scholarly journals Universality of Social Health – Lessons from the Mahatma

2019 ◽  
Vol 12 (1) ◽  
pp. 5-5
Author(s):  
Indranil Chakravorty
Keyword(s):  
Health Service ◽  
Health System ◽  
British Empire ◽  
Social Health ◽  
Special Edition ◽  
The World ◽  
Skilled Workforce ◽  
The Uk ◽  
Universal Health

As you read the articles that I have had the pleasure to curate for this special edition of SUSHRUTA, published along with the #BAPIOAC19 conference in London this wet and frosty November, you will see glimmers of hope and aspirations of a broad-church of people that make up the health service. NHS professionals come from all over the world, bringing their cultures from distant shores that were once touched by the British Empire (now the Commonwealth) You will also witness the ambitious plans for future proofing what is arguably the best universal health system in the world. It is a time for 20/20 vision; we recognise not only the challenges that face the UK population and the NHS but we also envisage how the strengths of the diverse multi-skilled workforce come together in making the UK NHS star shine even brighter.

Cuba and the Covid-19 pandemic

2021 ◽  
Vol 122 (1) ◽  
pp. 118-131
Author(s):  
Bob Oram
Keyword(s):  
Public Health ◽  
United States ◽  
Health System ◽  
Health Professionals ◽  
The United States ◽  
The Past ◽  
The Uk ◽  
Universal Health

For the UK struggling to deal with the Covid-19 pandemic, the experience of Cuba’s Ministry of Public Health over the past six decades provides the clearest case for a single, universal health system constituting an underlying national grid dedicated to prevention and care; an abundance of health professionals, accessible everywhere; a world-renowned science and biotech capability; and an educated public schooled in public health. All this was achieved despite being under a vicious blockade by the United States for all of that time.

‘Structural Interests’ in Health Care: Evidence from the Contemporary National Health Service

2009 ◽  
Vol 38 (4) ◽  
pp. 607-625 ◽  
Author(s):  
KATH CHECKLAND ◽  
STEPHEN HARRISON ◽  
ANNA COLEMAN
Keyword(s):  
Health Care ◽  
National Health Service ◽  
Health Service ◽  
Qualitative Study ◽  
Health Systems ◽  
National Health ◽  
The World ◽  
The Uk

AbstractAlford's theory of structural interests has been used as a framework within which to analyse health systems across the world. However, authors have often been uncritical in their acceptance of Alford's original analytic categories. In this article we use data from a detailed qualitative study of the introduction of Practice Based Commissioning in the UK NHS to interrogate Alford's work more critically. Disrupting Alford's original categories of ‘professional monopolisers’ as dominant interests, challenged by management ‘corporate rationalisers’, we suggest that the new structures established in the NHS since 2002 systematically privilege an interest that we call ‘corporate monopolisers’, and that this is under challenge from ‘professional rationalisers’.

scholarly journals A hidden activism and its changing contemporary forms: Mental health service users / survivors mobilising

2018 ◽  
Vol 6 (2) ◽  
pp. 728-744 ◽  
Author(s):  
Diana Rose
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Community Psychology ◽  
Mental Distress ◽  
Psychological Problem ◽  
Service Users ◽  
Welfare Benefits ◽  
The World ◽  
The Uk

This commentary concerns how the organisation of State welfare benefits in the UK have changed over the last 20 years, arguing that this has had harmful, even fatal, consequences for people with disabilities and particularly those with mental distress of psychosocial disabilities. This current situation may be called that of austerity. The paper describes how a ‘hidden activism’ has emerged to contest this situation and explains why it is, and to a degree, must be hidden. I then focus on the discourse of responsibilisation where every citizen must take responsibility for embodying the virtues of the good, working person. To ensure this, unemployment has been framed as a psychological problem and psychologists are now employed to ‘treat’ this problem in order that everybody might enter the world of work. I argue that in current conditions this is not possible for all with mental distress. Engaging then with community psychology, I address the issue of allies and how the absence of attention to mental distress might be remedied by this form of work. I draw on the emerging field of user / survivor-led research in mental health and argue that collaboration with community psychology will not be without problems.

scholarly journals Building on the momentum: Sustaining telehealth beyond COVID-19

2020 ◽  
pp. 1357633X2096063 ◽  
Author(s):  
Emma E Thomas ◽  
Helen M Haydon ◽  
Ateev Mehrotra ◽  
Liam J Caffery ◽  
Centaine L Snoswell ◽  
...  
Keyword(s):  
Health Service ◽  
Service Providers ◽  
Routine Care ◽  
Digital Ecosystems ◽  
Social Distancing ◽  
Health Service Providers ◽  
The World ◽  
Skilled Workforce

The current coronavirus pandemic (COVID-19) has resulted in tremendous growth in telehealth services in Australia and around the world. The rapid uptake of telehealth has mainly been due to necessity – following social distancing requirements and the need to reduce the risk of transmission. Although telehealth has been available for many decades, the COVID-19 experience has resulted in heightened awareness of telehealth amongst health service providers, patients and society overall. With increased telehealth uptake in many jurisdictions during the pandemic, it is timely and important to consider what role telehealth will have post-pandemic. In this article, we highlight five key requirements for the long-term sustainability of telehealth. These include: (a) developing a skilled workforce; (b) empowering consumers; (c) reforming funding; (d) improving the digital ecosystems; and (e) integrating telehealth into routine care.

scholarly journals Is our health system ready for the future?

2020 ◽  
pp. 29-44
Author(s):  
Davies and
Keyword(s):  
National Health Service ◽  
Health Service ◽  
Health System ◽  
Universal Access ◽  
Chronic Health Conditions ◽  
Health Conditions ◽  
Care Services ◽  
Point Of Use ◽  
The Uk ◽  
Illness Model

This chapter looks at how the National Health Service (NHS) and the UK health system as a whole are understood now, and some of the issues that must be addressed. It also explores how to envisage a future that, after the first wave of the COVID-19 pandemic, looks very different to what might have been predicted six months ago. The NHS is a source of deep pride to British citizens because of its founding principles—universal access to healthcare for all, free at the point of use. However, things have changed since the NHS was founded in 1948. Ageing populations present with more and more complex chronic health conditions, but the health and care services have not kept pace and continue to use a single-illness model. This does not work well for patients and is expensive for the payer.

scholarly journals Anticipating Policy, Orienting Services, Celebrating Provision: Reflecting on Scotland’s PrEP Journey

2021 ◽  
pp. 59-72
Author(s):  
Ingrid Young
Keyword(s):  
National Health Service ◽  
Hiv Prevention ◽  
Health Service ◽  
Health System ◽  
National Health ◽  
Specific Nature ◽  
Great Expectation ◽  
Risk Practices ◽  
The Uk ◽  
Roll Out

AbstractPrEP in Scotland came with great expectation and celebration. As the first country in the UK to offer PrEP through the National Health Service (NHS), Scotland was heralded as a leader in HIV prevention. This chapter asks: how has the anticipation of PrEP shaped provision and use within the health system; how does the emergent and ongoing orientation of PrEP towards specific risk practices affect awareness, access and use, but also wider narratives of prevention, inequalities and ‘progress’; and, what kinds of biosexual citizens does it demand and produce? The chapter explores how the implementation of PrEP and the specific nature of its roll-out contribute to an orientation towards certain (gendered) PrEP users and PrEP use. It considers how the anticipation of PrEP as a biotechnology for particular risk practices, bodies and communities shapes promissory HIV prevention futures and determines what success and ‘celebration’ could be.

Are we healthy? It’s complicated

2020 ◽  
pp. 11-28
Author(s):  
Davies and
Keyword(s):  
National Health Service ◽  
Health Service ◽  
Well Being ◽  
Social Health ◽  
World Health ◽  
Life Chances ◽  
Department Of Health ◽  
Health And Social Care ◽  
The World ◽  
Health Organization

This chapter introduces the concept of ‘total health’, which includes physical, mental, and social health, and also the underlying drivers that influence them. In England, the Department of Health and Social Care spends more than 95% of its budget on the National Health Service, which could be better described as the National Illness Service because health tends to be defined as what it is not, rather than a holistic state of well-being; ill health is what gets attention. The World Health Organization (WHO) has a different perspective, and defines health as a state of complete physical, mental, and social well-being, and not merely the absence of disease or infirmity. Total health captures the WHO definition and its wider ramifications. This chapter examines two aspects of total health: the issues inherent in how health is viewed today and the role societal inequalities play in damaging health and life chances.

International Listening Post report summary: the world at the dawn of 2019

2019 ◽  
Vol 19 (1) ◽  
pp. 121-124
Author(s):  
Sandy Henderson ◽  
Ulrike Beland ◽  
Dimitrios Vonofakos
Keyword(s):  
South Africa ◽  
Faroe Islands ◽  
The South ◽  
The World ◽  
The Uk

On or around 9 January 2019, twenty-two Listening Posts were conducted in nineteen countries: Canada, Chile, Denmark, Faroe Islands, Finland, Germany (Frankfurt and Berlin), Hungary, India, Ireland, Israel, Italy (two in Milan and one in the South), Peru, Serbia, South Africa, Spain, Sweden, Taiwan, Turkey, and the UK. This report synthesises the reports of those Listening Posts and organises the data yielded by them into common themes and patterns.

Front-line Healthcare Workers in COVID-19: The Way from Elbow-Bump Greeting to Closing Body Bags

2020 ◽  
Author(s):  
Stefan Bittmann
Keyword(s):  
Health Service ◽  
Healthcare Workers ◽  
Well Being ◽  
The United States ◽  
Angiotensin Ii Receptor ◽  
Front Line ◽  
Resource Center ◽  
Research Activities ◽  
The World ◽  
The Usa

COVID-19 is a serious coronavirus disease that is spreading all over the world. As of the date of this publication, 2.834.134 people have been infected with COVID-19 and 197.924 deaths have been recorded in 185 countries (John Hopkins Corona Resource Center, 25th April 2020) [1]. This overwhelming mortality rate requires intensive research activities around the world. To date, the number of deaths per day in the United States is still killing, indicating an uncontrollable state of infection spread. SARS-CoV-2 binds to the angiotensin II receptor in various tissues of the human body, particularly in the oral cavity and tongue. SARS-CoV-2 requires the cheerful TMPRSS2 to activate this inertia. SARS-CoV-2 uses the ACE2 receptor as a gateway to the lungs. The SARS-CoV-2 virus binds with the spike protein to the ACE2 receptor. COVID-19 is more common among African Americans in the USA (Science 10th April 2020). The comfort and the emotional loading capacity of the employees in the health service are key components for the maintenance of the essential health services during the outbreak of the COVID-19 virus (Coronavirus) [2,3]. Hence, it will be important to anticipate the charges linked with this work and to release support for employees in the health service. The supervision and assessment of the psychic health and the well-being of the employees in the health service will be important, just as the efforts to guarantee a successful reunion with colleagues if they are infected.

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