Community Pediatrics: Role of Physicians and Organizations

PEDIATRICS ◽  
2003 ◽  
Vol 112 (Supplement_3) ◽  
pp. 732-734
Author(s):  
Margaret Lynch

The Issue. This article focuses on the work of the Royal College of Paediatrics and Child Health (RCPCH) related to advocacy and the efforts of the RCPCH to influence the planning and provision of children’s services. This should be considered in the context of the current UK government agenda. As the RCPCH agrees with the aims of this agenda, the challenge becomes how to influence the process of achieving them. In 1999 in a document, “Our Healthier Nation,” the UK government clearly stated that it is committed to improving the health of the population, reducing inequalities, reducing social exclusion, and improving access and quality of health care while increasing responsiveness to local needs. This commitment of the UK government is important to children, as among the 11 to 12 million children in the country, there are 300 000 to 400 000 children in need, including 53 000 children who are in public care (usually placed in foster care), where the state has direct responsibility to ensure that they receive appropriate health care. These are children who may need support from social services or child care services in addition to health services. There also are 32 000 children on our child protection registers. Overall, approximately 4 million of our 11 million children are considered vulnerable for one reason or another.

2001 ◽  
Vol 30 (4) ◽  
pp. 685-704 ◽  
Author(s):  
CAROL PROPPER ◽  
KATHERINE GREEN

This article examines whether an extension of private finance would improve either the efficiency or the equity of the UK health care system. A number of arguments for increasing the role of private finance that focus on the impact of private finance on the efficiency of the public sector are examined in conjunction with empirical evidence from a number of OECD countries. The conclusion is that the case for some extension of private finance is finely balanced. There is little evidence to show that increasing private finance would improve the efficiency of the NHS. On the other hand, the evidence suggests that it is unlikely that increasing private finance at the margin will alter the support for the NHS, and thus willingness of individuals to pay taxes for public care. In addition, if private finance is supplementary, increased finance will be progressive in terms of payments for health care.


2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Nando Sigona ◽  
Jotaro Kato ◽  
Irina Kuznetsova

AbstractThe article examines the migration infrastructures and pathways through which migrants move into, through and out of irregular status in Japan and the UK and how these infrastructures uniquely shape their migrant experiences of irregularity at key stages of their migration projects.Our analysis brings together two bodies of migration scholarship, namely critical work on the social and legal production of illegality and the impact of legal violence on the lives of immigrants with precarious legal status, and on the role of migration infrastructures in shaping mobility pathways.Drawing upon in-depth qualitative interviews with irregular and precarious migrants in Japan and the UK collected over a ten-year period, this article develops a three-pronged analysis of the infrastructures of irregularity, focusing on infrastructures of entry, settlement and exit, casting a comparative light on the mechanisms that produce precarious and expendable migrant lives in relation to access to labour and labour conditions, access and quality of housing and law enforcement, and how migrants adapt, cope, resist or eventually are overpowered by them.


2017 ◽  
Vol 31 (4) ◽  
pp. 818-839 ◽  
Author(s):  
Eszter Varsa

This article discusses the role of child protection and residential care institutions in mediating the tension between women’s productive and reproductive responsibilities in early state socialist Hungary. At a time when increasing numbers of women entered paid work in the framework of catch-up industrialization but the socialization of care work was inadequate, these institutions substituted for missing public child care services. Relying on not only policy documents but more than six hundred children’s case files, including Romani children’s files, from three different locations in Hungary as well as interviews with former children’s home residents and personnel, the article examines the regulatory framework in which child protection institutions and caseworkers operated. It points to the differentiated forms of pressure these institutions exercised on Romani and non-Romani mothers to enter paid work between the late 1940s and the early 1950s from the intersectional perspective of gender and ethnicity. Showing that prejudice against “Gypsies” as work-shy persisted in child protection work across the systemic divide of the late 1940s, the article contributes to scholarship on state socialism and Stalinism that emphasizes the role of historical continuities. At the same time, reflecting on parental invention in using child protection as a form of child care, the article also complicates a simplistic social control approach to residential care institutions in Stalinist Hungary.


2021 ◽  
Vol 33 (3) ◽  
pp. 317-343
Author(s):  
CECILIA ROSSEL ◽  
FELIPE MONESTIER

AbstractThis article analyzes how policy ideas already adopted in Europe, particularly in France, were taken into consideration for the design of Uruguay’s National Public Assistance (NPA) policy. Established in 1910, the NPA was a pioneering government social policy for the time and for the region.Some have argued that the design of the NPA law followed the secular and republican model instituted in France at the end of the nineteenth century when France established the Assistance Publique, particularly regarding the extent of public assistance to the poor, the role of the state in the provision of health care (as opposed to charity-based provision) and the centralization of health-care services (as opposed to a decentralized health-care system).We analyze how these revolutionary ideas were discussed by the technicians and politicians who participated in the process that culminated in the approval of the law in Uruguay discussed these revolutionary ideas. We explore the factors that motivated the creation of the commission that developed the law. We also review available documentation on the drafting of the bill and the parliamentary debate that culminated in its approval. We find that the design of the NPA included many ideas diffused mainly from France. The French model was not simply emulated, however. Rather, the authors of the NPA thoroughly analyzed and considered the features and main consequences of the Assistance Publique, suggesting that diffusion in this case was more a process of learning than of simple mimicry.


Medical Law ◽  
2019 ◽  
pp. 37-120
Author(s):  
Emily Jackson

All books in this flagship series contain carefully selected substantial extracts from key cases, legislation, and academic debate, providing able students with a stand-alone resource. This chapter examines the provision of health care services. It first considers the way in which NHS services are commissioned. Secondly, it covers the issue of resource allocation or rationing. It examines different rationing strategies, and considers the role of the National Institute of Health and Care Excellence, and the use of judicial review to challenge funding decisions. Finally, it examines public health law, and role of the state in encouraging healthy behaviour and addressing health inequalities.


2019 ◽  
Vol 127 ◽  
pp. 63-67 ◽  
Author(s):  
Omar Ayaad ◽  
Aladeen Alloubani ◽  
Eyad Abu ALhajaa ◽  
Mohammad Farhan ◽  
Sami Abuseif ◽  
...  

Curationis ◽  
2001 ◽  
Vol 24 (1) ◽  
Author(s):  
ET Mabunda ◽  
S Booyens

The purpose of the study was to determine the contribution of nursing auxiliaries towards health care services,against their scope of practice. The sample consisted of nursing auxiliaries in the Gazankulu area ,in the Northern Transvaal.The findings revealed that nursing auxiliaries are presently an essential component of nursing services rendered in Gazankulu,but that apart from their prescribed role,they are also engaged in activities which should be performed by enrolled and professional nurses,and general assistants.A need for education is apparent for all categories of nursing staff regarding the scope of practice of nursing auxiliaries.


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