scholarly journals Challenges of health care systems and health cooperatives in international and national context

2021 ◽  
pp. 225-243
Author(s):  
Milorad Stamenovic
Keyword(s):  
Health Systems ◽  
Health Care Systems ◽  
National Context ◽  
The World ◽  
Care Systems ◽  
The Republic ◽  
The 19Th Century ◽  
Over Time

This paper presents different models of health systems in the world as well as selected important challenges that they face. Also, the paper presents historical and modern concepts of development of health cooperatives in selected countries, including the Republic of Serbia. Observing the long-term sustainability of different models of health systems, certain weaknesses are pointed out, but also the significant role of health cooperatives in these systems over time, both in the international and national context. A view of the work of health cooperatives during the COVID-19 pandemic in selected countries is presented with examples of innovations in organizational terms that health cooperatives have applied in order to increase efficiency and to respond to business and health challenges posed by the pandemic. A potential answer to the presented weaknesses of health systems is to consider establishing and strengthening health cooperatives, having in mind their role in those systems throughout history, with special reference to the Republic of Serbia where health cooperatives were founded during the 19th century. However, although Serbian health cooperatives were a model for the development of health cooperatives in the world, since 1949 health cooperatives in Serbia are almost non-existent. Following the genesis of the development of these organizations and their modern role in societies around the world, the conclusions indicate the flexibility and resilience of health cooperatives to adapt to new socio-economic conditions, innovation of these organizations shown over time, importance and contribution to societies during their history and during the emerging pandemic. Also, the need for a change in public policies is pointed out, which would enable the establishment of a larger number of health cooperatives in the Republic of Serbia in response to the growing challenges of the health system, following the example of the world.

scholarly journals Synaptic Pruning in Alzheimer’s Disease: Role of the Complement System

2020 ◽  
pp. 1-20
Author(s):  
Frederic H. Brucato ◽  
Daniel E. Benjamin
Keyword(s):  
Health Care ◽  
Health Care Systems ◽  
Symptomatic Treatment ◽  
Human Beings ◽  
The World ◽  
Care Systems ◽  
The Complement System ◽  
Primary Risk Factor ◽  
Synaptic Pruning

Alz heimer’s disease (AD) continues to threaten aged individuals and health care systems around the world. Human beings have been trying to postpone, reduce, or eliminate the primary risk factor for AD, aging, throughout history. Despite this, there is currently only symptomatic treatment for AD and this treatment is limited to only a handful of FDA approved AD drugs.

scholarly journals Public-private mix and performance of health care systems in CEE and CIS countries

2016 ◽  
Vol 7 (2) ◽  
pp. 169 ◽  
Author(s):  
Błażej Łyszczarz
Keyword(s):  
Health Care ◽  
Private Sector ◽  
Health Systems ◽  
Health Care Systems ◽  
Public Financing ◽  
The Public ◽  
Care Systems ◽  
Cis Countries ◽  
Public Private Mix

The role of the public and private sector in health care systems remains one of the crucial problems of these systems' operation. The purpose of this research is to identify the relationships between the performance of health systems in CEE and CIS (Central and Eastern Europe and Commonwealth of Independent State) countries, and the mix of public-private sector in the health care of these countries. The study uses a zero unitarization method to construct three measures of health system performance in the following areas: (1) resources; (2) services; and (3) health status. The values of these measures are correlated with the share of public financing that represents the public-private mix in the health systems. The data used is from World Health Organization’s Health for All Database for 23 CEE and CIS countries and comprises the year 2010. The results show that the performance of health systems in the countries investigated is positively associated with a higher proportion of public financing. The strongest relationship links public financing with performance in the area of services production. For policy makers, these results imply that health systems in post-communist transition economies could be susceptible to a decreasing role of the state and that growing reliance on the market mechanism in health care can deteriorate the operation of these systems.

scholarly journals Humble Thyself: The Imitation of Christ in Medical Missions

2019 ◽  
Vol 6 (2) ◽  
pp. 44-49
Author(s):  
Danielle Ellis
Keyword(s):  
Christian Faith ◽  
Medical Missions ◽  
Imitation Of Christ ◽  
The World ◽  
Sociohistorical Context ◽  
Over Time ◽  
The Ideal

Missions have been a part of the Christian faith since its genesis. Various approaches to transmitting the faith through missions have been implemented over time, some with unforeseen and frankly negative long-term political, social, and even theological consequences. In medical missions specifically, the consequences include the potential of compromised individual and collective health. These vulnerabilities make it essential to consider the theoretical and practical approaches with which we as Christians engage with our neighbors. Missiologists critically and theologically consider the motives, methods, and mandates of the Christian believer in the world. Efforts to reconfigure the role of missions from a past intertwined with imperialism to one that brings each party into partnership are ongoing. In medical missions, questions about how to assume a Christian posture are complicated not only by the sociohistorical context of the missions movement, but by the fact that medicine in and of itself engenders imbalances in power.  This paper puts forth a proposal for a posture in medical missions as understood through the lens of Philippians. In the context of Paul’s mission to this group of early believers, the apostle repeatedly encourages his congregation to imitate Christ. In his letter to the Philippians, he lays out what Christ did and how His followers might hope to be like Him. Paul describes Jesus’ wholly countercultural disposition and actions, giving his audience the opportunity to consider how this might inform their own lives. In so doing, he also provides a framework for understanding the ideal missionary. What follows is a Pauline construal of the call to imitation as a disciple, a discussion of how those engaging in medical missions might embody the same posture as the incarnate Christ, and a reflection on how a shift in posture might facilitate greater participation for both disciples and disciplers in God’s restoring work on earth.

Thoughts on the Long-Term Strategy, Science and Democracy

2006 ◽  
pp. 4-19 ◽  
Author(s):  
L. Abalkin
Keyword(s):  
Strategy Development ◽  
Russian Science ◽  
Global Trends ◽  
The World ◽  
World Development ◽  
Crucial Condition

The article covers unified issues of the long-term strategy development, the role of science as well as democracy development in present-day Russia. The problems of budget proficit, the Stabilization Fund issues, implementation of the adopted national projects, an increasing role of regions in strengthening the integrity and prosperity of the country are analyzed. The author reveals that the protection of businessmen and citizens from the all-embracing power of bureaucrats is the crucial condition of democratization of the society. Global trends of the world development and expert functions of the Russian science are presented as well.

Health Care

2018 ◽  
Author(s):  
Pierre Pestieau ◽  
Mathieu Lefebvre
Keyword(s):  
Health Care ◽  
Technological Progress ◽  
Health Care Systems ◽  
Third Party ◽  
Medical Expenditure ◽  
Public Health Care ◽  
The Public ◽  
Common Features ◽  
Care Systems

This chapter reviews the public health care systems as well as their challenges. It first shows how expenditure on health care has evolved in previous decades and deals with the reasons for the growth observed in almost every European country. It emphasizes the role of technological progress as a main explanatory factor of the increase in medical expenditure but also points to the challenges facing cost-containment policies. Especially, the main common features of health care systems in Europe, such as third-party payment, single provider approach and cost-based reimbursement are discussed. Finally the chapter shows that although inequalities in health exist in the population, health care systems are redistributive. Reforms are thus needed but the trade-off between budgetary efficiency and equity is difficult.

Hallucinogenic/psychedelic 5HT2A receptor agonists as rapid antidepressant therapeutics: Evidence and mechanisms of action

2021 ◽  
pp. 026988112098642
Author(s):  
Rafael Guimarães dos Santos ◽  
Jaime EC Hallak ◽  
Glen Baker ◽  
Serdar Dursun
Keyword(s):  
Health Care Systems ◽  
Treatment Compliance ◽  
Therapeutic Effects ◽  
Beneficial Effects ◽  
Antidepressant Effects ◽  
Care Systems ◽  
Drug Treatments ◽  
Fast Acting

Major depressive disorder (MDD) is among the most prevalent mental health disorders worldwide, and it is associated with a reduced quality of life and enormous costs to health care systems. Available drug treatments show low-to-moderate response in most patients, with almost a third of patients being non-responders (treatment-resistant). Furthermore, most currently available medications need several weeks to achieve therapeutic effects, and the long-term use of these drugs is often associated with significant unwanted side effects and resultant reductions in treatment compliance. Therefore, more effective, safer, and faster-acting antidepressants with enduring effects are needed. Together with ketamine, psychedelics (or classic or serotoninergic hallucinogens) such as lysergic acid diethylamide (LSD), psilocybin, and ayahuasca are among the few compounds with recent human evidence of fast-acting antidepressant effects. Several studies in the 1950s to 1970s reported antidepressive and anxiolytic effects of these drugs, which are being confirmed by modern trials (LSD, one trial; psilocybin, five trials; ayahuasca, two trials). The effects of these drugs appear to be produced primarily by their agonism at serotonin (5-hydroxytryptamine, 5-HT) receptors, especially the 5-HT2A receptor. Considering the overall burden of MDD and the necessity of new therapeutic options, the promising (but currently limited) evidence of safety and efficacy of psychedelics has encouraged the scientific community to explore more fully their beneficial effects in MDD.

Integrated Coastal Management: The Role of Law and Lawyers

1999 ◽  
Vol 14 (4) ◽  
pp. 491-522
Author(s):  
Brady Coleman ◽  
Robert Beckman
Keyword(s):  
Coastal Management ◽  
Essential Role ◽  
Management Programme ◽  
Integrated Coastal Management ◽  
Policy Makers ◽  
Coastal Resource ◽  
The World ◽  
Critical Understanding

AbstractIntegrated coastal management (ICM) programmes are being planned, formulated and implemented in coastal States all over the world. To date, however, ICM has been seen as more in the realm of policy-makers, managers, scientists, coastal resource economists, and others, rather than in the realm of lawyers. This article reveals how law and lawyers should play an absolutely essential role at all stages of the ICM process. Ideally, ICM legal consultants will have a broad range of knowledge and experience in both international legal treaties as well as in certain fundamental national law principles, so that coastal zone policies will be designed and carried out with a critical understanding of the laws and institutions needed for the long-term success of an integrated coastal management programme.

Promoting astronomy in developing countries: an historical perspective

2006 ◽  
Vol 2 (SPS5) ◽  
pp. 21-24
Author(s):  
Rajesh Kochhar
Keyword(s):  
Geographical Area ◽  
Modern Science ◽  
Deficiency Syndrome ◽  
Multi Stage ◽  
The World ◽  
History Of ◽  
Mind Set ◽  
The 19Th Century ◽  
Astronomical Instrument

AbstractAny international effort to promote astronomy world wide today must necessarily take into account its cultural and historical component. The past few decades have ushered in an age, which we may call the Age of Cultural Copernicanism. In analogy with the cosmological principle that the universe has no preferred location or direction, Cultural Copernicanism would imply that no cultural or geographical area, or ethnic or social group, can be deemed to constitute a superior entity or a benchmark for judging or evaluating others.In this framework, astronomy (as well as science in general) is perceived as a multi-stage civilizational cumulus where each stage builds on the knowledge gained in the previous stages and in turn leads to the next. This framework however is a recent development. The 19th century historiography consciously projected modern science as a characteristic product of the Western civilization decoupled from and superior to its antecedents, with the implication that all material and ideological benefits arising from modern science were reserved for the West.As a reaction to this, the orientalized East has often tended to view modern science as “their” science, distance itself from its intellectual aspects, and seek to defend, protect and reinvent “our” science and the alleged (anti-science) Eastern mode of thought. This defensive mind-set works against the propagation of modern astronomy in most of the non-Western countries. There is thus a need to construct a history of world astronomy that is truly universal and unselfconscious.Similarly, the planetarium programs, for use the world over, should be culturally sensitive. The IAU can help produce cultural-specific modules. Equipped with this paradigmatic background, we can now address the question of actual means to be adopted for the task at hand. Astronomical activity requires a certain minimum level of industrial activity support. Long-term maintenance of astronomical equipment is not a trivial task. There are any number of examples of an expensive facility falling victim to AIDS: Astronomical Instrument Deficiency Syndrome. The facilities planned in different parts of the world should be commensurate with the absorbing power of the acceptor rather than the level of the gifter.

scholarly journals Community system of social support

2017 ◽  
Vol 127 (1) ◽  
pp. 37-40
Author(s):  
Krzysztof Włoch ◽  
Janusz Jaroszyński ◽  
Ewa Warchoł-Sławińska ◽  
Anna Jurek ◽  
Bartłomiej Drop ◽  
...  
Keyword(s):  
Social Support ◽  
Health Care ◽  
Health Care Systems ◽  
Family Doctors ◽  
Community System ◽  
Modern Health Care ◽  
Number Of Patients ◽  
The World ◽  
Care Systems ◽  
Is Evaluation

Abstract Community System of Social Support is the basis of modern health care systems not only in Poland but all over the world in the prophylaxis-treatment-rehabilitation procedure. In Poland, family doctors, commune councils and territorial self-governments are involved in it. Family doctors perform a substantial function, whereas commune councils and territorial self-governments an administrative one. The principle of the system work is evaluation of its benefits. Its aim is the reduction of the number of patients who abuse alcohol and those who abuse alcohol despite treatment.

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