Coordinating medical education and health care systems: the power of the social accountability approach

2017 ◽  
Vol 52 (1) ◽  
pp. 96-102 ◽  
Author(s):  
Charles Boelen
Keyword(s):  
Health Care ◽  
Medical Education ◽  
Health Care Systems ◽  
Social Accountability ◽  
Education And Health ◽  
The Social ◽  
Care Systems

scholarly journals Powerful Lessons from Cuban Medical Education Programs: Fostering the Social Contract in Athletic Training Programs

2019 ◽  
Vol 14 (4) ◽  
pp. 275-282
Author(s):  
Kimberly S. Peer ◽  
Chelsea L. Jacoby
Keyword(s):  
Health Care ◽  
Medical Education ◽  
Patient Care ◽  
Educational Reform ◽  
Athletic Training ◽  
Training Programs ◽  
Health Care Systems ◽  
The United States ◽  
Education And Health ◽  
Care Systems

Context The Cuban medical education and health care systems provide powerful lessons to athletic training educators, clinicians, and researchers to guide educational reform initiatives and professional growth. Objective The purpose of this paper is to provide a brief overview of the Cuban medical education system to create parallels for comparison and growth strategies to implement within athletic training in the United States. Background Cubans have experienced tremendous limitations in resources for decades yet have substantive success in medical education and health care programs. As a guiding practice, Cubans focus on whole-patient care and have established far-reaching research networks to help substantiate their work. Synthesis Cuban medical education programs emphasize prevention, whole-patient care, and public health in a unique approach that reflects disablement models recently promoted in athletic training in the United States. Comprehensive access and data collection provide meaningful information for quality improvement of education and health care processes. Active community engagement, education, and interventions are tailored to meet the biopsychosocial needs of individuals and communities. Results Cuban medical education and health care systems provide valuable lessons for athletic training programs to consider in light of current educational reform initiatives. Strong collaborations and rich integration of disablement models in educational programs and clinical practice may provide meaningful outcomes for athletic training programs. Educational reform should be considered an opportunity to expand the athletic training profession by embracing the evolving role of the athletic trainer in the competitive health care arena. Recommendation(s) Through careful consideration of Cuban medical education and health care initiatives, athletic training programs can better meet the contract with society as health care professionals by integrating the Accreditation Council for Graduate Medical Education's core competencies of patient care, medical knowledge, practice-based learning and improvement, interpersonal and communication skills, professionalism, and systems-based practice now promoted in the Commission on Accreditation of Athletic Training Education's 2020 Standards for Accreditation of Professional Athletic Training Programs. Conclusion(s) Educational and health care outcomes drive change. Quality improvement efforts transcend both education and health care. Athletic training can learn valuable lessons from the Cubans about innovation, preventative medicine, patient-centered community outreach, underserved populations, research initiatives, and globalization. Not unlike Cuba, athletic training has a unique opportunity to embrace the challenges associated with change to create a better future for athletic training students and professionals.

scholarly journals Understanding India, globalisation and health care systems: a mapping of research in the social sciences

2012 ◽  
Vol 8 (1) ◽  
pp. 32 ◽  
Author(s):  
Ramila Bisht ◽  
Emma Pitchforth ◽  
Susan F Murray
Keyword(s):  
Social Sciences ◽  
Health Care ◽  
Health Care Systems ◽  
The Social ◽  
Care Systems

scholarly journals The Significance of the Social State Model in Development of an Inclusive Society

Al-Farabi ◽  
2021 ◽  
Vol 75 (3) ◽  
pp. 86-98
Author(s):  
G. Zhussipbek ◽  
◽  
Zh. Nagayeva ◽  
A. Baktybek ◽  
◽  
...  
Keyword(s):  
Health Care Systems ◽  
Social Model ◽  
Social Programs ◽  
Social State ◽  
Education And Health ◽  
Neoliberal Capitalism ◽  
The Social ◽  
Care Systems ◽  
The Creation ◽  
Inclusive Society

This article provides a critical analysis of the features of neoliberal capitalism that hinder the development of social justice and the creation of an inclusive society. Some of them, such as the commercialization and commodification of education and health care systems and the curtailment and cancelation of social programs and social policies, have been adopted in many countries with transitional economy. As a viable example of the social state, this paper briefly analyzes the Scandinavian model of the welfare state, in which the concept of "care" became the central idea. Also, this article discusses the features of the Scandinavian model of education, which is student-centric and based on an egalitarian philosophy. This model of education can be qualified as "empowering the students and pupils." The Scandinavian model of social state can serve as a viable alternative to the economic and social model, created according to the principles of neoliberal capitalism, which does not lead to the creation of an inclusive society.

Il "quadrilatero" di Ardigň: genealogia e sviluppo di un paradigma emergente

2009 ◽  
pp. 217-237
Author(s):  
Guido Giarelli
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Medical Sociology ◽  
Health Care Systems ◽  
New Paradigm ◽  
Scientific Debate ◽  
The Social ◽  
Care Systems ◽  
Sociology Of Health ◽  
Cultural Origins

- After describing the context in which the ‘quadrilateral'of Ardigň was conceived as an innovative gnoseological tool aimed to characterize the rising Italian Health Sociology in comparison with the much more well established tradition of the Northern American and British Medical Sociology, the essay tries to trace its cultural origins: which are found, at the level of scientific debate, in the ‘great coupure' or epistemological turning point of the Thirties, which Ardigň considers the framework from which to move; and, on the other side, in the micro-macro debate which characterized the sociological discipline during the Seventies and the Eighties with the opposition between the Sociologies of the subjective action versus the Sociologies of the social system, and the attempt to get over it by making a ‘paradigm of exit from the postmodern' which could deal in depth with the intrinsic double face and the ambivalence of the social stuff. In the last part, the developments of the ‘quadrilateral'are traced in the attempts of further elaboration by its critical application to different fields of the Sociology of Health (health care systems, health reforms, quality of health care services, health inequalities) which shape an emerging new paradigm of connectionist type.Keywords: "quadrilateral", Sociology of Health, Medical Sociology, ambivalence, connectionist paradigm, postmodern.Parole chiave: "quadrilatero", sociologia della salute, medical sociology, ambivalenza, paradigma connessionista, postmoderno.

The social and political construction of health-care systems – historical observations from selected countries in Asia

2015 ◽  
Vol 4 (2) ◽  
pp. 124-137
Author(s):  
John Grundy ◽  
Elizabeth Hoban ◽  
Steve Allender
Keyword(s):  
Health Care ◽  
Health Care Systems ◽  
The Social ◽  
Care Systems

scholarly journals Need, competence and compliance: Selective empowering in the distribution of medical technologies in the Norwegian health care system

2020 ◽  
pp. 000169932097674
Author(s):  
Emil Øversveen
Keyword(s):  
Health Care ◽  
Health Care Systems ◽  
Medical Decision ◽  
Social Production ◽  
Medical Technologies ◽  
The Social ◽  
Care Systems ◽  
Sociological Studies ◽  
Care Costs

The development of medical technologies is often assumed to improve medical treatment, but may also reproduce health inequalities if their benefits are unequally distributed. Sociological studies have shown that social and moral evaluations matter for medical decision making, and that inequalities in access and outcome exist even in universal health care systems. This article uses the distribution of medical technologies in the treatment of type 1 diabetes as a case for examining the social production of health care inequalities. Drawing on observational data and in-depth interviews with physicians and nurses working in a Norwegian hospital, I demonstrate that medical staff evaluate patients based on a combination of medical, social and moral criteria. The concept of selective empowering is then elaborated and refined as a term for the practice in which medical professionals steer resources towards patients based on evaluations of need, competence and compliance. While previous studies of inequalities in medical care have often focused on medical staff’s cognitive dispositions, I argue that selective empowering may be interpreted as a reflexive response to increasing health care costs and a structural dependency on expensive and commercially produced medical technologies.

Being Heard and Remembered: Young Adults’ Experiences of Recognition in the Social and Health Care Systems in Denmark

Ethos ◽  
2021 ◽  
Author(s):  
Julie Høgsgaard Andersen ◽  
Tine Tjørnhøj‐Thomsen ◽  
Susanne Reventlow ◽  
Annette Sofie Davidsen
Keyword(s):  
Health Care ◽  
Young Adults ◽  
Health Care Systems ◽  
The Social ◽  
Care Systems

scholarly journals Attributes and Generic Competencies Required of Doctors In 21st Century Health-Care Systems: A Participatory Concept Mapping Study

2020 ◽  
Author(s):  
Kathryn Jane Ogden ◽  
Sue Kilpatrick ◽  
Shandell Elmer ◽  
Kim Rooney
Keyword(s):  
Health Care ◽  
Medical Education ◽  
Concept Mapping ◽  
Model Transformation ◽  
Health Care Systems ◽  
Generic Competencies ◽  
Group Concept Mapping ◽  
Modern Health Care ◽  
Care Systems ◽  
Group Concept

Abstract Background: Health professionals’ education should ensure graduates are equipped for practice in modern health-care systems. One hundred years after the Flexner Report on medical education, transformation in health-care systems has warranted reflection on priorities for medical education. Practicing effectively in modern health-care systems requires contemporary attributes and competencies, complimenting core clinical competencies. These need to be made overt and opportunities to develop and practice them provided. This study explicates these attributes and generic competencies using Group Concept Mapping methodology, with the aim of informing curriculum development in pre-vocational medical education.Methods: Group Concept Mapping consists of four phases: 1) Idea generation, review and synthesis; 2) Sorting and rating 3) Analysis of data using quantitative and qualitative techniques to produce a visual concept map; and 4) Confirmation and interpretation of results using logic model transformation. Multiple stakeholders contributed to the development of the conceptual model, including junior doctors who rated competencies according to importance to their practice and preparedness at graduation.Results: Sixty-seven participants from stakeholder groups generated 338 responses to the prompt: ‘An attribute or non-clinical competency required of doctors for effective practice in modern health-care systems is...’ These responses were synthesised into 60 statements which were sorted by participants into groupings according to similarity. Multi-dimensional scaling and hierarchical cluster analysis led to a conceptual map of seven clusters representing: Value-led professionalism; Attributes for self-awareness and reflective practice; Cognitive capability; Active engagement; Communication to build and manage relationships; Patient-centredness and advocacy; and Systems awareness, thinking and contribution. Logic model transformation identified three overarching meta-competencies: Leadership and systems thinking; Learning and cognitive processes; and Interpersonal capability. Ratings indicated that junior doctors believe system-related competencies are less important than other competencies, and they feel less prepared to carry them out. Conclusion: Group Concept Mapping was used to conceptualise the attributes and generic competencies required for effective practice modern health-care systems. The operationalization of the model through logic model transformation further identifies the links between attributes, their application through competency, and the outputs that they lead to. Rating of items can identify priorities for ensuring a medical education which addresses contemporary health-care needs.

Negotiating Medical Dominance: The Social Construction of the Care Coordinator within the Tasmanian Coordinated Care Trials

2001 ◽  
Vol 7 (2) ◽  
pp. 62
Author(s):  
Simon Kitto
Keyword(s):  
Health Care ◽  
General Practitioners ◽  
Health Care Systems ◽  
Coordinated Care ◽  
Care Coordinator ◽  
The Social ◽  
Care Systems ◽  
Medical Dominance ◽  
Systemic Health ◽  
Induced Changes

State and corporate induced changes to health care systems are occurring globally. These changes are altering the environment, which previously supported the medical profession's dominance over all health matters. Health care occupations, in conjunction with systemic health care changes, also threaten the autonomy of general practitioners through new opportunistic attempts to expand their occupational territory. Using a symbolic interactionist approach in tandem with Bucher's natural history framework to trace the emergence of an occupation, this paper analyses the social processes involved in the construction of the care coordinator occupation within the context of the Coordinated Care Trial in Tasmania. An analysis of both the occupational encroachment and defensive strategies employed by government health agencies, general practitioners, nurses, and pharmacists during the construction of the position description of the care coordinator is undertaken. Specifically, the focus of this paper is on how the general practitioners acted to retain their preeminent position within the health care system when facing a dual challenge from above (the state) and below (nursing, pharmacy).

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