scholarly journals Odgovornost Zdravniške zbornice Slovenije do zdravnikov, zdravstvenega sistema in družbe

2021 ◽  
pp. 21-27
Author(s):  
Zdenka Čebašek Travnik ◽  
Keyword(s):  
Health Care ◽  
Crisis Management ◽  
Professional Competence ◽  
Medical Profession ◽  
Public Authority ◽  
Safe Treatment ◽  
The Public ◽  
Social Interests ◽  
The Face ◽  
Medical Chamber

The responsibility of the Medical Chamber of Slovenia (Chamber) is reflected in the attitude towards the membership that goes through the mission, which is to represent and promote the professional, economic and social interests of doctors, care for the high professional competence and ethics of the conduct of doctors, the reputation and honor of the medical profession, ensuring the fulfillment of medical duties, promoting the rights of doctors, and the professional and safe treatment of patients. The Chamber's responsibility to the health care system lies primarily in proposals for its improvement and elimination of errors, which are recognized by the Chamber in monitoring its operations as well as through controls within the public authority. Responsibility to the company is manifested by the fact that the general public also informs and directs them to find better conditions for the functioning of the system and to help in crisis management. An example of the Chamber's work in the face of the SARS-CoV 2 pandemic causing COVID-19 is given.

scholarly journals Theoretical and practical bases of the head's activity in formation and estimation of professional interests of public servants in Ukraine

2020 ◽  
Vol 8 (3) ◽  
pp. 71-80
Author(s):  
Dmytro Osypov
Keyword(s):  
Public Service ◽  
Professional Education ◽  
Professional Competence ◽  
Factor Model ◽  
Public Authority ◽  
Learning Ability ◽  
Professional Activity ◽  
Public Servants ◽  
Public Authorities ◽  
The Public

In the article, the author proposes the structure of the reflexive-acmeological approach to the development of professional interests from the position of acmeology in the practical activities of the heads of public authorities and heads of the public service, which includes several aspects: educational and educational, professional and creative.The importance of professional education and assessment in the context of the topic of the article has been clarified and expanded, a two-factor model (cycle) of the formation of the professional interests of public servants (acmeological approach) has been proposed, and the tasks of personnel management in the field of public administration have been clarified as a cyclic use of stimulating and activating reserves of professional interests in the form of directions of activity.It is recommended to use specific acmeological approaches in the diagnosis (assessment) of the professional interests of public servants for heads of public authorities and public service leaders: problem; situational and systemic genetic.Professional education as a practical activity of leaders provides for the development of such qualities as: proper subjectivity – the formation of the life position of a «doer», «leader»; professional learning ability, education, and therefore – professional competence; tolerance as an understanding of the values of another person, as an acknowledgment of dissent; functional literacy. The components of the professional activity of the head of a public authority or the head of the public service are: mobility of professional skills; social determination of activity; integrity and completeness of work; subjective autonomy; feedback.Specific components of the professional activity of the head of a public authority or the head of a public service, which have a competence-based nature, as well as appropriate techniques are proposed.

Americans’ View of the Impact of COVID-19: Perspectives on Racial Impacts and Equity

2021 ◽  
Author(s):  
Katherine Carman ◽  
Anita Chandra ◽  
Carolyn Miller ◽  
Christopher Nelson ◽  
Jhacova Williams
Keyword(s):  
Health Care ◽  
African Americans ◽  
Access To Health Care ◽  
The Public ◽  
Equity And Access ◽  
Access To Health ◽  
The Face ◽  
Nationally Representative ◽  
The Impact ◽  
Over Time

Abstract Context: The COVID-19 pandemic has had a disparate effect on African Americans and Latino groups. But it is unknown how aware the public is of these differences, and how the pandemic has changed perceptions of equity and access to health care. Methods: We use panel data from nationally representative surveys fielded to the same respondents in 2018 and 2020 to assess views and changes in views over time. Findings: We found that awareness of inequity is highest among Non-Hispanic Black respondents and higher income and higher educated groups, and that there have been only small changes in perceptions of inequity over time. However, there have been significant changes in views of the government’s obligation ensure access to health care. Conclusions: Even in the face of a deadly pandemic, one that has killed disproportionately more African Americans and Latinos, many in the U.S. continue not to recognize that there are inequities in access to health care and the impact of COVID-19 on certain groups. But policies to address inequity may be shifting. We will continue to follow these respondents to see whether changes in attitudes endure over time or dissipate.

THE PEDIATRICIAN AND THE PUBLIC

PEDIATRICS ◽  
1954 ◽  
Vol 13 (2) ◽  
pp. 186-187
Author(s):  
JOHN P. HUBBARD
Keyword(s):  
Child Health ◽  
Health Services ◽  
Community Organization ◽  
Medical Profession ◽  
Social Medicine ◽  
Social Implications ◽  
The Public ◽  
The Social ◽  
Social Interests ◽  
In Memoriam

My attention, rather belatedly, has been called to a rather startling evidence of confusion oven the terms social medicine and socialized medicine in the tribute paid to our beloved and highly esteemed friend, Dr. Joseph Wall. I refer to the "In Memoriam" at the bottom of page 232 of the August 1953 issue of Pediatrics. Here one notes the following: "It would be impossible to evaluate his service to the Academy, and the medical profession generally. To him `social medicine' was as the setting sun to medical freedom. He fought `socialized medicine' in no unmistakable terms. The encroachment of Government in medicine, and pediatrics in particular, found a worthy opponent. He was never dismayed by the might of social interests, nor faltered in aggressive attacks on their activities." Certainly no one could question Dr. Wall's vigorous attacks upon the encroachment of "socialized medicine." At the same time he would be the last one to wish to have "socialized medicine" confused with social medicine. He was, in fact, a leader among us in broadening the Academy's izonhorizon in the social implications of health services for children and the whole structure of community organization in behalf of improving child health.

Medical regulation for the public interest in the United Kingdom

2018 ◽  
pp. 77-92
Author(s):  
William Roche
Keyword(s):  
Health Care ◽  
United Kingdom ◽  
Public Interest ◽  
Historical Development ◽  
Medical Profession ◽  
The Public ◽  
Medical Regulation ◽  
High Profile ◽  
The United Kingdom ◽  
The Subject

Regulation of the medical profession has a long history in the United Kingdom but a number of high profile failures of National Health Service (NHS) organisations to deliver safe health care and the unlawful killing of more than 200 patients by one rogue doctor have led to a clamour for change. Many of these tragedies have been the subject of public inquiries and have created significant public disquiet about the role and effectiveness of the medical regulator. United Kingdom governments have responded to these inquiries by means of a combination of strengthening professional regulation and the introduction of new mechanisms of appeal against the sanctions imposed on doctors by tribunals. The historical development of medical regulation is reviewed and the more recent changes to address the public interest and crises in the confidence in the regulation of health care are described.

scholarly journals Use of assessment to reinforce patient safety as a habit: Figure 1

2006 ◽  
Vol 15 (suppl 1) ◽  
pp. i30-i33 ◽  
Author(s):  
R M Galbraith ◽  
M C Holtman ◽  
S G Clyman
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Medical Profession ◽  
Assessment Tools ◽  
The Public ◽  
Malpractice Insurance ◽  
The Us ◽  
High Standards ◽  
Use Of Assessment ◽  
Training Practice

The US spends far more than any other nation on health care. Physicians undergo lengthy and comprehensive training that is carefully scrutinized, and are held to high standards in national examinations. At best the care delivered matches or exceeds that in any other country. And yet, often simple preventable medical errors occur at alarming and unacceptable rates. The public, corporate consumers of health care, large payors and malpractice insurance carriers are all becoming impatient with the pace of improvement. The medical profession recognizes that dealing with this problem is an urgent priority and is grappling to find the best approaches. This paper focuses on the constructive use of assessment to embed a pervasive and proactive culture of patient safety into practice, starting with the trainee and extending out into the practice years. This strategy is based on the adage that “assessment drives curriculum” and proposes a series of new assessment tools to be added to all phases of the training-practice continuum.

scholarly journals By Her Own Authority: The Scope of Midwifery Practice under the Ontario Midwifery Act, 1991

1993 ◽  
Vol 31 (2) ◽  
pp. 349 ◽  
Author(s):  
Elizabeth Massey
Keyword(s):  
Health Care ◽  
Consumer Choice ◽  
Medical Profession ◽  
Normal Pregnancy ◽  
Professional Status ◽  
Quality Health Care ◽  
The Public ◽  
Midwifery Practice ◽  
Quality Health ◽  
Regulatory Model

Midwifery is recognized as an autonomous, self-governing profession under Ontario's Midwifery Act, 1991 and Regulated Health Professions Act, 1991. The author discusses the implications of this new legislation and addresses how the Acts define the nature and scope of midwifery practice. Although the new regulatory model grants midwives legal and professional status, their statutory scope of practice is limited to "normal" pregnancy, labour and delivery. Within the new regulatory framework, the authority to define the meaning of "normal" remains with physicians. Therefore, the capacity to control the scope and availability of midwifery services lies in the hands of the medical profession, which has historically been opposed lo the autonomous practice of midwifery. The author explores the other elements of the Midwifery Act, 1991, such as matters of assessment and diagnosis, and issues of potential liability, and whether or not these could hind midwifery practice by established medicine within the Ontario health care system. In implementing the Acts, much consultation remains to be done among members of the relevant professional bodies and the public to balance competing interests and views, while ensuring quality health care and consumer choice.

Letter to the Editor

PEDIATRICS ◽  
1972 ◽  
Vol 50 (2) ◽  
pp. 346-346
Author(s):  
Richard D. Bland
Keyword(s):  
Otitis Media ◽  
Medical Profession ◽  
Recurrent Infection ◽  
Commercial Product ◽  
Infant Formulas ◽  
The Public ◽  
Considerable Cost ◽  
The Face ◽  
Proper Perspective ◽  
Meaningful Data

Possibly no commercial product has achieved such widespread endorsement from the medical profession based on so little meaningful data at considerable cost to the public as soybean infant formulas. This is not to condemn their use, but only to put this type of therapy in its proper perspective, for certainly I too have resorted to this device in the face of frustrating recurrent infection or diarrhea of infants and children. In response to Dr. Phillips' suggestion, I concur that a trial of milk elimination may be a prudent step in the management of infants with resistant or recurrent bouts of otitis media, prior to placement of P.E. tubes or adenoidectomy.

The Proprietarization of Health Care and the Underdevelopment of the Public Sector

1987 ◽  
Vol 17 (1) ◽  
pp. 47-64 ◽  
Author(s):  
David Whiteis ◽  
J. Warren Salmon
Keyword(s):  
Health Care ◽  
Urban Areas ◽  
Historical Analysis ◽  
Public Hospitals ◽  
Bottom Line ◽  
The Public ◽  
Financial Conditions ◽  
The Face ◽  
Intensity Of Care ◽  
Access To Medical Care

Failure of hospitals in urban areas is a well documented, spreading phenomenon that is resulting in decreased care for the medically indigent. As financial conditions force greater closures and cutbacks among providers, this dismantling of institutions that have historically served the unfortunate deepens the crisis in access to medical care. In this article, pressure on private health care institutions to adhere to a more bottom-line approach is viewed in the light of an overall attempt by government to divert public capital into private sector coffers, a trend that is particularly significant because of the ongoing concentration and centralization within the delivery system. Set in a historical analysis of the corporatization of health care, a case is made to reveal the underdevelopment of public hospitals, certain urban voluntary institutions, and community-based clinics, i.e., those institutions left to serve the most needy, in the face of rampant financial success by proprietary providers catering to a middle-class clientele requiring less intensity of care.

The case against choice and competition

2009 ◽  
Vol 4 (4) ◽  
pp. 489-501 ◽  
Author(s):  
DAVID J. HUNTER
Keyword(s):  
Health Care ◽  
Public Service ◽  
Competition Policy ◽  
User Preferences ◽  
Evidence Based ◽  
Policy Makers ◽  
The Public ◽  
Social Purpose ◽  
The Face ◽  
Key Features

Abstract:Choice and competition are central planks of the English government’s health reforms and modernisation programme. Wales and Scotland have chosen a different path, which calls into question the suggestion that in an age of consumerism there is no other way to secure overdue changes in the provision and management of health care to improve their quality and responsiveness to user preferences. Yet pro-market enthusiasts pursue their agenda in the face of evidence that calls into question the claims they make. It is a curious position for a government that is wedded to evidence-based policy to find itself in. The policy puzzle is why, despite the contested nature of the alleged virtues of choice and competition, policy-makers persist with introducing a set of reforms which appear to threaten the very values and principles they profess to uphold. An alternative reform paradigm exists which acknowledges what makes public services public. This paper sets out the key features of what rediscovering public service entails adopting the notion of co-production as a means of bringing about a new relationship between professionals and the public that remains true to the National Health Service’s social purpose.

Humble Humbugs and Good Frauds: Harold Frederic, Christian Science, and the Anglo-American Professions

2018 ◽  
Vol 73 (3) ◽  
pp. 353-378 ◽  
Author(s):  
L. Ashley Squires
Keyword(s):  
Medical Profession ◽  
Christian Science ◽  
Public Controversy ◽  
The Public ◽  
The Face ◽  
The Subject ◽  
Harold Frederic ◽  
Anglo American ◽  
Theron Ware ◽  
Damnation Of Theron Ware

L. Ashley Squires, “Humble Humbugs and Good Frauds: Harold Frederic, Christian Science, and the Anglo-American Professions” (pp. 353–378) In October 1898, American novelist Harold Frederic died of complications following a stroke while in the care of a Christian Scientist named Athalie Goodman Mills, summoned to his bedside by the author’s mistress, Kate Lyon. His death was later the subject of a coroner’s inquest and unsuccessful manslaughter charge, making the author’s death central to an already raging debate about the efforts of an ascendant medical profession to criminalize the activities of healers they saw as illegitimate. This essay reads the public controversy as represented in newspapers and medical journals alongside Frederic’s The Damnation of Theron Ware (1896), arguing that both texts demonstrate a widening epistemic gap between an ascendant class of experts and the broader public they served. In each, the concept of placebo emerges as a useful organizing metaphor for this tension. In the wake of cases like Frederic’s, many physicians began advocating for a broader use of “suggestive therapeutics” in response to the challenge that Christian Science presented, raising discomfiting epistemic and ethical questions because its use presumes a dissonance between what the doctor knows and what the patient believes. The ministers in The Damnation of Theron Ware likewise confront the problem of administering a kind of theological placebo, a primitive faith demanded by their congregants that the ministers themselves have come to doubt. Placebo therefore describes a way in which experts could assert their relevance and social necessity in the face of populist energies, exemplified in Christian Science, that challenged their rise to dominance.

Sign in / Sign up

Export Citation Format

Share Document