03 policy background 10 04 going forward: responding to increased financial pressures in adult social care 19 05 understanding the funding gap in adult social care 35 06 conclusions and recommendations 39 references 42 Introduction Adult social care is one of the largest spend areas for local authorities across the country. However, adult social care budgets have not kept pace with the growing ...

AIM The aim of the study was to explore how 'new role' and other social carers and stakeholders involved in providing enhanced health and social care for older people perceive the social care support worker's professional status. METHOD Three different enhanced care approaches, of which two trained social care support workers to undertake new clinical support roles were studied in three resid...

The private sector continues to play social welfare expenditures series.’ Viewed as a share of gross domestic an increasingly important role in financPrivate outlays include a large share product (GDP) as shown in table 1, ing the Nation’s aggregate social welfare of health and medical care expenditures, private sector support of social welfare programs. This note provides estimates as well as ...

The article discusses the health care reforms that have been underway in Mexico since 1982. The process is examined as a socio-political phenomenon whose dynamics and nature are the products of past and present conflicts regarding technical and social-work projects, which constitute reflections of certain views of the future. The text first looks at the government-engendered power structure tha...

In many low- and middle-income countries, a majority of people seek health care from the private sector. However, fragmentation, poor economies of scale, inadequate financing, political opposition, a bias toward curative services, and weak regulatory and quality control systems pose serious challenges for the private sector. Social franchising addresses a number of these challenges by organizin...

The dramatic growth of U.S. wage inequality since the early 1970s has been the subject of intense controversy both among economists and between economists and the broader public. To many people-including a few economists (e.g. Leamer 1995)-the explanation of that increased dispersion seems obvious: it is the result of globalization, and specifically of the growing imports of labor-intensive man...

introduction: health care industry consists of an unexpected and confusing environment in which quality events play the important role. in such conditions, the necessary changes should be made. excellence models are general oriented frameworks that are able to achieve the above intention. materials & methods: this study is a descriptive cross-sectional study. data gathered by a standard checkli...

Introduction Collaboration between health and social care services is vital if we are to truly provide integrated care. Whilst structural barriers based on policy frameworks, resource availability and organisational difference contributes to fragmentation between these sectors, it is the clashes in organisational cultures and values that can often be the most divisive. Only by being honest abou...

This document is intended to be read by the Colombian Ministry of Social Protection (former MoH) and includes some recommendations that could be implemented on the aim to increase allocative efficiency, thus improving macroeconomic performance of the Colombian Health System (CHS). It will be conducted as follows: first it will briefly review the background and actual context of the CHS, after t...