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Good governance and redistribution in health financing : Pro-poor effects and general challenges
(2017)
Good governance has increasingly attained priority in international cooperation and health-system performance. Governance refers to all steering activities by public entities to influence the behaviour and activities of stakeholders involved. In the health sector, governance refers to a wide range of functions related to guidance and rule-making carried out by governments or other public decision-makers. More specifically, governance in the health-financing system applies to two different aspects: in addition to the approaches, strategies and policies determining how financial flows are implemented, managed and supervised according to rules- or outcome-based indicators, health-financing governance encompasses the question of how far resource generation, pooling and allocation are organised in an equitable, fair and sustainable manner. Individual and collective financial sustainability, burden sharing and social coherence or solidarity are essential parts of health-financing governance and depend deeply on societal priorities and values. Fairness of financing, transparent risk pooling and accountable purchasing of health services are intrinsic elements of governance in health financing and critical for achieving universal health coverage. The government is ultimately responsible for implementing an appropriate framework for a transparent, accountable and reliable health-financing system, for ensuring that the intermediate institutions can perform their functions, for executing effective and powerful supervision, and for providing civil society with the means to demand transparency and good financial governance.
Health-financing indicators show the system’s ability to effectively mobilise and allocate resources, implement social protection and pooling schemes, and distribute the financial burden of care equitably. Essentially two groups of indicators exist for assessing governance in the health financing system: rules-based approaches consider the existence of appropriate policies, strategies, and codified approaches for governance; outcome-based indicators measure whether rules and procedures are effectively implemented or enforced and health-financing targets achieved.
This guideline is a result of the project CHANCE, funded by the EU-programme GRUNDTVIG / “Lifelong Learning Programme” conducted from December 2007 to November 2009.
The project focuses on the approach of “CommunityBuilding“, which is beyond counselling and education campaigns designed for the social and environmental circumstances and aims to initiate the build-up of networks and local communities.
The manual is based on the interdisciplinary view of health (holistic according to the WHO), community and social environment (promotion of personal and structural potential).
After the introduction with regard to the subject matter, the manual presents 13 fundamental guidelines and illustrates project examples from the participating countries.
The aim of this project is to prepare a nutrition guidebook for early childhood active stakeholders that are applicable across Europe and Turkey. The developed nutrition guidebook is the result of two-year collaboration between academics from different professions (nutritionists, home economists, paediatricians, education scientists, health psychologists) across five countries.
This article looks critically at the explanation provided by the so‐called ‘normalisation’
literature for Germany’s apparent reluctance and closefisted approach to the Eurozone crisis.
In contrast to the ‘normalisation’ argument which attributes the handling of the crisis to a more self‐interested and assertive stance in Germany’s European policy, this paper emphasizes the role of economic ideas as an explanatory factor. Based on the economic school of ordoliberalism in Germany, the crisis is perceived of as a debt and institutional crisis rather than a financial crisis, as suggested by ‘normalisation’ proponents. Consequently, a profound long‐term solution is thought to require policies of debt reduction and supply‐side reform as well as amendments to Eurozone institutions. In addition, unconditional financial bail‐outs are deemed inadequate to fight the source of the crisis. While the ‘normalisation’ literature stresses change in Germany’s approach to European integration relative to the early 1990s, the view outlined here suggests that there is a significant degree of continuity with the founding period of the European Economic and Monetary Union. Both then and now, Germany is primarily concerned with sound money, fiscal discipline and the institutional set‐up of the Eurozone, all based on principles derived from ordoliberal economic thinking.
The research papers published in this reader were presented to an audience of academicians and practitioners at several international business research conferences. All of the submitted articles and presentations abstracts were subject to a review by the Editorial Board of the conference, comprised of the following persons: Prof. Dr. Klaus Kellner (Universitiy of Applied Science Augsburg, Germany), Prof. em. Dr. Johannes Lachhammer (Augsburg University, Germany) and Prof. Guenther Kress, PhD, California State University. The Editorial Board also reviewed and approved the submitted full papers for publication in this reader. This reader intends to sustainably stimulate the discussion concerning recent developments in Business Management Research among scholars and practitioners. Each and every feedback, also and particularly from students, is most welcome.
The research papers published in this reader were presented to an audience of academicians and practitioners at the 2011 Global Business Management Research Conference at Fulda University. The conference was conducted under the topic “Recent Developments in Business Management Research in an International and Regional Context”.
Can Buddhism be called a stronghold of free thinking? What relevance might Buddhism have for social developments in the twenty-first century, and where will it position itself in these processes? Free thinking has been emphasized and celebrated as an outstanding accomplishment of the human mind. This anthology might inspire the reader to look at some questions of global concern from a new angle and provide a stimulus for developing a freethinking attitude. It is the outcome of international and even transcontinental cooperation involving expert authors from Asia, Australia, Europe and the U.S.A. Contributions have been made by Bhikkhu Anâlayo, Karl-Heinz Brodbeck, Ashby Butnor, Silja Graupe, Guang Xing, Barbara Kameniar, Sallie B. King, and Charles S. Prebish.
Based on a first video conference: small and middle sized companies in Russia and Germany: A comparative view organized by University "Interregional Institute of Economics and Law", Saint Petersburg/Russia and the University of Applied Sciences – Faculty of Business, Fulda/Germany held on 20th May 2010. Both institutes decided to organize a follow-up conference on January 27th 2011. Again the focus was to compare both markets for international operating companies in reasons for going abroad. The following papers are the outcome of this conference and were presented on the one hand by Fulda master students and on the other hand by Master Students from Saint Petersburg. The overall focus was again a comparative work from a company point of view. Hereby the main research question was to present different case studies based on a heterogeneous group of German-based companies in terms of size and branches. Success and failure in international management activities are discussed on an empirical and statistical basis. Furthermore the students from both institutes learnt also some practical matters like for example how can a foreign company establish its legal presence in Russia?
The following article is targeted at both trainers and managers in educational organisations. It aims to provide support to those who would like to implement e-learning and new teaching methods in their organisations and who have a) already experienced resistance to such a change management process, or b)expect potential resistance. The article intends to help this target group by providing an understanding of the role of new media in the process of changing a “learning culture” in an educational organisation. Furthermore it introduces an approach to change management in educational settings which attempts to change resistance from a hindering to a productive element of change processes.
This article guides you through the development of a successful moderated and collaborative e-learning course on the basis of an e-learning pattern template. The created patterns are a blueprint of the learning activity which could be implemented by using different web-based communication tools. The “e-learning pattern template” takes the special context of online-courses (compared to face-to-face teaching) into account, with a development focus on the participants’ motivation.
CHANCE is a project funded by the EU-programme GRUNDTVIG/ “Lifelong Learning Programme” conducted from December 2007 to November 2009. Partners from the participating countries presented their individual project results at the 2nd international meeting on June 12th 2009, in Fulda, Germany. CHANCE describes new pathways to enhance and support people in the long term to be well-informed and to take responsibility for their own health. The focus of the project was based on the following questions: - What resources are offered by the community to live healthy or healthier and what are the barriers that need to be resolved? - Are there cultural differences in health behaviours and in the perception of health information? - What health information is perceived in general and by whom? - What information and health interventions are required? CHANCE shows how people in different European cities and communities live, perceive information with regard to health and process it. The inhabitants of the communities were motivated to participate actively in the improvement of local interventions with regard to consumer education in health. The community approach aims to reach socially, culturally or economically disadvantaged groups such as elderly people, migrants and single parents.
