Introduzione: Introduction

1995 ◽  
Vol 62 (2) ◽  
pp. 273-274
Author(s):  
S. Guazzieri
Keyword(s):  
National Health Service ◽  
Health Service ◽  
Early Diagnosis ◽  
Secondary Prevention ◽  
National Health ◽  
The Other ◽  
Primary And Secondary Prevention ◽  
Family Doctors ◽  
The Military ◽  
Urological Diseases

The importance of early diagnosis is by now accepted. As urological pathologies predominantly involve men, it is natural for the urologist to seek co-operation regarding primary and secondary prevention with the Medical Corps. Paediatricians and family doctors are the other professional figures who play a fundamental role in this field. The records are given of the congress “Prevention and early diagnosis of urological diseases” between the Military Corps and the National Health Service, held at Belluno in June 1994.

Lessons identified from the 2017 Manchester and London terrorism incidents. Part 3: the postincident and recovery phase

2018 ◽  
Vol 166 (2) ◽  
pp. 120-124 ◽  
Author(s):  
Paul Hunt
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Recovery Phase ◽  
Support Network ◽  
Bereavement Support ◽  
Military Application ◽  
The Third ◽  
The Military ◽  
Further Development

This is the third paper in a three-part series detailing the lessons identified during the National Health Service (NHS) England clinical debrief meetings which followed the response to the 2017 Manchester and London terrorist incidents. It covers the postincident and recovery phases including rehabilitation, bereavement support, psychological support, network and regional lessons, NHS communications and supply organisations. It also summarises the military application of these lessons and outlines the next steps for further development.

Change in the British National Health Service: Policy Paradox and the Rationing Issue

1994 ◽  
Vol 24 (1) ◽  
pp. 45-72 ◽  
Author(s):  
Brian Salter
Keyword(s):  
Health Care ◽  
National Health Service ◽  
Health Service ◽  
National Health ◽  
The Other ◽  
The Political ◽  
The United Kingdom ◽  
The Face ◽  
Service Policy ◽  
The One

The National Health Service of the United Kingdom is trapped in a policy paradox. On the one hand, the 1990 reforms encourage the devolution of power to local purchaser and provider units through the operation of the “internal market.” On the other, mechanisms of control and accountability are being revamped to produce a centrally managed system bound together by corporate contracts. The political frictions generated by this paradox are exacerbated by the problem of rationing health care in the face of apparently unlimited demand. This article examines the political problems faced by a single Health Authority as it sought to implement the changes required of it by the conflicting policies.

scholarly journals The Lost Good Self: Why the whistleblower is hated and stigmatized

2019 ◽  
pp. 017084061988056 ◽  
Author(s):  
Mark Stein
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
The Other ◽  
Future Research ◽  
Implicit Assumption ◽  
Moral Commitment ◽  
Staff Members ◽  
National Health Service Trust ◽  
The Uk

In this paper I develop a new explanation that furthers our understanding of why whistleblowers are frequently hated and stigmatized. I call into question the implicit assumption in the literature that whistleblowers are hated and stigmatized exclusively because they represent the ‘other’. Instead, I take a different view and argue that, especially where staff have a moral commitment to their work, whistleblowers may also be felt to be problematic because they unconsciously represent the lost good ‘self’ of staff members. I draw on Kleinian psychoanalytic ideas in developing theory, and use the crisis at the Mid Staffordshire National Health Service Trust in the UK as a contemporary case illustration. This paper contributes to the whistleblower literature as well as to the literature that applies psychoanalytic ideas to the study of management and organization, and it also identifies areas for future research.

scholarly journals A Endocrinologia em Portugal - Censo 2016. Direção do Colégio de Endocrinologia e Nutrição da Ordem dos Médicos

2017 ◽  
Vol 30 (9) ◽  
pp. 642
Author(s):  
Joana Guimarães ◽  
António Afonso ◽  
Davide Carvalho ◽  
Ana Paula Marques ◽  
Teresa Martins ◽  
...  
Keyword(s):  
National Health Service ◽  
Health Service ◽  
Medical Association ◽  
Human Resources ◽  
National Health ◽  
National Survey ◽  
Public Hospitals ◽  
The Other ◽  
European Countries ◽  
The Public

Introduction: On September 2016, the Board of the College of Endocrinology and Nutrition of the Portuguese Medical Association carried out a national survey, about all Endocrinology, Diabetes and Metabolism Departments of the public hospitals included in the Portuguese National Health Service and a simplified version of this survey was sent to all endocrinologists working in Portugal and registered with the Portuguese Medical Association.Material and Methods: Data related to organizational and human resources were collected, reporting the situation by the end of year 2015. The census registered 107 individuals and 27 Departments.Results: The ratio of endocrinologists-population was 1.4, much lower than in the other European countries (varies between 2 to 4), resulting in alarming shortages of services in some areas of Portugal and in worse quality indicators.Discussion: These data suggest that actions should be taken to increase the number of endocrinologists and departments in the country.Conclusion: In recent years, the number of residents has significantly increased, which will make it possible to correct this situation.

The National Health Service in Scotland, 1947–74: Scottish or British?*

2003 ◽  
Vol 76 (193) ◽  
pp. 389-410 ◽  
Author(s):  
John Stewart
Keyword(s):  
Great Britain ◽  
National Health Service ◽  
Health Service ◽  
Health Services ◽  
National Health ◽  
The Other ◽  
Thematic Approach ◽  
The One ◽  
Scottish History ◽  
High Degree

Abstract Using previously unused or underused primary evidence, this article analyses the National Health Service in Scotland from its inception in 1947 to the reorganization of 1974. A thematic approach is adopted to show that, on the one hand, the Scottish health services were subject to similar Treasury constraints on expenditure as elsewhere in Great Britain; but that, on the other, there is a strong case for seeing the N.H.S. in Scotland as exhibiting a high degree of autonomy. It is further argued that this was, from the outset, justified and consolidated by the particular characteristics of Scottish history, geography and governance.

Workforce Responses to the Creeping Privatization of the UK National Health Service

2007 ◽  
Vol 71 (1) ◽  
pp. 133-153 ◽  
Author(s):  
Rebecca Kolins Givan ◽  
Stephen Bach
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Health Sector ◽  
Support Staff ◽  
Public Hospitals ◽  
Family Doctors ◽  
Professional Employees ◽  
Uk National Health Service ◽  
The Uk

AbstractWhen the British National Health Service was founded in 1948, professional employees and support staff, with the exception of family doctors, worked directly for the state. Since the 1980s, private employment in the National Health Service (NHS) has steadily grown. Beginning with the outsourcing of support services, the number of privately-employed workers in the National Health Service has gradually increased. This paper argues that marketization in the health sector has increased dramatically under the New Labour government. As policymakers have moved from ideological to pragmatic justifications for marketization, union opposition has similarly become more pragmatic and less ideological. With unions unable to stop these reforms, they have turned to the practical concerns of their members in partially-privatized workplaces under complex employment arrangements. This article shows that while ideologically opposing marketization, unions and employees have been forced into a more pragmatic position. Research at two privately-funded public hospitals shows that unions in the workplace have used their resources to protect their members, as thwarting the involvement of the private sector is nearly impossible.

scholarly journals The mental state we are in: morale and psychiatry

1998 ◽  
Vol 22 (7) ◽  
pp. 405-409 ◽  
Author(s):  
Chris Thompson
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Mental State ◽  
Rapid Change ◽  
The Other ◽  
Other Hand

In this lecture I will ask: is morale poor among doctors? If it is (and let us for a moment assume that it might be), why is it that? If it is worse recently then is the deterioration an inevitable part of the process of rapid change in the National Health Service (NHS)? Is it, on the other hand, remediable?

scholarly journals ANALYSIS OF PROVISION OF MEDICAL SERVICES TO THE POPULATION BY PRIMARY MEDICAL CARE DOCTORS IN THE CONDITIONS OF HEALTH SYSTEM REFORM: REGIONAL LEVEL

2020 ◽  
Author(s):  
Vasyl Matviyiv ◽  
Keyword(s):  
Primary Care ◽  
National Health Service ◽  
Health Service ◽  
Medical Care ◽  
National Health ◽  
Primary Care Physicians ◽  
Free Choice ◽  
Medical Services ◽  
Primary Medical Care ◽  
Family Doctors

An important component of the development of the domestic medical system has been the reform of the primary level of health care facilities. The impetus for this was the adoption of the main draft laws, which significantly changed the distribution of funds for the financing of the medical sector in Ukraine. The article describes the percentage of the population that chose their primary care physician, analyzes the distribution of declarations by the number and structure of primary medical care providers who have concluded an agreement with the National Health Service of Ukraine in Ukraine and the Carpathian region. It was cleared up that both in Ukraine and in its regions the population had the right to choose primary care physicians among such specialties as family doctors, therapists and pediatricians, where as a result of compiling declarations the largest population in Ukraine chose family doctors in Transcarpathian, Lviv and Chernivtsi regionss, and the share of family doctors in these regions significantly exceeds the Ukrainian average in the country. It has been determined that an important factor is public awareness about the importance and necessity of electronic declarations. The study concludes that this, in its turn, has provided the population with a free choice of a therapist in urban areas or a family general practitioner in rural areas. It has been investigated that the population has a free choice to sign declarations with primary care doctors, and this allows each citizen to choose a doctor at his discretion, who, in turn, having the opportunity to provide services and receive a slightly higher fee according to the coefficients approved by the National Health Service of Ukraine. It has been concluded that patients have the opportunity to receive medical services from primary care physicians, as a result of which they can receive qualified medical care. Under conditions when in patients’ opinions medical care or services are not provided at the appropriate level, they can change doctors and automatically sign a declaration with another doctor.

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