Healthcare System Foundations


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Blueprint of a Participatory Healthcare System

At Shamseya we are seeking the gradual implementation of a deep, community-rooted, dynamic system that accounts for the scarce resources and available infrastructure, is custom-designed and managed by communities, possesses the flexibility to adapt to each communities’ preferences and needs, insures choice of providers, guarantees work sustainability, pushes towards accountability […]


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The role of the Market and the social sectors

It has been widely agreed upon that healthcare systems left to function according to market forces alone do not result in socially optimal quantity, quality or distribution of healthcare. J.F. Outreville, The health insurance sector: Market segmentation & international trade in health services Yet, in this proposed scheme, the private […]


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Social Re-insurance

Sometimes, the risks that an insurance (or micro-insurance) scheme has to deal with become too large to be assumed through one entity. In addition, if micro-insurance schemes group people with different income levels and risk profiles under one pool, it is expected that there will be different micro-insurance units with […]


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The role of the Government

The main building blocks of this proposed healthcare system rest on the notion that even poor households can and do pay for healthcare, and that their community can generate income to cover the recurrent costs of basic health units, to complement or replace weak public institutions. This means a major […]


Graphical representation of the flow of funds in the proposed micro-insurance model through income-rated premiums and risk-based distribution

Community Micro-insurance

Micro-insurance schemes are programs and institutions that adapt traditional insurance mechanisms (pre-payment, risk-pooling and coverage guarantees) to the informal sector, providing services to beneficiaries that are commonly excluded from formal insurance. E. Morelli, G.A. Onnis, W.L. Ammann, C. Sutter (Eds), Micro insurance – An Innovative tool for risk and disaster […]


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Preferred-Provider Networks and Health Cooperatives (health co-ops)

Preferred-Provider Organizations (PPOs) are a variant of health service coverage that is largely used in the western world. They are usually privately run organizations that group individuals under a list of preferred providers and can therefore provide better prices for its members with the option of using services outside of […]


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Vision of a participatory healthcare system

In the Arab Republic of Egypt, the role of the government in guaranteeing the respect, protection and fulfillment of the right to health for all citizens has been underlined in the constitution, where it is announced to be a fundamental right. There has been, however, no realization of the right […]


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On the global problem of antibiotic resistance – who is stepping forward?

Most of us are probably alive and kicking thanks to the discovery and subsequent introduction of antibiotics in the early 20th century. They notably improved the clinical management of infectious diseases, which were previously untreatable or even fatal, winning them a reputation for being “miracle drugs”. Unfortunately, their ability to […]