4 resultados para Organ Care System Heart,Conservazione degli organi,Trapianto di cuore
em Portal de Revistas Científicas Complutenses - Espanha
Resumo:
The neoliberal period was accompanied by a momentous transformation within the US health care system. As the result of a number of political and historical dynamics, the healthcare law signed by President Barack Obama in 2010 ‑the Affordable Care Act (ACA)‑ drew less on universal models from abroad than it did on earlier conservative healthcare reform proposals. This was in part the result of the influence of powerful corporate healthcare interests. While the ACA expands healthcare coverage, it does so incompletely and unevenly, with persistent uninsurance and disparities in access based on insurance status. Additionally, the law accommodates an overall shift towards a consumerist model of care characterized by high cost sharing at time of use. Finally, the law encourages the further consolidation of the healthcare sector, for instance into units named “Accountable Care Organizations” that closely resemble the health maintenance organizations favored by managed care advocates. The overall effect has been to maintain a fragmented system that is neither equitable nor efficient. A single payer universal system would, in contrast, help transform healthcare into a social right.
Resumo:
The text analyzes the impact of the economic crisis in some critical aspects of the National Health System: outcomes, health expenditure, remuneration policy and privatization through Private Public Partnership models. Some health outcomes related to social inequalities are worrying. Reducing public health spending has increased the fragility of the health system, reduced wage income of workers in the sector and increased heterogeneity between regions. Finally, the evidence indicates that privatization does not mean more efficiency and better governance. Deep reforms are needed to strengthen the National Health System.
Resumo:
The article examines developments in the marketisation and privatisation of the English National Health Service, primarily since 1997. It explores the use of competition and contracting out in ancillary services and the levering into public services of private finance for capital developments through the Private Finance Initiative. A substantial part of the article examines the repeated restructuring of the health service as a market in clinical services, initially as an internal market but subsequently as a market increasing opened up to private sector involvement. Some of the implications of market processes for NHS staff and for increased privatisation are discussed. The article examines one episode of popular resistance to these developments, namely the movement of opposition to the 2011 health and social care legislative proposals. The article concludes with a discussion of the implications of these system reforms for the founding principles of the NHS and the sustainability of the service.
Resumo:
Este artículo reconstruye la evolución del debate político alemán durante la primera edad moderna, poniendo atención en particular en la manera en la que tal debate se fue elaborando y transmitiendo dentro de la comunidad de discurso universitaria que lo produjo. El análisis de las características formales y de las modalidades en las que se desarrolló este debate permite demonstrar que el aristotelismo político no fue sólo una doctrina política, sino también, y sobre todo, un código común que más allá de diferencias específicas, caracterizó todas las experiencias universitarias del Sacro Imperio Romano Germánico desde finales del siglo xvi y durante todo el siglo xvii. Las características esenciales de este código se pondrán de relieve en particular a través del caso de los escritos políticos de Iohannes Althusius, en los que la forma y el contenido de su doctrina política terminan coincidiendo.