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Textbook of Global Health$
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Anne-Emanuelle Birn, Yogan Pillay, and Timothy H. Holtz

Print publication date: 2017

Print ISBN-13: 9780199392285

Published to Oxford Scholarship Online: March 2017

DOI: 10.1093/acprof:oso/9780199392285.001.0001

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Understanding and Organizing Health Care Systems

Understanding and Organizing Health Care Systems

Chapter:
(p.477) 11 Understanding and Organizing Health Care Systems
Source:
Textbook of Global Health
Author(s):

Anne-Emanuelle Birn

Yogan Pillay

Timothy H. Holtz

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780199392285.003.0011

This chapter examines archetypes of health care systems, from various European national health systems to the centrally planned model of the former Soviet Union and the market-driven US model. The chapter then analyzes two key health care policy approaches: primary health care and universal health coverage. It provides illustrations of recent and ongoing health system reforms across all world regions (covering China, Thailand, the Middle East, Brazil, Mexico, South Africa, South Korea, and India) that address—to varying degrees—questions of regulation, financing, resource allocation, the nature of service provision, and principles of universality, access, affordability, quality, and equity within the politics of their context. In addition, it provides an overview of the building blocks of health care systems including facilities, different types of health care personnel, problems around health workforce migration, technology, and the powerful role of the pharmaceutical industry.

Keywords:   health care systems, primary health care, universal health coverage, health care access, quality, health system reform, pharmaceuticals, facilities, health personnel, health workforce migration

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