de: J. Uzkudun : juzkudun@euskadi.ccoo.es
fecha: 28 de julio de 2010 13:08
asunto: [NS] Al capital le comienzan a salir caro las victimas Amianto
La indemnización mas costosa, Si el Capital nos ha explotado hasta destrozar nuestra salud que lo paguen, solo tocando el bolsillo aprenden a garantizar unas condiciones de trabajo por lo menos mas saludables jesus
28/07/2010 Heraldo de Soria
El Supremo da la razón a la familia de un obrero de CAF muerto a causa del amianto
Más información:
http://www.heraldodesoria.es/index.php/mod.noticias/mem.detalle/idnoticia.51980
El Supremo da la razón a la familia de un obrero de CAF muerto a causa del amianto
El Tribunal confirma la sentencia de 2008 del Juzgado de lo Social nº 1 de Zaragoza contra la empresa, que deberá pagar más de 427.000 euros.
M. LLORENTE. Zaragoza
Aunque el afectado Jesús Gracia Mallén, que trabajó desde los 14 años hasta los 60 en la CAF, ya no podrá verlo porque el mesioteloma pleural maligno, que le causó la sobreexposición al amianto, se lo llevó por delante a los 63 años, tres después de prejubilarse, su viuda y sus hijos, al final, después de varios años de lucha y una dura espera, ven que "se ha hecho justicia".
"Espero que la sentencia del Tribunal Supremo sirva para que los compañeros de mi padre que se puedan ver en esto, ya sabiendo lo que les espera, por lo menos no tengan que discutir con la empresa y se llegue a un acuerdo rápidamente para que sus familias no sufran tanto". Es lo que desea Fernando Gracia, que ayer, junto a su madre, Adoración Guzmán, recibió del despacho de abogados Gutiérrez Arrudi la noticia de que el Tribunal Supremo confirmaba la sentencia contra CAF ya dictada el 29 de julio de 2008 por el Juzgad de lo Social nº 1 de Zaragoza y avalada por la Sala de lo Social del Tribunal Superior de Justicia de Aragón el 18 de noviembre de ese mismo año, y que la empresa recurrió, y que condenaba a Construcciones y Auxiliar de Ferrocarriles, S. A. (CAF, S. A.) a pagar al trabajador ya fallecido Jesús Gracia una indemnización de 427.050,27 euros por la Incapacidad Permanente Absoluta derivada de enfermedad profesional atribuible al amianto.
Para el despacho de abogados Gutiérrez Arrudi, "lo más importante es que se ha hecho justicia. Jesús era una persona excepcional por su calidad humana. Siempre se entregaba a los demás. Durante muchos años fue presidente del comité de empresa de CAF y conocía lo que le iba a pasar de primera mano. Pese a eso, nos animaba a todos a continuar, era un luchador y un magnífico trabajador que merecía lo que se le ha dado". "Él no luchaba por su caso sino por los de los demás que han ido saliendo en la CAF", atestigua Adoración, la viuda de Jesús Gracia: "Él siempre fue consciente de que cualquier día le podía pasar a él y al final le pasó. Esta enfermedad es muy cruel y se lo llevó rápido y con dolor. Pasarlo ha sido muy duro. El enfermo sabe que es su sentencia de muerte, pero el que está a su lado también lo sabe". Es un miedo que tienen todos los trabajadores de CAF. Esa sensación la tienen dentro", corrobora el hijo del trabajador fallecido.
La mayor indemnización en CAF
La indemnización que esta familia percibirá de CAF por daños y perjuicios causados por el amianto, es la de máxima cuantía que se ha fijado en España, según Gutiérrez Arrudi, que ensalzó también la "sensibilidad" de la juez del Juzgado de lo Social número 1 de Zaragoza y posteriormente de la Sala de lo Social del Tribunal Superior de Justicia de Aragón. "La sentencia inicial, ahora avalada por el Tribunal Supremo, era muy valiente y socialmente avanzada. Si en la instancia hay jueces que hacen un trabajo magnífico, después se nota", añadió. Aunque ha habido que esperar dos años, ahora solo resta ejecutar la sentencia, sobre la que se aplica el interés legal, por lo que la parte demandante confía en que no se demore.
"Al final, lo que satisface es más que nada la sensación de justicia. Más que la indemnización, que no importa tanto, es ver que después de toda una vida trabajando se demuestra que lo que mi padre pedía era justo", confiesa Fernando Gracia, mientras que para su madre lo esencial de esta sentencia es que el esfuerzo de su marido, y su compromiso -porque "el siempre defendía a los compañeros-ha merecido la pena".
lunes, 9 de agosto de 2010
[EQ] Guidelines for Improving the Comparability and Availability of Private Health Expenditures Under the System of Health Accounts Framework
de: Ruggiero, Mrs. Ana Lucia (WDC) : ruglucia@paho.org
fecha: 9 de agosto de 2010 11:57
asunto: [EQ] Guidelines for Improving the Comparability and Availability of Private Health Expenditures Under the System of Health Accounts Framework
Guidelines for Improving the Comparability and Availability of Private Health Expenditures
Under the System of Health Accounts Framework
Rannan-Eliya, R. P. and L. Lorenzoni
OECD Health Working Papers, No. 52, 2010OECD Publishing.doi: 10.1787/5kmbrcg0clvc-en
Available online PDF [68p.] at: http://bit.ly/bCuOk5
“…This paper reports on a project to improve the comparability and availability of private health expenditure under the joint health accounts questionnaire (JHAQ) data collection.
The joint health accounts questionnaire JHAQ is a framework for joint data collection in the area of health expenditure data developed by OECD, Eurostat, and WHO.
In particular, the study questions were:
How to overcome the inherent tendency for much private health care financing to occur without the generation of linked, reliable, and comprehensive routine data? How to tackle the issue of private providers likely to operate without reporting of routine data to statistical agencies?........”.
TABLE OF CONTENTS
EXECUTIVE SUMMARY
1. INTRODUCTION
2. DEFINITIONS
3. PROBLEMS AND CHALLENGES IN THE MEASUREMENT OF PRIVATE HEALTH EXPENDITURES
4. GENERAL APPROACH
4.1 Measurement strategy
4.2 Formulating the measurement strategy
4.3 Assessing data sources
4.4 Selecting approaches
4.4.1 Measurement from financing and provider perspectives
4.4.2 Integrative approach to expenditure measurement
5. METHODS FOR SPECIFIC EXPENDITURE FLOWS
5.1 A/B/C classification of methods
5.2 Methods specific to expenditure flows classified by financing agents
5.3 Methods specific to providers
5.3.1 Private expenditures at public providers (cost sharing)
5.3.2 Expenditures at private hospitals – HP.1
5.3.3 Expenditures at private providers of ambulatory care, including physicians – HP.3
5.3.4 Sales of pharmaceuticals through retail outlets – HC.5.1 and HP.4
6. METHODS SPECIFIC FOR ESTIMATION OF HOUSEHOLD OUT-OF-POCKET EXPENDITURE38
6.1 Determining when and how to use household survey data
6.2 Types of household surveys
6.2.1 Household budget surveys
6.2.2 Specialised surveys of household healthcare utilisation and expenditure
6.2.3 Specialised surveys of household health care utilisation only
6.2.4 Diary surveys
6.2.5 General limitations in coverage of household surveys
6.3 Assessing reporting biases in household survey data
6.4 Estimating household expenditures in the absence of reliable provider data
7. PRODUCING FINAL ESTIMATES OF PRIVATE EXPENDITURE BY RECONCILING AND INTEGRATING ESTIMATES
7.1 Estimation of expenditures as a time series
7.2 Organisation of data
7.3 Reconciliation and integration of the estimates
8. CONCLUSIONS
ANNEX 1: REPORTS ON IMPLEMENTING THE DRAFT GUIDELINES
Bulgaria
China
Ireland
Korea
Poland
Spain
Switzerland
BIBLIOGRAPHY
* * *
fecha: 9 de agosto de 2010 11:57
asunto: [EQ] Guidelines for Improving the Comparability and Availability of Private Health Expenditures Under the System of Health Accounts Framework
Guidelines for Improving the Comparability and Availability of Private Health Expenditures
Under the System of Health Accounts Framework
Rannan-Eliya, R. P. and L. Lorenzoni
OECD Health Working Papers, No. 52, 2010OECD Publishing.doi: 10.1787/5kmbrcg0clvc-en
Available online PDF [68p.] at: http://bit.ly/bCuOk5
“…This paper reports on a project to improve the comparability and availability of private health expenditure under the joint health accounts questionnaire (JHAQ) data collection.
The joint health accounts questionnaire JHAQ is a framework for joint data collection in the area of health expenditure data developed by OECD, Eurostat, and WHO.
In particular, the study questions were:
How to overcome the inherent tendency for much private health care financing to occur without the generation of linked, reliable, and comprehensive routine data? How to tackle the issue of private providers likely to operate without reporting of routine data to statistical agencies?........”.
TABLE OF CONTENTS
EXECUTIVE SUMMARY
1. INTRODUCTION
2. DEFINITIONS
3. PROBLEMS AND CHALLENGES IN THE MEASUREMENT OF PRIVATE HEALTH EXPENDITURES
4. GENERAL APPROACH
4.1 Measurement strategy
4.2 Formulating the measurement strategy
4.3 Assessing data sources
4.4 Selecting approaches
4.4.1 Measurement from financing and provider perspectives
4.4.2 Integrative approach to expenditure measurement
5. METHODS FOR SPECIFIC EXPENDITURE FLOWS
5.1 A/B/C classification of methods
5.2 Methods specific to expenditure flows classified by financing agents
5.3 Methods specific to providers
5.3.1 Private expenditures at public providers (cost sharing)
5.3.2 Expenditures at private hospitals – HP.1
5.3.3 Expenditures at private providers of ambulatory care, including physicians – HP.3
5.3.4 Sales of pharmaceuticals through retail outlets – HC.5.1 and HP.4
6. METHODS SPECIFIC FOR ESTIMATION OF HOUSEHOLD OUT-OF-POCKET EXPENDITURE38
6.1 Determining when and how to use household survey data
6.2 Types of household surveys
6.2.1 Household budget surveys
6.2.2 Specialised surveys of household healthcare utilisation and expenditure
6.2.3 Specialised surveys of household health care utilisation only
6.2.4 Diary surveys
6.2.5 General limitations in coverage of household surveys
6.3 Assessing reporting biases in household survey data
6.4 Estimating household expenditures in the absence of reliable provider data
7. PRODUCING FINAL ESTIMATES OF PRIVATE EXPENDITURE BY RECONCILING AND INTEGRATING ESTIMATES
7.1 Estimation of expenditures as a time series
7.2 Organisation of data
7.3 Reconciliation and integration of the estimates
8. CONCLUSIONS
ANNEX 1: REPORTS ON IMPLEMENTING THE DRAFT GUIDELINES
Bulgaria
China
Ireland
Korea
Poland
Spain
Switzerland
BIBLIOGRAPHY
* * *
[SESOMA] Fw: SEMINARIO INTRODUCCION A LAS NORMAS NFPA
From: Raul Martinez
To: Raul Martinez
Sent: Monday, August 09, 2010 11:43 AM
Subject: SEMINARIO INTRODUCCION A LAS NORMAS NFPA
Seminario
Introducción a las normas NFPA
NFPA 20 Equipos de bombeo
NFPA 13 Sistemas de rociadores
Organiza:
COLEGIO PROFESIONAL DE HIGIENE, SEGURIDAD Y MEDIO AMBIENTE.
Auspicia:
CAMARA ARGENTINA DE SEGURIDAD.
Fecha: Martes 31 de Agosto de 2010Horario: De 9:00 hs. a 12:30 hs.Lugar: CAMARA ARGENTINA DE SEGURIDAD,Pte. Luis Sáenz Peña 310 - 4º Piso CABA.
Dirigido a:
Profesionales y Técnicos en Higiene y Seguridad en el Trabajo.
Responsables y Auxiliares de Servicios Internos y Externos.
Programa de actividades:
09:00 hs. - Recepción de participantes
09:30 hs. - Desarrollo del Seminario.
10:30 hs. - Coffee break
11:00 hs. - Desarrollo del Seminario.
12:00 hs. - Espacio para Debate y Preguntas
12:30 hs. - Fin de la actividad
Expositor:
Ing. Guillermo R Russo
Ingeniero Químico (UTN). Gerente General de Damianich & Sons SRL desde octubre de 2002 y Director Técnico (Según IRAM 3501) desde 2008. Disertante sobre NFPA en eventos de Allianz, CALCIC y GM. Anteriormente se desempeño en los departamentos de ingeniería de aplicación y procesos en compañías de tratamientos de agua. Participó del análisis del proyecto de inversión de las plantas de potabilización y efluentes de la ciudad de Ushuaia.
Consultas: informes@cophisema.org.ar
Inscripciones: Perú 84 - 3° Piso Of. 46 - de 10:30 hs a 17:00 hsTel.4345-1275 - 4331-0728
FORMA DE PAGO: En efectivo o con Cheques a la orden de “COLEGIO PROFESIONAL DE HIGIENE Y SEGURIDAD EN EL TRABAJO”. Por transferencia electrónica o depósito bancario. BANCO HSBC Sucursal Hospital Italiano Cuenta Corriente 624-3-22601-4 //CBU 1500 6242 0006 2432 2601 46 // Enviando posteriormente fotocopia del cupón de pago y sus datos personales, por email a (tesorería@cophisema.org.ar), con el fin de poder acreditarlo y enviar el recibo correspondiente.
Costos:
Inscripción General*: $200.-
Inscripción Socios COPHISEMA y CAS con cuotas al día*:$150.-
*Incluye: Coffee Break y Certificado de Asistencia
Se requiere inscripción previa – Vacantes limitadas
VISITE NUESTRA PAGINA www.cophisema.org.ar
To: Raul Martinez
Sent: Monday, August 09, 2010 11:43 AM
Subject: SEMINARIO INTRODUCCION A LAS NORMAS NFPA
Seminario
Introducción a las normas NFPA
NFPA 20 Equipos de bombeo
NFPA 13 Sistemas de rociadores
Organiza:
COLEGIO PROFESIONAL DE HIGIENE, SEGURIDAD Y MEDIO AMBIENTE.
Auspicia:
CAMARA ARGENTINA DE SEGURIDAD.
Fecha: Martes 31 de Agosto de 2010Horario: De 9:00 hs. a 12:30 hs.Lugar: CAMARA ARGENTINA DE SEGURIDAD,Pte. Luis Sáenz Peña 310 - 4º Piso CABA.
Dirigido a:
Profesionales y Técnicos en Higiene y Seguridad en el Trabajo.
Responsables y Auxiliares de Servicios Internos y Externos.
Programa de actividades:
09:00 hs. - Recepción de participantes
09:30 hs. - Desarrollo del Seminario.
10:30 hs. - Coffee break
11:00 hs. - Desarrollo del Seminario.
12:00 hs. - Espacio para Debate y Preguntas
12:30 hs. - Fin de la actividad
Expositor:
Ing. Guillermo R Russo
Ingeniero Químico (UTN). Gerente General de Damianich & Sons SRL desde octubre de 2002 y Director Técnico (Según IRAM 3501) desde 2008. Disertante sobre NFPA en eventos de Allianz, CALCIC y GM. Anteriormente se desempeño en los departamentos de ingeniería de aplicación y procesos en compañías de tratamientos de agua. Participó del análisis del proyecto de inversión de las plantas de potabilización y efluentes de la ciudad de Ushuaia.
Consultas: informes@cophisema.org.ar
Inscripciones: Perú 84 - 3° Piso Of. 46 - de 10:30 hs a 17:00 hsTel.4345-1275 - 4331-0728
FORMA DE PAGO: En efectivo o con Cheques a la orden de “COLEGIO PROFESIONAL DE HIGIENE Y SEGURIDAD EN EL TRABAJO”. Por transferencia electrónica o depósito bancario. BANCO HSBC Sucursal Hospital Italiano Cuenta Corriente 624-3-22601-4 //CBU 1500 6242 0006 2432 2601 46 // Enviando posteriormente fotocopia del cupón de pago y sus datos personales, por email a (tesorería@cophisema.org.ar), con el fin de poder acreditarlo y enviar el recibo correspondiente.
Costos:
Inscripción General*: $200.-
Inscripción Socios COPHISEMA y CAS con cuotas al día*:$150.-
*Incluye: Coffee Break y Certificado de Asistencia
Se requiere inscripción previa – Vacantes limitadas
VISITE NUESTRA PAGINA www.cophisema.org.ar
[EQ] Creating Adaptive Policies - A Guide for Policy-making in an Uncertain World
de: Ruggiero, Mrs. Ana Lucia (WDC) : ruglucia@paho.org
fecha: 9 de agosto de 2010 08:55
asunto: [EQ] Creating Adaptive Policies - A Guide for Policy-making in an Uncertain World
Creating Adaptive Policies - A Guide for Policy-making in an Uncertain World
Edited by Darren Swanson and Suruchi Bhadwal
Sage/IDRC 2009 - ISBN 978-81-321-0147-5 - e-ISBN 978-1-55250-467-3
International Development Research Centre (IDRC) Canada
Available online at: http://bit.ly/bFcJJe
“……….principles of complex adaptive systems and adaptive management into practical guidance for policy-makers. It describes the concept of adaptive policy-making and presents seven tools for developing such policies.
“….This book is the culmination of four years of research undertaken by the International Institute for Sustainable Development (IISD) based in Canada and The Energy and Resources Institute (TERI) in India. Financial support and advice for this initiative was provided by Canada’s International Development Research Centre (IDRC).
….The specific case examples drawn on throughout the book may resonate most closely with policy-makers working in agriculture and water resource management sectors, and for policy-makers dealing with climate change issues, because that is the context from which the cases were drawn. But the seven tools for creating adaptive policies are relevant to any complex policy issue, providing a means to craft and implement policies under dynamic and unpredictable socio-economic and ecologic circumstances….”
.
Content:
Foreword
Chapter 1. The Need for Adaptive Policies
Chapter 2. Seven Guidelines for Policy-making in an Uncertain World
Chapter 3. Integrated and Forward-looking Analysis
Chapter 4. Multi-stakeholder Deliberation
Chapter 5. Automatic Policy Adjustment
Chapter 6. Enabling Self-organization and Social Networking
Chapter 7. Decentralization of Decision-making
Chapter 8. Promoting Variation
Chapter 9. Formal Policy Review and Continuous Learning
Chapter 10. Insights into Implementing Adaptive Policies
Appendix: Policy Case Study Overviews
Bibliography
* * *
fecha: 9 de agosto de 2010 08:55
asunto: [EQ] Creating Adaptive Policies - A Guide for Policy-making in an Uncertain World
Creating Adaptive Policies - A Guide for Policy-making in an Uncertain World
Edited by Darren Swanson and Suruchi Bhadwal
Sage/IDRC 2009 - ISBN 978-81-321-0147-5 - e-ISBN 978-1-55250-467-3
International Development Research Centre (IDRC) Canada
Available online at: http://bit.ly/bFcJJe
“……….principles of complex adaptive systems and adaptive management into practical guidance for policy-makers. It describes the concept of adaptive policy-making and presents seven tools for developing such policies.
“….This book is the culmination of four years of research undertaken by the International Institute for Sustainable Development (IISD) based in Canada and The Energy and Resources Institute (TERI) in India. Financial support and advice for this initiative was provided by Canada’s International Development Research Centre (IDRC).
….The specific case examples drawn on throughout the book may resonate most closely with policy-makers working in agriculture and water resource management sectors, and for policy-makers dealing with climate change issues, because that is the context from which the cases were drawn. But the seven tools for creating adaptive policies are relevant to any complex policy issue, providing a means to craft and implement policies under dynamic and unpredictable socio-economic and ecologic circumstances….”
.
Content:
Foreword
Chapter 1. The Need for Adaptive Policies
Chapter 2. Seven Guidelines for Policy-making in an Uncertain World
Chapter 3. Integrated and Forward-looking Analysis
Chapter 4. Multi-stakeholder Deliberation
Chapter 5. Automatic Policy Adjustment
Chapter 6. Enabling Self-organization and Social Networking
Chapter 7. Decentralization of Decision-making
Chapter 8. Promoting Variation
Chapter 9. Formal Policy Review and Continuous Learning
Chapter 10. Insights into Implementing Adaptive Policies
Appendix: Policy Case Study Overviews
Bibliography
* * *
[EQ] Social Policy in the Post-crisis Context of Small Island Developing States: a synthesis
de: Ruggiero, Mrs. Ana Lucia (WDC) : ruglucia@paho.org
fecha: 9 de agosto de 2010 09:42
asunto: [EQ] Social Policy in the Post-crisis Context of Small Island Developing States: a synthesis
Social Policy in the Post-crisis Context of Small Island Developing States: a synthesis
Leisa Perch and Rathin Roy
International Policy Centre for Inclusive Growth (IPC - IG)
Poverty Practice, Bureau for Development Policy
United Nations Development Programme UNDP - July 2010
Available online PDF [43p.] at: http://bit.ly/avy9bl
“….This paper provides a synthesis of the multifaceted impact of the global economic crisis on Small Island Developing States (SIDS), focusing on the Pacific and Caribbean regions. It shows that the social investment agenda, which has underpinned so much of the development progress of SIDS, has been particularly challenged by the global economic crisis and will require innovations and policy changes by SIDS in order to sustain and advance beyond current achievements.
Global action will be required to enhance the available fiscal space for these actions. Additionally, in the SIDS, particular attention needs to be paid to the design and implementation of social policies that reduce vulnerability, improve resilience to exogenous shocks, and thus lower the human and productivity costs of exposure to repeated shocks.
These include high unemployment and underemployment, rising crime and persistent inequalities across income groups and between rural and urban communities. The transitive effects of such exogenous shocks on the incomes, food security and access to basic public goods of poor and vulnerable households demonstrate the need for a new policy approach, one that is better placed than current approaches to increase SIDS’ resilience to future shocks.
The synthesis, based largely on experiences of and lessons learned from five countries in the Pacific and five in the Caribbean,1 seeks to advocate a “paradigm shift” in global and national level approaches to the development challenges facing SIDS….”
1 The focus countries for the paper are:
i) for the Pacific: Fiji, Kiribati, Samoa, Solomon Islands and Vanuatu;
ii) for the Caribbean: Antigua and Barbuda, Barbados, the Commonwealth of Dominica, Montserrat and St. Kitts and Nevis.
* * *
fecha: 9 de agosto de 2010 09:42
asunto: [EQ] Social Policy in the Post-crisis Context of Small Island Developing States: a synthesis
Social Policy in the Post-crisis Context of Small Island Developing States: a synthesis
Leisa Perch and Rathin Roy
International Policy Centre for Inclusive Growth (IPC - IG)
Poverty Practice, Bureau for Development Policy
United Nations Development Programme UNDP - July 2010
Available online PDF [43p.] at: http://bit.ly/avy9bl
“….This paper provides a synthesis of the multifaceted impact of the global economic crisis on Small Island Developing States (SIDS), focusing on the Pacific and Caribbean regions. It shows that the social investment agenda, which has underpinned so much of the development progress of SIDS, has been particularly challenged by the global economic crisis and will require innovations and policy changes by SIDS in order to sustain and advance beyond current achievements.
Global action will be required to enhance the available fiscal space for these actions. Additionally, in the SIDS, particular attention needs to be paid to the design and implementation of social policies that reduce vulnerability, improve resilience to exogenous shocks, and thus lower the human and productivity costs of exposure to repeated shocks.
These include high unemployment and underemployment, rising crime and persistent inequalities across income groups and between rural and urban communities. The transitive effects of such exogenous shocks on the incomes, food security and access to basic public goods of poor and vulnerable households demonstrate the need for a new policy approach, one that is better placed than current approaches to increase SIDS’ resilience to future shocks.
The synthesis, based largely on experiences of and lessons learned from five countries in the Pacific and five in the Caribbean,1 seeks to advocate a “paradigm shift” in global and national level approaches to the development challenges facing SIDS….”
1 The focus countries for the paper are:
i) for the Pacific: Fiji, Kiribati, Samoa, Solomon Islands and Vanuatu;
ii) for the Caribbean: Antigua and Barbuda, Barbados, the Commonwealth of Dominica, Montserrat and St. Kitts and Nevis.
* * *
viernes, 25 de junio de 2010
[EQ] How the Performance of the U.S. Health Care System Compares Internationally
de: Ruggiero, Mrs. Ana Lucia (WDC) : ruglucia@paho.org
fecha: 23 de junio de 2010 16:11
asunto: [EQ] How the Performance of the U.S. Health Care System Compares Internationally
Mirror, Mirror on the Wall:
How the Performance of the U.S. Health Care System Compares Internationally, 2010 Update
Karen Davis, Cathy Schoen, and Kristof Stremikis
Commonwealth Fund June 2010
Available online PDF [34p.] at: http://bit.ly/bPSyNT
Chartpack (859K PPT)
Chartpack (274K PDF)
Despite having the most costly health system in the world, the United States consistently underperforms on most dimensions of performance, relative to other countries.
This report—an update to three earlier editions—includes data from seven countries and incorporates patients' and physicians' survey results on care experiences and ratings on dimensions of care. Compared with six other nations—Australia, Canada, Germany, the Netherlands, New Zealand, and the United Kingdom—the U.S. health care system ranks last or next-to-last on five dimensions of a high performance health system: quality, access, efficiency, equity, and healthy lives.
Newly enacted health reform legislation in the U.S. will start to address these problems by extending coverage to those without and helping to close gaps in coverage—leading to improved disease management, care coordination, and better outcomes over time.
Interactive tool:
http://www.commonwealthfund.org/usr_doc/site_docs/slideshows/MirrorMirror/MirrorMirror.html
Other New International Resources
· Health Care Abroad and Reform at Home: The latest podcast from the Fund's "New Directions in Health Care" series examines the costs of providing medical services in other parts of the world and considers how health care reform might change the bottom line in this country.
· International Profiles of Health Care Systems: These overviews, covering Australia, Canada, Denmark, England, France, Germany, Italy, the Netherlands, New Zealand, Norway, Sweden, Switzerland, and the U.S., provide detailed information for each nation on health insurance coverage and benefits, health system financing, delivery system organization, quality assurance mechanisms, efforts to improve efficiency and control costs, and recent innovations and reforms.
* * *
fecha: 23 de junio de 2010 16:11
asunto: [EQ] How the Performance of the U.S. Health Care System Compares Internationally
Mirror, Mirror on the Wall:
How the Performance of the U.S. Health Care System Compares Internationally, 2010 Update
Karen Davis, Cathy Schoen, and Kristof Stremikis
Commonwealth Fund June 2010
Available online PDF [34p.] at: http://bit.ly/bPSyNT
Chartpack (859K PPT)
Chartpack (274K PDF)
Despite having the most costly health system in the world, the United States consistently underperforms on most dimensions of performance, relative to other countries.
This report—an update to three earlier editions—includes data from seven countries and incorporates patients' and physicians' survey results on care experiences and ratings on dimensions of care. Compared with six other nations—Australia, Canada, Germany, the Netherlands, New Zealand, and the United Kingdom—the U.S. health care system ranks last or next-to-last on five dimensions of a high performance health system: quality, access, efficiency, equity, and healthy lives.
Newly enacted health reform legislation in the U.S. will start to address these problems by extending coverage to those without and helping to close gaps in coverage—leading to improved disease management, care coordination, and better outcomes over time.
Interactive tool:
http://www.commonwealthfund.org/usr_doc/site_docs/slideshows/MirrorMirror/MirrorMirror.html
Other New International Resources
· Health Care Abroad and Reform at Home: The latest podcast from the Fund's "New Directions in Health Care" series examines the costs of providing medical services in other parts of the world and considers how health care reform might change the bottom line in this country.
· International Profiles of Health Care Systems: These overviews, covering Australia, Canada, Denmark, England, France, Germany, Italy, the Netherlands, New Zealand, Norway, Sweden, Switzerland, and the U.S., provide detailed information for each nation on health insurance coverage and benefits, health system financing, delivery system organization, quality assurance mechanisms, efforts to improve efficiency and control costs, and recent innovations and reforms.
* * *
[EQ] A systematic review of the evidence on integration of targeted health interventions into health systems
de: Ruggiero, Mrs. Ana Lucia (WDC) : ruglucia@paho.org
fecha: 23 de junio de 2010 16:13
asunto: [EQ] A systematic review of the evidence on integration of targeted health interventions into health systems
A systematic review of the evidence on integration of targeted health interventions into health systems
Rifat Atun,1, Thyra de Jongh, 2 Federica Secci, 3 Kelechi Ohiri 4 and Olusoji Adeyi 4,5
1 Professor of International Health Management, Imperial College London, UK, 2 Researcher, Centre for Health Management, Imperial College London, UK, 3 Doctoral Researcher, Centre for Health Management, Imperial College London, UK, 4 Health Specialist, Human Development Network, World Bank, Washington, DC, USA and 5 Coordinator of Public Health Programs, Human Development Network, World Bank, Washington, DC, USA
Available online at: http://bit.ly/8Y1zrv
“……..A longstanding debate on health systems organization relates to benefits of integrating health programmes that emphasize specific interventions into mainstream health systems to increase access and improve health outcomes.
This debate has long been characterized by polarization of views and ideologies, with protagonists for and against integration arguing the relative merits of each approach. However, all too frequently these arguments have not been based on hard evidence. The presence of both integrated and non-integrated programmes in many countries suggests there may be benefits to either approach, but the relative merits of integration in various contexts and for different interventions have not been systematically analysed and documented.
In this paper we present findings of a systematic review that explores a broad range of evidence on:
(i) the extent and nature of the integration of targeted health programmes that emphasize specific interventions into critical health systems functions,
(ii) how the integration or non-integration of health programmes into critical health systems functions in different contexts has influenced programme success,
(iii) how contextual factors have affected the extent to which these programmes were integrated into critical health systems functions.
Our analysis shows few instances where there is full integration of a health intervention or where an intervention is completely non-integrated. Instead, there exists a highly heterogeneous picture both for the nature and also for the extent of integration. Health systems combine both non-integrated and integrated interventions, but the balance of these interventions varies considerably…………”
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fecha: 23 de junio de 2010 16:13
asunto: [EQ] A systematic review of the evidence on integration of targeted health interventions into health systems
A systematic review of the evidence on integration of targeted health interventions into health systems
Rifat Atun,1, Thyra de Jongh, 2 Federica Secci, 3 Kelechi Ohiri 4 and Olusoji Adeyi 4,5
1 Professor of International Health Management, Imperial College London, UK, 2 Researcher, Centre for Health Management, Imperial College London, UK, 3 Doctoral Researcher, Centre for Health Management, Imperial College London, UK, 4 Health Specialist, Human Development Network, World Bank, Washington, DC, USA and 5 Coordinator of Public Health Programs, Human Development Network, World Bank, Washington, DC, USA
Available online at: http://bit.ly/8Y1zrv
“……..A longstanding debate on health systems organization relates to benefits of integrating health programmes that emphasize specific interventions into mainstream health systems to increase access and improve health outcomes.
This debate has long been characterized by polarization of views and ideologies, with protagonists for and against integration arguing the relative merits of each approach. However, all too frequently these arguments have not been based on hard evidence. The presence of both integrated and non-integrated programmes in many countries suggests there may be benefits to either approach, but the relative merits of integration in various contexts and for different interventions have not been systematically analysed and documented.
In this paper we present findings of a systematic review that explores a broad range of evidence on:
(i) the extent and nature of the integration of targeted health programmes that emphasize specific interventions into critical health systems functions,
(ii) how the integration or non-integration of health programmes into critical health systems functions in different contexts has influenced programme success,
(iii) how contextual factors have affected the extent to which these programmes were integrated into critical health systems functions.
Our analysis shows few instances where there is full integration of a health intervention or where an intervention is completely non-integrated. Instead, there exists a highly heterogeneous picture both for the nature and also for the extent of integration. Health systems combine both non-integrated and integrated interventions, but the balance of these interventions varies considerably…………”
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