Healthcare legislation in countries in transition,Healthcare Reform Checklist Articles emerging economies, and developing countries should permit – and use economic incentives to encourage – a structural reform of the sector, including its partial privatization.
KEY ISSUES
· Universal healthcare vs. selective provision, coverage, and delivery (for instance, means-tested, or demographically-adjusted)
· Health Insurance Fund: Internal, streamlined market vs. external market competition
· Centralized system – or devolved? The role of local government in healthcare.
· Ministry of Health: Stewardship or Micromanagement?
· Customer (Patient) as Stakeholder
· Imbalances: overstaffing (MDs), understaffing (nurses), geographical distribution (rural vs. urban), service type (overuse of secondary and tertiary healthcare vs. primary healthcare)
AIMS
· To amend existing laws and introduce new legislation to allow for changes to take place.
· To effect a transition from individualized medicine to population medicine, with an emphasis on the overall welfare and needs of the community
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Hopefully, the new legal environment will:
· Foster entrepreneurship;
· Alter patterns of purchasing, provision, and contracting;
· Introduce constructive competition into the marketplace;
· Prevent market failures;
· Transform healthcare from an under-financed and under-invested public good into a thriving sector with (more) satisfied customers and (more) profitable providers.
· Transition to Patient-centred care: respect for patients’ values, preferences, and expressed needs in regard to coordination and integration of care, information, communication and education, physical comfort, emotional support and alleviation of fear and anxiety, involvement of family and friends, transition and continuity.
The Law and regulatory framework should explicitly allow for the following: