Determinanti globali della salute e (in)sostenibilità dell'obiettivo di copertura sanitaria universale

Transitioning to Good Health and Well-Being

“…The World Health Report of 2008 also highlighted "hospital-centrism" among the problems at the root of the failure in achieving the health-for-all goal (WHO 2008). Practice in medical studies is mainly based on the observation of a hospitalized individual in a "horizontal" position, a "patient" in bed (Missoni 2018), and in a context too often socially and/or culturally alien to the social reality in which people "are born, live, work, grow old and die" (CSDH 2008, p. 26).…”

“…The main drivers of brain-drain include push (low level of income, poor working conditions, the absence of job openings and social recognition, oppressive political climate) and pull (better remuneration and working conditions, prospects for career development, job satisfaction, security) factors; however the latter leverages globally standardized training, which tends to produce "fit for export" health personnel. Indeed, health workers and, in particular, doctors, who are not prepared and unmotivated to serve in their own communities, will seek work elsewhere-first in large urban centers and then abroad-to obtain the kind of professional integration that requires their skills and meets the aspirations suggested in their medical studies, according to the globalized stereotype of the successful doctor (Missoni 2018).…”