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Standards for adequate minimum personal health services.

T C Schelling

    The Milbank Memorial Fund Quarterly. Health and Society
    |January 1, 1979
    PubMed
    Summary

    Setting adequate health service standards requires understanding the root cause, whether poverty, waste, or harm. Financial aid is key to achieving these standards, with government acting as a rights guarantor rather than a direct provider.

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    Area of Science:

    • Health Services Research
    • Public Health Policy
    • Healthcare Economics

    Background:

    • Defining adequate minimum standards for health services is complex.
    • Existing approaches often conflate poverty, wastefulness, and harmfulness as causes of inadequate services.

    Purpose of the Study:

    • To analyze the underlying interpretations of inadequate health service standards.
    • To propose effective strategies for achieving adequate health services.

    Main Methods:

    • Conceptual analysis of health service standards and policy proposals.
    • Examination of the role of government in health service provision and rights.
    • Evaluation of financial assistance as a mechanism for improving standards.

    Main Results:

    • Shortages in health services may not stem from the most obvious causes.
    • Redistributive programs require clear specification of what is being redistributed.
    • Government's role as a guarantor of rights may be more impactful than direct program provision.

    Conclusions:

    • Achieving adequate health service standards is best supported by robust financial assistance.
    • Policy interventions should clearly define the problem and the intended redistribution.
    • A rights-based approach to government involvement in health services is recommended.
    Keywords:
    Health Care and Public Health

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