What are the health care systems in the prevention of CVD?
The 8-factor model, considers Right access to healthcare which compasses satisfaction with the delivery of health care and being able to afford the provision of healthcare. Fair financing of healthcare takes into consideration affordability without causing an undue financial burden on its client. The UK healthcare system drives on the NHS model funded out of general taxation granting universal healthcare access without any cost to individuals. The Ghana health care system, by contrast, is structured under four main categories: public, private-for-profit, private-not-for-profit and traditional systems with significant donor funding accounting for about 20% of total healthcare funding and less from tax. Ghana however heavily relies on out-of-pocket payment and an equal contribution of all households to the NHS. But there is a difference in the disposable income bracket between households which causes a disparity in access to health care especially for the poor who may not be capable of affording costs. This does have attributed to widening the health gap between the rich and poor in Ghana.
Sustainability of the healthcare systems is dependent on infrastructure, innovation, utilization of medical technology, and having a capable human resource which is very different in both countries. For example, the Ghana service provision survey estimates the doctor to patient ratio at 1 to 14752 and an inadequate number of healthcare facilities. The UK systems are highly decentralized and have an equitable distribution of both infrastructure and human resource capacity. Although increasing health expenditure and prioritizing the health of populations is an indication of the performance of health systems, the WHO suggests that the most important facet of health care systems performance is its ability to note the peculiar system failings and change policies to avoid its pitfalls.
The burden of cardiovascular disease is on the rise globally, the statistics on prevalence rate shows the disease as a leading cause of mortality. Hence, since the diagnosis of cardiovascular disease is associated with high health care cost and loss of productivity in countries, the analysis of preventive work in developed and developing countries was essential. The review of preventive programmes implemented in Ghana and UK gave various insight into the strength and weakness of each country in planning preventive actions for reducing the risk of cardiovascular disease. In the UK, the implementation of several programs like ‘Change for Life’ and the Public health England (PHE) plays the most important role in tackling the major health-related crisis. It is involved in all necessary areas for health promotion to improve health development in the country. In the case of Ghana, poor governance and healthcare infrastructure affected the success of preventive work. Hence, it is recommended these countries identifies the flaws in the health care system and correct them to increase their capacity, better integration for health promotion and prevention of chronic diseases especially cardiovascular disease.