Term
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Definition
| o Combination of resources, organization, financing, and management that culminate in the delivery of health services to the population |
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Term
| characeristics of a health care system |
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Definition
goals transcend the provision of health care services
focused on curative, medicalized care
underemphasizes community, prevenatives and integrated services
privileges biomedical and psychosocial models of health |
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Term
| 8 principles of a health care system |
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Definition
| universality, accesibility, portability, equity, comprehensiveness, affordability & sustainabiliy, quality and participation |
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Term
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Definition
| proportion of residents who have a legal right to obtain benefits and care |
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Term
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Definition
| geographic, economic and cultural |
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Term
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Definition
| can citizens obtain care throughout the country |
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Term
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Definition
| access, utilization, resource allocation, delivery quality, delivery effectiveness, health status |
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Term
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Definition
| degree to which services are provided and/or covered either through insurance mechanisms or direct public provisions |
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Term
| affordability and sustainability |
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Definition
| extent to which a system can be financed through agreed upon means and how well it “fits” with social values |
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Term
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Definition
| difficult to measure but a key determinant of health service utilization, system productivity and health outcomes |
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Term
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Definition
| participation of citizens in the design of health care systems may lead to increased equity and responsiveness to needs |
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Term
| 3 divisions of health care system infrastures |
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Definition
| primary care, secondaray care and tertiary care |
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Term
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Definition
| services offered at point of entry; combine preventative and curative, personal and community, individual and environmental aspects |
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Term
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Definition
| standard in-patient services and specialist consultations, often on referral from primary care providers |
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Term
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Definition
| hospital based services (“sick care”) that are highly specialized, example, NICU; sophisticated medical technologies; very costly |
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Term
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Definition
• Based on economic, political and social DOH
• Collective commitment to social justice and equity
• Grassroots organizing and bottom-up representation in the political process |
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Term
| principles of social medicine |
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Definition
o Health: a prized asset of human beings; requires a radical defense of life and wellbeing
o Health is a human and social right and a public good; states have a duty to guarantee it; societies have a right/duty to demand it
o Health must be detached from the logic of the market place |
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Term
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Definition
o Response to over-emphasis of curative medicine & under-emphasis of prevention
o Urgent call for national and international action to protect and promote “health for all” via investment and technological support for primary health care
o Major mile stone in public health in the 20th century because it is the first of its kind |
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Term
| health definition in alma-ata |
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Definition
| health is a state of physical, mental and social wellbeing and not merely the absence of disease or infirmity |
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Term
| determinants of health alma-ata |
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Definition
- gross inequality in health status of developing and developed countries
- promotion of protection of health for economic and social development
- right and duty to particpate in their own health care
- government has responisiblity for their people
-primary health care is essential |
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Term
| key stakeholders of alma-ata |
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Definition
| global community, state and citizens |
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Term
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Definition
| Obligated to address global inequities that adversely impact health by establishing a new international economic order |
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Term
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Definition
| Responsible for the health of their people, only possible via provision of adequate health and social measures (PHC) |
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Term
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Definition
Must be included in planning and implementing their own health care
Both their right and duty |
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Term
| social justice approach to alma-ata |
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Definition
o Seeks to enhance equity and address societal determinants of health (colonialism, imperialism)
o Based on principles of human rights and solidarity
o Work towards a more just redistribution of power and resources
o Bottom-up, with a restructuring of the top |
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