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http://crossmark.crossref.org/dialog/?doi=10.1007/s11019-016-9717-2&domain=pdf
Web End = Med Health Care and Philos (2017) 20:2335 DOI 10.1007/s11019-016-9717-2
http://crossmark.crossref.org/dialog/?doi=10.1007/s11019-016-9717-2&domain=pdf
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The proposal of philosophical basis of the health care system
Andrzej Bielecki1 Sylwia Nieszporska2
Published online: 4 August 2016 The Author(s) 2016. This article is published with open access at Springerlink.com
Abstract The studies of health care systems are conducted intensively on various levels. They are important because the systems suffer from numerous pathologies. The health care is analyzed, rst of all, in economic aspects but their functionality in the framework of systems theory is studied, as well. There are also attempts to work out some general values on which health care systems should be based. Nevertheless, the aforementioned studies, however, are fragmentary ones. In this paper holistic approach to the philosophical basis of health care is presented. The levels on which the problem can be considered are specied explicitly and relations between them are analyzed, as well. The philosophical basis on which the national health care systems could be based is proposed. Personalism is the basis for the proposal. First of all, the values, that are derived from the personalistic philosophy, are specied as the basic ones for health care systems. Then, general organizational and functional properties of the system are derived from the assumed values. The possibility of adaptation of solutions from other elds of social experiences are also mentioned. The existing health care systems are analyzed within the frame of the introduced proposal.
Keywords Health care systems Philosophical
foundations Personalism
Introduction
In most of the contemporary countries the health care system is organized on the national level which means that the state is responsible for its organization. All such types of health care systems, however, suffer from numerous pathologies which cause that they are more or less dys-functional (Bar-Yam 2006; Bielecki and Nieszporska 2016; Bielecki and Stocki 2010; Krause 2013). Therefore, the systems are analyzed in various aspects, rst of all, the economic ones. Their functionality are studied within the frames of systems theory (Bar-Yam 2006; Bielecki and Nieszporska 2016; Bielecki and Stocki 2010; Fahey et al. 2004; Homer and Hirsch 2006). In these papers the value of adopting a systems framework, in order to understand the complexities of the health care...