Organization and Financing of Public Health Services in Europe PDF Download

Author: Centers of Disease Control
Publisher: World Health Organization
ISBN: 9289051701
Category : Medical
Languages : en
Pages : 148

View

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: Great Britain: Department of Health
Publisher: The Stationery Office
ISBN: 9780101798525
Category : Medical
Languages : en
Pages : 104

View

Book Description
The Government recognises that many lifestyle-driven health problems are at alarming levels: obesity; high rates of sexually transmitted infections; a relatively large population of drug users; rising levels of harm from alcohol; 80,000 deaths a year from smoking; poor mental health; health inequalities between rich and poor. This white paper outlines the Government's proposals to protect the population from serious health threats; help people live longer, healthier and more fulfilling lives; and improve the health of the poorest. It aims to empower individuals to make healthy choices and give communities and local government the freedom, responsibility and funding to innovate and develop ways of improving public health in their area. The paper responds to Sir Michael Marmot's strategic review of health inequalities in England post 2010 - "Fair society, healthy lives" (available at http://www.marmotreview.org/AssetLibrary/pdfs/Reports/FairSocietyHealthyLives.pdf) and adopts its life course framework for tackling the wider social determinants of health. A new dedicated public health service - Public Health England - will be created to ensure excellence, expertise and responsiveness, particularly on health protection where a national response is vital. The paper gives a timetable showing how the proposals will be implemented and an annex sets out a vision of the role of the Director of Public Health. The Department is also publishing a fuller story on the health of England in "Our health and wellbeing today" (http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/@ps/documents/digitalasset/dh_122238.pdf), detailing the challenges and opportunities, and in 2011 will issue documents on major public health issues.

Author: John Carrier
Publisher: Routledge
ISBN: 1135310955
Category : Law
Languages : en
Pages : 342

View

Book Description
The NHS came into existence in an atmosphere of conflict centred on the strong ideological commitment of the Post-war Labour Government and the opposition of the Conservative Party of that time to the idea of a universally available and centrally planned medical care service. There was also opposition from some sections of the medical establishment who feared the loss of professional autonomy. Setting health policy in both an historical and modern context (post 1997) Carrier and Kendall weigh up the successes and failures of the National Health Service and examine the conflicts which have continued for over sixty years, in spite of efforts to solve financial problems in the NHS through increases in funding as well as structural and organisational change. After looking at recent responses to supposed failures of the NHS, they conclude that the NHS has successfully faced the challenges before it and is likely to continue to meet the changing health needs of the population. Financial stresses, concerns about the quality of care and demographic change, with consequent issues for the elderly and the chronically ill, continue to be urgent and politically contentious issues. This book is appropriate for a wide range of undergraduate and postgraduate students studying health policy and the NHS.

Author: Secretary of State for Health
Publisher: The Stationery Office
ISBN: 9780101743228
Category : Business & Economics
Languages : en
Pages : 92

View

Book Description
This review incorporates the views and visions of 2,000 clinicians and other health and social care professionals from every NHS region in England, and has been developed in discussion with patients, carers and the general public. The changes proposed are locally-led, patient-centred and clinically driven. Chapter 2 identifies the challenges facing the NHS in the 21st century: ever higher expectations; demand driven by demographics as people live longer; health in an age of information and connectivity; the changing nature of disease; advances in treatment; a changing health workplace. Chapter 3 outlines the proposals to deliver high quality care for patients and the public, with an emphasis on helping people to stay healthy, empowering patients, providing the most effective treatments, and keeping patients as safe as possible in healthcare environments. The importance of quality in all aspects of the NHS is reinforced in chapter 4, and must be understood from the perspective of the patient's safety, experience in care received and the effectiveness of that care. Best practice will be widely promoted, with a central role for the National Institute for Health and Clinical Excellence (NICE) in expanding national standards. This will bring clarity to the high standards expected and quality performance will be measured and published. The review outlines the need to put frontline staff in control of this drive for quality (chapter 5), with greater freedom to use their expertise and skill and decision-making to find innovative ways to improve care for patients. Clinical and managerial leadership skills at the local level need further development, and all levels of staff will receive support through education and training (chapter 6). The review recommends the introduction of an NHS Constitution (chapter 7). The final chapter sets out the means of implementation.

Author: John Mohan
Publisher: Bloomsbury Publishing
ISBN: 134923897X
Category : Political Science
Languages : en
Pages : 307

View

Book Description
This book contrasts the proposals of the Royal Commission of the late 1970s with the very different set of priorities enshrined in the 1989 White Paper and describes how the changes between the two documents came about. It argues that the NHS reforms should be seen not as the inevitable product of technical developments nor as a consensus response to narrowly managerial difficulties within the NHS, but rather as part of a wider political strategy towards state provision of welfare. The book strongly emphasises the uneven geographical impacts of post-1979 changes, a topic usually underplayed by analysts of social policy, and draws heavily on previously unpublished material.

Author: Allyson M. Pollock
Publisher: Verso
ISBN: 9781844675395
Category : Medical
Languages : en
Pages : 340

View

Book Description
An analysis of the transition from universal, publicly funded health care to New Labour's application of market principles, 'NHS plc' portrays a national institution reaching crisis point and serves as a key lesson for those concerned with health care.

Author: David Goldberg
Publisher: Psychology Press
ISBN: 1317840887
Category : Psychology
Languages : en
Pages : 308

View

Book Description
Across the world, cities are becoming larger, as populations drift from the country into urban areas. At the same time, the mentally ill are leaving the mental hospitals and new forms of care are being found in the community. The best ways in which services for the mentally ill can be organized in the community is still a matter for debate, and as cities become larger problems may become greater.; This text compares mental health services in London with those in Amsterdam, Baltimore, Bangalore, Copenhagen, Kobe, Madison, Porto Alegre, Sydney, Teheran and Verona. It describes arrangements that work in practice, and includes some of the ideas and practices in mental health services.

Author: Robin Haynes
Publisher: Routledge
ISBN: 131735611X
Category : Social Science
Languages : en
Pages : 255

View

Book Description
This book is about geographical variation in the organisation, provision and use of health services in Britain. Its main theme is that neither the quantity nor the quality of health care provided by the National Health Service (NHS) is uniform from place to place. Chapters discuss and evaluate: The reorganisation of the NHS in the years up to 1987 The relationships between the need for health care and the supply of health services The redistribution of health service resources geographically The distribution of doctors, dentists, community nurses and hospitals across the UK Access to health services The distribution of both private health facilities and social welfare services and their effect on the NHS.

Author: Marvin Rintala
Publisher: Psychology Press
ISBN: 9780714655062
Category : History
Languages : en
Pages : 188

View

Book Description
The origins of the NHS are the subject of this study that presents evidence on the key players who participated in the founding of the system. The author also traces those who opposed the NHS.

Author: John Mohan
Publisher: Routledge
ISBN: 1134644809
Category : Health & Fitness
Languages : en
Pages : 294

View

Book Description
Improving access to hospital services has been a goal of public policy in Britain for over seventy years, but the means by which this goal is to be attained have changed significantly over time. Drawing substantially on original research, lanning, Markets and Hospitals represents a systematic attempt to access the strengths and weaknesses of different forms of planning and coordination of hospital development. The period covered includes: services prior to 1948; wartime hospital policy; the successes and failures of the mixed economy of health care in the inter-war period; the national hospital plan of 1962 and ultimately the market based reforms of 1991 and the changes since. This book makes a fresh contribution to enduring debates about planning and regulation of health care, about the governance of welfare services and about the appropriate role for voluntary, commercial and charitable provision of services. It reinterprets previous histories of hospital policy and questions whether current policies will reconcile competing goals of equity and choice.