Rafia Rahman
University in Dhaka, Bangladesh
Title: Efficient and equitable healthcare service delivery offering good value for money: Role of user fees
Biography
Biography: Rafia Rahman
Abstract
World Economic Forum state $ 6.5 trillion spent worldwide on healthcare. Out of that 30-50percent is wasted. It is projected that the world healthcare spending increase from $7.7 trillion to $ 10.1 trillion in the year 2017 to 2022.Healthcare service delivery becomes a business commodities offering a package or range of services for money,that is why the volume of service is a matter ignoring efficiency, quality, and equity.
Methodology: objective; how user fees plays role good value for money spent on healthcare service. A conceptual framework makes for use. Secondary data was used. Findings: Supply side inefficiency revealed (provider disparity, logistics). Regard quality and equity revealed most components of PHC is achieved. In child and maternal healthcare not achieved the desired level. Social behavior change communication (SBCC) left behind till. Major diseases responsible for mortality and morbidity are mostly seen at district to below level facilities. If fees for services are imposed based on the outcome of patient health status along with justification of provider (physician, test, treatment protocol) involvement are not only valued dollar spent for health outcome but also ensure quality and equity.
Conclusion and significance: in developing and low-income countries people spent direct, indirect and out of pocket expenditure with the hope to get a better outcome of healthcare service. This pushes them the viscous cycle of poverty. So, this is very high time for global health policymakers to shift the focus healthcare service delivery from the volume and profitability of services provided physician visits to the patient outcome achieved for the 21st century.