1 / 9

Synthesis

Synthesis. RT 9 JP unger. Features of publicly oriented systems. Public mission guaranteed by state Quality: bio-psychosocial care (and integration) Access Co-management / participation = objective Systemic management / interinstitutional coordination

marcus
Download Presentation

Synthesis

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Synthesis RT 9 JP unger

  2. Features of publicly oriented systems • Public mission guaranteed by state • Quality: bio-psychosocial care (and integration) • Access • Co-management / participation = objective • Systemic management / interinstitutional coordination • Bottom up planning / strategic planning • Support by DMOs, LHS federation or other.

  3. Evidence of publicly oriented > commercial • USA = achieved model = disaster • LA (Colombia, Chile, Mexico…) confirm it • Europe (Sweden, Spain, etc) also • Counter-examples in LA confirm: Salvador, Cuba, Costa Rica, • Neoclassical economy assumptions not met: information; competition on pricing • Regulation often impossible: LMICs as US

  4. Europe is rapidly heading to market oriented health systems • Latin America and UK provides a similar pattern of stages to commoditization • Supra-national institutions and international economic treaties are used to overrule national governments and social protection. • Transatlantic treaty is on its way

  5. Why? A post-democratic society? • Why non evidence based policies? Why people vote against their interest? Why one way reforms? • Issues with un-democratic supranational organizations and international commercial treaties overruling national social protection • Corruption: PFI, private insurances  corruption and effective political lobby • Biased information: scientific, professional, public, and educative

  6. Strategies for democratic change in health systems • Information of the public • Scientific arguments (access, quality) • Economic arguments (efficiency) • Alliances with professionals: professional autonomy, new concept of professionalism • Alliances with economic actors • Action in health services: • improved accessibility  peoples support and comanagement • Network coordination • Bottom up planning / strategic planning

  7. Strategically tackling financing capital in health

  8. Political alliances

  9. What to do after our conference? Campaigns • Transatlantic and other treaties • Scientific evidence treaties • International (organizations) transparency campaign • Support to threatened activist colleagues and movements

More Related