Health Care Without an IHS Hospital: Overtaxing the Contract Health Services Program: Field Hearing Before the Committee on Indian Affairs, United States Senate, 111th Cong. 2 (2010)

2010 ◽  
Keyword(s):  
United States ◽  
Health Care ◽  
Health Services ◽  
United States Senate ◽  
Indian Affairs

scholarly journals Mental health services in Nicaragua: Ten years of revolution

1990 ◽  
Vol 14 (6) ◽  
pp. 346-350 ◽  
Author(s):  
Alison Harris ◽  
Tammy Shefer
Keyword(s):  
Mental Health ◽  
United States ◽  
Health Care ◽  
Mental Health Services ◽  
Health Services ◽  
The United States ◽  
Democratic Society ◽  
A Priority

Nicaragua is celebrating ten years of revolution since the overthrow of the 45 year long Somoza dictatorship∗. In this time, the Sandinista government has attempted to construct a more democratic society with considerable achievements in the area of health, welfare and education. Indeed, health care has been a priority in spite of severe economic difficulties caused by the United States economic blockade and by the need for defence against the war waged by the counter-revolutionaries (the Contra).

Rationalization of Health Services: Political and Social Assumptions

1972 ◽  
Vol 2 (3) ◽  
pp. 331-348 ◽  
Author(s):  
R. M. Battistella
Keyword(s):  
United States ◽  
Health Care ◽  
Health Services ◽  
Large Scale ◽  
Economies Of Scale ◽  
Cost Savings ◽  
The United States ◽  
Health Economy ◽  
Market Values ◽  
Efficiency And Effectiveness

Confronted with deep—seated problems of spiralling health care costs, the United States is actively considering rationalization as a means for improving efficiency and effectiveness in the operation of health services. The application of managerial and organizational principles characteristic of large—scale business and industry, i.e. quantification of decision—making, consolidation of production, money rewards for cost savings, and economies of scale, is increasingly seen as the key to successful control of the health economy. The drive for rationalization is assessed in terms of its probable impact on the following issues: (a) the scope of health—field boundaries and program responsibilities; (b) the influence of health professionals in policy and planning; (c) the role of altruistic ideals as compared to market values in conditioning provider behavior; and (d) the relationship of health services to larger social and philosophic aims. Because of the tendency toward convergence in the problems governments face in the financing and delivery of health care, it is suggested that developments in the United States may be relevant to other countries in similarly advanced stages of economic growth.

MISSION AND MANPOWER

PEDIATRICS ◽  
1963 ◽  
Vol 31 (2) ◽  
pp. 193-196
Author(s):  
ALEX J. STEIGMAN
Keyword(s):  
United States ◽  
Health Care ◽  
Child Health ◽  
Health Services ◽  
The United States ◽  
Child Health Services ◽  
Child Health Care ◽  
Long Term Trends

THE SPECIAL ARTICLE by Stewart and Pennell, "Pediatric Manpower in the United States and Its Implications," is interesting and timely. It will be viewed differently by various readers, by some as seen from their personal perch, by others in terms of the broad reaches past and present of pediatrics as a discipline. The purposes of the Special Article are to highlight the manpower situation and to point out long-term trends and implications in the light of the growing responsibility of pediatrics. The authors say that one requires a "delineation of the role of the specialty of pediatrics in child health care," and "while this role may be shared by other types of physicians, the responsibility for the development, maintenance, and improvement of child health services was clearly assumed by pediatrics when, as a specialty, it adopted as its objectives the protection and promotion of the health of children."

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