The Lost Voice: How Libertarianism and Consumerism Obliterate the Need for a Relational Ethics in the National Health Care Service

2008 ◽  
Vol 14 (1) ◽  
pp. 78-94 ◽  
Author(s):  
R. H. J. ter Meulen
Author(s):  
Philippe Primo Caimmi ◽  
Andrea Capponi ◽  
Fabrizio Leigheb ◽  
Franca Dall’ Occo ◽  
Roberto Sacco ◽  
...  

Author(s):  
V.G. Kravchenko ◽  
V.I. Stepanenko ◽  
A.M. Dashchuk ◽  
A.V. Kravchenko

Objective — to draw the attention of the Ukrainian health care management, the National Health Care Service (NHCS) and dermatovenereologists to urgent issues of reforming the industry, identifying shortcomings in the reform and presenting the views of experienced professionals on correcting organizational measures.Official statistics was used based on the materials of leading specialists of Kharkiv Research Institute of Dermatology and Venereology, scientific and practical institutions of Ukraine, the forecast of «GlobalData» analytical and statistical company on the trend of syphilis in the world, the results of discussion of current reform issues with leading specialists in dermatovenereology.The interpretation of the modern epidemiological panorama of skin and venereological pathology, the current state of organizational and material support of dermato-venereology institutions are presented. Some specific shortcomings and miscalculations in the process of reforming are revealed from the point of view of experienced specialists in the field, the authors’ vision of ways to improve the organization and activity of the dermatovenereological service of the country is presented.The need for correction in the process of reforming the specialized dermatovenereological service by resolving the urgent issue of organization in the areas of round-the-clock bed stock within reasonably adjusted limits and their financial and material support is substantiated. Calculations of the needs of round-the-clock inpatient beds in the regions should be carried out in the NHCS with the participation of the leadership of the Ukrainian Association of Dermatovenereologists and Cosmetologists (UADVC). The reforming of the dermatovenereology service should become a truly effective compo­nent of the generally progressive system of health care reform, taking into account the international medical and statistical forecasts.


Author(s):  
Tri A. Sugiyatmi ◽  
Usman Hadi ◽  
Djazuli Chalidyanto ◽  
Firdauz Hafidz ◽  
Muhammad Miftahussurur

National Health Insurance (NHI) was originally a health financing reform that eventually became a ‘driver’ for changes in all health care sectors. The burden on doctors in health facilities is likely to increase due to its changes in standard fees for medical services. This study aimed to describe NHI system changes that will affect doctor’s professionalism. This is a systematic review taken from MEDLINE complete of EBSCOhost research database. The search period range covered between 1983 to October 19 2018. The results revealed 853 unique citations which globally stated about the potential impact of NHI implementation on doctors. The majority studies indicate that there is a relationship of the implementation of NHI, workload of doctors and quality of health care service. It can be concluded that NHI implementation requires a large quantity of human resources, especially doctors. Therefore, doctors are advised to adapt to their role and function in this era of NHI.


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