The Future of Public Health: A Scenario Study, Scenario Report Commissioned by the Steering Committee on Future Health Scenarios
Springer Science & Business Media, Jun 30, 1992 - Medical - 54 pages
How can the public health system best be organised in the future and which factors are the main determinants thereof?
These are key questions in the scenario report The Future of Public Health: a Scenario Study. The report is the result of a study commissioned by the Steering Committee on Future Health Scenarios and carried out by a research team of the TNO Institute of Preventive Health Care and the STG Scenario Committee on the Future of Public Health. The report focuses on activities in collective prevention of diseases, generally known as primary prevention.
The future images developed make use of two examples, the control of infectious diseases and public health for the elderly. In designing those scenarios, two sets of possible trends were combined: centralisation versus decentralisation and nationalisation versus privatisation.
These combinations resulted in three scenarios; a local government scenario, a central government scenario, and a private enterprise scenario. The consequences of these future alternatives were developed in terms of their effect on organisation, policy control, financing, information supply, expertise and effectiveness.
Although the report primarily focuses on the public health system in the Netherlands, the analysis of the processes examined, and the alternative scenarios based on them are also thought-provoking for readers throughout the world.
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Public health in the Netherlands
22 The concept of prevention
24 The institutions concerned with public health in the Netherlands
25 Government policy and public health
32 The scenarios in pure form
33 The plausibility of the future scenarios
412 The present situation in the Netherlands
42 Public health for the elderly
421 Present situation
43 The consequences of the scenarios
431 Policy control
The scenarios and public health as a whole
332 Centralisation versus decentralisation
34 The final scenarios
The scenarios in practice
41 The control of infectious diseases
52 Final comments
aspects carried chapter Chief Medical Officer competitive market system compulsory concerned with public consumer control of infectious councils criteria curative DAVIDSE decentralised approach demand discussed Dutch efficiency elderly environmental Erasmus Universiteit Rotterdam evaluation example execution of programmes execution preparation expertise final financing Furthermore Future Health Scenarios Future of Public given government scenarios grammes health care sector health education campaigns health problems individual infectious diseases influenza Instituut voor Praeventieve Law on Public local councils local scenario market scenario medicine monitoring multisectoral health policy nario national centre national government national level national scenario Netherlands Officer of Health plausible policy areas population possible practitioners Praeventieve Gezondheidszorg preparation and execution preparation of programmes preventive activities preventive health preventive programmes programme preparation public health activities public health services Public Health WCPV pure form regional scenario study suppliers supply of information surveillance of infectious tasks three scenarios tion treating physicians vaccination programme