A system for monitoring and analyzing the effectiveness and efficiency of the performance of the Board of the Federal Inspectorate for the Protection of Consumer Rights and Human Welfare in the Novosibirsk Region was introduced into its activities to estimate the provision of the Novosibirsk Region's population with sanitary epidemiological wellbeing in 2007-2009. The introduction of monitoring was ascertained to increase the effectiveness of budgetary fund surveillance and spending, by predicting the effectiveness and choice of priority lines of activities, by increasing the quality of budgetary services rendered in the provision of sanitary and epidemiological well-being to the population.
[Interaction of the bodies and institutions of the Russian Inspectorate for the protection of consumer rights and human welfare on sanitary-and-epidemiological examinations and issuing sanitary-and-epidemiological opinions].
The paper describes problems in the organization of the interaction of the Russian Inspectorate for the Protection of Consumer Rights and Human Welfare in Moscow and the Center for Hygiene and Epidemiology in Moscow to perform sanitary-and-epidemiological examinations and to issue sanitary-and-epidemiological opinions. The goals of setting up a one-window service and measures required for its effective work are defined. Positive results of one-window activities are shown.
Increase in the proportion of older persons in the population of most countries entails a change in the scale and structure of morbidity, which requires higher expenditures on health care and social service. Maintaining health and activity of older people is an important indicator of the effectiveness of public policies in the field of health and social welfare. Under these conditions the development of effective measures to promote prosperous aging is required, which includes primarily legislative, administrative and other measures, as well as development of a strategy and action plan of socio-economic nature, taking into account the needs of older people.
Mental health (as well as somatic health) depends on individual biological, psychological and social factors as well as more general societal factors. If one wishes to promote health, it is necessary to work in many different fields hopefully in a synergistic way. As a psychiatrist and clinician one is inclined to believe that developments in psychiatric science and practice are the most important activities to improve the mental health situation in a population. But, at the same time it is apparent that societal processes of social, political and economic nature also play a decisive role. One of the most important factors in the development of society is lawmaking by which its nature is setting the norms in a society and which is also usually combined with some kind of sanction system to support the norms. Lawmakers also have the possibility to interfere in the process of developing knowledge and practice in different fields, for example through supporting treatment and research of a special kind or even to forbid special kinds of treatment and research in certain areas. Lawmakers are also inclined to believe that if there is a law this will be enough to answer these challenges. I think it is extremely important that lawmaking in the field of mental health is in broad agreement with the development in the scientific and practical field of psychiatry and other mental health disciplines. This is the subject of this paper.
The article deals with the fundamental principles of Danish social and health law: individual rights to basic benefits for all elderly citizens, but also a right to supplementary benefits earned by one's own efforts. The principle of informed consent has been accepted by the medical and legal professions and has, from there, spread to care giving activities within the social services. There are many unsolved ethical and legal problems concerning the care of the frail and vulnerable elderly, especially those who are not capable of giving or refusing consent.