Health services management and research
Professional knowledge aims at improving practice. It reduces uncertainty in decision-making, improves effectiveness in action and relevance in evaluation, stimulates reflexivity, and subjects practice to ethical standards.
We used experiential learning and action research to test strategies to improve access to care and quality of care, and to strengthen the professionalism of physicians and caregivers. These strategies were intended to
Unger JP, Vargas I & Vázquez ML. Non managed care techniques to improve clinical decision making. In: Unger JP, De Paepe P, Sen K, Soors W, editors. International health and aid policies; the need for alternatives. Cambridge: Cambridge University Press; 2010.
Unger JP, Mbaye AM & Diao M. Finances and Drugs at the Core of District Health Service Rehabilitation. A Case-Study in Senegal: the Kolda District. Health Pol Plan. 1990; 5,4:367-377
De Paepe, P., Rojas, E., Abad, L., Van Dessel, P., & Unger, J. (2010). Improving access. In J. Unger, P. De Paepe, K. Sen, & W. Soors (Authors), International Health and Aid Policies: The Need for Alternatives (pp. 210-224). Cambridge: Cambridge University Press. doi:10.1017/CBO9780511902512.028
Public Health Research and Training Unit of the ITM. The Training of District Medical Officers in the Organization of Health Services: a Methodology Tested in Senegal. Health Policy and Planning 1989; 4(2): 148-156.
Unger JP. PhD thesis: "Role of health districts and methodology of their development in Africa” 1991, Free University of Brussels, Faculty of Medicine (in French)
Unger J.-P., Marchal B., Dugas S., Wuidar M. J., Burdet D., Leemans P. & Unger J. Interface flow process audit: using the patient's career as a tracer of quality of care and of system organisation. Int J Integr Care. 2004;4:1568-4156.
Unger JP, Van Dormael M, Criel B, Van der Vennet J, & De Munck P. A plea for an initiative to strengthen family medicine in public healthcare services of developing countries. Int J Health Serv. 2002;32,4:799-815.
Unger, J., De Paepe, P., Sen, K., & Soors, W. (2010). Reorienting academic missions: How can public health departments and public health teaching in particular best support access to good quality comprehensive health care? In International Health and Aid Policies: The Need for Alternatives (pp. 240-246). Cambridge: Cambridge University Press. doi:10.1017/CBO9780511902512.030
Unger JP & Yada A. Should Medication be Distributed in Africa by Health Services and/or pharmacies? A Preliminary Evaluation of the Boulgou project in Burkina Faso. Health Pol Plan 1993;8,3:240-246.
Unger JP & Dujardin B. Epidemiology's contribution to health service management and planning in developing countries. Bulletin of WHO. 1992; 70,4:487-497
Unger JP, d'Alessandro U, De Paepe P, & Green A. Can malaria be controlled where basic health services are not used? Tropical Med Int Health. 2006; 11,3: 314-322.
Quinet A et al. Family Therapy in Developing Countries Primary Care. J Fam Med Dis Prev 2015;1:006
Unger JP, Shelmerdine S, van der Veer C, & Roland M (2016) How can GPs Best Handle Social Determinants in Practice? Application in the Brussels Environment. J Fam Med Dis Prev. 2016 ;2:025 ;2, 1
Vázquez ML, Vargas I, Unger JP, et al. Evaluating the effectiveness of care integration strategies in different healthcare systems in Latin America: the EQUITY-LA II quasi experimental study protocol. BMJ Open. 2015;5:e007037. doi:10.1136/bmjopen-2014- 007037
Unger JP. Physicians' Burnout (and That of Psychologists, Nurses, Magistrates, Researchers, and Professors) For a Control Program. Int J Health Serv. 2020;50(1):73-81. doi:10.1177/0020731419883525
J.-P. Unger. How could disease specific programs strengthen health systems delivering comprehensive health care? Strategic and technical guidelines. European Commission, DG DEV, 30 Sept 2008, Brussels
Unger J.-P. Les responsabilités systémiques des hôpitaux à finalité publique. Hospitals.be 2005, 1: 27-34.
Unger J.-P. Les systèmes locaux de santé. Santé Conjuguée Oct 2004, 30: 29-32.
Unger J. P., Van Dormael M., Criel B., Van der Vennet J., De Munck P. A plea for an initiative to strengthen family medicine in public health care services of developing countries. Int J Health Serv. 2002; 32(4): 799-815
Unger J.-P., Macq J., Bredo F., Boelaert M.Through Mintzberg's glasses: a fresh look at the organization of ministries of health. Bull WHO2000; 78(8): 1005-1014.
Unger, J. P., Macq, J., Bredo, F. & Boelaert, M. (2000). Through Mintzberg's glasses: a fresh look at the organization of ministries of health.. Bulletin of the World Health Organization, 78 (8), 1005 - 1014. World Health Organization.
We concluded this series of studies on the desirable, heuristic particularities of research in professional, medical practice - what distinguishes this research from scientific research.
Unger, JP., Morales, I. & De Paepe, P. Medical heuristics and action-research: professionalism versus science. BMC Health Serv Res 20, 1071 (2020). https://doi.org/10.1186/s12913-020-05888-x