The Health System in Costa Rica: Toward a National Health Service

1980 ◽  
Vol 1 (3) ◽  
pp. 258 ◽  
Author(s):  
Antonio Casas ◽  
Herman Vargas
Keyword(s):  
Costa Rica ◽  
National Health Service ◽  
Health Service ◽  
Health System ◽  
National Health

Looking forward to the next 70 years: from a National Ill-Health Service to a National Health System

2018 ◽  
Vol 14 (1) ◽  
pp. 11-14
Author(s):  
David J. Hunter
Keyword(s):  
National Health Service ◽  
Local Government ◽  
Health Service ◽  
Health System ◽  
21St Century ◽  
National Health ◽  
National Health System ◽  
Well Being ◽  
Tipping Point ◽  
Health And Well Being

AbstractAmidst the NHS’s (National Health Service) success lies its major weakness, although one that Klein overlooks in his reflections on the NHS as it approaches 70. The focus on, and investment in, curing ill-health has been at the expense of attending to the public’s overall health and well-being. This preoccupation poses a greater threat to the NHS’s future than privatisation. Despite the weakness having been diagnosed decades ago, redressing the imbalance has proved stubbornly hard to achieve. Rhetoric has not been translated into reality. Yet, we may be on the cusp of a tipping point where in order to ensure a sustainable NHS, and one that is capable of meeting the 21st century challenges facing it, there is a renewed and overdue interest in promoting health and well-being in communities. But for this to succeed, the NHS will need to embrace its bete noire, local government.

Greece

2021 ◽  
pp. 353-374
Author(s):  
Ilias Kyriopoulos ◽  
Elias Mossialos
Keyword(s):  
Primary Care ◽  
National Health Service ◽  
Health Service ◽  
Health Services ◽  
Health System ◽  
Interest Groups ◽  
Healthcare System ◽  
National Health ◽  
Health Politics ◽  
Care Network

This chapter offers an in-depth look at health politics and the health system in Greece. It traces the development of the Greek healthcare system, characterized by an historical inability to implement significant reform, despite ambitious ideas. The chapter outlines the politics behind several reform attempts, among them the creation in the 1980s of the national health service, key elements of which were never implemented, and more recent efforts to establish a single purchaser of health services and a primary care network, both of which became law but were slow to take off. The chapter argues that the difficulty in undertaking reform can be explained by two elements that have historically influenced the policymaking process in Greece: electoral competition and the power of interest groups.

scholarly journals Proposal of a Learning Health System to Transform the National Health System of Spain

Processes ◽  
2019 ◽  
Vol 7 (9) ◽  
pp. 613 ◽  
Author(s):  
Rafael Carnicero ◽  
David Rojas ◽  
Ignacio Elicegui ◽  
Javier Carnicero
Keyword(s):  
Big Data ◽  
National Health Service ◽  
Health Service ◽  
Health System ◽  
Information And Communication Technologies ◽  
National Health ◽  
Perfect Match ◽  
National Health System ◽  
World Health ◽  
Learning Health System

This article identifies the main challenges of the National Health Service of Spain and proposes its transformation into a Learning Health System. For this purpose, the main indicators and reports published by the Spanish Ministries of Health and Finance, Organization for Economic Co-operation and Development (OECD) and World Health Organization (WHO) were reviewed. The Learning Health System proposal is based on some sections of an unpublished report, written by two of the authors under request of the Ministry of Health of Spain on Big Data for the National Health System. The main challenges identified are the rising old age dependency ratio; health expenditure pressures and the likely increase of out-of-pocket expenditure; drug expenditures, both retail and consumed in hospitals; waiting lists for surgery; potentially preventable hospital admissions; and the use of electronic health record (EHR) data to fulfil national health information and research objectives. To improve its efficacy, efficiency, and quality, the National Health Service of Spain should be transformed into a Learning Health System. Information and communication technologies (IT) enablers are a fundamental tool to address the complexity and vastness of health data as well as the urgency that clinical and management decisions require. Big Data solutions are a perfect match for that problem in health systems.

scholarly journals Anticipating Policy, Orienting Services, Celebrating Provision: Reflecting on Scotland’s PrEP Journey

2021 ◽  
pp. 59-72
Author(s):  
Ingrid Young
Keyword(s):  
National Health Service ◽  
Hiv Prevention ◽  
Health Service ◽  
Health System ◽  
National Health ◽  
Specific Nature ◽  
Great Expectation ◽  
Risk Practices ◽  
The Uk ◽  
Roll Out

AbstractPrEP in Scotland came with great expectation and celebration. As the first country in the UK to offer PrEP through the National Health Service (NHS), Scotland was heralded as a leader in HIV prevention. This chapter asks: how has the anticipation of PrEP shaped provision and use within the health system; how does the emergent and ongoing orientation of PrEP towards specific risk practices affect awareness, access and use, but also wider narratives of prevention, inequalities and ‘progress’; and, what kinds of biosexual citizens does it demand and produce? The chapter explores how the implementation of PrEP and the specific nature of its roll-out contribute to an orientation towards certain (gendered) PrEP users and PrEP use. It considers how the anticipation of PrEP as a biotechnology for particular risk practices, bodies and communities shapes promissory HIV prevention futures and determines what success and ‘celebration’ could be.

Portugal

2021 ◽  
pp. 275-306
Author(s):  
Maria Asensio
Keyword(s):  
National Health Service ◽  
Health Service ◽  
Health System ◽  
National Health ◽  
Market Mechanisms ◽  
Public And Private ◽  
Health Politics ◽  
Provision Of Services ◽  
Constitutional Right ◽  
Public Private Mix

This chapter provides an extended look at health politics and the health system in Portugal, characterized by overlapping tiers of coverage including a national health service. The chapter traces the historical development of the Portuguese healthcare system through a series of regime changes, particularly the transition from conservative dictatorship to democracy beginning in 1974. Since the 1979 foundation of the National Health Service, the main issues facing the health system have been the relationship between public and private provision of services and the system’s fiscal solvency. A 1989 constitutional revision, which redefined healthcare from being a constitutional right to universal free healthcare to one which “tended towards” no cost at the time of treatment and was based on individuals’ particular social and economic situation, shifted the system away from universalism, removed obstacles to privatization, and allowed the introduction of other forms of market mechanisms. As the chapter argues, though left and right political parties have differed in their approaches, actors in health politics seem to have largely agreed to move in the direction of a public–private mix of service providers.

Advanced Nursing Practice in Großbritannien – eine persönliche Schilderung

Pflege ◽  
2010 ◽  
Vol 23 (6) ◽  
pp. 417-423
Author(s):  
Elke Keinath
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Nurse Practitioner ◽  
Nursing Practice ◽  
Advanced Nursing Practice

Im Artikel werden persönliche Erfahrungen als Advanced Nurse Practitioner (ANP) in der Thoraxchirurgie im National Health Service (NHS) in Großbritannien geschildert. Die tägliche Routine wurde von sieben Kompetenzdomänen bestimmt, nämlich: Management des Gesundheits- und Krankheitszustandes des Patienten, Beziehungen zwischen Pflegeperson und Patient, Lehren und Unterrichten, professionelle Rolle, Leitung und Führung innerhalb der Patientenversorgung, Qualitätsmanagement sowie kulturelle und spirituelle Kompetenzen. Diese Elemente wurden durch die Zusatzqualifikation, selbstständig Medikamente verschreiben und verordnen zu dürfen, erweitert, was dazu beitrug, eine nahtlose Erbringung von Pflege- und Serviceleistungen zu gewähren. Die Position wurde zur zentralen Anlaufstelle im multi-professionellen Team und stellte eine kontinuierliche Weiterführung der Pflege von Patienten und ihren Familien sicher – auch über Krankenhausgrenzen hinweg.

76-OR: UK 1st National Health Service (NHS) EndoBarrier (EB) Service for Uncontrolled Diabesity: 2-Year Outcomes for All 62 Treated Patients

Diabetes ◽  
2020 ◽  
Vol 69 (Supplement 1) ◽  
pp. 76-OR
Author(s):  
ROBERT E.J. RYDER ◽  
MAHENDER YADAGIRI ◽  
SUSAN P. IRWIN ◽  
WYN BURBRIDGE ◽  
MELANIE C. WYRES ◽  
...  
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health
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