A study of local health systems in Jamaica, 1992

The study presents the state of development of local health systems in Jamaica. It defines the local health system as a parish, and reviews the national geopolitical and economic climates in which these systems have developed and which have served as frameworks for national health policies.

The public nursing system in Jamaica: a management perspective

This dissertation examines the principles on which the public administrative system in Jamaica has been structured, and the impact which application of these principles has on the management process of planning, organizing and controlling in the nursing service which is administered by the Ministry of Health. The view taken in the analysis is that the structures and processes which have been influenced by the classical theories of management are inadequate for the purpose of management of human resources in underdeveloped countries such as Jamaica: that the assumptions on which the classical models of "authority structure: decision-making, leadership styles, communication patterns"; "the system of reward", and "the management conflict" are premised do not have generalized applicability in underdeveloped societies nor among all categories of employees in a public administrative/management system. The study critically examines the effects of these structural variables on the motivation and morale of nurses and develops a paradigm for a public administrative structure which is more relevant to management needs in a developing country (AU)

The delivery of health care in Jamaica and its implications for public policy

This is a study of the system of health care delivery in Jamaica between the years immediately following the emancipation of slavery (1838) and the end of the first sixteen years of the nation's political independence (1978). While this enquiry is by no means exhaustive, it has attempted to examine in historical perspective some of the dynamics of the public policy-making processes with particular reference to the area of health care delivery. Throughout the research an attempt was made to describe, analyse and explain some of the causes and effects of government's activities in this particular area of public administration. The investigations sought to identify centres of decision-making within the system and to establish the nature of the relationships between the environmental forces, - national and international - and the actors in the political system in the formulation and implementation of public policy. A fundamental aspect of this paper is its focus on the effects of political 'development' on the process of change in the system of social policy. This should provide a basis on which to question some of the theoretical assumptions about how public policy 'is' or 'ought to be' made, as well as assist students of public administration to draw some conclusions on the applicability of theoretical 'models' of decision-making to the policy-making processes in a developing country such as Jamaica (AU)

The delivery of health care in Jamaica and its implications for public policy

This is a study of the system of health care delivery in Jamaica between the years immediately following the emancipation of slavery (1838) and the end of the first sixteen years of the nation's political independence (1978). While this enquiry is by no means exhaustive, it has attempted to examine in historical perspective some of the dynamics of the public policy-making processes with particular reference to the area of health care delivery. Throughout the research an attempt was made to describe, analyse and explain some of the causes and effects of government's activities in this particular area of public administration. The investigations sought to identify centres of decision-making within the system and to establish the nature of the relationships between the environmental forces, - national and international - and the actors in the political system in the formulation and implementation of public policy. A fundamental aspect of this paper is its focus on the effects of political 'development' on the process of change in the system of social policy. This should provide a basis on which to question some of the theoretical assumptions about how public policy 'is' or 'ought to be' made, as well as assist students of public administration to draw some conclusions on the applicability of theoretical 'models' of decision-making to the policy-making processes in a developing country such as Jamaica (AU)