Socialize the system of health delivery and financing, a relic of the colonial British, still exercised in Sierra Leone is glaringly failed and all efforts to reinvigorate implementation of the reform without structural and systematic main serve only to prolong l ' inevitable. In the entire world, state control and administration of the total industries, services, markets and means of production are gradually turning into a relic of the past. This model as practiced in the health system in Sierra Leone has proved empirically serve only to stifle the output of innovation, development, performance and quality with a resulting decline in samples of general health and life of citizenship. The current status of hospitals and health centers glaringly highlight the systemic problems endemic throughout the health system owned by the state, directed, financed and operated. The continued operation of the system so decadent and squandered financing and delivery, missing even in the fundamental principles of modern health infrastructure continues to relegate the Sierra Leone at the bottom of the same human development. The transformation of the system so medical delivery and financing of private health insurance or a pension based social occasions bids system will not only ensure that insurers develop market-based programs and policies of health insurance but also serve to make the Ministry of Health & Il? s? Sanitation wanted to policy objectives, such as married 2002 in the national policy for health policy Paper.Both officials and regulators, providers of medical care, the insurance industry and other stakeholders must be coupled to the implementation of systematic reforms essential if the country is to avoid an even greater disaster. Privatization: Â Under the proposed program of privatization, the Ministry of Health & The reorganization will be transformed by ownership and by hospitals, clinics and the employer of last resort for all doctors, nurses and care providers Medical staff in an agency with only health policy and operating properly. The goal will be to ensure that the agency served as health policy and watchdog regulator entrusted with the assurance that medical care quality and sufficient is provided to various hospitals, clinics and pharmacies reserved that inevitably will be established with the disintegration of ease of ownership status current. With the disintegration and the purchase or lease contracts after these hospitals, clinics, health centers and other facilities, investors and entrepreneurs in an effort to achieve maximum returns on investment, will be forced economically to upgrade the quality and level of cura, per introdurre le attrezzature avanzate e le tecnologie e per generare un tipo di concorrenza delle forze di mercato che inure soltanto al miglioramento dei consumatori di salute nel paese. An infusion of much-needed capital in the health of a privatization program that will stimulate economic activity clearly additional employees in industries such as the dynamic forces of privatization and the forces of the mechanism of market supply and demand will ensure competition for the cake health. Spodestamento of ownership of government: The dismantling of the delivery of health of the state-owned giant, highly inefficient and magnitude of current financing needs from a perspective of public policy be designed and renovated to ensure the government administration and spodestamento owned by hospitals and other health facilities. Under such a plan of action for the disbursement of huge capital? s? painful but the government is bad for health services will be reduced substantially as inefficiencies of corruption, the salaries of suppliers, infrastructure maintenance, cost of medicines and diagnostic equipment and other costs of environmental management will not be recurring expenditure by ? s? that the nation runs out of trunks. A system based on entirely on a national market-based private health insurance with private enterprise and competition of the market appears to center on the path of political reform more logical to establish an efficient and profitable Future sound health. Insurance programs against the diseases Â: The tooth that the proposed new system must turn around is a national network of programs for purchase of health insurance creatively designed to ensure greater participation of the pond of a majority of the population. In such a health insurance system companies and provider organizations will be established to introduce the various programs on the market of health, with minimal services and premiums based on market conditions. Responsibility for monitoring compliance by the various programs would fall under both the Ministry of Health that rehabilitation and the system of insurance Commission.Multi-Payer of Sierra Leone: A major bridge in this privatization proposal delivery and financing of the health munisce promulgation of legislation for health insurance that provides for employers to provide health care for their employees and employees as part of a standard benefits package of tax incentives and the concomitant government subsidies to ensure compliance. With this legislation the system socialize virtual free medical care, the costs were borne solely by the government will now be based on a system of multi-debtor to the government, employees and employers all will participate. With the system as currently structured, however, only the government has a financial interest and the pile, and other programs are in conflict with the financing of health policy has been only too willing to sacrifice the health of their citizens above that you alter their greed and enlarged staff. It is foreseen that providers of health insurance introduce the concepts and programs, such as health maintenance (HMO) and preferred provider organizations (PPO), with alliances of health providers and insurance companies and Marketing to employers, unions, government ministries and companies on an annual awards. The competition generated by these organizations for the health insurance pie subsequently cause disease rates, filling the déductibles, the competitive co-payments and premiums to make the costs affordable health for all. Unemployed: Because unemployment and underemployment are perennial problems in the economy of Sierra Leonean, the provision of health benefits for this category of the population should remain the responsibility of the government. The medical services provided to this category of citizens in a private company should be reimbursed by the government on a program of negotiations and pre-tax or insurance mechanism established in which the government negotiates with suppliers and carriers for the provision of the services. As an example a fund established by fees imposed on suppliers of medical treatment reserved affords emerge with this privatization has been established and used to pay for these services free. Further, by hospitals, medical clinics and other medical facilities will be operated as businesses, or for profit or non-profit organizations, market forces of supply and demand certainly ensure that quality patient care, improvements in the diagnostic technologies, competent staff and a general response to requests from customers will determine the new market. Lethargic and inefficient at most hospitals of government witnessed the atmosphere today, with sales service would be virtually nonexistent a philosophy of the past. The economic viability of health businesses depend largely on the customer that can attract and make use of the criterion mentioned above. The providers of programs and services of poor health unschackled inevitably trade to competitors as part of each year will have an opportunity to change the programs of health insurance. Since a large population of Sierra Leone lies in rural areas, the proposed privatization program will ensure the expansion of health facilities in areas currently under-assisted. This program will ensure that clinics and physicians make up shop anywhere in the country to hit the health services available in these little rural areas. Challenges for insurance companies: When designing a system and an insurance program to supply the needs of the rural population who are often not paid in groups of Agriculture and Mining activities a challenge for insurers in Sierra Leone, who in the past have been largely passive and unimaginative in the design of policies to meet the challenges and risks that confront the socio-economic landscape of? s? of the nation. The subscription dynamic and creative risk must decide by the underwriters, actuaries and by specialists introducenti design, adapt and evaluate the filling of health insurance to meet the various demands public insurance. For example, the creation of ponds for professional categories could be a method by which the? s? the insured, coupled in similar businesses could be encouraged to form cooperatives for the purpose of obtaining filling insurance rates affordable for himself and employees. Payments premiei meeting with all the products of cooperatives may be an alternative method of payment for medical services. Companies of health insurance could possibly establish sussidarie only companies or employees for the handling of payments by cash crops. The current system under which almost all doctors and health care providers are employed by its government while at the same time the exercises have been deprived of their profession would be changed with the concomitant savings on government salaries, performance and other ancillary benefits . Since the privatization takes over the direction of hospitals, doctors, nurses and other suppliers will not be on the payroll? s? the government but rather are independent contractors with their own practices. Conclusion: While a micro version of the reform proposal has espanta quickly in a way ad-hoc over the years with some great COM
Kortor Kamara
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