Purchasing and payment systems that foster a reorientation in models of care for the delivery of integrated health services with primary care and public health at the core. Focusing on how purchasing and payment systems reorient health service models towards a primary health care approach.
KEY QUESTIONS TO SUPPORT PHC-ORIENTED APPROACH TO ADAPTING NATIONAL HEALTH PLAN:
• What national health mandates, declarations policies and strategies are proposed to ensure universal access to a nationally defined health care benefits package which is free at the point of care?
• What governance processes (contracting, role delineation) and data collection are proposed to ensure there are adequate transparency, equity, quality of care and accountability for purchasing and payment systems?
• How will estimates be made of the resource required to deliver a comprehensive service benefits package?
• How will the community participate in purchasing strategies, monitoring of provider performance and quality?
