What We Mean when We Say … A New Healthcare System
In recent decades, the main obstacle to healthcare reforms has been the dominant neoliberal ideological matrix, which shifts responsibility entirely onto individuals, without taking into account the socio-economic factors that affect them. In this publication, Predrag Đurić gives several conditions for successful health system reform: changing the existing neoliberal ideological matrix and accepting health as an absolute priority, establishing sustainable health financing, citizen participation in defining local health policy, building quality healthcare personnel, adequate health system management, integrating privately owned healthcare into the public healthcare system, as well as placing citizens at the center of the health system. In order to be sustainable and socially efficient, the health system requires an allocation of 15 to 20% of GDP, with at least 90% of funds covered from public revenues, and 400 healthcare workers per 10,000 inhabitants (in a proportion of one doctor and three technicians). In addition, one family doctor should cover 500 inhabitants and deal with a combination of general medicine and specialized healthcare, participate in professional development and scientific research, with decentralized healthcare more accessible to citizens.
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