scholarly journals Система здравоохранения в Калмыцкой степи в начале ХХ в.

2021 ◽  
Vol 14 (5) ◽  
pp. 919-928
Author(s):  
Alexander N. Komandzhaev ◽  
◽  
Evgeny A. Komandzhaev ◽  
Fyalka N. Miymanbaeva ◽  
Keyword(s):  
Health Care ◽  
20Th Century ◽  
Health Care System ◽  
Health Care Services ◽  
Interdisciplinary Approach ◽  
National Archive ◽  
Early 20Th Century ◽  
Structural Elements ◽  
Endemic Diseases ◽  
Care System

Introduction. The article discusses the urgent issue of the development of health care in Kalmyk uluses in the early 20th century. Its relevance is obvious, granted the scarce historiography in the field: very little has been published on the subject, some recent papers describing briefly and schematically medical care offered to the Kalmyk nomad. Purpose and objectives. The article aims to analyze how Kalmyk health care services were developed in the Astrakhan provinces. Accordingly, the authors undertake the analysis of a variety of prevalent diseases in the region, the state of medical and paramedical care, and the activities of hospital facilities during the period. Materials and methods. The research is based on a complex of general scientific and historical methods. The principles of historicism and systematism help approach the issue in its development and interaction with other structural elements of the life of the Kalmyk society. Importantly, an interdisciplinary approach and the chronological method contribute to drawing a coherent picture of the multilateral process. The work is based on archival sources introduced for the first time; these are mostly office records of the Department for Kalmyk Affairs kept in the National Archive of Kalmykia. Results. Based on the available materials, the study sheds light on the development of the health care system in the Kalmyk uluses of the Astrakhan province in the early 20th century. It highlights the stages of development, characteristics, and the structural elements of health care: health care personnel, facilities and material basis, scale of activities, prevalence of endemic diseases, and methods of their control. Conclusions. During the period under study, Kalmyk nomads were provided with a functioning health care system. The steppe was divided into four medical districts headed by doctors, each ulus (also a number of aimags) having paramedics with dispensary and pharmacy with free dispensing of medicine to the sick. The system was able to deal with major epidemic diseases in the region, as well as at times prevent them.

Health System in Poland

2017 ◽  
Vol 53 (2) ◽  
pp. 107-112
Author(s):  
Daniel Ślęzak ◽  
Przemysław Żuratyński ◽  
Klaudiusz Nadolny ◽  
Marlena Robakowska ◽  
Alicja Kalis
Keyword(s):  
Health Care ◽  
Health Care System ◽  
National Health ◽  
Health Care Services ◽  
Health Care Systems ◽  
State Budget ◽  
Right To Health Care ◽  
Health Fund ◽  
National Health Fund ◽  
Care System

Health care systems face challenges related to the technological advances in medicine, demographic changes and limited opportunities for growth funding for health, necessitating greater involvement in the search for more efficient systems. The authors present the functioning of the Polish health care system based on social, historical outline of the healthcare system in Poland and the functioning of the National Health Fund (NFZ). Poland has undergone many reforms of the health care system, the Bismarck model, the model Siemaszko, and finally to a model of universal health insurance. So everyone has the same right to health care services financed by the NFZ or directly from the state budget (eg. The system of state emergency medical services). The National Health Fund allows anyone insured to free healthcare and reimbursement of medicines. Introduced information about information programs.

scholarly journals Rural Michigan Farmers’ Health Concerns and Experiences: A Focus Group Study

2021 ◽  
Vol 12 ◽  
pp. 215013272110535
Author(s):  
Nathan Wright ◽  
Marylee Scherdt ◽  
Michelle L. Aebersold ◽  
Marjorie C. McCullagh ◽  
Barbara R. Medvec ◽  
...  
Keyword(s):  
Health Care ◽  
Focus Groups ◽  
Health Care System ◽  
Health Care Services ◽  
Well Being ◽  
The United States ◽  
Full Time ◽  
Rural Residents ◽  
Care Services ◽  
Care System

Objectives: Rural residents comprise approximately 15% of the United States population. They face challenges in accessing and using a health care system that is not structured to meet their unique needs. It is important to understand rural residents’ perceptions of health and experiences interacting with the health care system to identify gaps in care. Methods: Our team conducted focus groups with members of the Michigan Farm Bureau during their 2019 Annual Meeting. Topics explored included resources to manage health, barriers to virtual health care services, and desired changes to localized healthcare delivery. Surveys were used to capture demographic and internet access information. Conclusion: Analysis included data from 2 focus groups (n = 14). Participants represented a wide age range and a variety of Michigan counties. The majority were full-time farm owners with most—93% (n = 13)—reporting they had access to the internet in their homes and 86% (n = 12) reporting that their cellphones had internet capabilities. Participants identified challenges and opportunities in 4 categories: formal health care; health and well-being supports; health insurance experiences; and virtual health care. Conclusion: The findings from this study provide a useful framework for developing interventions to address the specific needs of rural farming residents. Despite the expressed challenges in access and use of health care services and resources, participants remained hopeful that innovative approaches, such as virtual health platforms, can address existing gaps in care. The study findings should inform the design and evaluation of interventions to address rural health disparities.

Indicating Fields of Inequalities Regarding the Access to Health Benefits

2012 ◽  
Vol 1 (2) ◽  
pp. 41-54 ◽  
Author(s):  
Krzysztof Landa ◽  
Karolina Skóra
Keyword(s):  
Health Care ◽  
Health Services ◽  
Health Care System ◽  
Health Care Services ◽  
Health Care Systems ◽  
Health Benefits ◽  
Access To Health Services ◽  
Web Portal ◽  
Access To Health ◽  
Care System

Restrictions to health services in Poland have been an inspiration to establish Watch Health Care Foundation (WHC). The fundamental disease of the system is namely the disproportion between the amount of the funds and the contents of the package. It causes everywhere the same ’symptoms’ and leads to the same pathological phenomena: queues and other forms of rationing (’guaranteed’) health benefits, corruption, making use of privileges. Foundation uses the potential of information society and available infrastructure (web portal http://www.watchealthcare.eu) and all activities are presented on the website with the aim of influencing the health care system. On the basis of reports of limited access to health services, a ranking is created at WHC web portal, which aims to show what the biggest gaps in access to health services are - this is the way of showing the patient and health care system needs and also one possible approach of continuous education of the health care services consumers targeted at health care systems improvement.

scholarly journals Timely Postpartum Visits for Low-Income Women: A Health System and Medicaid Payer Partnership

2020 ◽  
Vol 110 (S2) ◽  
pp. S215-S218 ◽  
Author(s):  
Elizabeth A. Howell ◽  
Amy Balbierz ◽  
Susan Beane ◽  
Rashi Kumar ◽  
Tom Wang ◽  
...  
Keyword(s):  
Health Care ◽  
New York ◽  
High Risk ◽  
Health Care System ◽  
Low Income ◽  
Access To Health Care ◽  
Health Care Services ◽  
Control Group ◽  
Postpartum Visit ◽  
Care System

A health care system and a Medicaid payer partnered to develop an educational intervention and payment redesign program to improve timely postpartum visits for low-income, high-risk mothers in New York City between April 2015 and October 2016. The timely postpartum visit rate was higher for 363 mothers continuously enrolled in the program than for a control group matched by propensity score (67% [243/363] and 56% [407/726], respectively; P < .001). An innovative partnership between a health care system and Medicaid payer improved access to health care services and community resources for high-risk mothers.

scholarly journals Latvian health care competitiveness in relation to its infrastructure and available resources

2018 ◽  
Vol 40 ◽  
pp. 02003
Author(s):  
A. Kokarevica ◽  
A. Villerusa ◽  
D. Behmane ◽  
U. Berkis ◽  
V. Cauce
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Access To Health Care ◽  
Health Care Services ◽  
New Technologies ◽  
International Health ◽  
Service Market ◽  
Term Care ◽  
Out Of Pocket Payments ◽  
Care System

Resources are one of the essential indicators for the functioning of the health care system. Better health care provision is an essential prerequisite for the export of services. Traditionally a competitive health care system is linked to a number of factors (price, quality, reliability, products and services) largely determined by the new technologies, innovations and implementation the new methods. The authors of this article analyzed and collected data from the European Commission Eurostat and OECD data. Current situation in health care in Latvia is characterized by populations’ restricted access to health care services, high out-of-pocket payments and poor health outcomes of the population. More than 10% of Latvian population can’t afford medical care. The ratio of public funding for healthcare in Latvia is among the lowest in EU countries. Latvia spends 5.3% (USD PPP 1217) of GDP on health, lower than the OCED country average of 8.9% (USD PPP 3453). Latvia is facing a dramatic gap between the availability of hospital beds and long term care beds and the lowest prevalence of general medical practitioners among all Baltic States 321.6 per 100 000. These mentioned factors may hinder the development of health care in Latvia and reduce the ability to participate in international health service market.

Post-Fordism's Contradictory Trends: The Case of the Israeli Health Care System

2004 ◽  
Vol 33 (3) ◽  
pp. 417-436 ◽  
Author(s):  
DANI FILC
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Health Care Services ◽  
Health Care Facilities ◽  
Public Health Care ◽  
Political Struggle ◽  
Care Services ◽  
National Health Insurance Law ◽  
The Right ◽  
Care System

The transition from the Fordist hegemonic model to post-Fordism is a complex process. It is not the unavoidable result of technological changes, but the contingent consequence of a hegemonic, political, struggle taking place at the different spheres of the social. This article studies the transformations that took place in the Israeli health care system during the last two decades in order to exemplify the political and contradictory character of the transition to post-Fordism. The article emphasises the contradiction between the partial commodification of financing and the privatisation of certain health care facilities, and the legislation of the National Health Insurance Law, which guaranteed the right to access to public health care services.

Blurring the boundaries between public and private health care services as an alternative explanation for the emergence of black medicine: the Israeli case

2014 ◽  
Vol 10 (3) ◽  
pp. 293-310 ◽  
Author(s):  
Dani Filc ◽  
Nissim Cohen
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Health Care Services ◽  
Qualitative Methodology ◽  
Health Care Systems ◽  
Public Health Care ◽  
Private Health Care ◽  
Public And Private ◽  
Care Services ◽  
Care System

AbstractBlack medicine represents the most problematic configuration of informal payments for health care. According to the accepted economic explanations, we would not expect to find black medicine in a system with a developed private service. Using Israel as a case study, we suggest an alternative yet a complimentary explanation for the emergence of black medicine in public health care systems – even though citizens do have the formal option to use private channels. We claim that when regulation is weak and political culture is based on ‘do it yourself’ strategies, which meant to solve immediate problems, blurring the boundaries between public and private health care services may only reduce public trust and in turn, contribute to the emergence of black medicine. We used a combined quantitative and qualitative methodology to support our claim. Statistical analysis of the results suggested that the only variable significantly associated with the use of black medicine was trust in the health care system. The higher the respondents’ level of trust in the health care system, the lower the rate of the use of black medicine. Qualitatively, interviewee emphasized the relation between the blurred boundaries between public and private health care and the use of black medicine.

An Analysis of the Role of Health Care in Reducing Socioeconomic Inequalities in Health: The Case of the Netherlands

2003 ◽  
Vol 33 (3) ◽  
pp. 523-541 ◽  
Author(s):  
Johan P. MaCkenbach
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Health Care Services ◽  
Health Problems ◽  
Socioeconomic Inequalities ◽  
Care Utilization ◽  
Inequalities In Health ◽  
Socioeconomic Groups ◽  
Care Services ◽  
Care System

The aim of this article is to analyze the role of the health care system in reducing socioeconomic inequalities in health in countries with good access to health services, using the Dutch example. In the past, health care has contributed substantially to reducing a number of health problems in the population, particularly health problems leading to mortality. Data on trends in mortality from selected conditions by socioeconomic group show that both higher and lower socioeconomic groups have profited from these mortality reductions, probably because of largely equal access to essential health care services, and that absolute inequalities in mortality from these conditions have declined notably. The current situation is still one of largely equal financial access to health care services, with relatively small differences between socioeconomic groups in health care utilization, after adjustment for differences in prevalence of health problems. There is no evidence that inequalities in health care utilization contribute to a widening of socioeconomic inequalities in health. Financing of the health care system, however, is slightly regressive, and out-of-pocket payments contribute to the poor financial situation of the chronically ill. For the future, three possible contributions of the health care system to reducing socioeconomic inequalities in health are described: preservation of equal access to high-quality health care; development of specific care packages for lower socioeconomic groups; promotion and support of intersectoral activities.

scholarly journals The Health Care System of the Semipalatinsk Region of the Steppe Territory: Stages of Formation (60s of the 19th Century — the Beginning of the 20th Century)

2021 ◽  
pp. 13-18
Author(s):  
A.I. Vlasova
Keyword(s):  
Health Care ◽  
19Th Century ◽  
Health Care System ◽  
Health Care Services ◽  
Care Services ◽  
Mass Migration ◽  
Medical Institutions ◽  
Statistical Surveys ◽  
The 19Th Century ◽  
Care System

On the basis of different sources, mainly annual regional statistical surveys, the stages of the formation of the health care system of the Semipalatinsk region of the Steppe Governor General are revealed. At the first stage, the end of the 60s — 80s of the 19th century, the accession of the Steppe Territory to the Russian Empire was completed. The integrating policy of this ethnoregion into the political-legal and socio-economic space of the empire was initiated. In the social sphere, it led to the creation of a health system. The procesas had a number of specific features due to the absence of zemstvos and zemstvo medicine and the predominance of Kazakh nomads in the ethnosocial structure of the region. Therefore, in contrast to the central regions of Russia, the development of the health care system in the Steppe Territory was dealt with by the provincial and regional administrations. The second stage (the end of the 80s 19th century — 1917) is associated with the beginning of the mass migration of peasant migrants from the European part of Russia to the Steppe Territory. This stage is characterized by the expansion of the network of regional and county medical institutions, the improvement of their material and technical base, the expansion of the specialization of practicing doctors, and the solution of the personnel problem. Also, at that stage, the system of management of medical institutions was improved and government organizations, for example, the Resettlement Department, were involved in solving problems related to health care services for the p opulation. In general, statistics show that by 1917 the quality of health care services and the percentage of population involvement remained at a low level.

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