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PubMed1989

Priority for health.

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Community Mental Health Services↗
PubMed1992

[Advances and challenges in setting priorities in health].

The advances and problems in the definition of explicit criteria to measure health needs are discussed. In part one the advantages and limitations of the retrospective and prospective approaches in the identification of health needs for a rational distribution of resources are described. In part two progress in the application of explicit criteria for the prioritization of diseases and interventions to control them are analyzed. Finally, the methodological, conceptual, and operative challenges confronted by this field are discussed.

Health Priorities↗
PubMedDate not supplied

[An innovative program for public health training at the University of Geneva. Program during employment centered on the student and oriented to the population's health needs].

Switzerland's first Master degree course in public health was launched in the autumn of 1990 at the Geneva University School of Medicine. It is a 3 year, part-time course, which is learner-centred and community-oriented. The aim of the course is to prepare students to use a multi-disciplinary approach to plan, implement and evaluate activities intended to solve public health problems. Throughout the course, studies plan, implement and evaluate projects concerning health problems they have encountered in their work as health professionals. The curriculum includes individual and group work, discussions and seminars with teachers and students, and brainstorming sessions with specially trained facilitators. The students can thus identify and fulfil individual educational objectives while working on community-related health projects. Priority health needs of individuals and communities are thus the pivotal points of the novel approach to public health training.

Curriculum↗
PubMed1980

Black mark for health care priorities.

Social class and health are inextricably linked, so it will take more than improvements in direct health care to reduce inequalities, says the report of Sir Douglas Black's working party. Its recommendations, therefore, go beyond health and social service provision and have given the report broader political implications than had been expected. Here, Stephen Halpern looks in detail to the Black report's findings and proposals and the reactions to it.

Health Planning↗
PubMed1997

[Evaluation of regional conferences on health status and the priorities of public health].

Based on the model of implement development conferences, the Regional Conferences (RC) on state of health and public health priorities took place in 20 regions between September 1995 and September 1996, the date of the National Health Conference. The evaluation of these conferences lasted for 3 weeks and 175 persons were interviewed by telephone. The results revealed a very high satisfaction index (9 out of 10). Those interviewed stressed the importance of such RC, which allow all protagonists in the field of local health and care to meet and exchange ideas. They also make participants more aware of the need for a public health spirit. Most of the reservations concerned the method of conducting the preliminary inquiry by questionnaire, and the composition of the jury. Most of the participants supported the conference conclusions, because they resulted from a broad consensus of opinion. The majority thought that the RC should continue, on condition that these first experimental meetings were followed by appropriate concrete initiatives.

Congresses as Topic↗
PubMed2005

Citizen deliberation in setting health-care priorities.

BACKGROUND: Citizen deliberation is a prominent theme in health policy literature. It is believed that citizens who deliberate may influence the setting of public health-care priorities. Currently, in some jurisdictions, citizens are members of community health boards, and thus have a forum to articulate and share values that could affect the reduction of health inequalities within their communities. However, there is little conceptual clarity on the character of citizen deliberation, or, more specifically, how citizens may articulate and share values. OBJECTIVES: This paper reviews the literature on citizen deliberation in setting health-care priorities; discusses potential challenges for citizens in setting health-care priorities; outlines a developing theory of citizen deliberation; describes how citizens may articulate and share values that ground their health-care priorities and outlines implications of a developing theory of citizen deliberation, its relevance to UK study findings, and to community health boards in setting health-care priorities. CONCLUSIONS: As members of community health boards, citizens can evaluate their subjective experiences. In reasoning about embedded values, citizens may gain insight into the kind of community they aspire to be, and, in that process, examine their intentions, including whether to serve self or other(s). Citizens who articulate and share values such as respect, generosity or equity may justify health-care priorities that create opportunities for all community members to gain mastery over their lives.

Community Participation↗
PubMed1992

Cost utility analysis: 'new directions' in setting health care priorities.

It is an inescapable fact of any health care system that consumers are not the agents who decide between technical alternatives. Consequently, the agents making choices need an acceptable framework for measuring and comparing costs and benefits of competing programs. Cost Utility Analysis (CUA) is proposed as the appropriate framework for health care decision making. It combines the significant aspects of health (quality and quantity of life) that are gained from an intervention. At present, there is no other methodology which does this in a way that permits decisions to be based on consumer preference.

Australia↗