
Health Care Management Insights and Analysis
Delve into the intricate world of health care management through topics such as the supply and demand for health services, levels of care in the health care pyramid, quality assessments of health facilities, and cost evaluations of outpatient visits and admissions in Kenya. Explore the nuances of different health care system structures and reforms.
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Presentation Transcript
International Health Care Management II Part 2.3 Steffen Fle a Institute of Health Care Management University of Greifswald 1
Supply of Health Services: Structure 1. Demand for Health Services 2. Supply of Health Services 1. Factors of Production 1. Buildings and Equipment 2. Staff 3. Problems of Donations 2. Spatial Structure of Supply 3. Levels of Care 4. Provider Portfolio 3. Health Care Systems and Reforms 2
2.3 Levels of Care Health Care Pyramid Tertiary Hospitals Regional Hospitals District Hospitals Health Care Centers Dispensaries Village Health Workers, Traditional Midwives 3
Quality in Structure and Level of Care Kenya Service Provision Assessment Survey (2004) % of Health Facilities Complying with National Minimum Standard (e.g. regular supply of water and electricity) 40 35 30 Proportion [%] 25 20 15 10 5 0 4 Hopitals Health Centers Dispensaries
Quality in Structure (Cost per outpatient visit in a private hospital, Kenya 2005) 4,500 4,218 Cost per Out-patient Visit [Ksh] 4,011 4,000 3,427 3,500 3,230 3,000 2,600 2,587 2,500 2,171 2,173 1,941 2,000 1,750 1,607 1,432 1,376 1,384 1,500 1,170 1,016 1,024 982 864 835 1,000 784 578 525 500 - Hospital Code Hospital Code 5
Quality in Structure (Cost per outpatient visit in a private hospital, Kenya 2005) There are also private hospitals of high quality for the rich! There are private hospitals of low quality for the poorer! 4,500 4,218 Cost per Ambulance Visit [Ksh] 4,011 4,000 3,427 3,500 3,230 3,000 2,600 2,587 2,500 2,171 2,173 1,941 2,000 1,750 1,607 1,432 1,376 1,384 1,500 1,170 1,016 1,024 982 864 835 1,000 784 578 525 500 - Hospital Code Hospital Code 6
Cost per Admission 2007 (Kenya Costing Model) Priv. Distr. Hospital Cost per admission [Ksh] NGO. Distr. Hospital Publ. Distr. Hospital Publ. Prov. Hospital 7
Traditional Medicine Spiritual Background of Medicine disabilities and taboos Child mortality and fontanel Evil eye, protecting small children Cycle and reincarnation, living dead Forms of Traditional Healers Traditional midwives Herbalists Traditional surgeons Spiritual healers 8
Traditional Medicine Spiritual Background of Medicine disabilities and taboos Child mortality and fontanel Evil eye, protecting small children Cycle and reincarnation, living dead Forms of Traditional Healers Traditional midwives Herbalists Traditional surgeons Spiritual healers 9
Supply of Health Services: Structure 1. Demand for Health Services 2. Supply of Health Services 1. Factors of Production 1. Buildings and Equipment 2. Staff 3. Problems of Donations 2. Spatial Structure of Supply 3. Levels of Care 4. Provider Portfolio 3. Health Care Systems and Reforms 10