Health care system
Transcript: This qualitative study explores consumer health choices and associated factors, based on interviews with citizens living in Medellin, Colombia, in 2005-2006. The results show that most study participants belonging to low-income and middle-income strata, even with medical expense subsidies, faced significant barriers to accessing health care. Only upper-income participants reported a selection of different options without barriers, such as complementary and alternative medicines, along with private Western biomedicine. This study is unique in that the informal health system is linked to overall neo-liberal policy change. it is the process of transferring ownership of a business, enterprise, agency, public service, or public property from the public sector (a government) to the private sector, either to a business that operates for a profit or to a nonprofit organization. It may also mean government outsourcing of services or functions to private firms, e.g. revenue collection, law enforcement, and prison management 8 goals that UN Member States have agreed to try to achieve by the year 2015. signed in September 2000, commits world leaders to combat poverty, hunger, disease, illiteracy, environmental degradation, and discrimination against women. The MDGs are derived from this Declaration. Several of these relate directly to health. Our results show a significant portion of participants desired services that were not publically available to them during the post-birth period. Among those who reported a gap in care, the two most common barriers were: cost and unavailability of home care supports. Participants' open-ended responses revealed many positive features of the public health care system but also gaps in services, and economic barriers to receiving the care they wanted. The implications of these findings are discussed in relation to recent neoliberal reforms. effects of privatization Conclusions Egan M, Petticrew M, Ogilvie D, Hamilton V, Drever F. "Profits before people": a systematic review of the health and safety impacts of privatising public utilities and industries in developed countries. Journal of Epidemiology and Community Health.2007;61(10):862‐870 health care equality The study found adverse effects on performance, unlike the claims made by the government. Semi-privatization intensified the workloads of hospital workers and the instability of employment, froze or decreased real wages, and drastically increased hospital revenue per patient stay. The changes may have resulted from redefining profit as the goal of the hospitals, as opposed to the previous focus on decision-making on public health. health care should not be a market product nor a 'health delivery' service it should have to be in the first place based on scientific evidence or expert opinion in some cases, not on economic or public demand only. Health economics should improve good governance. Patients should have to be informed about any disease and any condition for which any further investigations and any therapy should have to be explained in a comprehensive way a human right, yet not an irrational demand affordable and universal, equal in accessibility, quality of care and performance accessible from the bottom (primary care) up, and should preferably be a multidisciplinary collaboration instead of competition, with clear agreements and communication accountable, transparent and quality controlled patient centered Belgium Since humans are no robots (yet), they should have to be handled with care! Patients and (health care) workers should have healthy work, with healthy working hours and places and healthy recovery systems. They should also have a healthy attitude themselves. Not all desires and demands are rational or healthy! Are privately owned hospitals more efficient? Results of a survey of the international literature]. [German] Sibbel R. Nagarajah B. Gesundheitswesen. 74(6):379-86, 2012 Jun. This longer-term perspective is used to show how factors shaping the broader restructuring of the English welfare state have impacted on home care services in particular. The two most salient features of these policies have been public sector funding constraints and extensive marketisation. Despite demographic trends, home care services have been deeply affected by the structural underfunding of long-term care services in general. The sector has been further shaped by the creation first of a 'mixed economy' of supply, with local authorities purchasing services from external providers instead of their own in-house services; and by the more recent introduction of a 'mixed economy' of purchasing, as greater emphasis is placed on individual choice and personalisation. The outcomes of these dual pressures are an increasingly residual publicly funded home care service and a growing role for private funding and supply. These outcomes have potentially damaging consequences for the quality of both public and private home care We investigated
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