Quality Assessment of Ethics in Health Care: The Accountability Revolution

1994 ◽  
Vol 20 (1-2) ◽  
pp. 105-128
Author(s):  
Susan M. Wolf
Keyword(s):  
Health Care ◽  
World War Ii ◽  
Quality Assessment ◽  
Central Place ◽  
World War ◽  
New Era ◽  
The Third ◽  
Cost Cutting ◽  
Global Budgeting

Writing in 1988, Arnold Relman heralded the dawning of the “third revolution“ in medical care. The first revolution, at the end of World War II, had inaugurated an Era of Expansion, with an explosion of hospitals, physicians, and research. Medicare and Medicaid were passed, and medicine experienced a golden age of growth. Inevitably, according to Relman, this yielded to an Era of Cost Containment starting in the 1970s. The federal government and private employers revolted against soaring costs, brandishing the weapons of prospective payment, managed care, and global budgeting. Yet these blunt instruments of cost-cutting eventually produced concern over how to evaluate the quality of health care, to promote the good while trimming the bad. Thus Relman announced the arrival of the Era of Assessment and Accountability.This chronology helps explain the current importance of quality. Quality assessment and more recently, quality improvement techniques, occupy a central place in this new era.

When Nations Remember: Hiroshima in the American Consciousness and Conscience

Prospects ◽  
2002 ◽  
Vol 27 ◽  
pp. 467-488
Author(s):  
Alan G. Gross
Keyword(s):  
World War Ii ◽  
National Identity ◽  
Collective Memory ◽  
Special Kind ◽  
Central Place ◽  
World War ◽  
New Era ◽  
The City

Routinely represented by the mushroom cloud that arose from the city immediately subsequent to the atomic attack, Hiroshima has a central place in America's collective memory; it is, to borrow historian Pierre Nora's pregnant phrase, an American lieu de mémoire. In the American psyche, Hiroshima is not a place; it is an event of a special kind, one that is “immediately invested with symbolic significance” (Nora, 18). Even as the attack unfolded, even as the bomb left the bomb-bay doors, Hiroshima was “being commemorated in advance,” an event that was transformed, as it occurred, into a denning moment in national identity (18). Did the mushroom cloud mark an American triumph, the last act in the drama of World War II, or did it mask the inception of a new era for which America must take prime responsibility, an era of nuclear terror?

A war hero or a Hitler soldier?

2019 ◽  
pp. 50-57
Author(s):  
Pavel Gotovetsky
Keyword(s):  
Twentieth Century ◽  
World War Ii ◽  
Interwar Period ◽  
Military Service ◽  
Third Reich ◽  
National Committee ◽  
World War ◽  
The Third ◽  
The World ◽  
The Third Reich

The article is devoted to the biography of General Pavlo Shandruk, an Ukrainian officer who served as a Polish contract officer in the interwar period and at the beginning of the World War II, and in 1945 became the organizer and commander of the Ukrainian National Army fighting alongside the Third Reich in the last months of the war. The author focuses on the symbolic event of 1961, which was the decoration of General Shandruk with the highest Polish (émigré) military decoration – the Virtuti Militari order, for his heroic military service in 1939. By describing the controversy and emotions among Poles and Ukrainians, which accompanied the award of the former Hitler's soldier, the author tries to answer the question of how the General Shandruk’s activities should be assessed in the perspective of the uneasy Twentieth-Century Polish-Ukrainian relations. Keywords: Pavlo Shandruk, Władysław Anders, Virtuti Militari, Ukrainian National Army, Ukrainian National Committee, contract officer.

The Roots of Global Health Inequity

2017 ◽  
Author(s):  
Joia S. Mukherjee
Keyword(s):  
Health Care ◽  
World War Ii ◽  
Primary Health Care ◽  
Economic Policies ◽  
World War ◽  
The Public ◽  
The World Bank ◽  
Primary Health ◽  
The Cold War ◽  
The Impact

This chapter outlines the historical roots of health inequities. It focuses on the African continent, where life expectancy is the shortest and health systems are weakest. The chapter describes the impoverishment of countries by colonial powers, the development of the global human rights framework in the post-World War II era, the impact of the Cold War on African liberation struggles, and the challenges faced by newly liberated African governments to deliver health care through the public sector. The influence of the World Bank and the International Monetary Fund’s neoliberal economic policies is also discussed. The chapter highlights the shift from the aspiration of “health for all” voiced at the Alma Ata Conference on Primary Health Care in 1978, to the more narrowly defined “selective primary health care.” Finally, the chapter explains the challenges inherent in financing health in impoverished countries and how user fees became standard practice.

scholarly journals International Recognition and the International Law Status of Poland in the 20th Century

2020 ◽  
Vol 9 (1) ◽  
pp. 21-48
Author(s):  
Elżbieta Dynia
Keyword(s):  
World War Ii ◽  
World War I ◽  
International Law ◽  
20Th Century ◽  
World War ◽  
The Third ◽  
International Recognition ◽  
The Status

The article concerns international recognition of the Polish state established after World War I in the year 1918, the Polish state and the status of Poland in terms of international law during World War II and after its conclusion until the birth of the Third Polish Republic in the year 1989. A study of related issues confirmed the thesis of the identity and continuity of the Polish state by international law since the year 1918, as solidified in Polish international law teachings, and showed that the Third Polish Republic is, under international law, not a new state, but a continuation of both the Second Polish Republic as well as the People’s Republic of Poland.

scholarly journals Field Experiments in Class Size from the Early Twentieth Century

2009 ◽  
Vol 23 (4) ◽  
pp. 211-230 ◽  
Author(s):  
Jonah Rockoff
Keyword(s):  
World War Ii ◽  
Public Schools ◽  
Class Size ◽  
Large Scale ◽  
Field Experiments ◽  
Research Literature ◽  
The Other ◽  
World War ◽  
Mixed Messages

A vast majority of adults believe that class size reductions are a good way to improve the quality of public schools. Reviews of the research literature, on the other hand, have provided mixed messages on the degree to which class size matters for student achievement. Here I will discuss a substantial, but overlooked, body of experimental work on class size that developed prior to World War II. These field experiments did not have the benefit of modern econometrics, and only a few were done on a reasonably large scale. However, they often used careful empirical designs, and the collective magnitude of this body of work is considerable. Moreover, this research produced little evidence to suggest that students learn more in smaller classes, which stands in contrast to some, though not all, of the most recent work by economists. In this essay, I provide an overview of the scope and breadth of the field experiments in class size conducted prior to World War II, the motivations behind them, and how their experimental designs were crafted to deal with perceived sources of bias. I discuss how one might interpret the findings of these early experimental results alongside more recent research.

In Search of a Father

2011 ◽  
Author(s):  
Klaus J. Arnold ◽  
Eve M. Duffy
Keyword(s):  
World War Ii ◽  
Third Reich ◽  
Prisoners Of War ◽  
General Question ◽  
World War ◽  
Adolf Hitler ◽  
The Third ◽  
Personal Level ◽  
The Third Reich

In this introductory chapter, the author narrates how he searched for his missing father, Konrad Jarausch, who had died in the USSR in January 1942. After providing a background on Jarausch's nationalism and involvement in Protestant pedagogy, the chapter discusses his experiences during World War II. It then explains how Jarausch grew increasingly critical of the Nazis after witnessing the mass deaths of Russian prisoners of war. It also considers how the author, and his family, tried to keep the memory of his father alive. The author concludes by reflecting on his father's troubled legacy and how his search for his father poses the general question of complicity with Nazism and the Third Reich on a more personal level, asking why a decent and educated Protestant would follow Adolf Hitler and support the war until he himself, his family, and the country were swallowed up by it.

World War II-Era Defectors, 1941–1946

2020 ◽  
pp. 100-169
Author(s):  
Kevin Riehle
Keyword(s):  
World War Ii ◽  
Soviet System ◽  
World War ◽  
State Security ◽  
The Third ◽  
Security Personnel ◽  
In Captivity

The third group broke with the Soviet system during World War II and immediately thereafter. In the months after Operation Barbarossa began on 22 June 1941, German forces penetrated deep into Soviet territory, and it is likely that thousands of Soviet intelligence and state security personnel fell into German captivity during that time. Consequently, Germany was the clear intelligence priority early in the war. Of the 32 officers in this group, 18 were captured on the battlefield between 1941 and 1943, most of which defected once they were in captivity. However, Soviet intelligence widened its targeting beyond Germany to its wartime allies even before the war ended. A few others were abroad under diplomatic cover and approached a foreign power requesting asylum. This group extends beyond the formal end of World War II into 1946, because the environment for defectors did not change immediately after the war.

The Reichsschulen and the Napolas’ Germanizing Mission in Eastern and Western Europe

2021 ◽  
pp. 288-311
Author(s):  
Helen Roche
Keyword(s):  
World War Ii ◽  
Western Europe ◽  
Selection Process ◽  
World War ◽  
National Socialist ◽  
The Third ◽  
Ethnic Germans ◽  
Heinrich Himmler ◽  
Eastern And Western Europe

Heinrich Himmler, August Heißmeyer, and the NPEA Inspectorate were eager to create a transnational empire of Napolas and ‘Reichsschulen’ in all of the territories occupied by Nazi Germany during World War II. These schools both mirrored and contributed to broader National Socialist occupation and Germanization policies throughout Eastern and Western Europe. They were intended to create a cadre of ‘Germanic’ or ‘Germanizable’ leaders, loyal above all to the SS. The chapter begins by exploring the genesis of the Reichsschulen in the occupied Netherlands—Valkenburg and Heythuysen—which were adopted as a ‘Germanic’ prestige project by the Reich Commissioner of the Netherlands, Arthur Seyß-Inquart. The chapter then turns eastwards to consider the role of the Napolas which were established in the conquered Czech and Polish lands, focusing on NPEA Sudetenland in Ploschkowitz (Ploskowice), NPEA Wartheland in Reisen (Rydzyna), and NPEA Loben (Lubliniec). All in all, the Napola selection process in the occupied Eastern territories can be seen as the peak of all the ‘racial sieving’ processes which the Nazi state forced ‘ethnic Germans’ (Volksdeutsche), Czechs, and Poles to undergo, inextricably bound up with the Third Reich’s wider race, resettlement, and extermination policies. The ultimate aim of all of these schools was to mingle Reich German and ‘ethnic German’ or ‘Germanic’ pupils, educating the two groups alongside each other, in order to create a unified cohort of leaders for the future Nazi empire, and to reclaim valuable ‘Germanic blood’ for the Reich.

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