Question

1. Describe the characteristics associated with the Policy Marketplace Model (Micro model) of health policy decision making.

2. Describe the major problems faced by all nations as they attempt to formulate health policy and their implications on health system development.

Answer 1

Answer1: The characteristics associated with policy marketplace model of health policy decision making are as follows:

-The very basic premise /tenet of the model is to allow the market to determine the price for healthcare delivery as per the demand.

- The policies can be state based ie state negotiates and decides the price of health care delivery on behalf of the citizens or it can be federal state partnership where the responsibilities are jointly shared or it can be federal driven where the state merely acts as a carrier for implementation

-The model is governed by regulatory oversight and mandatory reporting

-It supports a tiered model for healthcare delivery

- Aimed at a competitive market to provide affordable healthcare

Answer 2; The major problems faced by the nations and their implications are as follows:

Attainment of Health equity :Equitable and affordable healthcare for ALL cannot be achieved as one size does not fit all. A certain proportion remain deprived of proper healthcare.

- defining roles, agenda ,setting up of priorities ,defining responsibilities and authorities for federal, state and local governments and reviewing the role of non state actors

- Lack of funds : results in underinvestments in certain sectors leaving them vulnerableto any emergency health outbreak.

-ill trained workforce and lack of proper planning to implement the healthcare policies

-Lack of effective KPIs to measure the success of healthcare policies

- Demographic sensitivity not considered leading to ineffective implementation

-Lack of focus on structuring the network and vehicles for delivering healthcare at the grassroot level

-Lack of public advocacy leading to poor acceptance

-Identifying ways to mitigate corruption, red tapeism, ensuring mobilization of resources else the funds will be diverted for vested interests

-lack of political will crippling the entire healthcare delivery mechanism