Tuesday, September 8, 2009

guide for insight into the treatment of asthma

Editorial Eduforma MAD presents a practical guide for insight into the treatment of asthma, the most common chronic disease in childhood.

• The book includes hundreds of questions and answers about a respiratory condition with an incidence of between 5.5% and 14.6% in the Spanish population and addresses the issues that typically arise in families living with childhood asthma



• The Editorial Andalusian reinforces this release with the creation of the web www.mad.es / asmainfantil, with information on the work and its authors, the prestigious American specialists Claudia S. Plottle and B. Robert Feldman



Editorial Eduforma MAD presents a practical manual for parents and carers of children with asthma in children, backed by prestigious U.S. doctors specializing in treating this disease that affects millions of people around the world.


With the publication in Spain the book 100 Questions and answers about asthma in children, Editorial Eduforma MAD provides a useful tool for those who live daily with the respiratory condition with an incidence in the Spanish population of between 5.5% and 14.6%, according to each area.


Through questions from clinical practice, anyone interested in knowing about this disease will find this book accessible and international real information on aspects such as the causes, symptoms of this disease and its treatment.


What doctor diagnosed asthma? Can it be cured? What is the difference between allergy and asthma? What medications are useful to treat it? or Why is it important to include environmental monitoring my child's asthma? are some questions to find a practical answer in this book MAD Eduforma Editorial, that reveals how far medicine has advanced the understanding of this disease and how much progress has been made to confront and control in children and adolescents.

In this practical manual is recognized that in clinical practice have been introduced new and more effective medicines along with the oldest remedies and proven, although the modern treatment of asthma, the most common chronic disease in childhood, not limited to prescription drugs. In fact, now there is more emphasis than ever to study what role environmental factors in asthma.


Also shown in this book MAD Eduforma Editorial another key component of effective care of the child with asthma is to recognize the importance of collaboration between patient treatment, parents and the physician.


It also stresses the importance of individualized programs of self-control asthma, which are a useful frame of reference for parents and children learn about the disease in general and to decide the best way to treat asthma in particular small.


About the Authors

The authors of this book are Claudia S. Plottle, medical specialist in Pneumology of New York University Medical Center and B. Robert Feldman, a doctor specializing in Pediatrics, Allergology and Immunology at Morgan Stanley Children's Hospital of New York Presbyterian. Since the endorsement of a joint experience of over 60 years, New Yorkers these professionals specializing in the care of children, adolescents and adults with asthma reveal scientific progress in understanding this disease and cope.


New tool in Internet Publishing Eduforma MAD

To contribute to the dissemination of the contents of this book and practical information for people interested in this disease, Editorial MAD Eduforma enabled web address www.mad.es / asmainfantil, where you will find more information on this manual, its authors and the Collection of the Family Health and Editorial.

Editorial MAD Eduforma has an experience of over 26 years in publishing books with a mainly practical. Little by little has been enriching its extensive catalog with the creation of different collections such as the Health and Family Services, which owns the book 100 Questions and answers about asthma in children, including titles like 100 questions and answers about the epilepsy or 100 questions and answers about psoriasis.

Hospiten is 40 years since opening its first hospital.

It was in January 1969 when it opened the first hospital Hospiten Group, Hospiten Bellevue in Puerto de la Cruz on the island of Tenerife. The first center was the response to existing health claim on the northern island of Tenerife and is now a modern hospital with 183 beds and modern diagnostic and therapeutic technologies.

The philosophy of Hospiten Group since its inception has always been the dedication to patient care with dedication of all those attending any of the twelve centers Hospiten distributed in Spain, Dominican Republic and Mexico.

This has allowed Hospiten established and the demand for medical care in places as far apart as the Canaries, Costa del Sol, Dominican Republic and Mexico as one of the largest international hospital groups in Spain and Latin sound. And all this based on a high quality of services both medical professionals as of latest technologies applied to medicine, which is combined with individualized treatment and close to all patients in our hospitals.

The growth of the Group focused on its beginnings on the island of Tenerife has two centers in Puerto de la Cruz Hospiten Tamaragua Hospiten Bellevue, a center in the south of the island, Hospiten South, and finally opened in 1995 Hospiten Rambla in the capital of Tenerife, which has Hospiten four centers on the island. Later in 1999 opened Hospiten Lanzarote and to complete the service network in the Canary Islands we introduced the hand we Clinic Rock on the island of Gran Canaria with two centers Hospiten San Augustine Clinic Hospiten Roca Roca Clinic Puerto Rico.

Out of the Canary Islands, the Group Hospiten has five centers, one located in the Iberian Peninsula, more particularly on the Costa del Sol, Estepona Hospiten called, both located in Dominican Republic, Bavaro and Hospiten Hospiten Santo Domingo, and two centers in Mexico, Cancun Hospiten and the last to open its doors in 2006 Hospiten Riviera Maya.
Besides these twelve medical centers and hospital of high complexity Hospiten Group has more than 100 outpatient clinics under the brand Clinic Assist to complete a health care network with the highest international quality standards.
These twelve centers located in thirteen countries and over a hundred clinics Clinic Assist Hospiten enable the Panel to expand its area of influence to expand their new countries, as is the case of Jamaica, where the Group already has Hospiten different facilities Clinic Assist and is under study and implementation of a new hospital to meet the health demands of the northern coast of the island.

Hospiten Group is an international hospitality network committed to providing service of high quality health care. With an experience of 40 years, the Group has twelve Hospiten private hospitals in Spain, Dominican Republic and Mexico, annually serves more than 600,000 patients around the world and has over 3,000 employees.

Extending the manifestations of eating disorders.

Whenever there are more specific disorders in which patients have trouble eating. This applies to the vigorexia, sadorexia or diabulimia, among others.


The eating disorders (ED) is a health problem that has a strong impact on our society. The major changes both social, economic and cultural relate directly to changes in eating behavior. And that beauty, physical attractiveness and body are rising values in the twenty-first century society.

The problem of these disorders is as varied and multifactorial requiring attention and action that includes the clinical, familial, but also cultural, social and educational. As noted by the Eating Disorders Institute (ITA) increasingly extending the various manifestations of these disorders, which implies a greater diversity for treatment.

The specific diagnostic criteria of mental disorders (DSM-IV-TR) defines three types of eating disorders: anorexia nervosa (refusal to maintain body weight at or above the minimum value), bulimia nervosa (eating food in a short space of time in excess of what most people would eat during a similar time in short, a feeling of loss of control over eating) and eating disorder not otherwise specified (all those disorders not meet the criteria of the previous two categories).

The same classification also describes various disorders linked to eating disorders: pica disorder (persistent ingestion of nonnutritive substances) Rumination disorder (repeated regurgitation and new chews food) and the Feeding disorder of childhood or childhood (difficulty persistent inability to eat adequately with significant weight gain or significant weight loss).

New manifestations of TCA
The most recognizable manifestations of TCA are anorexia and bulimia nervosa to binge eating together. As of today appear more strongly as new manifestations vigorexia, orthorexia, sadorexia, night eating syndrome and diabulimia. These specific disorders are less known and yet increasingly common.

The vigorexia is a disorder that affects between 1 and 10% of regular users of gyms. It is characterized by obsessive preoccupation with physical and distortion of body schema affects mostly men between 15 and 35 years, but also women. This entails an addiction to physical activity (especially in body building) along with obsessive thoughts and continuing on how to improve the appearance (concern about being weak or poorly muscled). Often leads to substance use for muscle development and excessive dietary control, imbalanced where the amount of protein and carbohydrate consumed is excessive.

Another manifestation of the TCA is called orthorexia, appetite literally correct, ie, the obsession with healthy eating. It manifests itself through excessive worry about the quality of the food, feeling guilty and corrupt when not met their own dietary beliefs. Thus, the subjects, mostly young women, develop their own rules food and, unlike anorexia or bulimia nervosa, which focuses on the amount of food, orthorexic become obsessed with the quality of it reaching socially isolated because his way of eating. In short, everyday life is affected, because what started as a dietary habit, derives almost a religion where the slightest transgression is tantamount to sin.

Together with the two conditions above are the sadorexia (sadomasochism and anorexia) seen an evolution or second generation of the traditional TCA. Behavior is characterized by an anorexic, bulimic or orthorexic where traditional symptomatology is absent giving way to the use of unconventional techniques such as thinning severe masochism to achieve extreme thinness. In these cases the physical abuse and external control of behavior may lead to rapid weight loss and permanent. These actions do not arouse suspicion in even family or friends and family cause social isolation.

Other disorders diagnosed shortly but no less important are: night eating syndrome, the diabulimia and certain phobic disorders that involve eating.

We like that night eating syndrome comprising both eating disorder and a sleep disorder. It affects between 1 and 2% of the population and focuses on overeating at night being able to reach between 3 and repeat 5 times. People who suffer from eating half asleep so do not fully realize or remember what they do.

For its part, diabulimia is a disorder in which people with type 1 diabetes skip their insulin injections in order to lose weight. Often, these individuals are diagnosed with an eating disorder like anorexia or bulimia nervosa rather than diabetes. He frequently appears in adolescence and is more common in women than in men.

In phobic disorders can find certain behaviors such as avoiding eating in public, swallow food and selection, developing avoidant behavior due to the unpleasant sensations that brings on the presence of certain foods, fear of choking, etc..

The use of psychotropic drugs to treat mental health problems do not always respond to rational standards.

Section of Psychiatry of the Academy of Medical Sciences of Bilbao organizes the conference, which will focus on the rational use of medicines in mental health.

A simplistic concept of mental illness and human behavior has contributed to extending treatment with psychotropic drugs that conditions can hardly be considered psychiatric disorders, and should be addressed differently.

The popularization and trivialization of some use of some psychiatric medications has contributed to widespread use of a poorly justified. Drugs like Prozac are now part of the culture of XX and XXI century, said Dr. Uriarte Uriarte.

In recent years it has been called into question the efficacy and safety of many of these drugs, especially when used indiscriminately, with little control, and regardless of other therapeutic alternatives.


Reflect on the different aspects that condition the assistance to mental health problems today, and more specifically, which determine the use of psychotropic medication. This will be the main focus of Dr. Jose Juan Uriarte Uriarte, department head of the Psychiatric Rehabilitation Unit, Hospital de Zamudio. The workshop organized by the Academy of Medical Sciences of Bilbao, to be titled The Use and Abuse of prescription psychoactive drugs. Towards a rational use will take place on Wednesday 28 January at 19.00 in the hall of the Medical Association of Bizkaia (Lersundi, 9 to 5 degrees).

The rapporteur will delve into the idea that the current use of medications in mental health does not always have a rational basis and in the various aspects that determine the use of psychoactive drugs. This will begin by reviewing the various interpretations of the concept of rationality applied to the field of health and social changes that influence current medical practice, with particular reference to the extension of the concept of health. Then, before entering fully into the factors influencing the current spread of psychoactive drugs, the expert will analyze the impacts of low awareness of the causes and pathogenesis of mental illness.

Causes of the spread of psychoactive drugs
The huge spread and success of psychoactive drugs in the last decade has various causes among which are: technical progress and the excessive reliance on technology, the relative effectiveness of other intervention methods (such as psychotherapy), dissemination of assessment models of interventions (clinical trials), social changes, changes in psychiatric nosology and the influence of the pharmaceutical industry, says Dr. Uriarte. To all this must be added that the extension of the idea that symptoms of mental illness depend on brain function regulated by chemical substances, and can be modified in a controlled and socially acceptable has contributed to the incredible diffusion of drugs like Prozac, as part of the culture of XX and XXI century.

A simplistic concept of mental illness and human behavior has also helped reduce the stigma attached to treatment with psychotropic drugs, especially antidepressants, which have gone in a few years of being rejected or consumed in secret, to be sued directly by patients, says expert psychiatrist. The extension of the mental health field has certainly been exploited by the pharmaceutical industry, which has stretched to the utmost traditional diseases like depression, and has contributed to an explosion and expansion of mental health problems likely treatment, including adjoining normal situations, such as shyness or hyperactive behavior in children, he adds.

Treatments questioned
However in recent years has challenged the efficacy and safety of many drugs. Moreover, the lack of progress in the knowledge of the causes of mental illnesses just to temper enthusiasm and unrealistic statements indicate JJ Uriarte. Note that psychotropic drugs have traditionally had a competitor in the market for human psychiatric disorders and discomforts. It is psychological and psychotherapeutic treatments that have even greater initial sympathy, suffer from the same or even larger gaps that the speaker says psychoactive drugs. It is necessary to move towards a greater understanding of the factors that are associated with greater efficacy and safety of our interventions, efficacy and safety, which often is achieved with a comprehensive approach that cleverly combines the best of each type of approach, psychopharmacological and psychotherapeutic .

It should also be noted that the marketing of new drugs is based on controlled clinical trials. But the information they provide is often difficult to extrapolate to routine clinical practice, so research is needed to reflect more reliably what happens in real life and help us making decisions. Recent studies such as CATIE, have had a major impact in the psychiatric community and have led to deeply held beliefs are shaken.

The Foundation awards the trajectory Balmis Doctor vacunólogo prestigious José Antonio Navarro.

First edition of the awards dedicated to Vaccinology, Epidemiology and Preventive Medicine

Doctor Balmis Foundation, created under the auspices of the Rotary Club Alicante, sponsored by Esteve, created the prizes that bear his name to distinguish the most important personalities in the field of Vaccinology, Epidemiology and Preventive Medicine Spanish. In this first edition, which has an annual continuity, has recognized the professional work of Dr. Jose Antonio Navarro Alonso, currently Chief of Vaccinology, Health Promotion and Protection of the Regional Government of Murcia.

Member of the Spanish Association of Vaccinology, Navarro Alonso also part of the Vaccine Safety Project of the World Health Organization and the European Advisory Group on Vaccines and Immunizations, among many other agencies. Collected the award yesterday Friday, January 23 in Alicante, from the hands of Health Minister, Bernat Soria, and in the presence of leading authorities from the health and social, that in this way support the philosophy of service delivery and community Award promotes.

It is noteworthy that Dr. Balmis Foundation aims to disseminate the values they embody the figure of this great figure of the eighteenth century, which enjoys great recognition in the Latin American countries and in the Philippines but is widely unknown in Spain and their homeland, Alicante.

Francisco Javier Balmis dedicated his life to medicine and pioneered the study of the applications of the vaccine, especially smallpox, considered a pest that has caused more deaths in the human species. He starred in one of the most impressive feats of Medicine, by spreading the vaccine in a philanthropic expedition that sailed around the world. It was inspired by Rotary International in the achievement of Dr. Balmis to develop the Polio Plus campaign, through which virtually eradicated polio in the world, through the vaccination of hundreds of thousands of children.

The Award ceremony was held yesterday, January 23 at 21.30 at Hotel Sidi San Juan (Alicante), usual venue of the Rotary Club of Alicante, currently chaired by Dr. Jorge Alió, who also chairs the Foundation Doctor Balmis.


Bet on vaccines Esteve
Esteve, sponsor of the Doctor Balmis Foundation Award, is a chemical-pharmaceutical group leader in Spain and with a strong international presence. Currently the Group provides a comprehensive solution within the health sector with a variety of segments in which it is active. The presence in the field of vaccines Esteve has materialized on the one hand, through the market (since 2000) of a broad portfolio of vaccines within the fields of influenza and meningitis, and more recently through incorporation into a project with the Catalan Center for Research and AIDS Vaccine Development (HIVACAT), a public-private initiative that has focused on developing a vaccine for HIV.

Esteve has expanded its scope of action towards preventive medicine, in particular vaccines. More and more diseases preventable through vaccines, and Balmis Awards initiative responds to the social commitment of Esteve.

Friday, March 27, 2009

7. Evaluation of Health Services:

In 1973 an American physician who reviewed China, the impression of şöye explains: "Less developed countries immediately noticeable, happy life with the poverty of minorities in the luxury and guarantee people's lives in China, the difference between no. The houses are simple, but the Chinese could sit niteliktedir housing. All have water and electricity. Large and small cities and villages everyone was dressed in the appropriate manner. At first glance, for no one outstanding issue that is not a hunger problem. Author self-question with an attitude is questionable, "But I've seen this only in places like that did you?". China wants to go anywhere author, other authors' observations and open-hearted response to the Chinese to have the following results are based on: "Every place I've seen in my life may not be. However, the real situation is usually the way I see and the former was compared with the much improved. Today, life in China, compared to western countries, the standard is very simple. But people's standard of living, average income per capita of 120 dollars (1,300 USD) compared to the other less developed countries is very high level. "

In China since the liberation of health to determine how the objective is increased, indicating the status of all of China is not about death and birth rates. China Ministry of Health does not collect statistical data for all China, or at least yayınlamamaktadır. However, travel to foreign researchers in the cities and villages to find demographic data for that location. This data, especially in cities in China, death, birth, infant mortality and the mortality is low to be compared to less developed countries, even developed countries can be compared with measurements. For example, in 1971 the birth rate in urban Shanghai in the bin 12, the death rate of 5.2 per mil, infant mortality rate is 8.7 per mil. The other objective criteria to improve the health level of infectious diseases has been wholly under control.

Mother and child health services and health services in the achievement is a metric to reflect the success. Publications in this area can be summarized as follows: Home health as negatively affecting a problem for China is not excessive fertility. 32-33 years old 23 years old and younger who multiparlar young primiparlar is very sparse. Nutrition for pregnant women, mother and fetus in terms of health is adequate. All pregnant women, antenatal care and education are. Her birth, education, carried out by midwives or doctors are peasants. Between 4 and 9 percent of Premature rate varies. Periodic examinations of children of peasant workers by physicians and health is red. BCG at birth to children, two months and three months when I was polio type II and III polio vaccine is made. Diphtheria-tetanus-pertussis vaccine begins third month. Flowers vaccine seventh, eighth month of the measles vaccine is applied. Meningitis and encephalitis B vaccine immunization in Kindergarten also maintained. Full implementation of the immunization program, even the most remote rural areas do not fall below 80 percent. Treatment of acute diseases of children even in the most remote rural areas are made by physicians without delay villagers. Estimated infant mortality rate in China in a thousand 17-20.

Development of school children, compared with the United States an author of children's development, "pre-school children of average height and weight compared to children in the United States is low in the normal limits", especially. Evaluation of health services, health management in China, the World Health Organization experts have reviewed the end result will be in place. This expert report on "China's life a generation open it in time, worn by disease, ignorant, semi-feudal and humane life, just happy to belong to a minority as a country to be free, dynamic, healthy, producers, and community informed all her work to people's participation has become a country "he is.

China's health program can be applied in other less developed countries, did you? Question of the World Health Organization General Assembly in 1973, the Chinese delegation participating in the meeting that the response is: "Our program, is a program that meets our requirements and opportunities. Our program, not other countries, just as we do our own conditions and development opportunities appropriate program can succeed. "

This rule, details of a health program in the right direction, but the principle is not true. Principles of health management in China, health and community development professionals and managers of the less developed countries in the last ten years, the principles are recommended. So what success in the implementation of China managers have demonstrated these principles? must search for an answer to the question. Chinese health authorities have information about a Canadian expert in the broad success of reasons to gather in two groups. The first point, the population of China is top quality. Chinese people are very disciplined. To accomplish the job to them to spend every effort and often members of their social group, other members will serve without expecting any money. This continued for ages in China is a part of culture. Second point, Chinese managers of health services to all socio-economic revolution to address as part of this revolution to be in power really want and are able to do so.

As a result, other less developed countries, China miracle, but this coming together of the two conditions may occur at the rate of blood should be noted.

5. Health Organization:

The basic unit in health organizations, and commune in rural areas are neighborhoods in cities. (Table: 2 and 3)

Table: 2-China People's Republic Health Organization in the Rural Area



Organization of Layer


Population covered


Health Institutions and Personnel

State or province (all 27 in China)


1-50 Million


n Provincial Hospitals

the Public Health Office

n Sub-Branch Professionals

n the Western and Chinese Medicine Doctor of Public

County (all in China, 2000)


Up to 1 Million




n District hospitals

n Specialist doctors

n the Western and Chinese Medicine Doctor of Public

Commune (in Greater China 27,000)


Up to 60 thousand


Hospital and Health Center or the commune

n the Western and Chinese Medicine Doctor of Public

the nurses, midwives

Production Team (All communard 5-20)


500-3.000


n Health station

n villagers Doctor

n Health Assistant

Production team (Each team in 10-30)


50-300


n villagers Doctor

n Health Assistant

Commune, a social unit in rural areas is self-sufficient. Communard agriculture, industry, trade, land-water protection, education, health, social and economic functions of all kinds, such as the organization is run. As collective property commune members, the government is not. The manufactured goods are the property komünün. Commune, identify and sell goods over the price earnings, at a rate of contribution is distributed among the members. Products outside of the income distribution than is collected in two fonda. These are investment funds and social prosperity. Culture, education, health assistance, job benefits, such as senile and can not see spending, social prosperity of the fund are met.

Table: 3 - in the city in the People's Republic of China Health Management



Organization of Layer


Population covered


Health institutions and personnel

Municipality


Up to 11 Million


the Special Branch and Education Hospital

the Public Health Office

n Sub-Branch Professionals

Region


Up to 900 thousand


n Area Hospitals

with the epidemic of War Central

n Specialist Doctors

Neighborhood


40.000-70.000


Neighborhood Health Center or the hospital

n the Western and Chinese Medicine Doctor of Public

n Assist Doctors

the nurses, midwives

Neighborhood Association


1.000-8.000


n Health Station

Health Workers in the Red

certain hours of the incoming physician

Public Groups


50-100




Communard population is very different. Population of 60,000 is up to the communard. Advanced communard a hospital, a health center is located in less developed communard. These hospitals and health centers in western medicine doctors studied medical and public works. These hospitals, laboratories and x-ray parts to maintain the level of a patient is satisfactory. Each production team and production team communard 5-20 in the production team is 10-30. A production team is usually mapped to a village and includes a population of 50-300. Assist physicians and health workers in these units to the villagers. Services, the station if necessary, and villagers are being carried out at home.

As for the city, district hospitals or health centers in each district are available. The other factory workers in the stations and duties of doctors sub-organization of the district, which covers a population of 1000-8000 in the neighboring units at particular times of day red health workers and health stations are the work of physicians. Health education and public services such as environmental health aspects of conducted in the district covering a population of 50-100 people, the bottom unit of the group. Each group responsible for their health will choose a medical assistant. This will help you organize the business in society.

At higher levels in rural areas, district hospitals and provincial hospitals communard vardır. These are much more advanced and specialized doctors working in sub-branch of the hospital. Cities and regions in the neighborhood over the region after the council has. Hospitals and public health at all levels are flat. Rural areas and upper levels of each hospital in the city will work with lower levels and that levels are responsible for in-service training of employees.

One of the characteristics of Chinese rule, a single organization for a service to society is not found. A service conducted by many organizations will cooperate. For example, health services and health organizations as well as women's federation to be conducted, workers unions, party organizations such as the organizations are also mission. The main task of the Party organizations of various organizations to coordinate services and to bring out misbehaviors. China is an important element of management "service leaders" (Cadre Personnel) dir. China manager, service team leaders to be trained to give great importance. These people are carefully selected and well trained technicians. These technical issues or how to do what can be done very well knows, are very resourceful and dynamic individuals.

Health services to develop the Soviet Union is the example of the health organizations were taken in 1949-1965 typically urban and industrial workers, especially on health services development, outbreaks of the disease to war, in every county west of the hospital-type samples by opening the services to spread to the environment, rural region, with mobile teams to bring services that are . Number of beds in hospitals 90,000 from 700,000 'e was increased.

In this period, the control of health problems for a short time with trained personnel was carried out campaigns of the population participated. One of them, and most importantly, is the campaign to improve environmental health conditions. Other captivity of opium, venereal diseases, prostitution and war campaigns şistozomyazis. China to review written by a Western doctor, the Chinese people won the great success of this campaign. All life allows women to earn their living by working is provided. Result of this campaign to end prostitution in China is over. Venereal (genital) diseases are the root of the starving. New born baby does not stay in Bel frostiness silver nitrate drops in the eyes of the applications have been abandoned.

As environmental health campaigns, the remaining three weeks in China during that time an author sees horn 3 and the other 4 clubs you see in 6 weeks, a third did not see no horn to me. And also a huge narcotics war Şistozomyazis was successful. Narcotics use, and one root Şistozomların kalmamıştır shaven.

In this period, significant achievements gained in the field of health at the beginning of 1960s but has been criticized as a serious health organizations. Criticism is collected in the following points:

a-The priority given to the city but the village could not be taken until the service.

Preventive medicine will be given to the importance of b-to said that in this area and to make some successful applications, the treatment in the field of medical research, training and implementation are given more importance. The merger of Western and Chinese folk medicine and folk medicine the important need to achieve is not important.

c-other countries, the application of the techniques can be adapted to Chinese conditions apply.

d-in management education and persuasion rather than to collective leadership and command must be applied to the way in the classical hierarchical order was established and the road has been doing business with the order.

e-drive instead of the standard to all services that are to be increased.

f-executives serve to establish a close relationship with the person. Opinion studies are considered more valuable body of work.

1965 Chairman Mao, the first movement as a cultural revolution in the health ministry was severely criticized in a way. Give importance to service in rural areas, the training is unnecessarily long, theoretical weight is given to education, preventive medicine, and research on diseases common to the Chairman Mao's criticism is not important. Ministry of Health was distributed during this period, as mentioned above also closed faculties, research published in journals has not been published. During this period, 20,000 doctors working in the city a few years or permanently to work in rural areas is the way. 1600 Number of mobile teams working in rural areas to be removed, one million peasants doctors, three million have been trained medical assistant. Both rural and urban areas in the medical care system, improved coordination and organization of this article described the health organizations have been established.

Finance 6.Sağlık Services:

Necessary for the health spending money in China come from three sources. One of them is to pay the public directly. 2 slots for all of health care (12 lira) gives. Also pays for each service a little. This payment will not prevent use of services is less. The second source, commune and factory are social security funds. This chocolate is usually a hospital for the hospital expenses. The third source, the government's budget is separate from the appropriations for health services. These payments, when required, or special programs to support local organizations, for example, family planning program, to be financed.

Health services costs and the high growth for each country and especially the chops for less developed countries, is a big problem. About the cost of health services in China to specify a number is not possible. However, according to Chinese health management in China the impression of viewing health care spending compared to other countries, and especially as a less than the government is not installed. The reason for this can be collected at three points:

Serving as a focus for services to medical workers and peasants will not make a special payment. They will receive their share of production, such as other friends. A peasant in the medical benefit of the 300 slots (1,800 lira) is. The fees paid to other health personnel to other countries is very low.

b-home and outpatient services and preventive medicine in the treatment is actually given priority.

c-acupuncture and herbs, made from extensive use of folk medicine, the pharmaceutical industry because drug spending is for profit also be running is very low compared to other countries.