The emergence of the biopsychosocial approach. A model for third world health care systems

1985 ◽  
Vol 21 (12) ◽  
pp. 1337 ◽  
Author(s):  
Fernando Lolas
2019 ◽  
Vol 72 (4) ◽  
pp. 685-691
Author(s):  
Borys O. Lohvynenko ◽  
Roman V. Myroniuk ◽  
Olexander P. Svitlychnyy ◽  
Aleksey Y. Prokopenko ◽  
Lidija I. Kalenichenko

Introduction: Nowadays there is the transformation of the national health care system in Ukraine, the ultimate goal of which is to create a modern, competitive model of medical care of citizens on the basis of forming packages of free medical services. However, the model adopted by Ukraine is in contradiction with national legislation in part of free medical aid guaranteed by the Art. 49 of the Constitution of Ukraine, and fragmentary considers positive international practices. The aim of the paper is to determine the mistakes of the reform of the Ukrainian health care system and to reveal the positive international practices of the organization of health care systems that can be implemented in Ukraine. Materials and methods: National and international legislation, official web resources of the executive authorities of Ukraine, statistics of the World Health Organization, materials of journalistic and scientific periodicals are the materials for the research of the health care system in Ukraine in comparison with international practices. Research methods are cross-sectoral, complex statistical, comparative, generalization, analysis and synthesis. In order to obtain the results, the authors have conducted a critical analysis of the current norms of the national Ukrainian legislation in the health care sector. Review: The authors of the article have studied the main disadvantages of the national health care system in accordance with the concept of reforming the medical sector. Positive international practices that can be implemented into Ukrainian system for the real improvement of medical human rights in Ukraine have been revealed. Conclusions: It has been proved that the ongoing reform of the health care system in Ukraine needs to be reviewed and optimized. It has been offered to consolidate a perspective model of the Ukrainian health care system, its principles and guarantees of immunity at the legislative level.


2015 ◽  
Vol 13 (1) ◽  
pp. 729-735 ◽  
Author(s):  
Ewa Banasik

The main argument of this paper is that because the burden of diseases increases with age, a greater numbers of older individuals will increase the demand for health care, and whether this demand will be met very much depends on how health care systems are governed. This task is particularly complex in jurisdictions with multi-layer governing systems such as the Australian health care system. Governance, described in terms of stewardship of the well-being of the population and as a central component for building effective health care systems, is increasingly considered to be very important for a well performing health care system (World Health Organization, 2000, 2007). Governance is, however, the least studied function in a health care system (Alliance 2009). Furthermore, the limited governance frameworks and assessments that have been developed thus far fail to include the political context in which health care systems operate (Baez-Camargo and Jacobs, 2011). This paper intends to fill this knowledge gap by exploring the political dynamics of the Australian health care system’s governance and its accountability. Furthering the discourse on governance is especially important in times when health care systems are confronted with the challenges of ageing populations


Author(s):  
Cheng-Yu Huang ◽  
Kwong-Kwok Au ◽  
Sung-Lang Chen ◽  
Shao-Chuan Wang ◽  
Chi-Yu Liao ◽  
...  

The mortality-to-incidence ratio (MIR) is associated with the clinical outcome of cancer treatment. For several cancers, countries with relatively good health care systems have favorable MIRs. However, the association between lung cancer MIR and health care expenditures or rankings has not been evaluated. We used linear regression to analyze the correlation between lung cancer MIRs and the total expenditures on health/gross domestic product (e/GDP) and the World Health Organization (WHO) rankings. We included 57 countries, for which data of adequate quality were available, and we found high rates of incidence and mortality but low MIRs in more developed regions. Among the continents, North America had the highest rates of incidence and mortality, whereas the highest MIRs were in Africa, Asia, Latin America, and the Caribbean. Globally, favorable MIRs correlated with high e/GDP and good WHO ranking (regression coefficient, −0.014 and 0.001; p = 0.004, and p = 0.014, respectively). In conclusion, the MIR for lung cancer in different countries varies with the expenditure on health care and health system rankings.


1987 ◽  
Vol 8 (1) ◽  
pp. 125
Author(s):  
Max H. Schoen ◽  
Harald A. Arnljot ◽  
David E. Barmes ◽  
Lois K. Cohen ◽  
Peter B. V. Hunter ◽  
...  

2011 ◽  
Vol 3 (1) ◽  
pp. 97-114
Author(s):  
Robert B. Matthews ◽  
G. Keith Jenkins ◽  
Joey Robertson

The passage of the Affordable Care Act (“ACA” or “Obamacare”) in 2010 promises to bring about significant changes in the way that health care is provided and paid for in the United States of America (USA). Supporters of ACA point to a 2000 WHO study of worldwide health care systems in which the USA ranked 37th as justification for proposed changes, and many of them have expressed a preference for ultimately implementing a single-payer or single-provider system (such as currently exists in Canada or the United Kingdom). Detractors, who generally label the act Obamacare, have expressed concerns about whether the act can achieve its stated objectives, whether it represents a negative step instead of a positive one, and whether the ultimate goal of a single-payer or single-provider system is desirable one or even an achievable one. In the context of the ongoing debate over health care in the USA, this paper reviews the WHO study and subsequent comparative analyses of world health care systems to address the following questions:Does the USA really have the 37th best health care system in the world?Does either a “single-payer” health care system or a “single-provider” health care system offer prospects for significant improvement?What model or models for delivery of health care services represent “best practices” and how can and should they be emulated? 


Orthopedics ◽  
2001 ◽  
Vol 24 (4) ◽  
pp. 324-330
Author(s):  
Robert D'Ambrosia ◽  
Jennifer A Kilpatrick

Author(s):  
Dominique Kerouedan

The fight against infectious diseases necessarily involves medical entomology and biology, medicine and public health. Other dimensions are influential in the field of international health care cooperation because of pressures inflicted on national policies, particularly in Africa. Based on a historical review of cooperation and the analysis of its evolutions over the past 15 years, we highlight the paradox of world health safety: owing to targeting almost exclusively the AIDS pandemic over the course of decades, disequilibria can be observed in health care systems, especially with regard to epidemiological alert and surveillance and health care personnel, two essential pillars in the control of infectious diseases. We suggest that the Ebola epidemic and its rapid propagation in several West African countries might be a result of over a decade security policies relating to AIDS. The private sector cannot take the place of this democratic governance, neither in rich nor in poor countries. It is time to restore the standards for national and world governance in this field.


Author(s):  
Fatia Kiyange

Volunteering in hospice and palliative care in Africa occurs in existing cultures of care for the sick by families and their communities. The high burden of Human immunodeficiency virus (HIV) in sub-Saharan Africa further accelerated the development and involvement of volunteers in the delivery of hospice and palliative care services, as well as other health services. Similar to the Alma Ata Declaration which recognizes the importance of community members in the provision of primary health care, the World Health Assembly resolution on palliative care recognizes the role of volunteers in services. Volunteers are integral to palliative care teams and can help address the human resources crisis in health care systems in Africa. Various models for volunteering have emerged, each with unique characteristics. Different terminologies are also used to describe volunteering in hospice and palliative care, although the roles of volunteers are very similar.


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