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1.
Hist. ciênc. saúde-Manguinhos ; 29(4): 933-952, oct,-dic. 2022. tab, graf
Article in Portuguese | LILACS | ID: biblio-1421579

ABSTRACT

Resumo Analisa o pensamento científico do engenheiro politécnico Heinrich August Anton Gerber, contratado pelo governo da província de Minas Gerais de 1858 a 1867. O artigo explora o significado cultural e intelectual das atividades do engenheiro, especialmente a ideia de criação de empresa privada no setor da infraestrutura viária, bem como a mediação para importação de instrumentos científicos e livros. Os resultados também indicam que Gerber participa do envio de brasileiros para estudar engenharia em Paris. Este texto investiga as trocas culturais entre Brasil e Europa, a aplicação do conhecimento científico e o encontro com problemas práticos de ordem econômica e social pelo engenheiro no interior do Império do Brasil.


Abstract This article analyzes the scientific thinking of the German polytechnic engineer Heinrich August Anton Gerber, who was employed by Minas Gerais province from 1858 to 1867. We explore the cultural and intellectual significance of his activities, particularly the idea of creating a private company within the roadway infrastructure sector and his mediating role in the importation of scientific instruments and books. Gerber also appears to have been part of efforts to send Brazilians to study engineering in Paris. Cultural exchanges between Brazil and Europe are investigated, along with the application of scientific knowledge and his encounters with practical economic and social challenges in the interior of the Empire of Brazil.


Subject(s)
Cross-Cultural Comparison , Private Sector/history , Engineering , Transit-Oriented Development , Brazil , History, 19th Century , Europe
3.
20 Century Br Hist ; 30(2): 205-230, 2019 Jun 01.
Article in English | MEDLINE | ID: mdl-30753661

ABSTRACT

In 1977, the John Lewis Partnership (JLP) was blacklisted for breaching the Labour government's pay controls under the Social Contract. As the Callaghan administration struggled to establish economic credibility, extending its reach into the private sector emerged as a political priority. JLP became a test case of government resolve months before the Ford strike of autumn 1978 that ushered in the Winter of Discontent. This article uses JLP records to create a more nuanced picture of the tensions, contestations, and vacillations of pay policy in the late 1970s. By doing so, gaps between policy conception and implementation emerge and intersect; both the business and the government faced constraints in implementing policy, despite powerful beliefs about the integrity of their actions. The article is not primarily a case study, however, and aims to contribute to broader debates. The constitutional significance, rather than the commercial impact, of government sanctions became a keynote of critique of JLP's blacklisting, suggesting that contemporaries recognized this was a confrontation of the political moment between the state and the private sector. By looking from a business's perspective, we also gain insight into how organizations approached, negotiated with, and responded to the government. Recovering the JLP blacklisting episode further shows how business archives offer great promise as resources for political history.


Subject(s)
Commerce/history , Government/history , Politics , Private Sector/history , Social Control, Formal , Commerce/standards , History, 20th Century , Private Sector/economics , Private Sector/standards , United Kingdom
4.
Med. hist ; 39(1): 4-33, 2019. tab, ilus
Article in Spanish | IBECS | ID: ibc-188067

ABSTRACT

Este trabajo se centra en el estudio del sistema hospitalario catalán desde la década de 1880 hasta la aprobación de la primera Ley General de Sanidad (1986), ya en el marco democrático. Dentro de este contexto, el estudio trata de analizar las diferencias del modelo hospitalario catalán respecto a otros territorios, sigularidades basadas sobre todo en la importancia de su red hospitalaria privada, que presenta un mayor peso desde el punto de vista histórico que la oferta pública. El estudio determinará los principales factores que han configurado esta diferencia histórica y sus consecuencias sobre la construcción y funcionamiento del sistema hospitalario catalán en el largo plazo


This work focussess on the study of the Catalonian hospital system from the decade of the 1889s to the approval of the first General Law of Halthcare (1986), already within the democratic framework. Within this context, the study tries to analyse the Catalonian hospital system with respect to other territories, peculiarities based above all on the importance of its network of private hospitals, which has more weight historically than the public offer. This study Will determine the primary factors that have mad up this historical difference and their long term consequences on the construction and functioning of the Catloniana hospital system


Subject(s)
Humans , History, 19th Century , History, 20th Century , Health Systems/history , Health Systems/organization & administration , Public Sector/history , Private Sector/history , Spain
6.
Med Confl Surviv ; 32(3): 203-220, 2016.
Article in English | MEDLINE | ID: mdl-27793073

ABSTRACT

Private business and philanthropic organizations have played a prominent role in the response to the Ebola outbreak in West Africa and the support of global health governance more broadly. While this involvement may appear to be novel or unprecedented, this article argues that this active role for private actors and philanthropies actually mirrors the historical experience of cross-border health governance in the first half of the twentieth century. By examining the experiences, roles and criticisms of the Rockefeller Foundation's International Health Division and the Bill and Melinda Gates Foundation, it is possible to identify potential opportunities for better cooperation between public and private actors in global health governance.


Subject(s)
Global Health/history , Organizations, Nonprofit/history , Private Sector/history , History, 20th Century , History, 21st Century , Humans
8.
J Health Polit Policy Law ; 40(5): 1001-21, 2015 Oct.
Article in English | MEDLINE | ID: mdl-26195605

ABSTRACT

This article focuses on the main health reforms enacted in Italy over the past one hundred years. Such reforms were all undertaken in conjunction with a severe political and institutional crisis. The 1943 reform was approved a few weeks before the fall of the Fascist regime. The National Health Service, established by Law No. 833 of 1978 and enacted during one of the most turbulent times in the history of the country, represented the apex of the brief experience of the "national solidarity" governments. Even the 1992-93 reform was put into effect in the midst of the Tangentopoli scandal, which marked the transition from the First Republic to the so-called Second Republic. To attempt an analysis of the main turning points in Italian health care policies, the well-known multiple streams approach is adopted.


Subject(s)
Health Care Reform/history , Health Policy , National Health Programs/history , Politics , Health Care Reform/organization & administration , History, 19th Century , History, 20th Century , Humans , Insurance Coverage/organization & administration , Insurance, Health , Italy , National Health Programs/organization & administration , Private Sector/history , Private Sector/organization & administration , State Medicine/history , State Medicine/organization & administration
9.
Article in French | MEDLINE | ID: mdl-25438476

ABSTRACT

After a short overview on the development of diagnostic tools in clinical biology at an international level from Antiquity towards today, a history of the clinical biology including public and private institutions in Luxembourg will be outlined.


Subject(s)
Biology/history , Clinical Laboratory Services/history , Laboratories/history , Asia , Europe , Genetics/history , Genome, Human , History, 16th Century , History, 17th Century , History, 18th Century , History, 19th Century , History, 20th Century , History, 21st Century , History, Ancient , History, Medieval , Humans , Luxembourg , Private Sector/history , Public Sector/history , United States
10.
Proc Natl Acad Sci U S A ; 110(22): 8830-5, 2013 May 28.
Article in English | MEDLINE | ID: mdl-23671111

ABSTRACT

The advent of farming around 12 millennia ago was a cultural as well as technological revolution, requiring a new system of property rights. Among mobile hunter-gatherers during the late Pleistocene, food was almost certainly widely shared as it was acquired. If a harvested crop or the meat of a domesticated animal were to have been distributed to other group members, a late Pleistocene would-be farmer would have had little incentive to engage in the required investments in clearing, cultivation, animal tending, and storage. However, the new property rights that farming required--secure individual claims to the products of one's labor--were infeasible because most of the mobile and dispersed resources of a forager economy could not cost-effectively be delimited and defended. The resulting chicken-and-egg puzzle might be resolved if farming had been much more productive than foraging, but initially it was not. Our model and simulations explain how, despite being an unlikely event, farming and a new system of farming-friendly property rights nonetheless jointly emerged when they did. This Holocene revolution was not sparked by a superior technology. It occurred because possession of the wealth of farmers--crops, dwellings, and animals--could be unambiguously demarcated and defended. This facilitated the spread of new property rights that were advantageous to the groups adopting them. Our results thus challenge unicausal models of historical dynamics driven by advances in technology, population pressure, or other exogenous changes. Our approach may be applied to other technological and institutional revolutions such as the 18th- and 19th-century industrial revolution and the information revolution today.


Subject(s)
Agriculture/history , Cultural Evolution , Models, Theoretical , Private Sector/history , Agriculture/legislation & jurisprudence , Computer Simulation , Game Theory , History, Ancient , Humans , Private Sector/legislation & jurisprudence
11.
Rev Sci Tech ; 31(2): 699-708, 2012 Aug.
Article in English | MEDLINE | ID: mdl-23413743

ABSTRACT

The animal health system in Australia has evolved over more than 100 years and includes innovative public-private partnership arrangements. The establishment in 1996 of Animal Health Australia (AHA), a not-for-profit company, was a crucial development which formalised arrangements for shared decision-making and funding across both government and industry stakeholders. However, Federal and State governments retain legislative authority for animal health control. Accordingly, all programmes must recognise that the public sector remains an executive arm of government, accountable for its actions. Hence, much effort has been invested in ensuring that the governance arrangements within AHA are lawful and transparent. The Emergency Animal Disease Response Agreement (EADRA) is a very good example of governance arrangements that are sustainably financed, widely available, provided efficiently, without waste or duplication, and in a manner that is transparent and free of fraud or corruption. The benefits of EADRA include certainty and greater transparency of funding; greater efficiency through increased probability of a rapid response to an occurrence of any of 65 diseases; and industry participation in the management and financing of such a response.


Subject(s)
Animal Diseases/prevention & control , Animal Husbandry/organization & administration , Private Sector/organization & administration , Public Sector/organization & administration , Veterinary Medicine/organization & administration , Animal Diseases/epidemiology , Animal Diseases/history , Animal Husbandry/history , Animal Husbandry/standards , Animals , Australia/epidemiology , Disease Outbreaks/history , Disease Outbreaks/prevention & control , Disease Outbreaks/veterinary , Emergencies/epidemiology , Emergencies/history , Emergencies/veterinary , History, 19th Century , History, 20th Century , History, 21st Century , Legislation, Veterinary/history , Private Sector/history , Public Sector/history , Veterinary Medicine/history , Veterinary Medicine/standards
12.
Isis ; 102(3): 446-74, 2011 Sep.
Article in English | MEDLINE | ID: mdl-22073770

ABSTRACT

This essay analyzes how academic institutions, government agencies, and the nascent biotech industry contested the legal ownership of recombinant DNA technology in the name of the public interest. It reconstructs the way a small but influential group of government officials and university research administrators introduced a new framework for the commercialization of academic research in the context of a national debate over scientific research's contributions to American economic prosperity and public health. They claimed that private ownership of inventions arising from public support would provide a powerful means to liberate biomedical discoveries for public benefit. This articulation of the causal link between private ownership and the public interest, it is argued, justified a new set of expectations about the use of research results arising from government or public support, in which commercialization became a new public obligation for academic researchers. By highlighting the broader economic and legal shifts that prompted the reconfiguration of the ownership of public knowledge in late twentieth-century American capitalism, the essay examines the threads of policy-informed legal ideas that came together to affirm private ownership of biomedical knowledge as germane to the public interest in the coming of age of biotechnology and genetic medicine.


Subject(s)
Biomedical Research/history , DNA, Recombinant/history , Ownership/history , Patents as Topic/history , Biomedical Research/legislation & jurisprudence , Federal Government/history , History, 20th Century , Humans , Interprofessional Relations , Ownership/legislation & jurisprudence , Politics , Private Sector/history , Public Sector/history , United States , Universities/history
13.
Am J Public Health ; 101(2): 238-49, 2011 Feb.
Article in English | MEDLINE | ID: mdl-21228287

ABSTRACT

Soon after its founding in the politically tumultuous late 1960s, the Health Policy Advisory Center (Health/PAC) and its Health/PAC Bulletin became the strategic hub of an intense urban social movement around health care equality in New York City. I discuss its early formation, its intellectual influences, and the analytical framework that it devised to interpret power relations in municipal health care. I also describe Health/PAC's interpretation of health activism, focusing in particular on a protracted struggle regarding Lincoln Hospital in the South Bronx. Over the years, the organization's stance toward community-oriented health politics evolved considerably, from enthusiastically promoting its potential to later confronting its limits. I conclude with a discussion of Health/PAC's major theoretical contributions, often taken for granted today, and its book American Health Empire.


Subject(s)
Community Participation/history , Health Care Sector/history , Health Care Sector/organization & administration , Health Policy/history , Politics , Public Health/history , Community Participation/methods , Health Services Accessibility/history , History, 20th Century , Humans , New York City , Private Sector/history , Public Sector/history , Residence Characteristics
14.
Uisahak ; 19(2): 385-431, 2010 Dec 31.
Article in Korean | MEDLINE | ID: mdl-21330776

ABSTRACT

In the 1950s and 1960s, Korea overcame the aftermath of the war and laid the foundations for modernization of economy and professionalization of medicine. The National Medical Services Law, enacted in 1951 was the first medical law to be legislated since the establishment of the Republic of Korea. The law provided a medical system for the traditional Korean medical practitioners, activated opening of hospitals through report-only system and prohibition of interference in medical practice, and facilitated mobilization of the doctors by the government. The Medical Law, legislated in 1962 by the Park Jong-Hee administration contained practice license system, regular practice reporting system and practice designation, thereby strengthening the government control on the medical practitioners, inducing professionalism and high-quality of medical practitioners and abolished unlicensed medical practitioners such as acupuncturists, moxa cauterists and bone setters. The Medical Assistant Law of 1963 was introduced so that medical examination and assistance could be carried out under supervision of professional doctors. To reduce areas without healthcare system, region-specified medical practitioners got licensure and a community doctor system was organized. However, due to expensive medical fees in comparison to economic status and medical needs of patients, shortage of doctors, low accessibility to hospitals led to the prevalence of illegal medical practice by unlicensed practitioners. Absence of national budget or policy on the health care system and the American-style noninterference medical system were other factors causing the situation. Government, Korean Medical Associations and Korean Dental Association tried, without success, to exercise control over the unlicensed medical practice. President Park Jong-Hee had to introduce a special law concerning the health-care related crimes with life sentence as the highest penalty. While the government put modernization before social welfare, operated on a policy of state-controlled medical care system, and doctors achieved specialization system similar to that of the United States, the public had to suffer, being treated by unlicensed medical practitioners. Inevitably, the need for a national medical practitioner supply plan and a policy to support health service was raised.


Subject(s)
Legislation, Medical/history , Licensure/history , State Medicine/history , Health Policy/history , History, 20th Century , Humans , Private Sector/history , Public Health/history , Republic of Korea
15.
Article in Korean | WPRIM (Western Pacific) | ID: wpr-156683

ABSTRACT

In the 1950s and 1960s, Korea overcame the aftermath of the war and laid the foundations for modernization of economy and professionalization of medicine. The National Medical Services Law, enacted in 1951 was the first medical law to be legislated since the establishment of the Republic of Korea. The law provided a medical system for the traditional Korean medical practitioners, activated opening of hospitals through report-only system and prohibition of interference in medical practice, and facilitated mobilization of the doctors by the government. The Medical Law, legislated in 1962 by the Park Jong-Hee administration contained practice license system, regular practice reporting system and practice designation, thereby strengthening the government control on the medical practitioners, inducing professionalism and high-quality of medical practitioners and abolished unlicensed medical practitioners such as acupuncturists, moxa cauterists and bone setters. The Medical Assistant Law of 1963 was introduced so that medical examination and assistance could be carried out under supervision of professional doctors. To reduce areas without healthcare system, region-specified medical practitioners got licensure and a community doctor system was organized. However, due to expensive medical fees in comparison to economic status and medical needs of patients, shortage of doctors, low accessibility to hospitals led to the prevalence of illegal medical practice by unlicensed practitioners. Absence of national budget or policy on the health care system and the American-style noninterference medical system were other factors causing the situation. Government, Korean Medical Associations and Korean Dental Association tried, without success, to exercise control over the unlicensed medical practice. President Park Jong-Hee had to introduce a special law concerning the health-care related crimes with life sentence as the highest penalty. While the government put modernization before social welfare, operated on a policy of state-controlled medical care system, and doctors achieved specialization system similar to that of the United States, the public had to suffer, being treated by unlicensed medical practitioners. Inevitably, the need for a national medical practitioner supply plan and a policy to support health service was raised.


Subject(s)
Humans , Health Policy/history , History, 20th Century , Legislation, Medical/history , Licensure/history , Private Sector/history , Public Health/history , Republic of Korea , State Medicine/history
16.
Lancet ; 374(9692): 817-34, 2009 Sep 05.
Article in English | MEDLINE | ID: mdl-19709728

ABSTRACT

The roots of a dysfunctional health system and the collision of the epidemics of communicable and non-communicable diseases in South Africa can be found in policies from periods of the country's history, from colonial subjugation, apartheid dispossession, to the post-apartheid period. Racial and gender discrimination, the migrant labour system, the destruction of family life, vast income inequalities, and extreme violence have all formed part of South Africa's troubled past, and all have inexorably affected health and health services. In 1994, when apartheid ended, the health system faced massive challenges, many of which still persist. Macroeconomic policies, fostering growth rather than redistribution, contributed to the persistence of economic disparities between races despite a large expansion in social grants. The public health system has been transformed into an integrated, comprehensive national service, but failures in leadership and stewardship and weak management have led to inadequate implementation of what are often good policies. Pivotal facets of primary health care are not in place and there is a substantial human resources crisis facing the health sector. The HIV epidemic has contributed to and accelerated these challenges. All of these factors need to be addressed by the new government if health is to be improved and the Millennium Development Goals achieved in South Africa.


Subject(s)
Colonialism/history , Healthcare Disparities/history , National Health Programs/history , Prejudice , Public Health/history , Race Relations/history , HIV Infections/history , Health Workforce/history , History, 19th Century , History, 20th Century , History, 21st Century , Humans , Mining/history , Politics , Private Sector/history , Sexual Behavior/history , South Africa , Transients and Migrants/history , Violence/history , Women's Rights/history
17.
Uisahak ; 18(1): 43-68, 2009 Jun.
Article in Korean | MEDLINE | ID: mdl-19636190

ABSTRACT

The state-running medical institutions which had been instituted in the earlier period of the Chosun dynasty substantially downsized during the reconstructing process after the major wars with Japan and Qing dynasty. The downsizing was mainly due to the malfunctioning public financial system; but it was also due to the growth of the private medical market. The growth of the private medical market reoriented the focus of the public health system of the Chosun dynasty from providing treatment for every minor disease to providing the more efficient policy against epidemic. Hwal-in Seo (a temporary local public health center established for epidemic) became a new core of the dynasty's health policy under the phrase of "Ae Rye (saving the rituals)." As the changes of the dynasty's public health policy, the growing private medical market had been admitted into the public domain. Chosun government once had declared Sa Yak Gye (a private mutual-aid group for medicine) illegal and prohibited the private groups to be organized. Instead, with the policy change mentioned above, the government tried to support the private mutual-aid group for medicine while forbidding sales of fake medicine, restraining rise of price of medicine. Especially the Do go merchants often caused the sudden rise of price of medicine by bulk purchasing. Medical practice was reassessed as the period when it was considered as one of the lowest professions had been over. Although the Yangban class still refused to be a professional medical practitioner themselves, they also well understood the value of medicine as a field of study to save human and dismissed negative perception on medicine. Medicine as a field of study and medical practice, which had been underestimated under the ruling system influenced by the Song Confucianism and the status system of the Chosun dynasty, faced a new era. The whole society guaranteed more free practices of the medical practitioners and they were recognized for their works. With the change of social environment, the government officials gradually realized needs to discuss how they could educate and recruit medical practitioners to provide advanced medical treatment and what provisions they had to legislate to ensure the stable supply of the medicine. It is certain that the transformation developed in the medical environment and the changes of the public health policy up to 18th century Chosun dynasty accompanied the emergence of the commercial society. However, the overall social urge was still not enough to induce the actual law-making process. The change of the public health policy and the growth of the private medical market were surely the evidence of the transforming Chosun society; at the same time, they also revealed the immaturity of the medical environment which was not able to lead new health policies.


Subject(s)
Medicine, Korean Traditional/history , Private Sector/history , Public Health/history , Health Policy/history , History, 16th Century , History, 17th Century , History, 18th Century , Humans , Korea , State Medicine/history
18.
Article in Korean | WPRIM (Western Pacific) | ID: wpr-115842

ABSTRACT

The state-running medical institutions which had been instituted in the earlier period of the Chosun dynasty substantially downsized during the reconstructing process after the major wars with Japan and Qing dynasty. The downsizing was mainly due to the malfunctioning public financial system; but it was also due to the growth of the private medical market. The growth of the private medical market reoriented the focus of the public health system of the Chosun dynasty from providing treatment for every minor disease to providing the more efficient policy against epidemic. Hwal-in Seo (a temporary local public health center established for epidemic) became a new core of the dynasty's health policy under the phrase of "Ae Rye (saving the rituals)." As the changes of the dynasty's public health policy, the growing private medical market had been admitted into the public domain. Chosun government once had declared Sa Yak Gye (a private mutual-aid group for medicine) illegal and prohibited the private groups to be organized. Instead, with the policy change mentioned above, the government tried to support the private mutual-aid group for medicine while forbidding sales of fake medicine, restraining rise of price of medicine. Especially the Do go merchants often caused the sudden rise of price of medicine by bulk purchasing. Medical practice was reassessed as the period when it was considered as one of the lowest professions had been over. Although the Yangban class still refused to be a professional medical practitioner themselves, they also well understood the value of medicine as a field of study to save human and dismissed negative perception on medicine. Medicine as a field of study and medical practice, which had been underestimated under the ruling system influenced by the Song Confucianism and the status system of the Chosun dynasty, faced a new era. The whole society guaranteed more free practices of the medical practitioners and they were recognized for their works. With the change of social environment, the government officials gradually realized needs to discuss how they could educate and recruit medical practitioners to provide advanced medical treatment and what provisions they had to legislate to ensure the stable supply of the medicine. It is certain that the transformation developed in the medical environment and the changes of the public health policy up to 18th century Chosun dynasty accompanied the emergence of the commercial society. However, the overall social urge was still not enough to induce the actual law-making process. The change of the public health policy and the growth of the private medical market were surely the evidence of the transforming Chosun society; at the same time, they also revealed the immaturity of the medical environment which was not able to lead new health policies.


Subject(s)
Humans , Health Policy/history , History, 16th Century , History, 17th Century , History, 18th Century , Korea , Medicine, Korean Traditional/history , Private Sector/history , Public Health/history , State Medicine/history
19.
20 Century Br Hist ; 19(1): 1-28, 2008.
Article in English | MEDLINE | ID: mdl-19069079

ABSTRACT

The role of the British major life assurance companies in administering the National Insurance Acts in the guise of approved societies has long been controversial. The companies have been accused of profiteering rather than civic duty or social altruism. This article, using the Prudential Assurance Company as a case study, questions this argument. Life assurance companies such as the Prudential were fundamental to the operational running of national health insurance in the first half of the twentieth century due to their scale, scope and expertise. In addition, they were keen to extend the scope of national health insurance and campaigned to make the acts more comprehensive. Finally, while the companies certainly did see benefits in administering the acts, these were related more to corporate identity, branding and public relations than to direct pecuniary gain. An analysis of the inclusion of the life insurance companies in the administration of the National Health Insurance Acts is thus as important for an understanding of twentieth-century Britain as it is for the development of modern social welfare.


Subject(s)
Insurance Carriers/history , Insurance, Life/history , National Health Programs/history , History, 20th Century , Private Sector/history , United Kingdom
20.
Dynamis ; 27: 287-307, 14, 2007.
Article in Spanish | MEDLINE | ID: mdl-18351168

ABSTRACT

The influenza pandemic of 1918-1919 was one of the most severe recorded in Colombia. There were 1,900 deaths in the capital, Bogota. The poor and unprotected were the most affected. Care of victims was the responsibility of the Junta de Socorros, a private body. Based on different primary sources (mostly official documents, Junta de Socorros reports, newspapers, and medical journals) this article explores how the 1918 influenza pandemic altered Bogotá's social dynamics, with particular attention to its impact on disease and mortality rates and to an analysis of how the city's sanitary conditions and political-institutional decisions and the reactions of different social sectors influenced the response of this human community to the pandemic.


Subject(s)
Disease Outbreaks/history , Influenza, Human/history , Colombia/epidemiology , History, 20th Century , Humans , Influenza, Human/epidemiology , Influenza, Human/therapy , Private Sector/history , Public Health/history , Sanitation/history , Social Behavior
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