Post-Fordism's Contradictory Trends: The Case of the Israeli Health Care System

2004 ◽  
Vol 33 (3) ◽  
pp. 417-436 ◽  
Author(s):  
DANI FILC
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Health Care Services ◽  
Health Care Facilities ◽  
Public Health Care ◽  
Political Struggle ◽  
Care Services ◽  
National Health Insurance Law ◽  
The Right ◽  
Care System

The transition from the Fordist hegemonic model to post-Fordism is a complex process. It is not the unavoidable result of technological changes, but the contingent consequence of a hegemonic, political, struggle taking place at the different spheres of the social. This article studies the transformations that took place in the Israeli health care system during the last two decades in order to exemplify the political and contradictory character of the transition to post-Fordism. The article emphasises the contradiction between the partial commodification of financing and the privatisation of certain health care facilities, and the legislation of the National Health Insurance Law, which guaranteed the right to access to public health care services.

Blurring the boundaries between public and private health care services as an alternative explanation for the emergence of black medicine: the Israeli case

2014 ◽  
Vol 10 (3) ◽  
pp. 293-310 ◽  
Author(s):  
Dani Filc ◽  
Nissim Cohen
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Health Care Services ◽  
Qualitative Methodology ◽  
Health Care Systems ◽  
Public Health Care ◽  
Private Health Care ◽  
Public And Private ◽  
Care Services ◽  
Care System

AbstractBlack medicine represents the most problematic configuration of informal payments for health care. According to the accepted economic explanations, we would not expect to find black medicine in a system with a developed private service. Using Israel as a case study, we suggest an alternative yet a complimentary explanation for the emergence of black medicine in public health care systems – even though citizens do have the formal option to use private channels. We claim that when regulation is weak and political culture is based on ‘do it yourself’ strategies, which meant to solve immediate problems, blurring the boundaries between public and private health care services may only reduce public trust and in turn, contribute to the emergence of black medicine. We used a combined quantitative and qualitative methodology to support our claim. Statistical analysis of the results suggested that the only variable significantly associated with the use of black medicine was trust in the health care system. The higher the respondents’ level of trust in the health care system, the lower the rate of the use of black medicine. Qualitatively, interviewee emphasized the relation between the blurred boundaries between public and private health care and the use of black medicine.

scholarly journals Oral health disparities in the time of COVID-19: An indication for focus on public health care strengthening and preventive care

2021 ◽  
Vol 9 (1) ◽  
pp. 42-43
Author(s):  
Sukhvinder Singh Oberoi ◽  
Shibani Grover ◽  
Shabina Sachdeva
Keyword(s):  
Public Health ◽  
Health Care ◽  
Oral Health ◽  
Health Care System ◽  
Health Care Services ◽  
Public Health Care ◽  
Public Health Care System ◽  
The Public ◽  
Care Services ◽  
Care System

The COVID-19 has impacted the health service delivery especially, the public health care system which is already overburdened. The dental health care carries the huge risk of infection due to the generation of the aerosols, through high-speed airotor. This has led to a big toll on the delivery of the dental services at global level. Even when the oral health care services are getting opened, there is still lot of dilemmas in the mind of oral health professionals in provision of the services. This crisis has given us a chance for addressing the issues of relevance affecting the oral health care services and failures of the health care system. It is time to rethink our priorities and strengthen the over-all integrity of the health care system. These calls for higher focus upon the oral care prevention strategies can be amalgamated as part of the public health care system along with strengthening of public health care.

scholarly journals The development of voluntary private health insurance in the Nordic countries

2016 ◽  
Vol 4 (1) ◽  
pp. 68-83 ◽  
Author(s):  
Nina Alexandersen ◽  
Anders Anell ◽  
Oddvar Kaarboe ◽  
Juhani S Lehto ◽  
Liina-Kaisa Tynkkynen ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Health Care Services ◽  
Private Health Insurance ◽  
Nordic Countries ◽  
Public Health Care ◽  
Public Health Care System ◽  
The Public ◽  
Care Services ◽  
Care System

The Nordic countries represent an institutional setting with tax-based health care financing and universal access to health care services. Very few health care services are excluded from what are offered within the publically financed health care system. User fees are often non-existing or low and capped. Nevertheless, the markets for voluntary private health insurance (VPHI) have been rapidly expanding. In this paper we describe the development of the market for VPHI in the Nordic countries. We outline similarities and differences and provide discussion of the rationale for the existence of different types of VPHI. Data is collected on the population covered by VPHI, type and scope of coverage, suppliers of VPHI and their relations with health providers. It seems that the main roles of VPHI are to cover out-of-pocket payments for services that are only partly financed by the public health care system (complementary), and to provide preferential access to treatments that are also available free of charge within the public health care system, but often with some waiting time (duplicate).Published: April 2016.

scholarly journals Rural Michigan Farmers’ Health Concerns and Experiences: A Focus Group Study

2021 ◽  
Vol 12 ◽  
pp. 215013272110535
Author(s):  
Nathan Wright ◽  
Marylee Scherdt ◽  
Michelle L. Aebersold ◽  
Marjorie C. McCullagh ◽  
Barbara R. Medvec ◽  
...  
Keyword(s):  
Health Care ◽  
Focus Groups ◽  
Health Care System ◽  
Health Care Services ◽  
Well Being ◽  
The United States ◽  
Full Time ◽  
Rural Residents ◽  
Care Services ◽  
Care System

Objectives: Rural residents comprise approximately 15% of the United States population. They face challenges in accessing and using a health care system that is not structured to meet their unique needs. It is important to understand rural residents’ perceptions of health and experiences interacting with the health care system to identify gaps in care. Methods: Our team conducted focus groups with members of the Michigan Farm Bureau during their 2019 Annual Meeting. Topics explored included resources to manage health, barriers to virtual health care services, and desired changes to localized healthcare delivery. Surveys were used to capture demographic and internet access information. Conclusion: Analysis included data from 2 focus groups (n = 14). Participants represented a wide age range and a variety of Michigan counties. The majority were full-time farm owners with most—93% (n = 13)—reporting they had access to the internet in their homes and 86% (n = 12) reporting that their cellphones had internet capabilities. Participants identified challenges and opportunities in 4 categories: formal health care; health and well-being supports; health insurance experiences; and virtual health care. Conclusion: The findings from this study provide a useful framework for developing interventions to address the specific needs of rural farming residents. Despite the expressed challenges in access and use of health care services and resources, participants remained hopeful that innovative approaches, such as virtual health platforms, can address existing gaps in care. The study findings should inform the design and evaluation of interventions to address rural health disparities.

scholarly journals Financial Crisis in Portugal: Effects in the Health Care Sector

2019 ◽  
Vol 49 (2) ◽  
pp. 237-259 ◽  
Author(s):  
Alexandre Morais Nunes ◽  
Diogo Cunha Ferreira ◽  
Adalberto Campos Fernandes
Keyword(s):  
Health Care ◽  
Financial Crisis ◽  
Access To Health Care ◽  
Health Care Services ◽  
Health Care Sector ◽  
Public Health Care ◽  
Positive Effects ◽  
Care Services ◽  
Access To Health ◽  
Care System

Portugal has faced an economic and financial crisis that began circa FY2009 and whose effects are still ongoing. In FY2011, the Portuguese state and the European triumvirate – composed of the European Commission, the International Monetary Fund, and the European Central Bank – signed the Memoranda of Understanding. This troika agreement aimed to improve the operational efficiency of public services. This crisis had a considerable impact on the Portuguese citizens’ life and productivity, as well as on the public health care system. Cuts over public expenditures have been made to reduce the risk of noncompliance with budgetary targets, despite their potential impact on quality and access to health care services. We analyzed the main policies and measures undertaken by the Portuguese Ministry of Health with respect to the bailout program associated with the troika agreement. Then, we focused on the budgetary cuts–related risks over the social performance of the care system. Evidence suggests that structural reforms in the health care sector in the troika period had positive effects in terms of drugs administration and consumption, on the one hand, and secondary care expenditures reduction, on the other hand. Nonetheless, we observed some divestitures on infrastructures and the worsening of access to health care services.

An Analysis of the Role of Health Care in Reducing Socioeconomic Inequalities in Health: The Case of the Netherlands

2003 ◽  
Vol 33 (3) ◽  
pp. 523-541 ◽  
Author(s):  
Johan P. MaCkenbach
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Health Care Services ◽  
Health Problems ◽  
Socioeconomic Inequalities ◽  
Care Utilization ◽  
Inequalities In Health ◽  
Socioeconomic Groups ◽  
Care Services ◽  
Care System

The aim of this article is to analyze the role of the health care system in reducing socioeconomic inequalities in health in countries with good access to health services, using the Dutch example. In the past, health care has contributed substantially to reducing a number of health problems in the population, particularly health problems leading to mortality. Data on trends in mortality from selected conditions by socioeconomic group show that both higher and lower socioeconomic groups have profited from these mortality reductions, probably because of largely equal access to essential health care services, and that absolute inequalities in mortality from these conditions have declined notably. The current situation is still one of largely equal financial access to health care services, with relatively small differences between socioeconomic groups in health care utilization, after adjustment for differences in prevalence of health problems. There is no evidence that inequalities in health care utilization contribute to a widening of socioeconomic inequalities in health. Financing of the health care system, however, is slightly regressive, and out-of-pocket payments contribute to the poor financial situation of the chronically ill. For the future, three possible contributions of the health care system to reducing socioeconomic inequalities in health are described: preservation of equal access to high-quality health care; development of specific care packages for lower socioeconomic groups; promotion and support of intersectoral activities.

scholarly journals Planning universal accessibility to public health care in sub-Saharan Africa

2020 ◽  
Vol 117 (50) ◽  
pp. 31760-31769
Author(s):  
Giacomo Falchetta ◽  
Ahmed T. Hammad ◽  
Soheil Shayegh
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Care Services ◽  
Health Care Facilities ◽  
Sub Saharan Africa ◽  
Public Health Care ◽  
Care Services ◽  
Universal Accessibility ◽  
Care Facilities ◽  
Sub Saharan

Achieving universal health care coverage—a key target of the United Nations Sustainable Development Goal number 3—requires accessibility to health care services for all. Currently, in sub-Saharan Africa, at least one-sixth of the population lives more than 2 h away from a public hospital, and one in eight people is no less than 1 h away from the nearest health center. We combine high-resolution data on the location of different typologies of public health care facilities [J. Maina et al., Sci. Data 6, 134 (2019)] with population distribution maps and terrain-specific accessibility algorithms to develop a multiobjective geographic information system framework for assessing the optimal allocation of new health care facilities and assessing hospitals expansion requirements. The proposed methodology ensures universal accessibility to public health care services within prespecified travel times while guaranteeing sufficient available hospital beds. Our analysis suggests that to meet commonly accepted universal health care accessibility targets, sub-Saharan African countries will need to build ∼6,200 new facilities by 2030. We also estimate that about 2.5 million new hospital beds need to be allocated between new facilities and ∼1,100 existing structures that require expansion or densification. Optimized location, type, and capacity of each facility can be explored in an interactive dashboard. Our methodology and the results of our analysis can inform local policy makers in their assessment and prioritization of health care infrastructure. This is particularly relevant to tackle health care accessibility inequality, which is not only prominent within and between countries of sub-Saharan Africa but also, relative to the level of service provided by health care facilities.

scholarly journals The Health Care System of the Semipalatinsk Region of the Steppe Territory: Stages of Formation (60s of the 19th Century — the Beginning of the 20th Century)

2021 ◽  
pp. 13-18
Author(s):  
A.I. Vlasova
Keyword(s):  
Health Care ◽  
19Th Century ◽  
Health Care System ◽  
Health Care Services ◽  
Care Services ◽  
Mass Migration ◽  
Medical Institutions ◽  
Statistical Surveys ◽  
The 19Th Century ◽  
Care System

On the basis of different sources, mainly annual regional statistical surveys, the stages of the formation of the health care system of the Semipalatinsk region of the Steppe Governor General are revealed. At the first stage, the end of the 60s — 80s of the 19th century, the accession of the Steppe Territory to the Russian Empire was completed. The integrating policy of this ethnoregion into the political-legal and socio-economic space of the empire was initiated. In the social sphere, it led to the creation of a health system. The procesas had a number of specific features due to the absence of zemstvos and zemstvo medicine and the predominance of Kazakh nomads in the ethnosocial structure of the region. Therefore, in contrast to the central regions of Russia, the development of the health care system in the Steppe Territory was dealt with by the provincial and regional administrations. The second stage (the end of the 80s 19th century — 1917) is associated with the beginning of the mass migration of peasant migrants from the European part of Russia to the Steppe Territory. This stage is characterized by the expansion of the network of regional and county medical institutions, the improvement of their material and technical base, the expansion of the specialization of practicing doctors, and the solution of the personnel problem. Also, at that stage, the system of management of medical institutions was improved and government organizations, for example, the Resettlement Department, were involved in solving problems related to health care services for the p opulation. In general, statistics show that by 1917 the quality of health care services and the percentage of population involvement remained at a low level.

scholarly journals The Transformation of the Health Care Structure – Opportunity of Growth

Equilibrium ◽  
2013 ◽  
Vol 8 (3) ◽  
pp. 27-47
Author(s):  
Barbel Held
Keyword(s):  
Health Care ◽  
Healthcare System ◽  
Health Care System ◽  
Health Care Services ◽  
Transformation Process ◽  
Governance System ◽  
Clear Trend ◽  
Care Services ◽  
Health Care Structure ◽  
Care System

The healthcare industry is a growth driver. However, the health system is facing a crisis, affected by the financial development in Europe. An almost completely regulated market is just as little use, as a largely deregulated market such as in the U.S.A. Both lead to gaps in the sustainable and comprehensive patient care. Based on the German Healthcare System, an analysis is performed. Currently, the German health care system is in a transformation process. Traditional forms of health care services provision and the existing governance system are coming to their limits. The current health care system no longer meets the requirements for ensuring accessible and affordable health care services. As new players on the German hospital market, commercial hospital groups have emerged. To get more informed on the effects at the regional level, a scenario analysis was performed. A trend scenario which shows a clear trend toward a substantial increase of regional imbalances was developed. On one hand, there are highly profitable regions with excellent medical service provision by commercial hospital groups, and on the other hand, there are peripheral regions with a second-rate medicine, which are left to the public sector. The paper derives first ideas about a new structure of the healthcare system for ensuring accessible and affordable health care services for the citizens. The paper shows first ideas about the transformation of healthcare as an opportunity for growth.

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