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Resources: Papers: The EU Bolkestein directive, Ramon Serna
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The EU Bolkenstein Directive and the privatisation of the public services in Europe Ramon Serna, Intersindical Alternativa de Catalunya version castilliana
This EU directive that is known under this name was adopted by the European commission last January. Its implementation is planned next year, after its adoption by the European Parliament and Counsil. Its implementation will be gradual and will be completed (i.e. full application of all its measures) the 31 of December 2008. The aim is to observe its output the 1st January 2010, without any drowback from the Lisbon decisions.
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Resources: Papers: La Directiva Bolkestein, Ramon Serna
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La Directiva Bolkenstein y el recorte de los servicios publicos en Europa Ramon Serna, Intersindical Alternativa de Catalunya
- El proyecto de la directiva que se conoce con este nombre fue adoptado por la Comisi�n Europea en enero de este a�o y pretende empezar a aplicarse a partir del pr�ximo a�o, despu�s de que sea adoptada por el Parlamento y por el Consejo europeos. La aplicaci�n ser�a gradual y concluir�a (es decir, se aplicar�an plenamente todas las prohibiciones que establece) el 31 de diciembre de 2008, de manera que ya se podr�an observar sus frutos el 1 de enero de 2010, sin ning�n retraso sobre lo decidido en Lisboa.
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Resources: Papers: Public risk for private gain? by D. Price & A. Pollock
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Price D, Pollock AM. Public risk for private gain? The public audit implications of risk transfer and private finance.
London: UNISON 07 July 2004.
The key claim by government that private finance deals in the public sector are value for money has still not been evaluated, according to a report published today by public sector union UNISON.
The report shows that although 563 private finance initiative (PFI) deals worth �35.5 billion had been signed by April 2004, the National Audit Office (NAO) has carried out only one inquiry into the profits earned by private financiers. This inquiry found that shareholder profits were 61% higher than agreed in the PFI contract and that the increase had not been earned.
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Resources: Papers: Questioning the claims of Kaiser Permanente
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Dr Alison Talbot Smith, Dr Shamini Gnani, Prof Allyson M Pollock, Sir Denis Pereira Gray Questioning the claims of Kaiser Permanente
British Journal of General Practice 01 June 2004
A key document in UK government policy making for the NHS has been evaluated by Dr Alison Talbot Smith and her co-authors Dr Shamini Gnani and Prof Allyson Pollock of UCL's School of Public Policy, and Sir Denis Pereira Gray in the British Journal of General Practice published on 01 June 2004. The original paper purports to show that Kaiser Permanente (a US HMO or health maintenance organisation) "achieved better performance at roughly the same costs as the NHS".
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Resources: Papers: Polio eradication in India, by Debabar Banerji
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GLOBAL PROGRAMME OF POLIO ERADICATION IN INDIA* April, 12, 2004 Debabar Banerji, Professor Emeritus, Centre of Social Medicine and Community Health, Jawaharlal Nehru University, B-43 Panchsheel Enclave, New Delhi 110017 *This study is commissioned by the West Bengal Voluntary Health Association. The usual disclaimers apply.
SUMMARY Poliomyelitis forms a miniscule part of the load of the health problems in poor countries. However, to save the cost of immunizing their own population against polio, the leadership of the rich countries, in connivance with the power elites of the poor countries have exercised their power to impose the GPPI on the poor of the world. Worse still, they have adopted a simplistic approach to a highly complex problem. International organisations like WHO, UNICEF and the World Bank have lent their considerable weight in favour of GPPI. There are vital flaws in the conceptualisation, programme design and in its implementation and monitoring and evaluation. Deodhar has rightly called it a multifaceted `cost disaster', epidemiologically unsound and incapable of eradicating the disease.
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IAHPE: Papers: Populations are people by J.T.Hart
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Populations are people: choices for rural health care
Julian Tudor Hart Santiago, 2003
According to conventional wisdom, in a free public service available to everyone, finite resources face infinite demands. Needs of individuals therefore conflict with needs of communities and nations. For public services to survive, we’re told that doctors must harden their hearts and make agonising choices; public services are under siege, so the people they serve must be rationed. For anything more, they have private care as a black market.
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Related: Papers: The Alma Ata Anniversary Pack by PHM
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This collection of statements, reflections and papers is released for use by People�s Health Movement members, friends and enthusiasts all over the world to initiate a celebration for the Alma Ata Declaration anniversary particularly around 6-12th September 2003. (These are the actual dates of the meeting in 1978 when the Alma Ata Declaration was passed in an International Conference on Primary Health Care organized by World Health Organization and UNICEF and other organizations and ratified by the majority of the countries of the world.).
The Declaration is particularly significant to the People�s Health Movement because the People�s Charter for Health which evolved at the first People�s Health Assembly at Gonoshasthya Kendra (GK) � Savar in Bangladesh on 8th December 2000, endorsed the principles and practice of universal, comprehensive Primary Health Care as outlined in the Alma Ata Declaration.
Celebrating the Alma Ata Anniversary is therefore a symbolic endorsement of both these consensus documents and an opportunity to express solidarity with the Health for All Now campaign of the Global People�s Health Movement.
Dr. Ravi Narayan,
Coordinator
People�s Health Movement Secretariat (Global)
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IAHPE: Papers: Barcelona 1999 Conference papers: S. Iliffe
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DE LA MEDICINA GENERAL A LA ATENCIÓN PRIMARIA: INDUSTRIALIZACIÓN DE LA PRÁCTICA DE LA MEDICINA GENERAL EN GRAN BRETAÑA
Steve Iliffe
Profesor adjunto de Medicina general.
Royal Free & UCL Medical School, Londres
La aparición a finales de la década de 1990 de la �tercera vía� (Clinton, Blair, Schroeder, coalición del Olivo) ha tenido repercusiones para el desarrollo y la reforma de los servicios de salud, en particular en lo que respecta a la tendencia hacia la privatización de la atención de salud.
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IAHPE: Papers: Barcelona 1999 Conference papers: O. Ramis-Juan
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EL DEBATE PÚBLICO-PRIVADO EN SERVICIOS SANITARIOS: EL ROL DE LAS CREENCIAS INCONFESABLES
Oriol Ramis-Juan
Médico y consultor de organizaciones. CAPS. Barcelona
Decidí redactar esta breve nota porque sinceramente creo que el actual debate, que es un combate político legítimo, entre la preeminencia del sector público o privado en la asistencia sanitaria, podría beneficiarse de una mirada distinta que quizá permita más eficiencia en la discusión. Utilizo eficiencia en un sentido más amplio que el que suele utilizarse en política sanitaria.
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IAHPE: Papers: Barcelona 1999 Conference papers: T. Tuà
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EL IMPACTO DE LA PRESENTE REFORMA EN LA ESTRUCTURA DE LOS TRABAJADORES SANITARIOS
Toni Tuà
Secretaría de Relaciones y Política Social de la CONC. Barcelona
Introducción
En mi opinión no podemos hablar del impacto de la "reforma" de un modo genérico, ya que lo que realmente incide en los trabajadores son las distintas formas de aplicación y desarrollo de esta reforma.
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Today's Big Story
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There isn't a Biggest Story for Today, yet.
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