Health Care Fictions: The Business of Medicine and Modern US Literature

2021 ◽  
Author(s):  
Ira Halpern
Keyword(s):  
Health Care ◽  
Twentieth Century ◽  
Medical Staff ◽  
Cultural Dimensions ◽  
The Political ◽  
Private Health Care ◽  
Political Debate ◽  
Medical Practitioners ◽  
Us Economy ◽  
Public Versus Private

Abstract The literary and cultural dimensions of the longstanding US political debate over public versus private health care have been critically underexplored. How did early twentieth-century US writers portray the business of medical care within a stratified US economy? In Robert Herrick’s The Healer (1911), Wallace Thurman and A. L. Furman’s The Interne (1932), and Frank G. Slaughter’s That None Should Die (1941), the problems of inequality, profit, and corruption plague the practice of professional medicine. The writers of these novels do not, for the most part, blame the trouble with care on individual nurses, doctors, or other medical staff. Instead of exposing the power of individual medical practitioners to exploit bodies, these novels call attention to the power of capitalism and inequality to distort and derange the mission of medicine. Yet, the political critiques offered by health care fictions are foreclosed by anxieties about collective reform and government intervention in health care. So, this article asks why some of the most sustained literary treatments of capitalist medicine in US literature ultimately retreat from the structural critiques that they themselves raise.

scholarly journals КРІ model impact on employee motivation and competitiveness of private healthcare facilities

2021 ◽  
Vol 2 (2) ◽  
pp. 31-42
Author(s):  
Stanislav Kotenko ◽  
Iana Kobushko ◽  
Iryna Heiets ◽  
Oleksandr Rusanov
Keyword(s):  
Health Care ◽  
Medical Staff ◽  
Care Quality ◽  
Health Care Facilities ◽  
Private Health Care ◽  
Healthcare Facilities ◽  
Private Healthcare ◽  
Care Facilities ◽  
Private Medicine ◽  
Health And Economic Development

The Constitution of Ukraine stipulates that an individual, his/her life, and health are the highest state social values. The authors highlighted that the health care system is the basis of social policy, national security, public health, and economic development. The current reformation of medical and legal reforms in Ukraine are fully covered by health legislation. In the context of these laws, the government promotes the development of private, communal, and state healthcare facilities. The authors noted that private medicine is snowballing in Ukraine, but the competitiveness of private health care facilities is insufficient in state medical reform. The study emphasized the absence of appropriate tools and mechanisms to motivate staff in private healthcare facilities. Based on the findings, the authors proposed introducing a set of evaluation indicators combined into a single integrated system – key performance indicators (KPIs), which would be the basis for calculating the bonus payroll. In turn, this system of material incentives should encourage medical staff to work effectively, be active, and initiative. The mechanism for developing a set of KPIs should be approved at the administration of the private health care facility. At the same time, medical workers of all levels must participate in KPIs elaborating. The indicators of medical care quality could be further used to improve healthcare, differentiated work assessment of medical staff, and healthcare facility in general, in accreditation and certification of private health care facilities. In the study, the authors formed and analyzed groups of indicators for different categories of the medical staff of private medical institutions. The obtained results showed that different bonus rates are needed to motivate employees at various levels to create an additional incentive to build a medical career. Thus, it could be argued that private healthcare facilities should develop motivation policy and strategy, revise system and forms of remuneration, improve the mechanism of motivation and incentives, focus on increasing competitiveness indicators in private medicine.

Technology Assessment Ativities in Sweden

1989 ◽  
Vol 5 (2) ◽  
pp. 263-268 ◽  
Author(s):  
Johan Calltorp ◽  
Björn Smedby
Keyword(s):  
Health Care ◽  
Technology Assessment ◽  
Medical Technology ◽  
The Political ◽  
Medical Practitioners ◽  
Administrative Process ◽  
Medical Technology Assessment ◽  
Special Area ◽  
Area Of Concern

A rapidly growing interest in medical technology assessment has been noted in Sweden during the last 5 years. This interest is reflected both in a variety of research efforts and in new organizational arrangements for coordination and stimulus of research. A special area of concern is a group of mechanisms to make the results of assessment useful to medical practitioners and in the political and administrative process within health care.

The Italian Fascist Community in Argentina, 1946–1978

2021 ◽  
Vol 51 (1) ◽  
pp. 122-140
Author(s):  
Matteo Albanese
Keyword(s):  
Twentieth Century ◽  
Political Community ◽  
The Political ◽  
Political Debate ◽  
Fertile Ground ◽  
Totalitarian Regimes

Argentina became a laboratory for a neofascist project. The country’s long and deeply rooted tradition of Peronism, its Nazi and Fascist connections, and the authoritarian and totalitarian regimes that took hold in the country during the second half of the twentieth century all help explain why Argentina offered fertile ground for this neofascist project. This article explores how Italians who migrated to Argentina for political reasons, and in search of a new fatherland, as described by Federica Bertagna, Marco Tarchi and other scholars, shaped the political debate in Argentina during the period between 1946 and the beginning of the dictatorship. It also considers how this political community established relations with other neofascist actors, individuals and groups, around the globe and with former fascist and Nazi militants who lived in Argentina.

Health Care as Citizenship Development: Examining Social Rights and Entitlement

2002 ◽  
Vol 35 (1) ◽  
pp. 103-125 ◽  
Author(s):  
Candace Johnson Redden
Keyword(s):  
Health Care ◽  
Right To Health ◽  
Legal Rights ◽  
The Political ◽  
Social Rights ◽  
Political Debate ◽  
Liberal Democracies ◽  
Right To Health Care ◽  
Citizenship Development ◽  
The Right

The political importance of rights in liberal democracies, and of universally accessible health care in Canada, are trite observations. However, the increasing use of the language of rights to defend existing patterns of health care in Canada is a curious if not alarming phenomenon. What do citizens mean when they say that they have the right to health care? How can health care rights be defined philosophically and politically? This article examines the increasing popularity of rights claiming for health care, and argues that the ''right to health care'' has a non-possessive, normative nature that is at odds with legalistic individualistic rights claiming. This is a significant philosophical finding, one that informs the political debate over health care by revealing that legal rights claims are not sufficient to defend social entitlements. The conceptual project undertaken in this article illuminates directions of reform and suggests that differentiated citizenship provides a better model than legal rights to guide reform efforts.

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