scholarly journals Implementation of a guideline for local health policy making by regional health services: exploring determinants of use by a web survey

2017 ◽  
Vol 17 (1) ◽  
Author(s):  
Theo J.M. Kuunders ◽  
Monique A.M. Jacobs ◽  
Ien A.M. van de Goor ◽  
Marja J.H. van Bon-Martens ◽  
Hans A.M. van Oers ◽  
...  
Author(s):  
David Hughes

A volume on health reforms under the Coalition must necessarily expand its focus beyond Westminster to consider the larger UK policy context. Legislation enacted in 1998 established devolved assemblies in Scotland, Wales and Northern Ireland with power to make law or issue executive orders in certain specified areas, including health services. This meant that an English NHS overseen by the Westminster Parliament now existed alongside separate NHS systems accountable to devolved governments in the other UK countries. Thus, the major Coalition health reforms heralded by the Health and Social Care Act 2012 applied in the main to England only. However, devolved administrations needed to formulate appropriate policy responses that either maintained differences or moved closer to the English policies. This chapter describes the divergent approaches between the four UK NHS systems, but also sheds light on the nature of coalition policy making.


Introduction 80 The cancer journey 82 Calendars 84 Diagnosis 86 Reactions to diagnosis and treatment 88 Living with cancer 90 Fear of recurrence 92 Recurrence and facing death 94 Survivorship 96 Government health policy in the UK aims to put the patient, or service user, at the heart of local health services. For this to happen, health care professionals must gain an appreciation of what it is like to be a person with cancer, or a carer of someone with cancer. It is hard to know or understand the experience of another person, but there are various ways that we can gain insights into their experience. This section reviews ways of understanding the experience of cancer, and then goes on to look at different aspects of that experience for individuals, using the words of people with cancer....


Author(s):  
Andrea de Oliveira Gonçalves ◽  
Rodrigo de Souza Gonçalves ◽  
Elionor Farah Jreige Weffort

This paper analyses the relationship between the so-called participative communities and their participants’ influence on local public health policies discussions through health councils in the cities of Porto Alegre, Brazil and Montevideo, Uruguay. Work was carried out through a qualitative comparison research (Sartori e Morlino, 1994), opting for a multiple-case study (Yin, 2003) and by using Likert (1967), Rifkin et al. (1989), and Demo (1996) as main theoretical references. Results achieved by the content analysis showed that the Health Council of Porto Alegre tends to present a larger level of community participation, i.e., the organization having an influence on local health policy discussions. As to the Health Council of Montevideo, the level of participation tends to be limited, i.e., the organization has little influence on local health policy discussions.


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