Assignment Task
Background Modules 1 to 4 have provided an overview of economic principles and concepts, and the eTest was based on these modules. In Module 5, behavioural economics was covered, which is a fairly recent field of mainstream economics dealing with how human behaviour deviates from the model of homo economicus or rational man. Modules 5 to 9 build on these earlier modules to explore the economics of the health system. These modules provide insight into how alternative approaches to financing and organizing health care, together with health system governance, can impact on key performance indicators such as efficiency and equity. The economic perspective alone is not sufficient to unravel the complexities influencing health system performance, but health economics provides important tools and ways of thinking that contribute to good strategy development and policymaking. Important too are the context within which health systems are situated and the political economy shaping the interrelationships and power dynamics within a society. A framework developed and refined over several years by Joseph Kutzin, coordinator for Health Financing Policy at the World health Organiztion, provides guidance on how to examine a country’s health financing system, and consider where the system is performing well or poorly, the challenges experienced, and issues to address in future health system reform. Of many documents to choose from, the reference below is worth consulting in tackling this assessment: McIntyre D, Kutzin J. Health financing country diagnostic: a foundation for national strategy development. Geneva: World health Organization; 2016 (Health Financing Guidance No 1). Assignment question Using the Kutzin framework, together with the knowledge and skills you are acquiring in this unit, prepare a PowerPoint presentation that provides an economic analysis of the health system of a country of your choice. In particular, you may want to include some of the following issues in your presentation and discussion: (i) Revenue collection mechanisms (ii) Pooling of funds (iii) Purchasing arrangements (iv) Provision (delivery) of health services (v) Role of contracting (if any) (vi) Methods of payment to health professionals and institutions (vii) Role of the public and private sectors (viii) ‘Benefit package’ for the population (ix) Existing policies on health priorities, cost containment, etc. (x) Recent health system reform initiatives (if any) (xi) Challenges facing the health system (xii) Policy options to address current challenges (xiii) Fiscal sustainability of the health system Other issues may be discussed also. 2 The assignment should be a critical analysis of the health system of the country of your choice rather than just a description. For example, you may like to discuss how the method(s) of financing health care impacts on efficiency, equity and cost control. Or examine how the current purchasing arrangements improve health system performance. Or explore what factors underlie the public-private mix in the health sector and how this impact on access to and the affordability of health care. Each PowerPoint slide must have corresponding text written in the notes section of the slide where you discuss in more depth the points that you have presented on the slide. This discussion must be written using correct grammar and sentence structure in the same way as required in a typical written assignment. References must be included in the text in the notes section. The PowerPoint presentation is to contain a maximum of 20 slides (excluding the references). The text on the notes pages must not exceed 2500 words, and any word count over 3,000 words will not be marked
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