Comparison and Analysis of Health Care Delivery System: Pakistan Versus China

Abstract

Healthcare delivery system is an arrangement that serves best to any country's population with effective, efficient and fair distributions of resources, and funds through organized infrastructure to thrive well. Better health improves country's labor force and ultimately raises human welfare and economic stability. This healthy labor force and productive human capital resources can be attained through structured healthcare facilities by the government for its people. Globally, health sectors varies from country to country and it depends on how much expenditures on health is been effectively utilized. In majority of the developing countries, private healthcare sectors, donor, and out of pocket expenditures are the primary contributors in health care services that may raise human capital and economic growth of the country. Whereas, public health sectors remains underprivileged due to structural fragmentation, lack of resources, and functional inabilities. This paper is mainly going to discuss about health care delivery system of Pakistan in comparison to China followed by organizational structure, analysis of both the healthcare systems, and some recommendations to improve healthcare reform and its utilization.

<p>Non-Adherence to Prescribed Antihypertensives in Primary, Secondary and Tertiary Healthcare Settings in Islamabad, Pakistan: A Cross-Sectional Study</p>

“…In Pakistan, 85% of patients visit primary healthcare facilities for treatment, whereas only 15% of patients visit tertiary care hospitals. 21,22 To date, no study has been conducted in Pakistan to assess the degree of medication adherence among hypertensive patients attending primary and secondary care. To fill this research gap, this study was designed to gather a better understanding of the prevalence of and barriers to medication adherence across all three tiers (primary, secondary and tertiary) of Pakistan's healthcare system.…”

Satisfaction Level of Tuberculosis Patients Regarding their Access to TB Care and Prevention Services, Delivered through Public Private Mix Model in Pakistan

“…Despite free availability of TB drugs, some persons with tuberculosis have incurred cost in getting medicine. Elsewhere in the world, where TB drugs were provided free of charge, same situation has been reported [28,29]. Given the poor nutritional status of the persons with tuberculosis, doctors prescribe additional supplements, for which they have to pay out of their pockets.…”

“…In addition, belittling private healthcare providers or system is gradually fading away [25] as it has become a long standing fact that most of the healthcare services are delivered through the private healthcare system [26,27]. Therefore, establishing public-private partnership for health system strengthening is integral in sustaining long term positive effect on the health status of people [28].…”

Comparison and Analysis of Health Care Delivery Systems: Pakistan versus Bangladesh

“…The public funds for health are the main prepayment mechanism for risk-pooling and constitute 26% of total health expenditure. Currently, Bangladesh spends US$ 26.60 per capita in total [17]. The Bangladesh government health expenditures as a share of GDP grew to 4.7% in 2015 which was around 1% till 2007.…”

“…Despite, health profile of Pakistan is illustrated by high population growth rate, infant and maternal mortality rates, and dual burden of communicable and non-communicable diseases [17]. Regardless, the country is undergoing considerable social, environmental, and economic changes.…”