ISSN:0749-6753    

DOI:10.1002/hpm.4740030202

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1988

数据来源: WILEY

摘要:

AbstractThe processes of health planning and management require a clear insight into: future developments in society at large; the magnitude of disease categories (mortality and morbidity patterns); the rapid developments in medical technology; and, changing concepts of ‘good’ health care delivery systems. In 1983, the Dutch Secretary of Welfare, Health and Cultural Affairs decided to establish a Steering Committee for Future Health Scenarios (STG). The chief task of this Committee is to create alternative pictures of possible futures in the field of public health and health care. These health scenarios are used to increase the anticipatory capability of policymakers and health managers. This paper evaluates the Dutch experience with scenario‐projects on ‘health and ageing’, ‘cardiovascular diseases’, and ‘cancer’.After a short introduction on the structure of the STG, and the concept of scenarios, the scenario‐projects are described and analysed. The conclusions to date of the projects are mentioned briefly. This article ends with some recommendations, with respect to the methodology of scenarios in the field of health, the structural prerequisites for successful projects, and the communication aspects of the

ISSN:0749-6753    

DOI:10.1002/hpm.4740030203

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1988

数据来源: WILEY

摘要:

AbstractThe United States and the Netherlands are the focus for this comparative analysis of the evolutionary interaction between health planning and the political system, seen in the context of change in social and economic ideologies. While health planning in the USA started in 1946, it was the comprehensive health planning program in 1966 that created the form to be followed by Health Systems Agency effort in 1974: local, voluntary planning, coordinated by state agencies, supported by federal funding. Health planning in the Netherlands has moved through four distinct periods: a hospital construction period, starting during the post‐war recovery; a hospital regionalization period, from 1971 through the late 1970s; a transition period from the late 1970s to 1982, during which several planning approaches were considered; and, the current comprehensive health and social services planning period. Today, federal support for health planning in the US has been eliminated as part of the current de‐regulatory, competitive health care strategy. Health planning in the US is now an institutional activity, with less focus on community needs. Advocated changes in the Dutch planning approach incorporate ideas similar to past approaches in the US; but, a failed approach in one nation may work in another, if the underlying cultural and organizational characteristics are sufficiently differ

ISSN:0749-6753    

DOI:10.1002/hpm.4740030204

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1988

数据来源: WILEY

摘要:

AbstractThis article reviews how epidemiological measures can be used in health planning. Theoretical considerations are discussed together with empirical data from Sweden. Formulation of targets, priority settings, resource allocation and monitoring systems are some ways in which epidemiological data can improve health planning. One important lesson for planning is that problems related to health, inequalities in health, and access to care, must be made visible to politicians, health personnel and the public. Further, there is a need to complement a national health policy with a decentralized planning system that takes local conditions and needs into consideration.

ISSN:0749-6753    

DOI:10.1002/hpm.4740030205

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1988

数据来源: WILEY

摘要:

AbstractThe problem of choosing the appropriate strategy to increase acceptance and use of modern contraceptives is very complex. Islamic fundamentalism is an increasingly important factor in the environment of Egyptian family planning programs. This article presents Egypt as a case example, illustrating the importance of external environmental analysis in planning for the operational implementation of family planning programs. Within the specifics of the Egyptian case, we additionally illustrate one practical tool for developing a planning response to that environment: Warren's (1977) typology of strategies for implementing social change.

ISSN:0749-6753    

DOI:10.1002/hpm.4740030206

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1988

数据来源: WILEY

ISSN:0749-6753    

DOI:10.1002/hpm.4740030207

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1988

数据来源: WILEY

ISSN:0749-6753    

DOI:10.1002/hpm.4740030208

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1988

数据来源: WILEY

ISSN:0749-6753    

DOI:10.1002/hpm.4740030209

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1988

数据来源: WILEY

ISSN:0749-6753    

DOI:10.1002/hpm.4740030210

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1988

数据来源: WILEY

ISSN:0749-6753    

DOI:10.1002/hpm.4740030211

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1988

数据来源: WILEY