Verbandliche Wohlfahrtspflege und Wohlfahrtsmarkt

2019 ◽  
Vol 68 (1) ◽  
pp. 45-65
Author(s):  
Rolf G. Heinze
Keyword(s):  
Health Care ◽  
Welfare State ◽  
Social Service ◽  
Service Providers ◽  
Social Resources ◽  
Health Care Sector ◽  
Federal State ◽  
European Law ◽  
Crucial Importance ◽  
Welfare Mix

Zusammenfassung Subsidiarität ist in vielfältiger Weise ein verbindlicher, wenn auch auslegungsbedürftiger Grundsatz im deutschen und europäischen Recht. Zum Subsidiaritätsprinzip (als „Grundsatz des hilfreichen Beistands“) gehört die Verantwortung von Staat und Kommunen für die Vorhaltung von infrastrukturellen und sozialen Ressourcen. Anders als in vormodernen Gesellschaften mit ihren klaren Rollenzuweisungen in Familie und Gesellschaft ist für eine moderne Gesellschaft aber charakteristisch, dass sie eine Vielfalt von Akteuren kennt. So hat im deutschen Sozial- und Gesundheitssektor die verbandlich organisierte Wohlfahrtspflege eine herausragende Bedeutung. Innerhalb eines neu gestalteten subsidiären wohlfahrtsstaatlichen Arrangements muss gewährleistet werden, dass sich die Stärken und Schwächen der verschiedenen Träger sozialer Dienste optimal ergänzen. Ziel sollte die Transformation vom versäulten Wohlfahrtskorporatismus hin zum vernetzten Wohlfahrtsmix sein. Abstract: Association Welfare and Welfare Market Reformulation of Subsidiarity? Although subsidiarity is in many ways a binding principle in German and European law, it always requires interpretation. In accordance with the principle of subsidiarity (as a „helpful assistance principle“) the federal state as well as municipalities have the responsibility to provide infrastructural and social resources. Unlike pre-modern societies with their clear distribution of roles in family and society, modern societies are characterised by a variety of actors. For example, welfare associations in the German social and health care sector are of crucial importance. Within a newly designed subsidiary welfare state arrangement it is necessary to ensure that the strengths and weaknesses of the various social service providers are taken into account. The goal should be the transformation of the welfare corporatism of isolated columns to a vertically linked welfare mix. JEL-Klassifizierung: I1, I2, I3

Die freie Wohlfahrtspflege und die wachsenden Steuerungsansprüche des Staates: Fokus Kostendruck

2019 ◽  
Vol 68 (1) ◽  
pp. 67-74
Author(s):  
Ulrich Stoebe
Keyword(s):  
Health Care ◽  
Welfare State ◽  
Social Service ◽  
Service Providers ◽  
Social Resources ◽  
Health Care Sector ◽  
Federal State ◽  
European Law ◽  
Crucial Importance ◽  
Welfare Mix

Zusammenfassung Subsidiarität ist in vielfältiger Weise ein verbindlicher, wenn auch auslegungsbedürftiger Grundsatz im deutschen und europäischen Recht. Zum Subsidiaritätsprinzip (als „Grundsatz des hilfreichen Beistands“) gehört die Verantwortung von Staat und Kommunen für die Vorhaltung von infrastrukturellen und sozialen Ressourcen. Anders als in vormodernen Gesellschaften mit ihren klaren Rollenzuweisungen in Familie und Gesellschaft ist für eine moderne Gesellschaft aber charakteristisch, dass sie eine Vielfalt von Akteuren kennt. So hat im deutschen Sozial- und Gesundheitssektor die verbandlich organisierte Wohlfahrtspflege eine herausragende Bedeutung. Innerhalb eines neu gestalteten subsidiären wohlfahrtsstaatlichen Arrangements muss gewährleistet werden, dass sich die Stärken und Schwächen der verschiedenen Träger sozialer Dienste optimal ergänzen. Ziel sollte die Transformation vom versäulten Wohlfahrtskorporatismus hin zum vernetzten Wohlfahrtsmix sein. Abstract: Association Welfare and Welfare Market Reformulation of Subsidiarity? Although subsidiarity is in many ways a binding principle in German and European law, it always requires interpretation. In accordance with the principle of subsidiarity (as a „helpful assistance principle“) the federal state as well as municipalities have the responsibility to provide infrastructural and social resources. Unlike pre-modern societies with their clear distribution of roles in family and society, modern societies are characterised by a variety of actors. For example, welfare associations in the German social and health care sector are of crucial importance. Within a newly designed subsidiary welfare state arrangement it is necessary to ensure that the strengths and weaknesses of the various social service providers are taken into account. The goal should be the transformation of the welfare corporatism of isolated columns to a vertically linked welfare mix. JEL-Klassifizierung: I1, I2, I3

Perceptions of Health Education of Selected Health and Social Service Providers in the Bahamas

1982 ◽  
Vol 3 (3) ◽  
pp. 279-290
Author(s):  
Audrey Marie Deveaux ◽  
William A. Darity
Keyword(s):  
Health Care ◽  
Health Education ◽  
Social Service ◽  
Health Care Services ◽  
Service Providers ◽  
Care Delivery ◽  
Future Research ◽  
The Bahamas ◽  
Social Service Providers ◽  
Education And Health

Health education is a new component of the health care delivery system in the Bahamas. In the past, confusion and uncertainty was expressed regarding the contribution of health education to the health care services. The intention of this study was to investigate the perceptions of selected health and social service providers to health problems, their most likely solutions, and to health education and health education related issues in the Bahamas. A questionnaire was either mailed or hand delivered to 412 selected health and social service providers in New Providence and the Family Islands in the Bahamas. Of these 127 (31%) usable questionnaires were returned. A discussion of the study findings, study limitations, implications for health education and suggestions for future research are presented. The survey results showed that a majority of respondents indicated consistent support for health education and health education related issues. This support was evident even when responses were crosstabulated with such variables as age, profession, and years of experience in present occupation.

Layered stigma among health-care and social service providers toward key affected populations in Jamaica and The Bahamas

AIDS Care ◽  
2013 ◽  
Vol 26 (5) ◽  
pp. 538-546 ◽  
Author(s):  
S.J. Rogers ◽  
K. Tureski ◽  
A. Cushnie ◽  
A. Brown ◽  
A. Bailey ◽  
...  
Keyword(s):  
Health Care ◽  
Social Service ◽  
Service Providers ◽  
The Bahamas ◽  
Social Service Providers

scholarly journals Why are there Escalating Incidences of Confrontations in Nepali Hospitals? An Anthropological Critique

2020 ◽  
pp. 43-55
Author(s):  
Kapil Dahal
Keyword(s):  
Health Care ◽  
Qualitative Research ◽  
Service Providers ◽  
Explanatory Models ◽  
Negotiation Process ◽  
Health Care Sector ◽  
Third Party ◽  
Communication Gap ◽  
Anthropological Critique ◽  
Nature Of Medicine

This article deals with the emerging phenomenon of confrontations and vandalism in hospitals in Nepal. It interrogates how far paternalism and commodification has become the feature of the Nepali health care sector and their interrelationships with each other. With the esoteric nature of medicine and different explanatory models of understanding illness episodes and healing outcomes, there is always a communication gap between the service providers and the patient party. The unfolding of the confrontation process creates space for and paves way for third party involvement in the conflict and negotiation process. The increasing confrontation also reflects falling trust between the service providers and the health seekers. This paper is based on information generated from a qualitative research carried out in two hospital settings in Kathmandu and Chitawan in different periods in 2019.

Driving Innovation Through Medicaid

2020 ◽  
pp. 185-196
Author(s):  
Alonzo L. Plough
Keyword(s):  
Health Care ◽  
Social Service ◽  
Data Exchange ◽  
Service Providers ◽  
Housing Instability ◽  
Health Coverage ◽  
Potential Barriers ◽  
New Information ◽  
Start Up ◽  
Medicaid Beneficiaries

This chapter highlights the expanding use of Medicaid to address social determinants of health, particularly housing instability and opioid addiction. Medicaid today is a core component of the nation's health care system, providing health coverage to more than 66 million people. With one in five Americans participating in Medicaid, the program has the reach and influence to play a key role in promoting health and health equity, especially through research and demonstration waivers that allow states to experiment. The chapter then offers examples of innovative programming and service delivery in three states and looks at a major insurer’s commitment to address the root causes of homelessness among its Medicaid beneficiaries. However, the significant infrastructure and start-up costs involved in implementing Medicaid reforms loom as potential barriers. Health care and social service providers will need to develop new information systems, recruit and retrain providers, and establish data-exchange protocols in order to realize the benefits from the federal infusion of new money into Medicaid.

The Crisis is Over but Frugality Must Continue: Post-consolidation Fiscal Policy and the Dualisation of the Swedish Model

2021 ◽  
pp. 152-171
Author(s):  
Simone Scarpa
Keyword(s):  
Fiscal Policy ◽  
Welfare State ◽  
Social Service ◽  
Service Sector ◽  
Service Providers ◽  
Policy Reforms ◽  
Swedish Model ◽  
The Social ◽  
Consolidation Phase

Previous research has predominantly analysed the retrenchment of the Swedish welfare state from a long-term perspective, examining restructuring processes from the financial crisis of the early 1990s until recent years. This study instead takes a short-term perspective and focuses on welfare state developments in the post-consolidation phase, after the recovery from the crisis. The aim is to investigate how the fiscal policy reforms introduced during the recovery years forced subsequent governments to continue on the path of "frugality". Specifically, the paper focuses on the effects of austerity politics on two policy domains: income redistribution through the benefit and tax system and the municipalities' role as social service providers and employers. The analysis indicates that the Swedish model is showing increasing signs of dualisation due to the gradual segmentation of prior universalistic welfare programmes and to the worsening of working conditions in the social service sector.

Differences in health care utilization by access policy among newly arrived refugees in Germany

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
J Wenner ◽  
L Biddle ◽  
K Bozorgmehr
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Service Providers ◽  
Statutory Health Insurance ◽  
Care Utilization ◽  
Federal State ◽  
Refugee Status ◽  
Cross Sectional Survey ◽  
Specialist Services ◽  
Access Policies

Abstract Introduction In the first few months after refugees arrive in Germany, access to healthcare in most states is granted via health care vouchers (HcVs) that are issued by local authorities. After 15 to 18 months or formal recognition of refugee status, access is granted via electronic health cards (eHC) issued by statutory health insurance funds. We analyze whether these access policies (HcV vs. eHC) are associated with differences in needs-based utilization. Methods We use data from a cross-sectional survey among newly arrived refugees and asylum seekers (n = 560; response rate 41.7%) in Germany's 3rd largest federal state to analyze differences in reported utilization of GP and specialist services in the last 4 weeks. We use logistic regression to calculate odds ratios (OR), adjusting for socio-demographic characteristics, health status, duration of stay and proximity of service providers. Results Fewer refugees with HcVs reported using GP or specialist services in the last four weeks compared to those using regular eHCs (GP: 52.76% vs. 61.48%; SP: 38.97 vs. 45.09%). For specialist use, this difference persisted after adjustment, with eHC users having significantly higher odds of needs-based utilization (OR: 2.00; 95%-CI: 1.01-3.95). After adjustment, odds for GP use are also higher among persons with eHC, but less significant (OR: 1.37; 95%-CI: 0.67-2.82). Furthermore, the lack of a HcV was the second most reported reason among HcV users to refrain from utilization (17.09% for specialist and 15.51% for GP use). Conclusions The access model is associated with differences in needs-based utilization for specialist (and partly for GP) use after controlling for important confounders. The lack of (timely) HcV provision constitutes a relevant access barrier. The results provide evidence that with equal needs, refugees with HcVs have more difficulties accessing services. Key messages Access policies are associated with differences in healthcare utilization among newly arrived refugees in Germany. Early access to health cards and the statutory health insurance is likely to facilitate need-based utilization of health services for newly arrived refugees.

Sign in / Sign up

Export Citation Format

Share Document