scholarly journals Soignés, soignants en perte d’équilibre

Criminologie ◽  
2005 ◽  
Vol 21 (2) ◽  
pp. 91-95 ◽  
Author(s):  
Richard Gervais
Keyword(s):  
Health Service ◽  
Power Struggle ◽  
Constant Increase ◽  
Social Organizations ◽  
Delinquent Activity ◽  
The Government ◽  
Social Affairs

Working in the health service of the Montreal Prevention Centre, the author presents the observations he made while there. The constant increase in psychiatric cases since 1976, in both number and severity, according to the author, is the result of deinstitutionalization by the Department of Social Affairs. The clientele, suffering from a psychic pathology, expresses its suffering and hopelessness in delinquent activity. Given the limits on intervention in this type of milieu, the ambiguity of the laws and restricted facilities, prison is not appropriate for the psychiatric offender. Victim of the power struggle between the government departments and social organizations, he bears the stigma of the table imposed on wards of the court.

scholarly journals Membangun Komunikasi dalam Sinergi Pelayanan Kesehatan di Kabupaten Bandung

2020 ◽  
Vol 14 (1) ◽  
pp. 17-28
Author(s):  
Ditha Prasanti ◽  
Ikhsan Fuady ◽  
Sri Seti Indriani
Keyword(s):  
Public Health ◽  
Health Service ◽  
Health Services ◽  
Active Role ◽  
Communication Process ◽  
Public Health Services ◽  
District Health ◽  
The Government ◽  
The One ◽  
The Village

The "one data" policy driven by the government through the Ministry of Health is believed to be able to innovate and give a new face to health services. Of course, the improvement of health services starts from the smallest and lowest layers, namely Polindes. Starting from this policy and the finding of relatively low public health service problems, the authors see a health service in Polindes, which contributes positively to improving the quality of public health services. The health service is the author's view of the communication perspective through the study of Communication in the Synergy of Public Health Services Polindes (Village Maternity Post) in Tarumajaya Village, Kertasari District, Bandung Regency. The method used in this research is a case study. The results of the study revealed that public health services in Polindes are inseparable from the communication process that exists in the village. The verbal communication process includes positive synergy between the communicator and the communicant. In this case, the communicators are village midwives, village officials, namely the village head and his staff, the sub-district health center, and the active role of the village cadres involved. In contrast, the communicant that was targeted was the community in the village of Tarumajaya. This positive synergy results in a marked increase in public services, namely by providing new facilities in the village, RTK (Birth Waiting Home).   Kebijakan “one data” yang dimotori oleh pemerintah melalui Kementerian kesehatan diyakini mampu membuat inovasi dan memberikan wajah baru terhadap layanan kesehatan. Tentunya, perbaikan layanan kesehatan tersebut dimulai dari lapisan terkecil dan terbawah yakni Polindes. Berawal dari kebijakan tersebut dan masih ditemukannya masalah pelayanan kesehatan publik yang relatif rendah, penulis melihat sebuah layanan kesehatan di Polindes, yang memberikan kontribusi positif dalam peningkatan kualitas layanan kesehatan masyarakat. Pelayanan kesahatan tersebut penulis lihat dari perpektif komunikasi melaui penelitian Komunikasi dalam Sinergi Pelayanan Kesehatan Publik Polindes (Pos Bersalin Desa) di Desa Tarumajaya, Kecamatan Kertasari, Kabupaten Bandung ini dilakukan. Metode yang digunakan dalam penelitian ini adalah studi kasus. Hasil penelitian mengungkapkan bahwa pelayanan kesehatan publik di Polindes, tidak terlepas dari adanya proses komunikasi yang terjalin di desa tersebut. Proses komunikasi verbal tersebut meliputi sinergitas positif antara pihak komunikator dan komunikan. Dalam hal ini, komunikator tersebut adalah Bidan Desa, Aparat Desa yakni Kepala Desa beserta staffnya, Puskesmas tingkat kecamatan, serta peran aktif dari para kader desa yang terlibat. Sedangkan komunikan yang menjadi target adalah masyarakat di desa Tarumajaya. Sinergitas positif tersebut menghasilkan peningkatan pelayanan publik yang nyata, yaitu dengan adanya penyediaan fasilitas baru di desa, RTK (Rumah Tunggu Kelahiran).

scholarly journals Does Fiscal Transfer Improve the Equalization of Regional Public Health Service Evidence from a Spatial Panel-Data Analysis in China

2021 ◽  
Vol 235 ◽  
pp. 03001
Author(s):  
Youwen Jin ◽  
Guoping Nong
Keyword(s):  
Public Health ◽  
Health Service ◽  
Central Government ◽  
Public Health Service ◽  
Panel Data Analysis ◽  
Service Development ◽  
Spatial Panel ◽  
Fiscal Transfer ◽  
Spatial Panel Data ◽  
The Government

Public health service is regarded a key social resource contributing to the national health and sustainable development. Its development gap, however, exists among regions in China due to the unbalanced regional economy, and is also affected by financial distribution. With the effect of tax reform, central fiscal transfer has become a strategic approach to narrow the regional gap of public health service and improve the regional development. This paper aims to evaluate provincial public health service levels in China by applying entropy method and shows that obvious spatial imbalance of public health service level exists in Chinese provinces and such imbalance is also consistent with that of average fiscal transfer from the central government to the regional ones. The current research also looks at, by adopting spatial panel model, a model developed from economic convergence model, whether central fiscal transfer effectively helps to lower the level of public health service difference in regions and the outcome depicts that central fiscal transfer, particularly fiscal transfer for specific purposes, accelerates Chinese public health service development especially in eastern, middle and western regions. From the perspective of spatial effect, neighborhood imitation effect exists to allow completion among neighboring regional governments and therefore more investment to public health service. Compared with the pace of economic development, central fiscal transfer’s limited effect is still seen in less developed regions particularly some midland and western areas, due to the inadequate investment rooted in government’s structured expenditure plan. The implication of this research is that, apart from the attention to economic growth, the government should, with the effort of fiscal transfer, financially focus more on the area of public health service.

The profession, the Government, and the Health Service

BMJ ◽  
1975 ◽  
Vol 4 (5997) ◽  
pp. 646-646
Author(s):  
S R Brennan
Keyword(s):  
Health Service ◽  
The Government

Competition and compromise in negotiating the new governance of medical performance: the clinical governance and revalidation policies in the UK

2009 ◽  
Vol 4 (3) ◽  
pp. 283-303 ◽  
Author(s):  
LAURA FENTON ◽  
BRIAN SALTER
Keyword(s):  
National Health Service ◽  
Health Service ◽  
Institutional Context ◽  
Clinical Governance ◽  
New Governance ◽  
Clinical Standards ◽  
High Profile ◽  
Chain Of Command ◽  
The Government ◽  
The Uk

AbstractThis article explores the development of two policies for the governance of medical performance in the UK: the Department of Health's (DH) clinical governance policy and the medical profession's revalidation policy. After discussing the institutional context in which each of these policies emerged, we examine how and why they were constructed. While the clinical governance policy was in large part a swift reaction to high-profile cases of medical misconduct in the late 1990s, revalidation was the profession's response to the politicisation of its self-regulatory apparatus. The profession took notably longer than the DH to piece together its policy as a result of internal disagreements about the role clinical standards should play in the evaluation of a doctor's fitness to practice. Following the Fifth Report of the Shipman Inquiry in late 2004, the government stepped in and eventually introduced legislation that modifies the profession's policy. With clinical governance, the state – via arms-length regulatory organisations – has entered the clinic in new ways, strengthening hierarchy-based forms of governance in the governance of medical performance. However, the success of hierarchical forms of governance is likely to be restricted by the lack of a clear system of sanctioning and the state's reliance on a lengthy chain of command in the National Health Service for the implementation of clinical standards.

scholarly journals Exploring Lack of Trust in Care Providers and the Government as a Barrier to Health Service Use

2006 ◽  
Vol 96 (4) ◽  
pp. 716-721 ◽  
Author(s):  
Kathryn Whetten ◽  
Jane Leserman ◽  
Rachel Whetten ◽  
Jan Ostermann ◽  
Nathan Thielman ◽  
...  
Keyword(s):  
Health Service ◽  
Service Use ◽  
Health Service Use ◽  
Care Providers ◽  
The Government

Policy Perspectives and Strategy for Communication Data and Network Security Projects and Tools

2014 ◽  
pp. 386-399
Author(s):  
Inderjeet Singh Sodhi
Keyword(s):  
Developing Countries ◽  
Network Security ◽  
Computer Network ◽  
The Internet ◽  
Network Systems ◽  
Constant Increase ◽  
Policy And Strategy ◽  
Effective Policy ◽  
The Government ◽  
Increasing Demand

This chapter highlights the constant increase in the number of attacks on computer network systems, which has pushed governments, researchers, and experts to devise better security policies and strategies. However, the rapid growth of systems, components, and services offered has increased the difficulty of administering them. In many organizations in developed and developing countries, more emphasis is being given on use of Automatic Computing for proper network security. The chapter clarifies how various projects and tools could be relevant for network security. The chapter provides insights about what steps have been taken for network security in a developing country like India. It looks into various strategies adopted for communication data and network security in India. It emphasizes that, with increasing demand for basic/citizen services over the Internet, it has become important to protect data and ensure efficient backup and data recovery. The chapter proposes a need for better and effective policy and strategy for communication data and network security to make the government citizen-oriented in developing countries.

7. What works?

2014 ◽  
pp. 116-118
Author(s):  
Avinash Dixit
Keyword(s):  
Political Competition ◽  
Competitive Markets ◽  
Efficient Manner ◽  
Mixed Economy ◽  
Social Organizations ◽  
What Works ◽  
The World ◽  
The Government

Given the long list of defects in markets and governments outlined in this VSI, the world has not fared too badly. ‘What works?’ concludes that a mixed economy — where competitive markets or similar institutions generate information about scarcity and create incentives to alleviate the scarcity in a reasonably efficient manner, where antitrust policies keep the markets open to competition, where the government and other social organizations help overcome the inefficiencies of externalities, and where political competition acts as a corrective mechanism against abuses of power and serious errors of judgement — is the best way of organizing microeconomic activity.

scholarly journals Social Organization Participation, Government Governance and the Equalization of Basic Public Services: Evidence from China

2019 ◽  
Vol 16 (16) ◽  
pp. 2996 ◽  
Author(s):  
Gangqiang Yang ◽  
Yongyu Xue ◽  
Yuxi Ma
Keyword(s):  
Social Organization ◽  
Public Services ◽  
Generalized Method Of Moments ◽  
Mediation Effect ◽  
Public Science ◽  
Social Organizations ◽  
Linkage Effect ◽  
Government Governance ◽  
The Government ◽  
The Relationship

This paper uses the methods of System Generalized method of moments (SYS-GMM), mediation effect and linkage effect to investigate the relationship among social organization participation, government governance and the equalization of basic public services from 2007 to 2017 in China. The empirical results show that the participation of social organizations and improvement in the government governance can promote the equalization of basic public services. The government has a greater capacity to drive the equalization of basic public services, but the density of social organizations can serve as a mediator in the equalization of basic public services. The government governance and social organization density have a strong linkage effect, but the link with social organization quality is weak. Furthermore, a linkage effect is evident in medical and health care, public education, environmental protection, and public culture but not in public science and social welfare.

scholarly journals Morbidity profile of patients attending the centers for mental health service provided jointly by the Government of Nepal and Community mental health service of Community Mental Health and Counseling- Nepal (CMC-Nepal)

2013 ◽  
Vol 2 (1) ◽  
pp. 14-19 ◽  
Author(s):  
KD Upadhyaya ◽  
B Nakarmi ◽  
B Prajapati ◽  
M Timilsina
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Community Mental Health ◽  
Health Service ◽  
Health Services ◽  
Health Program ◽  
Health Workers ◽  
Mental Health Program ◽  
Community Mental Health Program ◽  
The Government

Introduction: Community mental health program initially conducted in Lalitpur district by UMN and later in the western region demonstrated the possibility of providing mental health services in the primary health care level if proper mental training is provided to different levels of health workers and the program is well supervised. Community Mental Health and Counseling- Nepal (CMC-Nepal) extended the same model of community mental health program to several other districts of the country after taking permission from the Ministry of Health and Population. The basic objective of the study was to prepare morbidity profile of patients attending the centers for mental health conducted jointly by the government of Nepal and Community Mental Health and Counseling- Nepal (CMC-Nepal). Material and method: Ten days block training in mental health for health assistant (HA) and Auxiliary Health Workers (AHW) was conducted by the CMC-Nepal. Senior psychiatrists, psychologists and psychiatric nurse were the trainers. Materials like mental health manual, audiovisuals, flip charts and case stories were used during training by the facilitators. An especially developed patient record card was used for case record, diagnosis and treatment. The study was carried out in between July 2010 to June 2011. A total of 6676 cases were studied during the study period. Results: Community mental health program identified 4761 total new cases in 12 months (July 2010 to June 2011), out of which 2821 were females (59%) and 1940 were males (41%). Similarly total old cases both females and males were 6676 registered in these centers for treatment. Out of all new cases patients with Anxiety Neurosis emerged as the largest group (50%) followed by Depression (24.88%). Other commonly diagnosed conditions were Epilepsy (7.5%), Psychosis (5.3%) and Conversion disorder (5.7%) and unspecified cases (6.5%). The implications of the results are discussed, in the current context. Conclusion: Mental health services need to be provided at the community so as to prevent cases of prolonged subjection to mental illness and also prevent cases of stigma and discrimination. DOI: http://dx.doi.org/10.3126/jpan.v2i1.8569 J Psychiatrists’ Association of Nepal Vol .2, No.1, 2013 14-19

More Patient Choice in England's National Health Service

2005 ◽  
Vol 35 (3) ◽  
pp. 479-483 ◽  
Author(s):  
Richard Lewis
Keyword(s):  
Health Care ◽  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Urban Areas ◽  
Patient Choice ◽  
Private Provider ◽  
National Quality ◽  
The Government ◽  
English National Health

A new political consensus has emerged over the benefits of new rights for patients to choose their provider of elective health care in the English National Health Service. From December 2005, patients will be able to select from a number of alternative providers at the time they are referred for treatment. In the longer term, patients will be able to access care at any public or private provider that meets national quality and cost standards. The government intends that this policy will lead to improvements in the quality and efficiency of health care and will reduce levels of inequity among patients. Pilot schemes have shown that a majority of patients will exercise a choice of provider when this is offered. However, the policy of patient choice may involve significant costs to the NHS and may be more difficult to implement outside urban areas. Further, the information needed to support patients' choices is not yet available. Whether such a policy will increase or decrease levels of equity in the English NHS remains open to debate.

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