Abortion law reform in India

An abortion bill in India which took much of its wording from the British 1967 Abortion Act, has been passed and will be put into effect in January 1972. The new law in India makes special provision for pregnancies following failed contraception. This change in legislation means that more than 50% of the world's population now lives in countries with abortion laws that permit termination of pregnancy on social as well as on medical grounds. The experience to date in countries that have liberalized their abortion laws and brought the problem of unwanted pregnancy out of the hands of the criminal abortionist and into public view has been an improvement in contraceptive services both administratively and in the provision of money.     

Washington State Health Services Act: implementing comprehensive health care reform

In 1993, Washington State enacted the Health Services Act of 1993 (HSA) to guarantee universal access to health care through an employer mandate, with caps on premiums as the primary cost-control mechanism. The HSA represents the Nation's first formal experiment with managed competition. This article reports the results of a case study of the HSA's implementation. The study concludes that the Washington State initiative can be replicated in other States, but that implementation is complex, requires sustained public education, and requires cooperation from the Federal Government through program waivers. A major implementation challenge is to facilitate competition and minimize regulation.     

Abortion providers,professional identity,and restrictive laws: A qualitative study

Most studies on the impact of restrictive abortion laws have focused on patient-level outcomes. To better understand how such laws affect providers, we conducted a qualitative study of 27 abortion providers working under a restrictive law in North Carolina. Providers derived professional identity from their motivations, values, and experiences of pride related to abortion provision. The law affected their professional identities by perpetuating negative characterizations of their profession, requiring changes to patient care and communication, and creating conflicts between professional values and legal obligations. We conclude that a holistic understanding of the impact of abortion laws should include providers’ perspectives.     

深化农村卫生改革全力推进医疗保障

为贯彻《中共中央、国务院关于卫生改革与发展的决定》和《关于农村卫生改革与发展的指导意见》,近年来 ,我市切实贯彻国家医疗卫生路线、方针、政策 ,将初级卫生保健工作纳入全市社会经济发展规划 ,全面推进市民医疗保障制度的改革、探索出我市农村医疗保障改革的新路 ,全市医疗保障覆盖率为 80 .2 6 % ,基本解决市民看病难、因病致贫和因病返贫等问题。1　基本状况顺德市位于珠江三角洲中部 ,面积 80 6平方公里 ,辖 10个镇 (区 ) ,10 9个村委会 ,88个居民委员会 ,总人口 10 9.4 7万。 2 0 0 1年全市国内生产总值 390 .87亿元 ,财政收入 88…     

我院实施管理改革的实践

上海儿童医学中心是由政府和美国世界健康基金会合作建造的，拥有先进的智能化医院楼宇设施及医疗设备。作者详细介绍了运用现代医院管理理念实施改革的实践：①实施管理队伍的全员培训，提高整体素质；②以病人为中心，加强医疗质量管理；③以学和发展为纽带，广泛开展国际交流与合作；④加强有特色的精神文明建设，赋医院文化以新的内涵；⑤成立医院发展部，筹集社会慈善基金搂医院服务；⑥实行后勤服务社会化，提高运行效率。     

Managed cooperation, not competition: a proposal for implementing national health reform

National health reform should be implemented in a policy framework that encourages cooperation--not competition--to promote efficiency while extending universal coverage. "Managed cooperation" is defined here as a national health system built on collaborative efforts between purchasers, providers, consumers, and government through voluntary collective action, like the structural cooperation seen in the Japanese economy between government and the private sector. Six partnerships are encouraged: (1) government-industry, (2) purchaser-provider, (3) physician-hospital, (4) public-private data sharing, (5) consumer-provider, and (6) community health. Structural and legal barriers to cooperation, such as antitrust and malpractice reform, should be reduced or eliminated to encourage collaborative initiatives under national health reform.