Healthcare Reform - Science topic

I agree with you

I think the choice of BACS is excellent. Of course, the tool can be application modified. As it is a scale tool, it offers a wide range of evaluation and methodological adjustments.

Thanks!

The person that I am in contact with is really improving by the day but her insurance coverage will be cut off soon and the family will have to cover everything from that point on. Some anonymous donors have raised funds for this coverage because the case gained some interest in the Fresno area but those funds will run out very soon as the therapies are very expensive.

Thanks for your information. It is very useful. I came across insurance coverage issues before in the field of autism where parents beg for sensory-motor integration OT and PT therapies but none of it is covered. Public schools have some of it but they is very useless to the kids. Anyhow, this case is a completely different scenario (life or dead issues involved) but just as bad. I wonder how other nations cope with these problems.

thanks again for your input

very few people know about these issues as it is hard to navigate the maze of complex forms, red tape and people making decisions for your loved ones (very frustrating system in the US)

Hi Mohammad,

We did some work in South London back in the 1990's on engagement with the then newly emergent CG agenda. We found the approach to be effective but intensive. I have uploaded the report to my page if you are interested see:

Smith et al. (1999) Implementing policy in complex organisations: Participatory planning in Clinical Governance education. Faculty of Health and Social Care Sciences, Kingston and St George's University of London.

This is an interesting question.

The term ‘reform’ is used when a government tries to change its existing system(s). Reform is often considered as ‘good’ as it is expected to bring positive changes. In developing countries, given their huge unmet needs and scope for economic progress, there is always a room for reform. It will continue to be the scenario till they reach ‘equilibrium’. There is no time limit for this process because systems evolve continuously based on changes from within and outside. For instance, when a country tries to reform one sector (say, fiscal), it triggers a spiral effect on the other sectors. In health, technological changes (smart card, telemedicine, new treatment methods, insurance, etc.) also necessitate reforms. Even in developed countries, there is a shift away from hospitalization towards home care and systemic adjustments are necessary to capture this technological trend.