While practicing, researching and teaching clinical medicine and public health, I aimed at
The articles in this section are mostly early papers exposing our standards in action-research and services evaluation together with criteria for non-commercial health care delivery, management and policy.
Health policies should secure the Human Right to Care and as such, the access of everybody to the full scope of health services - from GPs and first line teams to University Teaching Hospitals. Besides, policies should make sure that professionals abide by a code of ethics:
Unger, JP., Morales, I., De Paepe, P. et al. Neo-Hippocratic healthcare policies: professional or industrial healthcare delivery? A choice for doctors, patients, and their organisations. BMC Health Serv Res 20, 1067 (2020). https://doi.org/10.1186/s12913-020-05890-3
Importantly, health policies should integrate clinical care and disease control programmes whenever these public health programmes strengthen the former:
Unger J.-P., De Paepe P., Ghilbert P., Soors W., Green A. 1. Disintegrated care: the Achilles heel of international health policies. In low and middle income countries. International Journal of Integrated Care2006; 6. ISSN 1568 – 4156
Unger J.-P., De Paepe J.-P., Ghilbert P., Soors W., Green A. 2. Integrated care:a fresh perspective for international health policies inlow and middle-income countries. International Journal of Integrated Care2006; 6. ISSN 1568 - 4156
Because access to professionally delivered health care is a Human Right, health services organization and planning should pursue the population coverage with a national, universal health system spanning from the GP health team to the university teaching hospital, and from psychosocial services to specialized clinics.
Unger J.-P., Criel B. Principles of health infrastructure planning in less developed countries. Int J Health Plan Manag1995; 10: 113-128
HEALTH SERVIC'ES ORGANIZATION AND MANAGEMENT
Health management should be democratic, favor teamwork, professional autonomy and bottom up flows of knowledge and decisions in health services.
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.
Disease control organization Health systems should control diseases but in general, public health programmes shouldn’t be permitted to strain care quality of and access to clinical care in those health services where they are integrated.
Unger J.-P., De Paepe P., Green A. A code of best practice for disease control programmes to avoid damaging health care services in developing countriesInt J Health Planning and Management2003; 18: S27-S39.
PUBLIC HEALTH CARE SERVICES
To deserve public financing, health care services should meet defined health care and organisation quality criteria.
Unger J.-P., Marchal B., Green A. Quality standards for health care delivery and management in publicly-oriented health services. Int J Health Planning and Management 2003; 18: S79-S88.
The physician ethical commitment should encompass combined clinical and public health principles.
Unger, JP., Morales, I., De Paepe, P. et al. In defence of a single body of clinical and public health, medical ethics. BMC Health Serv Res 20, 1070 (2020). https://doi.org/10.1186/s12913-020-05887-y;
Unger, JP., Morales, I., De Paepe, P. et al. A plea to merge clinical and public health practices: reasons and consequences. BMC Health Serv Res 20, 1068 (2020). https://doi.org/10.1186/s12913-020-05885-0
CONCEPTUAL ANTINOMIES PRESENT IN MY RESEARCH
the doctor’s professional autonomy and primacy of professional ethics
the health technician’s managerial subjugation
ethical medical practice
commercial practice of medicine
the Hippocratic Oath
the methodological individualism of neoclassical economics
medical professionalism (encompassing, amongst other, a scientific approach to health problems)
policies aimed at realizing the universal right to health care
policies subject to the political economy of care
the science of health management with a social and professional mission
the science of health management for commercial and thus industrial purposes