Health sector reform and the interpretation of policy context

Collins, Charles; Green, Andrew; Hunter, David J.

doi:10.1016/s0168-8510(99)00003-2

Cited by 79 publications

(53 citation statements)

References 12 publications

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“…Collins et al, 7 1999: 74). 7 In this work, sub-categories of the main Context will also be chosen in an attempt to cover most aspects.…”

Section: Boxmentioning

confidence: 99%

“…6 Object of analysis Policies are formulated in a multifaceted reality. A variety of different aspects of such a reality interacting in a particular context certainly influences the whole policy process, as recognised by Collins et al (1999: 70) 7 "Policy formulation and implementation take place in a context which gives explanatory and historical meaning to that policy." In other words, a particular policy formulated in a particular context is certainly meant to interact with its context and to produce some effect on it.…”

Section: Boxmentioning

confidence: 99%

“…7 In this work, sub-categories of the main Context will also be chosen in an attempt to cover most aspects. An endeavour will be made to gather all these above-mentioned aspects of context included in the framework created in the present stuy ( Figure 1).…”

Section: Boxmentioning

confidence: 99%

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Developing an operational framework for health policy analysis

Filho

2001

Rev. Bras. Saude Mater. Infant.

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“…Collins et al, 7 1999: 74). 7 In this work, sub-categories of the main Context will also be chosen in an attempt to cover most aspects.…”

Section: Boxmentioning

confidence: 99%

Section: Boxmentioning

confidence: 99%

See 1 more Smart Citation

Developing an operational framework for health policy analysis

Filho

2001

Rev. Bras. Saude Mater. Infant.

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“…Firstly, the processes by which they have been introduced can be criticized on various fronts including the fact that their rationale was not always explicit or clear-in some cases they respond more to ideological concerns and the interests of an internationally driven agenda than to needs including the epidemiological and demographic profile, the current systems, the resources and the socio-political reality of the country (Collins et al, 1999). The World Bank Development Report (World Bank, 1993), for example, reflected an international ideological shift to the New Right and had major influence on the structures of health systems.…”

Section: Changing Health Systemsmentioning

confidence: 99%

Health systems in developing countries: public sector managers and the management of contradictions and change

Green

Collins

2003

Int. J. Health Plann. Mgmt.

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SUMMARYHealth sector reform in the past decade has tended to focus on remodelling institutional relations and changing methods of health system financing. Little attention has been paid to human resources. This paper focuses on one category of health sector staff, health managers and planners, and the tensions they face in carrying out their roles. An understanding of these tensions has been neglected in the policy-making process. The paper is divided into two parts. Firstly, it will set out the nature of three tensions that public sector health managers and planners face: changes in the health care system; the contradictions between public interest and private gain; and changes in the forms of accountability. Secondly, it will suggest ways forward in relation to these problems, paying particular attention to the role of international agencies.

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“…Uygulamalarda tek tip sağlık modeline gidiş varmış gibi görünse de sistemlerdeki farklılıklar ortadan kalkmamıştır. [1][2][3] Türkiye'de 1961 yılında çıkarılan 224 sayılı Yasa ile oluşturulan sağlık ocağı sistemi ile örgütlenme modeli, 4 …”

Section: Introductionunclassified

Aile hekimliği uygulamalarının Doğankent Sağlık, Eğitim ve Araştırma Bölgesindeki durumu/The condition of family medicine practices in the Doğankent Health, Training and Research Region

Tanır

2014

Türkiye Halk Sağlığı Dergisi

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Amaç: Sağlık hizmetlerinin temel amacı, kişilerin ve toplumun sağlığının korunması ve geliştirilmesidir. Bunları sağlayacak en önemli araç, sağlık hizmeti sunumudur. Bu amaçla Türkiye'deki temel sağlık hizmetleri, aile hekimliği uygulamaları temelinde yeniden düzenlenmiştir. Bu çalışma, Adana ili kırsalında, aile hekimliği uygulamalarını hizmeti alanlar ve sunanlar açısından değerlendirmek amacıyla planlanmıştır. Yöntem: Veriler, Adana ili Doğankent sağlık, eğitim ve araştırma bölgesindeki kırsal alanda birinci basamak sağlık hizmetinden yararlanan 543 erişkin ile hizmeti sunan 43 sağlık personelinden Nisan-Eylül 2011 tarihlerinde yüz yüze görüşmeyle toplanmıştır. Bulgular: Hizmeti alanlar %44.0 muayene, %43.5 reçete yazdırmak için başvurduklarını bildirmişlerdir. Sürekli aynı kişilerden hizmet almalarını, her ilacı reçeteye yazdırabilmelerini, her eczaneden ilaç alımını ve sevksiz her yere gidebilmelerini avantaj, mesai dışı hizmet alamamalarını ise dezavantaj olarak nitelemişlerdir. ASM çalışanları çalışma ortamı ve ücretlerinden büyük oranda memnun oldukları belirtmiş, bunun yanında çalışma koşulları ile ilgili bazı yakınmalarda bulunmuşlardır. TSM çalışanlarının %77'si, genel olarak bu yeni sistemde kendilerine değer verilmediğinden yakınmışlardır. Sonuç: Sağlık hizmeti kullanıcıları, mesai dışı sağlık hizmeti alamamakta ve her muayenede para ödemektedir. Birinci basamak sağlık hizmetleri, kesintisiz ve tamamen ücretsiz olarak sunulmalıdır.Anahtar Kelimeler: Aile hekimliği, temel sağlık hizmeti, memnuniyet, aile sağlığı merkezi, kırsal bölgeThe condition of family medicine practices in the Doğankent health, training and research region Abstract Objective: The primary objective of health care services is to protect and improve the health of individuals and populations. The most important facility ensuring this objective is provided by healthcare services. For this objective, basic healthcare services in Turkey have been rearranged on the basis of family medicine practices. This study was planned to evaluate of the family medicine practices for both users and servers in the rural area of Adana Province. Method: The data were collected between April and September 2011, face-to-face, from 43 healthcare personnel at primary health care services and from 543 adult patients residing in the Doğankent Health, Training and Research Region in Adana Province. Results: The users applying for healthcare healthcare services reported that their reasons were as follows: medical examination 44.0%, prescription, 43.5%. They also stated that the advantages of using the service were: encountering the same personnel, obtaining the prescription for the medications they demanded tarihi: 10.04.2013tarihi: 10.04. , Kabul tarihi: 23.03.2014 Aile hekimliği uygulamaları Turk J Public Health 2014;12(2) 92 applying to all hospitals without referral. The disadvantage was unavailability of healthcare outside of official working hours. Personnel of family health centers reported that they were mostly satisfied the working atmosphere and ...

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Health sector reform and the interpretation of policy context

Cited by 79 publications

References 12 publications

Developing an operational framework for health policy analysis

Developing an operational framework for health policy analysis

Health systems in developing countries: public sector managers and the management of contradictions and change

Aile hekimliği uygulamalarının Doğankent Sağlık, Eğitim ve Araştırma Bölgesindeki durumu/The condition of family medicine practices in the Doğankent Health, Training and Research Region

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