Review
English
El Taguri A 1,2, Nasef A 3
1-Department of Family and Community Medicine, Al Fateh University, Tripoli, Libya. 2-Departement of Pediatric Gastroenterology, Nutrition and Mucoviscidoses, Hôpital Robert Debré, Paris, France. 3-Unité de Thérapie Cellulaire, Faculté de Medicine, Saint Antoine, Paris, France.
Libyan J Med AOP:081009
Abstract
All public systems look for the best organizational structure to funnel part of their national income into healthcare services. Appropriate policies may differ widely across country settings. Most healthcare systems fall under one of two broad categories, either Bismark or Beveridge systems. There is no simple ideal model for the organization of health services, but most healthcare systems that follow the Beveridge healthcare model are poor performers. The Libyan Health system is a low responsive, inefficient and underperforming system that lacks goals and/or SMART. (Specific, Measurable, Achievable, Realistic, Time specific) objectives. A look at different organization models in the world would reinforce efforts to reorganize and improve the performance of the Libyan National Healthcare services.
The French Health Care System (FHCS) ranked first according to the WHO and the European Health Consumer Powerhouse. The FHCS was described to have a technically efficient, generous healthcare system that provides the best overall health care. This makes the FHCS a practical model of organization having many of the essential aspects of a modern national health service. In this review, we describe the main features of the FHCS, current challenges and future trends with particular attention paid to aspects that could be of importance to the Libyan Healthcare System.
Keywords: Health service, Health crises, Reform, French, Libyan
Link/DOI: http://www.ljm.org.ly/articles/AOP/AOP081009.pdf