A Policy Course on
Health System Transformation:
Private Sector Engagement for Primary Care Led Integrated Seamless Health Care
5 – 7 December 2023
KCTCRC, 1/F, School of Public Health Building,
Prince of Wales Hospital, Shatin, Hong Kong
The ageing of the global population is associated with a rising prevalence of chronic disease and preventable illness, generating escalating demands for health care and creating pressures on the sustainability of health systems. In the Asia Pacific Region non-communicable diseases accounts for more than 50% of mortality in every country. To address this impending threat to health systems, World Health Organization (WHO) has formulated a strategy on people-centered and integrated health services. Reorienting the model of healthcare which is comprehensive, focusing on prevention and with the foundations in primary and community care. Coordination of different types and levels of healthcare for integrated seamless delivery is critical to meet the complex needs of people with chronic disease and for efficiency and effective healthcare.
In the Asia Pacific Region, fragmentation of heath care service delivery is evident. Coordination of services within primary care, between primary community care and specialist hospital care is limited and problematic. Public and private healthcare systems effectively operate in segmented parallel systems which compromise effectiveness and efficiency of health systems. Countries have implemented policies to engage the private health sector for a transformed primary care led system. However significant challenges have impeded progress.
Facing the challenges and growing private health sector, ANHSS, with the goal to support knowledge transfer and capacity building in the Asia Pacific region, has organized the policy course for policy makers, implementers, health sector managers and practitioners, academia and researchers. The course was first initiated by World Bank, and has been developed in the context of the challenges in the Asia-Pacific region over the last decade.
The course will provide an overview of the challenges encountered in the health system transformation to a primary care led integrated seamless healthcare system in both tax and social insurance finance healthcare system. A framework for primary care led integrated system and mechanisms for co-ordination within primary care (horizontal integration) between primary-community care and specialist hospital care (vertical integration) will be discussed with course participants’ input and applied in the context of their health systems. The health system governance (policy) instruments of financing, strategic purchasing, contracting, regulation and information will be elaborated in depth in separate sessions. Case studies on countries experience of the 5 mechanisms for integration will be presented for learning. A final session will cover critical factors for implementation, approaches in monitoring and evaluation of policy interventions.
ANHSS is pleased to invite you to join us in Hong Kong for the 2023 Policy Course.
The course will provide participants with:
- Understanding of the challenges and issues confronting both tax and social insurance health systems in the transformation to a primary care-led integrated health system.
- Capacity in applying a framework and mechanisms for horizontal, vertical and temporal integration of the health care systems in the local context.
- Inform decisions in the choice of governance instruments in designing and implementing modalities and mechanisms for integration.
- Formulate implementation, monitoring and evaluation strategies for policy interventions.
Day 1 | 5 December 2023 (Tuesday)
| Day 1 | 5 December 2023 (Tuesday) | |
| 08:30 – 09:00 | Registration |
| 09:00 – 09:30[Open to public] |
Welcome & Conceptual Framework and Structure of the ProgramSpeaker: Professor Eng-kiong YEOH Director, Centre for Health Systems and Policy Research, JC School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong |
| OPENING SESSION | |
| 09:30 – 11:15[Open to public] |
Challenges for Health System Private Sector Engagement for Primary Care Led Integrated Seamless Health CareKeynote Speakers: Dr. Libby LEE Under Secretary for Health, Health Bureau, Hong Kong Special Administrative Region Dr. Teodoro HERBOSA Secretary, Department of Health, The Philippines dr. Endang SUMIWI Director General of Public Health, Ministry of Health, Indonesia Panel Discussion |
| 11:15 – 11:45 | Tea Break and Group Photo |
| 11:45 – 12:1512:15 – 12:45 |
Policy Instruments, Modalities and Mechanisms for Integrated Seamless Health Care Speaker: Professor Eng-kiong YEOH Director, Centre for Health Systems and Policy Research, JC School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong Role of the Private Sector in Asia–Pacific Region Speaker: Professor Siripen SUPAKANKUNTI Professor, Centre of Excellence for Health Economics, Faculty of Economics, Chulalongkorn University, Bangkok, Thailand |
| 12:45 – 14:00 | Lunch |
| POLICY INSTRUMENT I | |
| 14:00 – 15:00 |
Health System Governance Mechanism & Public-Private FinancingIssue 1: Health System Governance Issue 2: Revenue for Health Issue 3: Pooling Issue 4: Purchasing and Payment Mechanism Speaker: Professor Laksono TRISNANTORO Professor of Health Policy and Management, Department of Health Policy and Management, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Indonesia |
| 15:00 – 15:30 | Tea Break |
| POLICY INSTRUMENT II | |
| 15:30 – 16:30 |
Regulation of the Private Health SectorIssue 1: Licensing Health Care Providers Issue 2: Licensing Health Professions Issue 3: Regulating Health Insurance Issue 4: Roles of Regulator Speaker: Professor Adi UTARINI Head of Doctoral Program, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Indonesia |
| 16:30 – 17:30 | Group Discussion |
Day 2 | 6 December 2023 (Wednesday)
| 09:00 – 09:30 |
Summary from Day 1 DiscussionSpeaker: Shita DEWI Head of Public Health Division, Center for Health Policy and Management, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Indonesia |
| ORGANISATION, FUNCTIONAL, PROFESSIONAL & CLINICAL MODALITIES AND MECHANISMS | |
| 09:30 – 10:30 |
Purchasing for Integrated Seamless Health Care;Primary Care Package and Specialist and Hospital Care Speaker: Professor Laksono TRISNANTORO Professor of Health Policy and Management, Department of Health Policy and Management, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Indonesia |
| 10:30 – 10:45 | Tea Break |
| 10:45 – 12:30 |
COUNTRY EXPERIENCES: Korean Health Insurance Scheme: A System Instrument for Re-orienting the Health System to Focus on Primary Care Led Integrated Health System Speaker: Dr Yanghee KIM Senior Research Fellow, Health Insurance Institute, National Health Insurance Service, Seoul, Korea Purchasing and Organisation Mechanisms for Integrated Seamless Health Care Speaker: Professor Ying Yao CHEN Deputy Dean, School of Public Health, Fudan University, China Purchasing, Professional and Clinical Mechanisms for Integrated Seamless Health Care Speaker: Professor Dr Sharifa Ezat WAN PUTECH Professor of Public Health, Department of Community Health, National University of Malaysia |
| 12:30 – 13:30 | Lunch |
| 13:30 – 14:30 |
Primary Care and Hospital PPPs in Asia–Pacific: Trends and Challenges Professor Siripen SUPAKANKUNTI Professor, Centre of Excellence for Health Economics, Faculty of Economics, Chulalongkorn University, Bangkok, Thailand Associate Professor Chantal HERBERHOLZ Director, Centre of Excellence for Health Economics, Faculty of Economics, Chulalongkorn University, Bangkok, Thailand |
| 14:30 – 15:15 |
Information and Engagement Speaker: Professor Maria Elena B. HERRERA Adjunct Faculty of Asian Institute of Management, Makati City, Metro Manila, Philippines |
| 15:15 – 15:30 | Tea Break |
| 15:30 – 16:30 |
External Quality Assurance and Accreditation Speakers: Professor Adi UTARINI Head of Doctoral Program, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Indonesia Professor Chi-tim HUNG Professor of Practice in Health Services Management, JC School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong |
| 16:30 – 17:30 | Group Discussion |
Day 3 | 7 December (Thursday)
| 09:00 – 09:30 |
Summary from Day 2 DiscussionSpeaker: Shita DEWI Head of Public Health Division, Center for Health Policy and Management, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Indonesia |
| 09:30 – 11:00 |
Contracting in Primary Care Speakers: Professor Laksono TRISNANTORO Professor of Health Policy and Management, Department of Health Policy and Management, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Indonesia Dr. Mubasysyir HASANBASRI Senior Lecturer, and Head of Public Health Study Program, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Indonesia Contracting in Primary Care: A Hong Kong Case Study Speaker: Dr. Fei-chau PANG Commissioner for Primary Healthcare, Primary Healthcare Office, Health Bureau, Hong Kong Special Administrative Region |
| 11:00 – 11:30 | Tea Break |
| 11:30 – 13:00 |
Implementation, Monitoring, and EvaluationSpeakers: Professor Eng-kiong YEOH Director, Centre for Health Systems and Policy Research, JC School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong Professor Maria Elena B. HERRERA Adjunct Faculty of Asian Institute of Management, Makati City, Metro Manila, Philippines |
| 13:00 – 14:00 | Lunch |
| 14:00 – 15:30 | Overall Discussion on Challenges Issues in Primary Care Led Integrated Seamless Health Care and Private Sector Engagement in the Country ContextGroup Discussion and Presentation |
| 15:30 – 15:45 | Tea Break |
| 15:45 – 16.30 | Wrap-up, Certificate Presentation and Closing |