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“The State, that’s me!”

“The State, that’s me!”. Public-private mix in healthcare quality. Stirred, not shaken. From Hammurabi to David Byrne Changing world Beacons in the mist A new social charter. Hammurabi

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“The State, that’s me!”

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  1. “The State, that’s me!” Public-private mix in healthcare quality

  2. Stirred, not shaken • From Hammurabi to David Byrne • Changing world • Beacons in the mist • A new social charter The State, that's me; S. Cucic

  3. Hammurabi If a physician make a large incision with the operating knife, and kill him, or open a tumor with the operating knife, and cut out the eye, his hands shall be cut off. Treaty of Nice (#152) A high level of human health protection shall be ensured in the definition and implementation of all Community policies and activities. 1780 B.C. to 2001 A.C. The State, that's me; S. Cucic

  4. Step by step • The King and local government • Napoleon + codification = State • The Night Watch + wealth = liberalism Second World War and the New State Welfare State Socialist State The State; that's me; S. Cucic

  5. The State Accessability Affordability Quality The World From baby boom to aging population From sulfonamides to genetic passports From Gentlemen Doctor to care teams Responsibilities in a changing world The State, that's me; S. Cucic

  6. Meeting the challenges • Accessibility Barber-surgeons guild -> Numerus clausus • Affordability Fee-for-service -> budget, salary, points • Quality E.A. Codman, MD -> CHI, ANAES The State, that's me; S. Cucic

  7. Handicapped care New financing (personal budgets) New division of tasks (health, social, care teams) New quality criteria Choice Post delivery care New financing New providers New services Client’s needs and expectations Quality of client’s life Lighthouses The State, that's me; S.Cucic

  8. Mental health Hospital walls broken...and people spilled on the streets; drugs Social and health problem Care teams, support and care Quality balance: for patient and environment Cross-border care Free movement of people, goods and services Regional, highly specialized, not accessible Provider recognition Transparent care results and other aspects of quality for choice and competition More... The State, that's me; S. Cucic

  9. A map to navigate in the mist • Access in Europe problem only with system failure (waiting lists). • Social affordability of care from cradle to grave is a problem. • Care financing mix tilts from public to private • Quality systems generally do not provide information sufficient for individual choice The State, that's me; S. Cucic

  10. Another share of values and new responsibilities Individual (libertarian) maximal benefit consensus Social (Communitarian) The State, that's me; S. Cucic

  11. Social and individual quality charter • Reinforce individual responsibility of all involved (subsidiarity) • Facilitate by a social framework (European Convention) • Facilitate meaningful information exchange (EUPHIN and WWW) • Adjust financial systems to follow consumers • Allow real choice The State, that's me; S. Cucic

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