Equity in health care and institutional trust: a communitarian view

Abstract

Equity in health care and institutional trust: a communitarian viewEqüidade na assistência à saúde e confi ança institucional: uma perspectiva comunitária

The Fiocruz experience in Global Health and Health Diplomacy capacity building: conceptual framework, curricular structure and first results

“…3) Analyse and discuss Global Health-related issues that impact on international relations. (MOONEY & HOUSTON, 2008;THIEDE & MCINTYRE, 2008;ALMEIDA, 2008).…”

European Health Systems and the Internal Market: Reshaping Ideology?

“…By defending the idea that communitarianism is the politics of the common good as opposed to the politics of rights diffused by liberalism, communitarian philosophers have sought to move ethics away from individual rights and universal rules toward theories which give moral importance to the community and the social good. 30 Mooney and Houston [41].…”

“…40 These economic, social and sector changes associated with a political environment known as the Thatcher and Reagan eras fostered the advocacy of the so called neo liberal agenda, which promoted amongst its main ideas a prominent role for the market and a reduction of the role of the state as a way to increase employment rates, adjust economies and reduce public expenditures. 41 These ideas circulated with strong growing force particularly in the United States and the United Kingdom, but in the rest of Europe a parallel market stream, influenced by globalisation and aiming at providing financial sustainability of the economy and public services also took place. 42 The health care sector was also affected by these neo liberal ideas.…”

“…These market mechanisms comprise, for example, the use of competition, co-payments or user 40 Freeman and Moran [24, p. 36]. 41 Santos [50, p. 21]. 42 Callahan and Wasunna [9, p. 9].…”

The Fiocruz experience in Global Health and Health Diplomacy capacity building: conceptual framework, curricular structure and first results

“…The policy implementers (governments, health workers, national and international NGO) are often highly dependent on external funding and must follow the global rules set by the international organisations and imposed by the fund donors or project financers; they work under pressure to show "results" defined according to the funder's parameters and have insufficient time to think about or understand the local health situation they are supposed to act on. The recipients of these actions (the people and populations) live and work in extremely precarious conditions where there are often no functioning networks of health or education services and extensive poverty goes hand in hand with high rates of illiteracy and lack of information.Disillusionment, lack of confidence in health systems, lack of communication, information and hope are common in this context(MOONEY & HOUSTON, 2008;THIEDE & MCINTYRE, 2008;ALMEIDA, 2008).This situation also poses new challenges for international cooperation 23 and it is important to train personnel to work appropriately and more effectively in this field.The results obtained from the 1st Specialisation Course in Global Health and Health Diplomacy are encouraging and confirm this as a priority area for human resource capacitybuilding in Brazil, in view of the recent changes in Brazilian foreign policy and the priority given to health in the South-South cooperation projects that Brazil is developing24 , as well as the interest that has been expressed in holding other similar courses. The content chosen has proven appropriate, but has to be improved, and the evaluation methodology yielded important input for the necessary revision of this training, which will be implemented in future courses.…”