Health Care System Reforms in Western European Countries: The Relevance of Health Care Organization

1996 ◽  
Vol 26 (2) ◽  
pp. 239-251 ◽  
Author(s):  
Javier Elola
Keyword(s):  
Health Care ◽  
Social Security ◽  
Health Care Systems ◽  
European Countries ◽  
Care Organization ◽  
Political Commitment ◽  
Social Security Systems ◽  
Security Systems ◽  
Care Systems ◽  
Western European

The problems within the health care systems of western European countries, and their current attempts at reform, can be analyzed by comparing those countries having national health service (NHS) systems with those having social security systems. There are important differences in the structures, processes, and outcomes of these two types of health care systems, and thus in the problems they face. Greater cost control, equity, and, possibly, efficiency in improving the population's health are the advantages of NHS systems; however, public satisfaction is lower than in social security systems. Attempts to overcome this trade-off between the outcomes of the two types of health care systems are the main goal of the reforms. To achieve this goal, there has been a trend toward convergence of NHS and social security systems. For the NHS systems of Latin-rim countries, however, which have received less political commitment and public support than those elsewhere, this means a return to the former social security systems—a trend that may reintroduce the problems associated with these types of systems but without any evidence that public satisfaction will increase.

Transformational Executive Health-Care Leadership: What Makes a Good and Great Health-Care Leader?

2021 ◽  
Vol 27 (2) ◽  
pp. 78-82
Author(s):  
Cyrus Batheja
Keyword(s):  
Health Care ◽  
Health Care Systems ◽  
Care Organization ◽  
Health Care Leadership ◽  
Health Care Leaders ◽  
Provider Experiences ◽  
Care Systems ◽  
Great Health ◽  
Personal Accounts ◽  
Improve Patient

Health-care leaders work at the highest levels of organizations and face unique challenges in today's health-care systems. This article reports the lived experiences of an executive nurse to better understand their leadership journey and leadership shadow, exploring their professional development of health-care leadership while navigating change and conflict by interpreting critical turning points in their career and triangulating data to identify and analyze central themes. Offering a real-world perspective, the article uses personal reflection aligned to professional inquiry, workplace observations, document reviews, and personal accounts to focus on executive nursing and the construction of a social movement from within a large managed care organization. The purpose of this evaluation is to create deeper understandings of ways in which to improve patient and provider experiences, reduce system waste, and improve population health. The theme of transformational leadership emerged, and new insights were created to inform future thinking.

scholarly journals Primary Care Networks and Eritrean Immigrants’ Experiences with Health Care Professionals in Switzerland: A Qualitative Approach

2019 ◽  
Vol 16 (14) ◽  
pp. 2614 ◽  
Author(s):  
Carla Wallimann ◽  
Andreas Balthasar
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Health Professionals ◽  
Health Care Professionals ◽  
Access To Health Care ◽  
Health Care Systems ◽  
European Countries ◽  
Care Providers ◽  
Swiss Health ◽  
Care Systems

Growing migration in European countries has simultaneously increased cultural diversity in health care. Migrants’ equal access to health care systems and migrant friendly health care have therefore become relevant topics. Findings gathered in recent years have mainly focussed on the perspective of care providers, whereas this study includes migrant perspectives. It explores the primary care network of Eritrean immigrants in Switzerland as well as their experiences of interacting with health professionals. Semi-structured face-to-face interviews with intercultural interpreters from Eritrea were conducted. On the basis of a thematic analysis, the study identified the important informal and formal contacts in these Eritrean immigrants’ primary care networks and the specific forms of support each actor provides. In this network, encounters with health professionals were predominately expressed positively. The main barriers reported were language difficulties and intercultural understanding. On the basis of the participants’ statements, six key lessons for practice have been derived. These lessons are specifically important for facilitating Eritrean immigrants’ access to the Swiss health care system. Nevertheless, they are also relevant for other groups of migrants in European countries.

Health care governance, user involvement and medical regulation in Europe

2018 ◽  
pp. 17-38
Author(s):  
Mike Dent
Keyword(s):  
Health Care ◽  
Medical Profession ◽  
Health Care Systems ◽  
User Involvement ◽  
European Countries ◽  
Medical Regulation ◽  
Recent Developments ◽  
Care Systems ◽  
European Health ◽  
Health Care Governance

This chapter reviews recent developments in user involvement practices across a range of European health care systems in terms of their implications for the medical profession and regulation of its practitioners. It will review the dominant models of user involvement, from Arnstein (1969) ‘ladder of participation’ onwards within Europe. The chapter will be particularly concerned with the growing linkages between user involvement in its various guises and the governance and regulation of European health care and medicine. The analysis will critically examine the variations in user involvement from ‘choice’ to ‘co-production’ and the range of ways they have been implemented in various European countries, with particular attention to England, Italy and Denmark. The discussion will focus on the implications for the medical profession as much as for the patients themselves.

German mental health care in people with intellectual and developmental disabilities (idd) in comparison to other European countries

2017 ◽  
Vol 41 (S1) ◽  
pp. S598-S598
Author(s):  
S. Elstner
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Medical Training ◽  
Health Care Systems ◽  
European Countries ◽  
National Health Care ◽  
Assessment And Treatment ◽  
Care Systems ◽  
Competing Interest

IntroductionIn Germany, mental health care in people with IDD is mostly determined by experts’ opinions. Particularities of the psychiatric assessment and treatment of people with IDD and a co-morbid psychiatric disorder are taught neither at medical schools nor in the scope of the medical training of psychiatrists.ObjectivesThe present study examined the influence of socio-political aspects of health care on quality and organisation of mental health care in people with IDD.MethodsVarious aspects of health care systems in Germany and three other European countries were explored and juxtaposed subsequently with a special developed questionnaire.ResultsThe health care systems of four different European countries differ in socio-economical, educational and system-financed aspects.ConclusionsDiffering organisational levels of national health care systems and socio-economical aspects within these countries contribute to the organisation of the mental health care system in people with IDD. Suggestions for a better harmonisation of European mental health care in people with IDD are offered.Disclosure of interestThe author has not supplied his declaration of competing interest.

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