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Better in the health system to create unity of action between partners

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Davies J.
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documents in English
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  1. Summary
  2. Introduction
  3. The reference values
  4. Fragmentation
  5. The strategic vision
  6. Towards unity for health
  7. Bibliography

The pursuit of ambitious goals of quality, equity, relevance and cost-effectiveness in the delivery of health services requires a high degree of coordination between different actors on the board of health. However, the fragmentation of the health system, illustrated by the boundaries between medicine and related public health, preventive and curative care, private sector and public sector, is generally observed disability. The reconciliation effort is a universal challenge. Partners such as policy makers, health managers, professionals, academic institutions and community must find areas of agreement and synergy to improve the performance of the health system.The pursuit of ambitious goals of quality, equity, relevance and cost-effectiveness in the delivery of health services requires a high degree of coordination between different actors on the board of health. However, the fragmentation of the health system, illustrated by the boundaries between medicine and related public health, preventive and curative care, private sector and public sector, is generally observed disability. The reconciliation effort is a universal challenge. Partners such as policy makers, health managers, health professionals, academic institutions and community must find areas of agreement and synergy to improve the performance of the health system.Why improving quality and equity in health services will remain a concern in most health systems, even in rich countries?

[...] Lessons learned in the field in projects led by teams of above five partners should help us better understand how to "make the mayonnaise" between activities and actors as different although complementary. To ensure better performance of our health systems, not only should we understand the strategies to develop each of the partners towards greater social relevance and performance, but also strategies to create lasting synergies. Bibliography I. Universities and the health of the disadvantaged: Building coalitions with the health professions, local governments, and their communities. [...]


[...] World Directory of Medical Schools, 7th ed World Health Organization, Geneva. V. Boelen Heck J. Defining and measuring the social accountability of medical schools. WHO/HRH/ World Health Organization, Geneva VI. Improving the social responsiveness of medical schools: Proceedings of the 1998 Educational Commission for Foreign Medical Graduates / World Health Organization [...]


[...] The same reasoning can be applied in cascade with reference to other occupational groups less grades (health technician, a social ) but also for performing specific tasks that the next higher category Fragmentation Even assuming that the adjustment of priorities and cost-effectiveness should be made, it remains to consider approaches to reduce the increasing fragmentation affecting health services and significantly hampers a coherent approach to improved quality and equity. There is indeed a dichotomy between medicine and public health, or in other words, health activities and individual activities targeting populations, between curative and preventive activities, among my actions arising by general and actions conducted by specialists from the public and private sectors, between social and economic aspects of health. [...]

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