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Author: E. Tarimo Publisher: ISBN: Category : Medical Languages : en Pages : 114
Book Description
This book is concerned with orienting health care workers in district health systems in developing countries to ways and means of overcoming problems, and describes briefly how district health systems can be improved. The book is organized around nine issues in nine chapters, each of which is an integral part of a district planning cycle. The opening three chapters show how to assess the existing district health system in terms of national policies and support, analysis of the current system, and evaluation of district priorities. Chapters 4 through 7 focus on actions to be taken. The initial task of setting goals is discussed using examples and establishing general categories. The book next treats the action program including curative services, maternal and child health and health promotion, and prevention and control of disease. The next chapter focuses on the increase in program effectiveness brought about by joint action of families, individuals, and communities. Chapter 7 discusses key issues pertaining to good operational management. The final two chapters focus on monitoring (i.e., the use of tracer diseases and sentinel sites) and tips for evaluating interventions and learning from experience. Nine figures, 10 tables, and practical examples and case histories accompany the text. A list of 12 references is appended. (JB)
Author: E. Tarimo Publisher: ISBN: Category : Medical Languages : en Pages : 114
Book Description
This book is concerned with orienting health care workers in district health systems in developing countries to ways and means of overcoming problems, and describes briefly how district health systems can be improved. The book is organized around nine issues in nine chapters, each of which is an integral part of a district planning cycle. The opening three chapters show how to assess the existing district health system in terms of national policies and support, analysis of the current system, and evaluation of district priorities. Chapters 4 through 7 focus on actions to be taken. The initial task of setting goals is discussed using examples and establishing general categories. The book next treats the action program including curative services, maternal and child health and health promotion, and prevention and control of disease. The next chapter focuses on the increase in program effectiveness brought about by joint action of families, individuals, and communities. Chapter 7 discusses key issues pertaining to good operational management. The final two chapters focus on monitoring (i.e., the use of tracer diseases and sentinel sites) and tips for evaluating interventions and learning from experience. Nine figures, 10 tables, and practical examples and case histories accompany the text. A list of 12 references is appended. (JB)
Author: Jean Perrot Publisher: KARTHALA Editions ISBN: 9782845867130 Category : Medical care Languages : fr Pages : 612
Book Description
La démarche contractuelle est nouvelle dans les systèmes de santé, notamment dans les pays en développement. La multiplication et la diversification mais aussi la spécialisation des acteurs travaillant dans le domaine de la santé impliquent des relations entre eux qu'il faut organiser: la contractualisation le permet. Dans un mouvement accru en faveur de la déconcentration, les acteurs publics ne peuvent plus fonctionner en effet sur un mode hiérarchique alors que la gouvernance est au cœur des préoccupations. La contractualisation leur apporte des possibilités multiples, soit pour mieux collaborer entre eux, soit pour mieux exécuter leurs missions. Ces données montrent l'importance du champ de la contractualisation que ce livre parcoure en offrant aux lecteurs une double entrée : par la démarche et par les acteurs. Les deux premières parties sont consacrées à la présentation des concepts mais aussi des outils et des processus permettant la conception et la mise en œuvre d'une politique de contractualisation. La troisième partie détaille, pour chaque type d'acteurs, les possibilités apportées par la démarche contractuelle. Une dernière partie apporte la contribution de différentes approches pour analyser la contractualisation. Le message principal de cet ouvrage est que la contractualisation, lorsqu'elle est correctement utilisée, peut être un outil efficace pour améliorer la performance des systèmes de santé. Si la démarche contractuelle est applicable dans tous les pays, les auteurs accordent une importance particulière à la situation des pays en développement où la faiblesse des ressources et de la gouvernance donne une teneur particulière aux recommandations qui peuvent être faites.
Author: The World Bank Publisher: World Bank Publications ISBN: 082138645X Category : Medical Languages : en Pages : 154
Book Description
Under its Health in Africa Initiative, IFC intended to conduct a country assessment of the private health sector in Mali, working in close collaboration with the World Bank and the Government of Mali. The Core objective of the Mali Country Assessment Report was to work closely with the Government of Mali and Development partners to develop recommendations for a reform program to strengthen the existing policy framework for the public-private interface in the health sector and to improve the delivery of health related goods and services for all Malians. As part of this, the purpose of the book was to: • Determine the role the private sector currently plays in Mali’s health care system. • Present a diagnose of the nature and effectiveness of the existing interface between the public and private sectors in Mali, health system constraints, as well as the business enabling and investment environment. • Assist the World Bank Group to engage in policy dialogue with stakeholders in Mali’s health care system, and particularly with public officials and policy makers; and help develop detailed recommendations for the Government of Mali with policy makers and key stakeholders.
Author: Centers of Disease Control Publisher: World Health Organization ISBN: 9289051701 Category : Medical Languages : en Pages : 148
Book Description
What are public health services? Countries across Europe understand what they are or what they should include differently. This study describes the experiences of nine countries detailing the ways they have opted to organize and finance public health services and train and employ their public health workforce. It covers England France Germany Italy the Netherlands Slovenia Sweden Poland and the Republic of Moldova and aims to give insights into current practice that will support decision-makers in their efforts to strengthen public health capacities and services. Each country chapter captures the historical background of public health services and the context in which they operate; sets out the main organizational structures; assesses the sources of public health financing and how it is allocated; explains the training and employment of the public health workforce; and analyses existing frameworks for quality and performance assessment. The study reveals a wide range of experience and variation across Europe and clearly illustrates two fundamentally different approaches to public health services: integration with curative health services (as in Slovenia or Sweden) or organization and provision through a separate parallel structure (Republic of Moldova). The case studies explore the context that explain this divergence and its implications. This study is the result of close collaboration between the European Observatory on Health Systems and Policies and the WHO Regional Office for Europe Division of Health Systems and Public Health. It accompanies two other Observatory publications Organization and financing of public health services in Europe and The role of public health organizations in addressing public health problems in Europe: the case of obesity alcohol and antimicrobial resistance (both forthcoming).
Author: Damien de Walque Publisher: World Bank Publications ISBN: 1464818967 Category : Medical Languages : en Pages : 352
Book Description
Dans de nombreux pays à faible revenu et à revenu intermédiaire, la couverture sanitaire s’est considérablement améliorée au cours des deux dernières décennies, mais pas les résultats en matière de santé. Ainsi, la couverture effective — une mesure de la prestation de services qui répond à une norme minimale de qualité — demeure à un niveau inacceptable. Le rapport Améliorer la couverture effective en matière de santé examine une approche particulière visant à améliorer la couverture effective : les incitations financières sous la forme d’un financement basé sur la performance (FBP), une réforme globale qui comprend généralement la rémunération liée à la performance pour les agents de santé de première ligne ainsi que l’autonomie des établissements, la transparence et l’engagement communautaire. Ce rapport de recherche s’appuie sur un vaste ensemble d’études rigoureuses et de nouvelles analyses. Par rapport au statu quo, dans les pays à faible revenu dotés de systèmes de santé centralisés, le FBP peut entraîner des gains substantiels en matière de couverture effective. Toutefois, les avantages relatifs du FBP — la composante rémunération liée à la performance en particulier — sont moins clairs lorsqu’il est comparé à deux autres approches, à savoir : le financement direct des établissements, qui permet d’octroyer des budgets de fonctionnement aux services de santé de première ligne en accordant aux établissements l’autonomie en matière d’allocations budgétaires, mais sans rémunération liée à la performance ; et le soutien financier lié à la demande pour les services de santé (c’est-à -dire les transferts monétaires conditionnels et les vouchers). Bien que le FBP se traduise souvent par des améliorations marginales, combler les lacunes importantes de la couverture sanitaire effective n’est pas encore à la portée de nombreux pays. Néanmoins, d’importantes leçons et expériences tirées de la mise en oeuvre du FBP au cours de la dernière décennie peuvent orienter le financement de la santé à l’avenir. En particulier, pour réussir, la réforme du financement de la santé devra sans doute moins se focaliser sur la rémunération à la performance tout en conservant les éléments de financement direct des établissements, l’autonomie, la transparence et l’engagement communautaire.
Author: Committee for the Study of the Future of Public Health Publisher: National Academies Press ISBN: 0309581907 Category : Medical Languages : en Pages : 240
Book Description
"The Nation has lost sight of its public health goals and has allowed the system of public health to fall into 'disarray'," from The Future of Public Health. This startling book contains proposals for ensuring that public health service programs are efficient and effective enough to deal not only with the topics of today, but also with those of tomorrow. In addition, the authors make recommendations for core functions in public health assessment, policy development, and service assurances, and identify the level of government--federal, state, and local--at which these functions would best be handled.
Author: Gerd Pluschke Publisher: Springer ISBN: 3030111148 Category : Medical Languages : en Pages : 290
Book Description
A major objective of this open access book is to summarize the current status of Buruli Ulcer (BU) research for the first time. It will identify gaps in our knowledge, stimulate research and support control of the disease by providing insight into approaches for surveillance, diagnosis, and treatment of Buruli Ulcer. Book chapters will cover the history, epidemiology diagnosis, treatment and disease burden of BU and provide insight into the microbiology, genomics, transmission and virulence of Mycobacterium ulcerans.
Author: Institute of Medicine Publisher: National Academies Press ISBN: 0309068371 Category : Medical Languages : en Pages : 312
Book Description
Experts estimate that as many as 98,000 people die in any given year from medical errors that occur in hospitals. That's more than die from motor vehicle accidents, breast cancer, or AIDSâ€"three causes that receive far more public attention. Indeed, more people die annually from medication errors than from workplace injuries. Add the financial cost to the human tragedy, and medical error easily rises to the top ranks of urgent, widespread public problems. To Err Is Human breaks the silence that has surrounded medical errors and their consequenceâ€"but not by pointing fingers at caring health care professionals who make honest mistakes. After all, to err is human. Instead, this book sets forth a national agendaâ€"with state and local implicationsâ€"for reducing medical errors and improving patient safety through the design of a safer health system. This volume reveals the often startling statistics of medical error and the disparity between the incidence of error and public perception of it, given many patients' expectations that the medical profession always performs perfectly. A careful examination is made of how the surrounding forces of legislation, regulation, and market activity influence the quality of care provided by health care organizations and then looks at their handling of medical mistakes. Using a detailed case study, the book reviews the current understanding of why these mistakes happen. A key theme is that legitimate liability concerns discourage reporting of errorsâ€"which begs the question, "How can we learn from our mistakes?" Balancing regulatory versus market-based initiatives and public versus private efforts, the Institute of Medicine presents wide-ranging recommendations for improving patient safety, in the areas of leadership, improved data collection and analysis, and development of effective systems at the level of direct patient care. To Err Is Human asserts that the problem is not bad people in health careâ€"it is that good people are working in bad systems that need to be made safer. Comprehensive and straightforward, this book offers a clear prescription for raising the level of patient safety in American health care. It also explains how patients themselves can influence the quality of care that they receive once they check into the hospital. This book will be vitally important to federal, state, and local health policy makers and regulators, health professional licensing officials, hospital administrators, medical educators and students, health caregivers, health journalists, patient advocatesâ€"as well as patients themselves. First in a series of publications from the Quality of Health Care in America, a project initiated by the Institute of Medicine
Author: E. Tarimo
Author: E. Tarimo
Author: Jean Perrot
Author: The World Bank
Author: Centers of Disease Control
Author: Damien de Walque
Author: Committee for the Study of the Future of Public Health
Author: 
Author: Gerd Pluschke
Author: Institute of Medicine
Author: United States. Health, Education and Welfare Department