| A conceptual framework for comparing health delivery systems in various countries is outlined. Health services draw upon resources in response to certain health problems to produce improved health status; but higher health status is dependent on more than per capita expenditure. Within this framework, health problems, resources and expenditures are broken down for an analysis of their interrelationship. Such models are useful in planning health services. This one is currently being applied in the development of a national health plan in Chile. A project directed by the Department of International Health, Johns Hopkins University, is using this model in a functional study of health workers in two provinces in India and three in Turkey, to discover how much activity can be shifted Onto workers with the lowest level of skill commensurate with adequate care. The objective of these studies is to be able, eventually, to predict the impact of certain system interventions on the magnitude of problems, distribution of functions and requirements for training health workers. Seventeen references are listed. |