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The Future of Public Health : A Scenario Study, Scenario Report Commissioned by the Steering Committee on Future Health Scenarios - Scenario Committee on the Future of Public Health

The Future of Public Health

A Scenario Study, Scenario Report Commissioned by the Steering Committee on Future Health Scenarios

By: Scenario Committee on the Future of Public Health, W. Davidse (Contribution by), M. Kastelein (Contribution by), E.W. Bergsma (Contribution by), H. P. A. van de Water (Contribution by)

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Published: 30th June 1992
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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.

Preface
Introductionp. 1
Public health in the Netherlandsp. 3
Health Care Policy in the Netherlandsp. 3
The concept of preventionp. 5
A definition of public healthp. 5
The institutions concerned with public health in the Netherlandsp. 8
Government policy and public healthp. 11
The scenariosp. 13
The purpose of the scenariosp. 13
The scenarios in pure formp. 14
The plausibility of the (future) scenariosp. 16
Market versus governmentp. 16
Centralisation versus decentralisationp. 19
The final scenariosp. 21
The scenarios in practicep. 23
The control of infectious diseasesp. 24
The surveillance of infectious diseasesp. 24
The present situation in the Netherlandsp. 25
Examples from the scenariosp. 25
Public health for the elderlyp. 28
Present situationp. 29
Examples from the scenariosp. 29
The consequences of the scenariosp. 33
Policy controlp. 34
Organisationp. 34
Financingp. 35
The supply of informationp. 35
Expertisep. 35
Effectivenessp. 36
The scenarios and public health as a wholep. 37
The other areas of public healthp. 37
Final commentsp. 42
Referencesp. 47
Table of Contents provided by Blackwell. All Rights Reserved.

ISBN: 9780792318149
ISBN-10: 0792318145
Series: Future Health Scenarios
Audience: General
Format: Paperback
Language: English
Number Of Pages: 54
Published: 30th June 1992
Publisher: Springer
Country of Publication: NL
Dimensions (cm): 23.39 x 15.6  x 0.31
Weight (kg): 0.1