SOCIAL POLICY: OPTIMIZATION OF LABOUR PRODUCTIVITY OF THE HEALTH CARE SYSTEM IN THE POST-SOVIET PERIOD

The purpose of the article is to describe the ways to update the health care system in the Ukrainian SSR in the historical retrospective. The methodological basis of the study is the principles of objectivity, historicism and systematization with the use of general scientific methods of analysis, synthesis, generalization and combination with a special historical (chronological) method. The scientific novelty of the publication lies in a comprehensive analysis of the domestic health care system and ways to reform it in the Soviet period. In order to expand research prospects, it is proposed to include the issues of formation, development, and attempts to reform the health care system to a number of current issues in the history of Ukraine. Conclusions. The Soviet model of the health care system, formed under strict state regulation, was distinguished by the only possible source of budget funding, was free of charge, and was accessible to all, partially was rewarding in conditions of significant socio-political and large-scale biological challenges. It has made it possible to reduce mortality by introducing preventive and anti-epidemic measures and providing access to medical services in the most remote parts of the country. However, all these achievements, under the conditions of extensive type of development of the medical sphere, mainly quantitative growth of indicators and chronic underfunding, vanished very quickly, and the system proved to be ineffective and inconsistent with the requirements of the time. Partially aware of all the risks that could lead to a systemic crisis, the Soviet leaders made several attempts to suspend the inevitable destructive processes. Unfortunately, most of the decisions made to expand possible funding, increase the status of the primary outpatient clinic, the introduction of limited market mechanisms, were mostly declarative in nature as the most important issue remained unresolved - the elimination of the residual principle of financing the industry.

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Global Social Policy Actors and Health Care System Ideas

Shaping Global Health Policy ◽

10.1057/9781137308894_1 ◽

2015 ◽

pp. 1-18

Author(s):

Alexandra Kaasch

Keyword(s):

Health Care ◽

Social Policy ◽

Health Care System ◽

Policy Actors ◽

Care System

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Living in the Age of Austerity and Migration

Illness Crisis & Loss ◽

10.1177/1054137317723146 ◽

2017 ◽

Vol 25 (4) ◽

pp. 340-360 ◽

Cited By ~ 2

Author(s):

Qingwen Xu ◽

Jamie P. Halsall

Keyword(s):

Health Care ◽

Social Policy ◽

Financial Crisis ◽

Health Care System ◽

Global Financial Crisis ◽

The World ◽

Elderly Health ◽

Financial Crisis Of 2008 ◽

The Global Financial Crisis ◽

Care System

The global financial crisis of 2008 has caused much dialogue within the social policy framework on how to maintain a sustainable elderly health-care system. This coupled with a migrant crisis have created extra social and economic pressures in Europe in particularly. As it has been well documented by social scientists, people are living longer than ever before. There are two fundamental factors that are helping people live to an old age, which are as follows: (a) a better quality of life and (b) improved health-care system at state level. However, since the global financial crisis of 2008 populations across the world are living in an age of austerity. The age of austerity has brought extra financial pressures on the state, polarizing society by implementing cuts in welfare. The reason many governments across the world (e.g., United States, United Kingdom, and Greece) have enforced a series of austerity measures is fundamentally to reduce debt. The aim of this article is to critically explore the austerity social policy agenda within the context of the debates surrounding the refugee or migrant crisis in the elderly health-care system.

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Global Social Policy Actors and Health Care System Ideas

Shaping Global Health Policy ◽

10.1057/9781137308894.0004 ◽

2015 ◽

Cited By ~ 1

Keyword(s):

Health Care ◽

Social Policy ◽

Health Care System ◽

Policy Actors ◽

Care System

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Immune-Based Cancer Treatment: Addressing Disparities in Access and Outcomes

American Society of Clinical Oncology Educational Book ◽

10.1200/edbk_323523 ◽

2021 ◽

pp. 1-13

Author(s):

Raymond U. Osarogiagbon ◽

Helmneh M. Sineshaw ◽

Joseph M. Unger ◽

Ana Acuña-Villaorduña ◽

Sanjay Goel

Keyword(s):

Health Care ◽

Social Policy ◽

Health Care System ◽

Cancer Care ◽

Health Care Disparities ◽

Routine Care ◽

Individual Level ◽

Oncology Research ◽

The Individual ◽

Care System

Avoidable differences in the care and outcomes of patients with cancer (i.e., cancer care disparities) emerge or worsen with discoveries of new, more effective approaches to cancer diagnosis and treatment. The rapidly expanding use of immunotherapy for many different cancers across the spectrum from late to early stages has, predictably, been followed by emerging evidence of disparities in access to these highly effective but expensive treatments. The danger that these new treatments will further widen preexisting cancer care and outcome disparities requires urgent corrective intervention. Using a multilevel etiologic framework that categorizes the targets of intervention at the individual, provider, health care system, and social policy levels, we discuss options for a comprehensive approach to prevent and, where necessary, eliminate disparities in access to the clinical trials that are defining the optimal use of immunotherapy for cancer, as well as its safe use in routine care among appropriately diverse populations. We make the case that, contrary to the traditional focus on the individual level in descriptive reports of health care disparities, there is sequentially greater leverage at the provider, health care system, and social policy levels to overcome the challenge of cancer care and outcomes disparities, including access to immunotherapy. We also cite examples of effective government-sponsored and policy-level interventions, such as the National Cancer Institute Minority-Underserved Community Oncology Research Program and the Affordable Care Act, that have expanded clinical trial access and access to high-quality cancer care in general.

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The Formation and Development of the Legal Status of a Consumer of Paid Medical Services in the Russian Health Care System in the XVIII – Early XX Centuries

Siberian Law Review ◽

10.19073/2658-7602-2020-17-3-300-309 ◽

2020 ◽

Vol 17 (3) ◽

pp. 300-309

Author(s):

Mariya Soboleva

Keyword(s):

Health Care ◽

Health Care System ◽

Legal Status ◽

Legal Regulation ◽

Russian Empire ◽

Medical Services ◽

Soviet Period ◽

Care Organization ◽

The Russian Empire ◽

Care System

The socio-economic situation in Russia over the past decades has undergone serious changes that could not but affect the health system. There have been prerequisites for the development of private medicine, which has been supported by the state. Currently, there is an increase in the share of medical services provided on a paid basis. Widespread private practice, covering the chronological period of the Russian Empire, was interpreted by the authorities in the Soviet period as a relic of the capitalist system, contrary to the basic principles of proper health care organization. The Soviet period of Russian history appears to us as a chronological gap, that is, a time gap that characterizes the specifics of the linear existence of paid medical services. In this regard, it seems relevant and timely to conduct research on the historical aspects of the formation and development of the legal status of consumers of paid medical services in the Russian Empire. In our opinion, such research is of both theoretical and practical interest. The first is due to the lack of development of this topic in the historical and legal literature. The second one will allow us to identify existing shortcomings in legal regulation in the sphere of public health protection based on the generalization of historical experience and formulate practical recommendations for improving the legislation of the Russian Federation in this area. From the perspective of this work, we aim to assess the legal status of consumers of paid medical services in the XVIII – early XX century, comprehensively examining such elements of legal status as rights, freedoms, interests and duties. The article analyzes the influence of belonging of the inhabitants of the Empire to a particular social group on the formation of the legal status of consumers of paid medical services. For the first time, the main types of rights of consumers of paid medical services are separated from the regulatory legal acts in the field of healthcare of the Russian Empire and formed into a group. Based on the results of a detailed analysis, we conclude that in the Russian Empire, the duties of consumers of paid medical services took priority over the rights, since it was believed that if the obligations were met, the rights would exist regardless of their formal Declaration. The analysis helps to understand the development of regulation of health ser-vices and allows us to draw historical parallels with the existing regulatory framework of the health care system in Russia.

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Teletinnitus Program at the VA Gulf Coast Veterans Health Care System

Perspectives on Telepractice ◽

10.1044/teles4.1.23 ◽

2014 ◽

Vol 4 (1) ◽

pp. 23-29

Author(s):

Constance Hilory Tomberlin

Keyword(s):

Health Care ◽

Patient Satisfaction ◽

Patient Care ◽

Health Care System ◽

Gulf Coast ◽

New Technology ◽

Cost Effective ◽

Veterans Health ◽

Potential Benefits ◽

Care System

There are a multitude of reasons that a teletinnitus program can be beneficial, not only to the patients, but also within the hospital and audiology department. The ability to use technology for the purpose of tinnitus management allows for improved appointment access for all patients, especially those who live at a distance, has been shown to be more cost effective when the patients travel is otherwise monetarily compensated, and allows for multiple patient's to be seen in the same time slots, allowing for greater access to the clinic for the patients wishing to be seen in-house. There is also the patient's excitement in being part of a new technology-based program. The Gulf Coast Veterans Health Care System (GCVHCS) saw the potential benefits of incorporating a teletinnitus program and began implementation in 2013. There were a few hurdles to work through during the beginning organizational process and the initial execution of the program. Since the establishment of the Teletinnitus program, the GCVHCS has seen an enhancement in patient care, reduction in travel compensation, improvement in clinic utilization, clinic availability, the genuine excitement of the use of a new healthcare media amongst staff and patients, and overall patient satisfaction.

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