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Development Prospects of Health and Reform of the Fiscal System in Bosnia and Herzegovina

机译:波斯尼亚和黑塞哥维那卫生保健的发展前景和财政体制改革

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摘要

The functions of the health system, according to the key objectives and relationships within the sub-systems that are available to the policy makers and managers in the Health Care system in Bosnia and Herzegovina – B&H, have been elaborated in detail, with the analytical overview of relevant indicators, thus confirming the limitations of the health promotion in B&H. The ability to overcome the expressed problems is in the startup of process for structural adjustment of the health sector, reform of the health care system and its financing. The reform in health system implies fundamental changes that need to take place, in B&H, as a state in health policy and institutions in the health care system, in order to improve the functioning of health systems with the aim of ensuring better health of the population. Reform implies the existence of documents with clearly formulated health policy objectives, for which the state stands, and for which a consensus was reached on the national level with all key actors in the political structure: public promotion of the basic principles for carrying out the reform, its implementation within a reasonable time frame, the corresponding effects for providers and customer satisfaction, as well as improving health services’ efficacy (i.e. micro and macro) and the quality of healthcare. In this article, we elaborated the criteria for the classification of health systems, whereby the scientifically-based and empirical analysis is conducted on the health system in B&H and elaborated the key levers of the system. Leveraged organizational arrangements relating to the economic and political environment, organization and management functions, in connection with the services of finance, funds, customers and service providers, from which it follows the framework of state legislation related to health policy and health institutions at the state level are responsible for finance, planning, the organization, payment, regulation and conduct. If we start from the administrative criteria for the classification of “health sub-systems” in B&H, it is difficult to fit them in a pluralistic, decentralized or monistic, because in the system for each organization, there should be health policy at the state level, which is in the most countries represents the Ministry of Health.
机译:根据波斯尼亚和黑塞哥维那B&H卫生保健系统中的决策者和管理人员可用的子系统中的关键目标和关系,详细阐述了卫生系统的功能,并进行了分析概述相关指标的确定,从而确认了B&H健康促进的局限性。克服上述问题的能力在于启动卫生部门结构调整,卫生保健系统改革及其筹资过程。卫生系统的改革意味着在B&H中,作为卫生政策中的一个州,需要在卫生系统中进行根本性的改变,以改善卫生系统的功能,从而确保人民的健康。 。改革意味着存在具有明确制定的卫生政策目标的文件,这是国家代表的立场,并且在国家一级已与政治结构中的所有主要行为者达成共识:公开宣传实施改革的基本原则,在合理的时间范围内实施,对提供商和客户满意度的相应影响,以及提高医疗服务的有效性(即微观和宏观)以及医疗质量。在本文中,我们详细阐述了卫生系统分类的标准,从而对B&H中的卫生系统进行了基于科学和实证的分析,并详细阐述了该系统的关键杠杆。与经济,政治环境,组织和管理职能相关的杠杆安排,以及与金融,资金,客户和服务提供者相关的服务,并遵循与国家卫生政策和州卫生机构有关的国家立法框架级别负责财务,计划,组织,付款,法规和行为。如果我们从B&H中“卫生子系统”分类的管理标准入手,很难将其适应于多元化,分散式或一元化的,因为在每个组织的系统中,州都应该有卫生政策。级别,在大多数国家中代表卫生部。

著录项

  • 期刊名称 Materia Socio-Medica
  • 作者

    Sehzada Salihbasic;

  • 作者单位
  • 年(卷),期 2011(23),4
  • 年度 2011
  • 页码 221–226
  • 总页数 6
  • 原文格式 PDF
  • 正文语种
  • 中图分类
  • 关键词

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