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Trata do papel dos movimentos sociais em saúde no processo de reformulação da política de saúde, plasmado na Constituição de 1988 e denominado de Reforma Sanitária brasileira. Os percalços da sua implementação são analisados no contexto do processo de democratização do País ocorrido nos últimos 10 anos. A autora contribui para a interpretação da problemática da saúde no Brasil contemporâneo, sem a qual não se pode falar em democracia e cidadania. Através da leitura deste trabalho, os cientistas políticos e os profissionais de saúde poderão refletir acerca do lugar que ocupam no sistema e nos serviços de saúde, bem como das articulações de suas representações com a política de saúde.

Health care reform --- Medical policy --- Health reform --- Health system reform --- Healthcare reform --- Medical care reform --- Reform of health care delivery --- Reform of medical care delivery --- Health insurance

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Health care reforms around the world--from Europe and North America to Africa, Latin America and Asia--seem to all be market-oriented reforms driven by international business interests and right wing political parties. There seems to be a sudden and broad concern with the ""efficiency"" of medical care, with the assertion that democratically or professionally run systems are inherently inefficient. Far less concern is evident for the more traditional values held regarding medical care, ""effectiveness"" (or quality) and ""equity."" The fact is that we have little good cross-national research t

Health care reform --- Health reform --- Health system reform --- Healthcare reform --- Medical care reform --- Reform of health care delivery --- Reform of medical care delivery --- Medical policy --- Health insurance

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Involving citizens in policy decision-making processes - deliberative democracy - has been a central goal of the Labour government since it came to power in 1997. But what happens when members of the public are drawn into unfamiliar debate, with unfamiliar others, in the unfamiliar world of policy making at national level? This book sets out to understand the contribution that citizens can realistically be expected to make. Drawing on the lessons from an ethnographic study of a public involvement initiative in the health service - the Citizens Council of NICE (National Institute for Clinical Excellence) - the book explores the practical realities behind the much-quoted faith in 'deliberation' that underpins so many models of public involvement and presents the analysis of sixty four hours of video and audiotape capturing a warts-and-all picture of deliberation in action. It sets deliberative participatory initiatives within a broad inter-disciplinary context and challenges politicians, policy-makers and academics to develop more realistic approaches to democratic innovation. Citizens at the centre will be of interest to academics and students in social policy, sociology, politics, health, social care, economics, and public administration and management. It will also be valuable to anyone involved in the policy making process, not only in the UK, but also in Europe, the USA and other countries where deliberative democracy is being implemented or discussed.

MEDICAL / Health Care Delivery. --- POLITICAL SCIENCE / Public Policy / Social Policy. --- SOCIAL SCIENCE / Sociology / General. --- Health planning --- Medical policy --- Citizen participation. --- Citizen participation

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Why do some developing countries have more efficient health systems and better health outcomes? Contrary to existing theory that posits the superiority of proportional representation (PR) rules on public-goods provision, this book argues that electoral rules function differently given the underlying ethnic structure. In countries with low ethnic salience, PR has the same positive effect as in past theories. In countries with high ethnic salience, the geographic distribution of ethnic groups further matters: where they are intermixed, PR rules are worse for health outcomes; where they are isolated, neither rule is superior. The theory is supported through a combination of careful analysis of electoral reform in individual country cases with numerous well-designed cross-country comparisons. The case studies include Thailand, Mauritius, Malaysia, Botswana, Burma and Indonesia. The theory has broad implications for electoral rule design and suggests a middle ground in the debate between the Consociational and Centripetal schools of thought.

Health care reform --- Medical policy --- Medical care --- Health reform --- Health system reform --- Healthcare reform --- Medical care reform --- Reform of health care delivery --- Reform of medical care delivery --- Health insurance --- 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 --- Political aspects.

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Medical care --- Medical care. --- Health Services. --- 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 --- Services, Health --- Health Service --- Service, Health --- Public health