Scottish excellence. The strategy at work.
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Health promotion aims to increase individuals' decision making toward their own health and help them control their quality of life through personal strategies. Seniors benefit from this process, says the author, who describes a collaborative health promotion and information program at the Ottawa-Carleton Regional Health Department--a program that involves seniors, professionals and volunteers. The needs of the seniors were identified, involvement of relevant organizations requested, then the program was tested with the help of pilot groups. After the program was successfully launched, seniors were also involved in its evaluation and revision.
The main principles of sociopsychologic aspects of the strategy of innovation introduction into health care have been analyzed. Highlighted is the problem of correlation of economic and sociopsychologic management aspects at the modern stage.
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Growing gaps in health insurance coverage have generated increased interest in enactment of major reforms. A framework for evaluating proposals embodying different approaches to a national health program is offered, highlighting seven dimensions: inclusiveness of coverage; comprehensiveness of benefits; financing methods; efficiency of resource utilization; extent of planning and market forces in resource allocation; accountability to beneficiaries; and political feasibility. Four health care reform bills in the Congress are shown either to emphasize political feasibility at the expense or universal coverage and comprehensive benefits, or to stress coverage, benefits, and system reform at the cost of such feasibility.
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In this paper the authors analyze various aspects of one of the essential stages in the process of planning human resources--diagnostic studies and research which will serve as a starting point. They stress the role of diagnostic personnel studies in formulating human resources policies and planning, and describe the phases to be followed in their execution, according to the results obtained in the three Central American countries (Guatemala, Honduras, and Nicaragua) in which the studies were completed. The paper concludes with a summary of the process in the three countries.
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