WorldCat Identities

Bloom, Gerald

Works: 38 works in 89 publications in 1 language and 681 library holdings
Roles: Author
Classifications: RA395.C53, 362.104250951
Publication Timeline
Most widely held works by Gerald Bloom
Health care transition in urban China( Book )

4 editions published in 2004 in English and held by 131 WorldCat member libraries worldwide

Transforming health markets in Asia and Africa : improving quality and access for the poor by Gerald Bloom( Book )

8 editions published between 2012 and 2013 in English and held by 83 WorldCat member libraries worldwide

"Markets for health-related goods and services have spread rapidly in many low and middle-income countries. This has substantially increased the availability of health-related goods and services, but it has created problems with safety, efficacy and cost. Making Health Markets Work addresses the challenge of improving health markets so that they better meet the needs of the poor. This book gathers together for the first time information about these little understood yet pervasive systems and offers evidence-based recommendations for policy-makers and private and public sector health managers. It presents a new way of understanding highly marketized health systems, applies this understanding to an analysis of health markets in countries across Asia and Africa and identifies some of the major new developments for making these markets perform better in meeting the needs of the poor"--Provided by publisher
Poverty reduction during democratic transition : the Malawi Social Action Fund 1996-2001 by Gerald Bloom( Book )

7 editions published between 2004 and 2005 in English and held by 49 WorldCat member libraries worldwide

Primary health care meets the market : lessons from China and Vietnam by Gerald Bloom( Book )

5 editions published in 1997 in English and held by 46 WorldCat member libraries worldwide

Many low and middle income countries are considering radical health sector reforms. Their policy-makers are asking fundamental questions about how services should be financed, the relationship between service providers and government, and the role of the state in ensuring that health services are cost-effective and equitable. This Paper outlines some lessons they can learn from China and Vietnam. Both countries developed low cost rural health services during the period between the early 1950s and the mid-1970s. Their example strongly influenced international health policy. However, other countries did not give adequate consideration to how to adapt structures developed in egalitarian command economies for market economies with substantial socio-economic inequalities. China and Vietnam have been liberalising their economies for several years. This has affected their health services in a number of ways. Those who can afford them have a wider choice of health services, but costs have risen and there are greater differences in access to medical care. The Chinese and Vietnamese governments are seeking strategies to make their health services more cost-effective and equitable. Policy-makers and researchers in low and middle income countries can learn useful lessons from their efforts to adapt their services during the transition to a market economy
Financing health services in poor rural areas : adapting to economic and institutional reform in China( Book )

2 editions published in 1995 in Undetermined and English and held by 44 WorldCat member libraries worldwide

Equity in health in unequal societies : towards health equity during rapid social change by Gerald Bloom( Book )

5 editions published in 2000 in English and held by 37 WorldCat member libraries worldwide

Health and poverty in sub-Saharan Africa by Gerald Bloom( Book )

7 editions published in 2000 in English and held by 37 WorldCat member libraries worldwide

This is a review of the current thinking on issues of health and poverty in Africa. Its purpose is to provide the basis for a programme of work to support and design the implementation of pro-poor health strategies in Africa. The paper documents the general improvements in health status since the 1960s with a few countries being exceptions. Whilst HIV/AIDS and the resurgence of malaria and TB can partly explain the exceptions, there is also a link between a lack of basic health, water and sanitation infrastructure and poor health performance. Zambia is used as a case study. Finally, the paper reviews recent methods for incorporating the results of cost-effectiveness studies into planning public health expenditure and argues that options for using public funds need to be assessed in terms of the extent to which they enable poor people to address their health needs and cope with health shocks
The reasons for the rise in childhood mortality during the 1980s in Zambia by Chris Simms( Book )

5 editions published in 1998 in English and held by 33 WorldCat member libraries worldwide

Between 1980 and 1991 the proportion of Zambian children dying before reaching five years of age rose from 15 to 19 percent. This paper explores why this happened. There are no data on trends in morbidity. However, there is information about the number of visits to health facilities each year by children with common illnesses. They increased for malaria but fell for diarrhoea and acute respiratory infection. This does not suggest a dramatic increase in the incidence of these illnesses. There also was no evidence of an increase in malnutrition. The HIV epidemic began to affect health by the end of the decade, but it does not fully explain the large increase in childhood mortality. Government health expenditure fell substantially, in real terms, during the 1980s. There was a particularly sharp fall in non-personnel expenditure on rural health services. This appears to have had a negative impact on the effectiveness of primary health care. Zambian mothers were as likely as mothers elsewhere in Sub-Saharan Africa to consult a health worker when their child fell ill, but their child was less likely to receive specific drug therapy. One sign that health services had deteriorated was that case fatality rates rose in health facilities. Childhood mortality varies considerably between Zambian districts. This variation cannot be explained by differences in levels of poverty or malnutrition. However, there is a negative relationship between the proportion of medically supported births and childhood mortality. This suggests that certain health services can reduce the proportion of children who die. Many deaths could have been prevented during the 1980s if all district health services had performed as well as the best. More work is needed to identify the factors which enabled some districts to provide better health services than others. Unless strong measures are taken to reverse the trend, childhood mortality could continue to rise
Pluralism and marketisation in the health sector : meeting health needs in contexts of social change in low and middle-income countries by Gerald Bloom( Book )

6 editions published between 2000 and 2001 in English and held by 33 WorldCat member libraries worldwide

This paper is part of a broader attempt to identify the key producers of social goods and how social policy interventions can support them. In this paper, we focus on the health sector in order to: ? Examine the changing roles of health care providers and the management of health expertise in the context of pluralism and increasing marketisation of health goods and services ? Explore how pluralism of provisioning and increasing markets for health goods have affected the ways households meet their health needs ? Stimulate a reassessment of what governments should or could do to enable delivery of competent health care under conditions of pluralism and marketisation. We argue that over the last few decades there have been profound changes in the ways health goods are being produced and consumed in low income and transitional countries. We outline the main categories of change in the health sector in terms of socio-economic changes, changes in health provision, knowledge and technologies, and political changes. We examine the changing roles and functions of providers, asking what services health workers provide, what is the structure of rewards and incentives for health providers and how current arrangements affect transactions costs and quality of services. We go on to consider how households, particularly poor ones, manage health provisioning in a pluralistic environment where health goods and services have become increasingly marketised. We ask how the balance between different sorts of provision has changed and whether there has been an expansion of the productive and reproductive functions of households. We then explore the roles of governments and other institutions in contexts of pluralism and marketisation. We look at the implications for financing of health services, the management of expert knowledge, and the skill needs of practitioners. We focus particularly on shifts in the location of specialised knowledge, such as the growing role of shops, pharmacies and sellers of medical techniques, and on strategies for disseminating health-related knowledge. We note the possible role of IT and expert systems for transforming chaotic markets in health care and health knowledge
Designing a rural health reform project : the negotiation of change in China by Yunguo Liu( Book )

5 editions published in 2002 in English and held by 28 WorldCat member libraries worldwide

This paper describes the design of a World Bank funded rural health rehabilitation and reform project. The project was designed between 1995 and 1998. During the same period, there was an intense debate about health policy that culminated in the organisation of a national conference and the announcement of a new government policy in early 1997. The paper traces how different components of the project were agreed between Ministries and between the national and provincial levels. It suggests that the final design of the project reflects the state of policy discussions at the time the loan agreement was signed. It foresees continuing changes as the problems of implementation become clear and the perspectives of actors at county and township levels become increasingly important
China's rural health system in a changing institutional context by Gerald Bloom( Book )

4 editions published in 2003 in English and held by 27 WorldCat member libraries worldwide

China's rural health services are experiencing problems associated with the transition to a market economy. The cost of care has risen rapidly and arrangements for local health insurance have collapsed. Government health budgets have lagged behind the rise in costs. Major illness has become an important precursor of household poverty. Policy-makers acknowledge that something has to be done to improve access to effective services at an affordable cost. Government policy statements have articulated a vision of a future health system. Few disagree with this vision but people do disagree about how to attain it. Chinese health policy analysts have begun to ask fundamental questions about the role of government, forms of facility ownership and alternative health financing mechanisms. This paper argues that the health sector's problems are best understood in the context of China's attempt to create institutional arrangements appropriate to a market economy. It suggests that the performance of rural health services will be strongly influenced by the degree to which rules-based local administrative and regulatory systems and local accountability mechanisms become established
Health in transition : reforming China's rural health services( Book )

3 editions published between 1996 and 1997 in English and held by 14 WorldCat member libraries worldwide

Beyond scaling up : pathways to universal access to health services by Gerald Bloom( Book )

1 edition published in 2010 in English and held by 6 WorldCat member libraries worldwide

Health in a dynamic world by Gerald Bloom( Book )

1 edition published in 2007 in English and held by 5 WorldCat member libraries worldwide

Medical equipment in Botswana : a framework for management development by Caroline Temple-Bird( Book )

1 edition published in 1995 in English and held by 3 WorldCat member libraries worldwide

Mobilising social science research to improve health( Book )

1 edition published in 2005 in English and held by 2 WorldCat member libraries worldwide

The right equipment ... : in working order by Gerald Bloom( Book )

1 edition published in 1989 in English and held by 2 WorldCat member libraries worldwide

Poverty reduction during democratic transition : the Malawi Social Action Fund, 1996-2001 : an independent review( Book )

1 edition published in 2003 in English and held by 2 WorldCat member libraries worldwide

Private provision in its institutional context : lessons from health by Gerald Bloom( Book )

1 edition published in 2004 in English and held by 1 WorldCat member library worldwide

Evaluation of the EU structural adjustment support programme in Zambia( Book )

1 edition published in 1996 in English and held by 1 WorldCat member library worldwide

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Audience level: 0.74 (from 0.64 for Transformi ... to 0.96 for Evaluation ...)

Health care transition in urban China
Alternative Names
Bloom, Gerry

English (69)