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World Health Organization : Regioinal Office for Africa ; Year 1993 ; Icp, Infection Prevention and Control Nutrition, Issue 007: Report of the World Health Organization/IDRC Workshop on Problem - Oriented Food and Nutrition Research at the Local Level

By Semega-Janneh


Description
Medical Reference Publication

Excerpt
y h e shift from a curative to a preventive and promotive approach to health represents a major step in the histoy of health care. But change is never easy. And it is an even greater challenge for preventive health services to become an integral part of a coordinated health system.' Many countries are now at a crossroads and are engaging in major health care reform. Rapid changes are occurring in political systems in Eastern and Central Europe with health care reform quick to follow. At the other end of the political spectrum, partisan changes in government have put health care reform on top of the agenda. Many industrialized nations are experiencing crises in health care due to escalating costs. As countries struggle with issues of providing medical care to all their inhabitants, and of converting health care systems to true health systems, we need to learn as much as possible from international experiences.

Table of Contents
Table of Contents ................. The Wealth Pmmotion-Disease Prevention Continuum 1 Health Pmmotion .D isease Plevention: International examples ............ 6 Intersectoral Coordination .T obacco Control ................... 6 Screening Services .C ancer of the Cervix ...................... 12 PrimaryCnre .............................................. 16 Health System Characteristics Related to Primary Care ............ 18 Financial Access to Care .............................2 0 Effect of Reimbursement on Care ........................ 21 Type of System ....................................2 4 Primary Care or Specialist? .............................26 Regionalization and Decentralization ......................28 Competition ......................................3.0 Preventive Services & Health Care System Typologies .......... 33 lmpmving P~ventionin Primary Cam .............................3.6 Education for Health Professionals ...........................3.6 Professional Education ................................ 36 Clinical Practice Guidelines ...........................3.7 Quality Assurance ..................................3.8 Health Information Systems .................................4 1 Community Participation .................................4.3 Futurechallenges ....................................... 44

 

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