Shifting health care regimes in urban China and the impact on the urban poor

2010 ◽  
Author(s):  
Hui Yang
2015 ◽  
Vol 2 (2) ◽  
pp. 285-300 ◽  
Author(s):  
Lilis MULYANI

AbstractDue to the pressures of urbanization, the urban poor often find themselves trapped in illegal settlements and informal employment. As housing is not affordable and formal employment is inaccessible to them because of their lack of education and skills, they live a precarious existence with insecure land tenure and employment. Discriminated against by the state on the grounds of their illegal status, the urban poor are unable to establish their identity and personhood rights as urban citizens, and so cannot access basic rights such as health care and social security. This article is based on fieldwork in Surakarta in Indonesia which studied the impact of a land-titling programme in an area previously characterized by informal tenure. It finds that the legitimation provided by land titles had a significant impact upon the lives of the residents, enabling them to access other personhood rights.


1987 ◽  
Vol 8 (1) ◽  
pp. 81-90 ◽  
Author(s):  
I. N. Egwu

Primary health care (PHC) in most developing countries remains largely inaccessible to a vast proportion of urban and rural populations. It is neither influenced by, nor integrated with, preventive care/community development. This may be attributed partly to lack of community participation by communities. Professional health care is isolated and impervious to the influence of health care users. In Nigeria all functional correlates are available in the existing health systems; yet, the impact is not felt. What is needed, and urgently, is an intervention to extend meaningful health care delivery into the urban poor and rural communities. The Nigerian Youth Service Corps (NYSC) scheme, through a rational and systematic mobilization and utilization of its health manpower, offers an excellent opportunity to demonstrate that PHC can work. A two-step intervention process is proposed: a reorientation during NYSC “orientation,” and a community-based practice module, during the NYSC “Primary Assignment” phase. Health professionals working as a “team,” and led by NYSC doctor(s), undertake their medical care responsibilities as well as community development projects as integrated aspects of PHC. It is envisaged that experiences accruing from such a deliberate intervention with a pilot project, will form a basis for operational adoption of the proposed CHIP as a national model.


2004 ◽  
Vol 3 (3) ◽  
pp. 259-271 ◽  
Author(s):  
Xiaoyuan Shang ◽  
Xiaoming Wu

The article will examine the latest development of China's urban social assistance reform. Under the impact of the dual processes of globalisation and the deepening market transition, China's social security reform is increasingly taking a new safety net approach to assist the urban poor, instead of relying mainly on social insurance provision. The minimum living security project for urban residents is one of the approaches supplementing social insurance in social protection. In 2002, about one-third of social security beneficiaries were supported by the newly developed social assistance project. The changing approach does not mean that the government is withdrawing from its responsibility for social insurance to the urban workers, but reflects the changing goals and means of social policies. This indicates that China's social welfare system is shifting towards a new residual welfare model.


2007 ◽  
Vol 30 (4) ◽  
pp. 51 ◽  
Author(s):  
A. Baranchuk ◽  
G. Dagnone ◽  
P. Fowler ◽  
M. N. Harrison ◽  
L. Lisnevskaia ◽  
...  

Electrocardiography (ECG) interpretation is an essential skill for physicians as well as for many other health care professionals. Continuing education is necessary to maintain these skills. The process of teaching and learning ECG interpretation is complex and involves both deductive mechanisms and recognition of patterns for different clinical situations (“pattern recognition”). The successful methodologies of interactive sessions and real time problem based learning have never been evaluated with a long distance education model. To evaluate the efficacy of broadcasting ECG rounds to different hospitals in the Southeastern Ontario region; to perform qualitative research to determine the impact of this methodology in developing and maintaining skills in ECG interpretation. ECG rounds are held weekly at Kingston General Hospital and will be transmitted live to Napanee, Belleville, Oshawa, Peterborough and Brockville. The teaching methodology is based on real ECG cases. The audience is invited to analyze the ECG case and the coordinator will introduce comments to guide the case through the proper algorithm. Final interpretation will be achieved emphasizing the deductive process and the relevance of each case. An evaluation will be filled out by each participant at the end of each session. Videoconferencing works through a vast array of internet LANs, WANs, ISDN phone lines, routers, switches, firewalls and Codecs (Coder/Decoder) and bridges. A videoconference Codec takes the analog audio and video signal codes and compresses it into a digital signal and transmits that digital signal to another Codec where the signal is decompressed and retranslated back into analog video and audio. This compression and decompression allows large amounts of data to be transferred across a network at close to real time (384 kbps with 30 frames of video per second). Videoconferencing communication works on voice activation so whichever site is speaking has the floor and is seen by all the participating sites. A continuous presence mode allows each site to have the same visual and audio involvement as the host site. A bridged multipoint can connect between 8 and 12 sites simultaneously. This innovative methodology for teaching ECG will facilitate access to developing and maintaining skills in ECG interpretation for a large number of health care providers. Bertsch TF, Callas PW, Rubin A. Effectiveness of lectures attended via interactive video conferencing versus in-person in preparing third-year internal medicine clerkship students for clinical practice examinations. Teach Learn Med 2007; 19(1):4-8. Yellowlees PM, Hogarth M, Hilty DM. The importance of distributed broadband networks to academic biomedical research and education programs. Acad Psychaitry 2006;30:451-455


2019 ◽  
Vol 118 (7) ◽  
pp. 20-26
Author(s):  
S. JAYARAMAN ◽  
R. Sindhya ◽  
P. Vijiyalakshmi

this research aims to find out the intensity of Employee Engagement of the health care sector workers and the relationship between the Work life factors and Employee Engagement of Health care sector workers in Dindigul District. Primary data were used in this research, were collected from 298 Health care workers from Dindigul District. Questionnaire was the major tool used to gather the primary data from the selected sample respondents. For this purpose, a well structured questionnaire was constructed with the help of professionals and the practiced employees of various health care units in Dindigul District. The health care employees were chosen by simple random sampling method. The investigative measures of regression Path analysis, and simple percentage analysis were utilized to find the impact of work life related factors with the Employee Engagement. The maximum Health care workers were generally satisfied with their jobs. The analytical procedure of path analysis multiple regressions was utilized to determine the predicting strength among Work life factors and the employee engagement. This study provides an another view about the importance of Work life factors and Employee engagement for organizational effectiveness and performance .


Sign in / Sign up

Export Citation Format

Share Document