Health system/ Care system/ Social welfare
system
The health system: a complex system of interactions:
all organizations, institutions and resources that promote, restore or maintain health.
four major groups of actors interact in health systems: professionals:professionals,managers,the commercial world, the political world.
a logic that can regulate exchanges and interactions in the system.
Technocratic logic
Market logic
Professional logic
Democratic logic
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Health care system (or health care system):
the set of services that provide benefits to the population
with the aim of improving its health.
Historical perspective
phase 2: characterized by a disqualification of the professional logic, to the benefit of the technocratic and commercial logics.
phase 3: characterized by a general perception of
crisis in the health care system
Phase 1:a rapid growth of health care
expenditures a rapid growth of health care
expenditures
Qualities of a care system: Comprehensiveness/Accessibility/Acceptability/technical efficiency/economic effectiveness/flexibility/being plannable and evaluable
four core values of a system of care: QUALITY / EQUITY / RELEVANCE / EFFICIENCY
. Key players in any health care system:
. The second box corresponds to the supply of care (system of production and
distribution of care)
The first box corresponds to the demand for care (need for care)
. The fourth box corresponds to the State and the public authorities
. The third box corresponds to the third-party financer (health coverage
system/Financing),
The social welfare system:
The Beveridgian system or national health system or universal system:
Liberal health care system:
The Bismarckian system or health insurance system or occupational
system
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covers workers and their beneficiaries (families) and is financed through
contributions from employers and employees in proportion to their income
provides free medical services to all
citizens and is financed by the state budget i.e. by taxe
s characterized by the absence of compulsory insurance, but with
minimal state intervention in favor of the needy