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Articles de revues sur le sujet "Medical policy – Social aspects – Sweden"
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Averland, A. M., L. Öjesjö et K. L. Soothill. « Psychiatric Court Referrals in Sweden ». Medicine, Science and the Law 27, no 1 (janvier 1987) : 43–50. http://dx.doi.org/10.1177/002580248702700109.
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In an international comparison Sweden has a high proportion of pre-trial psychiatric evaluations. The purpose of the study was to look for the most likely reasons for such a referral in the Linköping region. The basic material came from court records and from medical and social reports. It was found that the courts' knowledge of previous psychiatric treatment was the most important reason (44 per cent), followed by nature of the offence (31 per cent), management problems (14 per cent) and awkward behaviour at the proceedings (12 per cent). The results support the view that forensic psychiatric evaluations may serve different social functions in different countries.
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HANSSON, SVEN OVE. « Medical Ethics and New Public Management in Sweden ». Cambridge Quarterly of Healthcare Ethics 23, no 3 (2 juin 2014) : 261–67. http://dx.doi.org/10.1017/s0963180113000868.
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Abstract:In order to shorten queues to healthcare, the Swedish government has introduced a yearly “queue billion” that is paid out to the county councils in proportion to how successful they are in reducing queues. However, only the queues for first visits are covered. Evidence has accumulated that queues for return visits have become longer. This affects the chronically and severely ill. Swedish physicians, and the Swedish Medical Association, have strongly criticized the queue billion and have claimed that it conflicts with medical ethics. Instead they demand that their professional judgments on priority setting and medical urgency be respected. This discussion provides an interesting illustration of some of the limitations of new public management and also more generally of the complicated relationships between medical ethics and public policy.
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Calltorp, Johan. « Consensus Development Conferences in Sweden : Effects on Health Policy and Administration ». International Journal of Technology Assessment in Health Care 4, no 1 (janvier 1988) : 75–88. http://dx.doi.org/10.1017/s0266462300003287.
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AbstractSeven consensus development conferences have been held in Sweden since 1982. The conferences, sponsored by the Swedish Medical Research Council and Spri, typically examine social, organizational, and economic aspects of technology, and therefore, generate consensus statements of interest not only to physicians but also to politicians and health administrators.The study presented here examines the influence of the first five consensus development conferences on politicians and health administrators. Data was obtained via a mail questionnaire and personal interviews with leading individuals in these groups. More than half of the respondents indicated that they had found the statements from one or more conferences to be of practical value as a basis for discussing specific technologies with medical staffs. In some cases the statements directly influenced political decisions.
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Carlsson, Per, Egon Jonsson, Lars Werkö et David Banta. « HEALTH TECHNOLOGY ASSESSMENT IN SWEDEN ». International Journal of Technology Assessment in Health Care 16, no 2 (avril 2000) : 560–75. http://dx.doi.org/10.1017/s0266462300101151.
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Sweden has a welfare system that is based on the fundamental principle that all citizens are entitled to good health and medical care, regardless of where they live or what their economic circumstances are. Health and medical care are considered to be public sector responsibilities. However, there is growing interest in establishing more private alternatives to public care. An important characteristic of the Swedish healthcare system is its decentralization, with a major role for county councils. County councils are now merging into larger administrative units (region). The whole Swedish system is in the process of reform, mainly because of perceptions that it was too rigid and had insufficient patient orientation. An important factor in the reforms is that power in the system will be even more decentralized and will have greater public input. This change is seen as calling for increased central follow-up and evaluation of matters such as social, ethical, and economic aspects. Although the state has decentralized control, it still attempts to control the general direction of the system through regulation, subsidy, recommendations, and guidelines. An important actor in the system is the Swedish Council on Technology Assessment in Health Care (SBU). SBU began in 1987 with assessments of health technologies, but its success has recently led policy makers to extend its coverage to dental care. Health technology assessment is increasingly visible to policy makers, who find it useful in decision making.
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HANSSON, SVEN OVE. « Three Bioethical Debates in Sweden ». Cambridge Quarterly of Healthcare Ethics 17, no 3 (21 mai 2008) : 261–69. http://dx.doi.org/10.1017/s0963180108080316.
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Three of the bioethical issues recently discussed in Sweden appear to be particularly interesting also to an international audience. A new law allowing restrictive use of preimplantation genetic diagnosis (PGD)/human leukocyte antigen (HLA) (“savior siblings”) has been implemented, a new recommendation for the cessation of life-sustaining treatment has been issued, and the scope of individual responsibility for medical mistakes has been rather thoroughly discussed.
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APPEL, JACOB. « Sweden Asks : Should Convicted Murderers Practice Medicine ? » Cambridge Quarterly of Healthcare Ethics 19, no 4 (18 août 2010) : 559–62. http://dx.doi.org/10.1017/s0963180110000514.
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Most reasonable people acknowledge that Karl Helge Hampus Hellekant has committed a grave moral offense: the 33-year-old Swede, also known as Karl Svensson, was convicted of killing trade unionist Björn Söderberg in 1999 at the behest of the Swedish neo-Nazi movement. What is not so clear is whether Hellekant, who is currently free on parole, should be permitted to become a physician. The former extremist was admitted to the medical school at Stockholm’s Karolinska Institute in 2007, but later expelled—following considerable public debate—after school officials discovered that he was temporarily unable to verify his academic records. Sweden’s most prestigious medical school, Uppsala, subsequently confirmed these records and matricatulated him in 2008.
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Goldberg, Ted. « A path forward for Swedish drug policy ? » Nordic Studies on Alcohol and Drugs 38, no 2 (9 février 2021) : 112–24. http://dx.doi.org/10.1177/1455072520978352.
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Aims and premise: The primary aims of this article are to: describe some major aspects of the theoretical basis of the Swedish drug policy model, present alternative theoretical understandings which may pave the way for changes in drug policy, depict some problems with the Swedish model, introduce the primary principles for “the experimenting society”, and give concrete examples of when these have/have not been applied in Sweden. Some findings: Sweden’s predominantly biochemical approach should be replaced by a biopsychosocial model. The idea that all non-medical consumption of drugs is abuse is counterproductive. Differences between recreational and problematic consumers are discussed. The question of people’s motives for taking drugs has not been incorporated into Swedish drug policy. The stepping-stone hypothesis is examined. It was found that recreational and problematic consumption do not co-vary, indicating that these are two essentially different phenomena. Conclusion: After four decades with the current Swedish drug policy model we are further from our pronounced goal of striving towards becoming a drug-free society than when we started. Access to, and demand for, drugs has continually increased, and our drug policies have caused serious collateral damage. Consequently, there is good reason to re-think the course we have chosen. The Swedish version of the war on drugs has failed to achieve its goals and it is time to make peace. It is time to accept that we will never be drug-free and therefore must learn to live with narcotics. As nobody knows what is the best way to achieve this, we should approach the task with humility. We need to put prestige aside and become “the experimenting society”; that is, one that would vigorously try out possible solutions and make stringent, multidimensional evaluations of outcomes. When the evaluation of a reform shows it to have been ineffective or harmful, we should try other measures.
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Blomqvist, Jan. « What is the Worst Thing you could get Hooked on ? : Popular Images of Addiction Problems in Contemporary Sweden ». Nordic Studies on Alcohol and Drugs 26, no 4 (août 2009) : 373–98. http://dx.doi.org/10.1177/145507250902600404.
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Aims To investigate potentially crucial aspects of Swedes' perceptions of nine different addictions. Data and Methods Population survey, sent out to 2,000 adult Swedes (18–74 years), focusing on the perceived severity of, responsibility for, options to recover from, and character of addiction to cigarettes, snuff, alcohol, cannabis, amphetamine, cocaine, heroin, medical drugs, and gambling. Results There are large differences in the ways in which various addiction problems are perceived. Whereas tobacco use, and to some extent gambling, are seen as relatively harmless “habits”, not particularly easy to get hooked on but easy to quit, the use of drugs such as heroin, amphetamine, and cocaine is seen as a major societal problem, and users are seen both as “sinners” who need to mend their ways and as powerless “victims”. In between comes the use and misuse of alcohol, cannabis and medical drugs, about which perceptions are more divided. Conclusions Respondents tend to downplay the risks and dangers with addictive habits that are common and familiar in mainstream culture, and to dramatise the risks and dangers with such habits that are uncommon or “strange”. This may have unfortunate consequences for addicts' options to find a path out of their predicaments.
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Kjellström, Sofia, Gunilla Avby, Kristina Areskoug-Josefsson, Boel Andersson Gäre et Monica Andersson Bäck. « Work motivation among healthcare professionals ». Journal of Health Organization and Management 31, no 4 (19 juin 2017) : 487–502. http://dx.doi.org/10.1108/jhom-04-2017-0074.
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Purpose The purpose of this paper is to explore work motivation among professionals at well-functioning primary healthcare centers subject to a national healthcare reform which include financial incentives. Design/methodology/approach Five primary healthcare centers in Sweden were purposively selected for being well-operated and representing public/private and small/large units. In total, 43 interviews were completed with different medical professions and qualitative deductive content analysis was conducted. Findings Work motivation exists for professionals when their individual goals are aligned with the organizational goals and the design of the reform. The centers’ positive management was due to a unique combination of factors, such as clear direction of goals, a culture of non-hierarchical collaboration, and systematic quality improvement work. The financial incentives need to be translated in terms of quality patient care to provide clear direction for the professionals. Social processes where professionals work together as cohesive groups, and provided space for quality improvement work is pivotal in addressing how alignment is created. Practical implications Leaders need to consistently translate and integrate reforms with the professionals’ drives and values. This is done by encouraging participation through teamwork, time for structured reflection, and quality improvement work. Social implications The design of the reforms and leadership are essential preconditions for work motivation. Originality/value The study offers a more complete picture of how reforms are managed at primary healthcare centers, as different medical professionals are included. The value also consists of showing how a range of aspects combine for primary healthcare professionals to successfully manage external reforms.
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Edman, Johan. « What's in a Name ? : Alcohol and Drug Treatment and the Politics of Confusion ». Nordic Studies on Alcohol and Drugs 26, no 4 (août 2009) : 339–53. http://dx.doi.org/10.1177/145507250902600402.
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Aims The aim of this article is to investigate the use of a rather vague medical conceptual framework within the compulsory treatment of alcohol and drug users in Sweden during the 20th century. The focus lies on exploring how a phenomenon came to be described as pathological, what the causes are for certain actions being suddenly interpreted in medical terms, and what consequences that might lead to. Design Supported by theoretical speculations on medicalization processes and conceptual history, two empirical cases (the compulsory care of alcohol abusers in the 1950s and the legislative process leading to psychiatric compulsory care of drug users in the late 1960s) are investigated. The first case draws mainly upon official reports and archive material from alcohol treatment institutions, whilst the second case is built from reading official reports and parliamentary material. The research task for the two empirical cases has not quite been the same: whereas the first case is illustrated by the discrepancies between the labelling of treatment activities and the treatment actually carried out, the second case rather draws upon the enlargement of the field of signification of the disease concept to cover most aspects of drug use. Results A medicalization process on different levels is traced both in the post-war compulsory treatment of alcohol abusers as well as the compulsory psychiatric care for drug abusers that was introduced from the late 1960s onwards. Conclusion The investigated cases show how the medicalization processes benefited from conceptual vagueness, leading to a widening of the conceptual dimensions of both the treatment and disease concepts. In this, the medicalization of alcohol abuse in the 1950s and drug abuse in the 1960s made way for a paternalistic justification of compulsory care measures that might otherwise have become politically troublesome.
Thèses sur le sujet "Medical policy – Social aspects – Sweden"
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Lundberg, Anna. « Care and Coercion : medical knowledge, social policy and patients with venereal disease in Sweden 1785-1903 ». Doctoral thesis, Umeå universitet, Demografiska databasen, 1999. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-15000.
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This study investigates the history of venereal diseases in Sweden in the period from 1785 to 1903. Medical and political perceptions of these diseases as well as the patients and their continued lives have been studied. Venereal diseases were considered a significant threat to the growth of the population throughout the period. They were recognised through the dramatic sores that they produced on the body of the patient, and were frequently cured with mercurial therapies. In the late nineteenth century, syphilis and gonorrhoea became the two most significant sexually transmitted diseases. They were believed to cause paralysis, mental illness, infant mortality and infertility. Sweden fought venereal diseases with a network of State-controlled health measures. County hospitals that contained special wards for patients diagnosed with venereal diseases were established in the late eighteenth century. These hospitals were financed by mandatory revenue after 1817. Medical care was mandatory and ministers, law officers and heads of households could inform the provincial physicians about the incidence of venereal disease. During the nineteenth century, the regulation of prostitution was enforced which implied that women were blamed for the spread of these diseases. Patients with venereal disease belonged to a cross section of contemporary Swedish society. Most of them were from the lower- or working-classes. They suffered higher age-specific mortality in the first half of the century, and high infant mortality throughout the period. It appears, however, that the constructed image of a patient with venereal disease had little impact upon their lives. Contemporary poverty and societal problems, such as unemployment and poor housing, probably played a larger part in their lives.digitalisering@umu
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Magill, Julia Rose. « No contest : theorizing power through aspects of health and social care policy in the wake of the demise of the internal market in NHS Wales ». Thesis, University of South Wales, 2011. https://pure.southwales.ac.uk/en/studentthesis/no-contest(d7482313-4e9a-4498-a729-3318e07be8fe).html.
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Following in the footsteps of Neitzsche (1968) and Foucault (1980), Clegg et al (2006) and Haugaard and Clegg (2009) have argued that power is the most central concept in the analysis of organization and organizing. The desirability of further developing the theorization of power in health and social care policy in the United Kingdom has been identified in a number of recent publications (Hunter, 2008; Crinson, 2009; Ham, 2009). This critical overview analyzes relative power to connect policy at the macro level (ending the internal market in NHS Wales) with specific policy issues encompassed by the four projects within the portfolio on: • locality commissioning; • delayed transfers of care; • governance, incentives and integration; and • safeguarding adults. The contribution to knowledge that flows from this critical overview: identifies that theorizing power in health and social care policy may help to explain apparent disconnections between policy intent and the effect of policy in practice in the context of post-devolution Wales; • suggests that, at its most extreme, neglecting to take into account the role of power in the design, implementation and review of policy in this particular policy arena becomes a matter of life and death; and • proposes that exploring power in health and social care policy through Foucauldian-informed critical discourse analysis of relative power could to some extent facilitate translation of policy aspirations into practice.
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Romero, Mariel Sintora. « A Critical Medical Anthropology Approach to Advocating for Social Justice and Policy Change in Pesticide Use and Practice to Reduce Health Risks Among Hispanic/Latinos in Central California ». Thesis, University of North Texas, 2015. https://digital.library.unt.edu/ark:/67531/metadc804957/.
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This mixed methods research was conducted in the fall of 2014 to understand the perceptions and experiences of health risks and health outcomes due to pesticide exposure among community members (n=13) - concerned community members, agriculture workers and teachers- that live in the Central California agriculture counties of Monterey, Santa Cruz, Tulare, Fresno and Madera. This research explored: 1) The crops growing in participants’ communities, and how exposure to pesticides used in these crops pose potential health risks to participants and their communities 2) How pesticide exposure is impacting Hispanic/Latino communities in Central California, particularly those that are most vulnerable including school children, agriculture workers, and community members 3) The major public health concerns of impacted communities 4) Feelings of empowered to advocate for community health and environment and 5) What impacted communities wish to see on behalf of government and agribusiness to protect public health from pesticide exposure and toxins.
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Dahn, Marcus Anthony. « Investigation of Procurement Practices for Welfare Technologies in Municipalities in Sweden ». Thesis, KTH, Medicinteknik och hälsosystem, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-279146.
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Major demographical changes, such as aging population, constantly increases the demand for healthand social care services and technologies. The concept of welfare technologies is a response to meet this demand, since it increases independency, activity, participation and safety for people that has or is at risk of developing a disability. The procurement process of welfare technology is described as ineffective and problematic and is one of the major bottlenecks in implementing this type of technology. The aim of this study was to explore how the practical procurement process of welfare technology is performed in Swedish municipalities, an area which is currently under-researched. Moreover, the main problematic areas in the procurement, and their causes were investigated, which was carried out through qualitative semi-structured interviews with municipal actors. Data was collected from 3 municipalities, with 8 interview participants in total. The collected data from these interviews was transcribed, using intelligent verbatim, and analyzed inductively in the framework of qualitative content analysis. The data analysis yielded 7 main categories of problematic areas in the procurement process, along with 47 sub-categories. The main issues discussed were related to insufficient resources, such as competence, time and money, too little focus on the userneed, and difficulties with integrating welfare technology with other technical systems. A set of concrete advices for how to target some of the identified problems was generated, along with a couple guidelines for how to streamline the procurement process of welfare technology. It is argued in this report that the municipal organization of this process needs to be looked over, which cannot solely occur within municipalities, but must also be decided from a higher political level.
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Lemar, Susan. « Control, compulsion and controversy : venereal diseases in Adelaide and Edinburgh 1910-1947 ». Title page, contents and abstract only, 2001. http://web4.library.adelaide.edu.au/theses/09PH/09phl548.pdf.
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Includes bibliographical references (leaves 280-305). Argues that despite the liberal use of social control theory in the literature on the social history of venereal diseases, rationale discourses do not necessarily lead to government intervention. Comparative analysis reveals that culturally similar locations can experience similar impulses and constraints to the development of social policy under differing constitutional arrangements.
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Jennings, Reece. « The medical profession and the state in South Australia, 1836-1975 / ». Title page, contents and abstract only, 1998. http://web4.library.adelaide.edu.au/theses/09MD/09mdj54.pdf.
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Horn, Lynette (Lynette Margaret). « Theories of justice and an HIV/AIDS health care policy for South Africa : a comparative analysis ». Thesis, Stellenbosch : Stellenbosch University, 2003. http://hdl.handle.net/10019.1/53662.
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Thesis (MPhil)--University of Stellenbosch, 2003.ENGLISH ABSTRACT: On The io" of May 1994 Nelson Mandela was inaugurated as the first democratically elected black president of South Africa. The occasion was regarded, both nationally and internationally, as a triumph for humanity and perfused with a widespread optimism for the future of South Africa. Mandela proclaimed in his inaugural speech that "Never, never and never again shall it be that this beautiful land will experience oppression of one by another .... The sun shall never set on so glorious an achievement." However, now, less than 10 years later the rapidly accelerating and devastating HIV/AIDS epidemic is again 'obscuring the sun'. Those people affected so negatively by the racial, economic and gender injustices of the apartheid past, seem again to be suffering a possible injustice, because of a health and welfare system that is struggling to meet the needs of the HIV affected population. The purpose of this dissertation is to examine the concept of distributive justice in South Africa, within the context of this devastating epidemic. I begin by discussing the Bill of Rights in the South African Constitution. I argue that an acceptable framework for a theory of justice for health care in South Africa, must be worked out against the background of this egalitarian Bill of Rights. I then consider the extent of the HIV epidemic, the effect it is having on the people of South Africa and the consequent implications for health care needs. It is within this context that I examine and compare three theories of distributive justice, namely utilitarianism, John Rawls' theory of "Justice as Fairness" and a libertarian concept of justice, as proposed by Robert Nozick. Utilitarianism is a consequentialist theory that focuses on producing the 'greatest happiness for the greatest number'. I argue that many health policy decisions in South Africa are in fact guided by this principle. However utilitarianism has both strengths and weaknesses which are critically examined. Within the framework of health care policy making, utilitarian justice dictates that rights are derivative and that the welfare of the majority usually takes precedence over the pressing needs of a minority. This issue in particular is discussed. Rawls' theory of "Justice as fairness" is critically discussed next. This theory has been adapted to health care by Norman Daniels, who argues that the Rawlsian principle of "fair equality of opportunity" is a suitable founding principle for health care institutions. Apartheid entrenched a system of 'inequality of opportunity'. Consequently, a theory that focuses on equality of opportunity, has many advantages within the South African context. I examine this theory in detail and provide justification for my assertion that it could be usefully adapted to South African healthcare and the HIV/AIDS epidemic. Finally, I discuss a Libertarian (Nozickian) theory of justice and examine both the strengths and weaknesses of this theory. I attempt to demonstrate why a libertarian system, with it vigorous commitment to moral and economic individualism and belief that one is only entitled to that share of healthcare that can be paid for, would be unjust, if rigorously applied within the post-apartheid South African context. I conclude my dissertation by reiterating my assertion that "Justice as Fair Equality of Opportunity" could be used as a just foundation for a theory of justice for health care in current day, HIV/AIDS affected South Africa.
AFRIKAANSE OPSOMMING: Teorieë van geregtigheid en 'n gesondheidsbeleid vir die VIGS epidemie in Suid Afrika: 'n vergelykende ontleding. Op die 10de Mei 1994 is Nelson Mandela ingehuldig as die eerste demokraties verkose swart president van Suid- Afrika. Die geleentheid is in beide Suid-Afrika en in die buiteland beskou as 'n oorwinning vir humaniteit. Optimisme oor Suid-Afrika se toekoms was oral tasbaar. Mandela het in sy inhuldigingstoespraak verkondig dat dit nooit weer sal gebeur dat hierdie pragtige land sal lyonder die onderdrukking van een oor die ander nie. Hy het gesê dat die son nooit salondergaan op so 'n wonderlike prestasie nie. Nou, minder as tien jaar later, is die verwoestende VIGS epidemie besig om weer die 'son te laat ondergaan'. Dieselffde mense wat alreeds onder apartheid se rasisme en ekonomiese en geslagsongeregtighede gely het, blyk nou weer verontreg te word; hierde keer omdat die gesondheids- en welsynsisteem sukkel om in die behoeftes van die VIGS-geaffekteerde populasie te voorsien. Die doel van hierdie verhandeling is om die konsep van distributiewe geregtigheid in die konteks van die dreigende VIGS epidemie te bespreek. Ek begin met 'n bespreking van die Verklaring van Regte soos vervat in die Suid-Afrikaanse Grondwet. Ek voer aan dat enige aanvaarbare teorie oor geregtigheid in die Suid-Afrikaanse gesondheidsisteem gegrond moet word op hierdie egalitêre Verklaring van Regte. Tweedens kyk ek na die omvang van die VIGS epidemie, die effek wat dit op die HIV-positiewe populasie en hulle familielede het, en die gevolglike implikasies vir gesondheidsbehoeftes. Dit is binne hierdie konteks dat ek drie teorieë van distributiewe geregtigheid ondersoek en vergelyk; naamlik utilitarisme, John Rawls se teorie van "Justice as Fairness", en 'n libertynse konsep van geregtigheid soos voorgestel deur Robert Nozick. Utilitarisme is 'n konsekwensialistise teorie wat beteken dat die regte daad die een is wat in enige situasie die grootste geluk vir die meeste persone sal meebring. Ek voer aan dat baie van die beleidsrigtings wat 'n gesondheidsorg in Suid-Afrika gevolg is, deur hierdie teorie beïnvloed is. Utilitarisme het uiteraard sterk en swak punte en beide kante word krities ondersoek. In 'n gesondheidsorg konteks beteken utilitarisme dat regte altyd afgelei is en dat die welsyn van die meerderheid gewoonlik belangriker is as die van 'n minderheid, selfs wanneer die probleme van die minderheid ernstig en dringend is. Rawls se teorie van geregtigheid word vervolgens krities bespreek. Hierdie teorie is deur Norman Daniels aangepas vir gesondheidsorg. Hy stel voor dat Rawls se beginsel van 'regverdige gelykheid van geleentheid' baie effektief aangepas kan word vir gesondheidsorginstellings. Apartheid het 'n sisteem van ongelyke geleentheids verskans; gevolglik hou 'n teorie wat gelykheid van geleentheid verseker baie voordele vir die Suid- Afrikanse situasie in. Ek bespreek hierdie teorie in detail en poog om my standpunt dat die teorie besonder geskik is vir Suid-Afrikaanse gesondheidsisteem - veral in die konteks van die VIGS epidemie - te regverdig. Laastens bespreek ek die libertynse teorie van geregtigheid soos voorgestel deur Robert Nozick. Ek probeer aantoon waarom hierdie teorie, wat gebaseer is op morele en ekonomiese individualisme en gevolglik aanvoer dat mense geregtig is op gesondheidsorg alleenlik as hulle daarvoor kan betaal, onregverdig is in die Suid-Afrikaanse post-apartheid konteks. Ek sluit hierdie. verhandeling af deur weer te argumenteerdat Rawls se teorie en die beginsel van 'geregtigheid as gelyke geleentheide' uiters geskik is as 'n grondslag vir gesondheidsorg in Suid-Afrika vandag.
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Palmedo, P. Christopher. « Equality, Trust and Universalism in Europe, Canada and the United States : Implications for Health Care Policy ». PDXScholar, 2014. https://pdxscholar.library.pdx.edu/open_access_etds/1929.
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A number of theoretical explanations seek to describe the factors that have led to the position of the United States as the last industrialized Western nation without a universal health care program. Theories focus on institutional arrangement, historic precedent, and the influence of the private sector and market forces. This study explores another factor: the role of underlying social values. The research examines differences in values among ten European countries, the United States and Canada, and analyzes the associations between the values that have been seen to contribute the individualism-collectivism dynamic in the United States. The hypothesis that equality and generalized trust are positively associated with universalism is only partially true. Equality is positively associated (B = .301, p < .001), while generalized trust is negatively associated with universalism (B = -.052, p < .001). Not only do Americans show lower levels of support for income equality and universalism than Europeans, but the effect of being American holds even after controlling for socio-demographic and religious variables (B = .044, p < .01). When the model tests the association of equality and trust on universalism in each region, it explains approximately 17 percent of the variance of universalism for the United States, and approximately 13 percent in Europe and Canada.
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Bassetto, Gustavo Xavier. « O idoso e a proteção normativa da saúde ». Pontifícia Universidade Católica de São Paulo, 2018. https://tede2.pucsp.br/handle/handle/21127.
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This paper analyzes the historical evolution of health and elderly standards, the influence of international events on Brazilian norms, the recognition of the right to health as a fundamental right, the Brazilian health system from the Federal Constitution of 1988, norms the protection of the elderly and their health. The effectiveness of norms for the protection of the rights of the elderly can be determined by indicators from the political matrix and its objectives
Este trabalho analisa a evolução histórica das normas de saúde e do idoso, as influências frente aos acontecimentos internacionais nas normas brasileiras, o reconhecimento do direito à saúde como um direito fundamental, o sistema de saúde brasileiro a partir da Constituição Federal de 1988, as normas de proteção à pessoa idosa e à sua saúde. A efetividade das normas de proteção dos direitos da pessoa idosa pode ser apurada por indicadores a partir das matrizes políticas e de seus objetivos
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Eriksson, Per Gustav. « Analysis of Physiotherapists Perceptions for Improvement of Digital Innovation ». Thesis, KTH, Medicinteknik och hälsosystem, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-279129.
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With the current challenges for the healthcare such as increased demand for care, financial and resource constraints along with rapid changes and complexity there is high believe in digital innovation and digitalisation to efficacy resources and aid in delivering a safer, more accessible and patient centred valuable care. There is a digitalisation that is ongoing, being used and implemented over several different areas of healthcare. Since healthcare can be seen as a complex adaptive system, there is a need to understand several agents. The aim is to gather more knowledge about perceptions within the physiotherapy staff and give recommendations and directions for improvements regarding digital innovation. Opinions about digital innovation have been gathered with open interviews and a semisystematic literature review with focus on physiotherapy. Too find subjective data the mixed method Q methodology was applied. The open interviews resulted in eight categories: digital innovation, digital innovation being used, digital innovation not used, management, obstacles, education, wishful thinking, applications and systems and associated opinions. The semi-systematic literature review showed on a rapid scientifically development, 25 articles was found and thematically analysed. 140 cited viewpoints and facts was merged with the results from the open interviews. Ten physiotherapists performed the q-sort consisting of 25 statements. Three factors were found. Interpreted as digital innovation optimism & patient oriented, digital innovation scepticism & management oriented and digital innovation sceptical optimism. Video-call technique is strongly encouraged by factor one contrary to factor two. Integrity is the major conflicting viewpoint between the factors. The result shows that gender can affect if a physiotherapist is either optimistic or sceptical to digital innovation. Using existing models such as UTAUT could improve acceptance about digital innovation. Education is perceived as important among all factors. Nine participants responded on baseline questions showing low knowledge of the term mHealth and little communication with IT departments.
Livres sur le sujet "Medical policy – Social aspects – Sweden"
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1945-, Anderson R. E., dir. The autopsy : Medical practice and public policy. Boston : Butterworths, 1988.
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Organization, Policy Studies, dir. Biomedical policy. Chicago : Nelson-Hall Publishers, 1995.
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Jansen, Brigitte E. S. Legal, ethical, social aspects of public health care in Europe and beyond : Croatia, Japan, Portugal and Turkey. München : AVM, 2010.
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Green, Judith. Analysing health policy : Sociological approaches. London : Addison Wesley Longman, 1998.
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Public health policies and social inequality. New York : New York University Press, 1998.
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Simon, Biggs, et Phillipson Chris, dir. Social theory, social policy and ageing : A critical introduction. Maidenhead : Open University Press, 2003.
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Lipson, Debra J. Health policy for low-income people in Florida. Washington, D.C : Urban Institute, Assessing the New Federalism, 1997.
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Lipson, Debra J. Health policy for low-income people in Florida. Washington, DC : Urban Institute, 1997.
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Malin, Nigel. Key concepts and debates in health and social policy. Philadelphia, PA : Open University Press, 2002.
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S, Frankel Mark, et Teich Albert H, dir. The genetic frontier : Ethics, law, and policy. Washington, D.C : American Association for the Advancement of Science, 1994.
Trouver le texte intégralChapitres de livres sur le sujet "Medical policy – Social aspects – Sweden"
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Andersson, Ragnar, et Thomas Gell. « Vision Zero on Fire Safety ». Dans The Vision Zero Handbook, 1143–64. Cham : Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-030-76505-7_44.
Texte intégralRésumé :
AbstractSince 2010, Sweden has a Vision Zero policy on fire safety: no one should die or be seriously injured as a result of fire. Compared to the traffic safety model, however, the preconditions for successful implementation appear more immature and less convincing in the fire area. The purpose of this chapter is to illustrate, using the Vision Zero policy on fire safety as an example, how a Vision Zero initiative in a new area, where the conditions for governance may differ significantly from the area of inspiration, can be dealt with as a dynamic process to gradually establish credibility and effectiveness.Globally, fire is a significant cause of death and injury. The general trend is toward a slow decline, especially among middle-income and high-income countries. The decline may be due to successful fire safety efforts, but also to other conditions affecting it indirectly. Both risk-increasing and risk-reducing factors determine fire safety. Risk increasing factors include an ageing population, an increasing diversity of possible ignition sources, and a change in the composition and amount of combustible materials present in our homes. The risk-reducing factors include generally favorable socioeconomic and technological developments, including concrete societal actions directed against fire risks such as the promotion of smoke detectors and sprinkler systems.Fire safety is one of the oldest documented examples of societal risk management. City planning and construction were early influenced by fire safety considerations, while in contrast, the legal responsibility for residential fire safety has largely remained a private and individual matter. The situation is similar to the one that for long prevailed in the traffic sector, that is, the primary responsibility rests with the system’s users, not with its designers.The launch of the Vision Zero on fire safety in 2010 represented a clear boost in ambition. Along with the vision, a strategy intended to guide the work toward the visionary goal was also presented. The strategy included four items: information, technical solutions, local collaboration, and evaluation/research. Several actions were taken in line with the strategy, including a significant research effort and the development of a set of indicators to monitor progress.Ten years later, the research effort has brought new knowledge that puts previous perceptions into partly new light. The notion that survival depends on the individual’s personal capacities is strengthened. Adverse outcomes such as death and serious injury appear mainly linked to specific vulnerabilities of certain groups for medical and social reasons. Most fires are handled by the residents themselves without injuries and without assistance from Rescue Services; on the other hand, even minor fires can be fatal for vulnerable residents. This turns the problem framing toward social aspects rather than technical, since broad groups of residents lack the capacities needed, conflicting with the prevailing view that the individual should bear the primary responsibility.Other findings relate to the proven inefficiency of certain measures for groups at elevated risk and the need for re-thinking and innovations to meet the challenges ahead. This includes extended inter-sectoral collaboration on a broader spectrum of residential risks besides fire, threatening the same groups for similar social and medical reasons.This updated state of knowledge is now being used as a basis for renewing current national fire safety strategies. With reference to general principles of systems control, this chapter will discuss obstacles and challenges to establish a more robust and systematic national control of the fire problem in line with the Vision Zero policy. The appropriateness of launching Vision Zero policies in fields that are not yet ripe for systematic governance is also discussed. It is concluded that a Vision Zero initiative can still be meaningful and successfully pursued, provided that limitations in the ability to influence crucial elements in the system are openly identified and systematically addressed in a process in which strategical and policy developments interact with research and innovation.
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Andersson, Ragnar, et Thomas Gell. « Vision Zero on Fire Safety ». Dans The Vision Zero Handbook, 1–22. Cham : Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-030-23176-7_44-1.
Texte intégralRésumé :
AbstractSince 2010, Sweden has a Vision Zero policy on fire safety: no one should die or be seriously injured as a result of fire. Compared to the traffic safety model, however, the preconditions for successful implementation appear more immature and less convincing in the fire area. The purpose of this chapter is to illustrate, using the Vision Zero policy on fire safety as an example, how a Vision Zero initiative in a new area, where the conditions for governance may differ significantly from the area of inspiration, can be dealt with as a dynamic process to gradually establish credibility and effectiveness.Globally, fire is a significant cause of death and injury. The general trend is toward a slow decline, especially among middle-income and high-income countries. The decline may be due to successful fire safety efforts, but also to other conditions affecting it indirectly. Both risk-increasing and risk-reducing factors determine fire safety. Risk increasing factors include an ageing population, an increasing diversity of possible ignition sources, and a change in the composition and amount of combustible materials present in our homes. The risk-reducing factors include generally favorable socioeconomic and technological developments, including concrete societal actions directed against fire risks such as the promotion of smoke detectors and sprinkler systems.Fire safety is one of the oldest documented examples of societal risk management. City planning and construction were early influenced by fire safety considerations, while in contrast, the legal responsibility for residential fire safety has largely remained a private and individual matter. The situation is similar to the one that for long prevailed in the traffic sector, that is, the primary responsibility rests with the system’s users, not with its designers.The launch of the Vision Zero on fire safety in 2010 represented a clear boost in ambition. Along with the vision, a strategy intended to guide the work toward the visionary goal was also presented. The strategy included four items: information, technical solutions, local collaboration, and evaluation/research. Several actions were taken in line with the strategy, including a significant research effort and the development of a set of indicators to monitor progress.Ten years later, the research effort has brought new knowledge that puts previous perceptions into partly new light. The notion that survival depends on the individual’s personal capacities is strengthened. Adverse outcomes such as death and serious injury appear mainly linked to specific vulnerabilities of certain groups for medical and social reasons. Most fires are handled by the residents themselves without injuries and without assistance from Rescue Services; on the other hand, even minor fires can be fatal for vulnerable residents. This turns the problem framing toward social aspects rather than technical, since broad groups of residents lack the capacities needed, conflicting with the prevailing view that the individual should bear the primary responsibility.Other findings relate to the proven inefficiency of certain measures for groups at elevated risk and the need for re-thinking and innovations to meet the challenges ahead. This includes extended inter-sectoral collaboration on a broader spectrum of residential risks besides fire, threatening the same groups for similar social and medical reasons.This updated state of knowledge is now being used as a basis for renewing current national fire safety strategies. With reference to general principles of systems control, this chapter will discuss obstacles and challenges to establish a more robust and systematic national control of the fire problem in line with the Vision Zero policy. The appropriateness of launching Vision Zero policies in fields that are not yet ripe for systematic governance is also discussed. It is concluded that a Vision Zero initiative can still be meaningful and successfully pursued, provided that limitations in the ability to influence crucial elements in the system are openly identified and systematically addressed in a process in which strategical and policy developments interact with research and innovation.
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« Clinical aspects of medical and social support for patients with alcohol intoxication in medical emergency care department ». Dans Drug Cultures and Policy in Germany, Central Asia and China, 59–68. Nomos Verlagsgesellschaft mbH & Co. KG, 2022. http://dx.doi.org/10.5771/9783748914037-59.
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Patashnik, Eric. « Paying for Medicare : Benefits, Budgets, and Wilbur Mills’s Policy Legacy ». Dans Governing America. Princeton University Press, 2012. http://dx.doi.org/10.23943/princeton/9780691150734.003.0010.
Texte intégralRésumé :
This chapter examines the origins and consequences of Medicare's peculiar bifurcated structure, focusing on the role played by former House Ways and Means Committee chair Wilbur D. Mills. It shows that fiscal conservatism has been no less central to Medicare than the commitment to social insurance principles. The chapter first reviews the scholarly literature on Medicare finance and welfare state before discussing the logic of Mills's financing design. Three aspects of Medicare's legislative design are analyzed: the financing scheme chosen for Hospital Insurance; the financing scheme chosen for Supplementary Medical Insurance; and why Medicare's financing came to be divided in the first place. The chapter concludes with an assessment of recent Medicare reform proposals that featured competing financing approaches.
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Jović, Željko. « IZAZOVI FUNKCIONISANJA ZDRAVSTVENIH SISTEMA I ZDRAVSTVENIH OSIGURANJA U POSTCOVID ERI ». Dans PRAVNI I DRUŠTVENI ASPEKTI VAKCINACIJE TOKOM PANDEMIJE KOVIDA 19 = LEGAL AND SOCIAL ASPECTS OF VACCINATION DURING THE COVID-19 PANDEMIC, 89–101. Institute of Comparative Law, 2022. http://dx.doi.org/10.56461/zr_22.cov19vak.05.
Texte intégralRésumé :
In the period before the Covid-19 pandemic, it seemed that the health and insurance sys- tems of developed countries were extremely stable, functional and largely humanely organized. Constant investments in the field of health, the progress of medical research gave the impres- sion of certainty and faith that health would be one of the most valuable categories of human- ity in the future. The importance of health even reached the point that the election results, for example, in the USA in the second half of the 21st century, depended to a large extent on the health program policy. However, the Covid-19 pandemic has completely refuted these views and pointed to significant omissions, inflexibility, and even corruption when it comes to health insurance and the organization of health systems. Namely, the crisis has shown that in the EU there is no satisfactory cooperation between health systems and insurance of EU members, sufficient information of citizens about the rights and possibilities of cross-border health care, as well as clear legal form of using medical services outside the territory of the domicile state. The members of the EU, as well as those outside of it in Europe, each became well-fortified bastions where common European values almost did not exist. Everyone fought individually as he knew and was able. The situation was no better in the USA either, where the values of the famous “Obamacare” (entered into force in 2014 and introduced mandatory health insur- ance for the majority of US residents) were completely destroyed. Small and medium-sized companies began to suffer the greatest pressure, which, due to insolvency, were late in paying their employees’ health insurance, and in the middle of 2021, as many as 64% of employers in the USA reduced their health insurance coverage. As for the situation in the Republic of Ser- bia, the pandemic has shown that our health system is not as weak as we are ready to assess it. Although there is no connection between the state and private health sectors, the pandemic has shown all the flexibility and, under the circumstances, good organization. The credit goes mostly to the medical staff, who showed incredible sacrifice to keep the health system function- ing. All this shows the absence of a global defense strategy against challenges that can threaten health and the human population. The world is completely unprepared to adequately resist the challenges that pandemics like Covid-19 can bring.
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Yamagishi, Takakazu. « Westernizing Medicine ». Dans Health Insurance Politics in Japan, 16–32. Cornell University Press, 2022. http://dx.doi.org/10.7591/cornell/9781501763496.003.0002.
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This chapter describes the six aspects of health care that the Meiji government took control of: medical education, medical licensing, hospitals and clinics, health care administration, medical associations, and the relationship with doctors and pharmacists. It shows how, by the time the Meiji Emperor died in 1912, Japan had become a modern nation and was recognized by many Western nations as an independent power in Asia. Health care policy then became part of the government's westernization plan. The government took the lead in adopting Western medicine as the official standard. Meiji officials had almost a free hand to create a new Japanese health care system. Health care policy became a tool to prevent epidemic catastrophes, to strengthen the military, control social order, and be accountable to the people.
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Droste, Heiko. « Svenska städer under tidigmodern tid ». Dans Hvem styrte byene ? Nordisk byhistorie 1500–1800, 53–84. Cappelen Damm Akademisk/NOASP, 2022. http://dx.doi.org/10.23865/noasp.149.ch2.
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Swedish towns in early modern times This paper offers an introduction to Swedish urban history, focusing on the period 1500–1800, encompassing both towns in Sweden and its provinces. It describes urban development since the Middle Ages, in particular urban demography and the economy, as well as the social aspects. It also offers an introduction to previous and current research debates, as well as the most important sources for the history of pre-modern Swedish towns. This overall picture is necessary in order to respond to the editor’s interest in different urban settings, especially the ways in which towns were governed socially and politically in early modern times. However, the current state of research on Swedish urban history does not provide answers to this question in general terms. Instead, Sweden’s urban history is traditionally perceived in an entirely different setting, where the state exerted a strong influence over Swedish towns due to a specific understanding of the advantages of urban settlements. Although these urban policies were never explicitly spelled out, a distinct urban norm is still in place today. As a consequence, the early modern state controlled both existing as well as newly founded towns in many ways. The state was particularly interested in their economic functions, their legal system and their capacity to administer their inhabitants and the surrounding countryside. This state policy did not meet the interests of the towns themselves and caused considerable conflict in the 17th century, not least in relation to the towns in the Baltic and German provinces. These former Hansa towns were accustomed to a more autonomous position within their respective hinterlands. There is reason to assume that this state policy affected urban development negatively, both in Sweden and its provinces, delaying Sweden’s urbanization considerably. Since the early 16th century, Swedish towns have not been perceived as political players within a highly centralized state organization.
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Hollander, Rachelle D. « Expert Claims and Social Decisions : Science, Politics, and Responsibility ». Dans Acceptable Evidence. Oxford University Press, 1994. http://dx.doi.org/10.1093/oso/9780195089295.003.0014.
Texte intégralRésumé :
Concern for relationships among ethics, values, policy, and science and engineering is prominent in modern society. The existence of a program called Ethics and Values Studies in an agency of the U.S. government, the National Science Foundation, provides some evidence of this (Hollander 1987a, 1987b; Hollander and Steneck 1990). The bills introduced in the U.S. Congress to support bio(medical) ethics centers through the National Institutes of Health also provide evidence (U.S. Senate 1988). New initiatives support research and related activities in areas of biomedical ethics in the National Center for Nursing Research and the Office of Human Genome Research in the National Institutes of Health. In July 1988, the Board of Radioactive Waste Management of the National Research Council devoted one day of a four-day retreat to considering the ethical and value aspects of that issue (BRWM 1988). In this chapter I shall attempt to show why such issues occupy particular attention now. My thesis is that a new acknowledgment of our collective moral responsibility is needed because of the political and social context in which science now operates. This context requires more sophisticated scientific and ethical analysis, as well as scientists, engineers, policymakers, interested scholars, and others working together to determine not just acceptable risk but also acceptable evidence. To provide perspective on these matters, we should note that interactions of science, technology, and society have raised these kinds of problems for a long time. A play by Henrik Ibsen, An Enemy of the People, written in 1882, raises all these concerns. An Enemy of the People is a story about the possibility of contamination in the water supply that feeds a town's new mineral baths. The baths attract the summer visitors that have rejuvenated the community. A Dr. Thomas Stockmann has investigated and discovered the problem; he has documented it, and he is delighted to have made the discovery. He, after all, had warned the town fathers about the problem when they designed the water supply, and they did not listen. Now he presents the truth as he sees it—and he sees it in the worst possible light—to his brother Peter, the mayor, who had organized the efforts to construct the baths.
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Baldwin, Peter. « Health Care ». Dans The Narcissism of Minor Differences. Oxford University Press, 2010. http://dx.doi.org/10.1093/oso/9780195391206.003.0006.
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The U.S. Economy does Differ from Europe’s: a less regulated labor market, but also an economy that is more hemmed in than might be expected. By European standards, America has hardish-working people, a state that collects fewer tax dollars, and workers who are paid well even if their holidays are short. In social policy, the contrasts are more moderate. Europeans commonly believe that the United States simply has no social policy—no social security, no unemployment benefits, no state pensions, and no assistance for the poor. As Jean-François Revel, the political philosopher and académicien, summed up French criticism, the United States shows “not the slightest bit of social solidarity.” Will Hutton similarly assures us that “The structures that support ordinary peoples’ lives—free health care, quality education, guarantees of reasonable living standards in old age, sickness or unemployment, housing for the disadvantaged— that Europeans take for granted are conspicuous by their absence.” And, in fact, the United States is the only developed nation, unless one counts South Africa, without some form of national health insurance, which is to say a system of requiring all its citizens to be insured in one way or another. This lack of universal health insurance is the one fact that every would-be comparativist working across the Atlantic knows, and the first one to be hoisted as the battle is engaged. One of the first attempts to quantify and rank health care performance, by the World Health Organization in 2000, gave the American system its due. Overall, it came in below any of our comparison countries, three notches under Denmark. In various specific aspects of health policy, it did better. For disability adjusted life expectancy, it came in above Ireland, Denmark, and Portugal; on the responsiveness of the health system, it ranked first; on a composite measure of various indicators summed up as “overall health system attainment,” it ranked above seven Western European countries. Even on the measure of “fairness of financial contribution to health systems,” where we might have expected an abysmal rating, the United States squeaked in above Portugal. That is, of course, damning with faint praise, especially given that in this particular aspect of the ranking—a well-meaning but other-worldly attempt by international bureaucrats to rake the entire globe over the teeth of one comb—Colombia came in first, outpacing its close rivals, Luxembourg and Belgium, while Libya beat out Sweden.
Actes de conférences sur le sujet "Medical policy – Social aspects – Sweden"
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Činčurak Erceg, Biljana, Aleksandra Vasilj et Aleksandra Perković. « FIT FOR 55 – DOES IT FIT ALL ? AIR AND RAIL TRANSPORT AFTER COVID – 19 PANDEMIC ». Dans The recovery of the EU and strengthening the ability to respond to new challenges – legal and economic aspects. Faculty of Law, Josip Juraj Strossmayer University of Osijek, 2022. http://dx.doi.org/10.25234/eclic/22411.
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The main principle of sustainability means being able to meet the needs of today’s society without compromising the ability of future generations to meet their own needs. Sustainable development implies the interdependence of its main components: society, economy, and ecology. The prosperity of a society depends on economic progress and the development of new technologies, but in a way that the natural environment is protected and preserved. This concept is inextricably linked to the concept of ecology and, consequently, to all types of transport, given that transport is considered one of the main pollutants of the ecosystem. Due to its rapid development through history, and as the youngest and safest type of transport, air transport is particularly subjected to the environmental impact assessment. At the same time, air transport affects the global economy due to its connection with other sectors, which in turn enables faster mobility of people, services, and goods. This was especially evident with the increased need for faster medical supplies and protective equipment delivery during the COVID-19 pandemic. The European Union’s transport policy is geared towards sustainable development by linking all environmental and social goals in a balanced way. Considering the negative long-term impact of COVID-19 on the air transportation sector, the question posed in this paper is whether this can be done in an appropriate way. As part of the European Green Deal, the “Fit for 55” package is a set of proposals to revise and update EU legislation with the purpose of introducing new initiatives regarding the climate goals agreed by the Council and the European Parliament. Regarding air transport, the emphasis is on contributing to reducing CO2 emissions and noise pollution and their impact on other sectors and competitiveness. The EU Commission White Paper: “Roadmap to a Single European Transport Area – Towards a competitive and resource efficient transport system” emphasizes that the EU aviation industry should become a frontrunner in the use of low-carbon fuels to reach the set targets, as well as that the majority of medium-distance passenger transport should go by rail by 2050. There are also initiatives that aviation taxes should subsidize high-speed rail (HSR), which potentially may cause a decrease in the air transport and benefit an increase the rail transport. The paper will also address the questions as to whether existing legislation, measures, and proposals are appropriate, considering that aviation is one of the industry sectors that is most affected by COVID-19 and could be most affected by the “Fit for 55” package, as well what impact this duopoly might have on the market for travel served by air transport. Does really “Fit for 55” fit air transport?
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Liu, Chengcheng. « Strategies on healthy urban planning and construction for challenges of rapid urbanization in China ». Dans 55th ISOCARP World Planning Congress, Beyond Metropolis, Jakarta-Bogor, Indonesia. ISOCARP, 2019. http://dx.doi.org/10.47472/subf4944.
Texte intégralRésumé :
In the past 40 years, China has experienced the largest and fastest urbanization development in the world. The infrastructure, urban environment and medical services of cities have been improved significantly. The health impacts are manifested in the decrease of the incidence of infectious diseases and the significant increase of the life span of residents. However, the development of urbanization in China has also created many problems, including the increasing pollution of urban environment such as air, water and soil, the disorderly spread of urban construction land, the fragmentation of natural ecological environment, dense population, traffic congestion and so on. With the process of urbanization and motorization, the lifestyle of urban population has changed, and the disease spectrum and the sequence of death causes have changed. Chronic noncommunicable diseases have replaced acute infectious diseases and become the primary threat to urban public health. According to the data published by the famous medical journal The LANCET on China's health care, the economic losses caused by five major non-communicable diseases (ischemic heart disease, cerebrovascular disease, diabetes mellitus, breast cancer and chronic obstructive pulmonary disease) will reach US$23 trillion between 2012 and 2030, more than twice the total GDP of China in 2015 (US$11.7 trillion). Therefore, China proposes to implement the strategy of "Healthy China" and develop the policy of "integrating health into ten thousand strategies". Integrate health into the whole process of urban and rural planning, construction and governance to form a healthy, equitable and accessible production and living environment. China is building healthy cities through the above four strategies. The main strategies from national system design to local planning are as follows. First of all, the top-level design of the country. There are two main points: one point, the formulation of the Healthy China 2030 Plan determines the first batch of 38 pilot healthy cities and practices the strategy of healthy city planning; the other point, formulate and implement the national health city policy and issue the National Healthy City. The evaluation index system evaluates the development of local work from five aspects: environment, society, service, crowd and culture, finds out the weak links in the work in time, and constantly improves the quality of healthy city construction. Secondly, the reform of territorial spatial planning. In order to adapt to the rapid development of urbanization, China urban plan promote the reform of spatial planning system, change the layout of spatial planning into the fine management of space, and promote the sustainable development of cities. To delimit the boundary line of urban development and the red line of urban ecological protection and limit the disorderly spread of urban development as the requirements of space control. The bottom line of urban environmental quality and resource utilization are studied as capacity control and environmental access requirements. The grid management of urban built environment and natural environment is carried out, and the hierarchical and classified management unit is determined. Thirdly, the practice of special planning for local health and medical distribution facilities. In order to embody the equity of health services, including health equity, equity of health services utilization and equity of health resources distribution. For the elderly population, vulnerable groups and patients with chronic diseases, the layout of community health care facilities and intelligent medical treatment are combined to facilitate the "last kilometer" service of health care. Finally, urban repair and ecological restoration design are carried out. From the perspective of people-oriented, on the basis of studying the comfortable construction of urban physical environment, human behavior and the characteristics of human needs, to tackle "urban diseases" and make up for "urban shortboard". China is building healthy cities through the above four strategies. Committed to the realization of a constantly developing natural and social environment, and can continue to expand social resources, so that people can enjoy life and give full play to their potential to support each other in the city.
Rapports d'organisations sur le sujet "Medical policy – Social aspects – Sweden"
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Huynh, Diana N., et Johannes Lidmo. Nordic overview of national support initiatives in urban planning. Nordregio, décembre 2022. http://dx.doi.org/10.6027/pb2022:7.2001-3876.
Texte intégralRésumé :
The Nordic countries share many cross-sectoral targets at the national level to meet ambitious environmental, social, sustainable, and innovative development goals and targets. However, in the context of spatial planning, central governments in the Nordic countries often have limited ability to influence local and regional level priorities. As the Nordic region seeks a greener, more competitive, and socially sustainable future, understanding the diversity of ongoing national interventions and mechanisms in local and regional land use and spatial planning is needed. The focus on Nordic national support initiatives is therefore to understand both the regulative and national support aspects (top-down) and the actual needs (bottom-up) to achieve national cross-sectoral targets as these relate to green and inclusive urban development. This policy brief presents a mapping of the relevant initiatives across the Nordic countries (Denmark, Finland, Iceland, Norway and Sweden).