Has China’s Health Sector Development Matched the Rapid Growth in the Country?

2017 ◽  
Vol 13 (36) ◽  
pp. 1
Author(s):  
Marta Tripane
Keyword(s):  
Health Care ◽  
Health Policy ◽  
Empirical Data ◽  
Access To Health Care ◽  
Health Sector ◽  
The Third ◽  
Health Area ◽  
Access To Health ◽  
The World ◽  
Unequal Access

China is the world's largest country by population, the third largest by territory and the second largest world’s economy by GDP. Therefore it is important to follow the successes and failures of China in the field of health, because they affect the health area and processes in the world. This article includes retrospective analysis of empirical data to analyze the main inputs and outputs of China's health policy in order to identify the main problems and highlight the major challenges. In the article is concluded that main problems are related with insufficient and unequal access to health care.

Structural Adjustment and Health Policy in Africa

1993 ◽  
Vol 23 (4) ◽  
pp. 717-730 ◽  
Author(s):  
Rene Loewenson
Keyword(s):  
Health Care ◽  
Health Policy ◽  
Human Resource Development ◽  
Access To Health Care ◽  
Structural Adjustment ◽  
Health Sector ◽  
Individual Responsibility ◽  
Policy Framework ◽  
African Countries ◽  
Access To Health

World Bank/International Monetary Fund Structural Adjustment Programs (SAPs) have been introduced in over 40 countries of Africa. This article outlines their economic policy measures and the experience of the countries that have introduced them, in terms of nutrition, health status, and health services. The evidence indicates that SAPs have been associated with increasing food insecurity and undernutrition, rising ill-health, and decreasing access to health care in the two-thirds or more of the population of African countries that already lives below poverty levels. SAPs have also affected health policy, with loss of a proactive health policy framework, a widening gap between the affected communities and policy makers, and the replacement of the underlying principle of equity in and social responsibility for health care by a policy in which health is a marketed commodity and access to health care becomes an individual responsibility. The author argues that there is a deep contradiction between SAPs and policies aimed at building the health of the population. Those in the health sector need to contribute to the development and advocacy of economic policies in which growth is based on human resource development, and to the development of a civic environment in Africa that can ensure the implementation of such policies.

Health Policy in Cambodia: To What Extent Is an Aid-Dependent Country Able to Determine Its Own Policy?

2014 ◽  
Vol 44 (1) ◽  
pp. 171-187 ◽  
Author(s):  
VIRGINIE DIAZ PEDREGAL ◽  
BLANDINE DESTREMAU ◽  
BART CRIEL
Keyword(s):  
Health Care ◽  
Health Policy ◽  
Low Income ◽  
Access To Health Care ◽  
Implementation Process ◽  
Health Care Provision ◽  
Care Provision ◽  
Low Income Country ◽  
Access To Health ◽  
Wide Range

AbstractThis article analyses the design and implementation process of arrangements for health care provision and access to health care in Cambodia. It points to the complexity of shaping a coherent social policy in a low-income country heavily dependent on international aid.At a theoretical level, we confirm that ideas, interests and institutions are all important factors in the construction of Cambodian health care schemes. However, we demonstrate that trying to hierarchically organise these three elements to explain policy making is not fruitful.Regarding the methodology, interviews with forty-eight selected participants produced the qualitative material for this study. A documentary review was also an important source of data and information.The study produces two sets of results. First, Cambodian policy aimed at the development of health care arrangements results from a series of negotiations between a wide range of stakeholders with different objectives and interests. International stakeholders, such as donors and technical organisations, are major players in the policy arena where health policy is constructed. Cambodian civil society, however, is rarely involved in the negotiations.Second, the Cambodian government makes political decisions incrementally. The long-term vision of the Cambodian authorities for improving health care provision and access is quite clear, but, nevertheless, day-to-day decisions and actions are constantly negotiated between stakeholders. As a result, donors and non-government organisations (NGOs) working in the field find it difficult to anticipate policies.To conclude, despite real autonomy in the decision-making process, the Cambodian government still has to prove its capacity to master a number of risks, such as the (so far under-regulated) development of the private health care sector.

scholarly journals Racism in European Health Care: Structural Violence and Beyond

2020 ◽  
Vol 30 (11) ◽  
pp. 1662-1673 ◽  
Author(s):  
Sarah Hamed ◽  
Suruchi Thapar-Björkert ◽  
Hannah Bradby ◽  
Beth Maina Ahlberg
Keyword(s):  
Health Care ◽  
Social Structure ◽  
Social Organization ◽  
Access To Health Care ◽  
Structural Violence ◽  
Theoretical Research ◽  
Subtle Racism ◽  
Access To Health ◽  
European Health ◽  
Unequal Access

Research shows how racism can negatively affect access to health care and treatment. However, limited theoretical research exists on conceptualizing racism in health care. In this article, we use structural violence as a theoretical tool to understand how racism as an institutionalized social structure is enacted in subtle ways and how the “violence” built into forms of social organization is rendered invisible through repetition and routinization. We draw on interviews with health care users from three European countries, namely, Sweden, Germany, and Portugal to demonstrate how two interrelated processes of unequal access to resources and inequalities in power can lead to the silencing of suffering and erosion of dignity, respectively. The strength of this article lies in illuminating the mechanisms of subtle racism that damages individuals and leads to loss of trust in health care. It is imperative to address these issues to ensure a responsive and equal health care for all users.

The ACA's Choice Problem

2020 ◽  
Vol 45 (4) ◽  
pp. 501-515
Author(s):  
Allison K. Hoffman
Keyword(s):  
Health Care ◽  
Health Policy ◽  
Affordable Care Act ◽  
Access To Health Care ◽  
Care Delivery ◽  
Health Plans ◽  
Vicious Cycle ◽  
Love Affair ◽  
Policy Theory ◽  
Access To Health

Abstract The Affordable Care Act (ACA) is in many ways a success. Millions more Americans now have access to health care, and the ACA catalyzed advances in health care delivery reform. Simultaneously, it has reinforced and bolstered a problem at the heart of American health policy and regulation: a love affair with choice. The ACA's insurance reforms doubled down on the particularly American obsession with choice. This article describes three ways in which that doubling down is problematic for the future of US health policy. First, pragmatically, health policy theory predicts that choice among health plans will produce tangible benefits that it does not actually produce. Most people do not like choosing among health plan options, and many people—even if well educated and knowledgeable—do not make good choices. Second, creating the regulatory structures to support these choices built and reinforced a massive market bureaucracy. Finally, and most important, philosophically and sociologically the ACA reinforces the idea that the goal of health regulation should be to preserve choice, even when that choice is empty. This vicious cycle seems likely to persist based on the lead up to the 2020 presidential election.

scholarly journals Iran's Health Tourism Market during and after the Corona Pandemic and: Letter to the editor

2020 ◽  
Author(s):  
Hojjat Rahmani ◽  
Mohammad Arab ◽  
Jalal Saeedpour ◽  
Ghasem Rajabi Vasokolaei ◽  
Hiwa Mirzaii
Keyword(s):  
Health Care ◽  
Access To Health Care ◽  
Human Beings ◽  
Islamic Republic ◽  
Health Tourism ◽  
Seek Health Care ◽  
Letter To The Editor ◽  
Access To Health ◽  
The World ◽  
Islamic Republic Of Iran

The importance of maintaining and restoring health has always made human beings seek health care. Lack of proper access to health care, price and quality differences, as well as other factors among different countries have led to the formation of a long-standing industry called health tourism. Outbreak of coronavirus throughout the world has shocked and affected most countries. In this regard, the health tourism market of Islamic Republic of Iran was no an exception and was affected by this crisis. To meet this challenge, stakeholders of the health tourism market should determine their recession during this period, strengthen their weaknesses, and use the available opportunities. In this study, we intended to investigate effect of the coronavirus prevalence on the health tourism market of the Islamic Republic of Iran.

The Korean Economic Crisis and Coping Strategies in the Health Sector: Pro-Welfarism or Neoliberalism?

2005 ◽  
Vol 35 (3) ◽  
pp. 561-578 ◽  
Author(s):  
Chang-Yup Kim
Keyword(s):  
Health Care ◽  
Economic Crisis ◽  
Access To Health Care ◽  
Health Sector ◽  
Welfare Policies ◽  
The Public ◽  
Access To Health ◽  
Private Health Sector ◽  
Health Care Policies ◽  
And Coping

In South Korea, there have been debates on the welfare policies of the Kim Dae-jung government after the economic crisis beginning in late 1997, but it is unquestionable that health and health care policies have followed the trend of neoliberal economic and social polices. Public health measures and overall performance of the public sector have weakened, and the private health sector has further strengthened its dominance. These changes have adversely affected the population's health status and access to health care. However, the anti-neoliberal coalition is preventing the government's drive from achieving a full success.

scholarly journals P1.06-020 Unequal Access to Health Care System Have a Higher Impact in Upgrading Staging for 8th TNM Ed

2017 ◽  
Vol 12 (11) ◽  
pp. S1993
Author(s):  
M.T. Ruiz Tsukazan ◽  
A. Vigo ◽  
L. Lago ◽  
G. Lenz ◽  
V. Duval Da Silva ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Access To Health Care ◽  
Access To Health ◽  
Unequal Access ◽  
Care System

Health Care Needs in Crisis: An Exploratory Study of Latinos in the Midwest

2009 ◽  
Vol 32 (1) ◽  
pp. 9-14 ◽  
Author(s):  
Linda Hunt ◽  
Isabel Montemayor
Keyword(s):  
Health Care ◽  
Access To Health Care ◽  
English Language ◽  
The United States ◽  
Care Needs ◽  
Marginalized Groups ◽  
Access To Health ◽  
Language Competency ◽  
Unequal Access ◽  
Midwestern City

Currently, the United States is facing a health care crisis. The number of uninsured and underinsured people is increasing steadily, with Latinos especially hard hit, at nearly triple the national rate of uninsured. For many in this population, difficulty in accessing adequate health care is multiplied by poverty, limited English language competency, and immigration status. In this paper, we report on focus groups and interviews conducted with a group of Latinos in a mid-sized Midwestern city, regarding their experiences with the health care system. Our analysis provides some insight into how unequal access to health care is affecting U.S. Latinos with and without health insurance. We offer some modest recommendations toward community advocacy that may help Latinos and other marginalized groups to better access the health services they need.

The English and Swedish Health Care Reforms

1994 ◽  
Vol 24 (2) ◽  
pp. 231-251 ◽  
Author(s):  
Howard Glennerster ◽  
Manos Matsaganis
Keyword(s):  
United States ◽  
Health Care ◽  
Access To Health Care ◽  
Universal Access ◽  
The United States ◽  
Health Care Reforms ◽  
Swedish Health Care ◽  
Early Results ◽  
Access To Health ◽  
The World

England and Sweden have two of the most advanced systems of universal access to health care in the world. Both have begun major reforms based on similar principles. Universal access and finance from taxation are retained, but a measure of competition between providers of health care is introduced. The reforms therefore show a movement toward the kind of approach advocated by some in the United States. This article traces the origins and early results of the two countries' reform efforts.

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