Annual Results and Impact Evaluation Workshop for RBF - Day One - Results-Based Financing in the Argentine Health System
•
0 likes•143 views
A presentation from the 2014 Annual Results and Impact Evaluation Workshop for RBF, held in Buenos Aires, Argentina.
Recommended
Recommended
More Related Content
What's hot
What's hot (20)
Similar to Annual Results and Impact Evaluation Workshop for RBF - Day One - Results-Based Financing in the Argentine Health System
Similar to Annual Results and Impact Evaluation Workshop for RBF - Day One - Results-Based Financing in the Argentine Health System (20)
More from RBFHealth
More from RBFHealth (20)
Recently uploaded
Recently uploaded (20)
Annual Results and Impact Evaluation Workshop for RBF - Day One - Results-Based Financing in the Argentine Health System
- 1. Dr. Jaime Lazovski Secretario de Promoción y Programas Sanitarios Results-based Financing in the Argentine Health System Overview
- 2. • Growing population and urbanization • Demo-epidemiological transition, chronic degenerative diseases • Constant innovation on technology and increasing complexity and cost of health services • Industry marketing on health professionals • What is a Public Health Problem? Right to Health • Orphan and catastrophic drugs, neglected diseases • Professional specialization and gap between offer and demand for health workers Challenges for Health Systems
- 3. Argentine Health Sector •Federal •Decentralized •Subsectored •Universal SSS: Superintendencia de Servicios de Salud FSR: Fondo Solidario de Redistribución APE: Administraciónde Programas Especiales PMO: Programa Médico Obligatorio AFIP: Administración Federal de Ingresos Públicos ANSES: Administración Na.c. de la Seguridad Social PAMI-INNSSJP: Instituto Nacional de Servicios Sociales para Jubilados y Pensionados Source: Maceira D y col. Coordinación e integración: el desafío del sistema de salud argentino. CIPPEC, DT49, 2010
- 4. Source: INDEC. Censo Nacional de Población, Hogares y Viviendas 2010. Coverage Distribution SOCIAL SECURITY NO INSURANCE PRIVATE SECURITY
- 5. • Mayor inequalities between the northern less developed region and the central-southern ones • Serious inequalities between higher income people and the lower income ones • Moderate Infant and Maternal mortality rates • Historically, the MoH only dealt with hospital management and the prevention and control of mayor endemies (TB, Chagas’s dis, Malaria, etc.) Plan Nacer – Creation Context
- 6. • Social, political and economic crisis, 2001-2003 • MoH’s need to turn into PHC aproach • MoH’s need to improve efficiency - Plan Nacer (Mother-Child insurance with RBF) - Programa Remediar (Essential drugs) - Médicos comunitarios (HR Education) Plan Nacer – Creation Context
- 7. • Strategic planning with systemic vision • Generating información • Monitoring processes and outcomes, and impact assessment (quality) • On-going innovation and improvement Results-based Financing Payments based on outcomes (incentives) help to get HR more motivated, more satisfied and more efficient.
- 8. • Effective coverage for uninsured population • Capitated money transfers conditionated to measurable, attributable and auditable outcomes • Increasing goals • Final investment of resources decided by the care providers but compatible with the wanted outcomes Management Summary
- 9. • To improve the accessibility and quality of health services and to reduce the gaps of care between high and low earners and between provinces with high and low development • Ph1: Maternal and infant morbidity and mortality • Ph2: Teenagers and adult women morbidity and mortality • Changing culture of public health management Purposes
- 10. Trend of IMR and 2015 Projection
- 11. IMR correlate between less developed regions (northen provinces) and country average
- 12. • To scale-up and institucionalize RBF What next?
- 13. Thank you!