Medical stratification in Vietnam

2014 ◽  
Vol 1 (1) ◽  
Author(s):  
Martha Lincoln
Keyword(s):  
Public Health ◽  
Health Disparities ◽  
Health Policy ◽  
Health Sector ◽  
Disease Outbreak ◽  
Market Transition ◽  
Government Employees ◽  
Public And Private ◽  
Ethnographic Interviews ◽  
The Social

Market transition in Vietnam is known to have fueled health disparities, but racialized and nationality-linked aspects of the country’s medical stratification have received less attention, despite the growing presence of foreigners using the health system. Field experiences reveal the country’s increasing health and medical inequity – legible in the social, linguistic, economic, and physical distinctions between public health stations staffed by government employees and the private clinics serving mostly expatriates. Ethnographic interviews and experiences of receiving care in both public and private facilities inform my argument that the privatization of Vietnam’s health sector produces racialized, classed, and citizenship-linked forms of medical profit, privilege, segregation, and risk – trends visible both in recent debates over US health policy and recent episodes of pandemic disease outbreak.

Cases of social innovations implemented in the public health sector

2020 ◽  
Vol 16 (9) ◽  
pp. 1600-1621
Author(s):  
E.V. Molchanova
Keyword(s):  
Public Health ◽  
Systems Approach ◽  
Health Sector ◽  
Demographic Challenges ◽  
Disability Adjusted Life ◽  
The Social ◽  
Social Innovations ◽  
Demographic Processes ◽  
Disease Study ◽  
Disability Adjusted Life Year

Subject. The article discusses medical and demographic processes in Russia and Finland. Objectives. I evaluate cases of social innovations implemented for the preservation and strengthening of public health in Finland under the auspices of The Global Burden of Disease Study. Methods. Methodologically, the study relies upon the ideology of the GDB Project, which rests on the DALY (the Disability Adjusted Life Year). Results. I analyzed the morbidity and mortality rates, DALY in Russia and Finland, determined what mainly triggers the risk (environmental, behavioral, metabolic) fueling some public health degradation. The article provides the insight into the efficiency of some social innovations implemented in Finland and suggests what should be done to outline medical and demographic programs in Russia. Conclusions and Relevance. The medical and demographic situation in Russia requires new tools to find innovative solutions for the social policy and, inter alia, the use of the GBD technique, which proved to be effective. Referring to evidence from Finland, demographic challenges in Russian can be handled through a systems approach, i.e. socio-economic actions, improvement of the healthcare and social security, wellness propaganda.

scholarly journals Would employment-based health savings accounts help Medicare

1999 ◽  
Vol 22 (4) ◽  
pp. 3 ◽  
Author(s):  
Don Hindle ◽  
Ian McAuley
Keyword(s):  
Public Health ◽  
Health Professionals ◽  
Private Practice ◽  
Health Sector ◽  
Public Health Services ◽  
Health Savings Accounts ◽  
Savings Accounts ◽  
The Social ◽  
Pro Bono ◽  
British Health

The health systems of Australia and New Zealand are built on common foundations which largely reflect the social and institutional underpinnings of the British health sector. Both countries initially relied upon a combination of privately-funded services for those who could afford them and charitable support for those who were less well off. They introduced formalised regulation and licensing of health professionals and government-funded and delivered public health services. Senior medical staff divided their time between fee-earning private practice and pro bono work in the charitable/voluntary sector, and so on.

scholarly journals The Integration of Behavioural Change Models in Social Marketing Programs in Public Health

2019 ◽  
Vol 2 (1) ◽  
pp. 30-39
Author(s):  
Oxana Savciuc ◽  
Alina Timotin
Keyword(s):  
Public Health ◽  
Social Marketing ◽  
Behavioural Change ◽  
Health Sector ◽  
Marketing Research ◽  
Marketing Mix ◽  
Change Models ◽  
The Social ◽  
Consumer Orientation ◽  
Alternative Techniques

Abstract The aim of the paper is to provide a conceptual theoretical framework of the integration of the theories and models of behavioural change in the marketing mix of the social marketing programs applied in public health. A second purpose is to highlight the benefits of social marketing over alternative techniques used in programs that are designed to influence health behaviour. The research is a conceptual one, that uses both theoretical (through examination of theories and concepts) and applied approaches (through examination of particular cases and examples). In the specialized literature there are presented multiple models/theories of behavioural change, but their specific application in the marketing mix of the social marketing programs is insufficiently described. The need to use these theories in the public health sector arises from the extended application of social marketing in this field and the specificity of the domain. Eight main theories of behaviour change were studied according to their purpose, variables (possibility of segmentation) and limits. Accordingly, the study presents how these theories can be integrated in the process of social marketing implementation in defining the marketing mix strategy. In this regard, it is important to underline the advantages of using social marketing (in contrast to alternative techniques like PRECEDE/PROCEED or the ecological models), namely: it is based on consumer orientation, uses marketing research, creates attractive exchanges, considers competition, uses the marketing mix, ensures management of the processes. In addition, some elements of the alternative techniques can be taken over in the application of social marketing. Social marketing is a very useful practical tool, but it needs a well-grounded theoretical support in order to gain ground in front of other similar theories. This paper tends to enhance the theoretical tools available for researchers and practitioners.

An Overview of Health Disparities in the Context of Public Health Ethics

2019 ◽  
pp. 257-265
Author(s):  
Andrew W. Siegel
Keyword(s):  
Public Health ◽  
Socioeconomic Status ◽  
Social Justice ◽  
Health Disparities ◽  
Health Inequity ◽  
Public Health Ethics ◽  
Ethical Considerations ◽  
Health Ethics ◽  
The Social ◽  
The Subject

Health disparities have increasingly become an important area of examination for public health ethics. This chapter provides an overview of the ethics of health disparities, one of the dedicated sections of The Oxford Handbook of Public Health Ethics. It begins with background on health disparities and socioeconomic status, including a brief summary of some of the seminal research on the subject. It then provides an overview of the chapters in this section of the handbook, which address (1) the social determinants of health and the ethics and social justice arguments for reducing health disparities, (2) racial and ethnic health disparities, (3) some conflicts that arise between reducing health disparities and advancing population health, and (4) ethical considerations in the measurement of health inequity.

Converting Patients into Consumers: Consumerism and the Charter of Rights for Hospital Patients

1995 ◽  
Vol 5 (1) ◽  
pp. 43-66 ◽  
Author(s):  
Orla O'Donovan ◽  
Dympna Casey
Keyword(s):  
Public Health ◽  
Health Policy ◽  
Public Health Policy ◽  
Hospital Services ◽  
Review Of The Literature ◽  
Medical Authority ◽  
Irish Hospital ◽  
The Social ◽  
Hospital Patients ◽  
The Welfare State

This paper examines consumerism in public health policy and focuses on a specific strategy to make Irish hospital services more consumer-oriented, namely, patients' charters. The first part of the paper examines different conceptualisations of the ‘new consumerism’ in the social policy literature and locates its emergence within the broader context of the ‘marketisation’ of the welfare state. A brief review of the literature on the merits and limitations of public sector consumerism is then presented. The second part of the paper concentrates on the emergence of the new consumerism in Irish public health policy, and the results of a study that examined the implementation of the Charter of Rights for Hospital Patients are presented. A key finding of the study was that none of the hospitals in the study area had fully implemented the provisions of the Charter. Furthermore, only 26 per cent of a sample of one hundred hospital patients had heard of the Charter and only 10 per cent could recall any of the rights that it conferred on patients. The paper concludes by suggesting that the Charter of Rights for Hospital Patients is less concerned with empowering patients than it is with other agendas, such as creating a semblance of closeness to the users of health services and counterbalancing medical authority.

scholarly journals Addressing the social determinants of health at the local level: Opportunities and challenges

2018 ◽  
Vol 46 (20_suppl) ◽  
pp. 47-52 ◽  
Author(s):  
E. Fosse ◽  
M.K. Helgesen ◽  
S. Hagen ◽  
S. Torp
Keyword(s):  
Public Health ◽  
Health Policy ◽  
Health Inequalities ◽  
Public Health Policy ◽  
Social Inequalities ◽  
Local Level ◽  
Qualitative Interviews ◽  
Social Gradient ◽  
New Public Health ◽  
The Social

Aims: The gradient in health inequalities reflects a relationship between health and social circumstance, demonstrating that health worsens as you move down the socio-economic scale. For more than a decade, the Norwegian National government has developed policies to reduce social inequalities in health by levelling the social gradient. The adoption of the Public Health Act in 2012 was a further movement towards a comprehensive policy. The main aim of the act is to reduce social health inequalities by adopting a Health in All Policies approach. The municipalities are regarded key in the implementation of the act. The SODEMIFA project aimed to study the development of the new public health policy, with a particular emphasis on its implementation in municipalities. Methods: In the SODEMIFA project, a mixed-methods approach was applied, and the data consisted of surveys as well as qualitative interviews. The informants were policymakers at the national and local level. Results: Our findings indicate that the municipalities had a rather vague understanding of the concept of health inequalities, and even more so, the concept of the social gradient in health. The most common understanding was that policy to reduce social inequalities concerned disadvantaged groups. Accordingly, policies and measures would be directed at these groups, rather than addressing the social gradient. Conclusions: A movement towards an increased understanding and adoption of the new, comprehensive public health policy was observed. However, to continue this process, both local and national levels must stay committed to the principles of the act.

Teaching from The Immortal Life of Henrietta Lacks: Student perspectives on health disparities and medical ethics

2016 ◽  
Vol 76 (3) ◽  
pp. 259-270 ◽  
Author(s):  
Christian Dimaano ◽  
Clarence Spigner
Keyword(s):  
Public Health ◽  
Health Disparities ◽  
Medical Ethics ◽  
Social Determinants Of Health ◽  
Health Inequalities ◽  
Social Determinants ◽  
Intervention Group ◽  
The Public ◽  
The Social ◽  
Immortal Life

Objective: The Immortal Life of Henrietta Lacks by Rebecca Skloot is an award-winning biography engaging its readers on important topics ranging from race, science and ethics to the social determinants of health. However, the multiple pedagogic impacts of this book on the public health classroom setting have yet to be comprehensively explored. Method: A qualitative, pre/post-test study design assessed the perceptions of 17 Master’s of Public Health students on topics of health disparities and medical ethics. A total of 14 students were assigned to an intervention (book-based seminar course; Cohort A) and 3 students acted as the non-intervention group (Cohort B) over a study period of 10 weeks. Results: A thematic analysis uncovered more profound changes in the perceptions of the intervention group. All students were aware of health disparities over the course of the 10-week class; however, significant traction was gained on more complex issues linked to the social determinants of health. Specifically, students in the intervention group showed deeper perceptions about health inequalities with a particular focus on racial disparities. Conclusion: Although graduate students in the public health discipline were well aware of health inequalities, a seminar course surrounding a popular book about Henrietta Lacks afforded students a more concrete understanding for why and how race and racism in health disparities exist.

scholarly journals Follow *the* science? On the marginal role of the social sciences in the COVID-19 pandemic

2021 ◽  
Vol 11 (4) ◽  
Author(s):  
Simon Lohse ◽  
Stefano Canali
Keyword(s):  
Social Sciences ◽  
Public Health ◽  
Health Policy ◽  
Public Health Policy ◽  
Policy Making ◽  
The Social ◽  
Potential Inhibitors ◽  
Different Levels ◽  
Evidential Basis

AbstractIn this paper, we use the case of the COVID-19 pandemic in Europe to address the question of what kind of knowledge we should incorporate into public health policy. We show that policy-making during the COVID-19 pandemic has been biomedicine-centric in that its evidential basis marginalised input from non-biomedical disciplines. We then argue that in particular the social sciences could contribute essential expertise and evidence to public health policy in times of biomedical emergencies and that we should thus strive for a tighter integration of the social sciences in future evidence-based policy-making. This demand faces challenges on different levels, which we identify and discuss as potential inhibitors for a more pluralistic evidential basis.

Sign in / Sign up

Export Citation Format

Share Document