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all the organizations, institutions, and resources who all
serve the same purpose to improve health care
System
parts forming a complex whole
how great of a service you're getting from your health care
Quality
provider and facility
Access how close or near one is to health care services
the cost of insurance and the amount of money being
Cost
spent in the US on health care
Universal coverage Health insurance coverage for all citizens.
government has to provide a wide range of benefits to all
citizens; everyone has access, but ANYONE can provide it
Social Solidarity
(german healthcare system)
common understanding that social action should be
transferred to the most appropriate level, with particular
Subsidiarity emphasis on the local and communal levels.
(german health care system)
willingness to give to someone without expecting the per-
son to return the benefit directly, but rather expecting
General reciprocity
that somehow, in some way, the benefit will be returned
eventually
Centralized organized at the federal level
Decentralized organized at the regional or state level
key characteristics of the health care system in East Ger-
*Public* Health Services/Insurance
many
*Private* Health Services/Insurance
, HCD 303 Midterm Study Guide
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key characteristics of the health care system in West Ger-
many
a small fixed fee paid by the patient at the time of an office
Copayment
visit
the sharing of expenses by the policyholder and the insur-
Coinsurance
ance company
Amount you must pay before you begin receiving any
Deductible
benefits from your insurance company
German insurance programs offered by nonprofit groups
Sickness funds to serve a given occupation, geographic location, or em-
ployer. Otherwise known as social insurance.
a set of government programs that protect people who
Safety net
face unfavorable economic conditions
a situation where insured individuals pay a portion of
Cost-sharing the healthcare costs, such as deductibles, coinsurance or
co-payments
Subsidy A government payment that supports a business or market
The "function of a health system concerned with the mobi-
lization, accumulation and allocation of money to cover the
health needs of the people, individually and collectively, in
the health system."
Health financing Goal: Facilitate universal coverage by removing financial
barriers to access and preventing financial hardship and
catastrophic expenditures
- Raise sufficient funds for health fairly
- Pool financial resources across populations to share fi-
nancial risk