A Just Healthcare
description
Transcript of A Just Healthcare
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A Just Healthcare
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PART I
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In An Ideal World…
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Each individual will get…
• what they want/need
• of high quality care
• at an affordable cost
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But In The Real World…
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The money has got to come from somewhere
Resources are limited
If the resources go to A, they can’t go to B, C etc. (Opportunity cost)
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RATIONING
CUT COST
Who gets treatment
What treatment to subsidize
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Theories of Allocation
1. Life expectancy
2. Quality adjusted life years
3. Social worth
4. Moral worth
5. Responsibility for our own ill health
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Theories of Allocation
1. Life expectancy
2.Quality adjusted life years3. Social worth
4. Moral worth
5. Responsibility for our own ill health
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A national organization like
National Institute for Health and Clinical Excellence (NICE)
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Issues
Professional ethics
End of life care, ageist?
Less choices?
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Cutting cost
Spending more ≠ better healthcare
Educate doctors, spend more time with patients
The case of ‘lap choley’
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PART II
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Young Vs Old
Curative Vs Palliative
Individual Vs Society
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Care For The PoorAl-Fajr: 15-20
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Healthcare is not all about CURE
Prevention Strategies
Social Care
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Working outside the system
Social Business:
a) Grameen Kalyan and Grameen Health Care Services
b) Heart Institute of The Caribbean
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CONCLUSION
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Thank You