Efficiency of Health Care System at the Sub-State Level in Madhya Pradesh, India

2009 ◽  
Vol 25 (1) ◽  
pp. 42-58 ◽  
Author(s):  
Brijesh C. Purohit
Author(s):  
Tiffany D. Joseph

Tiffany D. Joseph’s chapter examines how stratification of access by immigration status effectively undermined a “universal” health policy. While the ACA only extended coverage to U.S. citizens and eligible documented immigrants, Massachusetts pursued a universal health care system at the state level and offered coverage to all residents, regardless of documentation status. Despite this policy that aimed for inclusion, immigrants in Massachusetts were still more likely than non-immigrants to remain uninsured. Joseph interviewed Brazilian and Dominican immigrants, health care professionals, and immigrant/health organization employees to find out why immigrants remained uninsured. She identified immigration-related, health care system, and bureaucratic barriers that prevented individuals from effectively accessing care. Massachusetts serves as both a model and a cautionary tale for ACA implementation, with barriers exacerbated for immigrant, low-income, and minority populations.


Author(s):  
Vira Kutsenko ◽  
Iryna Kinash ◽  
Hanna Yevtushenko

The article reveals the essence of the category of "population health", the methodology and methods of its cognition, the main methods and techniques of the empirical and theoretical levels of research, the technology of their practical use in ensuring sustainable socio-economic development of the country. The main attention is paid to the analysis and assessment of the health status of the population – the main productive force of society, on the basis of which it is concluded that in Ukraine there is a deterioration in the corresponding characteristics. It is noted that this is primarily influenced by insufficient financial and resource support of the medical industry as a whole. Other factors that negatively affect the health of the Ukrainian population are also indicated. An important role in overcoming these negative phenomena is played by the modernization of the medical industry, the rational use of its resource potential, the formation of a civilized market of medical services. In this regard, it is emphasized that the activities of the health care system of Ukraine should be based on unified national principles, including the formation of economically viable systems for organizing medical care, taking into account the real needs of the population, the possibilities of meeting them, as well as the most appropriate allocation of resources and their effective use. The peculiarities of the current situation with the spread of coronavirus, which led to the exacerbation of existing problems, which require the search for new approaches to their solution, related to the adoption of fundamental decisions, especially at the state level are taken into account. In addition, the article provides an assessment of the main results of the ongoing reforms in the health care system of Ukraine. In the course of the study, considerable attention is paid to structural and typological features, as well as the conditions for the formation and strengthening of public health - an important factor in increasing labor productivity, developing the economy based on the principles of sustainable development. The economic, innovative and technological aspects of the development of the health care system are summarized. New approaches to further strengthening and preserving the health of the population in the context of implementing the tasks of sustainable development are substantiated.


Author(s):  
I. Matseliуkh ◽  
A. Musiienko

The paper studies the evolution of quarantine measures used in the spread of plague, cholera and Spanish flu. Attempts to combat infectious diseases that took place in the Rus state, the Grand Duchy of Lithuania, the Zaporozhian Sich are analyzed. Quarantine legislation of the Russian Empire is examined. The provisions of the Medical Charter of 1832, the Quarantine Charter of 1866, as well as the prescriptions of other regulatory acts aimed at preventing the spread of epidemics on the territory of the Russian Empire are also studied. Emphasis is placed on medical and police nature of regulatory prescriptions. The author examines the changes in the health care system and quarantine measures applied during the Ukrainian Revolution of 1917 – 1921. The organizational and legal grounds for administration in the field of health care in the Ukrainian State of Hetman Pavlo Skoropadsky are also analyzed. The article studies the procedure for establishing the Ministry of Health and the powers of the Minister of Health. It is stated that world pandemics are not a novelty in the historical chronicle and there is a way out of the epidemiological crisis. It has two paths, namely the death and destruction of society or the path of rapid development, the improvement of the medical system, which will eventually lead to progress, the transition to a new level of development of civilization itself. Epidemics forced a rapid reorientation and improvement of sanitary conditions, adherence to hygiene measures, nutrition, waste disposal, etc., as well as creation of a health care system that at the state level took over the functions of social protection against dangerous diseases. The challenges caused by the coronavirus will not only be successfully overcome, but also the medical sphere will be improved, and conditions will be created for the rapid development of the industry. We are convinced that only a well-chosen special model for public administration in the field of health care, headed by relevant high-level specialists, with proper funding, could cope with the epidemic in the country, as well as allow the medical system to reach a qualitatively new level.


2014 ◽  
Vol 4 (1) ◽  
pp. 23-29
Author(s):  
Constance Hilory Tomberlin

There are a multitude of reasons that a teletinnitus program can be beneficial, not only to the patients, but also within the hospital and audiology department. The ability to use technology for the purpose of tinnitus management allows for improved appointment access for all patients, especially those who live at a distance, has been shown to be more cost effective when the patients travel is otherwise monetarily compensated, and allows for multiple patient's to be seen in the same time slots, allowing for greater access to the clinic for the patients wishing to be seen in-house. There is also the patient's excitement in being part of a new technology-based program. The Gulf Coast Veterans Health Care System (GCVHCS) saw the potential benefits of incorporating a teletinnitus program and began implementation in 2013. There were a few hurdles to work through during the beginning organizational process and the initial execution of the program. Since the establishment of the Teletinnitus program, the GCVHCS has seen an enhancement in patient care, reduction in travel compensation, improvement in clinic utilization, clinic availability, the genuine excitement of the use of a new healthcare media amongst staff and patients, and overall patient satisfaction.


2007 ◽  
Vol 38 (1) ◽  
pp. 18
Author(s):  
KEVIN GRUMBACH ◽  
ROBERT MOFFIT

2007 ◽  
Vol 40 (1) ◽  
pp. 6
Author(s):  
KEVIN GRUMBACH ◽  
ROBERT MOFFIT

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