HEALTH CARE SYSTEM EFFICIENCY: A SUB-STATE LEVEL ANALYSIS FOR ORISSA (INDIA)

2016 ◽  
Vol 28 (1) ◽  
pp. 55-74 ◽  
Author(s):  
Brijesh C Purohit
Author(s):  
Tiffany D. Joseph

Tiffany D. Joseph’s chapter examines how stratification of access by immigration status effectively undermined a “universal” health policy. While the ACA only extended coverage to U.S. citizens and eligible documented immigrants, Massachusetts pursued a universal health care system at the state level and offered coverage to all residents, regardless of documentation status. Despite this policy that aimed for inclusion, immigrants in Massachusetts were still more likely than non-immigrants to remain uninsured. Joseph interviewed Brazilian and Dominican immigrants, health care professionals, and immigrant/health organization employees to find out why immigrants remained uninsured. She identified immigration-related, health care system, and bureaucratic barriers that prevented individuals from effectively accessing care. Massachusetts serves as both a model and a cautionary tale for ACA implementation, with barriers exacerbated for immigrant, low-income, and minority populations.


Author(s):  
Vira Kutsenko ◽  
Iryna Kinash ◽  
Hanna Yevtushenko

The article reveals the essence of the category of "population health", the methodology and methods of its cognition, the main methods and techniques of the empirical and theoretical levels of research, the technology of their practical use in ensuring sustainable socio-economic development of the country. The main attention is paid to the analysis and assessment of the health status of the population – the main productive force of society, on the basis of which it is concluded that in Ukraine there is a deterioration in the corresponding characteristics. It is noted that this is primarily influenced by insufficient financial and resource support of the medical industry as a whole. Other factors that negatively affect the health of the Ukrainian population are also indicated. An important role in overcoming these negative phenomena is played by the modernization of the medical industry, the rational use of its resource potential, the formation of a civilized market of medical services. In this regard, it is emphasized that the activities of the health care system of Ukraine should be based on unified national principles, including the formation of economically viable systems for organizing medical care, taking into account the real needs of the population, the possibilities of meeting them, as well as the most appropriate allocation of resources and their effective use. The peculiarities of the current situation with the spread of coronavirus, which led to the exacerbation of existing problems, which require the search for new approaches to their solution, related to the adoption of fundamental decisions, especially at the state level are taken into account. In addition, the article provides an assessment of the main results of the ongoing reforms in the health care system of Ukraine. In the course of the study, considerable attention is paid to structural and typological features, as well as the conditions for the formation and strengthening of public health - an important factor in increasing labor productivity, developing the economy based on the principles of sustainable development. The economic, innovative and technological aspects of the development of the health care system are summarized. New approaches to further strengthening and preserving the health of the population in the context of implementing the tasks of sustainable development are substantiated.


2020 ◽  
Vol 158 (6) ◽  
pp. S-910-S-911
Author(s):  
Heiko Pohl ◽  
Charles J. Kahi ◽  
Thomas F. Imperiale ◽  
Laura Myers ◽  
Andres H. Aguilera-Fish ◽  
...  

PLoS ONE ◽  
2021 ◽  
Vol 16 (7) ◽  
pp. e0253450
Author(s):  
Virginia Zarulli ◽  
Elizaveta Sopina ◽  
Veronica Toffolutti ◽  
Adam Lenart

Despite the evidence of links between health expenditure and health care efficiency, it is still unclear why countries with similar levels of health expenditures experience different outputs in terms of life expectancy at birth. Health care system efficiency might shed some light on the question. Using output-oriented data envelopment analysis, we compared the health systems of 140 countries in terms of attained life expectancy. Efficiency is determined by the distance from the closest country on the best practice frontier, which identifies the highest attainable life expectancy observed for any given level of health care spending. By using national data form the Human Development Data, we built the efficiency frontier and computed the potential life expectancy increase for each country. The potential improvement was, on average, 5.47 years [95%CI: 4.71–6.27 years]. The least efficient countries (10th percentile of the efficiency score) could improve by 11.78 years, while the most efficient countries (90th percentile of the efficiency score) could only improve by 0.83 years. We then analyzed, with regression analysis stratified by average education level, and by the role of health-related variables in differentiating efficient and inefficient countries from each other. The results suggest that, among countries with lower levels of education, decreasing unemployment and income inequality increases average life expectancy, without increasing health expenditure levels.


Author(s):  
Agnieszka Bem ◽  
Paulina Ucieklak-Jeż ◽  
Paweł Prędkiewicz

Author(s):  
I. Matseliуkh ◽  
A. Musiienko

The paper studies the evolution of quarantine measures used in the spread of plague, cholera and Spanish flu. Attempts to combat infectious diseases that took place in the Rus state, the Grand Duchy of Lithuania, the Zaporozhian Sich are analyzed. Quarantine legislation of the Russian Empire is examined. The provisions of the Medical Charter of 1832, the Quarantine Charter of 1866, as well as the prescriptions of other regulatory acts aimed at preventing the spread of epidemics on the territory of the Russian Empire are also studied. Emphasis is placed on medical and police nature of regulatory prescriptions. The author examines the changes in the health care system and quarantine measures applied during the Ukrainian Revolution of 1917 – 1921. The organizational and legal grounds for administration in the field of health care in the Ukrainian State of Hetman Pavlo Skoropadsky are also analyzed. The article studies the procedure for establishing the Ministry of Health and the powers of the Minister of Health. It is stated that world pandemics are not a novelty in the historical chronicle and there is a way out of the epidemiological crisis. It has two paths, namely the death and destruction of society or the path of rapid development, the improvement of the medical system, which will eventually lead to progress, the transition to a new level of development of civilization itself. Epidemics forced a rapid reorientation and improvement of sanitary conditions, adherence to hygiene measures, nutrition, waste disposal, etc., as well as creation of a health care system that at the state level took over the functions of social protection against dangerous diseases. The challenges caused by the coronavirus will not only be successfully overcome, but also the medical sphere will be improved, and conditions will be created for the rapid development of the industry. We are convinced that only a well-chosen special model for public administration in the field of health care, headed by relevant high-level specialists, with proper funding, could cope with the epidemic in the country, as well as allow the medical system to reach a qualitatively new level.


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