Social science & medicine. Medical economics最新文献

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Culture disease and stress among Latino immigrants 拉丁裔移民的文化疾病和压力
Social science & medicine. Medical economics Pub Date : 1981-03-01 Epub Date: 2002-08-28 DOI: 10.1016/0160-7995(81)90017-4
Virginia Olesen
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引用次数: 37
Editorial comment 社论评论
Social science & medicine. Medical economics Pub Date : 1981-03-01 Epub Date: 2002-08-28 DOI: 10.1016/0160-7995(81)90002-2
P.J.M. McEwan
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引用次数: 0
Sickness and health in America: Readings in the history of medicine and public health 美国的疾病与健康:医学史与公共卫生史解读
Social science & medicine. Medical economics Pub Date : 1981-03-01 Epub Date: 2002-08-28 DOI: 10.1016/0160-7995(81)90013-7
David May
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引用次数: 0
Evaluating the municipal health services program 评估市政卫生服务方案
Social science & medicine. Medical economics Pub Date : 1981-03-01 Epub Date: 2002-08-28 DOI: 10.1016/0160-7995(81)90007-1
Ronald Andersen, Gretchen V. Fleming, LuAnn Aday, Sandra Zelman Lewis, Louise Bertsche, Martha Banks
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引用次数: 2
List of contents and author index 目录和作者索引
Social science & medicine. Medical economics Pub Date : 1981-01-01 Epub Date: 2002-08-28 DOI: 10.1016/0160-7995(81)90050-2
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引用次数: 0
Beliefs, behaviors, and alcoholic beverages: A cross-cultural survey 信仰、行为和酒精饮料:一项跨文化调查
Social science & medicine. Medical economics Pub Date : 1980-12-01 Epub Date: 2002-08-28 DOI: 10.1016/0160-7995(80)90019-2
Dwight B. Heath
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引用次数: 0
The theology of medicine 医学神学
Social science & medicine. Medical economics Pub Date : 1980-12-01 Epub Date: 2002-08-28 DOI: 10.1016/0160-7995(80)90017-9
Eric J. Cassell
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引用次数: 0
Equality: A concept in Canadian health care: From intention to reality of provision 平等:加拿大卫生保健的一个概念:从提供的意图到现实
Social science & medicine. Medical economics Pub Date : 1980-12-01 Epub Date: 2002-08-28 DOI: 10.1016/0160-7995(80)90012-X
Anne Crichton
{"title":"Equality: A concept in Canadian health care: From intention to reality of provision","authors":"Anne Crichton","doi":"10.1016/0160-7995(80)90012-X","DOIUrl":"10.1016/0160-7995(80)90012-X","url":null,"abstract":"<div><p>Although it has been the intention to provide for greater equality for the health of Canadians since the 1940s through a national health insurance scheme, epidemiological data show that this intention has not been realized.</p><p>Beginning with some comments on the difficulty of objective policy analysis, reasons for this failure are considered. First, the ambiguity of the concept of equality and its interpretation within a liberal political framework is discussed and then the processes of implementation of a national health care policy are examined.</p><p>Different political ideologies emphasize one aspect of equality over another. Canada's dominant ideology is utilitarian liberalism challenged by an ideology of collectivist humanitarianism. From time to time concessions are made by the authorities to the challenging humanitarians when national values are set up for reconsideration in new policy cycles. The evolving nation of Canada has wanted to emphasize different interpretations of equality in different cycles of national and international social policy development. Equality of condition seemed to be an important policy to pursue in the 1940s in reaction to depression and war. Equality of opportunity has had more appeal before and since. Equity is a continuing concern in a geographically widespread country which has had to make determined efforts to hold itself together.</p><p>Since health policy began to be perceived as an important means of integrating the country, a contradiction at the core of the policy has been denied. The federal government used national health insurance as a way of pursuing an equity policy, redistributing wealth to poorer provinces and regions. It was also an “equality of condition” policy, being a major “welfare state” programme. But since the dominant liberal ideology emphasizes self-help and minimal government intervention (equality of opportunity), there has always been a concern about the amount of government involvement. Yet Canadians are reconciled to the national health insurance scheme because it expresses a separateness in social policy, so in national identity from the U.S.</p><p>Subsequently, using charts to explain the movement of issues through the political system in Canada, the power of governments to act is considered. Governments have regulative and distributive powers but the providers can challenge these powers, both in terms of their formal contractual relationship to the national health insurance scheme (which has its ambiguities) and in giving service to individual patients (because they have professional discretion to make judgments about appropriate care). The distinction between financial and service rationing is discussed and the implications of professional discretion for equality policies considered.</p><p>Finally, it is argued that Canadian consumers will wish to build a scheme which enables them to pursue “equality of opportunity” on top of the existing scheme, which is an “equa","PeriodicalId":76948,"journal":{"name":"Social science & medicine. Medical economics","volume":"14 4","pages":"Pages 243-257"},"PeriodicalIF":0.0,"publicationDate":"1980-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/0160-7995(80)90012-X","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18477247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Loss: Sadness and depression 失去:悲伤和沮丧
Social science & medicine. Medical economics Pub Date : 1980-12-01 Epub Date: 2002-08-28 DOI: 10.1016/0160-7995(80)90024-6
H.J. Walton
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引用次数: 6
The economics of screening for colo-rectal cancer 结直肠癌筛查的经济学
Social science & medicine. Medical economics Pub Date : 1980-12-01 Epub Date: 2002-08-28 DOI: 10.1016/0160-7995(80)90015-5
Marvin M. Kristein
{"title":"The economics of screening for colo-rectal cancer","authors":"Marvin M. Kristein","doi":"10.1016/0160-7995(80)90015-5","DOIUrl":"10.1016/0160-7995(80)90015-5","url":null,"abstract":"<div><p>This is a simplified, “bare bones” type of decision theory-based cost-benefit analysis of a possible screening program(s) for early detection of cancer. It seeks to emphasize the logic of the approach and the visibility of the assumptions, alternatives, possibilities .and uncertainties in the protocols and contingent probabilities. Calculations are based on relevant average data. The study suggests that properly conducted hemoccult screening for populations over 55 years of age may be a cost effective early cancer detection procedure. The benefits lie in the area of increasing the long term survival from the current 40–50% levels to a higher proportion, perhaps 70–90%. The <em>net</em> savings in terms of medical resources employed, given the most cost-effective protocol(s), is likely to be either very small or negative. Until research presents society with better means of primary prevention and/or better early detection and secondary prevention, there may be financial and humane advantages in pursuing (and improving) hemoccult screening for colo-rectal cancer.</p></div>","PeriodicalId":76948,"journal":{"name":"Social science & medicine. Medical economics","volume":"14 4","pages":"Pages 275-284"},"PeriodicalIF":0.0,"publicationDate":"1980-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/0160-7995(80)90015-5","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17833481","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 12
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