Abstract
Planning has become a very fashionable term in recent years, but in spite of its wide usage, or maybe because of it, the meaning is often not very clear. Let us therefore indicate at the outset what kind of planning we intend to talk about in this paper.
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References
A more detailed discussion of this subject will be found in V. Rys: ‘Problems of Social Security Planning in Industrialised and Developing Countries’, International Social Security Review, No. 2–3, 1974, p. 314-346.
Only the experience of countries with market economy is being discussed in this paper. The experience of socialist countries with centrally planned economies would require a special analysis.
See ‘Personal Health Care and Social Security — Report of a Joint ILO/WHO Committee’, WHO Technical Report Series No. 480, Geneva, 1971, p. 53.
For a detailed analysis of these problems see Brian Abel-Smith: ‘Health Policies and Investments and Economic Development’ in ‘The Role of Social Security in Economic Development’, US Social Security Administration, Research Report No. 27, Washington, 1968.
This point of view was put forward vigorously in’ social Security in Asia: Trends and Problems’, Report 2 of the ILO Sixth Asian Regional Conference, Tokyo, 1968, p. 53.
Report of the Joint ILO/WHO Committee, op. cit., p. 21.
Cf. M.I. Roemer: ‘The Organisation of Medical Care under Social Security’, ILO, Geneva, 1969, p. 22.
See International Social Security Review, No. 3, 1969, p. 402.
Cf. First Regional Meeting for Asia and Oceania (Tokyo, 1962) — Reports and Documents, Volume 11, p. 311. A Report on the Round Table Meeting in Mexico was also discussed by the Third Regional Conference for Asia and Oceania (Quezon City, 1969).
V. Rys, op. cit., p. 9-13.
As to the dangers which could arise out of assigning too much weight to the secondary economic aspects of medical care, these can best be illustrated by the following example. If the population of a country suffers from two major diseases, one of which causes death and the other permanent disability of the victims, on economic grounds solely it would seem appropriate to give priority to measures combatting a disabling disease rather than the mortal disease, for it is obvious that it is more costly to society to maintain the disabled than to bury the dead. On social grounds, however, it is equally obvious that no such decisions will ever be taken. For the discussion of this problem see Brian Abel-Smith, op. cit., p. 227.
For the discussion of these measures of health see: A.J. Culyer, R.J. Lavers and Alan Williams, ‘Health Indicators’ in’ social Indicators and Social Policy’, Heinemann, 1972, p. 94-118.
For a discussion of the problems of national health planning see: ‘National Health Planning in Developing Countries’, WHO Technical Report Series No. 350, Geneva, 1967.
Further details on the organisation of the planning process will be found in ‘Approaches to National Health Planning’, WHO Public Health Papers No. 46, Geneva, 1972.
See ‘Interrelationships between Health Programmes and Socio-Economic Development’, WHO, Public Health Papers No. 49, p. 14.
Ibid., p. 16.
See V. Rys, op. cit., p. 18.
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© 1977 Springer Science+Business Media Dordrecht
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Ryss, V. (1977). Planning of medical care services within social security schemes. In: Social security and medical care. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-3774-2_17
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DOI: https://doi.org/10.1007/978-1-4899-3774-2_17
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