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3.
Int J Equity Health ; 18(1): 106, 2019 07 04.
Artigo em Inglês | MEDLINE | ID: mdl-31272460

RESUMO

Overcoming continuing polarization regarding judicial enforcement of health rights in Latin America requires clarifying divergent normative and political premises, addressing the lack of reliable empirical data, and establishing the conditions for fruitful inter-sectoral, inter-disciplinary dialogue.


Assuntos
Reforma dos Serviços de Saúde/legislação & jurisprudência , Equidade em Saúde/legislação & jurisprudência , Prioridades em Saúde/legislação & jurisprudência , Acesso aos Serviços de Saúde/legislação & jurisprudência , Humanos , América Latina , Programas Nacionais de Saúde/legislação & jurisprudência , Fatores Socioeconômicos
5.
Health Hum Rights ; 20(1): 173-184, 2018 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-30008561

RESUMO

Priority setting is the process through which a country's health system establishes the drugs, interventions, and treatments it will provide to its population. Our study evaluated the priority-setting legal instruments of Brazil, Costa Rica, Chile, and Mexico to determine the extent to which each reflected the following elements: transparency, relevance, review and revision, and oversight and supervision, according to Norman Daniels's accountability for reasonableness framework and Sarah Clark and Albert Wale's social values framework. The elements were analyzed to determine whether priority setting, as established in each country's legal instruments, is fair and justifiable. While all four countries fulfilled these elements to some degree, there was important variability in how they did so. This paper aims to help these countries analyze their priority-setting legal frameworks to determine which elements need to be improved to make priority setting fair and justifiable.


Assuntos
Prioridades em Saúde/legislação & jurisprudência , Direitos Humanos/legislação & jurisprudência , Justiça Social , Responsabilidade Social , Assistência à Saúde , Humanos , América Latina
6.
Ann Thorac Surg ; 105(3): 691-695, 2018 03.
Artigo em Inglês | MEDLINE | ID: mdl-29397100

RESUMO

In the late 1990s, several federal government health policy decisions threatened the viability of thoracic surgery as a specialty. To respond to such decisions, active participation in political processes was given extremely high priority by the Executive Committee of The Society of Thoracic Surgeons (STS). Creation of the STS Political Action Committee (STS-PAC) in 1997 was a part of the platform of participation. The purpose of the STS-PAC is to enhance the Society's voice and stature in health care policymaking. Although the STS-PAC receives voluntary contributions from STS members, on average, only 10% of STS members contribute to the STS-PAC. For the 2015-2016 election cycle, there were 542 contributors to the STS-PAC totaling $273,000. An annual contribution of $100 from every STS member would put the STS-PAC into the top 10 for medical PACs (whereas currently it is ranked 22nd of 28 in the group of physician and dental association PACs). Despite the relatively small dollar amount the STS-PAC directs, its strategic disbursement of these dollars has yielded impressive results. For example, the STS-PAC was able to use its influence to effectively stop the Centers for Medicare and Medicaid Services from implementing a potentially calamitous rule that would effectively end traditional global surgical payments. Other advocacy successes include providing guidance to the Centers for Medicare and Medicaid Services in developing the national coverage determination for transcatheter aortic valve replacement and structuring its complex reimbursement schedule, and ensuring that a provision was included in the bill that would give the STS National Database access to claims data. The STS-PAC is a principal component of the STS' advocacy armamentarium. Despite the many successes of the STS-PAC, with even modest contributions by more STS members, the STS-PAC could become a leading medical PAC, and would give the STS an even stronger presence and voice in Washington, DC. Clearly, contributing to the STS-PAC provides STS members the opportunity to have a voice and an impact on health policy and the care of their patients.


Assuntos
Comitês Consultivos/organização & administração , Política de Saúde/legislação & jurisprudência , Prioridades em Saúde/legislação & jurisprudência , Sociedades Médicas , Cirurgia Torácica , Humanos , Estados Unidos
7.
Glob Public Health ; 13(5): 519-527, 2018 05.
Artigo em Inglês | MEDLINE | ID: mdl-28271746

RESUMO

The year 2015 was a significant anniversary for global health: 15 years since the adoption of the Millennium Development Goals and the creation of the Global Alliance for Vaccines and Immunization, followed two years later by the Global Fund to Fight AIDS, TB and Malaria. 2015 was also the 10-year anniversary of the adoption of the International Health Regulations (May 2005) and the formal entering into force of the Framework Convention on the Tobacco Control (February 2005). The anniversary of these frameworks and institutions illustrates the growth and contribution of 'global' health diplomacy. Each initiative has also revealed on-going issues with compliance, sustainable funding and equitable attention in global health governance. In this paper, we present four thematic challenges that will continue to challenge prioritisation within global health governance into the future unless addressed: framing and prioritising within global health governance; identifying stakeholders of the global health community; understanding the relationship between health and behaviour; and the role of governance and regulation in supporting global health.


Assuntos
Previsões , Saúde Global/legislação & jurisprudência , Prioridades em Saúde/legislação & jurisprudência , Direito Internacional , Humanos
8.
Public Health Nutr ; 20(16): 3019-3028, 2017 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-28803580

RESUMO

OBJECTIVE: The present study aimed to explore how Australian local governments prioritise the health and well-being of Aboriginal populations and the extent to which nutrition is addressed by local government health policy. DESIGN: In the state of Victoria, Australia, all seventy-nine local governments' public health policy documents were retrieved. Inclusion of Aboriginal health and nutrition in policy documents was analysed using quantitative content analysis. Representation of Aboriginal nutrition 'problems' and 'solutions' was examined using qualitative framing analysis. The socio-ecological framework was used to classify the types of Aboriginal nutrition issues and strategies within policy documents. SETTING: Victoria, Australia. SUBJECTS: Local governments' public health policy documents (n 79). RESULTS: A small proportion (14 %, n 11) of local governments addressed Aboriginal health and well-being in terms of nutrition. Where strategies aimed at nutrition existed, they mostly focused on individual factors rather than the broader macroenvironment. CONCLUSIONS: A limited number of Victorian local governments address nutrition as a health issue for their Aboriginal populations in policy documents. Nutrition needs to be addressed as a community and social responsibility rather than merely an individual 'behaviour'. Partnerships are required to ensure Aboriginal people lead government policy development.


Assuntos
Prioridades em Saúde , Disparidades nos Níveis de Saúde , Governo Local , Saúde das Minorias , Modelos Organizacionais , Política Nutricional , Estado Nutricional , Assistência à Saúde Culturalmente Competente/ética , Assistência à Saúde Culturalmente Competente/etnologia , Assistência à Saúde Culturalmente Competente/legislação & jurisprudência , Prioridades em Saúde/ética , Prioridades em Saúde/legislação & jurisprudência , Humanos , Saúde das Minorias/etnologia , Saúde das Minorias/legislação & jurisprudência , Determinação de Necessidades de Cuidados de Saúde , Política Nutricional/legislação & jurisprudência , Estado Nutricional/etnologia , Grupo com Ancestrais Oceânicos , Formulação de Políticas , Vitória
12.
J Am Geriatr Soc ; 65(3): 466-469, 2017 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-28102637

RESUMO

This paper is a statement of the American Geriatrics Society's (AGS) core policy priorities and the Society's positions on federal programs and policies that support older Americans as articulated to the new administration. Among the AGS priorities discussed in this paper are health reform, Medicare, and Medicaid. The AGS is committed to leveraging its expertise to inform regulatory and legislative policy proposals.


Assuntos
Reforma dos Serviços de Saúde , Política de Saúde , Prioridades em Saúde , Sociedades Médicas , Geriatria , Reforma dos Serviços de Saúde/legislação & jurisprudência , Política de Saúde/legislação & jurisprudência , Prioridades em Saúde/legislação & jurisprudência , Mão de Obra em Saúde/legislação & jurisprudência , Humanos , Medicaid/legislação & jurisprudência , Medicare/legislação & jurisprudência , Estados Unidos , United States Department of Veterans Affairs/legislação & jurisprudência
13.
Soc Work Health Care ; 56(3): 169-188, 2017 03.
Artigo em Inglês | MEDLINE | ID: mdl-28118099

RESUMO

This article analyzes spending on mental health by the Brazilian Ministry of Health between 2001 and 2014. It is documental research of the Brazilian Ministry of Health's databases. It analyzes the data using descriptive statistical analysis. Total spending on mental health for the period 2001 to 2014 shows a percentage increase in resources destined for outpatient care, but this increase is a reallocation from hospital services to community-based services and total resources for the mental health program remain at an average of 2.54% of the total health budget. Within outpatient expenditure, spending on medications remains high. Professionals committed to psychiatric reform fight to guarantee that a small fraction of the surplus appropriated by the state is directed towards social policies.


Assuntos
Serviços Comunitários de Saúde Mental/economia , Financiamento Governamental/legislação & jurisprudência , Reforma dos Serviços de Saúde/economia , Política de Saúde/economia , Unidade Hospitalar de Psiquiatria/economia , Instituições de Assistência Ambulatorial/economia , Instituições de Assistência Ambulatorial/legislação & jurisprudência , Instituições de Assistência Ambulatorial/tendências , Brasil , Serviços Comunitários de Saúde Mental/legislação & jurisprudência , Serviços Comunitários de Saúde Mental/tendências , Desinstitucionalização/economia , Desinstitucionalização/legislação & jurisprudência , Desinstitucionalização/tendências , Financiamento Governamental/tendências , Reforma dos Serviços de Saúde/legislação & jurisprudência , Reforma dos Serviços de Saúde/tendências , Gastos em Saúde/legislação & jurisprudência , Gastos em Saúde/estatística & dados numéricos , Gastos em Saúde/tendências , Política de Saúde/legislação & jurisprudência , Política de Saúde/tendências , Prioridades em Saúde/economia , Prioridades em Saúde/legislação & jurisprudência , Prioridades em Saúde/tendências , Humanos , Direitos do Paciente/legislação & jurisprudência , Unidade Hospitalar de Psiquiatria/legislação & jurisprudência , Unidade Hospitalar de Psiquiatria/tendências , Tratamento Domiciliar/economia , Tratamento Domiciliar/legislação & jurisprudência , Tratamento Domiciliar/tendências , Transtornos Relacionados ao Uso de Substâncias/economia , Transtornos Relacionados ao Uso de Substâncias/terapia
14.
Med Health Care Philos ; 20(1): 67-76, 2017 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-27592208

RESUMO

Recent health legislation in Norway significantly increases access to specialist care within a legally binding time frame. The paper describes the contents of the new legislation and introduces some of the challenges with proliferations of rights to health care. The paper describes some of the challenges associated with the proliferation of legal rights to health care. It explains the benefits of assessing the new law in the light of a rights framework. It then analyses the problematic aspects of establishing additional priority rules as solutions to rights conflicts. It then defends adequacy criteria for acceptable priority rules when such rules are unavoidable. It finally defends our proposed method and explores concrete applications.


Assuntos
Prioridades em Saúde/legislação & jurisprudência , Direitos do Paciente , Política de Saúde/legislação & jurisprudência , Humanos , Medicina , Negociação , Noruega , Direitos do Paciente/legislação & jurisprudência
15.
Rev Saude Publica ; 50: 56, 2016 Sep 01.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-27598786

RESUMO

OBJECTIVE: To describe strategies that contribute to the comprehensive approach to the judicialization of health in countries of Latin America and the Caribbean. METHODS: A search was structured to identify articles presenting strategies to approach the judicialization of health. A survey was designed, which included actors of the health system and judiciary sector. We prioritized the strategies qualified by more than the 50.0% of the participants as "very relevant". Strategies were categorized according to: governance, provision of services, human resources, information systems, financing, and medical products. RESULTS: We included 64 studies, which identified 50 strategies, related to the sub-functions and components of health systems. Of the 165 people who answered the survey, 80.0% were aged 35-64 years. The distribution of men and women was homogeneous. Half of the respondents were from Colombia (20.0%), Uruguay (16.9%), and Argentina (12.7%). We prioritized strategies that addressed aspects of generation of useful scientific evidence for decision making according to the health needs of the population, empowerment for the society, and creating spaces for discussion of measures of inclusion or exclusion of health technologies. The executive and judiciary decision makers prioritized questions that dealt with strategies that would ensure accountability. CONCLUSIONS: The results of this study contribute to the identification of effective strategies to approach the phenomenon of judicialization of health, guaranteeing the right to health. OBJETIVO: Describir estrategias que contribuyan al abordaje integral de la judicialización de la salud en países de América Latina y El Caribe. MÉTODOS: Se estructuró una búsqueda para identificar artículos que presentaran estrategias para el abordaje de la judicialización en salud. Se diseñó una encuesta, en donde se incluyeron actores del sistema de salud y del sector judicial. Se priorizaron las estrategias calificadas por más del 50,0% de los participantes como "muy relevantes". Se categorizaron las estrategias según: gobernanza, prestación de servicios, recursos humanos, sistemas de información, financiación y productos médicos. RESULTADOS: Se incluyeron 64 estudios en los cuales se identificaron 50 estrategias, relacionadas con las sub-funciones y componentes de los sistemas de salud. De las 165 personas que respondieron la encuesta, el 80,0% tenían entre 35-64 años. La distribución de hombres y mujeres fue homogénea. La mitad de los respondientes fue de Colombia (20,0%), Uruguay (16,9%) y Argentina (12,7%). Se priorizaron mayormente las estrategias que abordaron los aspectos de generación de evidencia científica útil para toma de decisión según las necesidades de salud de la población, el empoderamiento para la sociedad, y la generación de espacios de discusión de las medidas de inclusión o exclusión de tecnologías de salud. Los tomadores de decisión de la rama ejecutiva y judicial priorizaron las preguntas que abordaron las estrategias que garantizaran la rendición de cuentas. CONCLUSIONES: Los resultados de este estudio contribuyen a la identificación de estrategias efectivas para el abordaje del fenómeno de la judicialización en salud, garantizando el derecho a la salud.


Assuntos
Assistência à Saúde/legislação & jurisprudência , Prioridades em Saúde/legislação & jurisprudência , Adolescente , Adulto , Idoso , Região do Caribe , Feminino , Política de Saúde/legislação & jurisprudência , Humanos , América Latina , Masculino , Pessoa de Meia-Idade , Adulto Jovem
18.
Rev Infirm ; 221: 20-2, 2016 May.
Artigo em Francês | MEDLINE | ID: mdl-27155271

RESUMO

The medication use pathway is a complex process with a high risk of error, all the more so if it is interspersed with interruptions. Interruptions during care procedures are a real problem which can result in serious adverse events. A legal frame obliges the health institutions to secure the administration of medicines. This priority objective is translated by risks assessments, tools of self-assessment, audits, corrective actions, which allow a raising awareness of the professionals to the risks associated to medicines.


Assuntos
Erros de Medicação/prevenção & controle , Preparações Farmacêuticas/administração & dosagem , Carga de Trabalho , Esquema de Medicação , Prioridades em Saúde/legislação & jurisprudência , Humanos , Erros de Medicação/legislação & jurisprudência , Carga de Trabalho/legislação & jurisprudência , Carga de Trabalho/normas
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