The role of the primary care physician in the Israeli health care system as a ‘gatekeeper’ — the viewpoint of health care policy makers

Health Policy ◽  
2000 ◽  
Vol 52 (2) ◽  
pp. 73-85 ◽  
Author(s):  
H Tabenkin ◽  
Revital Gross
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Care Physician ◽  
Health Care System ◽  
Health Care Policy ◽  
Care Physician ◽  
Care Policy ◽  
Policy Makers ◽  
Care System

Primary Care Physician Specialty Referral Decision Making: Patient, Physician, and Health Care System Determinants

2006 ◽  
Vol 26 (1) ◽  
pp. 76-85 ◽  
Author(s):  
Christopher B. Forrest ◽  
Paul A. Nutting ◽  
Sarah von Schrader ◽  
Charles Rohde ◽  
Barbara Starfield
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Decision Making ◽  
Primary Care Physician ◽  
Health Care System ◽  
Care Physician ◽  
Physician Specialty ◽  
Referral Decision ◽  
Care System

Assessing Health-Care System Performance against the Four Core Aims of Health-Care Policy

2017 ◽  
pp. 202-236
Author(s):  
Gunnar Almgren
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Care System ◽  
Health Care Access ◽  
System Performance ◽  
Health Care Policy ◽  
Care Policy ◽  
Access And Quality ◽  
Risk Protection ◽  
Care System

Previous chapters have provided the historical context and the justification for a set of four core aims of health care policy in light of the requisites of citizenship in a democratic society, and then the basic structure of a reformed national health care system designed to achieve those core aims. Briefly stated, the four core policy aims include: comprehensive health insurance coverage with adequate and equal risk protection, the amelioration of disparities in health care access and quality, equitable comprehensive care and public health investments, and compensatory investments in health care services and public health infrastructure for groups adversely affected by health disparities. This chapter illuminates the major dimensions of health care system performance that are most closely linked to these core policy aims, the range of health care system measures specific to each dimension of performance, and those that appear optimal in light of validity and the pragmatics of data system design and sustainability. The chapter then concludes with a discussion of the criteria for health care policy “success”.

scholarly journals Realizing neighbourhood potential? The role of the availability of health care services on contact with a primary care physician

2012 ◽  
Vol 18 (4) ◽  
pp. 814-823 ◽  
Author(s):  
Daniel W. Harrington ◽  
Kathi Wilson ◽  
Scott Bell ◽  
Nazeem Muhajarine ◽  
Jesse Ruthart
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Care Physician ◽  
Health Care Services ◽  
Care Physician ◽  
Care Services

scholarly journals Working for nothing! Payment by results shortfall in an ENT unit

2008 ◽  
Vol 90 (1) ◽  
pp. 30-32 ◽  
Author(s):  
P Stimpson ◽  
T Pezier ◽  
D Bowdler
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Health Care System ◽  
Financial Incentives ◽  
Patient Contact ◽  
Financial Problems ◽  
Department Of Health ◽  
Flow Through ◽  
Care System

Many NHS Trusts are currently experiencing severe financial problems, with many resorting to compulsory redundancy for staff in order to balance the books. In 2005 the Department of Health (DH) introduced a system of payment by results (PbR), by which health care Trusts charge the Primary Care Trusts (PCTs) for the care and ser vices they provide. PbR represents a dramatic change to the way in which funds flow through the health care system. The aims of PbR are to ensure services are appropriately rewarded while creating financial incentives for Trusts as well as to 'support wider reform'. This system is based on a series of codes and has pushed the role of clinical coders to the fore in NHS Trusts. Every patient contact with the Trust, every diagnosis and every procedure performed generates a particular code from which a predetermined fee can be calculated.

STRUCTURAL COMPONENTS OF THE PRIVATE MEDICAL SECTOR ACTIVATION MECHANISM

Economical ◽  
2019 ◽  
Vol 2 (2(21)) ◽  
pp. 170-177
Author(s):  
Anzhela Bairak ◽  
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Activation Mechanism ◽  
Practical Significance ◽  
Structural Components ◽  
Medical Sector ◽  
Analysis And Synthesis ◽  
Private Medicine ◽  
Care System

The article examines the problems of private medicine in the health care system of the country. The aim of the article is to determine the structural components of the mechanism of activation of the private medical sector as a reserve for the provision of quality and affordable medical services and a driver for the development of the medical industry. The descriptive-analytical method, methods of analysis and synthesis, comparison, statistical, analysis and scientific generalization were used in the paper. The study substantiates the strengthening of the role of the private medical sector in the health care management system. The key problems of the domestic private medical sector and the restraining factors of its development are identified. It is concluded that it is necessary to develop a mechanism to promote the development of private medicine through a policy of active change in the health care system. The directions of activation of the private medical sector as a target reference point in the process of determining the structural elements of the organizational and economic mechanism are outlined. The structural detail of the mechanism of activation of the private medical sector for optimization of the health care system is offered. The practical significance of the obtained results is that the results of the research presented in the article are a practical basis for the development and improvement of mechanisms of public administration in the field of health care.

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