OBJECTIVE--To investigate the effects on general practitioners' activities of a change in their remuneration from capitation based system to mixed fee per item and system. DESIGN--Follow up study with data collected contact sheets completed by practitioners one period before (March 1987) two periods after 1988, November 1988), control group throughout. SETTING--General practices Copenhagen city (index group) county (control group). SUBJECTS--265 General city, whom 100 were selected randomly...

To study the variables that relate to outcome after mild traumatic brain injury (TBI).Sixty-seven adults with disappointing recoveries TBI most occurring in a compensation or litigation context were studied regard pre-injury, neuro-trauma, physical, emotional and cognitive on outcome. Validity of symptoms was controlled for.Except for prior psychological traumatization, neither neuro-trauma related Variables consistently depression, pain symptom invalidity measures response bias. These...

migrant labor in South Africa. IntjHealthServ 1991;21:157-73. 7 Hunt CW. Migrant and sexually transmitted disease: AIDS J Health Soc Behav 1989;30:353-73. 8 Baldo M, Cabral AJ R. Low intensity wars social determinations of the HIV transmissions: search for a new paradigm to guide research control HIV-AIDS pandemic. In: Stein Z, Zwi A, eds. Action on tn southern Maputo conjerence health transition Africa, April 1990. New York: Committee Southern 1991; 34-43. 9 Piot P, Holmes KK. Sexually...

We study the opportunistic political budget cycle in London Metropolitan Boroughs between 1902 and 1937 under two different suffrage regimes: taxpayer (1902–1914) universal (1921–1937). argue find supporting evidence that operates differently types of suffrage. Taxpayer suffrage, where right to vote obligation pay local taxes are linked, encourages demands for retrenchment manifests itself election year tax cuts savings on administration costs. Universal all adult residents can irrespective...

“A Menace to the Public Health” In 1800s, U.K. created a vast workforce of sanitary inspectors, part an infectious disease surveillance system notification, isolation, disinfection, a...

The resources available to the health service are limited and so amount NHS can spend on saving human life is also limited. Rational allocation of requires a decision theory model, which in turn demands some monetary valuation life. Each three approaches discussed--basing value productive capacity, NHS's implied values, or individuals' values--rests an underlying set non-monetary values. Choice will determine method be used placing As Health Service implicitly places certain values already,...

Introduction. Public health students are not systematically trained how positionality and power impact public practice. A grounding in anti-oppression equips practitioners with tools to recognize the of present historical contexts, foster critical self-reflection, address systems oppression. The goal this study was gather evidence is incorporated teaching. Method. Purposive sampling used identify faculty who engage anti-oppressive practice across accredited schools espousing an explicit...

Ce travail s'appuie sur les données publiées de l'enregistrement demographique pour évaluer le taux mortalité infantile annuel 21 villes anglaises et 25 districts Londres entre 1840 1910. Une approche géographique comparative permet différentier niveaux respectifs mettre en évidence des cycles courts ces variations. Si facteurs locaux ont leur importance (croissance urbaine, conditions sanitaires du moment, méthodes nutritionnelles qualité lait mise marché) matière infantile, la concordance...

The issue of assessing priorities is one that has become the subject much debate in National Health Service particularly wake various documents on from central Government. It even more so with prospect real cuts expenditure. Economists claim their science, or perhaps accurately art can assist determining not only how best to achieve ends but also whether and what extent competing objectives should be pursued. Such choices cannot made absence some ethical considerations it important health...

Advocating a closer relationship between urban and epidemiological history, the paper concentrates, firstly, on critical overview of McKeown thesis. It next identifies components from work John Landers as means constructing structural model mortality experienced during period under review. The goes to examine manner in which this might be applied London an era classic killing infections mid-nineteenth century were gradually replaced by non-infectious causes death. Returning, way conclusion,...

Education systems and pedagogical practices in global public health are facing substantive calls for change during the current ongoing ‘decolonising health’ movement. Incorporating antioppressive principles into learning communities is one promising approach to decolonising education. We sought transform a four-credit graduate-level course at Johns Hopkins Bloomberg School of Public Health using principles. One member teaching team attended year-long training designed support changes...

Flurin Condrau and Michael Worboys recently denied that infectious diseases were part of the common experience life death in Victorian Britain epidemiological transition this period was a ‘chimera’. This response argues their ‘demolition’ these shibboleths is itself an apparition. A substantial body literature on mortality demonstrates Worboys's call for analyses causes disaggregated by place, age sex outdated. Disputing narrow definition infection, evidence presented here indicates probably...

Trying to determine how best allocate resources in health care is especially difficult when are severely constrained, as the case all developing countries. This particularly true South Africa currently where HIV epidemic adds significantly a service already overstretched by demands made upon it.