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Main arrow Archive of previous Issues arrow ą2 2011 (18) arrow Launched strategies for development of public health: a worldwide review
Launched strategies for development of public health: a worldwide review Print
Wednesday, 01 June 2011

Siburina T.A., Mishina O.S.
Federal Public Health Institute, Moscow

The resume. The aim of this review was to elucidate current world experience in selecting ways of strategic development of national systems of public health. To this end, a few launched strategies are considered here. Main tasks of administers of public health that imply, on the one hand, curbing of expenses for medical services and, on the other, searching for new approaches to ameliorate health condition of the respective populations, are factually the same all over the world, as far as intentions are concerned. The choice of strategy is largely pre-determined by a country’s general conditions, mainly by situation with health of the population, by financial possibilities of the state, by extent of social activity, and by market economy maturity.

The already existing on the globe strategies could be divided into two categories: state level strategies aimed at people’s health preservation in general and administrator level strategies within the format of modernization of public health system, the latter ones being strongly associated with changing mechanisms of funding and of attitudes toward patients’ treatment. Both ones have in common the idea of enhancing efficiency of public health for ameliorating health condition of the population.

Among the state level strategies, the idea of incorporating the interests of people’s health into all visible sectors of economy and social life, being soaked with safeguarding nation’s health as the state’s key social goal, has a prominent position.

Among administrator level strategies, successive development of primary medical care through family practitioners, as well as through diagnosis&treatment centers is of top priority.

The strategy of enhancing the proportion of private sector in providing inpatient medical care is spreading more and more over the world, with private sector becoming a decent competitor to state/municipal hospitals.

In the organization of diagnosis&treatment process, a referral scheme is being actively developed and introduced, and that envisages a choice for a patient between medical centers of different levels - to fit most accurately her/his health condition, and that usually induces an optimization of public health services.

The WHO strategy proclaiming the development of medical care dedicated to a human is distinguished by combination of comprehensive approach with individual-targetted quality of it. This strategy is pursued by primary general practitioners alternating with specialized centers, thus ensuring the whole set of medical services for therapy, rehabilitation, and disease prevention.

Functioning of public health under market conditions for medical services associated with medical insurance, favored introduction of the system of “regulated competition”. To this end, regulatory and control organs of public health try to engage all public health establishments through various regulatory, instructive or mandatory instruments of control: standards, quality control systems, and so on.

Another trend in state guidance of public health was development of various integrative interactions. For example, lining up of medical establishments in profit-bearing nets enables more complete satisfaction of needs of registered population and damping the negative consequences of enhancing competition.

Integration of medical nets and insurance facilities widely spread in USA is dedicated to the idea of guaranteeing stable funding of public health.

The cluster model of interaction of the state, establishments of public health, educational institutions, research centers, and business community is of interest as concerns the tasks of promoting innovative development of public health and enhancing economically stable position of all the participants of such integration.

The strategies for rational employment of labor resources of public health are still an urgent issue, as well as the ones for enhanced efficiency of controlling the public health on the basis of modern information technologies.

Key words: strategy, public health.

References

 

  1. Borodin DYu. Masterskaya strategicheskogo planirovaniya: metodologiya i rezultat [Workshop for strategy planning: techniques and results]. Meditsinskie tekhnologii: otsenka i vybor 2010;(1):59-64.
  2. Banin AS. O formirovanii klasterov v sisteme zdravookhraneniya regiona. [To produce clusters in public health] Upravlenie obshchestvennymi i ekonomicheskimi sistemami [Online Scientisic Journal] 2007; [cited 2011 Feb 10];(1). Available from: http:// www.bali.ostu.ru/umc/arhiv/2007/1/Banin.doc
  3. Varavikova E.A. Antikrizisnye strategii v natsionalnykh sistemakh zdravookhraneniya [Anti-crisis strategies in various national systems of public health]. Sotsialnye aspekty zdorovya naseleniya [Online Scientisic Journal] 2010 [cited 2010 Dec 10]; 15(3). Available from: http://vestnik.mednet.ru/content/view/214/30/lang,ru/
  4. Doklad o sostoyanii zdravookhraneniya v Evrope, 2009. Sistemy zdravookhraneniya: uluchshenie deyatelnosti [2009 Report on the state of public health in Europe]. WHO. 2009. 205 p.
  5. Doklad o sostoyanii zdravookhraneniya v mire, 2008 g. Pervichnaya mediko-sanitarnaya pomoshch: segodnya aktualnee, chem kogda-libo [2008 Report on the state of public health in the world. Primary medical sanitation care is more topical now than ever before]. Geneva, WHO. 2008. [cited 2011 Feb 10]. Available from: http://www.who.int/whr/2008/ru/index.html
  6. Evropeyskaya baza dannykh «Zdorove dlya vsekh» [European database: Health for all] [Internet]. Copenhagen: WHO Regional Office for Europe; 2009 [cited 2011 Feb 10]. Available from: http://www.euro.who.int/hfadb?language=Russian
  7. Makki M, Khili J, Folkingem J, editors. Zdravookhraneniye v Tsentralnoy Azii [Public health in Central Asia]. Translated from the English. Moscow: Ves mir; 2002. 256 p..
  8. Lyublyanskaya khartiya po reformirovaniyu zdravookhraneniya. [Ljubliana Charter on reforming public health] [Internet]. Copengagen: WHO Regional Office for Europe; 1996 [cited 2011 Feb 10]. Available from: http://www.euro.who.int/AboutWHO/Policy/20010927_5?language=Russian
  9. Osnovy politiki. Planirovaniye okazaniya meditsinskoy pomoshchi. Obzor mezhdunarodnogo opyta. Stefanie Ettelt, Ellen Nolte, Nicholas Mays, Sarah Thomson, i International Healthcare Comparisons Network [Foundations of policy. Planning to provide healthcare. Review of international experience]. Evropeyskaya Observatoriya po sistemam i politike zdravookhraneniya. M.: Real Taym, 2009. 64 p.
  10. Porter M. Mezhdunarodnaya konkurentsiya (transl. from engl.) [International competition]. Moscow: Izdatelskiy dom "Vilyams"; 2005. 608 p.
  11. Siburina TA, Attaeva LZh. Povysheniye effektivnosti upravleniya zdravookhraneniem na osnove ispolzovaniya sovremennykh personal - tekhnologiy [Developing efficiency of controlling public health on the basis of modern personal technologies]. Kremlevskaya meditsina. Klinicheskiy vestnik 2009;(1):25-29
  12. Josep Figueras, Martin McKee, Suszy Lessof, Antonio Duran, Nata Menabde, editors. Sistemy zdravookhraneniya, zdorove i blagosostoyaniye: Otsenka argumentov v polzu investirovaniya v sistemy zdravookhraneniya [Healthcare systems: health and welfare. Evaluation of the arguments in favor of investing in healthcare systems]. WHO. Copengagen 2008. 111 p.
  13. Shchepin OP, Tregubov YuG, Aslanyan EA. Aktualnye voprosy razvitiya munitsipalnogo zdravookhraneniya [Topical problems of developing municipal public health]. Problemy sotsialnoy gigieny, zdravookhraneniya i istorii meditsiny 2003(4):25-27.
  14. Dahlgren G, Whitehead M. Policies and strategies to promote equity in health. Copenhagen, WHO Regional Office for Europe, 1992 [cited 2011 Feb 10]. Available from: http://whqlibdoc.who.int/euro/-1993/EUR_ICP_RPD414(2).pdf
  15. Coker R, Atun R, McKee M. Sistemy zdravookhraneniya i problemy infektsionnykh zabolevaniy. Opyt Evropy i Latinskoy Ameriki [Healthcare systems and problems of infectious diseases. Experiene of Europe and Latin America]. WHO on behalf of European observation board on healthcare systems and policies. 2009. 174c.
  16. Enthoven A.C., Kronick R. Universal Health Insurance Through Inctntives Reform. JAMA 1991;265 May 15(19):2532-2536.
  17. Gwatkin DR, Rutstein S, Johnson K, Pande RP, Wagstaff A. Socio-Economic Differences in Health, Nutrition and Population. Bulletin of the World Health Organization 2000;78(6):717-731.
  18. Harding, A. and Preker, A.S. (2001) A conceptual framework for organizational reforms of hospitals. In Preker AS and Harding A., eds. Innovations in Health Services. Vol. 1. The Corporatization of Public Hospitals. Baltimore, MD: Johns Hopkins University Press. 2001.
  19. Hensher, M., Edwards, N. and Stokes, R. (1999) International trends in the provision and utilisation of hospital care, British Medical Journal, 319(7213):845-8.
  20. Jennings M. The role of managed care in integrated delivery networks. Journal of Ambulatory Care Management. Aspen Publishers. 1994. January. V. 17. ą1. P. 39-47.000 Orchard Ridge Drive, Gaither Sburg, MD 20878.
  21. McCarthy G.J. Involving physicians in TOM. To gain physician support for quality management, hospital administrators must treat physicians as customers. Health Progr. 1993;74(10):33-35.
  22. Mossialos E, Dixon A, Figueras J, Kutzin J. Finansirovanie zdravookhraneniya: alternativy dlya Evropy [Funding of public health: Alternatives in Europe]. WHO Regional Office for Europe: Ves Mir; 2002. 333 p.
  23. Nolte E, McKee M, eds. Caring for people with chronic conditions: a health system perspective. Maidenhead, Open University Press/McGraw-Hill Education, 2008. 259.
  24. Singh D. How can chronic disease management programmers operate across care settings and providers. Copenhagen: WHO Regional Office for Europe; 2008.
  25. Rehn N, Room R, Edwards G. Alkogol v Evropeyskom regione VOZ - potreblenie, vred i politika [Alcohol consumption in European area of WHO acivities]. Copenhagen: WHO Regional Office for Europe; 2001. 158 p.

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