Suchergebnisse

The exceptional potential of general practice -- Three horizons of general practice / Andrew Lyon -- Traditional strengths -- Pioneers -- Challenges -- Practices working together in the deep end -- Addressing the inverse care law -- Link workers in general practice -- Community practice -- Developing a learning health system -- Core topics -- Learning from medicine at the margins -- International perspectives -- Working to produce evidence of change -- Evaluation -- Education and training -- Preparations ahead of time -- Reflection -- Postscript

In the fall of 1972, the federal government enacted significant, landmark legislation providing for the automatic sharing of a portion of national income taxes with state and local governments throughout the country. Gen eral revenue sharing represents a very different approach to federal financial assistance. There are no applications re quired ; all units of general government automatically re ceive funds based on a known formula; and funds are utilized in accordance with local needs and priorities without the requirement of complex and expensive adminis tration at any level of government. The program is adminis tered by the Treasury Department's Office of Revenue Sharing.

AbstractIn the context of a long‐standing academic acceptance of the socially structured nature of health inequalities, there has been a growing literature that critically examines policies that aim to reduce them. This has demonstrated inadequate policy assessment of the nature of the problem of health inequalities and correspondingly partial solutions that privilege interventions that focus on individual lifestyle solutions over more structural approaches. Much of the research that has been undertaken in this field to explore competing theories of inequalities has analyzed national policy documents or the views of senior policy advisers rather than practitioners.This study uses Raphael's 'seven discourses of the social determinants of health' to understand the implicit theories of health inequalities of both practitioners and policymakers working within a single health care system as they talk about different policy typologies. To help penetrate potentially well‐rehearsed discourses about health inequalities, it tests a visual method of stimulating discussion about how different types of policy might operate to narrow/widen existing gaps in outcomes. Building on Raphael, it finds that individuals' theories of health inequalities contain co‐existing although not synthesized material and behavioural explanations and that, although the social patterning of material disadvantage was recognized, the role of power and politics is underplayed. Variations between participants did not align with role (policy/practice) and using visual methods to represent the impact of different policy types on health inequalities, though challenging for participants, stimulated reflection about a subject matter that has otherwise become rather stagnant.

Changes to primary care have shifted clinical control away from general practitioners and financial control away from government, argue Allyson Pollock and colleagues

BACKGROUND: GPs at the Deep End first started in Scotland and brought together Scottish general practitioners (GPs) working in the 100 most deprived practices in the country. The group continues to provide peer support, advocacy, training and research opportunities to learn more about general practice in disadvantaged areas. In 2016, Canberra GPs came together to form a local Deep End group, supported by the Scottish initiators. OBJECTIVE: To describe the process and benefits of beginning a local Deep End group in the Canberra region. DISCUSSION: The Canberra Deep End group includes GPs working with a diverse group of patients from disadvantaged areas. Since its inception, the group has met regularly to discuss local issues, advocate for change in local government policy, and provide peer support and learning opportunities. We highlight this powerful movement to Australian GPs working in areas of disadvantage and encourage others to develop their own Deep End group.

The lifecourse perspective on adult health and on health inequalities in particular, is one of the most important recent developments in epidemiology and public health. This book brings together, in a single volume, the work of one of the most distinguished academics in the field. It is the first to specifically take a lifecourse approach to health inequalities and will be essential reading for academics, students and policy makers with an interest in public health, epidemiology, health promotion and social policy