RESUMO
Today, health policy seems to be on the top of governments' agendas around the world. Healthcare systems are challenged by a number of phenomena happening on a global scale; these trends include demographic change in terms of an ageing population, an increase in chronic disease, patients having higher expectations on healthcare delivery and above all a major pressure on public finances to slow increasing healthcare expenditures. Such developments are forcing policy-makers to reform healthcare systems. First, there is a tendency towards decentralization of responsibilities. Second, governments are moving towards reimbursement schemes rewarding good outcomes and performance. Third, great importance is being attributed to transparency and accountability, and to introduce competition in healthcare. Fourth, attention is being shifted from simple treatment of a disease towards preventive initiatives, in a more holistic approach to health. Finally, healthcare policy-makers are recognizing the importance of empowering patients to give them control over decisions regarding their own health. These dynamics can be observed in chronic kidney disease, the management of which is a huge economic burden to healthcare systems globally, and which represents a good example of a field where important changes can be witnessed in therapy, technology, delivery and financing.
Assuntos
Prestação Integrada de Cuidados de Saúde/normas , Atenção à Saúde/normas , Insuficiência Renal Crônica/terapia , Política de Saúde , Humanos , Diálise RenalAssuntos
Atenção à Saúde/legislação & jurisprudência , Reforma dos Serviços de Saúde/legislação & jurisprudência , Política de Saúde/legislação & jurisprudência , Medicina Estatal/legislação & jurisprudência , Atenção à Saúde/economia , Atenção à Saúde/normas , Reforma dos Serviços de Saúde/economia , Humanos , Política , Medicina Estatal/economia , Medicina Estatal/organização & administração , Reino UnidoAssuntos
Pessoal Administrativo/história , Reforma dos Serviços de Saúde/história , Liderança , Administração em Saúde Pública/história , Medicina Estatal/história , Aniversários e Eventos Especiais , História do Século XX , História do Século XXI , Humanos , Política , Medicina Estatal/organização & administração , Reino UnidoRESUMO
While the world is focused on controlling the spread of diseases such as HIV and malaria in the developing world, another approaching epidemic has been largely overlooked. The World Heath Organization predicts that there will be 16 million new cancer cases per year in 2020 and 70% of these will be in the developing world. Many of these cancers are preventable, or treatable when detected early enough. Establishing effective, affordable and workable cancer control plans in African countries is one step in the right direction toward limiting this epidemic.