Skip to main content Accessibility help
×
Hostname: page-component-848d4c4894-mwx4w Total loading time: 0 Render date: 2024-06-24T08:53:18.791Z Has data issue: false hasContentIssue false

20 - Reorienting academic missions: how can public health departments and public health teaching in particular best support access to good quality comprehensive health care?

Published online by Cambridge University Press:  06 December 2010

Jean-Pierre Unger
Affiliation:
Institute of Tropical Medicine Antwerp
Pierre De Paepe
Affiliation:
Institute of Tropical Medicine Antwerp
Kasturi Sen
Affiliation:
Institute of Tropical Medicine Antwerp
Werner Soors
Affiliation:
Institute of Tropical Medicine Antwerp
Get access

Summary

Adapted from: Jean-Pierre Unger, Patrick Van Dessel. Teaching and training of health professionals. Health and Development. July 2009, special issue. ‘Equal opportunities for health: Action for development.’ Conference. CUAMM, Padova, June 2009–0616A: 50–55.

Introduction

Improving the autonomy of LMIC health sectors from donor dependence and influence requires not only sufficient government financing, but also the broadening and transfer of knowledge within these countries. The managerial skills to run publicly oriented services and the conceptual framework needed by them to assess health policies were the subject of Sections 5 and 6. In Chapter 19 we explored some techniques of knowledge transfer from hospitals to health centres and vice-versa. In this final chapter of this section we examine how academic and public health departments can best contribute to the break from commercially motivated health policies, in preparing health professionals in publicly oriented services to improve access to comprehensive care.

Schools of public health, especially those concerned with LMIC, rarely treat health care delivery and medicine as a priority domain of study. Rather, they tend to concentrate on disease control and focus on policies related to this, and therefore teach in the main epidemiology, demography, statistics, and management of disease-specific programmes and their resources.

This is no mean paradox, since recent studies show that access to comprehensive care is probably the most important determinant of health. For instance, among women in Poland, up to 80% of premature deaths were related to conditions amenable to medical care (Nolte et al., 2002).

Type
Chapter
Information
International Health and Aid Policies
The Need for Alternatives
, pp. 240 - 246
Publisher: Cambridge University Press
Print publication year: 2010

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Barker, C. (1995). Research and the health services manager in the developing world. Social Science & Medicine, 41(12), pp. 1655–65.CrossRefGoogle ScholarPubMed
Behague, D. P. & Storeng, K.T. (2008). Collapsing the vertical-horizontal divide: An ethnographic study of evidence-based policymaking in maternal health. American Journal of Public Health, 98(4), pp. 644–9.CrossRefGoogle ScholarPubMed
Bunker, J. P. (2001). Symposium – The role of medical care in contributing to health improvements within societies. International Journal of Epidemiology, 30(6), pp. 1260–3.CrossRefGoogle Scholar
Buron, A., Unger, J. P., & Damme, W. (1995). L'apprentissage dans la formation d' adultes. Le cas de la formation des médecins généralistes. Annales de la Société Belge de Médecine Tropicale, 75(Supplement 1), pp. 13–25.Google Scholar
Malglaive, G. (1990). Enseigner à Des Adultes. Paris: PUF.Google Scholar
Meyer, J. (2000). Qualitative research in health care. Using qualitative methods in health related action research. British Medical Journal, 320(7228), pp. 178–81.CrossRefGoogle ScholarPubMed
Mintzberg, H. (2004). Managers Not MBAs: A Hard Look at the Soft Practice of Managing and Management Development, 1 edn. San Francisco: Berrett-Koehler Publishers.Google Scholar
Mintzberg, H., Lampel, J., & Ahlstrand, B. (1998). Strategy Safari: A Guided Tour Through the Wilds of Strategic Management, 1 edn. New York: Free Press.Google Scholar
Morin, E. (1979). La Paradigme Perdu. La Nature Humaine. Paris: Sevil.Google Scholar
Morin, E. (1990). Introduction à La Pensée Complexe: EME Editions Sociales Françaises.Google Scholar
Nolte, E., Scholz, R., Shkolnikov, V., & McKee, M. (2002). The contribution of medical care to changing life expectancy in Germany and Poland. Social Science & Medicine, 55(11), pp. 1905–21.CrossRefGoogle ScholarPubMed
Shapiro, J. (2005). Stunning update: U.S. life expectancy gains continuing to erode. http://www.clickpress.com/releases/Detailed/1413005cp.shtml.

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×