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© 2006. This work is published under https://creativecommons.org/licenses/by/4.0 (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.

Abstract

Purpose: To propose a social-and-democrat health policy alternative to the current neoliberal one.

Context of case: The general failure of neoliberal health policies in low and middle-income countries justifies the design of an alternative to bring disease control and health care back in step with ethical principles and desired outcomes.

Data sources: National policies, international programmes and pilot experiments—including those led by the authors—are examined in both scientific and grey literature.

Case description: We call for the promotion of a publicly-oriented health sector as a cornerstone of such alternative policy. We define ‘publicly-oriented’ as opposed to ‘private-for-profit’ in terms of objectives and commitment, not of ownership. We classify development strategies for such a sector according to an organisation-based typology of health systems defined by Mintzberg. As such, strategies are adapted to three types of health systems: machine bureaucracies, professional bureaucracies and divisionalized forms.

We describe avenues for family and community health and for hospital care. We stress social control at the peripheral level to increase accountability and responsiveness. Community-based, national and international sources are required to provide viable financing.

Conclusions and discussion: Our proposed social-and-democrat health policy calls for networking, lobbying and training as a joint effort in which committed health professionals can lead the way.

Details

Title
Integrated care: a fresh perspective for international health policies in low and middle-income countries
Author
Unger, Jean-Pierre; de Paepe, Pierre; Ghilbert, Patricia; Soors, Werner; Green, Andrew
Section
Policy papers
Publication year
2006
Publication date
2006
Publisher
Ubiquity Press
e-ISSN
15684156
Source type
Scholarly Journal
Language of publication
Multiple languages; English
ProQuest document ID
3095529918
Copyright
© 2006. This work is published under https://creativecommons.org/licenses/by/4.0 (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.