Health policy and education最新文献

Role of education in preserving traditional cultures and as development factor 教育在保存传统文化和作为发展因素方面的作用

Health policy and education Pub Date : 1983-04-01 DOI: 10.1016/0165-2281(83)90001-2

Sixten S.R. Haraldson

{"title":"Role of education in preserving traditional cultures and as development factor","authors":"Sixten S.R. Haraldson","doi":"10.1016/0165-2281(83)90001-2","DOIUrl":"10.1016/0165-2281(83)90001-2","url":null,"abstract":"<div><p>Independent of international assistance, the socioeconomic development and improvement of national health have been insignificant in several poor countries during the last 10–20 years. The main problems of these countries are multidisciplinary matters, both regarding causative factors and solutions.</p><p>In the field of health, high priority medical problems are not found in the curative sector of medicine but rather within prevention, with environmental sanitation, water supply, family planning and nutrition. These are the most profitable fields for internal support as well as international assistance, offering lasting development effects and acceptable cost-benefit relations.</p><p>Primary school education is of major importance in that it provides local tribal youngsters to be selected for training as auxiliary health workers for staffing of the chain of rural dispensaries, which seems to be the key to national health development, and to the WHO goal “health for all by the year 2000.”</p><p>In several developing countries, locally recruited youth with 5–7 years of primary education already constitute indispensable links between professional health services and delicate issues such as birth control and a — usually illiterate — rural population.</p><p>Illiteracy is considered the main obstacle for general socioeconomic and national health development in poor countries. Primary education is a threshold and a bottleneck which has to be overcome before a fruitful cooperation with local rural people can be organized, and before the rather worn-out — but seldom applied — slogan “help to self-help” can become a reality. This approach so guarantees consideration of “the total man in his total environment.”</p></div>","PeriodicalId":79937,"journal":{"name":"Health policy and education","volume":"3 4","pages":"Pages 289-302"},"PeriodicalIF":0.0,"publicationDate":"1983-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/0165-2281(83)90001-2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21129631","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

Appeal by West German physicians to physicians in the USA 西德医生对美国医生的呼吁

Health policy and education Pub Date : 1983-04-01 DOI: 10.1016/0165-2281(83)90006-1

引用次数: 0

The effects of implementation problems on certificate of need decisions in Illinois 伊利诺斯州实施问题对需求证明决定的影响

Health policy and education Pub Date : 1983-04-01 DOI: 10.1016/0165-2281(83)90002-4

David C. Colby, Charles E. Begley

{"title":"The effects of implementation problems on certificate of need decisions in Illinois","authors":"David C. Colby, Charles E. Begley","doi":"10.1016/0165-2281(83)90002-4","DOIUrl":"10.1016/0165-2281(83)90002-4","url":null,"abstract":"<div><p>There has been a lack of appreciation of the complexities of implementing certificate of need (CON) programs and, further, the effects of those implementation problems on the program's effectiveness. This study describes implementation problems and presents some evidence of their impact on approval rates in one state. Start-up phase problems included non-reviewable projects, exempted projects and pre-emptive actions by the hospitals to avoid the regulations. It is estimated that these problems raised the program's approval rate by 12 percent and resulted in approximately $310 million of capital costs and an unknown increase in operating costs.</p><p>Two problems of continuing implementation are identified. The first concerns the availability and specification of the standards and criteria for project review. The second problem is the lack of significant compliance mechanisms.</p><p>The Reagan administration has made massive cuts in support for health planning and CON programs. The rationale for these cuts is based on the belief that CON has not been effective in reducing the escalation of hospital costs. This article indicates some of the reasons for its impotence.</p></div>","PeriodicalId":79937,"journal":{"name":"Health policy and education","volume":"3 4","pages":"Pages 303-316"},"PeriodicalIF":0.0,"publicationDate":"1983-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/0165-2281(83)90002-4","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21129632","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: 4

Preventive services: An educational or political issue? 预防服务:是教育问题还是政治问题?

Health policy and education Pub Date : 1983-04-01 DOI: 10.1016/0165-2281(83)90004-8

Allen C. Meadors

引用次数: 2

Index 指数

Health policy and education Pub Date : 1983-04-01 DOI: 10.1016/0165-2281(83)90008-5

引用次数: 0

GMENAC report on U.S. physician manpower policies: Recommendations and reactions GMENAC报告美国医生人力政策:建议和反应

Health policy and education Pub Date : 1983-04-01 DOI: 10.1016/0165-2281(83)90005-X

Stephen E. Peterson, Alvin E. Rodin

{"title":"GMENAC report on U.S. physician manpower policies: Recommendations and reactions","authors":"Stephen E. Peterson, Alvin E. Rodin","doi":"10.1016/0165-2281(83)90005-X","DOIUrl":"10.1016/0165-2281(83)90005-X","url":null,"abstract":"<div><p>After four years of study in the United States, the Graduate Medical Education National Advisory Committee (GMENAC) concluded that an excess of approximately 70,000 physicians will exist in 1990. Faced with a future surplus, GMENAC recommends that U.S. medical schools decrease enrollment levels by 10 percent relative to the 1978–79 level and severely restrict entrance of foreign medical graduates. Flaws identified in the GMENAC approach relate to the use of the delphi technique, the future role of nonphysician providers, and a lack of reliable data. The GMENAC report may provide impetus for an abrupt shift from expansionism to reductionism in U.S. physician manpower policy. Long range physician manpower planning has erred in the past, necessitating periodic reevaluation of national policy. A continuing balance between supply and demand, although ideal, can probably never be attained. Thus small adjustments in total supply and specialty mix will always be necessary. The GMENAC report, which is the most comprehensive study of U.S. physician manpower to date, requires serious consideration in this context.</p></div>","PeriodicalId":79937,"journal":{"name":"Health policy and education","volume":"3 4","pages":"Pages 337-349"},"PeriodicalIF":0.0,"publicationDate":"1983-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/0165-2281(83)90005-X","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21168635","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: 9

Developments in medical education: Issues and responses 医学教育的发展:问题和对策

Health policy and education Pub Date : 1983-04-01 DOI: 10.1016/0165-2281(83)90003-6

Kenneth R. Cox, Arie Rotem

引用次数: 1

Improving the selection of family medicine residents through development of multi-dimensional policy models 通过多维度政策模型的开发，改善家庭医学住院医师的选择

Health policy and education Pub Date : 1982-10-01 DOI: 10.1016/0165-2281(82)90004-2

Barnett R. Parker, Bron D. Skinner

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引用次数: 5

Some challenges in the management of community Health Education 社区健康教育管理面临的挑战

Health policy and education Pub Date : 1982-10-01 DOI: 10.1016/0165-2281(82)90003-0

Thomas C. Timmreck

引用次数: 2

Health care delivery in the United States 美国的医疗保健服务

Health policy and education Pub Date : 1982-10-01 DOI: 10.1016/0165-2281(82)90007-8

Bernard S. Bloom

引用次数: 7