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Originally published in 1980, this book explores how the NHS confronts perennial stresses and problems, considering in particular the allocation of the scarce resources within the health service. Written by distinguished academics, three of whom previously undertook research work for the Royal Commission on the NHS, the discussion centres on whether more could not be spent, whether resources are being allocated equitably, how planning can work most effectively, whether there are feasible ways of financing the service and how organisation and management could be improved: in short, all issues which continue to be pertinent to the NHS today.
Primary health care (PHC) began as a solution to problems in the developing world and is coming to be seen as a profound challenge to medical attitudes the world over. The book points to three issues at the root of PHC - universal availability of essential health care to individuals, families and population groups according to need, the involvement of communities in planning, delivering and evaluating such care and an organized active role for other sectors in health activities. It is pointed out although these principles may seem uncontroversial their introduction in developing countries has been far from smooth. When it comes to the north the principles of equity, participation and intersectoral collaboration have been resisted even more strongly by both planners and the medical establishment. By examining the lessons learnt from the developing countries, the author demonstrates the necessity to de-professionalize health. He writes at a time when resistance to PHC in the Third World is increasingly being based on dubious northern models for health care. This book demonstrates the way in which a strategy for survival in poor regions becomes a model for adequate and sustainable living everywhere.
Richmond and Fein recount the fraught history of health care in America since the 1960s. As a new crisis looms, and the existing patchwork of insurance is poised to unravel, American leaders must again take up the question of health care. This book brings the voice of reason and the promise of compromise to that debate.
'Medical need' is a factor in health care access decision-making, but merit-considerations are becoming important too. In the shortening of waiting time, priority arrangements are considered and/or introduced, based on non-medical criteria. Simultaneously, in terms of financing, health status has become important due to payment arrangements, limited insurance package options, etc. At the same time, health status disparities, due to socioeconomic inequalities, seem to be increasing. Under these circumstances, confronted with increased health spending, it is expected that rationing will become more eminent. Due to this, the emerging relevant questions are: Who will be responsible for rationing (the market, governments, bureaucrats, physicians, or others)? * How does it function (explicit or implicit)? * What are relevant and acceptable selection criteria (QUALYs, DALYs, health status, sex, age, etc.)? * To what extent is current rationing just? * What can be done to make it more just? *

Health Care Reform

United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Health and the Environment

Published: 1992

Total Pages: 384


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The present piece of research deals with the use of Web 2.0 applications within the health care market. When reviewing literature it became evident that up to now, research which has been conducted in this field is rather limited to single aspects of the topic. Comprehensive research investigating the topic as a whole could not be properly identified. Within this study, first of all, Web 2.0 is introduced in general, including a definition, its principles, as well as major supportive technologies and common applications, for example blogs, communities, virtual worlds and podcasts are outlined in detail. Since Web 2.0 is a rather young phenomenon, experts have not yet agreed on a common definition and scope. Therefore this part is intended to provide a basis for common understanding about Web 2.0. The second part is dedicated to the health care market itself. Here, a definition and classification of the market is provided. In this context it has been specified what has been included into its scope for the purpose of this study. Moreover, it is given an overview of current trends, the status quo, as well as an outlook to future development with respect to influencing factors like demographic changes, medical-technological progress, as well as political interventions. It is important to consider the structure and future development of the health care market in order to properly assess the value of Web 2.0 for this market. Afterwards, Web 2.0 is introduced to the health care market, thereby setting it into the context of e-health, the increasing virtualization and other related terms like "Medicine 2.0" or "Patient 2.0." Subsequently, possible applications and their value are discussed for the different stakeholder groups that have been identified as health care consumers, health care providers, and health care payer. It is depicted in depth which benefits can be obtained from the single applications. Majorly, it turned out that patients may have greatest benefits in
This book describes the present awful state of India’s Public Health Care Delivery, its dismal planning and implementation. It argues that it can be remedied comprehensively and effectively, using its ‘own already present’ resources. A radical re-evaluation of some sacrosanct ideas and discarding many of these, especially in Primary Care and its structure is required. It can be done without disadvantage to the last man served. This book starts with the sea change India has undergone and emphasizes new ways of managing health. High quality work force creation and its deployment, an unsolved problem is effectively given a solution. The bulk of the book discusses the entire public health care structure and function and how it can be newly laid out with proper work force allocation, hitherto grossly inadequate, including professionals from other training backgrounds. It is total solution that will help India to achieve the goal of Universal Health Care.