Budgeting

Budgeting

Financial issues in health care

During the past two decades there have been reforms to improve the efficiency and equity of health systems in America. As part of this trend, and there has significant changes introduced in insurance schemes and services markets health. The innovations that occur in the health system have common characteristics to those recorded in other contexts, and some specific features that stand out in particular of its national social security system. The discussion on the nature, scope and results of these changes combine issues covering different purposes of reforms and the analysis of different relationships and markets integrate the social security system. The dynamics of these changes is studied in terms of the relationships established between frame regulatory strategies and weft of public and private actors involved, changes in demand and contextually economic affecting the availability of financial resources.

It is necessary to define the funding model, the functions of assurance and service market. The funding model integrates the collection, insurance and the purchase of services (or resource allocation to suppliers). Raising resources and resource allocation involves analyzing sources financing, its determinants and the capabilities of agencies responsible for such functions. Functions assurance associated with the relationship between insured (or beneficiary) and between insurance institutions (social work, prepayments). The services market includes relationships between the organizations function purchasing and providing health services. This analysis is carried out through the modalities allocation (prices, products, distribution of risk), spaces or levels determination thereof and the characterization of the actors involved. The services market is a Important conditioning services offer, characterized by its model organization and health care. Before coming up with any conclusion, we should analyze the changes in the relationship between buyers and service providers under the social security reforms. 

The relevance of this issue is based on social, economic and political. Firstly, the shapes of health services organization determine the actual conditions of access to them. Analyze the characteristics and nature of the changes can recognize its relevance to the health needs of the population. Secondly, the study of market dynamics represents private analysis of resource allocation mechanisms, the rationality of their investment and technological innovation. In other words, changes in the structure have institutional implications for the efficiency and equity of services. Finally, given the weakness of the state as regulator of the social security system, it is necessary to recognize the institutional network operating in the private sector, considering its influence on the organization and system dynamics.

Demand and supply in health services

This section presents the changes in the relationship between purchasers and providers of health services. For ease understanding are the main innovations in different stages (the 70s and 80s, the changes during the decade of Ninety situations during this decade). While recent two stages represent the object of analysis of this paper, the main characteristics of the organization model the demand and supply of services during the decade of 70 and 80, as reference analysis innovations of two subsequent steps.

The organization of health services during the 70s and 80s

Both professionals and organizations with capacity hospitalization or surgery or performing diagnosis ...