Archives for September 18th, 2002

THE INFLUENCE OF INSTITUTIONS AND CULTURE ON HEALTH POLICIES

Abstracts, PublicNet: 18 September, 2002

Susanne Kumpers, Arno van Raak, Brian Hardy AND Ingrid MurThe concept of integrated care has assumed growing importance on the policy agendas both in England and The Netherlands and elsewhere. It is characterized as health and health care-related social care needed by patients with multi-faceted needs. This article compares policy approaches to integrated care in England and The Netherlands. It reviews the last decade’s relevant policy processes, using the concepts of hierarchy, market and network. The statehealth care system in England relies mainly on hierarchical steering, thus creating tight network structures for integrated care on the local level. The Netherlands, with its health care system in a public-private mix, has set incentives for voluntary, loosely coupled and partly market-driven cooperation on the local level. Implications for success or failure are mixed in both configurations.

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MEDICAL KNOW HOW COMING ON-LINE

Headlines, PublicNet: 18 September, 2002

Patients will soon have access to the same online medical knowledge as health professionals. Logging on to the National electronic Library for Health will give access to the Cochrane Library and Clinical Evidence. Both these sources offer in depth information that people who want to view the same information as their own doctor would find useful. They provide invaluable evidence on what treatments work best to help those considering their options. The launch of the service is an important step along the road to true doctor/patient partnership because it brings a greater degree of equality between health professionals patients.The Cochrane Library, an electronic publication published quarterly, consists of a regularly updated collection of evidence-based medicine databases and it is considered to be the best single source of reliable evidence about the effects of health care. It is internationally respected as providing the gold standard in ‘what works and what doesn’t’, and is used by researchers and clinicians worldwide.

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PLAN TO CUT POLICE RED TAPE

Headlines, PublicNet: 18 September, 2002

Police officers spend 43% of their time in police stations and only 17% on patrol, mostly in vehicles. The Policing Bureaucracy Taskforce has now come up with a plan to free up time so that officers can spend most of the day on the street. The ideas in the plan came rank and file officers and they include cuts in unnecessary form filling, giving officers the power to grant bail on the street and reducing waiting time in court.The plan provides for a drastic reduction in the number of forms completed by officers. The Taskforce found that some information collected on forms was not required, some was already available from the Police National Computer and in other cases forms could be amalgamated to streamline data collection. It is estimated that some 90,000 officer hours can be saved annually by these measures.

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