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High hopes for a New Republic health care philosophy

High hopes for a new republic
Health care philosophy
The citizen’s right to obtain health care in his homeland is one of the most important pillars of society, a manifestation of its civilization, and an important basis for its stability and satisfaction. The concept of health care has been extended to include, in addition to providing diagnostic, treatment and rehabilitation services, the concept of preserving public health within the framework of the human development of society. Health care depends on specific foundations, the most important of which is its availability to the citizen near his place of living and work, its availability with a specific quality, and the ability of the citizen to obtain it and his ability to bear its costs in relation to his income.
As the cost of health care is rising day by day, due to the high value of medical devices, the need for their development, and the high prices of medicine and diagnostic procedures. As well as the correlation of the prices of medical supplies used in operations with the foreign currency. Therefore, we must think in more innovative ways about how to devise different ways to continue providing the right to health care for citizens, with high quality, and to define the role of the Ministry of Health in society with its political, economic and social changes.
The right of citizens to obtain appropriate health care must depend on their needs and not on their ability to pay the costs of this care, because health care is not a product like any other, nor a service like any other in society.
Our vision for health care in Egypt should focus on the needs of citizens as individuals, and society as a bloc, and we believe that this does not only need to increase resources and public investment in the field of health, but also needs human development in this sector for doctors, nursing staff, qualified and auxiliary health care professionals As well as setting priorities, integrating the community and its participation as service providers, recipients and their families in this vision, and the effective use of available resources.
The public health of citizens is linked to many influencing factors, the most important of which are education, poverty rate, the state of the environment, prevailing community habits, population growth, crime and accident rates, and epidemics and their renewal.
All these factors overlap in one way or another and affect public health negatively and positively. It is not possible to imagine a health reform process in Egypt without addressing these basic factors and interfering with them within a broader and more comprehensive framework.
There is a strong relationship between education, illiteracy rate and health. Just as nutrition in schools, especially in the early stages, has an educational importance in increasing the capacity of students to absorb, as well as increasing the number of learners is important in raising the degree of health awareness in society.
The basic principles of health care reform policy are:
Universality: That is, all Egyptians have access to the same set of health services for primary care.
Quality: that is, that the service delivery standards are in line with clinically recognized international standards.
Justice: That the financial burden of the cost of health services be distributed fairly among all citizens, and that under no circumstances should those who are unable to pay their costs be deprived of them at any time.
Effectiveness: which is to provide the highest quality of services at the lowest cost.
The main objectives and elements of health care program reform policies
It must determine the set of health care services that must be provided to every citizen and the criteria for measuring their quality based on what is recognized internationally and scientifically. This group of services must contain the elements of effectiveness, availability, and the possibility of obtaining them, especially for the incapacitated and the poor.
This is followed by determining the financial resources required to ensure that services can be provided with a high degree of quality and continuity. These sources can be governmental or non-governmental.
New methods must be used to organize the financing of the provision of planned health services from the available resources. As the current situation in financing services, whether from the government or from others, requires significant improvement and more effective management. It appears from various analyzes that it is not only necessary to increase public or private spending on health care, as much as there is a need for better management of this spending. This may require many procedures that must be studied, including greater decentralization in budgeting, spending, and management governance for the various health institutions.
And I have to mention the vital role of the Ministry of Health in setting measurement and quality standards, providing primary health care, future plans, scientific research, and accurately collecting statistical information.
A well-thought-out geographical spread of health care services is necessary to reduce the hardship of transmission for patients and their families, and to intensify efforts for early prevention and protection, to control sources of pollution and epidemics.
Protecting citizens from harmful practices that may be issued by institutions or individuals and affect their health in the present or in the future is necessary and vital and needs media programs and the integration of this culture in education. .
_ Many think that the health insurance system will raise the level of health care services, which is an unrealistic perception, because insurance systems aim to sustain financing and do not interfere with the quality or quality of service except because they represent a third party in the system between the service provider and the recipient, which makes it a role in not Paying the cost unless it is in accordance with agreed standards.. That is, the impact of applying health insurance systems on the quality of services is indirect.
In all cases, it remains that health care service providers at their various levels, from state-owned institutions, must be managed with governance, to provide the best services at the lowest cost, otherwise they will end up as before, with debt accumulation, low, incomplete service, and inevitable bankruptcy due to the absence of The economic vision With the flight of the recipient, who is the incapable citizen, to the private sector and he does not have his expenses, the feeling of oppression, anger and destitution increases.
The state has issued a health insurance law that includes three parts, related to quality assurance, management of health services and hospitals, and financial management of insurance systems.