Hospitals and health for all
İÇİNDEKİLERCONTENTS 1. Introduction.................................................................................................. 2. Hospitals versus primary health care: a false antithesis............................... 2.1 The need for hospital involvement ........................................................ 2.2 The evolution of health services ............................................................ 2.3 Expanding the role of hospitals............................................................. 2.4 Delineation of primary health care........................................................ 2.5 Hospitals and primary health care: a need for broader horizons ......... 2.6 The common goal of health for all........................................................ 3. Components of a health system based on primary health care................... 3.1 Targeted programmes............................................................................ 3.2 Levels of service delivery ....................................................................... 3.3 The functional infrastructure of primary health care............................ 4. Role and functions of the hospital at the first referral level........................ 4.1 Patient referral ....................................................................................... 4.2 Health programme coordination ........................................................... 4.3 Education and training.......................................................................... 4.4 Management and administrative support.............................................. 5. The district health system............................................................................. 5.1 Serving a defined population................................................................. 5.2 Making community involvement and health promotion a reality......... 5.3 Defining and discharging specific roles.................................................. 5.4 Fitting into the organizational context of the health system ................ 5.5 Establishing appropriate management processes................................... 6. Approaches to some persistent problems..................................................... 6.1 Problems of organization and function................................................. 6.2 Problems of attitudes, orientation, and training ................................... 6.3 Problems of information, financing, and referral systems..................... 7. Summary ...................................................................................................... 7.1 Organizational and functional integration of hospitals and other primary health care components ........................................................... 7.2 Attitudes, education and training, and behavioural changes ................ 7.3 Development of managerial and technological support systems........... 7.4 Hospital management issues in the contemporary scene....................... 8. Recommendations ........................................................................................ 8.1 Recommendations to WHO .................................................................. 8.2 Recommendations to governments........................................................ 8.3 Recommendations to nongovernmental organizations.......................... 8.4 Recommendations to hospitals.............................................................. Acknowledgements............................................................................................ References ......................................................................................................... Annex 1. Questions to ask hospitals (and for hospitals to ask themselves) with respect to their role at the first referral level.................................. Annex 2. List of authors and titles of unpublished documents used by the Expert Committee...........................................................................  |
