Managed Competition in Health Care: A Contradiction in Terms and an Option For Australia?**A review article of A.C. Enthoven, Theory and Practice of Managed Competition in Health Care Finance, De Vries Lectures in Economics, North-Holland, Amsterdam, 1988. 162 pages, cloth US$65.75. Comments by Dr J.R.G. Buller on an early draft of this review article are acknowledged. Needless to say the usual caveat applies.

1990 ◽  
Vol 20 (2) ◽  
pp. 203-220 ◽  
Author(s):  
D.P. Doessel
Author(s):  
Joia S. Mukherjee

This chapter explores the seminal topic of Universal Health Coverage (UHC), an objective within the Sustainable Development goals. It reviews the theory and definitions that shape the current conversation on UHC. The movement from selective primary health care to UHC demonstrates a global commitment to the progressive realization of the right to health. However, access to UHC is limited by barriers to care, inadequate provision of care, and poor-quality services. To deliver UHC, it is critical to align inputs in the health system with the burden of disease. Quality of care must also be improved. Steady, sufficient financing is needed to achieve the laudable goal of UHC.This chapter highlights some important steps taken by countries to expand access to quality health care. Finally, the chapter investigates the theory and practice behind a morbidity-based approach to strengthening health systems and achieving UHC.


1930 ◽  
Vol 26 (11) ◽  
pp. 1165-1166

(Letter to the editor in response to comrade D. Pravdin). The magazine "Varnitso" (No. 3/4) published an article by com. D. Pravdin "Among scientific workers", which mentioned my name. The paragraph in which my surname appears is literally the following: The authors of the Problems of Biology and Pathology of Jews collection set themselves an equally ungrateful task of supplementing the party's policy in the field of health care theory and practice with a correction for racial pathology (see especially the editorial of the first Collection and an article by Prof. Grahn in the second Collection), which discovered, regardless of the conditions of production, labor, class (italics ours), a special racial pathology of the Jews. Not wanting to suspect the "purity" of the scientific intentions of individual participants in the Collections, we cannot fail to note that such quasi scientific excursions serve objectively as water for very dubious "mills", with which most of the participants in the Collections would probably not want to have anything in common ".


2002 ◽  
Vol 7 (2) ◽  
pp. 11 ◽  
Author(s):  
H. Lita ◽  
U. Alberts ◽  
A. Van Dyk ◽  
L F Small

T he researcher, being a nursing lecturer, questioned the method of selection of learning opportunities for student nurses in two training hospitals in the Northern part of Namibia.The study therefore focused on the following objective: To identify the factors that influence the selection of learning opportunities for primary health care in hospital units. A qualitative research design utilising focus group discussions were used. The population consisted of conveniently selected lecturers, student nurses and registered nurses. The same initial question was asked in each focus group to initiate the discussions. The data were analysed according to Tesch's method.The results indicated that there is positive commitment from the lecturers and registered nurses to be involved in selecting appropriate learning opportunities. The student nurses also demonstrated a willingness to learn and to be exposed to learning opportunities in primary health care. There were however certain constraints that emerged as themes, namely: • Managerial constraints • Educational constraints Under the theme "managerial constraints" categories such as workload, nursing staff shortages and communication problems were identified. Under the theme "educational constraints" categories such as a lack of guidance, and the correlation of theory and practice emerged.Recommendations based on this research report include improvement of in-service education on managerial and educational aspects to facilitate the primary health care approach in hospitals.


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