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Palliative Medicine: Past - Present - Future 缓和医学:过去-现在-未来
IF 0.2 4区 社会学 Q4 SOCIAL ISSUES Pub Date : 2023-01-31 DOI: 10.3935/rsp.v29i3.1942
M. Braš, Veljko Đorđević, S. Kaštelan
Modern medicine is divided into three categories, namely preventive, curative and palliative. Palliative medicine and palliative care focus on people suffering from progressive incurable diseases with an expected fatal outcome, as well as their family members. It is conducted by an interdisciplinary palliative team at all levels of health care. Palliative care is a broader term than palliative medicine, as it encompasses other activities carried out by social welfare institutions as well as civil society organizations, religious institutions and other stakeholders in the community. Although elements of the palliative approach have been encountered throughout history since the beginning of medical treatment, in the last fifty years we have witnessed the rapid development of palliative medicine as a distinct specialization and subspecialisation in many countries around the world. Palliative care is a civilizational step forward and a true example of person-centered medicine. Given the aging population and the growing technological capabilities of modern medicine, we expect a large increase in the need for palliative care which requires the active contribution of all participants involved in creating and implementing social and health policies, both locally, nationally and internationally. This paper presents the historical development and current state of palliative medicine in the world with special emphasis on the situation in Croatia. Key words: palliative medicine, palliative care, palliative team, quality of life, strategic plans, person-centered medicine, total pain, education
现代医学分为三类,即预防性、治疗性和姑息性。姑息医学和姑息治疗的重点是患有进展性不治之症并预计会致命的患者及其家人。它由一个跨学科的姑息治疗小组在各级医疗保健部门进行。姑息治疗是一个比姑息医学更广泛的术语,因为它包括社会福利机构、民间社会组织、宗教机构和社区其他利益攸关方开展的其他活动。尽管自医疗开始以来,姑息治疗方法的要素在历史上一直存在,但在过去的五十年里,我们见证了姑息医学作为一种独特的专业和亚专业在世界许多国家的快速发展。姑息治疗是文明进步的一步,也是以人为中心的医学的一个真正例子。鉴于人口老龄化和现代医学技术能力的不断提高,我们预计对姑息治疗的需求将大幅增加,这需要参与制定和实施地方、国家和国际社会和卫生政策的所有参与者的积极贡献。本文介绍了世界姑息医学的历史发展和现状,特别是克罗地亚的情况。关键词:姑息医学、姑息治疗、姑息团队、生活质量、战略计划、以人为本的医学、彻底的疼痛、教育
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引用次数: 0
UVODNA RIJEČ UZ TEMATSKI BROJ ČASOPISA: IZAZOVI HRVATSKOG ZDRAVSTVENOG SUSTAVA U DOBA KRIZE 技术国家的国际化:特技健康物质之国
IF 0.2 4区 社会学 Q4 SOCIAL ISSUES Pub Date : 2023-01-31 DOI: 10.3935/rsp.v29i3.1995
Snježana Kaštelan, Jelena Matančević, Gojko Bežovan
Healthcare systems, due to their importance and their growing robustness, are often kept separate from other welfare state systems. Important changes in the healthcare systems in European countries occurred at the beginning of the 1990s and are connected with the introduction of market in healthcare. This was accompanied by a change in discourse with an emphasis on terms such as ‚personal responsibility‘, ‚choice‘ and ‚consumers‘. This replaced the old political rhetoric that focused on universal, public and solidarity-based healthcare provision.
由于医疗保健系统的重要性和日益增长的健壮性,它通常与其他福利国家系统分开。20世纪90年代初,欧洲国家的医疗保健系统发生了重大变化,这与医疗保健市场的引入有关。这伴随着话语的变化,强调个人责任、选择和消费者等术语。这取代了旧的政治言论,重点是普遍,公共和团结为基础的医疗保健提供。
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引用次数: 0
https://hrcak.srce.hr/294970 https://hrcak.srce.hr/294970
IF 0.2 4区 社会学 Q4 SOCIAL ISSUES Pub Date : 2023-01-31 DOI: 10.3935/rsp.v29i3.1934
Uršula Kaštelan Brumen, Milena Konatar, Snježana Kaštelan
The past few decades have been marked by a substantial increase in health spending in Central and Eastern European countries. At the same time, healthcare systems have experienced significant changes, as a consequence of economic and political transformation processes that these countries have undergone after the fall of communism. The aim of this paper was to briefly present current situation and trends in healthcare financing in Central and Eastern European countries. Our approach is based on an analysis of a number of healthcare expenditures indicators which are connected to healthcare spending patterns in each of these countries. Comparative research of these countries aims to demonstrate a degree of similarities or variations in the structure and finances in health systems. According to results, public involvement in health financing is still dominant in the majority of countries, but it has recorded a downward trend. On the other hand, private spending has been increasing mostly due to increase in out-of-pocket payments. Key words: healthcare expenditures, public health spending, out-of-pocket payments, CEE countries
过去几十年,中欧和东欧国家的卫生支出大幅增加。与此同时,由于这些国家在共产主义垮台后经历了经济和政治转型过程,医疗保健系统经历了重大变化。本文的目的是简要介绍中欧和东欧国家医疗保健融资的现状和趋势。我们的方法是基于对与这些国家的医疗保健支出模式相关的一些医疗保健支出指标的分析。对这些国家进行比较研究的目的是证明在卫生系统的结构和财政方面存在一定程度的相似或差异。结果显示,在大多数国家,公众参与卫生筹资仍占主导地位,但有下降趋势。另一方面,私人支出一直在增加,主要是由于自付费用的增加。关键词:医疗支出,公共卫生支出,自费支付,中东欧国家
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引用次数: 0
Učinkovitost hrvatskog zdravstvenog sustava - usporedba sa zemljama Europske unije 克罗地亚卫生系统的有效性——与欧盟国家相比
IF 0.2 4区 社会学 Q4 SOCIAL ISSUES Pub Date : 2023-01-31 DOI: 10.3935/rsp.v29i3.1933
Antonija Buljan, Hrvoje Šimović
The aim of the paper is to analyse the indicators of the healthcare system efficiency in Croatia and to assess its effectiveness based on a comparison with other EU countries. The analysis of the efficiency of the healthcare system in Croatia and 21 selected EU countries in the period from 2013 to 2018 was conducted by the application of the dynamic DEA window analysis (WDEA). According to the results of the analysis, the overall efficiency of expenditure on healthcare in relation to average life expectancy is on the lowest level in Croatia, amounting to 57% in 2018. While cost-effectiveness of the Croatian healthcare system is on the maximum level of 100%, systemic effectiveness amounts to only 48%. According to the aforementioned indicator, Croatia has recorded the lowest efficiency in relation to the selected EU countries, the efficiency of which amounted to 88% in 2018. Therefore, inefficiencies of the healthcare system are generated during the transformation of intermediary inputs into treatment outcomes, which means that Croatia could achieve the same health outcomes with a lesser engagement of intermediary resources. According to the results of the panel analysis, smoking and alcohol consumption are the key determinants of the efficiency of healthcare protection in EU countries. Croatia does not invest enough into health promotion measures and prevention of diseases, for which it spends only 3% of the overall expenditure on healthcare. Strengthening of public healthcare policies against smoking and alcohol consumption and the increase of excise duties on tobacco products and alcoholic beverages could indirectly influence the improvement of health outcomes, while maintaining the existing levels of expenditure on healthcare. Key words: healthcare system efficiency, financial sustainability of healthcare system, DEA method.
本文的目的是分析克罗地亚医疗系统效率的指标,并根据与其他欧盟国家的比较来评估其有效性。应用动态DEA窗口分析(WDEA)对克罗地亚和21个选定的欧盟国家2013年至2018年期间的医疗保健系统效率进行了分析。根据分析结果,医疗保健支出相对于平均预期寿命的总体效率在克罗地亚处于最低水平,2018年为57%。虽然克罗地亚医疗保健系统的成本效益最高达到100%,但系统有效性仅为48%。根据上述指标,与选定的欧盟国家相比,克罗地亚的效率最低,2018年欧盟国家的效率为88%。因此,在将中介投入转化为治疗结果的过程中,医疗保健系统效率低下,这意味着克罗地亚可以通过较少的中介资源来实现同样的健康结果。根据小组分析的结果,吸烟和饮酒是欧盟国家医疗保障效率的关键决定因素。克罗地亚在健康促进措施和疾病预防方面的投资不足,仅占医疗保健总支出的3%。加强反对吸烟和饮酒的公共医疗政策,提高烟草制品和酒精饮料的消费税,可以间接影响健康结果的改善,同时保持现有的医疗支出水平。关键词:医疗体系效率,医疗体系财务可持续性,DEA方法。
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引用次数: 0
Managerial Aspect of Private Health Care Institutions in the Republic of Croatia at the Time of COVID-19 Pandemic COVID-19大流行时期克罗地亚共和国私营医疗机构的管理问题
IF 0.2 4区 社会学 Q4 SOCIAL ISSUES Pub Date : 2023-01-31 DOI: 10.3935/rsp.v29i3.1938
Martina Sopta Ćorić, Ivana Trstenjak-Rajković, Uršula Kaštelan
Managerial economics, with its specificity, provides a special insight into the management of private health care institutions. According to the sources of the Financial Agency (FINA) and the national classification of activities (8622 and 8610), the observed industry in the Republic of Croatia in 2020 contains 675 entities, out of which 9 are in special private hospitals (8610), and others are in specialist medical practice (8622). The effectiveness of managers in conditions of uncertainty and increased risk is reflected in the availability of information and their experience in similar situations. Precisely the lack of information that was present at the time of the COVID-19 pandemic indicates the effective strategic thinking of managers (owners) of the observed institutions who responded in a timely manner to market needs in these conditions. In doing so, they acted as a substitute for specialist health care because it was not able to provide adequate service to the required extent. Key words: managerial economics, private health care, COVID-19 pandemic, company, market structure
管理经济学以其特殊性,为私人医疗机构的管理提供了一种特殊的见解。根据金融机构(FINA)的消息来源和国家活动分类(8622和8610),2020年克罗地亚共和国观察到的行业包括675个实体,其中9个在专门的私立医院(8610个),其他实体在专科医疗机构(8622个)。管理人员在不确定和风险增加的情况下的有效性反映在信息的可用性和他们在类似情况下的经验上。新冠肺炎大流行时缺乏的信息恰恰表明了被观察机构的管理者(所有者)的有效战略思维,他们在这种情况下及时应对市场需求。在这样做的过程中,他们充当了专业医疗保健的替代品,因为它无法提供所需程度的充分服务。关键词:管理经济学、私人医疗保健、新冠肺炎疫情、公司、市场结构
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引用次数: 0
Promjene u obuhvaćenosti djece programima ranog i predškolskog odgoja i obrazovanja u Hrvatskoj 2011.−2021. 克罗地亚2011-2021年早期和学前教育及教育方案的变化。
IF 0.2 4区 社会学 Q4 SOCIAL ISSUES Pub Date : 2023-01-31 DOI: 10.3935/rsp.v29i3.1973
Ivana Dobrotić, Teo Matković
We are observing certain improvements whether the main indicators are the inclusion of children preschool programs in most of the territory of the Republic of Croatia. But regional the differences are still pronounced, especially in the nursery segment, and the comparative one is also worrying picture, that is, the general level, and which requires further investments, that is, indicates the need to permanently establish a more active role states in the area of ​​RPOO.
我们正在观察到某些改善,无论主要指标是克罗地亚共和国大部分领土纳入儿童学前教育项目。但地区差异仍然明显,尤其是在托儿所,相对而言,情况也令人担忧,即总体水平,这需要进一步投资,即表明有必要在​​RPOO。
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引用次数: 0
Koncept socijalnih investicija u zdravstvenom sustavu
IF 0.2 4区 社会学 Q4 SOCIAL ISSUES Pub Date : 2023-01-31 DOI: 10.3935/rsp.v29i3.1813
Gordana Šimunković, Zdenko Babić
Focusing on human capital, social investments provide an answer to the social challenges facing social development in recent decades. In the context of human capital, investing in health has multiple channels of influence especially if it is present from an early age: a person will stay active longer, be more productive and contribute to the economy and society. The paper aims to gain an insight into the extent to which Croatia’s health policy is in line with the concept of social investment presented through the European Commission’s document Investing in Health, which builds on the basic document on social investment: Towards Social Investment for Growth and Cohesion. For this purpose, the analysis of strategic health policy documents and the comparative analysis of data on investments in the health system from both the Eurostat database and domestic data sources are used. There is also a detailed comparative analysis of (in) equality of access to health services in Croatia in the EU context, and of the importance of individual components of health care from the perspective of social investment. It is noticed that the Croatian health policy follows the idea of social investment described in the document Investing in Health with certain shortcomings, but there is a shift towards overcoming some shortcomings such as, for example, a serious lack of evaluation in the implementation of certain measures and programs adopted. Key words: health investment, social investments, human capital, health policy
以人力资本为重点的社会投资为近几十年来社会发展面临的社会挑战提供了答案。在人力资本的背景下,对健康的投资有多种影响渠道,尤其是如果健康从小就存在的话:一个人会保持更长的活动时间,更有生产力,并为经济和社会做出贡献。该文件旨在深入了解克罗地亚的卫生政策在多大程度上符合欧盟委员会文件《投资于卫生》中提出的社会投资概念,该文件以社会投资的基本文件《促进增长和凝聚力的社会投资》为基础。为此,对战略卫生政策文件进行了分析,并对欧盟统计局数据库和国内数据来源的卫生系统投资数据进行了比较分析。还对欧盟背景下克罗地亚获得医疗服务的平等性以及从社会投资的角度对医疗保健的各个组成部分的重要性进行了详细的比较分析。值得注意的是,克罗地亚的卫生政策遵循了《投资于卫生》文件中所述的社会投资理念,但存在一些不足,但正在转向克服一些不足,例如,对所采取的某些措施和方案的执行情况严重缺乏评估。关键词:卫生投资、社会投资、人力资本、卫生政策
{"title":"Koncept socijalnih investicija u zdravstvenom sustavu","authors":"Gordana Šimunković, Zdenko Babić","doi":"10.3935/rsp.v29i3.1813","DOIUrl":"https://doi.org/10.3935/rsp.v29i3.1813","url":null,"abstract":"Focusing on human capital, social investments provide an answer to the social challenges facing social development in recent decades. In the context of human capital, investing in health has multiple channels of influence especially if it is present from an early age: a person will stay active longer, be more productive and contribute to the economy and society. The paper aims to gain an insight into the extent to which Croatia’s health policy is in line with the concept of social investment presented through the European Commission’s document Investing in Health, which builds on the basic document on social investment: Towards Social Investment for Growth and Cohesion. For this purpose, the analysis of strategic health policy documents and the comparative analysis of data on investments in the health system from both the Eurostat database and domestic data sources are used. There is also a detailed comparative analysis of (in) equality of access to health services in Croatia in the EU context, and of the importance of individual components of health care from the perspective of social investment. It is noticed that the Croatian health policy follows the idea of social investment described in the document Investing in Health with certain shortcomings, but there is a shift towards overcoming some shortcomings such as, for example, a serious lack of evaluation in the implementation of certain measures and programs adopted. Key words: health investment, social investments, human capital, health policy","PeriodicalId":53979,"journal":{"name":"Revija Za Socijalnu Politiku","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43678596","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
F. Alnajjar, C. Bartneck, P. Baxter, T. Belpaeme, M. Cappuccio, C. Di Dio, F. Eyssel, J. Handke, O. Mubin, M. Obaid, N. Reich-Stiebert: Robots in Education: An Introduction to High-Tech Social Agents, Intelligent Tutors, and Curricular Tools F.Alnajjar、C.Bartneck、P.Baxter、T.Belpaeme、M.Cappuccio、C.Di Dio、F.Eyssel、J.Handke、O.Mubin、M.Obaid、N.Reich Stiebert:《教育中的机器人:高科技社会中介、智能导师和课程工具导论》
IF 0.2 4区 社会学 Q4 SOCIAL ISSUES Pub Date : 2022-10-27 DOI: 10.3935/rsp.v29i2.1944
Valentin Kuleto, Milena P. Ilić
The use of educational technologies to help learn and teach has evolved from computer-aided presentations to educational robots, as the Ozobot and Pepper presented in this book. Many schools and institutions worldwide are already using robots in the classroom. We are witnessing rapid technological advancements. This progress is due to the term “digitalisation”. The book is written on 238 pages with 49 B/W Illustrations. The book is composed of eleven chapters named: 1. Introduction 2. Theories of Learning 3. The Interactive Mind 4. What Makes a Robot? 5. The Robot as a Tool 6. The Robot as a Social Agent 7. Deployment Requirements 8. Applications 9. Attitudes towards Robots 10. Ethics 11. Research Methods in Educational Robotics. It has a great significance for teachers, students, and society.
正如Ozobot和Pepper在本书中所介绍的那样,使用教育技术来帮助学习和教学已经从计算机辅助演示发展到了教育机器人。世界各地的许多学校和机构已经在课堂上使用机器人。我们正在目睹快速的技术进步。这一进展归功于“数字化”一词。这本书共238页,插图49幅。这本书由十一章组成,名为:1。引言2。学习理论3。互动思维4。是什么造就了机器人?5.机器人作为工具6。机器人作为社会代理人7。部署要求8。应用程序9。对机器人的态度10。伦理11。教育机器人的研究方法。它对教师、学生和社会都具有重要意义。
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引用次数: 7
Abel Polese (Ed.): Informality, Labour Mobility and Precariousness: Supplementing the State for the Invisible and the Vulnerable Abel Polese主编:《非正式性、劳动力流动性和不稳定性:对隐形人和弱势群体的国家补充》
IF 0.2 4区 社会学 Q4 SOCIAL ISSUES Pub Date : 2022-10-27 DOI: 10.3935/rsp.v29i2.1946
P. Bejaković
Numerous in the publication authors clarifying the features and meaning of the informal economy and emigration to a large number of different countries.
许多作者在出版物中阐明了非正规经济和移民的特征和意义,并向大量不同的国家进行了阐述。
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引用次数: 0
Distributivni učinci ukidanja »socijalno motiviranih« sniženih stopa PDV-a radi povećanja izdašnosti i obuhvata ciljanih transfera: mikrosimulacijska analiza za Hrvatsku 退出“社会动机”的分配效应降低了PDV率,以增加支出并包括有针对性的转移:克罗地亚的微观免疫分析
IF 0.2 4区 社会学 Q4 SOCIAL ISSUES Pub Date : 2022-10-27 DOI: 10.3935/rsp.v29i2.1953
Ivan Rubil
Many countries, including Croatia, support households in need not only through social transfers, but also through ‘socially motivated’ reduced VAT rates for goods such as food. These measures are also useful to those who are richer, so the question arises whether it is more desirable to increase social benefits that target low-income housholds. This paper analyses distributive effects of a hypothetical reform of the Croatian system of taxation and transfers which includes: (a) abolition of socially motivated reduced VAT rates; (b) increase of generosity and the number of the users of guaranteed minimum benefit and the users of allowance for vulnerable energy buyers. The reform is designed to be virtually neutral fiscally in the sense that almost all additional VAT is spent on the increase of guaranteed minimum benefit and allowance for vulnerable energy buyers. Results of the analysis conducted by a detailed microsimulational model of taxation and transers that uses the data from EU-SILC and the Survey on household consumption show that the reform reduces poverty and inequality based on income after taxation and transfers, in spite of the increase of the regressivity of VAT and the decrease of the progressivity of the guaranted minimum benefit and allowance for vulnerable energy buyers. Key words: VAT, social benefits, microsimulations, inequalities, poverty, reform
包括克罗地亚在内的许多国家不仅通过社会转移支付,而且通过“社会动机”降低食品等商品的增值税税率来支持有需要的家庭。这些措施对那些较富裕的人也有用,因此问题是,增加针对低收入家庭的社会福利是否更可取。本文分析了克罗地亚税收和转移支付制度的假设改革的分配效应,其中包括:(a)取消社会动机的降低增值税税率;(b)为易受伤害的能源买家提供更多的慷慨和最低保障福利使用者及津贴使用者的数目。这项改革的目的是在财政上保持中立,因为几乎所有额外的增值税都用于提高最低保障福利和对弱势能源购买者的补贴。使用EU-SILC的数据和家庭消费调查的详细的税收和转移的微观模拟模型进行的分析结果表明,尽管增值税的累退性增加,对脆弱的能源购买者保证的最低福利和津贴的累进性降低,但改革减少了基于税收和转移后收入的贫困和不平等。关键词:增值税,社会福利,微观模拟,不平等,贫困,改革
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引用次数: 0
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