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This book draws on research within neo-Weberian and neo-institutionalist perspectives to critically analyse National Health Services (NHSs) in Western Europe. Exploring the challenges posed by neo-liberal policies, it also looks at the impact of the role of the state, the medical profession, the public and the medical–industrial complex in their development. Bringing together a top-line range of expert international contributors, this book includes national studies from three European macro-regions: Britain, Scandinavia and the Mediterranean. In the first part, the NHSs of each country considered are examined historically and in a contemporary context in face of emerging challenges – from cost containment to governance. The second part looks across the macro-regions at the influence of the main actors involved in their evolution and sustainability. Comparing and contrasting the NHSs of Western Europe, the book ends with a discussion of future directions. This book makes a vital contribution at a time when health services globally have been under great pressure in the wake of the COVID-19 pandemic. It is written for academics and advanced students of healthcare, management, public policy, social policy and sociology – in addition to health professionals and policymakers.
For many citizens primary health care is the first point of contact with their health care system, where most of their health needs are satisfied but also acting as the gate to the rest of the system. In that respect primary care plays a crucial role in how patients value health systems as responsive to their needs and expectations. This volume analyses the way how primary are is organized and delivered across European countries, looking at governance, financing and workforce aspects and the breadth of the service profiles. It describes wide national variations in terms of accessibility, continuity and coordination. Relating these differences to health system outcomes the authors suggest some priority areas for reducing the gap between the ideal and current realities.
The NHS is the largest employer in Western Europe. It embraces two of the oldest professions - doctors and nurses - whose work practices are still highly traditional and yet currently at the forefront of radical change as health work is being reorganized to reflect the new political priorities of the 1990s. This book focuses on the collaborative work of doctors and nurses in one particular area: the acute hospital ward, looking at the effects of `new wave' management on formerly independent, autonomous teams. The authors examine the impact of changes in health service on professional boundaries and inter-professional relations, exploring the paradox of the ostensible drive to decentralise responsibility introduced alongside the increased ma
International Encyclopedia of Public Health, Second Edition, Seven Volume Set is an authoritative and comprehensive guide to the major issues, challenges, methods, and approaches of global public health. Taking a multidisciplinary approach, this new edition combines complementary scientific fields of inquiry, linking biomedical research with the social and life sciences to address the three major themes of public health research, disease, health processes, and disciplines. This book helps readers solve real-world problems in global and local health through a multidisciplinary and comprehensive approach. Covering all dimensions of the field, from the details of specific diseases, to the organization of social insurance agencies, the articles included cover the fundamental research areas of health promotion, economics, and epidemiology, as well as specific diseases, such as cancer, cardiovascular diseases, diabetes, and reproductive health. Additional articles on the history of public health, global issues, research priorities, and health and human rights make this work an indispensable resource for students, health researchers, and practitioners alike. Provides the most comprehensive, high-level, internationally focused reference work available on public health Presents an invaluable resource for both researchers familiar with the field and non-experts requiring easy-to-find, relevant, global information and a greater understanding of the wider issues Contains interdisciplinary coverage across all aspects of public health Incorporates biomedical and health social science issues and perspectives Includes an international focus with contributions from global domain experts, providing a complete picture of public health issues
This title explores the nature of the pressures social health insurance systems confront to be more efficient, more effective, and more responsive.
Linking classical public health and intervention with evolving healthcare strategies and policies for the 21st century, The New Public Health provides a broad perspective on current issues & the kinds of solutions & expectations needed in the future.
Within two volumes, more than 400 signed entries and their associated bibliographies and recommended readings authoritatively cover issues in both the historical and contemporary context of health services research.
A comparative analysis of the politics of national health insurance in Sweden, France and Switzerland, showing how the Swedes have developed the most 'socialized' health system in Western Europe, the Swiss the most 'privatized' and the French a conflict-ridden compromise between the two.
This is the companion to the comprehensive review of national health systems presented in Volume I. In that volume, the author analyzed the resources, organization, financing, management, and delivery of health services in 68 countries at diverse levels of economic development and political ideology. In Volume II, the principal issues in health systems across countries are carefully examined. These issues are categorized according to the several components by which national health systems may be analyzed. In the general field of health resources, Roemer discusses physicians and traditional healers, nurses, pharmacists, auxiliary health personnel, the background and distribution of hospitals and health centers, and the production and consumption of drugs. The sections of this important work elucidate the various issues surrounding the world's health systems. The scope and functions of Ministries of Health and social security programs for health care in different types of health systems are reviewed. The book recognizes the contributions of voluntary health agencies, as well as the characteristics of major services in the private sector of national economies. The serious implications of private profit in health systems and the benefits and difficulties of private/public sector relationships are also examined. This authoritative volume presents a global analyzation of economic and management support for national health systems including a discussion of world-wide expenditures according to the source of financing and the purposes for which money is spent. Special attention is also given to experiences in the delivery of health service including ambulatory and primary care, and equivalent analyses are made of world-wide delivery of hospital services, regionalization, and long-term care. Volume II concludes with a review of international health activities from the 19th century International Sanitary Conferences up to the present era of the World Health Organization. This critical work probes the political factors involved in this evolution. The last chapter summarizes major social trends in society, along with major trends in the health system components: resources, programs, economic support, management, and delivery of services.
This book takes a broad but detailed approach to public health in Europe and offers the most comprehensive analysis of this region currently available.