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La presente obra es el resultado de tres días de intensos debates sobre los aspectos económicos y organizativos de la sanidad española, producidos con motivo del curso de verano Aspectos organizativos y económicos de la sanidad celebrado en Toledo los días 12 a 14 de julio de 2000. A lo largo del curso se abordaron dos tipos de aspectos: por un lado las innovaciones en gestión; y, por el otro, los aspectos económicos de la sanidad. Así en el primer capítulo se describe de la mano de Javier Sánchez Caro, Subdirector General de la Asesoría Jurídica del Insalud, el marco jurídico de las nuevas formas de gestión aplicadas en la sanidad española. En el capítulo 2, se completa por parte de José Martínez Olmos, de la Escuela Andaluza de Salud Pública, que analiza los retos a los que estas nuevas modalidades se enfrentan. En el capítulo 3, Juan del Llano y José Francisco Martínez, de la Fundación Gaspar Casal, analizan el papel de la gestión clínica como innovación organizativa y su efecto sobre la gestión sanitaria. En el capítulo 4, Santiago Pérez Camarero, de la Universidad Carlos III de Madrid, estudia los sistemas de compensación en la actividad sanitaria y el papel que deben jugar los incentivos en las nuevas formas de gestión. En el capítulo 5, José María Hernández, de Farmaindustria, nos da una visión comparada de los precios de referencia en distintos países europeos, destacando las diferencias y analogías existentes entre ellos y España. Por último, en el capítulo 6, Álvaro Hidalgo de la Universidad de Castilla-La Mancha y Juan Oliva de la Universidad Carlos III de Madrid reflexionan sobre el papel de la evaluación económica en la asignación de recursos sanitarios.
"The Nation has lost sight of its public health goals and has allowed the system of public health to fall into 'disarray'," from The Future of Public Health. This startling book contains proposals for ensuring that public health service programs are efficient and effective enough to deal not only with the topics of today, but also with those of tomorrow. In addition, the authors make recommendations for core functions in public health assessment, policy development, and service assurances, and identify the level of government--federal, state, and local--at which these functions would best be handled.
Health Sciences & Professions
After an extensive consultative process with governments and global partners, including civil society organizations and bilateral and multilateral organizations, the World Bank's new health, nutrition, and population strategy aims to help developing countries strengthen their health systems and improve the health and well-being of millions of the world's poorest people, boost economic growth, reduce poverty caused by catastrophic illness, and provide the structural "glue" that supports multiple health-related programs within countries."--BOOK JACKET.
CSR encompasses broad questions about the changing relationship between business, society, and government. An authoritative review of the academic research that has both prompted, and responded to, these issues, the text provides clear thinking and perspectives on CSR and the debates around it.
This book disentangles the issues in connection with the advancement of Health Technology Assessment (HTA) and its interface with health policy. It highlights the factors that should shape its progress in the near future. Interdisciplinary and critical views from a number of professionals are put together in a prescient order to cast some light and make recommendations as to the next steps HTA should take to be fit for purpose. A wealth of documents dealing with HTA have been published over the last three decades. HTA allegedly is one of the bedrocks of regulation and medical decision making. However, counter vailing visions contend that geographical variations in the role that HTA is actually playing within countries pinpoints specific room for improvement. Given our social preferences, cherry-picking HTA’s features and successes over the last decades moves it away from its possibility frontier. Some of the most noteworthy hindrances that HTA faces, in several countries, to making headway towards its consolidation as an efficient tool for regulation and decision making are as follows: insufficient resources, delays in assessment, inadequate priority setting, regulatory capture, public distrust, actual influence on regulatory decisions, the need for strengthening international cooperation and harmony, the lack of sound and consistent assessments of diagnostic tests, medical devices and surgical innovations and limited dissemination. Time has come for HTA to take a renewed stand. There is a pressing need to submit HTA to in-depth critical scrutiny.
This report provides member states with essential public health information. It provides a picture of the health status and health determinants in the European Region and identifies areas for public health action for the member states and the European public health community.
Public health is a core element of governments' attempts to improve and promote the health and welfare of their citizens. Unfortunately, there is evidence that current public health systems and services are not able to cope well with the modern challenges - new technologies, globalization, migration, bioterrorism, etc. In view of this, the WHO Western Pacific Region initiated studies on essential public health functions (EPHFs) in Fiji, Malaysia, and Vietnam. By drawing on research in other parts of the world, a framework and nine EPHFs were derived for these case studies. These nine EPHFs define more clearly and systematically the core areas of public health work for which governments are ultimately responsible. These EPHFs are also considered appropriate for further consultation and use in the Western Pacific Region. This publication is aimed at providing EPHF concepts and ideas that will help countries ensure that they develop and sustain a comprehensive approach to public health. The case studies may also provide ideas for other countries on methods that could be used to examine the current functioning of EPHFs and on different approaches for strengthening these essential functions in different health systems.