Management and Governance Paradigms in Health (SGHMANGOV) - Health System Model
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Questions and Answers

Which health system model has the least state involvement in funding or provision?

  • National Health Service model
  • Private Insurance model (correct)
  • Social Solidarity model
  • Universal Health Insurance model
  • What is the primary funding mechanism for the Social Solidarity model?

  • Employer and individual contributions through non-profit insurance funds (correct)
  • General taxation
  • Government subsidies only
  • Private insurance premiums
  • Which model is characterized by open-ended access to all needed health care services given free at the point of use?

  • Private Insurance model
  • Social Solidarity model
  • National Health Service model (correct)
  • Universal Health Insurance model
  • Which model is funded out of general taxation?

    <p>National Health Service model</p> Signup and view all the answers

    In the Private Insurance model, who owns or controls the factors of production?

    <p>Private individuals or companies</p> Signup and view all the answers

    What is the primary characteristic of the National Health Service model?

    <p>State-owned and controlled factors of production</p> Signup and view all the answers

    What is a major problem in the British health system?

    <p>Gate-keeping system that prolongs Treatment Admission Time (TAT)</p> Signup and view all the answers

    What is a critical function of financing in healthcare systems?

    <p>Raising and allocating funds</p> Signup and view all the answers

    What is a key aspect of service provision in healthcare systems?

    <p>Mix of healthcare providers</p> Signup and view all the answers

    What is a critical function of governance and regulation in healthcare systems?

    <p>Modes of coordinating health systems and stakeholders</p> Signup and view all the answers

    In the State healthcare system, non-government actors play a significant role in financing.

    <p>False</p> Signup and view all the answers

    Private healthcare systems are characterized by non-profit providers.

    <p>False</p> Signup and view all the answers

    Raising and allocating funds is a critical function of service provision.

    <p>False</p> Signup and view all the answers

    Government capacity and authority are key aspects of service provision.

    <p>False</p> Signup and view all the answers

    The gate-keeping system in the British health system helps reduce waiting times.

    <p>False</p> Signup and view all the answers

    In the Private Insurance model, healthcare providers are largely owned by the state.

    <p>False</p> Signup and view all the answers

    The National Health Service model is characterized by universal health insurance coverage.

    <p>True</p> Signup and view all the answers

    The Social Solidarity model is funded solely by employer contributions.

    <p>False</p> Signup and view all the answers

    The Private Insurance model relies on market forces for funding and provision of healthcare.

    <p>True</p> Signup and view all the answers

    The National Health Service model is also known as the Social Solidarity model.

    <p>False</p> Signup and view all the answers

    In the National Health Service model, healthcare services are only provided by private providers.

    <p>False</p> Signup and view all the answers

    Study Notes

    Classification of Health Systems based on Organization or Institutional Context (OECD)

    • Private Insurance model (Consumer Sovereignty model):

    • Least state involvement in funding or provision

    • Characterized by purchase of private health insurance financed by employers and/or individuals

    • Largely based on private ownership of health care providers and the factors of production

    • Funding and provision of health care are generally left to market forces

    • Social Solidarity model:

    • Characterized by universal health insurance coverage

    • Generally funded by a combination of employer and individual contribution through non-profit insurance funds

    • Provision of health services may be private or public

    • National health insurance – a variation of the model with funding jointly coming from payroll taxes, government subsidies and individual premiums

    • National Health Service model (Beveridgean model):

    • Characterized by universal coverage funded out of general taxation

    • Generally open-ended access to all needed health care services given free at the point of use

    • Provision of health care services is administered by the state which either owns or controls the factors of production and delivery

    • Examples: British health system, Russia

    Classification of Health Systems based on Role of State in Financing, Service Provision, and Regulation (Wendt et al. 2009)

    • Country health system model:
    • Financing: State, Societal, Private
    • Service Provision: State, Societal, Private
    • Governance and Regulation: State, Societal, Private

    Description of Health Sub-Systems

    Financing

    • Raising and allocating funds
    • Control of resources

    Provision

    • Means of delivery of health services
    • Range of services
    • Levels of choice
    • Types of providers (public or private, profit or non-profit)
    • Mix of providers

    Governance and Regulation

    • Modes of coordinating health systems and stakeholders/actors (public or private, central or local)
    • Government capacity and authority

    Classification of Health Systems based on Organization or Institutional Context (OECD)

    • Private Insurance model (Consumer Sovereignty model):

    • Least state involvement in funding or provision

    • Characterized by purchase of private health insurance financed by employers and/or individuals

    • Largely based on private ownership of health care providers and the factors of production

    • Funding and provision of health care are generally left to market forces

    • Social Solidarity model:

    • Characterized by universal health insurance coverage

    • Generally funded by a combination of employer and individual contribution through non-profit insurance funds

    • Provision of health services may be private or public

    • National health insurance – a variation of the model with funding jointly coming from payroll taxes, government subsidies and individual premiums

    • National Health Service model (Beveridgean model):

    • Characterized by universal coverage funded out of general taxation

    • Generally open-ended access to all needed health care services given free at the point of use

    • Provision of health care services is administered by the state which either owns or controls the factors of production and delivery

    • Examples: British health system, Russia

    Classification of Health Systems based on Role of State in Financing, Service Provision, and Regulation (Wendt et al. 2009)

    • Country health system model:
    • Financing: State, Societal, Private
    • Service Provision: State, Societal, Private
    • Governance and Regulation: State, Societal, Private

    Description of Health Sub-Systems

    Financing

    • Raising and allocating funds
    • Control of resources

    Provision

    • Means of delivery of health services
    • Range of services
    • Levels of choice
    • Types of providers (public or private, profit or non-profit)
    • Mix of providers

    Governance and Regulation

    • Modes of coordinating health systems and stakeholders/actors (public or private, central or local)
    • Government capacity and authority

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    Description

    This quiz covers the classification of health systems based on organization or institutional context by OECD, including private insurance models and consumer sovereignty.

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