Health center groups urge more technology funding.
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Britain's New Labour government has consolidated its reform of the National Health Service with an ambitious NHS Plan that links investment in staff, new buildings, and new technology to delivery of a modernization agenda combining consumerist and public health agendas. The fundamental principles of the NHS are preserved, but within a regulatory structure of a managed market. The author outlines the changes proposed and the possible responses of different stakeholders.
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OBJECTIVE: To determine barriers that affect access to health care for refugees from sub-Saharan Africa resettled in Sydney. DESIGN: Descriptive epidemiological study and survey. PARTICIPANTS AND SETTING: Parents of newly resettled refugee children seen at a tertiary hospital paediatric clinic between 10 June 2005 and 19 May 2006. MAIN OUTCOME MEASURES: Socioeconomic indicators, health seeking behaviour, social barriers, and beliefs about health. RESULTS: Parents of 34 of a possible 35 families (97%) agreed to participate. Barriers to accessing health care include language barriers, financial handicap, lack of health information, not knowing where to seek help, and poor understanding of how to access health services. Most refugee families established connections with community and religious groups soon after arrival in Australia. CONCLUSIONS: Our findings suggest that most refugee families are not totally isolated in Australia, but form early connections with cultural, social and religious groups of their own ethnic background. These groups provide an opportunity to deliver health education and health information that would improve their access to health services.
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Paediatric palliative care services have grown up in response to local needs with the result that provision is patchy and in some areas non-existent. Funding for existing services comes from a variety of sources and in the case of teams funded in 2003 from The New Opportunities Fund, there is uncertainty about future provision as funding streams come to an end. This article illustrates how home-based palliative care achieves the objectives of the NHS Plan (DH 2000a) and makes the case for the continuation of paediatric palliative care teams already established through New Opportunities Fund (NOF) funding as these provide a ready made, quality service meeting the government agenda and addressing the needs of patients in a place and at a time to suit them.
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Pairing kids--whether they live in rural or urban areas--with health care services is a tricky business. Lack of insurance is only one of the many variables that can prevent kids from getting the care they need. When that care is provided at school, they can get it when they need it, without long waits or fears that their privacy will be violated.
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This article gives an introduction to the literature dealing with cost-sharing in health care and focuses on the question: does a change in cost-sharing have any impact on the demand for medical care, keeping all other things equal? And if so, to what degree? The main empirical results in the health care economics literature are reviewed and some important studies are discussed. One conclusion on which all studies agree is that an increase of the out-of-pocket price results in a reduction of the demand for the medical care in question. There are many indications that this money price-effect is the larger the lower the time-price, the lower the income, the less urgent the medical care is and the more influence the patient has on the decision to receive medical care. Finally, there are indications that cost-sharing for out-patient services reduces the hospitalization rate.