Healthcare Reforms and the Creation of Ex-/Included Categories of Patients - “Irregular Migrants” and the “Undesirable” in the French Healthcare System

2017 ◽  
Vol 56 (2) ◽  
pp. 68-81 ◽  
Author(s):  
Jérémy Geeraert

The article studies the development of the Kharkiv medical infrastructure after the Second World War. The author argues that war destructions caused the disruption of medical network zoning as well as equal access of residents from different Kharkiv districts to health care, shortage of hospitals’ spaces, and difficulties in further modernization of medical facilities. Despite the intensive construction of hospitals since the 1960s, the situation had not changed significantly due to population growth and rapid industrial and housing construction that outstripped the medical infrastructure development. The article provides evidence that the main contributor to technological renovation of Kharkiv healthcare system were the local industrial enterprises. In the period of 1970-80s, the policy in development of medical infrastructure made an important turn: the local Communist Party executives had realized the need for advanced planning of the health care development in the city and oblast with the implementation of the best domestic and world experience. The priorities of the long-term development plan of the health facilities in Kharkiv were the creation of the ambulance system, large multi-profile medical complex, specialization, and proximity of the outpatient and polyclinic care to the population. Studying the history of plan development and implementation is vital for an understanding of the degree of freedom in actions of local authorities on the background of centralization and the Communist Party control in the late USSR. On the one hand, the history of the post-war Kharkiv medical infrastructure confirms the typical for large Soviet cities lagging of services behind industry and housing development. At the same time, the implementation of the long-term plan for the health care system development led to the creation of the integral, available, and modern healthcare system that is naturally included in the spatial configuration of Kharkiv.


Author(s):  
Владимир Шаламов

The author’s aim is to study the creation and reformation of the Soviet system of healthcare in the Eastern Siberia in the 1920s. The study begins with the development of Siberia from the administration of Admiral A. V. Kolchak when the Soviet government began to form its own system of region management. The Soviet medical leadership was intended to create a unified healthcare system which involved the unification of all medical organizations subordinated to various departments. Military actions did not allow to merge military and civil medical institutions


Author(s):  
Prashant Mehta

India, one of the oldest civilizations and second most populous country is ethnically, linguistically, geographically, religious, and demographically diverse is poorly ranked due to complex public healthcare system, which suffers from insufficient funding, poor management. Poor health intertwined with poverty, affordability, accessibility, burden of infectious and non-communicable affecting lives of most Indians. Healthcare ecosystems are complex and still evolving, investments in service delivery system, infrastructure, and technology, are still being experimented and explored. India's booming population; increasing purchasing power; rising awareness of personal health and hygiene; and significant growth in infectious, chronic degenerative, and lifestyle diseases are driving the growing market. In this chapter we will explore accessible and affordable healthcare system, state of public healthcare, healthcare reforms, governance (Constitutional Provisions, Law, and Policy framework) in healthcare delivery, and Opportunity offered by market drivers.


2015 ◽  
Vol 43 (6) ◽  
pp. S15-S16
Author(s):  
Julia Moody ◽  
Scott Cormier ◽  
Jason Hickok ◽  
Edward Septimus ◽  
Ravi Chari ◽  
...  

2014 ◽  
Vol 3 (4) ◽  
pp. 55-65 ◽  
Author(s):  
Vassilis Fragoulakis ◽  
Elena Athanasiadi ◽  
Antonia Mourtzikou ◽  
Marilena Stamouli ◽  
Athanassios Vozikis

The aim of the present study is to provide an overview of recent reforms in Greece as imposed by the fiscal adjustments. Potential harmful consequences of these vast healthcare reforms are also discussed, as a collateral victim of the recession, in which case the real “patient” is the overall healthcare system. Based on an extended review of the related literature, the economic crisis, currently numbering five years in Greece, was accompanied by vast healthcare reforms and significant cuts in spending. In particular, austerity measures implemented, impose that health expenditure should not exceed 6% as a share of GDP. Savings were expected to be accomplished through vast changes, including the redetermination of both pharmaceutical reimbursement and pricing, reduction of public servants and cost containment regarding payments to the private sector. So far, there is a significant rise in demand for public hospital services, following a significant drop for private providers, including maternity hospitals, dental offices and surgery clinics. At the same time, elevated prevalence of certain diseases is already reported, although many researchers dispute over a causal association between recession and these health outcomes. Conclusively, it can be argued that the financial crisis is a no easy way out, and the Greek healthcare system is challenged as both resources and demand are rapidly changing. What is yet to answer is whether these reforms, along with a co-existing rise in demand of health services, could jeopardize the quality of the system.


2009 ◽  
Vol 18 (3) ◽  
pp. 251-255
Author(s):  
ERNESTO A. FRONTERA

In 2005 the new Governor of Puerto Rico appointed a panel of experts to evaluate the healthcare system of Puerto Rico and make recommendations. Among other things, the panel recommended the creation of an advisory board on bioethics for the commonwealth of Puerto Rico.


2020 ◽  
pp. 026101832090431
Author(s):  
Stuart N. Hodkinson ◽  
Hannah Lewis ◽  
Louise Waite ◽  
Peter Dwyer

Abolishing ‘modern slavery’ has now achieved international policy consensus. The most recent UK initiative – the 2015 Modern Slavery Act (MSA) – includes amongst other aspects tougher prison sentencing for perpetrators and the creation of an independent anti-slavery commissioner to oversee its implementation. However, drawing on research into forced labour among people seeking asylum in England, this article argues that when considered alongside the UK government’s deliberate creation of a ‘hostile environment’ towards migrants, not least in the Immigration Acts of 2014 and 2016, state action to outlaw modern slavery is flawed, counter-productive and disingenuous. We show how the MSA focuses only on the immediate act of coercion between ‘victim’ and ‘criminal’, ignoring how the hostile state vulnerabilises migrants in ways that compel their entry into and continued entrapment within severe labour exploitation.


2021 ◽  
Vol 2 (48) ◽  
pp. 49-55
Author(s):  
Y. M. Malihon ◽  
◽  
O. V. Motailo ◽  

The article aims at studying the features of the legal regulation on the state personnel policy in the field of health care in Ukraine. It is determined that the creation of a legal framework for the effective functioning and development of the state personnel policy as for the healthcare system is a priority for improving the effectiveness of the healthcare industry. The article analyzes the existing legal regulation on improving the staffing of the healthcare system in Ukraine, namely: articles of the Constitution of Ukraine, provisions of the Labour Code, articles of the Law of Ukraine «On Employment», articles of the Law of Ukraine «On Collective Bargaining Agreements», articles of the Law of Ukraine «On Labour Protection», provisions of the Law of Ukraine «On Vacations», articles of the Law of Ukraine «On Labour Remuneration», provisions of the Law of Ukraine «Fundamentals of Legislation of Ukraine on Health Care», and provisions of the Law of Ukraine «On Improving the Accessibility and Quality of Healthcare in the Countryside». It is determined that the Labour Code of Ukraine is the main source of employment and labour law and the state regulation of labour relations, regardless of the industry. The main elements (features) of a collective bargaining agreement are studied, namely: individual and personal feature, organizational feature, material feature, regulatory feature, subject feature. The principles of state policy in the field of labour protection are determined. The Ministry of Health orders for 2020 – early 2021 on personnel policy issues in the field of health care are analyzed, conclusion is made that the Ministry of Health, being an immediate subject in the case, is highly interested in the creation of a legal framework on the state personnel policy as for the healthcare system in Ukraine.


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