PHA-Exch> Future Health Systems

Fri Sep 26 02:12:16 PDT 2008

crossposted from EQUIDAD at listserv.paho.org

 *Future Health Systems*

Edited by Gerald Bloom and Hilary Standing

*Social Science & Medicine - Volume 66, Issue 10, Pages 2067-2184 (May 2008)
*

Website<http://www.sciencedirect.com/science?_ob=PublicationURL&_tockey=%23TOC%235925%232008%23999339989%23686355%23FLA%23&_cdi=5925&_pubType=J&view=c&_auth=y&_acct=C000055308&_version=1&_urlVersion=0&_userid=3824252&md5=be8f008c06e4bde85f7fc160ec4b11bb>

"…The purpose of this Special Issue is to stimulate innovative thinking
about health system development in low-income and transition countries. We
believe that informed and engaged debate about this topic is greatly needed
because we are approaching a period of major change in global health
systems. In this introduction, we set out why future health systems will
probably look very different and why it is particularly important to explore
the possibilities now…."

"….Health systems in most parts of the world continue to be organised in
ways that were essentially set in the early part of the 20th century in a
few countries. In many low-income and transition countries, there is an
increasing disconnection between these organisational forms and realities on
the ground, yet debates and reform agendas concerning health systems largely
proceed on a "business as usual" basis.

Health policy has tended to export models of how health systems should
operate from the advanced market economies to low-income and transitional
countries with little questioning of their appropriateness and adaptability.

This Special Issue has been compiled partly in response to dissatisfaction
with the ideologically over-determined nature of some of the debate about
health system development in low and middle-income countries. This often
does not address the real situation. For example, debates about the roles of
public and private providers have quite a different meaning in countries
without the institutional framework to govern a market economy and where
government has little capacity to regulate providers of health services. The
lack of appropriately contextualised debate and language hampers national
and international efforts to address major health challenges.

Health systems are social and political artefacts and can be organised
differently.

Health systems, like other systems of producing social goods, are ways of
producing and organising access to expert knowledge and the technologies
that derive from it. There is nothing immutable about the way they are
organised. Their failure, in many contexts, to serve the interests of the
poor means we should also be exploring different ways of producing and
delivering services rather than simply intensifying efforts to recreate
existing ones

*Content:*

*Future health systems: Why future? Why now?*

Gerald Bloom, Hilary Standing

name=pdf> PDF (157
K)<http://www.sciencedirect.com/science?_ob=MImg&_imagekey=B6VBF-4S0954N-4-1&_cdi=5925&_user=3824252&_orig=browse&_coverDate=05%2F31%2F2008&_sk=999339989&view=c&wchp=dGLbVtb-zSkWz&md5=2eaed7b43576b9ff99bb281993912a6f&ie=/sdarticle.pdf>
.

*Markets, information asymmetry and health care: Towards new social
contracts*

Gerald Bloom, Hilary Standing, Robert Lloyd

  PDF (217 K)<http://www.sciencedirect.com/science?_ob=MImg&_imagekey=B6VBF-4S0RC6J-3-1&_cdi=5925&_user=3824252&_orig=browse&_coverDate=05%2F31%2F2008&_sk=999339989&view=c&wchp=dGLbVtb-zSkWz&md5=fb59babef58e0c44547a663e3dba5100&ie=/sdarticle.pdf>

.

*The health professions and the performance of future health systems in
low-income countries: Support or obstacle?*

Gilles Dussault

  PDF (158 K)<http://www.sciencedirect.com/science?_ob=MImg&_imagekey=B6VBF-4S1JK5D-2-1&_cdi=5925&_user=3824252&_orig=browse&_coverDate=05%2F31%2F2008&_sk=999339989&view=c&wchp=dGLbVtb-zSkWz&md5=de64b5cc836190d286dc6d357cbf33d4&ie=/sdarticle.pdf>

.

*Producing effective knowledge agents in a pluralistic environment: What
future for community health workers?*

H. Standing, A. Mushtaque R. Chowdhury

 PDF (227 K)<http://www.sciencedirect.com/science?_ob=MImg&_imagekey=B6VBF-4S26RXJ-1-3&_cdi=5925&_user=3824252&_orig=browse&_coverDate=05%2F31%2F2008&_sk=999339989&view=c&wchp=dGLbVtb-zSkWz&md5=08481b33b23a033dd2bbcbb42637369a&ie=/sdarticle.pdf>

.

*Scaling-up antiretroviral treatment in Southern African countries with
human resource shortage: How will health systems adapt?*

Wim Van Damme, Katharina Kober, Guy Kegels

 PDF (453 K)<http://www.sciencedirect.com/science?_ob=MImg&_imagekey=B6VBF-4S1BX6X-2-5&_cdi=5925&_user=3824252&_orig=browse&_coverDate=05%2F31%2F2008&_sk=999339989&view=c&wchp=dGLbVtb-zSkWz&md5=c6e2c13d88d5e28f97dc9e126ff617a1&ie=/sdarticle.pdf>

.

*Information and communications technology for future health systems in
developing countries*

Henry Lucas

  PDF (200 K)<http://www.sciencedirect.com/science?_ob=MImg&_imagekey=B6VBF-4S26RXJ-2-1&_cdi=5925&_user=3824252&_orig=browse&_coverDate=05%2F31%2F2008&_sk=999339989&view=c&wchp=dGLbVtb-zSkWz&md5=eea7b5f76cd96788e03ec588f4614349&ie=/sdarticle.pdf>

.

*Regulating India's health services: To what end? What future?*

David H. Peters, V.R. Muraleedharan

 PDF (195 K)<http://www.sciencedirect.com/science?_ob=MImg&_imagekey=B6VBF-4S035F1-2-1&_cdi=5925&_user=3824252&_orig=browse&_coverDate=05%2F31%2F2008&_sk=999339989&view=c&wchp=dGLbVtb-zSkWz&md5=bbceaf5c358502fc2741138f761b62b3&ie=/sdarticle.pdf>

.

*Ownership, control, and contention: Challenges for the future of healthcare
in Malaysia*

Heng Leng CHEE

  PDF (215 K)<http://www.sciencedirect.com/science?_ob=MImg&_imagekey=B6VBF-4S1BX6X-3-1&_cdi=5925&_user=3824252&_orig=browse&_coverDate=05%2F31%2F2008&_sk=999339989&view=c&wchp=dGLbVtb-zSkWz&md5=c70a0b3c3bd1c45c1e899aabb179afbb&ie=/sdarticle.pdf>

 .

*New therapeutic landscapes in Africa: Parental categories and practices in
seeking infant health in the Republic of Guinea*

Melissa A. Leach, James R. Fairhead, Dominique Millimouno, Alpha Ahmadou
Diallo

 PDF (182 K)<http://www.sciencedirect.com/science?_ob=MImg&_imagekey=B6VBF-4S0R6XN-4-1&_cdi=5925&_user=3824252&_orig=browse&_coverDate=05%2F31%2F2008&_sk=999339989&view=c&wchp=dGLbVtb-zSkWz&md5=03a76437c729fb11abe78f8013096ce6&ie=/sdarticle.pdf>

*From life insurance to safer sex – Reflections of a marketing man
*Bruce Mackay
  PDF (111 K)<http://www.sciencedirect.com/science?_ob=MImg&_imagekey=B6VBF-4S0954N-5-1&_cdi=5925&_user=3824252&_orig=browse&_coverDate=05%2F31%2F2008&_sk=999339989&view=c&wchp=dGLbVtb-zSkWz&md5=3ef1f31d9acf3b564983f768b5b230b5&ie=/sdarticle.pdf>

*Engaging citizens: Lessons from building Brazil's national health system*

Andrea Cornwall, Alex Shankland

  PDF (194 K)<http://www.sciencedirect.com/science?_ob=MImg&_imagekey=B6VBF-4S1JK5D-3-1&_cdi=5925&_user=3824252&_orig=browse&_coverDate=05%2F31%2F2008&_sk=999339989&view=c&wchp=dGLbVtb-zSkWz&md5=0561830324fb33e54c6f94f7421a66e6&ie=/sdarticle.pdf>|
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