Powerpointpresentatie gebruikt door dr. Maria Pilar Astier Pena en dr; José Miguel Bueno Ortiz, tijdens het congres van Artsenkring Halle en Omgeving aangaande "Splitsing van de gezondheidszorg: een meerwaarde?" op woensdag 9/2/2011 te Halle.
This EIU report has been commissioned by Gilead Sciences. It looks at health outcomes of treatment relative to cost and at the structure of Spanish healthcare delivery, the process of making healthcare more accountable in Spain, and the growth and adoption of value-based measures.
Spain has a universal healthcare system that ensures all citizens have coverage, unlike the United States where many lack insurance. Spain developed its national healthcare system after Franco's death in 1975, which guarantees equal access to services. While Spain spends less on healthcare as a percentage of GDP compared to the US, it provides universal coverage through regional public insurance programs and optional private insurance. Citizens show their European Health Insurance Card for covered care at public facilities, while private insurance provides additional benefits like choice of doctors and shorter wait times.
Towards Universal Comprehensive and Equitable National Health Systems: essadmin
This document discusses Brazil's 22-year experience developing its national health system, known as SUS, towards the goals of universality, comprehensiveness, and equity. Key aspects include establishing health as a right in the 1988 constitution, decentralizing the system to municipalities, expanding primary care through family health teams, and ongoing challenges around sufficient and stable financing. The SUS now provides universal coverage through tax-funded public services and regulated private partnerships, showing progress on health access, outcomes, and inclusion over decades of implementation.
Ribera Salud's Complex Care Plan provides coordinated care for elderly patients in Spain with multiple chronic conditions. The plan uses a multidisciplinary team-based approach across primary care, hospitals, home care and social services. Key goals are improving outcomes, reducing unnecessary hospitalizations and lowering costs. Performance is measured using quality indicators and incentives are tied to meeting targets. The program has led to better care coordination and reduced hospital admissions and readmissions for the over 4,500 enrolled patients.
The document summarizes Ribera Salud, a Spanish healthcare management company that developed the "Alzira Model" of public-private collaboration in healthcare. The model involves private management of public hospitals and healthcare services. Key aspects of the model include public funding and ownership of facilities, private operation of services, and benefits for patients, professionals, and the administration such as improved quality, access, and budget relief. The company operates multiple hospitals under this model and has received numerous awards for its success and innovation.
The document summarizes Brazil's telehealth strategy and programs. It notes that Brazil has a large population of 190 million spread across 26 states. The national health system aims for universal healthcare. The country's primary healthcare strategy relies on family health teams covering over 90 million people. Brazil's telehealth program launched in 2007 to support primary care through teleconsultations, education, and creating a virtual library. It now operates in 9 states through over 1200 points, covering 11 million people. The program aims to improve care quality, train workers, and integrate academic and clinical institutions.
The document provides information on primary care systems in four European countries: Italy, Spain, Portugal, and Greece. In Italy, primary care is delivered by general practitioners (GPs) and family pediatricians (FPs) working in individual practices or networks. GPs are paid mainly through capitation. In Spain, primary care is delivered through multidisciplinary teams centered around family doctors acting as gatekeepers. Most providers are salaried with some performance-based incentives. Portugal reformed primary care by establishing small family health units staffed by multi-professional teams paid by capitation and incentives. Greece has a fragmented system with difficulties in access, continuity, and coordination exacerbated by high private payments.
This EIU report has been commissioned by Gilead Sciences. It looks at health outcomes of treatment relative to cost and at the structure of Spanish healthcare delivery, the process of making healthcare more accountable in Spain, and the growth and adoption of value-based measures.
Spain has a universal healthcare system that ensures all citizens have coverage, unlike the United States where many lack insurance. Spain developed its national healthcare system after Franco's death in 1975, which guarantees equal access to services. While Spain spends less on healthcare as a percentage of GDP compared to the US, it provides universal coverage through regional public insurance programs and optional private insurance. Citizens show their European Health Insurance Card for covered care at public facilities, while private insurance provides additional benefits like choice of doctors and shorter wait times.
Towards Universal Comprehensive and Equitable National Health Systems: essadmin
This document discusses Brazil's 22-year experience developing its national health system, known as SUS, towards the goals of universality, comprehensiveness, and equity. Key aspects include establishing health as a right in the 1988 constitution, decentralizing the system to municipalities, expanding primary care through family health teams, and ongoing challenges around sufficient and stable financing. The SUS now provides universal coverage through tax-funded public services and regulated private partnerships, showing progress on health access, outcomes, and inclusion over decades of implementation.
Ribera Salud's Complex Care Plan provides coordinated care for elderly patients in Spain with multiple chronic conditions. The plan uses a multidisciplinary team-based approach across primary care, hospitals, home care and social services. Key goals are improving outcomes, reducing unnecessary hospitalizations and lowering costs. Performance is measured using quality indicators and incentives are tied to meeting targets. The program has led to better care coordination and reduced hospital admissions and readmissions for the over 4,500 enrolled patients.
The document summarizes Ribera Salud, a Spanish healthcare management company that developed the "Alzira Model" of public-private collaboration in healthcare. The model involves private management of public hospitals and healthcare services. Key aspects of the model include public funding and ownership of facilities, private operation of services, and benefits for patients, professionals, and the administration such as improved quality, access, and budget relief. The company operates multiple hospitals under this model and has received numerous awards for its success and innovation.
The document summarizes Brazil's telehealth strategy and programs. It notes that Brazil has a large population of 190 million spread across 26 states. The national health system aims for universal healthcare. The country's primary healthcare strategy relies on family health teams covering over 90 million people. Brazil's telehealth program launched in 2007 to support primary care through teleconsultations, education, and creating a virtual library. It now operates in 9 states through over 1200 points, covering 11 million people. The program aims to improve care quality, train workers, and integrate academic and clinical institutions.
The document provides information on primary care systems in four European countries: Italy, Spain, Portugal, and Greece. In Italy, primary care is delivered by general practitioners (GPs) and family pediatricians (FPs) working in individual practices or networks. GPs are paid mainly through capitation. In Spain, primary care is delivered through multidisciplinary teams centered around family doctors acting as gatekeepers. Most providers are salaried with some performance-based incentives. Portugal reformed primary care by establishing small family health units staffed by multi-professional teams paid by capitation and incentives. Greece has a fragmented system with difficulties in access, continuity, and coordination exacerbated by high private payments.
This a brief summary of the Primary Care level development at the Andalusia region, Spain, in the last 25 years, and a description of the current main features and outcomes in terms of accessibility, resources, patient's satisfaction, life expectancy, mortality and health expenditure.
Who we are? BSA with a comprehensive view on healthcare, is set up in this town of health in order to provide an effective assistance and to respond to people’s needs. One of the main goals of this town and BSA is to become reference site in the field of health. In fact, rendering integrated care services means covering all person’s care needs. This is the challenge that drives BSA every day, a municipal organization that provides health services and care to the dependents to the citizens of Barcelonès Nord and Baix Maresme, to promote, preserve and restore individual and collective health, and promote the general welfare of its inhabitants.
The document summarizes key facts about the connected health market in Europe. It notes that the EU population is over 500 million people served by national public health systems with universal coverage. While systems differ by country, expenditures average around 9% of GDP. Chronic diseases represent 80% of health costs and the population is aging. The document then highlights details on Germany, France, UK and EU-wide characteristics, noting fragmentation across countries and a transition toward preventative and personalized health.
“ OVERCOMING TRAINING
BARRIERS IN
PRIMARY CARE – RURAL TRAINING”. EURIPA AND VASCO DA GAMA MOVEMENT JOINT WORSHOP
Dr. Raquel Gómez Bravo (Vasco da Gama Movement – Semfyc. Spain ) Wonca Europe, Istanbul 2008
A journey from the Chronic Condition Care Program to a new health and social integrated care model.
Deck available in link:
http://www-01.ibm.com/software/city-operations/curam-research-institute/curam-roundtable/index.html
The European, Chinese, and United States healthcare markets are a study of contrasts, each of which face a unique set of challenges and issues for their combined 2.4 billion citizens. Despite their differences, there are a number of opportunities for organizations to learn and profit through intercontinental collaboration on their paths to a more connected healthcare ecosystem. Panelists representing the three regions will provide an overview of their country’s unique healthcare landscape and offer a vision for a future of collaboration and progress.
• Brian O'Connor - Chair, European Connected Health Alliance
• Millard Chiang - Chairman, China Connected Health Alliance; Chair, Pegasus Holdings Group
• Julien Venne - Strategic Advisor & European Project Team Leader, European Connected Health Alliance
• David Whitlinger - Executive Director, New York eHealth Collaborative
New York eHealth Collaborative Digital Health Conference
November 18, 2014
The document provides an overview of the National Rural Health Mission (NRHM) in India. It discusses the evolution and goals of NRHM, which aims to provide accessible, affordable and quality healthcare in rural areas. Key aspects include strengthening infrastructure through community health centers and sub-centers, employing Accredited Social Health Activists (ASHAs) and expanding immunization and maternal/child healthcare programs. The document also outlines NRHM's institutional structure, implementation of programs like Janani Suraksha Yojana and achievements to date in increasing healthcare access across rural India.
This document provides an overview of the evolution of public health in Brazil. It discusses how Brazil transitioned from a centralized social security model in the early 20th century that covered only 30% of the population, to establishing a unified public health system (SUS) in 1988 that provides universal coverage. The SUS is a decentralized system that involves community participation and focuses on primary care. It has helped reduce mortality rates and improve access to health services. However, challenges remain around equity, quality, and non-communicable diseases.
Mirela Busic - Croatia - Tuesday 29 - Madrid Group Open Meetingincucai_isodp
The document summarizes organ donation and transplantation in Croatia. It describes how Croatia improved its organ donation system over the past 20 years by implementing several measures inspired by the Spanish model, including establishing a network of transplant coordinators, providing training programs, and joining the Eurotransplant organization. As a result of these efforts, Croatia significantly increased its organ donor rate from 2.7 per million people in 1999 to 27.4 in 2010. The improved system has helped reduce waiting lists and waiting times for organ transplants in Croatia.
The document discusses Catalonia's transition from a chronic care program to an integrated health and social care model. It describes Catalonia's healthcare system and the aging population it serves. It outlines strategic projects from the 2011-2015 Health Plan including developing integrated care pathways and classifying complex chronic patients. The chronic care program aims to identify these complex patients and develop shared intervention plans incorporating health and social needs. Risk stratification tools are used to segment the population and identify those at high risk of hospitalization. [/SUMMARY]
DELSA/GOV 3rd Health meeting - Bogart MONTIEL REYNAOECD Governance
This presentation by Bogart MONTIEL REYNA was made at the 3rd Joint DELSA/GOV Health Meeting, Paris 24-25 April 2014. Find out more at www.oecd.org/gov/budgeting/3rdmeetingdelsagovnetworkfiscalsustainabilityofhealthsystems2014.htm
The health care system in Denmark is publicly funded through taxes and decentralized between national, regional, and municipal levels of government. It provides universal access to services like hospitals, doctors, and dental care. Recent reforms aim to improve quality by merging specialized services into fewer, larger "super hospitals" to increase volumes. The government is investing billions to modernize old hospitals or replace them as recommended by experts who reviewed the regions' plans.
The document discusses Nepal's free healthcare policy introduced in 2006. It aims to provide equal access to healthcare for all citizens, especially the poor, as a fundamental right. The policy provides free services like consultations, treatments, surgeries and essential drugs at health centers and hospitals. However, there are challenges in implementing the policy like ensuring quality of care, identifying the poor, training health workers and monitoring the system. Proper budgeting, resources and evaluations are needed to improve healthcare access for all Nepalis as intended by the policy.
India has a decentralized healthcare system, with states largely independent in delivering healthcare. Each state has its own healthcare delivery system, while the central government is responsible for policymaking, planning, guidance, and coordination. Healthcare is delivered through a three-tiered system - central, state, and district level. At the district level in rural areas, community healthcare is delivered through subcenters, primary health centers (PHCs), and community health centers (CHCs).
Legal and policy frameworks for Universal Healthcare Coverage in KenyaMaurice Oduor
This slides looks at the legal and policy bases for universal healthcare coverage in Kenya. It considers the manner in which the law and policy supports or hinders the attainment of UHC in Kenya.
Andalusia is a large region in southern Spain with over 8 million residents. It has a comprehensive public healthcare system with 1,500 primary care centers, 44 public hospitals, and over 88,000 healthcare professionals. The system aims to improve quality, access, and citizens' rights through measures like maximum wait times for procedures, second medical opinions, and adapting facilities for children and elderly. It also has numerous health plans and programs targeting issues like diabetes, cancer, cardiovascular disease, and tobacco use through prevention, care, education, and research.
The document discusses the recommendations of various committees related to development of healthcare services in India. Some of the key recommendations include:
- Integration of preventive and curative services at all levels of administration.
- Establishment of a three-tier primary healthcare system with primary health units, regional health units, and district hospitals.
- Training of community health workers to deliver primary healthcare services and act as a link between the community and primary health centers.
- Creation of a unified health services cadre with common terms of service.
- Involvement of medical colleges in rural healthcare delivery through programs like Reorientation of Medical Education.
This a brief summary of the Primary Care level development at the Andalusia region, Spain, in the last 25 years, and a description of the current main features and outcomes in terms of accessibility, resources, patient's satisfaction, life expectancy, mortality and health expenditure.
Who we are? BSA with a comprehensive view on healthcare, is set up in this town of health in order to provide an effective assistance and to respond to people’s needs. One of the main goals of this town and BSA is to become reference site in the field of health. In fact, rendering integrated care services means covering all person’s care needs. This is the challenge that drives BSA every day, a municipal organization that provides health services and care to the dependents to the citizens of Barcelonès Nord and Baix Maresme, to promote, preserve and restore individual and collective health, and promote the general welfare of its inhabitants.
The document summarizes key facts about the connected health market in Europe. It notes that the EU population is over 500 million people served by national public health systems with universal coverage. While systems differ by country, expenditures average around 9% of GDP. Chronic diseases represent 80% of health costs and the population is aging. The document then highlights details on Germany, France, UK and EU-wide characteristics, noting fragmentation across countries and a transition toward preventative and personalized health.
“ OVERCOMING TRAINING
BARRIERS IN
PRIMARY CARE – RURAL TRAINING”. EURIPA AND VASCO DA GAMA MOVEMENT JOINT WORSHOP
Dr. Raquel Gómez Bravo (Vasco da Gama Movement – Semfyc. Spain ) Wonca Europe, Istanbul 2008
A journey from the Chronic Condition Care Program to a new health and social integrated care model.
Deck available in link:
http://www-01.ibm.com/software/city-operations/curam-research-institute/curam-roundtable/index.html
The European, Chinese, and United States healthcare markets are a study of contrasts, each of which face a unique set of challenges and issues for their combined 2.4 billion citizens. Despite their differences, there are a number of opportunities for organizations to learn and profit through intercontinental collaboration on their paths to a more connected healthcare ecosystem. Panelists representing the three regions will provide an overview of their country’s unique healthcare landscape and offer a vision for a future of collaboration and progress.
• Brian O'Connor - Chair, European Connected Health Alliance
• Millard Chiang - Chairman, China Connected Health Alliance; Chair, Pegasus Holdings Group
• Julien Venne - Strategic Advisor & European Project Team Leader, European Connected Health Alliance
• David Whitlinger - Executive Director, New York eHealth Collaborative
New York eHealth Collaborative Digital Health Conference
November 18, 2014
The document provides an overview of the National Rural Health Mission (NRHM) in India. It discusses the evolution and goals of NRHM, which aims to provide accessible, affordable and quality healthcare in rural areas. Key aspects include strengthening infrastructure through community health centers and sub-centers, employing Accredited Social Health Activists (ASHAs) and expanding immunization and maternal/child healthcare programs. The document also outlines NRHM's institutional structure, implementation of programs like Janani Suraksha Yojana and achievements to date in increasing healthcare access across rural India.
This document provides an overview of the evolution of public health in Brazil. It discusses how Brazil transitioned from a centralized social security model in the early 20th century that covered only 30% of the population, to establishing a unified public health system (SUS) in 1988 that provides universal coverage. The SUS is a decentralized system that involves community participation and focuses on primary care. It has helped reduce mortality rates and improve access to health services. However, challenges remain around equity, quality, and non-communicable diseases.
Mirela Busic - Croatia - Tuesday 29 - Madrid Group Open Meetingincucai_isodp
The document summarizes organ donation and transplantation in Croatia. It describes how Croatia improved its organ donation system over the past 20 years by implementing several measures inspired by the Spanish model, including establishing a network of transplant coordinators, providing training programs, and joining the Eurotransplant organization. As a result of these efforts, Croatia significantly increased its organ donor rate from 2.7 per million people in 1999 to 27.4 in 2010. The improved system has helped reduce waiting lists and waiting times for organ transplants in Croatia.
The document discusses Catalonia's transition from a chronic care program to an integrated health and social care model. It describes Catalonia's healthcare system and the aging population it serves. It outlines strategic projects from the 2011-2015 Health Plan including developing integrated care pathways and classifying complex chronic patients. The chronic care program aims to identify these complex patients and develop shared intervention plans incorporating health and social needs. Risk stratification tools are used to segment the population and identify those at high risk of hospitalization. [/SUMMARY]
DELSA/GOV 3rd Health meeting - Bogart MONTIEL REYNAOECD Governance
This presentation by Bogart MONTIEL REYNA was made at the 3rd Joint DELSA/GOV Health Meeting, Paris 24-25 April 2014. Find out more at www.oecd.org/gov/budgeting/3rdmeetingdelsagovnetworkfiscalsustainabilityofhealthsystems2014.htm
The health care system in Denmark is publicly funded through taxes and decentralized between national, regional, and municipal levels of government. It provides universal access to services like hospitals, doctors, and dental care. Recent reforms aim to improve quality by merging specialized services into fewer, larger "super hospitals" to increase volumes. The government is investing billions to modernize old hospitals or replace them as recommended by experts who reviewed the regions' plans.
The document discusses Nepal's free healthcare policy introduced in 2006. It aims to provide equal access to healthcare for all citizens, especially the poor, as a fundamental right. The policy provides free services like consultations, treatments, surgeries and essential drugs at health centers and hospitals. However, there are challenges in implementing the policy like ensuring quality of care, identifying the poor, training health workers and monitoring the system. Proper budgeting, resources and evaluations are needed to improve healthcare access for all Nepalis as intended by the policy.
India has a decentralized healthcare system, with states largely independent in delivering healthcare. Each state has its own healthcare delivery system, while the central government is responsible for policymaking, planning, guidance, and coordination. Healthcare is delivered through a three-tiered system - central, state, and district level. At the district level in rural areas, community healthcare is delivered through subcenters, primary health centers (PHCs), and community health centers (CHCs).
Legal and policy frameworks for Universal Healthcare Coverage in KenyaMaurice Oduor
This slides looks at the legal and policy bases for universal healthcare coverage in Kenya. It considers the manner in which the law and policy supports or hinders the attainment of UHC in Kenya.
Andalusia is a large region in southern Spain with over 8 million residents. It has a comprehensive public healthcare system with 1,500 primary care centers, 44 public hospitals, and over 88,000 healthcare professionals. The system aims to improve quality, access, and citizens' rights through measures like maximum wait times for procedures, second medical opinions, and adapting facilities for children and elderly. It also has numerous health plans and programs targeting issues like diabetes, cancer, cardiovascular disease, and tobacco use through prevention, care, education, and research.
The document discusses the recommendations of various committees related to development of healthcare services in India. Some of the key recommendations include:
- Integration of preventive and curative services at all levels of administration.
- Establishment of a three-tier primary healthcare system with primary health units, regional health units, and district hospitals.
- Training of community health workers to deliver primary healthcare services and act as a link between the community and primary health centers.
- Creation of a unified health services cadre with common terms of service.
- Involvement of medical colleges in rural healthcare delivery through programs like Reorientation of Medical Education.
Similar to Spaans regionaal model gezondheidszorg (20)
1. Spanish National Healthcare System: the challenge of 17 regional healthcare systems José Miguel Bueno Ortiz Family Doctor. Health Centre International Officer of SEMFYC EQUIP Member María Pilar Astier Peña Family Doctor. Health Centre of Caspe (Zaragoza) Member of Patient Safety Group of SEMFYC
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6. SEVENTIES: CONCERNING HEALTH PROVISION ALMA ATA CONFERENCE: FROM HOSPITAL CARE TO PRIMARY CARE: FROM HOSPITAL BASED CARE TO PRIMARY BASED CARE THROUGH A NHS MODEL:
10. Autonomous community Royal Decree constituting the Autonomic Health Service [12] Identification of the Autonomic Health Service Population served [13] Catalonia 1517/1981, 8 July Servei Català de Salut (CatSalut) 7,467,423 Andalusia 400/1984, 22 February Servicio Andaluz de Salud (SAS) 8,285,692 Basque Country 1536/1987, 6 November Osakidetza 2,155,546 Valencian Community 1612/1987, 27 November Agència Valenciana de Salut 5,094,675 Galicia 1679/1990, 28 December Servizo Galego de Saúde (SERGAS) 2,794,796 Navarre 1680/1990, 28 December Servicio Navarro de Salud-Osasunbidea 629,569 Canary Islands 446/1994, 11 March Servicio Canario de la Salud (SCS) 2,075,968 Asturias 1471/2001, 27 December Serviciu de Salú del Principáu d'Asturies (SESPA) 1,085,289 Cantabria 1471/2001, 27 December Servicio Cántabro de Salud (SCS) 582,138 La Rioja 1473/2001, 27 December Servicio Riojano de Salud 321,702 Region of Murcia 1474/2001, 27 December Servicio Murciano de Salud (SMS) 436,870 Aragon 1475/2001, 27 December Servicio Aragonés de Salud (SALUD) 1,326,918 Castile-La Mancha 1476/2001, 27 December Servicio de Salud de Castilla-La Mancha (SESCAM) 2,081,313 Extremadura 1477/2001, 27 December Servicio Extremeño de Salud (SES) 1,102,410 Balearic Islands 1478/2001, 27 December Servicio de Salud de las Islas Baleares (IB-SALUD) 1,071,221 Community of Madrid 1479/2001, 27 December Servicio Madrileño de Salud (SERMAS) 6,271,638 Castile Leon 1480/2001, 27 December Sanidad Castilla y León (SACYL) 2,553,301
33. The private public partnership framework is an attempt to break the cycle of budget deficits faced by most regional authorities. The private contractor receives a fixed annual sum per inhabitant for the fifteen-year duration of the contract. The annual fee is €494 for each of the 245,000 inhabitants of the health area. In return, the company runs the full health area (PC, SC) and must offer universal access to its wide range of services. Chance to build public hospitals and primary care centers without increasing regional public debt. ALZIRA MODEL IN THE REGION OF VALENCIA