[Health care supply regulation].
In the current context of health systems' reforms, the regulation would have to occupy a major place in the new role of the State concerning health in order that the system could reach the essential objective to control the quantity and the distribution of health services and to insure an optimal, efficient and equitable coverage of the population's needs. Authors pass in review, in a first part, current regulation means of health care supply, public and private, put in place in Tunisia and suggest their development in areas not covered yet; notably these in relation with the quality and the cost-containment of health care. The current regulation is interested especially in areas of the infrastructure, equipment, medicines and pharmaceutical products and financial and human resources of the sector. In a second part, means of regulation of health care supply are exposed and could serve as basis to the reform of the current health system. It is thus the mastery of the medical demography, incentives for health care providers, payment systems, fees and rates of professionals and the free choice and the managed competition between providers. Authors conclude by the necessity to promote patients' rights in the health system and to valorise its human resources, through the development of information on performances of providers and the continuous training of professionals.
Cherni
N
N
Achouri
H
H
D003363:Cost Control; D003695:Delivery of Health Care / Q000458:organization & administration*; D015276:Health Care Rationing / Q000458:organization & administration*; D018166:Health Care Reform / Q000458:organization & administration*; D006801:Humans; D008329:Managed Care Programs / Q000458:organization & administration; D009313:National Health Programs / Q000458:organization & administration*; D020380:Needs Assessment; D009937:Organizational Objectives; D010344:Patient Advocacy; D011785:Quality Assurance, Health Care; D014416:Tunisia
La régulation de l'offre de soins.