Measuring the globalization of health services: a possible index of openness of country health sectors to trade

2006 ◽  
Vol 1 (4) ◽  
pp. 323-342 ◽  
Author(s):  
RICHARD SMITH
Keyword(s):  
Health Policy ◽  
Health Services ◽  
Health Sector ◽  
Specific Aspect ◽  
Policy Makers ◽  
Significant Aspect ◽  
National Economies ◽  
The Impact

Globalization is a key challenge facing health policy-makers. A significant aspect of this is trade in health services. However, little is currently known about how trade in health services will affect the health of populations and national economies. A key determinant of the impact of trade in health services will be the general economic and trade context of the country concerned. One specific aspect of this is the ‘openness’ of a country’s health sector to trade; yet there is little, if anything, currently known about the most appropriate methods to assess openness of the health sector.

Child Health Services in England and Wales: An Overview

PEDIATRICS ◽  
1990 ◽  
Vol 86 (6) ◽  
pp. 1032-1036
Author(s):  
Shirley Goodwin
Keyword(s):  
Health Policy ◽  
General Practitioner ◽  
National Health Service ◽  
Child Health ◽  
Health Service ◽  
Health Services ◽  
Social Security ◽  
Child Health Services ◽  
England And Wales ◽  
The Impact

Child health services in England and Wales are rendered largely through the National Health Service and Social Security. The activities of local authorities are also important to child health. The structure and scope of services offered children by each of these is presented and discussed, with special attention to changes anticipated during the next 2 years. The care of children is integrated into the system serving all ages, so that services are difficult to evaluate and resources are shared with other groups. Health policy for children is fragmentary, although encouraging trends are visible in the evolution of existing policy. The impact of impending changes in hospital, community, and general practitioner services on the care of children is unclear at this time.

scholarly journals Contracting Out of Health Services for Province-level Integration of Healthcare System: Effect on Equity

2020 ◽  
Vol 54 (6) ◽  
Author(s):  
Theo Prudencio Juhani Z. Capeding ◽  
Ma-Ann M. Zarsuelo ◽  
Hilton Y. Lam ◽  
Ma. Esmeralda C. Silva ◽  
Michael Antonio F. Mendoza
Keyword(s):  
Health Services ◽  
Health Outcomes ◽  
Underserved Populations ◽  
Inclusive Development ◽  
System Effect ◽  
Public And Private ◽  
Policy Makers ◽  
Contracting Out ◽  
Patient Groups ◽  
The Impact

Background. The recently enacted Universal Health Care (UHC) Act prioritizes the provision of a comprehensive set of quality and accessible services. However, the devolution of health services has led to inequitable investments in healthcare resulting to disparities in health outcomes between areas. One of the strategies considered that could minimize these differences is the contracting out of health services to the private sector. This review focuses on mapping equity-related issues and concerns with regard to contracting out health services. Methods. A modified systematic search of literature using published journal articles through PubMed and Google Scholar and other pertinent reports and manuals was conducted on issues of equity and health service contracting. Results and Discussion. There is currently a dearth of literature on the effect of contracting services on health equity outcomes, particularly on the impact of contracting out on equity. Limited studies showed that contracting out can potentially improve equity by increasing service utilization. Mechanisms on how contracting out could potentially affect equity were also found. Results mainly suggest that concrete steps should be taken to ensure equitable access and improvement in health outcomes among population subgroups. To provide a framework in applying possible insights from the review, discussion of the literature review was framed in the context of establishing performance-based contracting. It was emphasized that including representatives from the underserved populations and patient groups during stakeholder consultations were crucial to provide localized context for the inclusive development of contracting arrangements. Other strategies that were highlighted included: establishing monitoring systems that disaggregate data between groups, selecting contractors that have the capacity to reach and provide services to the underserved, and making sure that these contractors are also open to data sharing for economic evaluation of services. Conclusion and Recommendations. Despite the paucity of data on the impact of contracting out services on equity, mechanisms explaining the effect of contracting on equity were put forward and illustrated. These findings can be considered by policy makers and program developers in the operationalization of service agreements between the public and private sectors.

Globalization and Economic Convergence

1997 ◽  
Vol 2 (1) ◽  
pp. 1-64 ◽  
Author(s):  
Lane Kenworthy
Keyword(s):  
Global Integration ◽  
Policy Makers ◽  
Industrialized Nations ◽  
Institutional Structures ◽  
National Economic ◽  
Performance Patterns ◽  
And Performance ◽  
Degree Of Convergence ◽  
National Economies ◽  
The Impact

Convergence among national economies is viewed by a growing number of observers as an inevitable result of increasing global integration of product and financial markets. Yet there is reason to doubt that globalization has yet brought about, or will in the future bring about, the degree of convergence assumed by some. First, markets require effectiveness, not optimality. This allows considerable space for continued differences in national economic policy choices, institutional structures, and performance patterns. Second, domestic institutions mediate the impact of international market forces. Institutions differ markedly across countries, generating substantial cross-national variation in the preferences and capacities of economic actors (firms, unions, policy makers, and so on). To assess the convergence thesis empirically, I examine developments in the 17 richest industrialized nations from 1960 to 1994. There is some indication of convergence in a few areas, but it is limited. This appears to owe partly to the fact that globalization itself remains limited and in part to the fact that globalization's convergence-generating effects are limited.

scholarly journals National Health Policy Reform for Primary Care in Chile: A Qualitative Analysis of the Health Program Documents

2020 ◽  
Vol 11 ◽  
pp. 215013272092488
Author(s):  
Karen A. Dominguez-Cancino ◽  
Patrick A. Palmieri ◽  
Maria Soledad Martinez-Gutierrez
Keyword(s):  
Health Policy ◽  
National Health ◽  
Health Program ◽  
Interprofessional Collaboration ◽  
Care Delivery ◽  
Health Sector ◽  
National Health Policy ◽  
Policy Makers ◽  
Biopsychosocial Approach ◽  
Centered Care

Introduction: Chilean policy makers reformed the national health policy for primary health care (PHC), shifting from the traditional biomedical model to the integral family and community health model with a biopsychosocial approach, to guide the delivery of PHC throughout the country. Purpose: To evaluate the implementation of the national health policy for PHC through an analysis of the program documents for PHC; and to identify to what extent the national health policy is expressed in each program document, and across all the documents. Methods: A qualitative document analysis with a purposive sample of program documents for PHC. The Chilean Ministry of Health website was systematically searched between October and December 2018 to identify relevant program documents. Thematic and content analysis were performed to identify evidence of the biopsychosocial approach to care delivery with each program document, including the types of interactions between professionals that contribute to person-centered or fragmented care. Results: The study included 13 PHC program documents. Three themes and 10 categories emerged from the data. Most program justifications focused on the biopsychosocial approach to care while including biomedical interventions and supporting independent professional work. Only 4 of the 13 programs were consistent in the justification, interventions, and types of stated professional interactions: 2 from the biopsychosocial and 2 from the biomedical perspectives. Conclusion: In terms of the national health policy for PHC in Chile, interprofessional collaboration and person-centered care processes and practices were partially aligned with the written content of the health program documents. As such, policy makers and health sector leaders are advised to analyze draft health program documents for consistency in translating national health policies into the written communications that define the actualization of the care model in PHC and direct professionals how to provide PHC to individuals and families.

scholarly journals HIV/AIDS issues in the workplace of nurses

Curationis ◽  
2005 ◽  
Vol 28 (3) ◽  
Author(s):  
A Minnaar
Keyword(s):  
Health Services ◽  
Nurse Managers ◽  
Health Workers ◽  
Health Sector ◽  
World Health ◽  
Research Approach ◽  
Infected People ◽  
Kwazulu Natal ◽  
The Impact ◽  
Hiv Aids

HIV/AIDS is a global problem with an estimated 40 million infected people. In less than two years, this figure will leap to 100 million according to the World Health Organisation (WHO). By 2005,65 million people will be infected. Half of the number of people in this group will be under 25 years old, and will die before they reach the age of 35. In a South African study done by the Human Science Research Council and published in 2003, regarding the impact of HIV/AIDS on the health sector, the findings were that 15% of health workers in public and private hospitals tested positive for HIV antibodies. Together with these facts above it was found that 46.2 percent of patients served in medical and paediatric wards tested positive for HIV. These factors have major implication for staffing in the future and the role of the nurse manager in South Africa. The aim of the study: to explore the management of HIV/AIDS in the workplace of nurses in selected health services in KwaZulu-Natal. This research was part of a greater study on the exploration of the presence of caring as part of nursing management. . The methodology: the qualitative research approach was used with a phenomenological design, which ensured that the richness and the complexities are reflected in the study. The data was collected by means of an open-ended question to nurse managers during an interview. The first question posed was; How do you or your s e n ’ices care fo r nurses in this hospital? Secondly nurse managers were asked, To explain their role in caring for HIV/AIDS positive nurses on their staff establishment. . The results: a qualitative analysis of the interviews with nurse managers indicated that they rate HIV/AIDS issues as an important part of their management task. Four main themes were identified, namely HIV/AIDS, counselling, dying of AIDS and funerals. Rich descriptions of these themes are given in this paper. Nurse managers in the health services are managing HIV/AIDS affected nurses, but are doing so without any formal policy on HIV/AIDS in the workplace. It is recommended that nurse managers deal with HIV/AIDS issues in the workplace by raising HIV/AIDS awareness regarding HIV/AIDS issues and HIV/AIDS in the workplace. . Conclusions: nurse managers saw their role regarding nurses with HIV/AIDS mainly as supportive - being involved in family problems and counselling and guiding nurses that live with HIV/AIDS. The health services in KwaZulu-Natal, and especially nurses, are currently affected by HIV/AIDS in a significant way.

scholarly journals The Impact of Transformational Leadership Style on Nurse’s Self-Esteem of Public Hospitals of Lahore Pakistan

2016 ◽  
Vol 3 (4) ◽  
pp. 287-293
Author(s):  
Muhammad Afzal ◽  
Ali Waqas ◽  
Amina Farooq ◽  
Muhammad Hussain
Keyword(s):  
Health Care ◽  
Transformational Leadership ◽  
Health Services ◽  
Leadership Style ◽  
Health Sector ◽  
Self Esteem ◽  
Public Hospitals ◽  
The Self ◽  
Transformational Leadership Style ◽  
The Impact

Efficient health services require the self-confident and capable medical staff. This milestone cannot be achieved without the flexible and supportive leadership. In the developing countries, health sector has been facing the critical issues like lack of staff, management focus, health facilities and other challenges. Therefore, it is the need of time that supportive and flexible environment should be provided to the nurses so that the self-esteem can be increased and efficient health services can be ensured. Moreover, leaders play a vital role to create the flexible environment that increases the nurse’s self-esteem. Thus, the current study investigates the influence of transformational leadership style on the nurse’s self-esteem of public hospitals of Lahore, Pakistan. The self-administered questionnaire was distributed to 200 nurses of two major public hospitals (Mayo hospital and Jinnah hospital) of Lahore, Pakistan through simple random sampling. The results of the current study reveal that transformational leadership style has significant and positive relationship with nurse’s self-esteem. Therefore, health care sector authorities should adopt the transformational leadership style to enhance the nurse’s self-esteem in their sector to ensure the efficient health care services. Furthermore, limitations and recommendations are given in the last chapter. Int. J. Soc. Sc. Manage. Vol. 3, Issue-4: 287-293

The National Mental Health Policy: Implications for Public Psychiatric Services in Australia

1993 ◽  
Vol 27 (2) ◽  
pp. 186-191 ◽  
Author(s):  
Harvey Whiteford ◽  
Bronwyn Macleod ◽  
Elizabeth Leitch
Keyword(s):  
Mental Health ◽  
Health Policy ◽  
Mental Health Services ◽  
Health Services ◽  
Mental Health Problems ◽  
Mental Health Policy ◽  
Policy Implications ◽  
Australian Community ◽  
National Mental Health ◽  
The Impact

The Health Ministers of all Australian States, Territories and the Commonwealth endorsed National Mental Health Policy in April 1992 [1]. This Policy is intended to set clear direction for the future development of mental health services within Australia. The Policy recognises the high prevalence of mental health problems and mental disorders in the Australian community and the impact of these on consumers, carers, families and society as whole. It also clearly accepts the need to address the problems confronting the promotion of mental health and the provision of mental health services.

scholarly journals The impact of information technology on organizational design: Example in health organization

Sociologija ◽  
2013 ◽  
Vol 55 (3) ◽  
pp. 439-460 ◽  
Author(s):  
Mirjana Petkovic ◽  
Jelena Lukic
Keyword(s):  
Information Technology ◽  
Health Services ◽  
Organizational Design ◽  
Health Sector ◽  
Relevant Information ◽  
Star Model ◽  
Complex Organization ◽  
Health Organization ◽  
Quality Decision ◽  
The Impact

The aim of this paper is to explore the impact of information technology (IT) on organization including all elements that are integral part of organizational design through Star Model (Kates and Galbraith, 2007), and to show that IT has become an important strategic resource that provides a concentration of all relevant information for quality decision-making and integration of complex organization with the concept of ?Big Data? (Manyika et al, 2011). In order to achieve the aim, research was performed in organization in the health sector which affects the quality of life and standard of living. TheIT impact on organizational design and through him on organizational effectiveness in the health care is visible and provide insight into the implications of information technology and opportunities for reasoning about matters that are the subject of research: whether and how information technology causes changes in the design of the organization; whether it affects all elements of design equally; on which elements has the most intense impact and why; whether and why employees and users of health services exhibit resistance to information technology; under what conditions can be reduced or completely eliminated the resistance of employees and users of health services?

scholarly journals The Impact Of Social Infrastructure On Economic Growth In East Java Province

2021 ◽  
Vol 31 (2) ◽  
pp. 92
Author(s):  
Siska Wulandari
Keyword(s):  
Economic Growth ◽  
Health Services ◽  
Junior High School ◽  
Junior High ◽  
Health Sector ◽  
Fixed Effect Model ◽  
Social Infrastructure ◽  
Basic Health ◽  
Effect Model ◽  
The Impact

Introduction: The process of economic development emphasizes economic growth, in which the results at a certain time will provide an overview of economic activity and increase the level of welfare of the population. This study aims to determine how much impact of Expenditures for Elementary Schools, Expenditures for Junior High Schools, Expenditures for Basic Health Services, and Expenditures for Referrals on Economic Growth in East Java Province.Methods: . The method used in this research is panel data regression analysis with Fixed Effect Model (FEM) approach.Results: Based on the results of the study, it shows that Expenditure for Elementary School , Expenditure for Junior High School , Expenditure for Basic Health Services have positive and significant impact on Economic Growth, meanwhile Expenditure for Referrals Services has a positive and insignificant impact on Economic Growth of East Java Province.Conclusion and suggestion: The local government is expected to increase economic growth in East Java Province by paying more attention to human development. Policies related to improvement in the field of education are needed by optimizing government spending to build supporting facilities for education that can support improving the quality of education. Other policies related to the health sector can be done by improving facilities and infrastructure in the health sector. This is because there are still remote areas that have limited facilities and inadequate infrastructure.

The impact of Aboriginal community controlled health service advocacy on Aboriginal health policy

2005 ◽  
Vol 11 (2) ◽  
pp. 53 ◽  
Author(s):  
Ben Bartlett ◽  
John Boffa
Keyword(s):  
Health Policy ◽  
Health Service ◽  
Health Services ◽  
Torres Strait Islander ◽  
Aboriginal Health ◽  
Aboriginal Community ◽  
Implementation Phase ◽  
Torres Strait ◽  
Strategic Relationships ◽  
The Impact

This paper reviews the advocacy role of Aboriginal community controlled health services (ACCHSs) in the development of Aboriginal health policy over the past 30 years, with a specific focus on the recent changes in Commonwealth funding and administrative responsibility - the transfer of Aboriginal health service funding from the Aboriginal and Torres Strait Islander Commission (ATSIC) to the Office of Aboriginal and Torres Strait Islander Health Services (OATSIHS) within the Commonwealth Department of Health and Ageing (DoHA), and the development of policies aimed at Aboriginal health services accessing mainstream (Medical Benefits Scheme [MBS]) funds. The outcomes of this policy change include a significant increase in funding to Aboriginal primary health care (PHC), the inclusion of ACCHSs in collaborative strategic relationships, and the development of new arrangements involving regional planning and access to per capita funds based on MBS equivalents. However, the community sector remains significantly disadvantaged in participating in this collaborative effort, and imposed bureaucratic processes have resulted in serious delays in releasing funds for actual services in communities. Government agencies need to take greater heed of community advocacy, and provide appropriate resourcing to enable community organisations to better direct government effort, especially at the implementation phase. These remain major concerns and should be considered by non-health sectors in the development of new funding and program development mechanisms in the wake of the abolition of ATSIC.

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