Types of Health Care systems

the 5 different types of health care- pluralistic, emergent, insured/social security, socialist and NHS

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Emergent

Typical of LEDCs

Health care (HC) viewed as an item of personal consumption

physicians operate as a solo entrepreneur

Professional associations are powerful

Private ownership of facilities

Direct payment to physicians

State role in HC is minimal

Development of local health workers --->untrained workers do things/give treatment

E.G. Bangladesh, Brazil, India, Kenya

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Pluralistic

Used in USA

HC consumer product

Physicians operate as solo entrepreneur

Professional associations are powerful

Private and public ownership of facilities

State role in HC is minimal

2 of 5

Insurance/Social security systems

HC is an insured and guaranteed consumer product

Physicians operate as solo entrepreneurs and as members of the professional associations which are strong

private and public ownership of facilities

Payment for services mainly indirect-surgeons get money from insurance company rather than people

State's role in HC evident but indirect

Typical in: France Spain Japan

The state doesn't necessarily dictate how much is spent and what on

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NHS

HC= State-supported service

physicians operate as solo entrepreneurs and as members of the professional association which are strong

Facilities are mainly publicly owned

State's role is central and direct

Typical of UK and Canada

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Socialised systems

HC is state provided public service

Physicians are state employed

Professional associations are weak and non existant

Facilities are wholely public owned

Payments for services are entirely indirect

States role in HC is total

Typical in CUBA!!

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