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Links: : La filosofía y la práctica de la salud internacional reforman (1995) , corregido por Seedhouse describe una descripción detallada de las reformas prácticas de la salud en diversos países; incluyendo reforma de la salud en los EEUU, el Reino Unido, Nueva Zelandia, la Europa Oriental y la Suráfrica con la puntería de saber qué está sucediendo en diversos sistemas sanitarios y de cómo él intenta reformar esos sistemas de la salud. Reform health care: The philosophy and practice of international health reform (1995), corrected by Seedhouse describes a detailed description of the practices of health reforms in various countries, including health reform in the U.S., the UK, New Zealand, Eastern Europe and South Africa with the aim of knowing what is happening in various health systems and how he tries to reform these systems health. The author highlights the inefficiencies of the health reforms taking place in various countries, largely due to the negligence of the key aspects of the process of health reform. A key aspect is that the philosophical basis of health reform.
Basically indicates the importance of considering the questions and philosophical aspects when planning for health reform. Applies philosophical analysis to the problems of policy and practice of heath services in order to understand the health reform better and make a small part in reforming existing problems associated resolution.
The first discussion of the author is that the reforms being made in most countries are indoors and practical reforms are lacking universal coverage in terms of health needs of the community. The heath care systems in some countries segregate people who kind of heath care one gets, mainly due to prices rising health care and racism (South Africa and Lithuania). If you do not care heather is ineffective in-terms of quality, availability, and priorities. The individual and institutional racism, together with the stigma of inferiority, can affect the anti-health for minorities. Racism can also directly affect health in multiple ways. The residence in poor neighborhoods, racial bias in medical care, the tension of experiences of discrimination and acceptance of the social stigma of inferiority can have deleterious consequences for health.
The author also points out the second discussion of the negligence of the involvement of community ongoing process of reforming the heather in some countries (for example Netherlands and South Africa).
The third author's discussion is how to make a better process of reform. To study and understand the facts heather reforming reform practices are not enough. A health reform must embrace reform of the health practice, the theory of health and the underlying logic of reform.
The reform practice must meet the following conditions: The business sector to be reformed should be delineated; totals originally desired purposes of the activities outlined should be known (even if the activities are not currently reaching the desired purposes); must be clear why the existing provision is not achieving the desired purposes or if total reaches desired purposes why the disadvantages; strategies to undertake the reform must be known and potential. It should be clear how the planned reforms will ensure that the goals will be achieved better total desired, and the total originally desired purposes should not be abandoned because doing so would not implement the reform but radical changes.
The philosophical aspects must be addressed in detail. The philosophy represents the values, cree and commissions and the aspirations of the reform of heath. The editions practices and social philosophy are connected by a well-made theory of promoting heather. The theory establishes clear limits (the boundaries beyond which he would not apply), said what the goals of the work of health and how the process of working heather is compatible, and can produce truly health as defined by theory. editions practices must go parallel with the social philosophy.
The philosophy of the reform of heath is therefore serves as a guide to how reform should be conducted. The responsibilities include ensuring the philosophy of patient satisfaction and medical suppliers; give stakeholders a reasonable return on investment; offers patients good medical care and services at competitive prices, and understanding the impact of reform heather can have on society to avoid negative effects and enhance the positive ones.
To sum up the reform of heath care is therefore important to be directed by important ideas: the meaning of the reform of heather; goals in the process of reforming the heather and the criteria for determining success and failure of the process health reform. Only by understanding the logical structure of reform that reform can be done much better. While the philosophy has much to contribute to the reform of heath its advantages are rarely appreciated by policy makers of heath care. The study of the reforms of heather in some countries makes clear that many reformers have embarked on only a minimum of philosophical reflection, if they have done any at all.
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