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The period following the break-up of the Soviet Union has brought enormous political and socioeconomic change to the European Region.The health sector has not been spared the effects of transition, and the countries emerging from the process have each engaged to varying degrees in health system reform. It is at last possible to reach some judgement about how this process has unfolded, to identify successes and failures, and to understand better the scale and nature of the remaining challenges. This book draws on the experience and lessons learned in the Region over the past ten years of transition in key health systems areas, such as health care financing, the restructuring of hospitals, public health and gains in health system quality.
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Face à la situation particulièrement préoccupante des migrants gravement malades, des médecins, avocats, juristes et travailleurs de terrain se sont rassemblés pour publier un livre blanc sur la question des autorisations de séjour pour raisons médicales. Ils lont présenté ce jeudi. Prévue par larticle 9 ter de la loi sur le séjour des étrangers, la procédure dautorisation de séjour pour raisons médicales a été plusieurs fois réformée dans un sens toujours plus restrictif. Ladministration nest pas en reste : son interprétation très étroite de la loi crée de nombreux dysfonctionnements dans le traitement de ces demandes.Le nombre de personnes régularisées pour raisons médicales a fortement diminué ces dernières années. Lécrasante majorité des demandeurs 9 ter, atteints d'une maladie qui peut mettre leurs jours en danger, n'obtiennent pas de titre de séjour et sont renvoyés vers leurs pays dorigine dans lequel ils n'auront pas la possibilité d'être soignés de manière adéquate.Les professionnels de terrain - avocats, juristes, médecins, assistants sociaux - du Nord et du Sud du pays dénoncent depuis longtemps ces pratiques abusives et le surréalisme de la situation. Particulièrement inquiets, ces acteurs ont rédigé un livre blanc, un compte rendu accablant de la situation des migrants gravement malades. Face à des pratiques administratives qui ne respectent pas le prescrit légal, ils ont aussi voulu clarifier les choses. Il n'est plus tolérable que l'Office des étrangers fasse de l'article 9 ter un « permis de mourir » sur le territoire belge, menaçant ainsi directement la dignité et la vie de ces personnes malades.Parmi les dysfonctionnements relevés et analysés : le formalisme excessif dans lanalyse des conditions de recevabilité de la demande 9 ter, l'appréciation trop stricte de la « gravité » de la maladie, l'analyse hâtive de la situation individuelle du demandeur, la motivation insuffisante des décisions de refus, l'examen de la disponibilité générale des soins et non de leur accessibilité effective dans le pays dorigine, etc.Ce livre blanc vise à informer toutes les personnes impliquées dans la prise en charge juridique, sociale et médicale des migrants malades ainsi que les décideurs politiques sur les réalités vécues par des personnes qui comptent parmi les plus vulnérables de notre société.
Delivery of Health Care --- Delivery of Health Care --- Delivery of Health Care --- JF 1525 Political institutions and public administration --- JF 1525 Political institutions and public administration --- JF 1525 Political institutions and public administration --- Public administration --- Public administration --- Public administration
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This book critically examines integrated care, looking at integration from an unconventional angle to reveal the tacit assumptions we make when we manage and change health services. Kaehne questions our premises on health services management, the motivations for change and the shortcomings of health policy in complex environments.
W 84.1 Health services. Delivery of health care. General coverage.. --- W 84.1 Health services. Delivery of health care. General coverage.. --- W 84.1 Health services. Delivery of health care. General coverage.. --- Delivery of Health Care, Integrated --- Delivery of Health Care, Integrated --- Delivery of Health Care, Integrated --- Mental Health Services --- Mental Health Services --- Mental Health Services --- Primary Health Care --- Primary Health Care --- Primary Health Care
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The integration of behavioral health with general health care improves outcomes, lowers costs, and leads to a better experience of care. But how to achieve this Triple Aim effectively and efficiently? This how-to book is essential for practitioners and policy makers who want to make collaborative care a reality everywhere. --Steven S. Sharfstein, M.D., President Emeritus, Sheppard Pratt Health System, Clinical Professor of Psychiatry, University of Maryland, and former President of APAThis book will be helpful for both primary care and behavioral health organizations on the path to integration, regardless of what stage they are in. The focus on the specifics of implementation will be very helpful for all disciplines. --Virna Little, PsyD, LCSW-r, MBA, CCM, SAP, Senior Vice President Psychosocial Services/Community AffairsIntegrated Care: A Guide for Effective Implementation covers a broad range of topics related to making behavioral health integration work in the readers setting. It covers clinical, operational, and financial aspects of integration. This book is full of practical advice from people who have worked in integrated settings and understand the potential benefits and the challenges of providing integrated care. --Neil Korsen, Physician Scientist, Center for Outcomes Research and Evaluation Maine Medical Center
W 84.1 Health services. Delivery of health care. General coverage.. --- Delivery of Health Care, Integrated --- Primary Health Care --- Mental Health Services --- Integrated delivery of health care. --- Primary health care. --- Mental health services. --- Behavioral health care --- Mental health care --- Psychiatric care --- Psychiatric services --- Medical care --- PHC (Primary health care) --- Community health services --- Delivery of health care, Integrated --- Integrated delivery of medical care --- Integrated delivery systems (Medical care) --- Integrated health care systems --- Integrated service networks (Medical care)
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This wide-ranging text on research methods in health and social care introduces readers to different kinds of evidence and helps them to evaluate the unique contributions of each. It acknowledges the variety of contexts in which practitioners work and the challenges of putting research into practice. The book introduces readers to research of different kinds - the randomised controlled trial, the survey, qualitative research and action research - and highlights the underlying logic and value of each. It also addresses economic appraisal, and ethical issues in research. The text goes on to consider how there can be a much more active and dynamic interplay between practice and research, and using examples from health and social care shows that applying evidence is a complex process requiring the active participation of those on the receiving end. Those who seek to develop and improve their practice will welcome this approach to evidence-based health. The text supports evidence-based practice but seeks to ensure that the interpretations and uses of it are broad, thoughtful and informed. As such, Using Evidence in Health and Social Care will be an essential text for research methods courses in health, social work and nursing. It is a textbook for the Open University course K302 Critical Practice in Health and Social Care.
WB 102 Clinical medicine --- WB 102 Clinical medicine --- WB 102 Clinical medicine --- Evidence-Based Medicine --- Evidence-Based Medicine --- Evidence-Based Medicine --- Research --- Research --- Research --- Decision Making --- Decision Making --- Decision Making --- Delivery of Health Care --- Delivery of Health Care --- Delivery of Health Care --- Social Work --- Social Work --- Social Work --- Evaluation --- Evaluation --- Evaluation --- Medical Care --- Medical Care --- Medical Care
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W 84 Health services. Quality of health care (General) --- W 84 Health services. Quality of health care (General) --- W 84 Health services. Quality of health care (General) --- Belgium --- Belgium --- Belgium --- Delivery of Health Care --- Delivery of Health Care --- Delivery of Health Care
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W 84 Health services. Quality of health care (General) --- W 84 Health services. Quality of health care (General) --- W 84 Health services. Quality of health care (General) --- Belgium --- Belgium --- Belgium --- Delivery of Health Care --- Delivery of Health Care --- Delivery of Health Care
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