Bulletin of the World Health Organization

Articles from Vol. 78, No. 6, June

A Framework for Assessing the Performance of Health Systems
Voir page 728 le resume en francais. En la pagina 729 fiqura un resumen en espanol. Introduction There is wide variation in health outcomes for countries with similar levels of income and education (1, 2). Some of this variation is due to differences...
A New Look at Health Systems
Most countries, faced with rising demands, rising costs and limited resources, are acutely concerned with the performance of their health systems. The need to design a health system that durably meets social goals is not new. Beveridge envisaged a...
Benchmarks for Health Expenditures, Services and Outcomes in Africa during the 1990s
Voir page 767 le resume en francais. En la pagina 768 figura un resumen en espanol. Introduction During the last four decades, a period when most African countries have obtained independence, they have also achieved remarkable improvements in...
Benchmarks of Fairness for Health Care Reform: A Policy Tool for Developing Countries
Voir page 748 le resume en francais. En la pagina 749 figura un resumen en espanol. A new tool for policy analysis We report here on progress towards developing the benchmarks of fairness (1) into a policy tool that will be useful in developing...
Challenges for Health Systems in Member Countries of the Organisation for Economic Co-Operation and Development
Voir page 758 le resume en francais. En la pagina 759 figura un resumen en espanol. Introduction In most respects the problems faced by health systems in countries of the Organisation for Economic Co-operation and Development (OECD) are less...
Companies Reduce Prices for HIV Drugs in Developing Countries
In an unprecedented effort to combat acquired immunodeficiency syndrome (AIDS) in sub-Saharan Africa, five of the world's leading pharmaceutical companies have agreed to decrease the price of drugs used to treat those infected with the human immunodeficiency...
Controversy Surrounds New Editor-in-Chief at the New England Journal of Medicine
The Massachusetts Medical Society has named Dr Jeffrey M. Drazen as the new Editor-in-Chief of the 188-year-old New England Journal of Medicine, one of the world's most prestigious medical journals. Dr Drazen, 53, a leading asthma researcher, is the...
Evaluating Physician Competence
What comes immediately to mind, in evaluating physician competence, is a jumble of methods that jockey for position and clash in what, at times, seems to be a battlefield of contending parties. We must return to first principles, if we are to understand...
Health Insurance: The Influence of the Beveridge Report
The National Health Service (NHS) of the United Kingdom was created by an Act of 1946, based on the recommendations of Sir William Beveridge's report (1). Seldom has any report to a government been so influential. The NHS is the pioneer of universal,...
Health Systems: More Evidence, More Debate
The design and performance of health systems are now at the centre of the international health agenda. This month's special section of the Bulletin and The World Health Report 2000 are both devoted to health systems. The next decade will witness a...
Inequalities in Health
In vol. 78, issue no. 1 of the Bulletin, Davidson Gwatkin's critical reflection (1) argues that strategies such as primary, health care within the health-for-all concept have failed to address inequalities in health, and that new ones are needed to...
International Comparison of Health Care Systems Using Resource Profiles
Voir page 776 le resume en francais. En la pagina 777 figura un resumen en espanol. Introduction The cost of delivering health care imposes a large, and often growing, burden in nearly all countries. Increasingly, health care decision-makers...
"Make or Buy" Decisions in the Production of Health Care Goods and Services: New Insights from Institutional Economics and Organizational Theory
Voir page 788 le resume en francais. En la pagina 788 figura un resumen en espanol. Public and private roles in the health sector Economic theory and empirical evidence provide ample justification for significant engagement by the state (1) in...
Managed Care: The US Experience
Voir page 841 le resume en francais. En la pagina 842 figura un resumen en espanol. Introduction Managed health care as it has developed in the USA,(a) and the current backlash against it, must be viewed in the context of the traditional US health...
New Resolution on HIV/AIDS Announced at the 53rd World Health Assembly
One of the highlights of the 53rd World Health Assembly held in Geneva from 15 to 20 May 2000 was a far-reaching resolution on HIV/AIDS. The resolution asks WHO Member States to increase access to treatments for HIV-related illnesses and urges for...
Organization of Ambulatory Care Provision: A Critical Determinant of Health System Performance in Developing Countries
Voir page 799 le resume en francais. En la pagina 800 figura un resumen en espanol. Introduction The epidemiological transition in Western Europe in the early part of the twentieth century has largely been attributed to gains in living standards...
Perspectives
This section will publish short contributions from readers containing a view, a hypothesis or a point for discussion on an issue of public health interest. Contributions (850 words, no references) are welcome. The following contribution is of unusual...
Reliability of the Clinical Surveillance Criteria for Measles Diagnosis
Editor-- WHO has estimated that of the approximately 31 million measles cases and 960000 measles deaths worldwide, 99%, have occurred in the least developed or developing countries (1). Reported cases were considerably lower, at 702 298, which indicates...
Social Insurance and Allied Services
3 ... The first task of the Committee has been to attempt for the first time a comprehensive survey of the whole field of social insurance and allied services, to show just what provision is now made and how it is made for many different forms of need....
The Concept of Stewardship in Health Policy
Voir page 737 le resume en francais. En la pagina 738 figura un resumen en espanol. Introduction Considerable attention has been focused over the past decade on the role of the state in the health sector. The debate has covered a wide variety...
The Role of the Hospital in a Changing Environment
Voir page 808 le resume en francais. En la pagina 809 figura un resumen en espanol. Introduction Hospitals pose many challenges to those undertaking reform of health care systems. They are, quite literally, immovable structures whose design was...
The Use of Private-Sector Contracts for Primary Health Care: Theory, Evidence and Lessons for Low-Income and Middle-Income Countries
Voir page 826 le resume en francais. En la pagina 827 figura un resumen en espanol. Introduction Selective contracting out of services to the private sector is often a component of reform packages promoted by bilateral and multilateral agencies...
What Can We Learn from International Comparisons of Health Systems and Health System Reform?
Voir page 818 le resume en francais. En la pagina 819 figura un resumen en espanol. Introduction According to Rose (1), "lesson drawing" in public policy starts with a commonly experienced problem that forces policy-makers to depart from routine...
World Health Report 2000: Improving Health System Performance
France has the best overall health system performance based on data published in The world health report 2000 -- Health systems: improving performance released on 21 June. Surprisingly, the United States is ranked in 37th place. Many health ministers...
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