scholarly journals Unpaid Health Care Work: A Gender Equality Perspective

2021 ◽  

A debate on public goods is urgently needed in health care. Care must be recognized as a social function, as an occupation and, at the same time, as a human right—which imposes binding obligations to comply with precise standards of quality, quantity, suitability, adaptability, and accessibility, among others. It is a complex and invisible task, that may be done as part of a medical treatment, post-surgical recovery process, or permanent support in cases of chronic illness, disability, or mental health conditions. And it tends to be provided mainly in the home, by women, without remuneration. In Latin America, care has not been included in a coordinated and specific public health policy agenda but has been advanced through isolated actions—in many cases highly fragmented and heterogeneous—without a clear awareness of the public nature of care and the associated responsibility of the State. Accordingly, this document takes a gender and rights-based approach. It starts with an analysis of the main definitions of unpaid work in the health sector, and then focuses on initiatives in three Latin American countries (Colombia, Costa Rica, and Uruguay) with regard to measurement, valuation, integration, and recognition in national health systems or policies, in care models, and in time-use surveys. The conclusions propose recommendations aimed at addressing unpaid care as an essential element of social policies in general, and health policies in particular, from a gender and rights-based perspective.

2011 ◽  
Vol 33 (4) ◽  
pp. 2-3
Author(s):  
Jayne Howell ◽  
Ronald Loewe

In this, the penultimate issue of the Howell/Loewe editorship, we pause to welcome Professor Anita Puckett of Virginia Tech as the incoming editor of Practicing Anthropology. Dr. Puckett will assist us in the production of our final issue and will assume the helm of Practicing Anthropology for the Spring 2012 issue. Our next and final issue will be a themed issue focusing on Mayas living in the Diaspora. It will be guest edited by James Loucky, a professor of anthropology at Western Washington University at Bellingham, and Alan LeBaron, a professor of Latin American History at Kennesaw State University.


Author(s):  
Hari Walujo Sedjati

The research aimed to know problems policy health on Purbalingga district; province Central Java. Health planners have been more effective largely because of a policy regionalizing responsibility for the public health pure delivery assurance systems. Several kinds of health service provider’s hospital recommended by government for pure society in Purbalingga district. The Government as certain the efficiency and effectiveness of health services in public actors, these goals and options which frame a actor government Purbalingga district, choice in the health sector, are complicated by agreement over the criteria that determinant which patients are getting too much for pure society to health care. The policy Implementation goals to minimize mortalities and Invalid body for pure society in Purbalingga and policy health goals and standards are reached.


2007 ◽  
Vol 31 (4) ◽  
pp. 498

THIS IS THE FOURTH ISSUE of Australian Health Review which has featured a ?Models of Care? section; now a regular section of the Journal. As 2007 draws to a close, the breadth of formalised care models (such as self-care management, case management and disease management) being implemented in the Australian health care system continues to be publicised. The number of Australian studies which evaluate the effectiveness and efficiency of care model interventions is increasing. Being the optimist, I predict that the rate of publication of these studies will also increase. This is fundamental because the value of any intervention needs carefully constructed evaluation that enables results to be debated by experts in the public domain.


2017 ◽  
Vol 5 ◽  
pp. 366-370 ◽  
Author(s):  
Vadim Pashkus ◽  
Natalie Pashkus ◽  
Asya Chemlyakova

In the present day, in the context of the toughening of global competition in the field of health care and the efforts that different countries of the world spend on improving the efficiency of the public sector of economy, the problems associated with determining the factors of competitiveness of healthcare organizations come to the forefront. The research conducted by the authors showed that assessing the competitiveness and development potential of medical companies with the Keigan-Vogel positioning map often gives incorrect results. The study showed that a significant part of errors (22-28%) is due to an incorrect evaluation of the quality and effectiveness of medical services, which necessitates a clear delineation of these concepts. The work shows how these indicators effect the competitiveness of organizations in the health sector and what happens if we do not distinguish between these two concepts.


Author(s):  
Katia Dupret ◽  
Bjarke Friborg

Drawing on actor-network theory (ANT) and science and technology studies (STS) and on ethnographic research in Denmark, we argue that how health care workers work around technologies can be conceptualized as tacit innovation – that is, practical expressions of active encounters with the complexity of work situations and therefore potential sources of sustainable and innovative work practices. The concept ‘invisible work’ is used to show that ‘what counts as work’ is bound up with technologies that are not neutral. Technologies, professionals, and patients implicitly co-constitute innovation processes, and we argue that in order to understand the potential of tacit innovation among health care workers, one must revisit the dichotomy between technology producers and technology end-users. The aim and contribution of this paper is thus to attempt to revitalize the discussion about technology workarounds as initiatives of tacit innovation, thus adding to the theoretical conceptualization of invisible work when technologies are used in health care work.


Author(s):  
Véronique Nabelsi ◽  
Florina Stefanescu

Radio Frequency Identification (RFID) technology has been considered the “next revolution in supply chain management” (Srivastava, 2004, p. 60). Current research and development related to RFID focuses on the manufacturing and retail sectors with the aim of improving supply chain efficiency. After the manufacturing and retail sectors, health care is considered to be the next sector for RFID (Ericson, 2004). RFID technology’s potential to improve asset management in the health sector is considerable, especially with respect to asset management optimization. In fact, health expenses have increased substantially in Organisation for Economic Co-operation and Development (OECD) countries in recent years. In Canada, the public health budget amounted to $91.4 billion (CAD) for the year 2005–2006 compared to $79.9 billion in 2003–2004 (CIHI, 2005). Moreover, the health care industry has been the focus of intense public policy attention. In order to curb this upward trend, the public heath sector in Canada is subject to strict budget constraints. Among the different alternatives for reducing expenditures, the improvement of asset management within the different health institutions appears to be worthwhile. RFID technology seems to be a viable alternative to help hospitals effectively manage and locate medical equipment and other assets, track files, capture charges, detect and deter counterfeit products, and maintain and manage materials. In other words, health care organizations would benefit particularly from RFID applications. The main objective of this study is to investigate the potential for RFID technology within one specific supply chain in the health care sector. Based on a field study conducted in a large nonprofit hospital, this article tests some scenarios for integrating RFID technology in the context of two warehousing activities.


2000 ◽  
Vol 34 (5) ◽  
pp. 449-460 ◽  
Author(s):  
Armando Arredondo ◽  
Irene Parada

OBJECTIVE: The results of an evaluative longitudinal study, which identified the effects of health care decentralization on health financing in Mexico, Nicaragua and Peru are presented in this article. METHODS: The methodology had two main phases. In the first, secondary sources of data and documents were analyzed with the following variables: type of decentralization implemented, source of financing, funds for financing, providers, final use of resources, mechanisms for resource allocation. In the second phase, primary data were collected by a survey of key personnel in the health sector. RESULTS: Results of the comparative analysis are presented, showing the changes implemented in the three countries, as well as the strengths and weaknesses of each country in matters of financing and decentralization. CONCLUSIONS: The main financing changes implemented and quantitative trends with respect to the five financing indicators are presented as a methodological tool to implement corrections and adjustments in health financing.


2005 ◽  
Vol 35 (3) ◽  
pp. 561-578 ◽  
Author(s):  
Chang-Yup Kim

In South Korea, there have been debates on the welfare policies of the Kim Dae-jung government after the economic crisis beginning in late 1997, but it is unquestionable that health and health care policies have followed the trend of neoliberal economic and social polices. Public health measures and overall performance of the public sector have weakened, and the private health sector has further strengthened its dominance. These changes have adversely affected the population's health status and access to health care. However, the anti-neoliberal coalition is preventing the government's drive from achieving a full success.


1992 ◽  
Vol 5 (1) ◽  
pp. 32-43 ◽  
Author(s):  
Julio Frenk

The article first proposes a framework within which to assess the potential of health sector reforms in Latin America for primary health care (PHC). Two dimensions are recognized: the scope of the reforms, content, and the means of participation that are put into play. This framework is then complemented through a critique of the often-sought but little-analyzed PHC reform strategies of decentralization and health sector integration. The analytical framework is next directed to the financing of health services, a chief aspect of any reform aiming toward PHC. Two facets of health service finance are first distinguished: its formal aspect as a means for economic subsistence and growth, and its substantive aspect as a means to promote the rational use of services and thus improvement of health. Once finance is understood in this microeconomic perspective, the focus shifts to the analysis of health care reforms at the macro, health policy level. The article concludes by positing that PHC is in essence a new health care paradigm, oriented by the values of universality, redistribution, integration, plurality, quality, and efficiency.


2005 ◽  
Vol 11 (8) ◽  
pp. 419-424 ◽  
Author(s):  
P Jennett ◽  
M Yeo ◽  
R Scott ◽  
M Hebert ◽  
W Teo

summary We asked the views of potential users of a proposed Canadian broadband Internet Protocol (IP) network for health, the Alberta SuperNet. The three user groups were drawn from the public, provider and private sectors. In all, 35 health-sector participants were selected (17 government, nine health-care organizations, five providers/ practitioners and four private sector). The questionnaire was Web-based, semistructured and self-administered. It consisted of four major areas: value, readiness, effect on usual care and limitations. A total of 28 (80%) individuals responded to the questionnaire: 21 (81%) were from the public sector (three provincial, nine regional and nine organizational), three (60%) were from the provider sector and four (100%) were from the private sector. Overall, the items related to health services and health human resources were considered to be the most valuable to rural communities. Respondents identified the expansion of telehealth services as the most important, except those from the private sector, who ranked this a close second. The health system's move to the use of electronic health records was ranked second in importance by all respondents. The private-sector respondents viewed all user groups to be generally less ready (mean score 2.5 on a seven-point scale from 1 = not ready to 7 = ready), while the public-sector respondents were the most optimistic (mean score 4.0). Specific socioeconomic impact data were limited. The top-ranked disadvantage of the 10 suggested was that ‘Changes in health-service delivery practices and/or processes will be required’.


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