scholarly journals Australia’s Two-Tier Health Care System United Against COVID-19

2020 ◽  
Vol 1 (1) ◽  
pp. 4-5
Author(s):  
Bishoy Hanna ◽  
Amanda Chung

The coronavirus disease 2019 (COVID-19) pandemic has had and continues to have an unprecedented impact on health care systems worldwide. The Australian system has yet to be truly tested by the pandemic, as rapid implementation of public health measures has curbed infection rates. Australia’s 2-tier health care has allowed sufficient staffing, equipment, and beds to continue providing acute health care in the face of an exceptional and extreme demand. No health system is perfect and, although Australia’s has some wonderful attributes that make it the envy of many other countries, it faces a number of important challenges. This paper describes how Australia’s health care structure has adapted to respond to the COVID-19 crisis, examines the challenges involved and the lessons learned, and explores how this environmental pressure could lead to systemic adaptations.

2021 ◽  
pp. 119-132
Author(s):  
Guido Giarelli

The main results in terms of inter-regional and intra-regional variations of the application of the concept of "health macro-region" are presented in the first part of the article in order to show how the European health care systems have differently coped with the COVID-19 outbreak. Given the high levels of intra-regional variation found, it seemed appropriate to also add an analysis by country in order to identify those "sentinel cases", given their alert value, which recorded the worst ratio between the infection rates (cases/population) and the lethality rates (deaths/cases). In order to explore the possible reasons behind the problematic coping with the pandemic of these "sentinel cases", a conceptual framework for the analysis of vulnerability, resilience and their governance in terms of sustainability of health care systems is developed in the second part, hoping its application could represent a useful contribution for best-practice solutions that could guide the management of future pandemics.


2020 ◽  
Vol 163 (4) ◽  
pp. 705-706 ◽  
Author(s):  
Taher S. Valika ◽  
Kathleen R. Billings

The rapidly changing health care climate related to coronavirus disease 2019 (COVID-19) has resulted in numerous changes to health care systems and in practices that protect both the public and the workers who serve in hospitals around the country. As a result, these past few months have seen a drastic reduction in outpatient visits. With phased reopening and appropriate guidance, health care systems are attempting to return to normal. The experiences and lessons learned are described, and we provide guiding principles to allow for a safe and effective return to outpatient care.


OTO Open ◽  
2020 ◽  
Vol 4 (2) ◽  
pp. 2473974X2093665
Author(s):  
Taher S. Valika ◽  
Kathleen R. Billings

The rapidly changing health care climate related to coronavirus disease 2019 (COVID-19) has resulted in numerous changes to health care systems and in practices that protect both the public and the workers who serve in hospitals around the country. As a result, these past few months have seen a drastic reduction in outpatient visits and surgical volumes. With phased reopening and appropriate guidance, health care systems are attempting to return to normal. Our institution has had the unique opportunity to already return operations back to full capacity. The experiences and lessons learned are described, and we provide guiding principles to allow for a safe and effective return to patient care.


2020 ◽  
Vol 20 (4) ◽  
Author(s):  
Sonja Lindner ◽  
Lutz Kubitschke ◽  
Christos Lionis ◽  
Marilena Anastasaki ◽  
Ursula Kirchmayer ◽  
...  

2021 ◽  
pp. 220-241
Author(s):  
Carlos Lema Añón

The COVID-19 pandemic has particularly affected Spain in 2020. Although the specific causes and Spain’s response—as well as the aspects to be improved—are yet to be evaluated, many experts agree that this crisis has magnified some of the problems of the Spanish health system, highlighting the problems derived from the cuts in the capacities of the health and public health systems. We assess the current situation from the perspective of the right to health in its twofold dimension: health care and social determinants. For this purpose, we look into the configuration of the right to health in Spain and how the economic crisis and austerity policies affected it. In particular, we consider the impact both on institutional health care systems and in terms of social determinants of health. Finally, we make several proposals for strengthening the right to health.


2019 ◽  
Vol 25 (3) ◽  
pp. 257-265
Author(s):  
Warren A Kinghorn

AbstractIn his 1917 lecture “Science as a Vocation,” Max Weber challenged current and aspiring scholars to abandon any pretense that science (Wissenschaft) bears within itself any meaning. In a disenchanted age, he argued, science could at best offer “knowledge of the techniques whereby we can control life . . . through calculation,” and any meaning or moral direction to scientific research—including religious meaning—must be imposed on it from without. Weber presciently anticipated that many present-day health care practitioners would struggle to find meaning for their work within complex “state-capitalist” health care systems, along with predictable quasi-religious responses. But how are Christian practitioners to practice faithfully in a disenchanted age? The authors of this special issue lean deeply into the loci of Christian theology and Christian practice, some challenging the views of the body and of nature that informed Weber’s theory of disenchantment, and all offering resources and paths by which practitioners might “look the fate of the age full in the face” with courage and wisdom.


2019 ◽  
Vol 54 (4) ◽  
pp. 283-288
Author(s):  
S. Yasui

In response to the Fukushima nuclear accident in 2011, the Ministry of Health, Labour and Welfare (MHLW) temporarily increased emergency dose limits from 100 to 250 mSv from March 14 to December 16, 2011, but there were many problems in medical and health care systems. Based on the lessons learned, in 2015, the MHLW deliberated for radiation protection and medical and health care systems to prepare for future nuclear emergencies. The paper aims to describe and share the experience gained in the process of setting medical and healthcare systems. The paper outlines the issues of: (a) on-site medical and health care systems; (b) health care during emergency work and; (c) long-term health care. For the deliberation, the MHLW had to find the way to keep a balance between the protection of the emergency workers and the prompt implementation of crisis response. The MHLW built a consensus among stakeholders by providing lifetime healthcare systems as compensation for the radiation health risks and by enhancing preparedness to eliminate confusion and disorder and improve the level of protection against health risks. The experience gained shows that acceptance of the health risks due to radiation exposure needs not only a scientific basis, but also social acceptance.


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