Issues Regarding Delivery of Health Care

Political Agenda

Factors that affect the Health Care Delivery

1. Corruption Corruption in the national or local government, reduces its capacity to fund on different health care programs around the country, which in turn affected health care delivery.

2. Location
Almost in every nation, difference in health care delivery between urban places and rural places is evident. In rural places there is low number of doctors, poor facilities, poor access and transportation means. While health care advancements and mostly good doctors choose to work in urban areas

Factors that affect the Health Care Delivery

3. Political Will
The determination of the local government leader to pursue health care to its people is also one factor affecting its delivery, because even though there are a numbers of hospitals, NGOs and private sector who wishes to deliver health care, its implementation will not pushed through because of poor political will to change health status of its people.

Government on Health Care Delivery

FUNDING
* On health programs of different institutions to the society.

*Assistance on health cost from a certain health institution, that a certain individual or group of people cannot respond to immediately.
* On necessary needs and assistance a certain health institution must have in delivering health care to rural areas

FUNDING in Global Setting

South Africa
South Africa 9.1% budget on health care; but it is still too small because it still has to be divided into 9 provinces. So the time it is distributed to 9 provinces the cost of health care is too small for the large demand. So various help from NGOs, other productive countries and voluntary health mission from other nation is given.

FUNDING in Global Setting

United States of America
Health care is funded through public and private insurance Private health insurance is most often offered or given to employed Americans and to those who have the capacity to avail it. However public insurance are offered to the other Americans, but these insurance has a strict standard measures. Old and disabled people. Poor Children Military Personnel Because of this policy, the America still has 45.7 million people who dont have health insurance (2006). America is considered now is the only wealthy country that dont have universal health care.

FUNDING in Global Setting

United Kingdom
United Kingdom is the first health system which offers free medical care to ENTIRE population.

This country gives care on the basis of needs not on the capacity to pay, patient just give 1.3% of total health cost; 90.3% is from taxation and 8.4% from national insurance.

FUNDING in Local Setting

Philippines
55% of total health expenditures in the Philippines are from private sources, mainly out-of-pocket expenditures. Reliance on private funding of health perpetuates the inequity of health care access and health care goals. Although much remains to be done in shifting the burden of health financing to social insurance, some slight improvements have been achieved in this area. The share of social insurance in health spending has increased form 7.1% in 2000 to 7.8% in 2001, as Phil Health continued implementing varied programs (like Sponsored Program, Outpatient Diagnostic Package, Plan 500 and Individuallypaying Program). This is so far the largest contribution of the social insurance sector since 1992.

Government on Health Care Delivery

POLICIES
* Manage health programs initiated by health institutions; health programs funded by the local government should be screened properly for the specific needs of the community. This is to properly manage scarce resources. * Manage the communities health demand, rather than ration supply of care. * Manage health priorities of the community to implement priority programs by health institution.

No to Poor Policy Implementation

Waste of local government scarce resources because specific needs were not met because of mismanagement of health programs There is opportunity cost to health needs that should have met, rather than giving health services not particularly needed at the moment. Insurance policies of developed countries will not be implemented properly, which will a cost a failure for some people to received health care program or services.

Government on Health Care Delivery

REGULATION
* Regulate and manage the health institutions continuity of health protection and illness prevention programs for the community. *Regulate and monitor the continuity of the health programs that were given to the community, this to assure the successful attainment of the therapeutic goal of the program

No to Poor Regulation
Some health programs needs continuous monitoring, as a local leader in the vicinity, monitoring and continuous regulation on the program is needed. This is to assure proper implementation to achieve the common goal. Goal attainment of health services, sometimes takes months to several years, continuity of this project should be properly regulated and manage by the local government. If this will not happen, scarce resources will only be wasted and the therapeutic goal will not be met.

Government on Health Care Delivery

LEADERSHIP
* The government should have a leadership position in driving health care institution to improve safety and quality of health care services. * Act as leaders who will listen to the citizen within the community, of health services mostly needed and health issues that should be treated as early as possible. * Initiate programs for maintenance and enhancement of health, by collaborating with health institutions within their community.

No to Poor Leadership
Quality and safety of each health services should be monitored will, the local government can properly monitor its health workers with collaboration with its ministry of health. This is to properly see the systematic process of administering health services. Health issues are sometimes forwarded to the local government, on the absence of action the health institution, the leader which is the local government should initiate implementation of the needed health care program, with collaboration to the nearest health institution or the ministry of health.

References
Essay by Dr. Philippe Couillard, Qubec Minister of Health and Social Services between 2003 and 2008, Priorities for Government Action Leadership by Example: Coordinating Government Roles in Improving Health Care Quality (2002), Committee on Enhancing Federal Healthcare Quality Programs, Janet M. Corrigan, Jill Eden, and Barbara M. Smith, Editors World Health Organization. The World Health Report 2000: Health Systems: Improving performance. Geneva 2000: World Health Organization Mossialos E, Dixon A. Funding Health Care: an Introduction. In: Mossialos E, Dixon A, Figueras J, Kutzin Mossialos E, Dixon A, Figueras J, et al, eds. Funding health care: options in Europe. Buckingham: Open University Press, 2002. Ikegami N, Campbell JC. Health care reform in Japan: the virtues of muddling through. Health Aff (Millwood)1999;18:56-75.

If each one does their duty as an individual and if each one works in their own proper vocation, it will be right with the whole. Johann Wolfgang Von Goethe

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