A Progressive Proposal for a National Medical Care System: Council on Medical Care, National Association for Public Health Policy

1989 ◽  
Vol 10 (4) ◽  
pp. 533 ◽  
1987 ◽  
Vol 17 (1) ◽  
pp. 7-26 ◽  
Author(s):  
Linda A. Bergthold

The subject of this article is the impact of the political participation of business on the substance, process, and power of State policymaking about medical care in the 1980s. The article focuses on organized business coalitions, how and why they emerged to participate in the health policy debate, and the impact of these interests on health policy itself. It asks the question, How and to what extent has the emergence of business as an actor in health care politics changed both the process by which health policy is formulated at the state and federal level and the substance of health policy itself? It comes to the conclusion that business involvement has varied in impact and intensity from state to state, that business participation ultimately reinforces the control of the private sector over medical care resources, that business power can be used to decrease the autonomy and power of medical providers and is consistent with and reinforces current trends toward privatization and corporatization of the medical care system, and that the political participation of business has produced a degree of structural change in the medical care system. These changes have profound implications for unorganized consumer constituencies and their access to the policy process.


2021 ◽  
pp. 230-238
Author(s):  
Oleksii DEMIKHOV

Relevance of research. Medical care providing for bronchopulmonary dysplasia is an urgent problem of modern medicine. Currently, there is a need to develop a model of medical care for children with bronchopulmonary dysplasia with a high risk of dysplastic pathology of the bronchopulmonary system. The relevance of such a model is due to the existing socio-medical significance of the problem of health. The purpose of the study: to develop a set of regulatory and legal support for the structural and functional model of medical care for children with bronchopulmonary dysplasia. Materials and methods of research. The analysis of scientific sources and practical management questions is carried out, the directions of the further research are chosen. The following methods are used: system approach, bibliosemantic, epidemiological and statistical. Results and discussion. The article examines various scientific sources and discusses the results of management decisions in medical institutions. The draft laws discussed in the publication offer tools for formulating and implementing public health policy. This model of the system of medical care for children with bronchopulmonary dysplasia has such distinctive features as systemic and personalized approach with the integration of efforts of specialists of related profiles, as well as cost-effectiveness, as the resource base is effectively used in the medical system. Conclusions. The author clarifies the powers of the subjects of public health policy, details the requirements for monitoring the implementation of public health policy, the procedure for conducting and evaluating effectiveness. In order to improve the legal framework, the article presents the directions of implementation of draft laws prepared during 2013–2016. The terminological apparatus, which is harmonized with international standards, has been supplemented. Prospects for further research. Further research should focus on the socio-medical effectiveness of the legislative and regulatory support of the components of the structural-functional model, which are related to assessing their impact on the implementation of health technologies at the regional, local community and family levels.


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