| Magazine
> Volume LVII / n. 1/2 January/April 2001 |
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| Introductory
Note |
Augusto
Panà
Dean of the Chair of Hygiene at the Tor Vergata University of Rome
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3 |
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| 1.
Why do Health System matter? |
7
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1.2
What is a Health System?
1.3 What do Health System do?
1.4 Why Health System matter
1.5 How modern Health Systems evolved
1.6 Focusing on Performance
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| 2.
How well do Health Systems perform? |
25
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2.1
Attainment and Performance
2.2 Goals and Functions
2.3 Goodness and Fairness: both Level and Distribution matter
2.4 Measuring Goal Achievement
2.5 Overall Attainment: Goodness and Fairness combined
2.6 Performance: getting Results from Resources
2.7 Improving Performance: four Key Functions
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| 3.
Health Services: well chosen, well organized? |
75
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3.1
Organizational Failings
3.2 People at the centre of Health Services
3.3 Choosing Interventions: getting the most Health from Resources
3.4 Choosing Interventions: what else matters?
3.5 Choosing Interventions: what must be known?
3.6 Enforcing Priorities by rationing Care
3.7 After choosing Priorities: Service Organization and Provider
Incentives
3.8 Organizational Forms
3.9 Service Delivery Configurations
3.10 Aligning Incentives
3.11 Integration of Provision |
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| 4
What Resources are needed? |
101
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4.1
Balancing the mix of Resources
4.2 Human Resources are vital
4.3 Adjusting to Advances in Knowledge and Technology
4.4 Public and Private Production of Resources
4.5 The Legacy of past Investiments
4.6 Health Care Resource Profiles
4.7 Changing Investment Patterns
4.8 The way forward
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| 5
Who pays for Health Systems? |
121
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5.1
How Financing works
5.2 Prepayment and Collection
5.3 Spreading Risk and subsidizing the Poor: pooling of Resources
5.4 Strategic Purchasing
5.5 Organizational Forms
5.6 Incentives
5.7 How Financing affects Equity and Efficiency
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| 6
How is the Public Interest protected? |
145
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6.1
Governments as Stewards of Health Resources
6.2 What is wrong with Stewardship today?
6.3 Health Policy - Vision for the Future
6.4 Setting the Rules, ensuring Compliance
6.5 Exercising Intelligence, sharing Knowledge
6.6 Strategies, Roles and Resources: who should do what?
6.7 What are the Challenges?
6.8 How to improve Performance |
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List
of key words selected for rapid browsing
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