The British National Health Service: Professional Determinants of Administrative Structure

1971 ◽  
Vol 1 (4) ◽  
pp. 342-353 ◽  
Author(s):  
D. G. Gill
Keyword(s):  
Great Britain ◽  
Medical Care ◽  
Private Practice ◽  
Social Insurance ◽  
Medical Profession ◽  
Free System ◽  
Fully Integrated ◽  
Operational Level ◽  
Service Professional ◽  
The Government

It is contended that divisions within the medical profession and conflict between the various branches of the profession and the government have had a stronger influence on modifying the pattern of medical care in Great Britain today than the adoption and extension of the principle of social insurance. A fully integrated and free system of medical care was envisaged but the strength and power of two branches of the profession forced the government to accept certain modifications. Primary and secondary medical care and public health activities were all organized separately at the operational level, giving rise to a “tripartite” structure, and a limited amount of private practice persists.

Medical Care under Social Security in France

1971 ◽  
Vol 1 (4) ◽  
pp. 331-341
Author(s):  
R. F. Bridgman
Keyword(s):  
Social Security ◽  
Medical Care ◽  
Local Governments ◽  
Social Insurance ◽  
Medical Profession ◽  
Great Influence ◽  
Payment System ◽  
Public Hospitals ◽  
Health Institutions ◽  
The Government

Social insurance was initiated in France on a national scale in 1930 and now covers about 98.5 per cent of the population. The coverage expanded the limits of traditional sickness insurance for curative medicine and had a growing impact on overall health and social policy. French social insurance is a public service run by organizations which retain the voluntary status of the old mutual funds. The social security budget is independent of that of the government, which contributes less than 20 per cent of the overall social budget of the nation. The relationships between the medical profession, private and public hospitals, preventive care organizations, social insurance funds, and central and local governments have become very complex. The huge social security organization has acquired competence in planning and in technical organizational matters and consequently has had a great influence on medical care patterns. Social security adopted the direct payment system in its relationships with the medical profession; therefore the latter has retained its independent status. But, for public and private hospitals, the payment system is indirect. A special branch was created in 1945 to deal with capital investments in hospitals and health institutions concerned with preventive medicine. Social insurance contributed greatly to facilitating access of patients to all kinds of medical care, either public or private, curative or preventive, and helped the government by participating in the construction of a complex network of health institutions for the benefit of the whole population. This task is not yet achieved, and greater coordination and additional resources are necessary. But there is no doubt that social insurance was and still is a powerful factor in the continuing improvement of the nation's health and living conditions.

British Council as an Instrument of Public Diplomacy of Great Britain

2017 ◽  
pp. 305-312
Author(s):  
Mykola Trofymenko
Keyword(s):  
United Kingdom ◽  
Great Britain ◽  
Public Diplomacy ◽  
Cultural Diplomacy ◽  
Foreign Minister ◽  
Cultural Relations ◽  
British Council ◽  
The United Kingdom ◽  
The World ◽  
The Government

Public diplomacy of Great Britain is one of the most developed in the EU and in the world. The United Kingdom has developed an extremely efficient public diplomacy mechanism which includes BBC World Service (which due to its popularity boosts the reputation and the image of Great Britain), Chevening Scholarships (provides outstanding foreign students with opportunity to study in Great Britain and thus establishes long-lasting relations with public opinion leaders and foreign countries elite) and the British Council, which deals with international diplomatic ties in the field of culture. The British Council is a unique organization. Being technically independent, it actively and efficiently works on consolidating Great Britain’s interests in the world and contributes to the development of public diplomacy in Great Britain.   The author studies the efforts of the British Council as a unique public diplomacy tool of the United Kingdom. Special attention is paid to the role of British Council, which is independent of the governing board and at the same time finds itself under the influence of the latter due to the peculiarities of the appointment of Board’s officials, financing etc. The author concludes that the British Council is a unique organization established in 1934, which is a non-departmental state body, charitable organization and public corporation, technically independent of the government. The British Council, thanks to its commercial activities covers the lack of public funding caused by the policy of economy conducted by the government. It has good practices in this field worth paying attention by other countries. It is also worth mentioning that the increment in profit was getting higher last year, however the issue of increasing the influence of the government on the activities of British Council is still disputable. Although the Foreign Minister officially reports to the parliament on the activities of the British Council, approves the appointment of the leaders of organizations, the British Council preserves its independence of the government, which makes it more popular abroad, and makes positive influence on the world image of Great Britain. The efficiency of the British Council efforts on fulfillment of targets of the United Kingdom public diplomacy is unquestionable, no matter how it calls its activities: whether it is a cultural relations establishment or a cultural diplomacy implementation. Keywords: The British Council, public diplomacy, cultural diplomacy, cultural relations, Foreign Office, Her Majesty’s Government, official assistance for development

ANALYSIS OF THE MAIN INDICATORS CHARACTERIZING MEDICAL CARE FOR CHILDREN WITH CANCER IN SAINT-PETERSBURG AND IN THE LENINGRAD REGION IN 2013-2017

2019 ◽  
Vol 65 (1) ◽  
pp. 77-82
Author(s):  
Maksim Rykov ◽  
Ivan Turabov ◽  
Yuriy Punanov ◽  
Svetlana Safonova
Keyword(s):  
Mortality Rate ◽  
Medical Care ◽  
Statistical Data ◽  
Leningrad Region ◽  
Children With Cancer ◽  
Health Committee ◽  
The Government ◽  
Delivery Of Medical Care ◽  
One Year ◽  
The One

Background: St. Petersburg is a city of federal importance with a large number of primary patients, identified annually. Objective: analysis of the main indicators characterizing medical care for children with cancer in St. Petersburg and the Leningrad region. Methods: The operative reports for 2013-2017 of the Health Committee of the Government of St. Petersburg and the Health Committee of the Leningrad Region were analyzed. Results. In 2013-2017 in the Russian Federation, 18 090 primary patients were identified, 927 (5.1%) of them in the analyzed subjects: in St. Petersburg - 697 (75,2%), in the Leningrad Region - 230 (24,8%). For 5 years, the number of primary patients increased in St. Petersburg - by 36%, in the Leningrad Region - by 2,5%. The incidence increased in St. Petersburg by 18,1% (from 14,9 in 2013 to 17,6 in 2017 per 100 000 of children aged 0-17). The incidence in the Leningrad Region fell by 4.9% (from 14.4 in 2013 to 13.7 in 2017). Mortality in 2016-2017 in St. Petersburg increased by 50% (from 2 to 3), in the Leningrad Region - by 12,5% (from 2,4 to 2,7). The one-year mortality rate in St. Petersburg increased by 3,9% (from 2,5 to 6,4%). In the Leningrad Region, the one-year mortality rate decreased from 6,5% in 2016 to 0 in 2017. The number of pediatric oncological beds did not change in St. Petersburg (0,9 per 10,000 children aged 0-17 years) and the Leningrad Region (0). In St. Petersburg patients were not identified actively in 2016-2017; in the Leningrad Region their percentage decreased from 8,7 to 0. The number of oncologists increased in St. Petersburg from 0,09 to 0.12 (+33,3%), in the Leningrad Region - from 0 to 0,03. Conclusion: Morbidity in St. Petersburg and the Leningrad region is significantly different, which indicates obvious defects in statistical data. Patients were not identified during routine preventive examinations which indicate a low oncologic alertness of district pediatric physicians. Delivery of medical care for children with cancer and the statistical data accumulation procedures should be improved.

scholarly journals Optimal Control for a COVID-19 Model Accounting for Symptomatic and Asymptomatic

2020 ◽  
Vol 8 (1) ◽  
pp. 168-179
Author(s):  
Jead M. Macalisang ◽  
Mark L. Caay ◽  
Jayrold P. Arcede ◽  
Randy L. Caga-anan
Keyword(s):  
Optimal Control ◽  
Control Theory ◽  
Medical Care ◽  
Optimal Control Theory ◽  
Comparable Result ◽  
Type Model ◽  
Hospital Beds ◽  
Transmission Reduction ◽  
Bed Capacity ◽  
The Government

AbstractBuilding on an SEIR-type model of COVID-19 where the infecteds are further divided into symptomatic and asymptomatic, a system incorporating the various possible interventions is formulated. Interventions, also referred to as controls, include transmission reduction (e.g., lockdown, social distancing, barrier gestures); testing/isolation on the exposed, symptomatic and asymptomatic compartments; and medical controls such as enhancing patients’ medical care and increasing bed capacity. By considering the government’s capacity, the best strategies for implementing the controls were obtained using optimal control theory. Results show that, if all the controls are to be used, the more able the government is, the more it should implement transmission reduction, testing, and enhancing patients’ medical care without increasing hospital beds. However, if the government finds it very difficult to implement the controls for economic reasons, the best approach is to increase the hospital beds. Moreover, among the testing/isolation controls, testing/isolation in the exposed compartment is the least needed when there is significant transmission reduction control. Surprisingly, when there is no transmission reduction control, testing/isolation in the exposed should be optimal. Testing/isolation in the exposed could seemingly replace the transmission reduction control to yield a comparable result to that when the transmission reduction control is being implemented.

scholarly journals Syrian Refugees’ Integration Policies in Jordanian Labor Market

2021 ◽  
Vol 13 (13) ◽  
pp. 7234
Author(s):  
Ahmad AlShwawra
Keyword(s):  
Labor Market ◽  
Syrian Refugees ◽  
Fully Integrated ◽  
Syrian Crisis ◽  
The People ◽  
Policies And Procedures ◽  
The Government ◽  
New Policies ◽  
Desk Research ◽  
London Conference

The Government of Jordan declared that there are more than one million Syrian refugees in Jordan while UNHCR statistics show that the number is about 700,000. Nonetheless, it is still a large problem for Jordan, especially since there is no real solution that seems to be looming on the horizon for the Syrian crisis. Consequently, that means that those refugees’ stay in Jordan is indefinite. This fact requires Jordan to work towards solutions to avoid the warehousing of those refugees in camps and to integrate them in Jordanian community to ease their stay in Jordan. To achieve that integration, Jordan must facilitate the Syrians’ access to the Jordanian labor market so they can achieve self-reliance. In February 2016, donors gathered in London for the ‘Supporting Syria and the Region’ conference, known as the London Conference, to mobilize funding for the needs of the people affected by the Syrian crisis. In that conference, Jordan pledged to facilitate Syrian refugees’ access to the labor market. This paper will study the process of Syrian integration in Jordanian society by discussing the policies and the procedures that Jordan has developed to facilitate the Syrians’ access to the labor market. The event study method combined with interviews and desk research were used to evaluate the new policies and procedures developed to facilitate this access. It was found that Jordan succeeded in creating a legal and procedural environment that facilitates Syrians’ access to formal jobs, and the Syrians went a long way toward integration in Jordan. Nonetheless, they are still not fully integrated.

III. On the figure, dimensions, and mean specific gravity of the Earth, as derived from the ordnance trigonometrical survey of Great Britain and Ireland

1857 ◽  
Vol 8 ◽  
pp. 111-116 ◽  
Keyword(s):  
United Kingdom ◽  
Great Britain ◽  
Specific Gravity ◽  
Royal Society ◽  
The United Kingdom ◽  
The Earth ◽  
The Difference ◽  
The Government

The Trigonometrical Survey of the United Kingdom commenced in the year 1784, under the immediate auspices of the Royal Society; the first base was traced by General Roy on the 16th of April of that year, on Hounslow Heath, in presence of Sir Joseph Banks, then President of the Society, and some of its most distinguished Fellows. The principal object which the Government had then in view, was the connexion of the Observatories of Paris and Greenwich by means of a triangulation, for the purpose of determining the difference of longitude between the two observatories.

scholarly journals LIBERALISM, LOCAL GOVERNMENT REFORM, AND POLITICAL EDUCATION IN GREAT BRITAIN AND BRITISH INDIA, 1880–1886

2017 ◽  
Vol 61 (1) ◽  
pp. 181-203 ◽  
Author(s):  
BENJAMIN WEINSTEIN
Keyword(s):  
Great Britain ◽  
Local Government ◽  
Body Politic ◽  
The Body ◽  
Political Education ◽  
Government Reform ◽  
British India ◽  
The Government

AbstractThis article attempts to shed new light on the character of late Victorian Liberalism by investigating its political priorities in British India. It takes as its particular focus the debates which raged between 1881 and 1883 over the Government of India Resolution on Local Self-Government. Along with the Ilbert Bill, the Resolution comprised the centrepiece of the marquis of Ripon's self-consciously Liberal programme for dismantling Lytton's Raj. When analysed in conjunction with contemporaneous Liberal discourse on English local government reform, the debates surrounding the Resolution help to clarify many of the central principles of late Victorian Liberalism. In particular, these debates emphasize the profound importance of local government reform to what one might call the Liberal project. Beyond its utility in effecting retrenchment, efficiency, and ‘sound finance’, local government reform was valued by Liberals as the best and safest means of effecting ‘political education’ among populations, in both Britain and India, with increasingly strong claims to inclusion within the body politic.

A NATIONAL HEALTH PROGRAM: ORGANIZED DIVERSITY

PEDIATRICS ◽  
1975 ◽  
Vol 55 (6) ◽  
pp. 817-817
Author(s):  
P. Starr
Keyword(s):  
Water Supply ◽  
Medical Care ◽  
Long Range ◽  
Annual Cost ◽  
Health Program ◽  
Good Reason ◽  
Social Activity ◽  
The Other ◽  
Medical Reform ◽  
The Government

The pivotal long-range question in medical reform is whether medicine should be viewed as a technical activity with occasional moral or social overtones or, alternatively, as a social and moral activity with a technical substratum. Is . . . medical care . . .more like the supply of water or the provision of education? If medical care is ultimately a technical activity like water supply, its management can be safely entrusted to experts in the field. If, on the other hand, medical care is primarily a moral and social activity like education, the situation is quite different . . . . Consequently, in organizing our institutions, we have good reason to provide for both participation and diversity. We may also wish to sacrifice some of the "efficiency" of a single, professionally run system for the relative inefficiency of variegated institutions sometimes in conflict with one another. In the system advocated . . . the government would pay the basic annual cost, although families would choose to spend more for additional services. What I am proposing here is an organized system that uses competition in a premeditated fashion: competition under constraint.

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