Concepts and Governance in Health careOver the past few years Governance and

Concepts and Governance in Health careOver the past few years Governance and Management in health care were not clearly define but in today’s modern society we need to have a concrete definition about how it operates in our society. As there are laws that govern nature, there are also laws that govern in health care management. This essay aim to discuss the concepts of governance and management in healthcare as well as comparative analysis between two countries New Zealand and Philippines. To give you a better idea let me discuss in brief about the concepts of governance.The United Nations Development Programmed (UNDP) develops the five concepts of good governance. (The essence of governance in health development, 2011) First, Legitimacy and voice means that every citizen in the country must be actively involved and participate to make better decisions. For example creating a survey requires active participation of the people. Second, Direction or Strategic Vision this is where we set our plans and goal for the future. For Example New Zealand vision 2020 the program is to avoid vision loss in partnership with World Health Organization. Third, Performance and Effectiveness, the government consistently evaluate if the programs are efficient and effective. To give you an example, no smoking campaign, every packed of cigarette post the threats such as lung disease, COPD all forms of deadly disease but despite all those threats, raising taxes to all tobacco consumers people continue from buying it. Fourth, Accountability and Transparency, nothing should be hidden from the government, the consuming public has the right to know where the resources come from and how to use that resources. To illustrate in every hospital Institution there is a budget, the institution must clearly release their budget spending for the public to know. Fifth is Fairness and Equity it is an equal right to anyone that no one is above and no one is beyond. Equity is a respect we give to other people that they have the right to have a choice and right to be successful in life.On the other hand, Management in health care is defined as processes and clinical procedures, outsourcing people, clinical staff, hiring highly qualified managers to efficiently, effectively and systematically deliver high quality standards of care. Health care management provides leadership to organizations, conduct meeting and appraisals, deliver personal health services to departments, unit and to those who are members of the organization. (Seth B. Goldsmith, 2014. It is also very important that health care managers know the roles, responsibilities and functions to make better decisions. Health care management requires leadership, supervision as well coordination among its members. Managers cannot work alone it requires active participation from each members to achieve a common goal. To give you an example, in every hospital setting they set a different kind of rules to follow. The Chief executive officer (CEO) and the head of management team coordinates with the head of every Department to make sure that standards of care has been obeyed and applied, failing to do the task is management failure and requires active participation on areas involved that’s why organization are very important to achieve a common goal and to help individual to work as a team not alone.Therefore, Governance and Management in health care worked together to achieve as one mission and goal which is to ensure the safety and security of everyone. They may have different functions, roles and responsibilities but the aim is one.Every countries has its own health care system, I am going to discuss New Zealand Health Care System, talking about health care delivery in general, health status ,how it is financed, reforms of health care, what is primary health care, how they do organize and administrative functions and most all looking after their evidence based practice.New Zealand health care system is totally different from the other countries for it is funded through public tax, health and hospital care and pharmaceuticals are mainly subsidized from the government. (Robin Gauld, 2015). The Ministry of health (MOH) look after and give funds to 20 District Health Boards (DHB) are local agencies that oversees the standards being set by the MOH. The government roles is to meet the health care needs of the population, as it is clearly defined in the {Social Security Act in 1938} as well it is supported by private and public sector as well. A government major role is to set policy agenda, provide service requirements in the health care system as well as setting for public annual health budget. In addition, the government mainly responsible for planning, purchasing, providing health services ,so in short the citizens of the country doesn’t have to worry when they get ill, all medical expenses are covered and they don’t have to pay for a single cents.The question is how they do finance the cost in health care? It is primarily finance through PUBLIC and PRIVATE finance health care. (by Robin Gauld, 2015). Public health care means that all the residents have the access to a wide of range of services such as hospitalization and medication and mainly funded thru general taxes (Robin Gauld, 2015. On the other hand, tourists, students and migrants under visitor’s visa and illegal migrants are charged at full cost by any health care providers. In my opinion, as a student visa holder it is wise to get private insurance or private finance health care to cover the cost just in case for any hospitalization. Privately finance health care are Private Insurance companies that offers the same benefits with the public finance health care but their agenda is to make a profit, the policy holder has to pay the premium depending on the amount set by the private companies. In my opinion, private finance health care is a great advantage for non-residents such as tourist and student visa holders as well as new migrants. New Zealand health care system also has two parts which is the Primary and Secondary. Primary health care are doctors and specialist who work in the hospital environment. For example, it is recommended here in New Zealand to enroll in General Practitioner of our choice because higher fees will be charged in case if you are not enrolled, it is free though but only those who are eligible. On the other hand, Secondary health care are people who work within the hospital system either public or private examples of these such as free public hospitalization either in acute or chronic condition. (New Zealand Health Care System).In the same way Philippine Health Care setting is composed of Private and Public Institution. Public institutions are mainly governed by the Department of Health while Private hospitals are governed by private institution and business corporations but all in one umbrella under by the Department of Health. Private hospital in the Philippines are more equipped compared to the public, they have better technical facility in terms of invasive and non-invasive procedures and give high quality service to people. ( At a glance Philippine Health Care System, 2018) Meanwhile, around 40% of the hospital in the Philippines are public, Health care providers such as doctors and nurses are more experienced than any private institution but many still believe that the technology they used are isn’t good compare to the private ones. (Healthcare in the Philippines: A guide to the Filipino healthcare system, 2014) Department of Health recorded 1,071 licensed private hospitals in the country and 721 public hospitals across all regions. With regards to Emergency medical service, ICU and Tertiary hospital only few institution meets international standards. Blood products and Medicines in the country are pretty safe for it is monitored and regulated under Bureau of Food and Drugs ( At a glance Philippine Health Care System, 2018).Under the new Presidency Universal Health Care act passed into law last February 20, 2019 that all Filipinos have equal access to health care, this means that Filipinos are entitled to have a good, quality and affordable health care service. (Dharel Placido, 2019).Slowly, Filipino lives have changed compare to the past administration. As a citizen of this country we should have the equal right in terms of health care. Filipinos worked hard for a living paying taxes the right the way and must get what they deserved and received the best of care though not for free but in an affordable cost.In Conclusion New Zealand health care systems greatly differ from the Philippines. New Zealand system was built on solid principles of “Treaty of Waitangi “which means full and equal rights for all. Both Philippines and New Zealand has the unique way of health care. New Zealand citizen and residents have full access to health care either in primary or secondary but in the Philippines getting sick is costly (Phil Health Insurance) is not enough to cover the cost when you get hospitalized. Currently, Philippine population rose to 108,106,310 as March 09, 2019, each year it is estimated that 130,000 are leaving the country as migrant workers. (Phillippine Population Live, 2019). Health care cost is getting high that is not affordable for all. I think that is the main reason why citizens of the country are seeking out for good in a foreign land. Though reforms are being passed into law but unfortunately it will not happen now.

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