The Community Health Level and the Distribution of Health Resources : A Case Study, Hokkaido, Japan (original) (raw)

A Comparative Review of Circumpolar Health Systems

Circumpolar Health Supplements 2012 (9), pp. 1-112, 2012

The Circumpolar Health Systems Review [CircHSR] is an international collaborative effort to describe and compare the health care systems that exist in the northern regions of Arctic States. The project was proposed by the Arctic Human Health Expert Group and authorized by Senior Arctic Officials of the Arctic Council in April 2010. Funding for the project was provided by the Canadian Institutes of Health Research to the University of Toronto, by Health Canada to the Institute for Circumpolar Health Research, and by the Nordic Council of Ministers to the International Association of Circumpolar Health Publishers. For a variety of reasons, we were unable to secure final contributions from the Faroe Islands, Sweden, and the Russian Federation. However, statistical data from these countries and regions were collected and included in the overview chapter, so that this report can be considered truly circumpolar. This report consists of a series of narrative and statistical profiles of selected northern regional health care systems, followed by discussion of several cross-cutting issues. A concluding chapter identifies policy implications (but not recommendations) and suggests potential future research. It is intended for wide dissemination among knowledge-user partners,researchers, and stakeholders in regional and national health ministries and agencies, indigenous people’s organizations, and international intergovernmental bodies such as the Arctic Council and Northern Forum.

Ukraine: Health system review. Health Systems in Transition

2015

This analysis of the Ukrainian health system reviews recent developments in organization and governance, health financing, health care provision, health reforms and health system performance. Since the country gained independence from the Soviet Union in 1991, successive governments have sought to overcome funding shortfalls and modernize the health care system to meet the needs of the population’s health. However, no fundamental reform of the system has yet been implemented and consequently it has preserved the main features characteristic of the Semashko model; there is a particularly high proportion of total health expenditure paid out of pocket (42.3% in 2012), and incentives within the system do not focus on quality or outcomes. The most recent health reform programme began in 2010 and sought to strengthen primary and emergency care, rationalize hospitals and change the model of health care financing from one based on inputs to one based on outputs. Fundamental issues that hamp...

Community hospitals and their services in the NHS: identifying transferable learning from international developments – scoping review, systematic review, country reports and case studies

Health Services and Delivery Research, 2017

BackgroundThe notion of a community hospital in England is evolving from the traditional model of a local hospital staffed by general practitioners and nurses and serving mainly rural populations. Along with the diversification of models, there is a renewed policy interest in community hospitals and their potential to deliver integrated care. However, there is a need to better understand the role of different models of community hospitals within the wider health economy and an opportunity to learn from experiences of other countries to inform this potential.ObjectivesThis study sought to (1) define the nature and scope of service provision models that fit under the umbrella term ‘community hospital’ in the UK and other high-income countries, (2) analyse evidence of their effectiveness and efficiency, (3) explore the wider role and impact of community engagement in community hospitals, (4) understand how models in other countries operate and asses their role within the wider health-c...