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health care systems - Coggle Diagram
health care systems
actors
cooperation and competition
professionals
doctors
nurses
pharmacists
dentists
managers
payers
evaluators
civil servants
commercial world
pharmaceutical
companies
insurance companies
political world
different visions of healthcare system
different control over ressources
exchange regulation logics
Professional
professional's expertise
pateint's trust
self-regulation mechanisms
relevant training
good quality of services
code of ethics
Technocratic
planning process
Analysis of needs and their prioritization
detailed program of activities
definition of the resources required
Experts
center of decision making
the state
rational use of resources
Market
competitive markets to maximize welfare
Democratic
direct/indirect involvement
citizens
history
Phase1
until the mid-1970s
domination of the professional logic
needs↑ --> supply↑
Phase2
until the end of the 1980s,
technocratic and
commercial logics
increase the quantity
of health services
Phase3
began in the early 1990s
democratic logic
qualities
Technical efficiency
economic effectiveness
Acceptability
Flexibility
Accessibility
ability to be plannable and evaluable
Comprehensiveness
aims
diagnose
treat
alleviate
prevent health
problems in individuals
promote health
restore health
subsystems of population health status
Cultural
Political
Social
legal
Economic
Health care
pressure forces
technological
developments
knowledge about diseases and their treatments
determinants of
population health
economic globalization
demographic changes
inputs
money
financial capital
infrastructure+equipment
physical capital
drugs and other devices
intermediate
goods and services
personnel
labor
health problems
core values
Equity
Relevance
Quality
Efficiency
organization
supply of care
third-party financer
demand for care
State and public authorities