Suchergebnisse

Cover -- Half Title -- Title Page -- Copyright Page -- Table of Contents -- List of figures -- List of tables -- List of boxes -- About the authors -- Preface -- List of abbreviations -- Part I Concepts, data, measurement, explanations -- 1 Global health: an introduction -- The genesis of global health (GH) -- The emergence of global health as a term -- Government perspectives on GH -- What is global? -- Globalization -- Globalization and health -- Think global but live local? -- How did global health emerge? -- Grand challenges in global health -- Sustainable Development Goals (SDGs) and Millennium Development Goals (MDGs) -- Global health: epidemiology and medicine -- The epidemiological triad -- Epidemiological (health) transition -- Demographic ageing -- Healthier or less healthy futures? -- Compression of morbidity issues -- Globalization and health issues in transition -- International assistance and policy in global health -- Business, philanthropy and private-public partnerships in health -- Corruption and waste in health systems -- Summing up -- Ethical issues -- Discussion topics -- 2 Measuring population health and disease -- Introduction -- Data sources -- Health indicators -- The way ahead -- Discussion topics -- 3 The determinants of population health -- Introduction -- What determines population health? -- A multi-level model -- Feedback effects: health as the driver -- Positioning the determinants of health -- Discussion topics -- Part II Global health and health transition - past and present - places and groups -- 4 Global health: where we are and how we got there -- Introduction -- Health transitions: past and present -- Life expectancy reversals -- Health and economic development -- Health and income inequality -- Global health - widening the explanatory net -- The global health divide: convergence or divergence?

The 1990 National Health Service and Care in the Community Act, implemented in 1993, had as a prime objective the creation of social care markets. Prior to these reforms, private residential homes had enjoyed almost guaranteed state financial support for the care of residents, but since then, residential homes have had to compete amongst each other for a finite number of clientsfunded by limited local budgets. The withdrawal of guaranteed state support and the introduction of a marketplace have had negative impacts on many residential home businesses. Indeed, many homes are facing financial difficulties. This paper considers the actions and attitudes of proprietors under the new conditions, based on a three‐stage survey in Devon. The private residential sector illustrates that local social care markets have the potential to produce negative outcomes that are far from ideal and, to some extent, the paper highlights a market failure. As a case study this research also demonstrates the value of undertaking locality‐based detailed studies over time to investigatethe impacts of policy change.