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PubMed1982

Scope of practice.

Physicians, paramedical personnel, registered nurses, licensed practical nurses, aides, technicians, therapists, and many other specialists deliver health care in the current system. The uncertainty is the division of authority and responsibility, the right of dominion and control, and the appropriate legal manner in which quality assurance can be achieved. The public needs to know to whom they may look for the purpose of response to needs, and responsibility for actions outside the scope of licensed and permitted activities. Practitioners also need to know--in order to avoid prosecution, conviction, fine, imprisonment, and loss of livelihood through loss of license.

Civil Rights↗
PubMedDate not supplied

[Priority health care finances and joint control by the population and the state (Pikine - Senegal) 1975-1981].

Where the government cannot meet wide-ranging health needs of the population and when people are given the opportunity to manage their own affairs and to be involved in decision-making, they can become very efficient. This was demonstrated by an experiment in a senegalese town (450 000 inh.) between 1975 and 1981. A strategy for priority health care with the active participation of the local community was developed to provide a network of acceptable and accessible health services. This was with government support. --The government provides the basic structure of its health services to which the community contributes. It provides the medical staff, technical guidance and logistic support and helps the community volunteers to develop sound accounting procedures. --The community contributes financial and human resources to improve the coverage of the health units. Based on a self-financing system controlled by a health committee per each health unit, communities are in decision making concerning the utilization and management of the community's resources. Procedures to control the community's financial contribution are especially well detailed in the paper. In view of this successful experiment, the minister of public health with the agreement of the government, has recommended that community participation in financing health care services be extended to all regions of the country.

Community Participation↗
PubMed1980

Health care in modern Cuba.

An extensively organized, centrally controlled system, aimed at equalizing and improving the distribution and quality of medical services according to population and geography, characterizes the modern Cuban health care complex. Facilities of increasing sophistication are located in urban areas while an expanding series of ambulatory, multipotential polyclinics attempts to provide most health services in both urban and rural settings. Maternal and child care, immunization programs and other forms of preventive medicine represent major priorities for expenditures. Occupational health is increasingly understood as a valuable resource, and medical professionals on all levels are being trained in significant numbers for Cuba and its allies.

Cuba↗