Suchergebnisse

With the purpose of exposing some of the underlying issues, the first part of the artic/e discusses the background and assurnp tio ns inherent lo the idea al minimum primary health care interventions for child survival. The second part puts forward some areas for study, based upon their potential importance to child healtb and survival. International and national approaches lo "minimum interventions" area seen as being rooted in their political contexts, including the wider debate ove, the relationships between economic growth, development and the meeting of basic needs. To have relevance for healtb planning and management, it is argued that research agendas concerned with the impact of primary health care (PHC)interventions upon child survival must be: country-specific; star witb 'what is "; and take entire national [rameworks into account, including the respective roles and effects of the private and public sectors. Potentially usefui research activities are discussed in the areas of coverage and resource allocation, and witñ regard to the development of minimum normsand standards. Proposa/s are made for setting a research agenda for PHC programes in Mexico ; En la primera parte de este documento se discuten los antecedentes y las suposiciones inherentes a la idea de las intervenciones minimas de atención primaria a la salud para la sobrevivencia en la infancia. En la segunda parte se exponen algunas áreas de estudio, con base en su importancia potencial respecto de la salud y la sobrevivencia en la infancia. Los enfoques nacionales e internacionales sobre "intervenciones minimas" se consideran arraigadas en sus contextos políticos, incluyendo el amplio debate sobre las relaciones que existen entre el crecimiento económico, el desarrollo y la satisfacción de necesidades básicas. Se argumenta que para que la agenda de investigaciones relacionadas con el impacto de las intervenciones de atención primaria a la salud (APS) en la sobrevivencia en la infancia tenga relevancia para la planeacion y la administración ...

SUMMARY The successful implementation of primary health care is dependent on financing systems that reflect the wider social, economic and political perspectives on which the concept rests. Particular forms of financing health care will affect its provision, organisation and utilisation. The question of what PHC will cost should properly be answered by: 'what we can reasonably expect to have is what it will cost'.RESUMEN Formas de financiamiento de los servicios de salud y sus efectos en el suministro de atenciónLa implementación exitosa de la atención primaria de salud, depende de sistemas financieros que reflejen las amplias perspectivas sociales, económicas y políticas, sobre las cuales se basa. Las formas concretas del financiamiento de la atención primaria de salud, afectarán su suministro, organización y utilización. La respuesta adecuada al problema de! costo de la atención primaria de salud debería ser: 'costará lo que razonablemente esperemos lograr'.RESUMES Formule de financement de l'assistance médicale et ses effets sur les provisionsLe succès de l'assistance médicale primaire dépend essentiellement de systèmes financiers qui reflètent les plus grandes perspectives sociales, économiques et politiques sur lesquelles le concept demeure. Certaines formes de financement de l'assistance médicale affecteraient ses provisions, son organisation et utilisation. La question du coût de l'assistance médicale primaire devrait simplement trouver réponse par: 'Ce que nous pouvons raisonnablement attendre d'obtenir est ce qu'il nous coûtera.'

During the last several years "primary care" has come to the fore as the "new" priority in health care. In September, 1978 the World Health Organization and UNICEF jointly sponsored the first International Conference on Primary Health Care. The following general principles were put forward in 1975 by the 28th World Health Assembly as the basis of successful primary care efforts.1.Primary health care should be shaped around the life patterns of the population it should serve and should meet the needs of the community.2.Primary health care should be an integral part of the national health system and other echelons of services should be designed in support of the needs of the peripheral level, especially as this pertains to technical supply, supervisory, and referral support.

The factors conditioning immigration to the United Kingdom are analyzed in this article with the view to understand British immigration policy. The volume and place of origin of immigrants, the attitudes held toward immigrants by the British people, the legal and administrative framework placed around immigration, the emigration of highly skilled people from the United Kingdom in more recent years, all these aspects—the author shows—have contributed to the formulation of past governmental decisions and are likely to determine the volume and quality of future British immigration.