scholarly journals Social and Legal Healthcare Models and Their Functioning During a Global Crisis

Author(s):  
Alexandre Anatolievich Mokhov ◽  
Yury Alexandrovich Svirin ◽  
Vladimir Aleksandrovich Gureev ◽  
Vladimir Viktorovich Kulakov ◽  
Sergej Nikolaevich Shestov

The article analyzes the existing health models in terms of their legal, economic and social effectiveness, innovative potential, as well as in the context of their ability to resist modern threats caused by changes in the environment, ecology, bio-information development and other technologies. The authors used the methods of comparative analysis, synthesis, structural-functional and statistical analysis. Everything indicates the need for a major modernization of existing care models and / or their replacement by new ones that satisfy the basic needs of the majority of society at the current stage of its development. Among the most prominent findings, it is also highlighted that the health insurance model is a creation of the late 19th and early 20th centuries. It was developed and implemented at a time when the economy, society, the social sphere, and technologies were completely different. The 2020 pandemic has revealed the reasons for the unsatisfactory health care work, in a seemingly as prosperous country as the United States, where the largest amount of budget money traditionally goes to health care.

2020 ◽  
Vol 31 (2) ◽  
pp. 477
Author(s):  
Beáta Gavurová ◽  
Adela Klepáková ◽  
Ladislava Ivančová

The day surgery is a highly effective tool for providing health care which has been used in Slovakia only for the last decade. The unified system of payment for inpatient or outpatient (day care) surgeries causes the reduction of health insurance companies´ spending. Incorrectly configured and economically demotivating system of refunding is a cause of lagging behind the European average in utilization of day surgery. Without the evaluation of day surgery it is not possible to link the progress in the social sphere, which leads to the restriction of day surgery availability for some social groups and thus the subsequent stagnation of day surgery in Slovakia. This contribution presents a pilot study conducted in Slovakia and its partial findings focused on the development and trends in the implementation of day surgery in order to increase the efficiency healthcare system.


2020 ◽  
Vol 50 (4) ◽  
pp. 408-414 ◽  
Author(s):  
David U. Himmelstein ◽  
Steffie Woolhandler

Four decades of neoliberal health policies have left the United States with a health care system that prioritizes the profits of large corporate actors, denies needed care to tens of millions, is extraordinarily fragmented and inefficient, and was ill prepared to address the COVID-19 pandemic. The payment system has long rewarded hospitals for providing elective surgical procedures to well-insured patients while penalizing those providing the most essential and urgent services, causing hospital revenues to plummet as elective procedures were cancelled during the pandemic. Before the recession caused by the pandemic, tens of millions of Americans were unable to afford care, compromising their physical and financial health; deep-pocketed corporate interests were increasingly dominating the hospital industry and taking over physicians’ practices; and insurers’ profits hit record levels. Meanwhile, yawning class-based and racial inequities in care and health outcomes remain and have even widened. Recent data highlight the failure of policy strategies based on market models and the need to shift to a nonprofit social insurance model.


Author(s):  
Mark J. Stern

Between 1950 and 1980, the United States developed a welfare state that in many ways was comparable to those of other advanced industrial nations. Building on its New Deal roots, the Social Security system came to provide a “social wage” to older Americans, people with disability, and the dependents of deceased workers. It created a health-care insurance system for the elderly, the disabled, and the poor. Using the tax system in innovative ways, the government encouraged the expansion of pension and health-care protection for a majority of workers and their families. By 1980, some Americans could argue that their identification as a “laggard” in the field of social provision was no longer justified.


2019 ◽  
Vol 91 ◽  
pp. 08020
Author(s):  
Vladimir Plotnikov ◽  
Lyudmila Vardomatskaya ◽  
Valentina Kuznetsova

The development of smart cities is based on the use of new technologies. One of these promising technologies is Blockchain. The use of Blockchain gives great opportunities for solving a complex of problems related to: ensuring energy efficiency in buildings, the introduction of sustainable energy technologies for megacities, the formation of eco-friendly settlements, etc. The article analyzes the possibilities of using Blockchain technology in the social sphere of the city. The analysis is carried out on the example of health and pharmaceuticals. The study was carried out in the framework of the institutional approach and the concept of economic opportunities. The objectives of the study were: to identify specific areas of use of Blockchain technology in the pharmaceutical and health care industries; to evaluate the role of this technology in ensuring compliance with medical standards, transparency and safety of drugs at all stages of their development, promotion and use; to determine the possibilities of technology in identifying more effective and high-quality treatment methods, their implementation in practical health care. The article presents the structure of the areas of pharmaceuticals and health care, where the Blockchain is used. The strategies are offered to reduce labour and energy costs for processing medical information, accelerating the creation of new treatment technologies and the creation of medicines, their implementation in practical health care..


Author(s):  
Elena Semionova ◽  
Alena Samal ◽  
Natalia Smirnova ◽  
Maryna Boika ◽  
Maryia Chaikovskaya

The current stage of society's development is a constant demand of future professionals in the field of psychology and conflictology of research skills in the relevant field. Psychologists and conflictologists, as practitioners, should be able to analyze the situation with which they are accessed by clients, to identify the reasons that led to this situation, to predict various variants of the development of the event under certain conditions and methods of correction, direct or indirect impact. Psychologist and conflictologist must also own the methodology of the research, know the main stages of the research, be able to plan, organize and carry out research in the social sphere, describe and visualize its results, without forgetting the ethics of the research. In this chapter is analyzed the structure students-psychologists' and conflictologists' scientific research competence, the content of its main component is described.


Author(s):  
Mariya Viktorovna Kudryavtseva

The article presents the fundamental trends typical for the current stage of socio-economic development. The role of the integration of innovative technologies and digitalization of the economy is emphasized, and some tasks and problems associated with these processes are outlined. It is noted that in the conditions of the new technological order, social and labor relations and the position of the Russian labor market are changing. The changes under consideration determine the transformation of the nature of work and the requirements for modern specialists. The article highlights some of the contradictions that exist today between the educational services market and the labor market. The correlation of changes in the modern labor market and the prospects for the development of the social sphere in the new conditions is shown. The role of social policy in these processes is emphasized, and some issues characteristic of the current stage of the development of Russian social policy are noted.


2020 ◽  
pp. 17-25
Author(s):  
Yury Knyazev

The article describes the functioning of the three sectors of the social sphere in Slovenia — the pension system, health care and social guardianship. The emphasis is on the financing of these systems and the current problems of their activities and further reform. An author’s vision of a new approach to financing the social sphere is proposed, not on an individual or joint basis, but on the basis of direct coverage of necessary expenditures from the state budget, which increases as social productivity increases, regardless of the number of workers employed in the economy.


Author(s):  
GULBARSHYN CHEPURKO

The article raises the issue of social risks of the COVID-19 pandemic in three problem areas: health, education, support for the most vulnerable population groups, analyzes the impact of the pandemic on the interaction of government and society. In this case, social risk is seen as a danger that arises within the social sphere of society, which has negative social consequences and affects the lives of individuals, social groups and society as a whole. The current situation has shown that the medical and science systems of Ukraine are not ready for a large-scale pandemic. The author notes that after the end of the pandemic, a serious analysis of the problems that have arisen in the field of health care and the development of strategic measures to support the national health care system, medical institutions and health workers will be needed. The article analyzes the impact of the pandemic on the usual lifestyles of pupils / students, their families and teachers, which led to far-reaching economic and social consequences, emphasized on a number of socio-economic issues, including: - equal access to education (not all families can provide the same means for distance learning and have access to quality Internet). Pandemic allowed focusing on those people who especially need help: the elderly people, people with disabilities, members of large families and others. A large number of problems in the social sphere, which arose or deepened during the quarantine and did not receive a proper response from the state, are largely related to systemic problems. The article raises emphasizes on the fact that the attention of the state needs to be focused on structural problems. The state has to respond to the challenges in a timely manner, develop integrated approaches and solutions that will work in the long term perspective.


Sign in / Sign up

Export Citation Format

Share Document