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Vaccinate children against deadly pneumococcal disease, or pay for cardiac patients to undergo lifesaving surgery? Cover the costs of dialysis for kidney patients, or channel the money toward preventing the conditions that lead to renal failure in the first place? Policymakers dealing with the realities of limited health care budgets face tough decisions like these regularly. And for many individuals, their personal health care choices are equally stark: paying for medical treatment could push them into poverty. Many low- and middle-income countries now aspire to universal health coverage, where governments ensure that all people have access to the quality health services they need without r...
Renowned for its international coverage and rigorous selection procedures, this series provides the most comprehensive and scholarly bibliographic service available in the social sciences. Arranged by topic and indexed by author, subject and place-name, each bibliography lists and annotates the most important works published in its field during the year of 1997, including hard-to-locate journal articles. Each volume also includes a complete list of the periodicals consulted.
This volume uses new empirical evidence and analytical ideas to study phenomena of fragmentation and exclusion threatening stability and cohesion in Greek society in the aftermath of the crisis. The contributors argue that processes of fragmentation and exclusion provoked by the crisis can be observed on both a material and an ideational level. On a material level, rising levels of unemployment, poverty and inequality have produced new social security “outsiders”, while on an ideational level, a discursive-cultural shift is documented, which has led to new understandings and categorizations of new (and old) insiders and outsiders. Moreover, the volume attests to the aspirations, but also the limitations, of spontaneous civil society mobilization to address the social crisis. Finally, the volume offers a discussion of the political management of social fragmentation and exclusion in Greece both before and after the onset of the crisis. The book will be of interest to scholars and students of social policy and phenomena of poverty, social exclusion and economic inequality, civil society studies, and comparative political economy and politics.
Both developing and developed countries face an increasing mismatch between what patients expect to receive from healthcare and what the public healthcare systems can afford to provide. Where there has been a growing recognition of the entitlement to receive healthcare, the frustrated expectations with regards to the level of provision has led to lawsuits challenging the denial of funding for health treatments by public health systems. This book analyses the impact of courts and litigation on the way health systems set priorities and make rationing decisions. In particular, it focuses on how the judicial protection of the right to healthcare can impact the institutionalization, functioning a...
Garantizar el derecho a la salud en igualdad de condiciones para todos es una meta hacia la que toda sociedad quiere avanzar, máxime en una región tan desigual como América Latina y el Caribe. La cobertura universal es un objetivo importante para la mayoría de los países; sin embargo, el contexto para lograr una cobertura universal es difícil: cada día aumenta la presión sobre el gasto en salud. Entonces, ¿qué incluir o no incluir en un plan de beneficios en salud?
Esta monografía utiliza un enfoque sistémico para abordar la priorización explícita en salud, lo que facilita la comprensión de los procesos que la integran, los actores que involucra y su relación con las diferentes políticas públicas que deben ser articuladas e implementadas de una manera armónica. El documento ofrece, en primer lugar, un marco conceptual y seguidamente presenta las instituciones y los actores de cada proceso relacionado con la priorización, sus funciones y responsabilidades y los criterios y reglas que rigen cada paso en tres países de Latinoamérica: Brasil, Colombia y México. A continuación se evalúan y comparan los sistemas de priorización de estos tres países según criterios de coherencia, eficacia y eficiencia, solidez técnica, transparencia y legitimidad. Finalmente, se ofrece una serie de recomendaciones que pueden ser de utilidad para aquellos países que todavía no hayan iniciado sus procesos de priorización en salud o que estén en proceso de construirlos o mejorarlos.
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