Between the state and civil society: medical discipline in Tanzania

1999 ◽  
Vol 37 (2) ◽  
pp. 207-239 ◽  
Author(s):  
John A. Harrington
Keyword(s):  
Health Care ◽  
Civil Society ◽  
Health Care System ◽  
Medical Profession ◽  
Economic Restructuring ◽  
The State ◽  
Early Years ◽  
Medical Council ◽  
Medical Discipline ◽  
Care System

This article seeks to examine the status of the medical profession in Tanzania, in the context of political and economic developments since independence. It demonstrates that doctors have maintained a relatively privileged position within the health care system and in the wider society from the colonial period, through the early years of indpendence, to the present. This has been achieved by a variety of means. During the 1970s and early 1980s the profession was closely associated with the developmentalist project of the state. Because of economic restructuring since then it has had to adopt the rhetoric and techniques of accountability, to distance itself from the state and position itself in the notional realm of civil society. Recent cases of the Medical Council are used to demonstrate this trend. Renewed legitimation is most significant as a means of maintaining the profession's links with its international counterparts, and with foreign donors who support the health care system in Tanzania.

Struggle and Revolt in the Spanish Health Policy Process: The Changing Role of the Medical Profession

1992 ◽  
Vol 22 (1) ◽  
pp. 19-44
Author(s):  
Josep A. Rodríguez
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Medical Profession ◽  
The State ◽  
Political Organization ◽  
Political Activity ◽  
Professional Status ◽  
Political Role ◽  
Care System

Many changes have taken place in the professional status and political role of the Spanish medical profession during the process of construction of the health care system (1940–1990). There is a strong correlation between the different characteristics of the several phases of construction of the national health care system and some of the changes in the status, organization, and political activity of the medical profession. The democratic transition coincided with changes in the orientation of the system brought about by financial imperatives, which forced readjustments in the survival and political projects of the profession. The creation of a democratic regime has allowed the medical profession to create its own independent mechanisms of interest representation and has given rise to a process of negotiation of the new political relations (and their mechanisms) between the State and the profession. The last 15 years have witnessed important transformations in some parameters of the profession, in its political organization, its political role, and its relation with the State.

Economic development trends and aspects of healthcare reform in Russia under COVID-2019 pandemic

2021 ◽  
Vol 17 (4) ◽  
pp. 503-513
Author(s):  
Natalya Krivenko
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Socioeconomic Development ◽  
Large Scale ◽  
Mutual Influence ◽  
Health Financing ◽  
The State ◽  
Point Of View ◽  
State Of The Economy ◽  
Care System

The article is aimed at studying the state of the Russian economy and health care system before and after the COVID-2019 pandemic, identifying the main trends in the economy and health care, regardless of the pandemic, as well as its impact on the socioeconomic development of the country. The interrelation and mutual influence of the levels of development of the economy and health care of the country is noted. An analysis of the state of the economy and health care system in Russia for 2017–2019 is presented, problems and achievements in the pre-pandemic period are identified. The COVID-2019 pandemic is considered not only from the point of view of a medical manifestation but as a powerful trigger that provoked large-scale socioeconomic changes in the world, as a bifurcation point in world development, requiring states to objectively assess the state of the economy and healthcare, revise the current coordinate system, getting out of the state of uncertainty and choosing promising areas of socioeconomic development. A cross-country analysis of the response of various health systems to the COVID-19 pandemic has shown the advantages of countries with centralized management, health financing, and subordinate sanitary and epidemiological services. Along with the achievements of Russia in the fight against COVID-19, the existing specific problems of the domestic health care system are noted, which negatively affected the preparedness for a pandemic. Analyzed the consequences of the COVID-2019 pandemic for the socio-economic state of countries at the global level. The change in socio-economic indicators in Russia in 2020 compared to 2019 is presented as a result of the consequences of the COVID-2019 pandemic. The main results of the study are to identify the main trends in the development of the economy and the healthcare system in Russia in the context of the ongoing COVID-2019 pandemic, defining the directions of reforming the national healthcare, trajectories of increasing the level of socioeconomic development of the country

On teaching surgery to seconded doctors

1934 ◽  
Vol 30 (1) ◽  
pp. 26-32
Author(s):  
V. L. Bogolyubov
Keyword(s):  
Health Care ◽  
Soviet Union ◽  
Health Care System ◽  
The State ◽  
October Revolution ◽  
General State ◽  
State Health ◽  
National Scale ◽  
Systematic Improvement ◽  
Care System

The question of the systematic improvement of doctors on a national scale arose only after the October Revolution and the transfer of the health care system into the hands of the state. The October Revolution, which brought with it the system of state health care, raised the acute and very real question of creating a cadre of doctors to carry out the tasks of Soviet health care. Thus, the training of doctors in our Soviet Union in general and their training in particular is directly dependent on the tasks of Soviet health care, which are inseparably linked in their turn to the realization of various general state tasks at a given point in time.

scholarly journals NURSE IN THE POLISH HEALTH CARE SYSTEM

2020 ◽  
Vol 73 (8) ◽  
pp. 1771-1779
Author(s):  
Małgorzata Paszkowska
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Medical Staff ◽  
Medical Profession ◽  
Legal Norms ◽  
The Status ◽  
Medical Order ◽  
Definition Of ◽  
Care System

Nurses are the largest group of Polish medical staff. There are currently approximately 230,000 nurses employed in Poland. There is a statutory profession for many years. Nurses provide health services on the basis of a medical order or on their own. As a result of changes in the law, the scope of their professional competences has been increasing for several years, including to independently administer medicines and issue prescriptions. The purpose of the article is to present and analyze legal norms determining the status of a nurse in the Polish health care system. In addition, the definition of the statutory principles of cooperation between doctors and nurses. The analysis shows that changes in law in recent years have significantly influenced the increase in the role of nurses in the health care system and they are also relevant to the practice of the medical profession.

The Education of Pediatricians for Primary Care: The Score After Two Score Years

PEDIATRICS ◽  
1995 ◽  
Vol 95 (2) ◽  
pp. 270-272
Author(s):  
Evan Charney
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Health Care System ◽  
Medical Profession ◽  
Primary Care System ◽  
Educational Structure ◽  
Task Forces ◽  
Do So ◽  
Care System

In a 1973 monograph on the education of physicians for primary care, Joel Alpert and I wrote, "There are two interrelated and serious problems in our present educational structure—not enough physicians enter primary care and those who do so are not adequately prepared for the job."1 Twenty years and many task forces and exhortatory editorials later, much the same could be said. But that conclusion would not be entirely fair: changes have indeed occurred in the subsequent two score years. There is now clear consensus that a strong primary care system should be the linchpin of our nation's health care system, with 50 to 60% of physicians as generalists, 2,3 and the medical profession has at least professed to agree with that strategy.4

scholarly journals Management of COPD within the Brazilian Unified Health Care System in the state of Bahia: an analysis of real-life medication use patterns

2019 ◽  
Vol 45 (1) ◽  
Author(s):  
Charleston Ribeiro Pinto ◽  
Antônio Carlos Moreira Lemos ◽  
Lindemberg Assunção-Costa ◽  
Aramis Tupiná de Alcântara ◽  
Laira Lorena Lima Yamamura ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Pharmacological Treatment ◽  
Real Life ◽  
The State ◽  
Public Health Care ◽  
Cross Sectional ◽  
Long Acting ◽  
Severe Copd ◽  
Care System

ABSTRACT Objective: To describe COPD pharmacological treatment patterns in the state of Bahia, Brazil, and to evaluate the extent to which these patterns conform to clinical guidelines for the management of COPD. Methods: This was a cross-sectional study of 441 patients referred from the Public Health Care Network of the state of Bahia to a public referral outpatient clinic of a COPD management program of the Brazilian Unified Health Care System. Individuals with a spirometry-confirmed diagnosis of moderate to very severe COPD were included in the study. Patients were evaluated as to whether they had used any COPD medications in the last seven days. The appropriateness or inappropriateness (undertreatment or overtreatment) of the patient’s pharmacological treatment was evaluated by comparing the patient’s current treatment with that recommended by national and international guidelines. Results: A total of 383 individuals were included in the analysis. Approximately half of the patients (49.1%) used long-acting bronchodilators. These patients were older and had had the disease longer. Of the sample as a whole, 63.7% and 83.0% did not receive pharmacological treatment in accordance with international and national recommendations, respectively. Inappropriateness due to undertreatment was indentified in more than half of the patients. Conclusions: Long-acting bronchodilators are frequently underused in individuals with moderate to very severe COPD within the Brazilian Unified Health Care System in the state of Bahia. Most patients in our sample were treated inappropriately, and undertreatment predominated. Strategies to improve access to long-acting bronchodilators and the quality of COPD pharmacological management are required.

Health Care System Structure in the State of Israel

2019 ◽  
Vol 88 (1) ◽  
pp. 39-46
Author(s):  
Mohammad Yasser Sabbah
Keyword(s):  
Health Care ◽  
Medical Treatment ◽  
Health System ◽  
Health Care System ◽  
The State ◽  
The Public ◽  
The Right ◽  
To Receive ◽  
State Of Israel ◽  
Care System

The health care system in the State of Israel consists of two sectors - the public sector, which includes government-owned hospitals and medical institutes. The public health sector includes the community health system, health funds, family medicine, the general care system and the mental health care system. The second sector is the private sector, which includes private hospitals and medical institutes. Both sectors are supervised by the Israeli Ministry of Health, which is the supreme governmental authority through which it implements its policy in the entire health system in Israel. The law provides and guarantees medical insurance for every resident of Israel, the right to receive medical treatment, the prohibition of discrimination, informed consent to medical treatment, the right to receive an additional medical opinion, the dignity and privacy of the patient and the right to attend. Health funds in Israel were established before the State of Israel was established. The ideological concept of the health funds was based on the principle of equality and mutual assistance.

Sign in / Sign up

Export Citation Format

Share Document