Documents health service 341 results

"This article explores the emergence, operation and outcomes of social partnership in the National Health Service (NHS) in Scotland and Wales. Social partnership emerged in the NHS following political devolution in 1998 which transferred powers to left-wing governments in Scotland and Wales. These arrangements helped improve health services, modernize industrial relations and enhance staff terms and conditions. In NHS Scotland, union participation in strategic decisions produced extensive co-operation to dismantle the internal health market, improve services and enhance staff terms and conditions. Union participation in NHS Wales was restricted to discussing workforce issues, and although co-operation increased when Welsh governments gained enhanced legislative powers and dismantled the internal health market, it delivered fewer improvements in service and pay levels. Differences in government political positioning (against public sector marketization) and degree of independence (with devolved administrations granted different legislative powers) help explain the operation and outcomes of social partnership."

"En 2013, l'INRS a réalisé un premier exercice de prospective sur l'utilisation des robots d'assistance physique à l'horizon 2030, en partenariat avec des professionnels du secteur et des spécialistes de la prévention et de la prospective : Agence nationale de sécurité sanitaire de l'alimentation, de l'environnement et du travail (Anses), Caisse centrale de la mutualité agricole (CCMSA), Centre technique des industries mécaniques (Cetim), Université de Nantes, Centre d'expertise national en robotique (CENRob), Futuribles. Alors que ces nouveaux types de robots, qu'ils soient industriels, de service ou d'assistance à la personne, représentent une réelle opportunité pour l'homme au travail, ils apportent également de nouveaux risques pour la santé et la sécurité des opérateurs qui doivent être pris en compte. Ces experts ont donc élaboré différents scénarios d'évolutions possibles et analysé leur impact potentiel sur la santé et la sécurité au travail."

"This biennial publication presents a set of key indicators of health status, determinants of health, health care resources and activities, quality of care, health expenditure and financing in 35 European countries, including the 27 European Union member states, 5 candidate countries and 3 EFTA countries. The selection of indicators is based largely on the European Community Health Indicators (ECHI) shortlist, a set of indicators that has been developed to guide the reporting of health statistics in the European Union. It is complemented by additional indicators on health expenditure and quality of care, building on the OECD expertise in these areas. Each indicator is presented in a user-friendly format, consisting of charts illustrating variations across countries and over time, a brief descriptive analysis highlighting the major findings conveyed by the data, and a methodological box on the definition of the indicator and any limitations in data comparability.

Compared with the previous edition, this third edition includes a greater number of ECHI indicators, reflecting progress in the availability of comparable data in the areas of non-medical determinants of health and access to care. It also includes a new chapter dedicated to access to care, including selected indicators on financial access, geographic access and timely access."

"La políticas en sanidad, además de complejas, están disfrazadas para dificultar la comprensión de lo que pasa. Grandes corporaciones publicitarias estudian la manera de presentarnos lo malo como bueno, lo falso como cierto, lo positivo como antiguo e ineficaz, en suma, lo que les interesa a ellos como bueno para todos. Este libro, mediante una exposición de conceptos, propuestas, advertencias, falacias…, pretende formar a auténticos activistas que luchen para transformar la realidad que se nos quiere imponer."

"Il sistema sanitario italiano si trova in una condizione di trasformazione e difficoltà, determinata da un aumento del numero di utenti e delle richieste di prestazione e fronte di una progressiva riduzione delle risorse disponibili, determinate dalla necessità di contenimento della spesa. I tagli in corso negli ultimi anni hanno colpito in modo significativo la dimensione del lavoro, andando ad incidere in particolare sui tassi di assunzione e sulle condizioni contrattuali degli infermieri. Tali dinamiche possono influenzare, sia direttamente sia indirettamente, la qualità dell'assistenza e dei servizi erogati, oltre che le condizioni materiali dei lavoratori interessati. L'articolo propone un approfondimento di natura esplorativa sul tema, adottando tecniche innovative di analisi di una serie di interviste in profondità a infermieri e coordinatori dell'assistenza della Fondazione Santa Lucia di Roma."

"This paper analyzes policy shifts in two core welfare state programs in Germany: old-age pensions and health care. Both programs are prototypes of Bismarckian/conservative program design (benefits are based on occupational and family status; financing is based on payroll contributions, and administration is based on corporatist arrangements) and both have experienced tremendous cost pressures because of demographic change and rising non-wage labor costs. A series of reforms since the late 1980s has reduced the generosity of benefits and aims to change the governance structures of both programs. Although the reforms include substantial benefit cuts, key conservative principles concerning benefit entitlement and financing remain largely untouched. In both programs, derived rights based on family status remain strong, and occupational fragmentation continues to characterize the overall structure of both systems. The paper argues that this pattern of institutional change is not new, but is typical of the politics of muddling through that has characterized the German system since its inception. I emphasize the impact of German political institutions, the structure of electoral competition, and the legacies of conservative social policy to explain the contemporary pattern of policy development."