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At least 37 records · Page 2Linked to original sources
PubMed1999

Radiation protection information: can you trust the government's risks or risk the government's trust?: 1997 G. William Morgan lecture.

Public acceptance of information concerning radiation risks has been impacted by the erosion of trust in government agencies and by societal images that personify radiation or its effects in terms of monsters and ogres. The loss of trust in government agencies, particularly the Atomic Energy Commission and later the Department of Energy, has been influenced by a number of key events and individuals. Examples of these are given, including the anti-Viet Nam war movement, the Watergate incident, the activities of the Union of Concerned Scientists, Ralph Nader and the Critical Mass movement, the claims of Ernest Sternglass, and the widely publicized views of John Gofman and Arthur Tamplin. The use of negative images, pictures, and symbols in the mass media has reinforced the public perception of radiation as a thing to be feared. There is growing evidence that the public perception of radiation risks is related more to mistrust and negative images than it is to the technical information health physicists provide or to the issue of whether or not the linear no-threshold theory of radiation risks is correct. Attempts by federal agencies to regain public trust in radiation risk information generated by health physicists or other radiation scientists appear to be largely unsuccessful. If health physicists hope to be successful in changing such public perceptions, they may have to focus efforts on the next generation and concentrate on assuring that elementary and secondary school children receive sound instruction on radiation risks. Additional research at the molecular biology level is needed to elucidate the risks, if any, at low doses so that the practice of extrapolating low dose responses from high dose data can be eliminated.

Fear↗
PubMed2002

Government relations, government regulations: jumping through the hoops.

Over the last decade, telehealth in Australia has been primarily facilitated and driven by government funding. The government now has a major policy initiative in online health. However, in pursuing the broad initiative there is a danger that some of the smaller components can get lost, and this is probably what has happened to telehealth. There appear to be a number of steps required if telehealth in Australia is to keep up the pace of development that occurred in the 1990s, as we move into what is now being called the era of e-health, involving broadband Internet health service delivery. This area is changing extremely rapidly and is increasingly migrating away from the public sector in Australia, where most of the developmental work has occurred, and into the private sector. Many of the issues that require consideration within the domain of e-health in Australia are also relevant to other countries. E-health will significantly change the way that health-care is practised in future, and it is clear that it is the human factors that are more difficult to overcome, rather than the technological ones.

Australia↗
PubMed2002

Government relations, government regulations: jumping through the hoops.

Over the last decade, telehealth in Australia has been primarily facilitated and driven by government funding. The government now has a major policy initiative in online health. However, in pursuing the broad initiative there is a danger that some of the smaller components can get lost, and this is probably what has happened to telehealth. There appear to be a number of steps required if telehealth in Australia is to keep up the pace of development that occurred in the 1990s, as we move into what is now being called the era of e-health, involving broadband Internet health service delivery. This area is changing extremely rapidly and is increasingly migrating away from the public sector in Australia, where most of the developmental work has occurred, and into the private sector. Many of the issues that require consideration within the domain of e-health in Australia are also relevant to other countries. E-health will significantly change the way that health-care is practised in future, and it is clear that it is the human factors that are more difficult to overcome, rather than the technological ones.

Journal Article↗
PubMed2003

What does Latin Aamerican social medicine do when it governs? The case of the Mexico City government.

Latin American social medicine (LASM) emerged as a movement in the 1970s and played an important role in the Brazilian health care reform of the 1980s, both of which focused on decentralization and on health care as a social right. The dominant health care reform model in Latin America has included a market-driven, private subsystem for the insured and a public subsystem for the uninsured and the poor. In contrast, the Mexico City government has launched a comprehensive policy based on social rights and redistribution of resources. A universal pension for senior citizens and free medical services are financed by grants, eliminating routine government corruption and waste. The Mexico City policy reflects the influence of Latin American social medicine. In this article, I outline the basic traits of LASM and those of the prevailing health care reform model in Latin America and describe the Mexico City social and health policy, emphasizing the influence of LASM in values, principles, and concrete programs.

Health Care Reform↗
PubMed2005

Reasons for the problems faced by patients in government hospitals: results of a survey in a government hospital in Karachi, Pakistan.

OBJECTIVE: To assess the reasons for the problems faced by patients in the government hospitals to make an emphasis on higher authorities for identification of problems and implementation of effective measures. METHODS: A questionnaire-based doctor's survey was conducted at Jinnah Postgraduate Medical Centre (JPMC). The survey included 10 doctors each from 5 wards of JPMC. Informed consent was taken from study participants and ethical considerations were fulfilled. All the doctors were asked questions related to the problems created by hospital management, due to the irresponsibility and concerns of the doctors and also due to the patients themselves. The responses were evaluated separately. RESULTS: A total of 50 doctors participated, out of which, 19 were males and 31 females. Out of all the reasons listed, 84% doctors favored the reason of inadequate salary to doctors & paramedical staff by government while other two reasons favored by 80% doctors were lack of facilities and security for doctors and illiteracy and poverty of patients. CONCLUSION: This hospital based study showed that the causes were related mainly to hospital management, doctors' attitude and responsibility and also to patients' illiteracy and poverty. This calls for adequate measures by higher authorities to rectify the situation.

Attitude of Health Personnel↗
PubMed2006

Re-energising Clinical Governance through Integrated Governance.

The purpose of this paper is to accurately identify the future governance arrangements the NHS will follow, a close examination of the roles of Directors in implementing such a policy, and the National Policy documents that are required to put this in place.

Clinical Medicine↗
PubMed1994

[Psychiatric care and its change under the Japanese government in Korea with the special reference to the clinical activities at the Colonial Government Hospital: 'Chosun-Chong-Dok-Bu Ui-Won' (1913-1927)].

The purpose of this is to elucidate the ways of introduction of modern psychiatric care into Korea and to demonstrate the changing patterns of psychiatric care during the time between 1913 and 1927. The study was focused on the clinical activities of the colonial governmental hospital on the basis of the annual reports of the hospital from 1912 to 1928. The investigation has revealed the fact that the first special institution for the care of the mentally ill patients was founded in 1911 in Seoul by the colonial government which was called "Che Saeng Won". It was also confirmed that the first clinical department of the psychiatry in Korea was established in 1913 at the colonial governmental hospital, "Chong-dok-bu Ui-won" which has taken over the role of psychiatric care from Che Saeng Won. The first chairman of the department of pspychiatry was Misuzu Nobuharu and his assistant was Shim Ho-Sub, the first Korean psychiatrist who became assistant professor of psychiatry at Kyongsung medical college in 1916-1917 but moved to Severance hospital and changed his speciality to neurology of internal medicine. The department had two physicians and 4 care persons at the beginning stage and 22 beds for the mentally ill patients in the hospital which had total 330 beds. Later, the department has developed to 54 bed clinic with 4 staff physicians. ...

Colonialism↗