Fairness measurement in healthcare systems

In order to measure the fairness in healthcare and other fairness finance contributions; there are some indicators preferable to know about before. Some of them are not directly related to our medical work but still touching the process of whole financing arena. Healthcare finance contributions and reimbursements undergo many mathematical equations, it means there are many equations involved to identify the real beneficiaries among all medical stakeholders and also to identify the share size and demanded capacity in operation field. More or less there is some sort of complicated calculations and hope our generous reader do not get panic from that, promising to do my best to get them in more simplified form. Operational contribution of fairness in medical care defined as a equal distribution of shares of capacity to pay across households, why particularly households?!. Because most important category and above chart of medical care beneficiaries are the households. Moreover; the whole operational indicators went in the end result in the lap of society members. The ability of society households to pay their share of contributions of medical care values defined probably as effective income minus subsistence expenditures divided on per capita effective income. Therefore, financial contributions (HFC) uncover the variance among sector of community and properly identify medical service deprivations. From the same prospect there are many contribution model charts described considerable variations in the impact of taxes consequences devoted for society medical health. The contributions of disposable income of the households varies from total 50 % of disposable income divided for 25 % for each till the 200% divided for 100% for each. By the way; disposable income the calculated income of households after all paid taxed and in many countries used as gauge of economic overall situation. In order to measure the health financial contributions of certain society segment explained in coming equation:

Where HFCi is the health system financing contribution of the household i, HEi is defined as per capita expenditures of health of household i, and ENSYi is the per capita effective income minus subsistence expenditure of household i. HFC is ideally defined over a period of one year for a households chosen segment of study. But there is a question may be arrived at some readers mind there is no optimum form of contributions among households reach to the proper fairness of healthcare share contributions?!. Actually there is ideal form can serve and achieve better and more utilized financial fairness model among most of medical providers and even devoted to the government accountability toward public sector. World health organization researches did the best to reach such optimum point of assumption and proved its soundness among countries graced this hypothesis. This hypothesis from WHO perceptive described the society segments according to disposable income and power to share and pay your contributions; everyone pays the same amount, everyone pays for what they receive, everyone pay the equal share of their incomes and I have ability to say here fixed share of their income because in some society lack of liquidity will be big burden to achieve the third parameters. Forth parameter; everyone pays the equal share of their disposable income and the difference between two terms mentioned formerly and last one; the richest segment of society pay ten percent for everyone. The parameters are not fixed and there are many of charts and acceptance variations among them but at least we put our hands on guided parameters to modify them for what suited to our life. Full health J