Public Health and Physicians: Can the current system adapt to the integration of public and private sector primary health services? An exploration

2001 ◽  
Author(s):  
Eileen Patterson ◽  
Sharon Yanicki
Keyword(s):  
Public Health ◽  
Health Services ◽  
Private Sector ◽  
Current System ◽  
Public And Private ◽  
Primary Health ◽  
Primary Health Services ◽  
Public And Private Sector

Utilization of Primary Health Services in Hong Kong

2015 ◽  
pp. 1159-1176
Author(s):  
Raymond K. H. Chan ◽  
Kang Hu
Keyword(s):  
Health Care ◽  
Hong Kong ◽  
Health Insurance ◽  
Health Services ◽  
Private Insurance ◽  
Public Health Services ◽  
Public And Private ◽  
The Public ◽  
Primary Health ◽  
Primary Health Services

This chapter analyzes the issue of primary health care utilization in Hong Kong and introduces the case of Hong Kong where a special division between public and private sectors has developed in the field of primary health services. The chapter argues that in the foreseeable future, it is likely that the division of health care between the public and private sector will be maintained. In recent years, more and more individuals and families have purchased private health insurance so as to gain more options. The idea of universal health insurance was rejected by the public in recent consultations; the current alternative is government-regulated private insurance. Although private primary health services will continue as usual in the near future, public primary health services should be maintained or even expanded. Given the costliness of private services (especially specialist services), it is recommended that more resources should be invested in corresponding public health services.

Utilization of Primary Health Services in Hong Kong

2014 ◽  
pp. 191-208
Author(s):  
Raymond K. H. Chan ◽  
Kang Hu
Keyword(s):  
Health Care ◽  
Hong Kong ◽  
Health Insurance ◽  
Health Services ◽  
Private Insurance ◽  
Public Health Services ◽  
Public And Private ◽  
The Public ◽  
Primary Health ◽  
Primary Health Services

This chapter analyzes the issue of primary health care utilization in Hong Kong and introduces the case of Hong Kong where a special division between public and private sectors has developed in the field of primary health services. The chapter argues that in the foreseeable future, it is likely that the division of health care between the public and private sector will be maintained. In recent years, more and more individuals and families have purchased private health insurance so as to gain more options. The idea of universal health insurance was rejected by the public in recent consultations; the current alternative is government-regulated private insurance. Although private primary health services will continue as usual in the near future, public primary health services should be maintained or even expanded. Given the costliness of private services (especially specialist services), it is recommended that more resources should be invested in corresponding public health services.

scholarly journals The physiotherapy workforce in the Brazilian Unified Health Care System

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Carolina Hart Rodés ◽  
João Vitor Lovato Daré ◽  
Bruna Carolina de Araujo ◽  
Leonardo Graciani ◽  
Silvia Maria Amado João ◽  
...  
Keyword(s):  
Health Care ◽  
Private Sector ◽  
Annual Average ◽  
Care Level ◽  
Public And Private ◽  
The Public ◽  
Primary Health ◽  
Secondary Health Care ◽  
Population Ratio ◽  
Public And Private Sector

Abstract Background Maintaining sufficient health care workforce is a global priority to achieve universal health coverage. Therefore this study addresses the availability of physiotherapists in Brazil. Objective To describe secular trends of the physiotherapy workforce-to-population ratio in the Unified Health System, considering public and private sector and care level (primary, secondary, tertiary) in Brazil and its regions. Method Descriptive exploratory quantitative study based on secondary sources. All data related to the distribution of physiotherapists between August 2007 and September 2016 regarding facilities types, location and public and private sectors was obtained from the Brazilian National Registry of Health Care Facilities. Data related to the population of Brazil was extracted from Brazilian Institute of Geography and Statistics. The physiotherapy workforce-to-population ratio was calculated by the number of physiotherapists per 1000 population (public and private sector and care level) by ANOVA test. The distribution trends are represented on maps. Annual growth rates were estimated with Prais–Winsten linear regression models, with a significance level of 0.05, autocorrelation was checked by the Durbin–Watson test. Results The physiotherapists ratio in Brazil was 0.22/1000 population in 2007 and 0.41 in 2016, showing growth of 86%, with an increasing trend of 0.5% on an annual average. The public sector had the biggest physiotherapy workforce in the country in 2007 and 2016. The primary health care had the smallest physiotherapy workforce-to-population ratio (2007: p > 0.001 and 2016: p = 0.003), even though it had the largest growth trend in annual average (0.9% p > 0.001), followed by public and private tertiary health care sectors (0.8% p > 0.001). The workforce in secondary health care was bigger in the private sector than in the public sector (0.6% p > 0.001 vs. 0.2% p = 0.004). Overall, all regions had greater growth of physiotherapy workforce-to-population ratio in public primary and tertiary health care sectors, and private secondary health care sector, mainly the Southeast, South and Central-West regions. Conclusion Although the physiotherapy workforce in Brazil is relatively small, there was a trend towards growth with differences among care levels, and public and private sectors. The physiotherapy workforce-to-population ratio is bigger in the private secondary health care sector, followed by public tertiary, secondary and primary health care sectors. Sub-national regions show similar trends to the national estimates, with minor variations by region.

scholarly journals The smoking economic control across the primary health services

2020 ◽  
Vol 2 (2) ◽  
pp. 01-03
Author(s):  
Fé Fernández Hernández
Keyword(s):  
Public Health ◽  
Health Services ◽  
Financial Management ◽  
Policy Objective ◽  
The Public ◽  
Primary Health ◽  
Health Level ◽  
Economic Control ◽  
Primary Health Services ◽  
Smoking Control

Background: Primary health services play a decisive role for the social policy about health attention. This Public Health level attends the largest patient’s numbers. The economy resources are always limited. Smoking carries to higher spend from the Public Health agree with the tobacco consumption and the smokers’ number. Then, the economic smoking control since the primary health services must be a priority for the health policy. Objective: To describe the primary public health server in the economic smoking control. Materials and methods: Theoric methods: comparative, inductive – deductive. Empiric methods: bibliographic research. Results: The primary public health server must be agree with capability and limitations from the public health level where works. Thus should be possible optimizate the patiens number applying for health services in superior levels. Conclusions: The smoking economic control across the primary public health services carries to reduce the smoking economic impact over the financial management for the Public Health.

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