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La mise en marché de produits moralement sensibles, comme ceux touchant à l’intimité des personnes, à leur intégrité, à la santé ou au maintien de l’ordre public, est l’objet de cette réflexion collective qui met en regard neuf cas de « marchés contestés ». Certains de ces marchés contestés sont effectifs, comme dans le cas du tabac, de la pornographie, des jeux d’argent ou des défunts. Certains sont potentiels dans le sens où les poissons génétiquement modifiés, les données personnelles ou le cannabis sont à la recherche des moyens de rendre acceptables les transactions marchandes. D’autres, enfin, sont bannis car la marchandisation des enfants adoptés ou des organes humains reste moralement inacceptable. La tension entre les principes marchands et moraux au cœur des marchés contestés est dans chaque contribution éclairée par l’identification des formes de la contestation morale et des dispositifs juridiques, fiscaux, sanitaires, éthiques, rendant possible ou au contraire irréalisable l’édification d’un marché. La prise en compte de « populations fragiles », qu’il s’agit de protéger du marché, mais aussi de protéger par le marché, émerge dans tous les chapitres comme un élément explicatif essentiel des avancées et des reculs des marchés contestés.
Business ethics --- Capitalism --- Social responsibility of business --- Morale des affaires --- Capitalisme --- Entreprises --- Moral and ethical aspects --- Aspect moral --- Responsabilité sociale --- Sociologie économique --- --Économie de la santé --- --Éthique --- --Business ethics --- Sociologie économique. --- Éthique des affaires. --- Économie de la santé. --- Éthique médicale. --- Économie de la santé --- Éthique --- Economics --- Business --- Sociology --- marché --- économie --- morale --- consommation
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Health care reform --- Medical economics --- Economics, Medical --- Health Care Reform --- Medical Economics --- Medicine --- Healthcare Reform --- Health Care Reforms --- Healthcare Reforms --- Reform, Health Care --- Reform, Healthcare --- Reforms, Health Care --- Reforms, Healthcare --- Health --- Health economics --- Hygiene --- Medical care --- History --- economics --- History. --- Economic aspects --- United States --- Public health --- Economie de la santé --- Services de santé --- Santé publique --- Histoire --- Réforme
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Are advanced industrialized countries converging on a market response to reform their systems of social protection? By comparing the health care reform experiences of Britain, Germany, and the United States in the 1990s, Susan Giaimo explores how countries pursue diverse policy responses and how such variations reflect distinctive institutions, actors, and reform politics in each country. In Britain, the Thatcher government's plan to inject a market into the state-administered national health service resulted in a circumscribed experiment orchestrated from above. In Germany, the Kohl government sought to repair defects in the corporatist arrangement with doctors and insurers, thus limiting the market experiment and designing it to enhance the solidarity of the national health insurance system. In the United States, private market actors foiled Clinton's bid to expand the federal government's role in the private health care system through managed competition and national insurance. But market reform continued, albeit led by private employers and with government officials playing a reactive role. Actors and institutions surrounding the existing health care settlement in each country created particular reform politics that either militated against or fostered the deployment of competition. The finding that major transformations are occurring in private as well as public systems of social protection suggests that studies of social policy change expand their focus beyond statutory welfare state programs. The book will interest political scientists and policymakers concerned with welfare state reform in advanced industrial societies, social scientists interested in the changing balance among state, market, and societal interests in governance, and health policy researchers, health policymakers, and health care professionals.
Health care reform --- Medical policy --- Duitsland --- gezondheidseconomie (gezondheidszorgeconomie) --- gezondheidszorgbeleid (gezondheidszorghervorming, gezondheidszorgsysteem) --- Groot-Brittannië --- Verenigde Staten --- verzorgingsstaat --- ziektekostenverzekering (sociale zekerheid, mutualiteit, ziekenfonds, zorgverzekeraar) --- Allemagne --- économie de la santé (économie des soins de santé) --- politique des soins de santé (réforme des soins de santé, système des soins de santé) --- Grande Bretagne --- Etats Unis --- État-providence --- assurance maladie (sécurité sociale, mutualité)
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We are on the verge of the nation's worst nursing shortage in history. Dedicated nurses are leaving hospitals in droves, and there are not enough new recruits to the profession to meet demand. Even hospitals that were once very highly regarded for the quality of their nursing care, such as Boston's Beth Israel Deaconess Medical Center, now struggle to fill vacant positions. What happened? Dana Beth Weinberg argues that hospital restructuring in the 1990's is to blame. In their attempts to retain profit margins or even just to stay afloat, hospitals adopted a common set of practices to cut costs and increase revenues. Many strategies squeezed greater productivity out of nurses and other hospital workers. Nurses' workloads increased to the point that even the most skilled nurses questioned whether they could provide minimal, safe care to patients. As hospitals hemorrhaged money, it seemed that no one-not hospital administrators, not doctors-felt they could afford to listen to nurses. Through a careful look at the effects of the restructuring strategies chosen and implemented by Beth Israel Deaconess Medical Center, the author examines management's efforts to balance service and survival. By showing the effects of hospital restructuring on nurses' ability to plan, evaluate, and deliver excellent care, Weinberg provides a stinging indictment of standard industry practices that underestimate the contribution nurses make both to hospitals and to patient care.
Nursing --- Hospitals --- Benevolent institutions --- Infirmaries --- Health facilities --- Clinical nursing --- Nurses and nursing --- Nursing process --- Care of the sick --- Medicine --- Finance. --- gezondheidseconomie (gezondheidszorgeconomie) --- gezondheidszorgkwaliteit --- verpleegkunde --- ziekenhuis (ziekenhuiszorg) --- Finance --- économie de la santé (économie des soins de santé) --- qualité des soins de santé --- soins infirmiers --- hôpital (soins hospitaliers) --- Beth Israel Deaconess Hospital Center
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Social costs. Social benefits --- Personnel management --- Medical economics --- Medical care --- Medical ethics --- Economie de la santé --- Soins médicaux --- Ethique médicale --- Delivery of Health Care --- Resource Allocation --- Cost-Benefit Analysis --- Health Resources --- Health Policy --- Periodicals. --- Evaluation --- Political aspects --- Périodiques --- Aspect politique --- economics --- methods --- Health Policy. --- Medical economics. --- Medical ethics. --- economics. --- methods. --- Evaluation. --- Political aspects. --- Health Economics. --- Delivery of health care --- Delivery of medical care --- Health care --- Health care delivery --- Health services --- Healthcare --- Medical and health care industry --- Medical services --- Personal health services --- Biomedical ethics --- Clinical ethics --- Ethics, Medical --- Health care ethics --- Medicine --- Economics, Medical --- Health --- Health economics --- Hygiene --- Moral and ethical aspects --- Economic aspects --- health economics --- health policy --- health sector efficiency --- Public health --- Bioethics --- Professional ethics --- Nursing ethics --- Social medicine --- Human medicine --- Medical Economics
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Health Care Costs --- Economics, Medical --- Medical care --- Medical care, Cost of --- Medical economics --- Soins médicaux --- Economie de la santé --- Evaluation --- Periodicals. --- Périodiques --- Coût --- Health Care Costs. --- Economics, Medical. --- Medical economics. --- Evaluation. --- Health --- Health economics --- Hygiene --- Medicine --- Medical Economics --- Costs, Medical Care --- Health Costs --- Healthcare Costs --- Medical Care Costs --- Treatment Costs --- Cost, Health --- Cost, Health Care --- Cost, Healthcare --- Cost, Medical Care --- Cost, Treatment --- Costs, Health --- Costs, Health Care --- Costs, Healthcare --- Costs, Treatment --- Health Care Cost --- Health Cost --- Healthcare Cost --- Medical Care Cost --- Treatment Cost --- Cost of medical care --- Health care costs --- Health care expenditures --- Medical costs --- Medical expenses --- Medical service, Cost of --- Delivery of health care --- Delivery of medical care --- Health care --- Health care delivery --- Health services --- Healthcare --- Medical and health care industry --- Medical services --- Personal health services --- Economic aspects --- economics --- Costs --- health policy --- health economics --- healthcare finance --- health services --- Health Expenditures --- Medical savings accounts --- Public health --- Medical Research --- Human medicine
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Pourquoi la santé, régulièrement qualifiée de « bien public mondial », demeure-t-elle un domaine où les inégalités internationales sont si profondes ? Analyser ce paradoxe constitue l'objectif de cet ouvrage. Au-delà des travaux polémiques ou techniques sur l’accès à la santé, cet essai s’attache d’abord à expliquer les fondements théoriques des biens publics mondiaux et leur application à la santé. Les faiblesses et contradictions de ces fondements théoriques débouchent sur l’ambiguïté de la notion de santé comme bien public mondial et remettent en cause la légitimité de l’agenda de la santé impulsé par les acteurs de l’aide au développement. L’analyse proposée ici se démarque également en étudiant la façon dont les normes internationales ont abouti à des programmes de santé, dits coopératifs, aux effets mitigés sur les terrains africains. Cet ouvrage participe alors aux débats sur le devenir de la santé comme objectif mondial. Il s’inscrit résolument dans une approche d’économie politique de la santé et du développement, étudiant les processus de production de la santé, traversés par des rapports de forces qui n’ont rien à voir avec un quelconque optimum technique. Les acteurs dominants – firmes, organisations internationales, think tanks – façonnent en effet les modes de pensée et les programmes. Ce livre s’adresse aux spécialistes de la santé et du développement mais également aux acteurs de terrain – ONG, professionnels de santé – et aux lecteurs intéressés par la santé comme enjeu de solidarité internationale.
Public health --- Medical policy --- World Health --- Public Health --- Health & Biological Sciences --- International cooperation --- Economic aspects --- Health care policy --- Health policy --- Medical care --- Medicine and state --- Policy, Medical --- Public health policy --- State and medicine --- Community health --- Health services --- Hygiene, Public --- Hygiene, Social --- Public health services --- Public hygiene --- Sanitary affairs --- Social hygiene --- Government policy --- Science and state --- Social policy --- International agencies --- Medical assistance --- Public health laws, International --- World health --- Health --- Human services --- Biosecurity --- Health literacy --- Medicine, Preventive --- National health services --- Sanitation --- Health Care Economics and Organizations - Africa --- International Cooperation --- Medical economics --- Economie de la santé --- Santé publique --- Comparative studies --- Etudes comparatives --- Coopération internationale --- droits humains --- aide au développement --- biens communs --- accès --- bien public mondial --- santé globale --- gouvernance mondiale --- développement --- partenariats multipartites --- firmes pharmaceutiques --- responsabilité sociale des entreprises --- partenariats public privé --- santé --- médicaments --- Health Care Economics and Organizations
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A major problem in health economics is how to give a value to changes in health. This is the first book to examine all the money measures that are used in such evaluations. Changes in health might be caused by medical treatments, by public safety programmes and by anti-pollution programmes, and the cost-benefit analysis of such programmes involves the use of money measures. The author defines the properties of these money measures, examining them in both a certain and a risky world. He evaluates available empirical approaches for the assessment of the value of health changes, and considers measures such as quality-adjusted life years (qalys) and healthy-years equivalents (hyes). This book raises the important question of whether we are willing to pay the costs for our health care system. It will be of interest to advanced students of health economics and related disciplines, and will also be useful for professionals working on projects that affect human health.
Medical economics. --- Medical care --- Cost effectiveness. --- Economics [Medical ] --- Economie médicale --- Geneeskunde--Economische aspecten --- Gezondheid--Economische aspecten --- Gezondheidseconomie --- Gezondheidszorg--Economische aspecten --- Health economics --- Health--Economic aspects --- Hygiene--Economic aspects --- Hygiène--Aspects économiques --- Hygiëne--Economische aspecten --- Medical care--Economic aspects --- Medical economics --- Medicine--Economic aspects --- Médecine--Aspects économiques --- Santé--Aspects économiques --- Soins médicaux--Aspects économiques --- 351.77 --- -Medical economics --- Economics, Medical --- Health --- Hygiene --- Medicine --- Delivery of health care --- Delivery of medical care --- Health care --- Health care delivery --- Health services --- Healthcare --- Medical and health care industry --- Medical services --- Personal health services --- Public health --- 351.77 Openbare gezondheidszorg.--zie ook {?614.1/7} en {628}. --- Openbare gezondheidszorg.--zie ook {?614.1/7} en {628}. --- Cost effectiveness --- Economic aspects --- Soins médicaux --- Economie de la santé --- Coût-efficacité --- Openbare gezondheidszorg.--zie ook {?614.1/7} en {628} --- Medical care - Cost effectiveness. --- Health Care Economics and Organizations. --- Business, Economy and Management --- Economics --- Health Care Economics and Organizations --- economics.
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Sida, vache folle, fièvre aphteuse, tabac, amiante, mais aussi effets de la pauvreté et de la précarité sur la santé ou encore décryptage du génome… Jamais les grands enjeux de la santé publique n’ont autant fait irruption dans notre vie quotidienne qu’au cours de ces dernières années. Au même moment, à l’autre bout du monde la diarrhée, le paludisme ou la tuberculose continuent chaque jour à tuer silencieusement des milliers de personnes. Il est remarquable de constater à quel point la mondialisation du commerce, des investissements et de la communication amplifie ces enjeux et leur donne, par le biais de leur valeur économique et sociale, un relief particulièrement menaçant. Des spécialistes de disciplines diverses (santé publique, économistes, sociologues, anthropologues, acteurs de terrain) nous font partager leurs interrogations quant au lien entre problèmes de santé publiques et les approches néolibérales de l'économie.
Public health --- Health planning --- World health --- Economic aspects. --- Economic order --- Hygiene. Public health. Protection --- Social security law --- Insurance --- anno 2000-2099 --- -Public health --- -World health --- -#SBIB:316.334.3M50 --- #SBIB:35H436 --- Global health --- International health --- Medical geography --- Community health --- Health services --- Hygiene, Public --- Hygiene, Social --- Public health services --- Public hygiene --- Sanitary affairs --- Social hygiene --- Health --- Human services --- Biosecurity --- Health literacy --- Medicine, Preventive --- National health services --- Sanitation --- Comprehensive health planning --- Health care planning --- Health services planning --- Medical care --- Medical care planning --- Medical policy --- Planning --- Health services administration --- Economic aspects --- Organisatie van de gezondheidszorg: algemeen, beleid --- Beleidssectoren: welzijn, volksgezondheid en cultuur --- International cooperation --- #SBIB:316.334.3M50 --- Public health - Economic aspects. --- Health planning - Economic aspects. --- World health - Economic aspects. --- économie de la santé --- risques --- pays en voie de développement --- éthique médicale --- libéralisme économique --- santé publique
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Can the ethical mission of health care survive among organizations competing for survival in the marketplace? This book presents both an analytic framework and a menu of pragmatic answers.
Managed care plans (Medical care) --- Health facilities --- Medical ethics. --- Biomedical ethics --- Clinical ethics --- Ethics, Medical --- Health care ethics --- Medical care --- Medicine --- Bioethics --- Professional ethics --- Nursing ethics --- Social medicine --- Facilities, Health --- Health care facilities --- Health care institutions --- Health institutions --- Institutions, Health --- Medical care facilities --- Medical care institutions --- Medical facilities --- Public health --- Managed care programs (Medical care) --- Managed care systems (Medical care) --- Managed health care --- Plans, Managed care (Medical care) --- Programs, Managed care (Medical care) --- Systems, Managed care (Medical care) --- Health insurance --- Moral and ethical aspects --- Moral and ethical aspects. --- Medical ethics --- ethiek (ethische aspecten) --- gezondheidseconomie (gezondheidszorgeconomie) --- gezondheidszorgbeleid (gezondheidszorghervorming, gezondheidszorgsysteem) --- gezondheidszorg --- Verenigde Staten --- ziektekostenverzekering (sociale zekerheid, mutualiteit, ziekenfonds, zorgverzekeraar) --- zorgmanagement --- ethique (aspects ethiques) --- économie de la santé (économie des soins de santé) --- politique des soins de santé (réforme des soins de santé, système des soins de santé) --- soins de santé --- Etats Unis --- assurance maladie (sécurité sociale, mutualité) --- management des soins
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