John Parkinson
- Published in print:
- 2006
- Published Online:
- September 2006
- ISBN:
- 9780199291113
- eISBN:
- 9780191604133
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/019929111X.003.0003
- Subject:
- Political Science, Political Theory
This chapter explores the context of the cases, setting out the history of patient involvement initiatives and deliberative experiments in the UK. It highlights the antipathy to interest groups and ...
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This chapter explores the context of the cases, setting out the history of patient involvement initiatives and deliberative experiments in the UK. It highlights the antipathy to interest groups and the ‘research orientation’ of those experiments, and the effects that orientation has had on limiting the scope and agenda of deliberation. It argues that whether deliberation occurs at the local level or at the centre matters a great deal, but that deliberative experiments tend to be at least as much about resource battles between the centre and the periphery as responding to citizens’ needs.Less
This chapter explores the context of the cases, setting out the history of patient involvement initiatives and deliberative experiments in the UK. It highlights the antipathy to interest groups and the ‘research orientation’ of those experiments, and the effects that orientation has had on limiting the scope and agenda of deliberation. It argues that whether deliberation occurs at the local level or at the centre matters a great deal, but that deliberative experiments tend to be at least as much about resource battles between the centre and the periphery as responding to citizens’ needs.
John Parkinson
- Published in print:
- 2006
- Published Online:
- September 2006
- ISBN:
- 9780199291113
- eISBN:
- 9780191604133
- Item type:
- book
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/019929111X.001.0001
- Subject:
- Political Science, Political Theory
This book attempts to solve two problems in deliberative democratic theory and practice: How can agreements reached inside deliberative forums be legitimate for those who did not take part? And why ...
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This book attempts to solve two problems in deliberative democratic theory and practice: How can agreements reached inside deliberative forums be legitimate for those who did not take part? And why should people with strongly-held views participate in the first place? The solution involves rethinking deliberative theory, but also draws on lessons from practical experience with deliberative forums in Britain’s National Health Service. The book discusses the competing representation claims that different participants make, the pros and cons of different approaches to democratic accountability, and different conceptions of rationality and public reasoning. It concludes by rejecting the idea that we can have authentic, legitimate deliberation in any one forum. Instead, authentic, legitimate deliberation can only result from linkages between different kinds of institutions, drawing on different kinds of participants, at different points of a decision-making cycle. That is, it promotes a macro, society-wide view of deliberative democracy quite different from the micro, deliberative-forum view which dominates thinking on the subject in the UK. The book sketches the outline of such a deliberative system, suggesting how various institutions in civil society and elected government might link together to create public decisions, which are both more rational and more democratic.Less
This book attempts to solve two problems in deliberative democratic theory and practice: How can agreements reached inside deliberative forums be legitimate for those who did not take part? And why should people with strongly-held views participate in the first place? The solution involves rethinking deliberative theory, but also draws on lessons from practical experience with deliberative forums in Britain’s National Health Service. The book discusses the competing representation claims that different participants make, the pros and cons of different approaches to democratic accountability, and different conceptions of rationality and public reasoning. It concludes by rejecting the idea that we can have authentic, legitimate deliberation in any one forum. Instead, authentic, legitimate deliberation can only result from linkages between different kinds of institutions, drawing on different kinds of participants, at different points of a decision-making cycle. That is, it promotes a macro, society-wide view of deliberative democracy quite different from the micro, deliberative-forum view which dominates thinking on the subject in the UK. The book sketches the outline of such a deliberative system, suggesting how various institutions in civil society and elected government might link together to create public decisions, which are both more rational and more democratic.
Sarah McCue Horwitz, Michael S. Hurlburt, and Jinjin Zhang
- Published in print:
- 2009
- Published Online:
- February 2010
- ISBN:
- 9780195398465
- eISBN:
- 9780199863426
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780195398465.003.0010
- Subject:
- Social Work, Children and Families, Health and Mental Health
This chapter reviews studies of mental health service need and use in children involved in the child welfare system. It presents two comprehensive views: one of the research literature leading up to ...
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This chapter reviews studies of mental health service need and use in children involved in the child welfare system. It presents two comprehensive views: one of the research literature leading up to the NSCAW study, and another that depicts mental health service use in this population over a full 36 months. It considers three distinct age groups of children: those aged 2 to 5 years, those 5 to 10 years, and those 11 years or older. In addition to offering the most detailed examination of the use of mental health care by the younger children involved in child welfare, the chapter is perhaps the first study that uses a measure of developmental functioning to examine need for care in the youngest group (2-5 year olds). The striking finding is the larger gap between need and use for this youngest segment of the NSCAW cohort. Meanwhile, the findings about the powerful role of race/ethnicity in use patterns confirms at the nationwide level major findings from all local studies that have examined this question.Less
This chapter reviews studies of mental health service need and use in children involved in the child welfare system. It presents two comprehensive views: one of the research literature leading up to the NSCAW study, and another that depicts mental health service use in this population over a full 36 months. It considers three distinct age groups of children: those aged 2 to 5 years, those 5 to 10 years, and those 11 years or older. In addition to offering the most detailed examination of the use of mental health care by the younger children involved in child welfare, the chapter is perhaps the first study that uses a measure of developmental functioning to examine need for care in the youngest group (2-5 year olds). The striking finding is the larger gap between need and use for this youngest segment of the NSCAW cohort. Meanwhile, the findings about the powerful role of race/ethnicity in use patterns confirms at the nationwide level major findings from all local studies that have examined this question.
John Parkinson
- Published in print:
- 2006
- Published Online:
- September 2006
- ISBN:
- 9780199291113
- eISBN:
- 9780191604133
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/019929111X.003.0001
- Subject:
- Political Science, Political Theory
This chapter outlines the theory of deliberative democracy and deliberative institutions, highlighting the legitimacy problems — to do with the scale of the deliberations and the motivation to ...
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This chapter outlines the theory of deliberative democracy and deliberative institutions, highlighting the legitimacy problems — to do with the scale of the deliberations and the motivation to participate — as experienced by the organizers of a citizens’ jury in Leicester, England, in 2000. It explains the approach and methods, outlines the argument, and summarizes five cases of deliberation in the UK’s National Health Service.Less
This chapter outlines the theory of deliberative democracy and deliberative institutions, highlighting the legitimacy problems — to do with the scale of the deliberations and the motivation to participate — as experienced by the organizers of a citizens’ jury in Leicester, England, in 2000. It explains the approach and methods, outlines the argument, and summarizes five cases of deliberation in the UK’s National Health Service.
John Parkinson
- Published in print:
- 2006
- Published Online:
- September 2006
- ISBN:
- 9780199291113
- eISBN:
- 9780191604133
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/019929111X.003.0006
- Subject:
- Political Science, Political Theory
This chapter argues that the definition of rationality is a major source of disagreement over the legitimacy of decision making processes. It draws attention to battles over competing problem ...
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This chapter argues that the definition of rationality is a major source of disagreement over the legitimacy of decision making processes. It draws attention to battles over competing problem definitions and agendas as a means of controlling debate, and the failure of micro-deliberative processes to handle such battles. It identifies the rhetorical devices used by deliberators to persuade their external audiences, and the impact these have on the rationality of the process. It argues that the more decisive a process is, the more it will attract publicity and the more inclusive it will be, but also the greater the incentives are to act strategically.Less
This chapter argues that the definition of rationality is a major source of disagreement over the legitimacy of decision making processes. It draws attention to battles over competing problem definitions and agendas as a means of controlling debate, and the failure of micro-deliberative processes to handle such battles. It identifies the rhetorical devices used by deliberators to persuade their external audiences, and the impact these have on the rationality of the process. It argues that the more decisive a process is, the more it will attract publicity and the more inclusive it will be, but also the greater the incentives are to act strategically.
Richard Smith, Chantal Blouin, Nick Drager, and David P. Fidler
- Published in print:
- 2007
- Published Online:
- January 2008
- ISBN:
- 9780199235216
- eISBN:
- 9780191715624
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199235216.003.0011
- Subject:
- Economics and Finance, Development, Growth, and Environmental
Services of many kinds play important roles in the protection of public health and the delivery of health care to individuals. The GATS affects health-related services in many ways for health ...
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Services of many kinds play important roles in the protection of public health and the delivery of health care to individuals. The GATS affects health-related services in many ways for health policymakers. In addition, the GATS establishes a process designed to liberalize progressively trade in services, and health policymakers must be prepared to participate in this process to ensure that such liberalization unfolds in a way sensitive to the needs of national governments. Any liberalization should aim to produce better quality, affordable, and effective health-related services. It should also ensure the necessary policy and regulatory space that governments require to promote and protect health needs. The GATS creates health opportunities and challenges, especially for developing countries. Countries are encouraged to embed the following health-policy principles: liberalized trade in health-related services should lead to an optimal balance between preventive and curative services; involvement of both private industry and civil society is important to promote participatory health policy towards achieving national goals; it is necessary to improve access and affordability of health-related services; developing countries, especially least-developed countries, deserve special consideration in liberalizing trade in health-related services. Health status as a human right should inform proposals to liberalize trade in health-related services. In an addendum to this chapter, it is noted that the GATS is unlikely to have a direct effect on the health of poor people because the health services they receive are not the ones being liberalized. But the GATS could have an indirect, beneficial effect if it helps countries break out of the trap of capture of the health budget by the rich and the health-service providers, releasing resources for improving the health of the poor.Less
Services of many kinds play important roles in the protection of public health and the delivery of health care to individuals. The GATS affects health-related services in many ways for health policymakers. In addition, the GATS establishes a process designed to liberalize progressively trade in services, and health policymakers must be prepared to participate in this process to ensure that such liberalization unfolds in a way sensitive to the needs of national governments. Any liberalization should aim to produce better quality, affordable, and effective health-related services. It should also ensure the necessary policy and regulatory space that governments require to promote and protect health needs. The GATS creates health opportunities and challenges, especially for developing countries. Countries are encouraged to embed the following health-policy principles: liberalized trade in health-related services should lead to an optimal balance between preventive and curative services; involvement of both private industry and civil society is important to promote participatory health policy towards achieving national goals; it is necessary to improve access and affordability of health-related services; developing countries, especially least-developed countries, deserve special consideration in liberalizing trade in health-related services. Health status as a human right should inform proposals to liberalize trade in health-related services. In an addendum to this chapter, it is noted that the GATS is unlikely to have a direct effect on the health of poor people because the health services they receive are not the ones being liberalized. But the GATS could have an indirect, beneficial effect if it helps countries break out of the trap of capture of the health budget by the rich and the health-service providers, releasing resources for improving the health of the poor.
John Walley and Sarah Escott
- Published in print:
- 2010
- Published Online:
- May 2010
- ISBN:
- 9780199238934
- eISBN:
- 9780191716621
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199238934.003.010
- Subject:
- Public Health and Epidemiology, Public Health, Epidemiology
This chapter considers the benefits of a well-functioning district health system. It argues for a general approach to health needs assessment, selecting the best interventions, and planning and ...
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This chapter considers the benefits of a well-functioning district health system. It argues for a general approach to health needs assessment, selecting the best interventions, and planning and implementing better services as covered in the earlier chapters. The specific strategies and management systems for a better district health system are discussed.Less
This chapter considers the benefits of a well-functioning district health system. It argues for a general approach to health needs assessment, selecting the best interventions, and planning and implementing better services as covered in the earlier chapters. The specific strategies and management systems for a better district health system are discussed.
Daniel Béland and André Lecours
- Published in print:
- 2008
- Published Online:
- September 2008
- ISBN:
- 9780199546848
- eISBN:
- 9780191720468
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199546848.003.0004
- Subject:
- Political Science, Comparative Politics, Political Theory
Chapter 3 looks at Scotland in the United Kingdom to explore the relationship between nationalism and social policy. It explains how the relationship between British nation-building and social policy ...
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Chapter 3 looks at Scotland in the United Kingdom to explore the relationship between nationalism and social policy. It explains how the relationship between British nation-building and social policy emerged during the post-war era and outlines the particular importance of this process in Scotland, which depended more upon social benefits than did the South of England. It then explores the mobilization process favouring devolution for Scotland in the context of social policy retrenchment, and shows how these two issues meshed during Thatcherism. Finally, it analyses the impact of devolution on social policy development in Scotland and in the United Kingdom at large. Although it is too early to draw definite conclusions about the nature and extent of this impact, it is clear that the institutional and political transformations involved in devolution have affected policy processes and outcomes.Less
Chapter 3 looks at Scotland in the United Kingdom to explore the relationship between nationalism and social policy. It explains how the relationship between British nation-building and social policy emerged during the post-war era and outlines the particular importance of this process in Scotland, which depended more upon social benefits than did the South of England. It then explores the mobilization process favouring devolution for Scotland in the context of social policy retrenchment, and shows how these two issues meshed during Thatcherism. Finally, it analyses the impact of devolution on social policy development in Scotland and in the United Kingdom at large. Although it is too early to draw definite conclusions about the nature and extent of this impact, it is clear that the institutional and political transformations involved in devolution have affected policy processes and outcomes.
Achille Ardigó
- Published in print:
- 1998
- Published Online:
- November 2003
- ISBN:
- 9780198294740
- eISBN:
- 9780191598838
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/0198294743.003.0014
- Subject:
- Political Science, Comparative Politics
Considers what citizens perceive to be the responsibilities of their governments and the way they assess the activities of government concerning the management of the welfare state, with particular ...
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Considers what citizens perceive to be the responsibilities of their governments and the way they assess the activities of government concerning the management of the welfare state, with particular reference to health services. First, it draws conclusions from a secondary analysis of data from cross‐national sample surveys that contain questions on the role of national governments in providing health services. Second, it relates these findings to recent variations in health service expenditure. The scale of current and prospective changes in public health service funding offers a fruitful arena for future research on the relationship between public opinion and government policy on health care provision.Less
Considers what citizens perceive to be the responsibilities of their governments and the way they assess the activities of government concerning the management of the welfare state, with particular reference to health services. First, it draws conclusions from a secondary analysis of data from cross‐national sample surveys that contain questions on the role of national governments in providing health services. Second, it relates these findings to recent variations in health service expenditure. The scale of current and prospective changes in public health service funding offers a fruitful arena for future research on the relationship between public opinion and government policy on health care provision.
John Landsverk, Michael S. Hurlburt, Laurel Leslie, Jennifer Rolls, and Jinjin Zhang
- Published in print:
- 2009
- Published Online:
- February 2010
- ISBN:
- 9780195398465
- eISBN:
- 9780199863426
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780195398465.003.0011
- Subject:
- Social Work, Children and Families, Health and Mental Health
This chapter shows a high level of continuity in mental health care use over the 36-month NSCAW study period. The pattern of continuity is robust across methods, which confers additional confidence ...
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This chapter shows a high level of continuity in mental health care use over the 36-month NSCAW study period. The pattern of continuity is robust across methods, which confers additional confidence in the finding. This hopeful finding suggests not only that the child welfare system serves as a gateway to the mental health system, but also that the pathway through it to mental health service survives termination of child welfare system involvement.Less
This chapter shows a high level of continuity in mental health care use over the 36-month NSCAW study period. The pattern of continuity is robust across methods, which confers additional confidence in the finding. This hopeful finding suggests not only that the child welfare system serves as a gateway to the mental health system, but also that the pathway through it to mental health service survives termination of child welfare system involvement.
Robin Peth Pierce, Serene Olin, Kimberly Eaton Hoagwood, and Peter Jensen
- Published in print:
- 2009
- Published Online:
- February 2010
- ISBN:
- 9780195307825
- eISBN:
- 9780199863402
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780195307825.003.0005
- Subject:
- Social Work, Research and Evaluation, Children and Families
This chapter is a casebook of specific examples, drawn largely from interviews conducted with community researchers studying different aspects of children's health. The cases are intended to serve as ...
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This chapter is a casebook of specific examples, drawn largely from interviews conducted with community researchers studying different aspects of children's health. The cases are intended to serve as a reference guide for those wanting to conduct collaborative community research.Less
This chapter is a casebook of specific examples, drawn largely from interviews conducted with community researchers studying different aspects of children's health. The cases are intended to serve as a reference guide for those wanting to conduct collaborative community research.
Per Arnt Pettersen
- Published in print:
- 1998
- Published Online:
- November 2003
- ISBN:
- 9780198294740
- eISBN:
- 9780191598838
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/0198294743.003.0008
- Subject:
- Political Science, Comparative Politics
The basic question for analysis in this chapter is whether people prefer that security benefits such as state pension schemes, public health services, and unemployment benefits should expand, ...
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The basic question for analysis in this chapter is whether people prefer that security benefits such as state pension schemes, public health services, and unemployment benefits should expand, continue as they are, or diminish. The chapter reviews the historical development of welfare and benefit provision from the self‐confident 1960s, through the stagnation of the 1970s, through to the austerity of the 1980s. It then examines which demographic and social groupings are likely to support or oppose the expansion of security provision by the welfare state, and the nature of the connections between public perceptions and party‐political positions on welfare policies.Less
The basic question for analysis in this chapter is whether people prefer that security benefits such as state pension schemes, public health services, and unemployment benefits should expand, continue as they are, or diminish. The chapter reviews the historical development of welfare and benefit provision from the self‐confident 1960s, through the stagnation of the 1970s, through to the austerity of the 1980s. It then examines which demographic and social groupings are likely to support or oppose the expansion of security provision by the welfare state, and the nature of the connections between public perceptions and party‐political positions on welfare policies.
John Walley and Nancy Gerein
- Published in print:
- 2010
- Published Online:
- May 2010
- ISBN:
- 9780199238934
- eISBN:
- 9780191716621
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199238934.003.011
- Subject:
- Public Health and Epidemiology, Public Health, Epidemiology
This chapter discusses the following topics: the burden of disease, historical development of maternal, neonatal and child health (MNCH) services; the MNCH package of interventions, the integrated ...
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This chapter discusses the following topics: the burden of disease, historical development of maternal, neonatal and child health (MNCH) services; the MNCH package of interventions, the integrated management of childhood illness (IMCI); the expanded programme of immunization (EPI); nutrition; school health; family planning; and quality of MNCH services.Less
This chapter discusses the following topics: the burden of disease, historical development of maternal, neonatal and child health (MNCH) services; the MNCH package of interventions, the integrated management of childhood illness (IMCI); the expanded programme of immunization (EPI); nutrition; school health; family planning; and quality of MNCH services.
Sophie Witter
- Published in print:
- 2010
- Published Online:
- May 2010
- ISBN:
- 9780199238934
- eISBN:
- 9780191716621
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199238934.003.07
- Subject:
- Public Health and Epidemiology, Public Health, Epidemiology
This chapter discusses topics covered by health economics. These include health financing, taxation-based funding, insurance schemes, user charges, costing services, economic evaluation, project ...
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This chapter discusses topics covered by health economics. These include health financing, taxation-based funding, insurance schemes, user charges, costing services, economic evaluation, project appraisal, resource allocation, priority setting and service packages, improvement of the organization of services, payment systems, and public/private mix and performance management.Less
This chapter discusses topics covered by health economics. These include health financing, taxation-based funding, insurance schemes, user charges, costing services, economic evaluation, project appraisal, resource allocation, priority setting and service packages, improvement of the organization of services, payment systems, and public/private mix and performance management.
Mary McKay and Peter S. Jensen
- Published in print:
- 2009
- Published Online:
- February 2010
- ISBN:
- 9780195307825
- eISBN:
- 9780199863402
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780195307825.003.0002
- Subject:
- Social Work, Research and Evaluation, Children and Families
This chapter outlines key principles of collaboration that can guide efforts to involve consumers, family members, providers, administrators, and community members more fully in child mental health ...
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This chapter outlines key principles of collaboration that can guide efforts to involve consumers, family members, providers, administrators, and community members more fully in child mental health services research efforts. It then highlights opportunities for collaboration across the research process, from the development of guiding research questions, to study methods and procedures, to interpretation of study results and dissemination activities. Examples of the challenges that arise in collaborative efforts with youth and their families, providers, systems, and communities are discussed. Finally, a discussion of next steps for child mental health services research is offered.Less
This chapter outlines key principles of collaboration that can guide efforts to involve consumers, family members, providers, administrators, and community members more fully in child mental health services research efforts. It then highlights opportunities for collaboration across the research process, from the development of guiding research questions, to study methods and procedures, to interpretation of study results and dissemination activities. Examples of the challenges that arise in collaborative efforts with youth and their families, providers, systems, and communities are discussed. Finally, a discussion of next steps for child mental health services research is offered.
Alan Cribb
- Published in print:
- 2005
- Published Online:
- May 2006
- ISBN:
- 9780199242733
- eISBN:
- 9780191603549
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/0199242739.003.0001
- Subject:
- Philosophy, Moral Philosophy
This introductory chapter discusses the ‘diffusion of the health agenda’ and its implications for healthcare and healthcare ethics. It begins with a thumbnail sketch of some fundamental shifts in ...
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This introductory chapter discusses the ‘diffusion of the health agenda’ and its implications for healthcare and healthcare ethics. It begins with a thumbnail sketch of some fundamental shifts in modern health policy and services, and looks briefly at some of the philosophical changes that underpin these shifts — the so-called ‘social turn’ in healthcare. The chapter then reflects upon some of the implications of this diffused agenda for healthcare ethics.Less
This introductory chapter discusses the ‘diffusion of the health agenda’ and its implications for healthcare and healthcare ethics. It begins with a thumbnail sketch of some fundamental shifts in modern health policy and services, and looks briefly at some of the philosophical changes that underpin these shifts — the so-called ‘social turn’ in healthcare. The chapter then reflects upon some of the implications of this diffused agenda for healthcare ethics.
Mitch Blair, Sarah Stewart-Brown, Tony Waterston, and Rachel Crowther
- Published in print:
- 2010
- Published Online:
- May 2010
- ISBN:
- 9780199547500
- eISBN:
- 9780191720123
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199547500.003.004
- Subject:
- Public Health and Epidemiology, Public Health
This chapter provides an historical review of child public health. It explains how the cause of child health has fared through the centuries, highlighting key milestones and identifying lessons for ...
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This chapter provides an historical review of child public health. It explains how the cause of child health has fared through the centuries, highlighting key milestones and identifying lessons for practice today. These are particularly important to draw on as the agenda for child health is redefined at the start of the 21st century.Less
This chapter provides an historical review of child public health. It explains how the cause of child health has fared through the centuries, highlighting key milestones and identifying lessons for practice today. These are particularly important to draw on as the agenda for child health is redefined at the start of the 21st century.
Melvin Delgado
- Published in print:
- 2006
- Published Online:
- January 2009
- ISBN:
- 9780195301182
- eISBN:
- 9780199863679
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780195301182.003.0003
- Subject:
- Social Work, Communities and Organizations
This chapter examines the health needs of Latinos. Any effort to understand the challenges Latinos face in seeking and obtaining health services to meet their needs must take into account the role of ...
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This chapter examines the health needs of Latinos. Any effort to understand the challenges Latinos face in seeking and obtaining health services to meet their needs must take into account the role of several considerations: (1) rural or urban setting; (2) legal status in this country; (3) command of the English language; (4) gender; (5) social-economic status; and (6) formal educational attainment. The chapter seeks to interject these considerations as an important factor in any effort to assess needs at an individual or community level. It is divided into two main sections: health care, and racism and discrimination.Less
This chapter examines the health needs of Latinos. Any effort to understand the challenges Latinos face in seeking and obtaining health services to meet their needs must take into account the role of several considerations: (1) rural or urban setting; (2) legal status in this country; (3) command of the English language; (4) gender; (5) social-economic status; and (6) formal educational attainment. The chapter seeks to interject these considerations as an important factor in any effort to assess needs at an individual or community level. It is divided into two main sections: health care, and racism and discrimination.
Marise Cremona (ed.)
- Published in print:
- 2011
- Published Online:
- May 2011
- ISBN:
- 9780199607730
- eISBN:
- 9780191725258
- Item type:
- book
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199607730.001.0001
- Subject:
- Law, EU Law
In a period when the nature and scope of the European internal market is hotly contested, this book offers a topical analysis of the most pressing issues relating to market integration and public ...
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In a period when the nature and scope of the European internal market is hotly contested, this book offers a topical analysis of the most pressing issues relating to market integration and public services in the EU. As the debate continues over the balance between state control and market freedom, questions are also raised about the relationship between EU regulation and national policy choices and the ‘joint responsibility’ of the Union and the Member States. Outlining the most important current issues relating to market integration and public services in the EU, this book also addresses the underlying, systemic questions of the relation between public services and markets, and services and the consumer. Chapters also examine the application of state aids and procurement law to public services. The final two chapters focus on two public service sectors where the mix of Treaty rules, case law, and legislation has operated in rather different ways: public service media and health services.Less
In a period when the nature and scope of the European internal market is hotly contested, this book offers a topical analysis of the most pressing issues relating to market integration and public services in the EU. As the debate continues over the balance between state control and market freedom, questions are also raised about the relationship between EU regulation and national policy choices and the ‘joint responsibility’ of the Union and the Member States. Outlining the most important current issues relating to market integration and public services in the EU, this book also addresses the underlying, systemic questions of the relation between public services and markets, and services and the consumer. Chapters also examine the application of state aids and procurement law to public services. The final two chapters focus on two public service sectors where the mix of Treaty rules, case law, and legislation has operated in rather different ways: public service media and health services.
Tamara K Hervey
- Published in print:
- 2011
- Published Online:
- May 2011
- ISBN:
- 9780199607730
- eISBN:
- 9780191725258
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199607730.003.0007
- Subject:
- Law, EU Law
This chapter begins with a discussion of ‘public health services’ in the context of the EU's Member States in the 21st century. It then considers the current position of the relationships between EU ...
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This chapter begins with a discussion of ‘public health services’ in the context of the EU's Member States in the 21st century. It then considers the current position of the relationships between EU law and public health services in two broad areas of EU law: EU competition, state aids, and public procurement law; and EU law on free movement of the factors of production, focusing on the free movement of services. Throughout, the chapter seeks to illuminate how the structures of EU law affect its relationships with public health services. One important feature of these relationships is a move from the conceptualization of public health systems as holistic entities, towards the idea that states provide, or create the conditions for the provision of, a set of atomized public health services. Finally, the chapter brings together the strands, to illuminate the nature of those structures, and to discuss why they are problematic as a basis for the future development of both EU law and public health service provision within the EU and its Member States. It concludes by proposing some lines for a more promising development of EU law, to be explored in more detail in future research.Less
This chapter begins with a discussion of ‘public health services’ in the context of the EU's Member States in the 21st century. It then considers the current position of the relationships between EU law and public health services in two broad areas of EU law: EU competition, state aids, and public procurement law; and EU law on free movement of the factors of production, focusing on the free movement of services. Throughout, the chapter seeks to illuminate how the structures of EU law affect its relationships with public health services. One important feature of these relationships is a move from the conceptualization of public health systems as holistic entities, towards the idea that states provide, or create the conditions for the provision of, a set of atomized public health services. Finally, the chapter brings together the strands, to illuminate the nature of those structures, and to discuss why they are problematic as a basis for the future development of both EU law and public health service provision within the EU and its Member States. It concludes by proposing some lines for a more promising development of EU law, to be explored in more detail in future research.
