Progress in the Delivery of Health Care in Mexico

PEDIATRICS ◽  
1981 ◽  
Vol 67 (1) ◽  
pp. 155-157
Author(s):  
Robert G. Frazier
Keyword(s):  
Health Care ◽  
Social Security ◽  
Delivery Of Health Care ◽  
Health Technology ◽  
Urban Centers ◽  
Retirement Benefits ◽  
Welfare Services ◽  
The Past ◽  
The Poor ◽  
The Masses

The Joint Pediatric Congress of the National Confederation of Pediatrics in Mexico and of the Mexican Association of Pediatrics, held April 28 through May 4, 1980, provided an unusual opportunity to review the dramatic changes that have been implemented in the past few years in the health care system of Mexico. A social security system, embodying health and welfare services and retirement benefits, became law in Mexico in 1943. In addition to supporting community welfare services, it has struggled to develop a format and resources for delivery of health care to the masses of Mexicans, including the poor or those too isolated from urban centers to have any effective access to the benefits of modern health technology.

CHILD HEALTH CARE, COOPERATION, AND COMMUNICATION

PEDIATRICS ◽  
1969 ◽  
Vol 43 (1) ◽  
pp. 125-129
Keyword(s):  
Health Care ◽  
Child Health ◽  
Delivery Of Health Care ◽  
Executive Director ◽  
Central Office ◽  
Child Health Care ◽  
Executive Board ◽  
The Past ◽  
Term Delivery ◽  
The Many

Each year it is the duty as well as the privilege of the retiring president to present a final summary of his stewardship and some commentary on the events of the Academy year which has just been completed. Such a presentation concerns accomplishments and not simply aspirations; it presents a somewhat philosophic look at our activities in addition to a recital of events. It is both a valedictory for those of us who are finishing our Academy tasks and a challenge to those who are assuming these responsibilities for the year ahead. Before going further, I should like to pay tribute to members of the Executive Board for their valuable help, vision, counsel and support, and to the Chapter and Section Chairmen and to all Committeemen for their diligent service and achievements. I also should like to commend all those in the Central Office for the many tasks they do for us and especially for their fine judgment, devotion, loyalty, and plain hard work. May I commend to you most particularly our new Executive Director. We could not have chosen better. And there is one other, Rhoda, my wife. Without her assistance and understanding, the work of the past 2 years would not have been possible. The term, "delivery of health care," is still new to many of us. In past years it was said that physicians "went into practice." They did indeed deliver care, but it was then called "the care of patients"-a professional and compassionate service to the sick.

Democratization, Elites, and the Expansion of Access to Health Care and Medicine

2017 ◽  
Author(s):  
Joseph Harris
Keyword(s):  
Health Care ◽  
Labor Unions ◽  
Access To Health Care ◽  
Political Competition ◽  
Social Progress ◽  
Left Wing ◽  
The Poor ◽  
Access To Health ◽  
Key Concepts ◽  
The Masses

Sociologists have rarely imagined elites as capable of delivering for society the promise of a better future. More frequently, labor unions and left-wing parties, or grassroots social movements, have been looked to as champions of social progress. This chapter explores the broader theoretical contributions of the book and situates the key concepts of “professional movements” and “heightened political competition” in the literature. First, whereas scholarship has emphasized the way in which democratization empowers the masses, this book turns conventional wisdom on its head by suggesting that democratization empowers elites. Second, it calls attention to the role that newly empowered (and public-minded) professionals play in expanding access to healthcare and medicine on behalf of the poor and those in need. Third, it highlights the importance of differences in the character of political competition in the wake of democratic transition in conditioning the possibilities for well-organized professional movements to institute such changes.

OP04 Lessons Learnt When Implementing A Health Technology Assessment Institution In Costa Rica

2017 ◽  
Vol 33 (S1) ◽  
pp. 3-4
Author(s):  
Iñaki Gutiérrez-Ibarluzea ◽  
James Cercone ◽  
Daniel Bronstein ◽  
Luis Tacsan ◽  
Pablo Morales ◽  
...  
Keyword(s):  
Health Care ◽  
Costa Rica ◽  
Social Security ◽  
Health Technology Assessment ◽  
Health System ◽  
Technology Assessment ◽  
Access To Health Care ◽  
Health Technology ◽  
Right To Health ◽  
Independent Evidence

INTRODUCTION:Faced with increasing financial challenges to the single-payer social security system and constitutional challenges supporting all citizen's right to health, Costa Rica has endeavored to introduce Health Technology Assessment (HTA) to ensure sustainability and promote the timely introduction of technology innovations in the health system. The Ministry of Health initiated a process to establish an independent, external institution providing leadership in the process of HTA.METHODS:Based on a survey developed by REDETSA/PAHO (HTA Network of the Americas/Pan American Health Organization), an inclusive method of stakeholders participation was used to analyze the strengths, weaknesses, opportunities and threats regarding the implementation of an HTA entity. This was combined with qualitative research methods, market access situation analysis and the review of coverage and provision processes to define the elements for the new HTA institution. The “in-depth” interviews extended to manufacturers, ministry representatives, services providers, purchasers, patients and citizens representatives, judiciary court, professional colleges, academia and non-governmental organizations (NGOs). Analysis of the professional competencies required for the HTA institution was carried out based on best practice analysis of international HTA institutions.RESULTS:The implementation of an HTA unit in Costa Rica was identified by all the actors as crucial to ensuring the health system's sustainability. Costa Rica's health system is based on all citizens right to health and all inputs required delivering health services, judicialization and access to health care have become a big issue. Two main issues were identified as essential to implement an HTA institution: the establishment of a clear framework to provide legal and financial support and the need to have sufficient independence from the Ministry and the Social Security, including maximum transparency and methodological robustness.CONCLUSIONS:The business model for the new HTA institution should consider the participation of all the interested actors. The HTA institution should bridge the gap between technology regulation and health technology management and aim to improve both processes. It should also provide third party independent evidence to inform the constitutional court around health care claims.

EXECUTIVE SUMMARY OF THE ECHTA/ECAHI PROJECT

2002 ◽  
Vol 18 (2) ◽  
pp. 213-217 ◽  
Author(s):  
Egon Jonsson ◽  
H. David Banta ◽  
Chris Henshall ◽  
Laura Sampietro-Colom
Keyword(s):  
Health Care ◽  
European Union ◽  
Healthcare System ◽  
Health Technology ◽  
The European Union ◽  
Executive Summary ◽  
Member States ◽  
The Past ◽  
Technological Base ◽  
Effectiveness And Efficiency

Health technology is an indispensable part of any nation's healthcare system. During the past 50 years, all member states that comprise the European Union have increased their technological base for health care, both in terms of knowledge and by investments in equipment, devices, and pharmaceuticals. Generally, this process has gone well. However, several problems have emerged related to the acquisition, diffusion, and use of modern health technology. Concerns have been also raised about the effectiveness and efficiency of already established procedures in health care.

scholarly journals History of HTA: Introduction

2009 ◽  
Vol 25 (S1) ◽  
pp. 1-6 ◽  
Author(s):  
David Banta ◽  
Egon Jonsson
Keyword(s):  
Health Care ◽  
Health Technology Assessment ◽  
Technology Assessment ◽  
Health Technology ◽  
Health Care Technology ◽  
The Past ◽  
History Of ◽  
In Memoriam ◽  
Care Technology ◽  
The U.S

For the past several years, we have discussed the idea of producing a publication on the history of health technology assessment (HTA). It seemed important to us to develop this history now, while those who lived it can give their own accounts. An exception is Seymour Perry, the first president of ISTAHC and the Director of the first national public program in HTA, the U.S. National Center for Health Care Technology (NCHCT). See the In Memoriam in this issue.

Resetting Social Security

Daedalus ◽  
2015 ◽  
Vol 144 (2) ◽  
pp. 68-79 ◽  
Author(s):  
S. Jay Olshansky ◽  
Dana P. Goldman ◽  
John W. Rowe
Keyword(s):  
Social Security ◽  
Population Aging ◽  
Safety Net ◽  
Life Extension ◽  
Retirement Age ◽  
Retirement Benefits ◽  
The Poor ◽  
Unequal Access ◽  
Financial Burdens ◽  
Financial Safety Net

Social Security retirement benefits were first introduced in 1935 as a financial safety net for a large and rapidly growing older American population. The program was intended to be economically selfsustaining, but population aging and rising life expectancies threaten the program's solvency. The 1983 Social Security Amendments mandated that the full retirement age increase to 67 by the year 2027. In this essay, we present evidence demonstrating that the rate of improvement in life extension at older ages accelerated after 1983. If the 1935 ratio of working years to retired years is maintained, early and full retirement ages of 66.5 and 69.4, respectively, were justified in 2009. Additional delays in the age of eligibility beyond those currently in effect would place significant financial burdens on individuals with lower life expectancies, the poor and near-poor, and the very old, and – absent additional reform – would exacerbate existing unequal access to entitlements within the system.

AANS Presidential Address, 1989: Trends in neurosurgery

1989 ◽  
Vol 71 (4) ◽  
pp. 471-480 ◽  
Author(s):  
George T. Tindall
Keyword(s):  
Health Care ◽  
Head Injury ◽  
Brain Tumors ◽  
21St Century ◽  
Delivery Of Health Care ◽  
Presidential Address ◽  
Content Type ◽  
The Past ◽  
Rapid Pace ◽  
Fine Print

✓ This overview of neurosurgical practice examines patterns of case management, using several areas such as head injury, brain tumors, and the delivery of health care to illustrate the changes that have taken place over the past 40 years and the changes that might be expected in the next 40 years. The rapid pace of progress has indicated further exciting growth of this specialty into the 21st century; however, what remains constant is the dynamic character of the neurosurgeon. This view of the past and the possibilities for future innovation enables neurosurgeons of all generations to have a sense of pride in the achievements generated by their peers.

scholarly journals Exclusion from Welfare Services in Turkey as a Social Exclusion Form

2013 ◽  
Author(s):  
Nagihan Durusoy Öztepe ◽  
Çağla Ünlütürk Ulutaş
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Social Security ◽  
Social Exclusion ◽  
Social Assistance ◽  
Entire Population ◽  
Welfare Regime ◽  
Health Care Education ◽  
Care Education ◽  
Welfare Services

The welfare regime of Turkey is classified in South European Welfare Modal. One of the main characteristics of this regime is lack of the inclusion of entire population. The aim of this presentation is analysing the exclusion of citizens from four main welfare services: health care, education, social security and social assistance. Datas of Turkey Staistics Institution’s (TURKSTAT) 2010 Household Budget Survey are used to examine the population excluded from basic welfare services. This study has found that %13,5 of the population is excluded from health insurance. %8,6 of the population are not completed any school. Furtheremore, %49,8 of theemployees are not under the covereage of social security system. % 3,3 of the population can access to social assistance.

scholarly journals Perlindungan Hukum Terhadap Hak Asasi Pasien Pengguna Badan Penyelenggara Jaminan Sosial Kelas 3

2018 ◽  
Vol 1 (1) ◽  
pp. 119-139
Author(s):  
Eka Ryanda Pratiwi ◽  
Mahdi Syahbandir ◽  
Azhari Yahya
Keyword(s):  
Health Care ◽  
Health Services ◽  
Social Security ◽  
Medical Malpractice ◽  
Social Insurance ◽  
Social Protection ◽  
The Poor ◽  
Equity Principle ◽  
Social Security Agency ◽  
Banda Aceh

Badan Penyelenggara Jaminan Sosial (BPJS) berfungsi menyelenggarakan program jaminan kesehatan secara nasional berdasarkan prinsip asuransi sosial dan prinsip ekuitas dengan tujuan menjamin agar peserta memperoleh manfaat kesehatan. Pasal 1 angka 2 Undang-Undang Nomor 24 Tahun 2011 tentang Badan Penyelenggara Jaminan Sosial menyatakan bahwa Jaminan sosial adalah salah satu bentuk perlidungan sosial untuk menjamin seluruh rakyat agar dapat memenuhi kebutuhan dasar hidupnya yang layak. Dalam Pasal 224, 225, dan 226 Undang-Undang Nomor 11 tahun 2006 tentang UUPA, kewajiban kepada Pemerintah Aceh untuk memberikan pelayanan kesehatan secara menyeluruh kepada penduduk Aceh terutama penduduk miskin, fakir miskin, anak yatim dan terlantar. Pasien BPJS Kelas 3 di beberapa Rumah Sakit di Kota Banda Aceh memerlukan perlindungan secara hukum dalam menerima pelayanan kesehatan yang bertujuan menjamin adanya kepastian hukum yang didapatkan oleh pasien, sehingga pasien terhindar dari kerugian saat menerima pelayanan kesehatan yang seharusnya diberikan secara baik dan optimal oleh tenaga kesehatan.Kerugian sebagaimana dimaksud berupa kerugian atas kerusakan, pencemaran, dan atau kerugian menderita penyakit/cacat sebagai akibat perbuatan/kesalahan dokter. Bentuk ganti kerugian berupa perawatan kesehatan dalam rangka memulihkan kondisi pasien, pengembalian uang atau pengembalian barang dan atau pemberian santunan yang sesuai dengan ketentuan perundang-undangan.National Social Security Agency (BPJS) has a function to conduct national health of social security based social insurance principle and equity principle aiming at securing the members in order to obtain the benefit of health care. Article 1 point 2 of the Act Number 24, 2011 regarding National Social Security Agency stipulates that Social Security is one of the forms of social protection in securing all people to fulfill basic need of proper lives. Articles 224, 225, and 226 of the Act Number 11, 2006 regarding Aceh Governance Act oblige the Aceh Government especially the poor, orphan and abandoned kids. Patients of the National Social Security Agency of Class 3 in several hospitals in Banda Aceh need law protection in providing health services aiming to secure the existence of law certainty acquired by the patients hence it prevents from the loss while accepting the health services that should be provided well and optimally by medical staffs. The loss aforementioned are damages, contamination, or suffering from illness/disability resulted from medical malpractice. The kinds of the loss are health care in recovering patients’ condition, compensating or returning things or the compensation that is not based on existing rules.

scholarly journals Landscape of Enhanced Access to Social Protection, Safety Nets and Increased Resilience in Bangladesh

2021 ◽  
Author(s):  
Ismat Ara Begum ◽  
Rezaul Karim Talukder ◽  
Mohammad Mizanul Haque Kazal ◽  
Mohammad Jahangir Alam
Keyword(s):  
Social Security ◽  
Social Insurance ◽  
Poverty Reduction ◽  
Social Protection ◽  
Safety Net ◽  
Security Strategy ◽  
Government Investment ◽  
The Past ◽  
The Poor ◽  
The Government

Social protection is an essential government investment that contributes to economic growth and makes growth more pro-poor through directly reducing poverty. The Government is strongly committed to reducing poverty, improving human development and reducing inequality. This commitment is reflected in Vision 2021, the Perspective Plan 2010–2021 and in the Sixth & Seventh Five Year Plans. The Government realizes that notwithstanding the past impressive progress with poverty reduction, there is a substantial number of populations that remains exposed to poverty owing to various vulnerabilities. Evidence shows that the poor and vulnerable group cannot cope with all the frequently occurring risks and shocks with their own resources. In recognition of these concerns, the Government has embarked upon the formulation of a comprehensive National Social Security Strategy. It builds on the past rich experience and seeks to streamline and strengthen the existing safety net programs. It also broadens the scope of Social Security from the narrow safety net concept to include employment policies and social insurance to address the emerging needs. Given this backdrop, this chapter deals with the assessment of social security interventions against Life Cycle Risks, measures for resilience of safety net programs, and finally presents the government priorities based on existing policies.

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