussion of results (5 minutes per group) • 5 min summary/wrap-up 21 November 2017 Introduction and frameworks 32 Questions for group work Please discuss the following questions 1. Boundaries of health systems: • What are advantages and disadvantages of different definitions of health systems‘ boundaries? • Decide as group: How should the boundary of a health system be defined? 2. Goals of health systems: • What
Load more

Recommended publications
  • Group Work: Ghana's Pathway to Achieve Universal Health Coverage
    Health Care Financing module, 6-15 November 2019 Group work: Ghana’s pathway to achieve universal health coverage Reinhard Busse* Peter Agyei Bafour** * Department of Health Care Management (WHO Collaborating Centre for Health Systems Research and Management), Technische Universität Berlin, Germany & European Observatory on Health Systems and Policies ** School of Public Health, KNUST, Kumasi, Ghana Group Work First 90 min (8:00-10:00): • Same groups as on Friday • 90 minutes group work – Discuss Ghana‘s pathway to UHC Second 90 min (10:30-12:30): • Present Ghanas pathway to UHC – 10 min presentation per group + 5 min discussion – 15 min general discussion and wrap-up 12 November 2019 Group work: pathways to UHC 2 Group task 1. Identify the most important challenges for the Ghana health system to reach UHC 2. Discuss the content of the lectures of the first week: what options are available to achieve UHC? And how can they be implemented (revenue generation, actors, functions, financial flow)? 3. Prepare a presentation (max. 10 slides): – Main challenges for UHC in Ghana: <3 slides – Options to achieve UHC: 2-3 slides – A pathway to achieve UHC: 3-4 slides – Conclusions: 1 slide 12 November 2019 Group work: pathways to UHC 3 The Ghana health system at a glance Collector of resources Third-party payer MoF MoH Development partners NHIA NHIA 2.5% of VAT (NHI levy), Contracts with formal sector: 2.5% SNIT accredited providers contribution, Small premiums (€1-7) MoH Population Provider NHIS members: 35-40% Choice of contracted providers 57% government (GHS), Uninsured (majority) 33% private, Out-of-pocket payments VHI (few) 7% non-for-profit 11 November 2019 From fragmented systems to UHC (CHAG, Muslim)4 NHIS revenue composition 11 November 2019 From fragmented systems to UHC 5 NHIS membership composition 11 November 2019 From fragmented systems to UHC 6 Road to UHC in Ghana – targets for 2030 11 November 2019 From fragmented systems to UHC 7.
    [Show full text]
  • Health Care Systems in the Eu a Comparative Study
    EUROPEAN PARLIAMENT DIRECTORATE GENERAL FOR RESEARCH WORKING PAPER HEALTH CARE SYSTEMS IN THE EU A COMPARATIVE STUDY Public Health and Consumer Protection Series SACO 101 EN This publication is available in the following languages: EN (original) DE FR The opinions expressed in this document are the sole responsibility of the author and do not necessarily represent the official position of the European Parliament. Reproduction and translation for non-commercial purposes are authorized, provided the source is acknowledged and the publisher is given prior notice and sent a copy. Publisher: EUROPEAN PARLIAMENT L-2929 LUXEMBOURG Author: Dr.med. Elke Jakubowski, MSc. HPPF, Advisor in Public Health Policy Department of Epidemiology and Social Medicine, Medical School Hannover Co-author: Dr.med. Reinhard Busse, M.P.H., Department of Epidemiology and Social Medicine, Medical School Hannover Editor: Graham R. Chambers BA Directorate-General for Research Division for Policies on Social Affairs, Women, Health and Culture Tel.: (00 352) 4300-23957 Fax: (00 352) 4300-27720 e-mail: [email protected] WITH SPECIAL GRATITUDE TO: James Kahan, Panos Kanavos, Julio Bastida-Lopez, Elias Mossialos, Miriam Wiley, Franco Sassi, Tore Schersten, Juha Teperi for their helpful comments and reviews of earlier drafts of the country chapters, and Manfred Huber for additional explanatory remarks on OECD Health Data. The manuscript was completed in May 1998. EUROPEAN PARLIAMENT DIRECTORATE GENERAL FOR RESEARCH WORKING PAPER HEALTH CARE SYSTEMS IN THE EU A COMPARATIVE STUDY Public Health and Consumer Protection Series SACO 101 EN 11-1998 Health Care Systems CONTENTS INTRODUCTION ........................................................... 5 PART ONE: A Comparative Outline of the Health Care Systems of the EU Member States ........................................
    [Show full text]
  • Improving Healthcare Quality in Europe
    Cover_WHO_nr52.qxp_Mise en page 1 20/08/2019 16:31 Page 1 51 THE ROLE OF PUBLIC HEALTH ORGANIZATIONS IN ADDRESSING PUBLIC HEALTH PROBLEMS IN EUROPE PUBLIC HEALTH IN ADDRESSING ORGANIZATIONS PUBLIC HEALTH THE ROLE OF Quality improvement initiatives take many forms, from the creation of standards for health Improving healthcare 53 professionals, health technologies and health facilities, to audit and feedback, and from fostering a patient safety culture to public reporting and paying for quality. For policy- makers who struggle to decide which initiatives to prioritise for investment, understanding quality in Europe Series the potential of different quality strategies in their unique settings is key. This volume, developed by the Observatory together with OECD, provides an overall conceptual Health Policy Health Policy framework for understanding and applying strategies aimed at improving quality of care. Characteristics, effectiveness and Crucially, it summarizes available evidence on different quality strategies and provides implementation of different strategies recommendations for their implementation. This book is intended to help policy-makers to understand concepts of quality and to support them to evaluate single strategies and combinations of strategies. Edited by Quality of care is a political priority and an important contributor to population health. This Reinhard Busse book acknowledges that "quality of care" is a broadly defined concept, and that it is often Niek Klazinga unclear how quality improvement strategies fit within a health system, and what their particular contribution can be. This volume elucidates the concepts behind multiple elements Dimitra Panteli of quality in healthcare policy (including definitions of quality, its dimensions, related activities, Wilm Quentin and targets), quality measurement and governance and situates it all in the wider context of health systems research.
    [Show full text]
  • SPEAKER BIOGRAPHIES “Lessons on Coverage from Abroad: How Do the Dutch, German and Swiss Health Care Systems Do It?” November 14, 2008
    SPEAKER BIOGRAPHIES “Lessons on Coverage from Abroad: How do the Dutch, German and Swiss Health Care Systems Do it?” November 14, 2008 REINHARD BUSSE, DR. MED., MPH, FFPH, is professor and department head for health care management at the Berlin University of Technology, Germany, where he is also dean of the faculty of economics and management. His research focuses on both methods and contents of comparative health system analysis, with a particular emphasis on reforms in Germany, other social health insurance countries and central and eastern Europe, and the role of EU. His health services research includes cost-effectiveness analyses, health targets and health technology assessment. He is also a faculty member of Charité, associate head of Research Policy and Head of the Berlin hub of the European Observatory on Health Systems and Policies, and is a member of several scientific advisory boards (e.g. for the Federal Association of Company-based Sickness Funds, the German Agency for Health Technology Assessment and the Federal Physicians’ Chamber). Dr. Busse is a regular consultant for the EU Commission, the World Bank, OECD and other international organizations within Europe and beyond, including the World Health Organization. Dr. Busse’s department is a WHO Collaborating Center for Health System Research and Management. He was the scientific director of two EU-funded projects (HealthBASKET, HealthACCESS) which compared the benefit baskets, costs of individual health services and access to health services in EU countries. Dr. Busse studied medicine in Marburg, Germany; Boston; and London, and studied public health in Hannover, Germany. ROBERT LEU, PHD, is head of the Department of Economics at the University of Bern, Switzerland.
    [Show full text]
  • A Universal European Health System for California: the German Model by Micah Weinberg, Phd and Alice Bishop
    March 2019 A Universal European Health System for California: The German Model BY MICAH WEINBERG, PHD AND ALICE BISHOP As the Affordable Care Act’s future continues to hang Achieving Universal Coverage in the balance, the idea of implementing some form of universal healthcare system in California or nationwide and Health Equity has become increasingly popular. Much of this discus- A System That Preserves Choice and sion has focused on the desirability and feasibility of Controls Costs adopting a Canadian-style single-payer or “Medicare for All” system. While Canada is a worthwhile case study to Adopting a Universal European Health System model examine, there are other models for a universal health- would allow California to strike a successful balance be- care system that may make more sense for California tween the competing goals of securing access, control- and the U.S., achieve better outcomes, and have a more ling cost, and improving quality. The elements of such a feasible path to implementation. system include: One such example is a “Universal European Health • Not-for-Profit Health: If enacted, such a system System,” inspired by the Bismarck model, most clearly would have one single insurance market for most exemplified by Germany. This report lays out what such people. As in the German system, residents would a model could look like if implemented in California. obtain coverage from competing wellness funds. While this report focuses specifically on the German Unlike in California’s current marketplace, however, system, several other countries use elements of the all insurers would be nonprofit, though an external Bismarck model, including France, Belgium, the Nether- market with for-profit plans may persist.
    [Show full text]
  • Compulsory Social Health Insurance Contributions
    39913 HNP DISCUSSION PAPER Public Disclosure Authorized Public Disclosure Authorized Analyzing Changes in Health Financing Arrangements in High-Income Countries Public Disclosure Authorized Public Disclosure Authorized A Comprehensive Framework Approach About this series... This series is produced by the Health, Nutrition, and Population Family (HNP) of the World Bank’s Human Development Network. The papers in this series aim to provide a vehicle for publishing preliminary and unpolished results on HNP topics to encourage discussion and debate. Reinhard Busse, Jonas Schreyögg, and Christian Gericke The findings, interpretations, and conclusions expressed in this paper are entirely those of the author(s) and should not be attributed in any manner to the World Bank, to its affiliated organizations or to members of its Board of Executive Directors or the countries they represent. Citation and the use of material presented in this series should take into account this provisional character. For free copies of papers in this series please contact the individual authors whose name appears on the paper. Public Disclosure Authorized Public Disclosure Authorized Enquiries about the series and submissions should be made directly to the Managing Editor Janet Nassim ([email protected]) or HNP Advisory Service ([email protected], tel 202 473-2256, fax 202 522-3234). For more information, see also www.worldbank.org/ hnppublications. THE WORLD BANK Public Disclosure Authorized Public Disclosure Authorized 1818 H Street, NW Washington, DC USA 20433 Telephone: 202 473 1000 Facsimile: 202 477 6391 Internet: www.worldbank.org E-mail: [email protected] February 2007 Analyzing Changes in Health Financing Arrangements in High-Income Countries A Comprehensive Framework Approach Reinhard Busse, Jonas Schreyögg, and Christian Gericke February 2007 Health, Nutrition and Population (HNP) Discussion Paper This series is produced by the Health, Nutrition, and Population Family (HNP) of the World Bank's Human Development Network.
    [Show full text]
  • Achieving Sustainability and Scale-Up of Mobile Health Noncommunicable Disease Interventions in Sub-Saharan Africa: Views of Policy Makers in Ghana
    JMIR MHEALTH AND UHEALTH Opoku et al Original Paper Achieving Sustainability and Scale-Up of Mobile Health Noncommunicable Disease Interventions in Sub-Saharan Africa: Views of Policy Makers in Ghana Daniel Opoku, MScPH; Reinhard Busse, MD, MPH; Wilm Quentin, PD, MD, MSc HPPF Faculty VII Economics and Management, Institute of Technology and Management, Department of Health Care Management, Technische Universität Berlin, Berlin, Germany Corresponding Author: Daniel Opoku, MScPH Faculty VII Economics and Management Institute of Technology and Management Department of Health Care Management Technische Universität Berlin Straûe des 17. Juni 135 Administrative office H80 Berlin, 10623 Germany Phone: 49 3031429222 Fax: 49 30 314 28433 Email: [email protected] Abstract Background: A growing body of evidence shows that mobile health (mHealth) interventions may improve treatment and care for the rapidly rising number of patients with noncommunicable diseases (NCDs) in sub-Saharan Africa (SSA). A recent realist review developed a framework highlighting the influence of context factors, including predisposing characteristics, needs, and enabling resources (PNE), for the long-term success of mHealth interventions. The views of policy makers will ultimately determine implementation and scale-up of mHealth interventions in SSA. However, their views about necessary conditions for sustainability and scale-up remain unexplored. Objective: This study aimed to understand the views of policy makers in Ghana with regard to the most important factors for successful implementation, sustainability, and scale-up of mHealth NCD interventions. Methods: Members of the technical working group responsible for Ghana's national NCD policy were interviewed about their knowledge of and attitude toward mHealth and about the most important factors contributing to long-term intervention success.
    [Show full text]
  • Diagnosis Related Groups in Europe
    Diagnosis Related Groups…pb24.5_Diagnosis Related Groups…pb24.5 23/10/2011 11:32 Page 1 European Observatory on Health Systems and Policies Series Diagnosis-Related Groups in Europe Diagnosis-Related Groups Moving towards transparency, efficiency and quality in hospitals Diagnosis-Related Group (DRG) systems were introduced in Europe to increase the transparency of services provided by hospitals and to incentivize greater efficiency in the use of resources invested in acute hospitals. In many countries, these systems were also designed to contribute to improving – or at least protecting – the quality of care. After more than a decade of experience with using DRGs in Europe, this book considers whether the extensive use of DRGs has contributed towards achieving these objectives. Diagnosis-Related Written by authors with extensive experience of these systems, this book is a product of the EuroDRG project and constitutes an important resource for health Groups in Europe policy-makers and researchers from Europe and beyond. The book is intended in to contribute to the emergence of a ‘common language’ that will facilitate communication between researchers and policy-makers interested in Europe improving the functioning and resourcing of the acute hospital sector. The book Moving towards transparency, efficiency includes: and quality in hospitals • A clearly structured introduction to the main ‘building blocks’ of DRG systems Busse, Geissler, Quentin and Wiley • An overview of key issues related to DRGs including their impact on efficiency,
    [Show full text]
  • HEALTH TECHNOLOGY ASSESSMENT and HEALTH POLICY-MAKING in EUROPE Current Status, Challenges and Potential
    European on Health Systems and Policies HEALTH TECHNOLOGY ASSESSMENT AND HEALTH POLICY-MAKING IN EUROPE Current status, challenges and potential Marcial Velasco Garrido Finn Børlum Kristensen Camilla Palmhøj Nielsen Reinhard Busse Observatory Studies Series No 14 Health Technology Assessment and Health Policy-Making in Europe The European Observatory on Health Systems and Policies supports and promotes evidence- based health policy-making through comprehensive and rigorous analysis of health systems in Europe. It brings together a wide range of policy-makers, academics and practitioners to analyse trends in health reform, drawing on experience from across Europe to illuminate policy issues. The European Observatory on Health Systems and Policies is a partnership between the World Health Organization Regional Office for Europe, the Governments of Belgium, Finland, Greece, Norway, Slovenia, Spain and Sweden, the Veneto Region of Italy, the European Investment Bank, the Open Society Institute, the World Bank, the London School of Economics and Political Science and the London School of Hygiene & Tropical Medicine. Health Technology Assessment and Health Policy-Making in Europe Current status, challenges and potential The European Observatory on Health Systems and Policies supports and promotes evidence- based health policy-making through comprehensive and rigorous analysis of health systems in Marcial Velasco Garrido, Finn Børlum Kristensen, Europe. It brings together a wide range of policy-makers, academics and practitioners to analyse
    [Show full text]
  • What Do Core Obligations Under the Right to Health Bring to Universal
    HHr Health and Human Rights Journal What Do Core Obligations under the Right to HealthHHR_final_logo_alone.indd 1 10/19/15 10:53 AM Bring to Universal Health Coverage? lisa forman, claudia beiersmann, claire e. brolan, martin mckee, rachel hammonds, and gorik ooms Abstract Can the right to health, and particularly the core obligations of states specified under this right, assist in formulating and implementing universal health coverage (UHC), now included in the post-2015 Sustainable Development Goals? In this paper, we examine how core obligations under the right to health could lead to a version of UHC that is likely to advance equity and rights. We first address the affinity between the right to health and UHC as evinced through changing definitions of UHC and the health domains that UHC explicitly covers. We then engage with relevant interpretations of the right to health, including core obligations. We turn to analyze what core obligations might bring to UHC, particularly in defining what and who is covered. Finally, we acknowledge some of the risks associated with both UHC and core obligations and consider potential avenues for mitigating these risks. lisa forman is Canada Research Chair in Human Rights and Global Health Equity, and Assistant Professor at the Dalla Lana School of Public Health at the University of Toronto, Canada. claudia beiersmann is a researcher in the working group “Global Health Policies and Systems” at the Institute of Public Health, Heidelberg University, Germany. claire e. brolan is a postdoctoral fellow at the Dalla Lana School of Public Health at the University of Toronto and research fellow at the School of Public Health, Faculty of Medicine and Biomedical Sciences, University of Queensland, Australia.
    [Show full text]
  • Regulating Quality and Safety of Health and Social Care International Experiences
    CHILDREN AND FAMILIES The RAND Corporation is a nonprofit institution that helps improve policy and EDUCATION AND THE ARTS decisionmaking through research and analysis. ENERGY AND ENVIRONMENT HEALTH AND HEALTH CARE This electronic document was made available from www.rand.org as a public INFRASTRUCTURE AND service of the RAND Corporation. TRANSPORTATION INTERNATIONAL AFFAIRS LAW AND BUSINESS NATIONAL SECURITY Skip all front matter: Jump to Page 16 POPULATION AND AGING PUBLIC SAFETY SCIENCE AND TECHNOLOGY Support RAND TERRORISM AND Browse Reports & Bookstore HOMELAND SECURITY Make a charitable contribution For More Information Visit RAND at www.rand.org Explore RAND Europe View document details Limited Electronic Distribution Rights This document and trademark(s) contained herein are protected by law as indicated in a notice appearing later in this work. This electronic representation of RAND intellectual property is provided for non-commercial use only. Unauthorized posting of RAND electronic documents to a non-RAND Web site is prohibited. RAND electronic documents are protected under copyright law. Permission is required from RAND to reproduce, or reuse in another form, any of our research documents for commercial use. For information on reprint and linking permissions, please see RAND Permissions. This report is part of the RAND Corporation research report series. RAND reports present research findings and objective analysis that address the challenges facing the public and private sectors. All RAND reports undergo rigorous peer review to ensure high standards for research quality and objectivity. EUROPE Regulating quality and safety of health and social care International experiences Daniel Schweppenstedde, Saba Hinrichs, Uzor C. Ogbu, Eric C.
    [Show full text]
  • Immigration, Demography and Evolution of European Health Care Systems
    Immigration, demography and evolution of European health care systems Reinhard Busse, Prof. Dr. med. MPH FFPH Dept. Health Care Management, University of Technology, Berlin (WHO Collaborating Centre for Health Systems Research and Management) & European Observatory on Health Systems and Policies Third-party Payer C. Expenditure D. Mobilizing implications necessary resources B. Securing access and provision http://mig.tu-berlin.dePopulation Providers A. „Double ageing“: changing needs Prof. Dr. Reinhard Busse -2- Venice, 17.11.2006 1 A. „Double ageing“: Challenges for the future of the changing needs European health care systems • Continuous increase in life expectancy „double • Fertility rates below the natural ageing“ population replacement rate • Retirement of baby-boom generation AND • Net immigration rate will not offset these problems Prof. Dr. Reinhard Busse -3- Venice, 17.11.2006 http://mig.tu-berlin.de Prof. Dr. Reinhard Busse -4- Venice, 17.11.2006 2 A. „Double ageing“: changing needs Health challenges and successes Cancer incidence per 100000 900 Aus tria Incidence800 increasing … Belgium Cyprus Czech Republic Denmark 700 Estonia Finland France Germany 600 Greece x Hungary Ireland Italy 500 Latvia Lithuania Luxembourg Malta 400 Netherlands Norway Poland Portugal Slovakia 300 Slovenia Spain Sweden United Kingdom 200 EU + 15%/ decade 100 WHO Euro: 1986 1996 2006 2016 HFA 2006 SDR, Neoplasms, per 100000 300 … treatment more successfull … Aus tri a Belgium Cyprus Czech Republic Denmark 250 Estonia Finland France Germany Hungary
    [Show full text]