Due to recent policy changes in the United States and Taiwan, Taiwanese immigrants residing in the United States now face a choice of continuing to receive health care in the United States or returning to Taiwan for treatment care. This study uses a mixed method approach including a quantitative survey with 583 respondents and a qualitative study comprised of 14 interviews conducted by this researcher to explore the association between recent welfare and health policy changes and the health seeking behaviors of Taiwanese immigrants residing in the United States. The survey findings show that 47.5% of the respondents stated that they were strongly considering returning to Taiwan for health care under the new Taiwanese national health insurance plan (2nd NHIA). Logistic regression methods were used to address the primary research question --"Why do legal Taiwanese immigrants residing in the United States strongly consider or reject returning to Taiwan for health care under the new legislation?" These findings indicate that there are statistically significant associations between a variety of factors and the Taiwanese immigrants' desire to return to Taiwan for health care under the new national health insurance plan (2nd NHIA). The variables positively associated with a desire to return to Taiwan for health care include the length of domicile and residence required to receive benefits, a nostalgic desire to return to Taiwan, the lower cost of health care in Taiwan, and if the respondents had come to the U.S. before 1996. The negatively associated variables include having a job in the U.S., having a desire to return to Taiwan to live after retirement, the language preference in communications with a doctor, and a preference about the best place to receive dental treatment. Age and self-reported health were mediating variables. The study reveals the dynamics behind the health care decision-making of Taiwanese immigrants and particularly their choice of whether to seek care in the United States or in Taiwan.

This article considers emergence in the context of systems of systems, examining the earlier proposed tri-layered architecture in some depth. In contrast with healthcare reform, a social media phenomenon, the emergence of topics in the Twitter user community, is shown not to satisfy a critical condition of the architecture. Nevertheless, detection of topic emergence is shown to offer insights into the design of Emergence Behavior Observers.

Thesis (Ph.D. (Nursing))--North-West University, Potchefstroom Campus, 2006.

In this comparative policy development analysis, I utilize path-dependence theory and presidential records to analyze President Lyndon Johnson's success in passing Medicare and Medicaid and President Bill Clinton's failure to pass national health care reform. Findings support four major themes from the Johnson administration: 1) President Johnson had a keen understanding of the importance of language in framing debate; 2) He placed control of the legislative process in the hands of a small, select group of seasoned political operatives and career policymaking professionals; 3) He paid considerable attention to the details of negotiations and the policy consequences; and 4) He had a highly developed sense of the political and legislative processes involved in passing major legislation. The case study of the Clinton administration reveals five major themes: 1) There is a lack of evidence that President Clinton remained actively engaged throughout the policy development and legislative processes, instead choosing to delegate the process to the First Lady; 2) There was a naiveté on the part of the Clintons and many administration staff members with regard to the legal and political ramifications of their decisions; 3) The Clintons tried to make the plan fully their own, sharing little credit for its development with Congress; 4) Their attempts to incorporate existing corporate health care delivery structures with their vision for universal coverage proved unworkable; and 5) The extended time from task force launch to bill delivery gave opponents ample time to marshal their opposition forces. I conclude that in developing health care legislation, Johnson had the advantages of: 1) a small group of key policymakers; 2) multiple, simultaneous legislative initiatives which diffused the attention of a more limited media; and, 3) national crises which promoted an environment conducive to sweeping policy change. I suggest that major, national health care reform will not occur until: 1) an economic or geopolitical crisis sets the stage for change; 2) business interests and progressive interests find common ground; and, 3) Americans achieve a new cultural understanding of universal health care as both economically just and economically necessary. / text

The process for the incorporation, integration or collaboration of traditional healers into the National Health Care Delivery System of South Africa was marred by an array of mixed attitudes from all the parties concerned, namely traditional healers, patients, biomedical personnel, and the policy makers. The variety of approaches for inclusion of the traditional healers into the National Health Care System of South Africa was a further indication of the complexity of the situation. The possibility of functioning together between traditional healers and biomedical personnel existed before 1990 when the two groups met in Johannesburg in 1986 to discuss ways by which functioning together can be established. A series of meetings and discussions followed after which came the promulgation of the Chiropractors Homeopaths and Allied Health Services Professionals Act of 1996, which gives traditional healers their due recognition but does not include them as part of health care providers. The process of functioning together is a recommendation made by the World Health Organization and the most used terms for this functioning together is, incorporation, integration and collaboration. The process of incorporation can be realised by ensuring that both biomedical personnel and traditional healers remain autonomous, not controlling each other, respecting the existence of one another, as well as each other's own methods of healing. Integration was another method whereby the two health care systems can function together, even though integration differs in context from incorporation. Integration means that the traditional healers will have to function within the health care system under the directions of the biomedical personnel, whereby the patient receives a combination of both treatment methods depending on the problem or diagnosis. The third modality of getting the two health care systems to function together could be by collaboration. Collaboration was seen as a two sided effort whereby the healing methods of one are brought to fore and the most effective one is chosen to cure the patient's identified problem at that time. For the process of functioning together to be meaningful, it was necessary to get the government to review licensing the traditional healer's practices, so as to identify the healing techniques that are of value and use these to treat the patients. It was not really possible to clearly separate the three approaches because they all addressed the issue of having the two health care systems function together to increase health care services and fulfil the patients' health needs. For the purpose of this research the word incorporation was used. In South Africa the traditional healer is identified as the health care choice of 80-9036 of the black population. If this large number of black people uses traditional healing, then it becomes necessary to investigate the manner in which the traditional healer can be utilized effectively in the National Health Care Delivery System of South Africa to render the services that the patient needs for his/her health needs. It is for this reason that the researcher aimed at investigating the existing models of incorporation of traditional healers, the perceptions and attitudes of the traditional healers, biomedical personnel, patients and the policy makers regarding incorporation, their views on how this incorporation should be achieved, as well as how the incorporation of traditional healers into the National Health Care Delivery System of South Africa could be realised. A qualitative research design and theory generating approach was followed, and the research was conducted in two stages. In stage one qualitative research, participants were traditional healers, biomedical personnel, patients and policy makers, selected by means of non-probable purposive voluntary sampling. Data was collected by means of conducting semi-structured interviews with all the participants in the three identified provinces of South Africa. Field notes were recorded after each interview session. Data analysis was achieved by open coding. A co-coder and the researcher analysed the data independently after which consensus discussions took place to finalise the analysed data. Ethical principles were applied according to the guidelines of the Democratic Nurses Organisation of South Africa and the Department of Health. The second stage which was a theory generation approach, was used to formulate a model for the incorporation of the traditional healers into the National Health Care Delivery System of South African. / Thesis (Ph.D. (Nursing))--North-West University, Potchefstroom Campus, 2006

The process for the incorporation, integration or collaboration of traditional healers into the National Health Care Delivery System of South Africa was marred by an array of mixed attitudes from all the parties concerned, namely traditional healers, patients, biomedical personnel, and the policy makers. The variety of approaches for inclusion of the traditional healers into the National Health Care System of South Africa was a further indication of the complexity of the situation. The possibility of functioning together between traditional healers and biomedical personnel existed before 1990 when the two groups met in Johannesburg in 1986 to discuss ways by which functioning together can be established. A series of meetings and discussions followed after which came the promulgation of the Chiropractors Homeopaths and Allied Health Services Professionals Act of 1996, which gives traditional healers their due recognition but does not include them as part of health care providers. The process of functioning together is a recommendation made by the World Health Organization and the most used terms for this functioning together is, incorporation, integration and collaboration. The process of incorporation can be realised by ensuring that both biomedical personnel and traditional healers remain autonomous, not controlling each other, respecting the existence of one another, as well as each other's own methods of healing. Integration was another method whereby the two health care systems can function together, even though integration differs in context from incorporation. Integration means that the traditional healers will have to function within the health care system under the directions of the biomedical personnel, whereby the patient receives a combination of both treatment methods depending on the problem or diagnosis. The third modality of getting the two health care systems to function together could be by collaboration. Collaboration was seen as a two sided effort whereby the healing methods of one are brought to fore and the most effective one is chosen to cure the patient's identified problem at that time. For the process of functioning together to be meaningful, it was necessary to get the government to review licensing the traditional healer's practices, so as to identify the healing techniques that are of value and use these to treat the patients. It was not really possible to clearly separate the three approaches because they all addressed the issue of having the two health care systems function together to increase health care services and fulfil the patients' health needs. For the purpose of this research the word incorporation was used. In South Africa the traditional healer is identified as the health care choice of 80-9036 of the black population. If this large number of black people uses traditional healing, then it becomes necessary to investigate the manner in which the traditional healer can be utilized effectively in the National Health Care Delivery System of South Africa to render the services that the patient needs for his/her health needs. It is for this reason that the researcher aimed at investigating the existing models of incorporation of traditional healers, the perceptions and attitudes of the traditional healers, biomedical personnel, patients and the policy makers regarding incorporation, their views on how this incorporation should be achieved, as well as how the incorporation of traditional healers into the National Health Care Delivery System of South Africa could be realised. A qualitative research design and theory generating approach was followed, and the research was conducted in two stages. In stage one qualitative research, participants were traditional healers, biomedical personnel, patients and policy makers, selected by means of non-probable purposive voluntary sampling. Data was collected by means of conducting semi-structured interviews with all the participants in the three identified provinces of South Africa. Field notes were recorded after each interview session. Data analysis was achieved by open coding. A co-coder and the researcher analysed the data independently after which consensus discussions took place to finalise the analysed data. Ethical principles were applied according to the guidelines of the Democratic Nurses Organisation of South Africa and the Department of Health. The second stage which was a theory generation approach, was used to formulate a model for the incorporation of the traditional healers into the National Health Care Delivery System of South African. / Thesis (Ph.D. (Nursing))--North-West University, Potchefstroom Campus, 2006

Orientador: Guita Grin Debert / Dissertação (mestrado) - Universidade Estadual de Campinas, Instituto de Filosofia e Ciencias Humanas / Made available in DSpace on 2018-08-08T09:47:02Z (GMT). No. of bitstreams: 1 Silva_AngeloAugustoda_M.pdf: 205227 bytes, checksum: a90ee24c9c1dc0f0ec0d1f921904787b (MD5) Previous issue date: 2007 / Resumo: A pesquisa teve como objetivo inicial apreender as re-configurações dos saberes e práticas médico-psiquiátricas, no contexto atual de expansão da procura e oferta desses serviços e de uma rebiologização nas explicações destes saberes. Paradoxalmente os "fenômenos não explicados organicamente" constituem um grande desafio ao campo e são descritos frequentemente pelo fenômeno de "somatização", nome dado a um programa de pesquisa e atendimento à  população e objeto dessa pesquisa. Se no referido contexto o trato a estes sofrimentos a partir de uma visão organicista e unidirecional mostra-se insuficiente, a incorporação de psicoterapias e da psicanálise no tratamento cotidiano da clientela também não se mostra isenta de dificuldades e dilemas. Buscou-se compreender também como a própria classificação e elaboração do diagnóstico e prognóstico são realizadas segundo as representações e visão de mundo dos profissionais do programa, estreitamente coadunada com a visão psicologizante de Pessoa, configurando universos de valor diversos que são fundamentais de serem apreendidos para melhor compreensão e reflexão das questões e dificuldades em jogo no atendimento / Abstract: The aim of this research is to capture the re-configurations of the several kinds of medical and psychiatric knowledge and practices in the current context of demand and offer enlargement of those services and also of a re-biologization of the explanations related to this kind of knowledge. In a paradoxical way, the phenomena which are not explained in an organic way constitutes themselves a great challenge and are often described by the "somatization" phenomenon, name attributed to a research and support program to the population, and also the purpose of this study. If in the context mentioned, the treatment of these sufferings from an organicist and unidirectional point of view proves to be insufficient, an incorporation of psychotherapies and psychoanalysis in the daily treatment of clients also presents difficulties and dilemmas. We tried to understand how the very classification and elaboration of diagnosis and prognosis are made according to the representations and perspectives of the professionals of the program, strictly linked to their psychological view of the world, setting up universes with different values which have to be captured in order to find a better understanding about the issues and difficulties in the treatment / Mestrado / Mestre em Antropologia Social

本文主要運用博奕理論，分析全民健保法中各涉入者的議價行為，包括政黨及利益團體兩個層次之互動。主要探討下列問題：1、瞭解議價行為之動態賽局結構。2、參與者如何運用策略及其資源，以達到其偏好的理想點。3、如何透過議價來調節分歧的利益，規避社會衝突。4、如何透過理性的計算，如移動、反制、反反制的過程，達柏雷圖邊界。 第一章說明研究範圍與方法，及本文研究架構等。 第二章為理論基礎，先對傳統博奕理論提出修正，再介紹本文所採用之移動理論。 第三章說明本研究範圍內之行為者的立場、偏好等，並採二階賽局之觀點對兩層次之行為者的互動做一分析。 第四章把健保法立法過程依重要事件分為三段，分別運用賽局結 構分析其議價過程與結果。 第五章在針對第四章之均衡結果提出更進一步之分析，以康多賽贏家、中間選民定理、空間理論等來分析議題之社會選擇結果。 第六章提出研究限制和檢討，及本文結論。 / In the thesis , the author use game theory to analysis thebargaining behavior of the actors,including political parties and interest groups,in the Nationl Health Care Law-making. The purpose of this thesis contains four points.First of all,to figure out the structure of bargaining game.Second,how does the actors use their strategies and resourse to reach their ideal point.Third,how does the bargaining goes to come to an agreement, and avoid social conflict.forth and last,how can the rational actors use their strategies like move,counter-move,even counter counter-move to reach Pareto frontier.

The purpose of this thesis is to prove the existence of the right to adequate healthcare through a critical analysis of the law of obligations, constitutional law and international law framed in the wider focal point of South African medical law. The Constitution only makes provision for the right to access to health care. Conclusively this thesis will have to establish a link between a minimum standard in health care and the Constitution. It is submitted that the most efficacious method of establishing this link is with the duty of care, which is intrinsically linked to the doctor-patient relationship. If a critical analysis of the doctor-patient relationship can establish a clear link between the duty of care and state liability then such a link can successfully be applied to the Constitution. If this link is transposed onto the Constitution, a critical evaluation of the rights in the Bill of Rights will then reveal the most applicable right that can house the right to an adequate standard of health care. Such an analysis is only part of the solution however. In order to make this right effective, the international body of medical laws must be critically analysed and juxtaposed against this adequate standard. This carries the dual purpose of adding normative content as well as determining the current state of South Africa’s obligations under international human rights law, and to what extent those obligations have been discharged. Finally, and most significantly, the right to adequate healthcare, as it was forged in the international legal analysis, will be transposed onto the current South African jurisprudence of socio-economic rights. This practical application will then be reflected onto the new National Health Care Insurance to show conclusively that the current governmental approach of effecting health care is wholly inoperable and will ultimately result in significant harm and extensive human rights violations. This is based on the government only considering access to health care sufficient to discharge its duties and being totally incapable of effectively managing its resources. The core outcome for this thesis is to prove the existence of the right to adequate healthcare. Secondary outcomes are tracing the history of medicine to illustrate the creation and evolution of the doctor-patient relationship, a critical analysis of the application of medical ethics to South African law of obligations, a critical analysis of the Constitution and its fundamentals, an exhaustive evaluation of South Africa’s duties and accomplishments under its international obligations and effectively applying the right to adequate healthcare which is diametrically opposed to the current course South Africa is taking to provide health care. / Dissertation (LLM)--University of Pretoria, 2012. / Public Law / unrestricted