This paper examines the impact of modernisation of the health system on foreign trade in health services in Chile during the period 1983-1999. It establishes linkages between specific aspects of reform and modernisation of the health sector and imports and exports of specific services produced or required by the health system. A description is given of the modernisation and reform process which has the potential to promote foreign trade in the area of health and a number of theories are outlined in this respect. It examines the effective influence of modernisation and health reform linkages on the export and import of health services. The conclusions are that modernisation and health reform in Chile have contributed to an internationalisation of health, and that the development of trade in health-related services and goods is an important and growing part of this process.

In order for the ideal of international trade to become reality, customs procedures dating back centuries must be eliminated and replaced with modernized practices designed to foster cooperation and efficiency in world trade. The International Customs Modernization Process (ICMP), detailed in this remarkable book, will do just that. With the aid of modern technology and business practices, nations and industries will benefit through improved enforcement of customs, more streamlined trade of goods, and overall growth of economies. The ICMP is an 11 step process that begins by improving the fundamentals. It then outlines three enabling processes and concludes with implementation and integration of the process and a vision of the promised future.

Health ministries around the world face a new challenge: to assess the risks and respond to the opportunities of the increasing openness in health services under the World Trade Organization's (WTO) General Agreement on Trade in Services (GATS). 'International Trade in Health Services and the GATS' addresses this challenge head-on by providing analytical tools to policymakers in health and trade ministries alike who are involved in the liberalization agenda and, specifically, in the GATS negotiations. This book informs and assists policymakers in formulating trade policy and negotiating internationally. There is ongoing and animated international debate about the impact of GATS on public services in general and health in particular. In response, the book offers different perspectives from more than 15 leading experts. Some of the authors stress opportunities linked to trade in health services, others focus more on the risks. The book offers: Detailed legal analysis of the impact of the agreement on health policy An overview of trade commitments in health-related services New empirical evidence from nine country studies A simple 10-step explanation on how to deal with GATS negotiations. 'International Trade in Health Services and the GATS' is a must-have resource for policymakers and other practitioners working in the trade and health sectors.

Contains selected papers presented at the inter-regional meeting on health and trade issues, held in Washington DC in November 1999. The principal objective of the meeting was to identify and explore options for co-operation between the health service and trade sectors, in order to effectively develop health protection and promotion strategies.

This title provides a comprehensive introduction to the key issues in trade and liberalization of services. Providing a useful overview of the players involved, the barriers to trade, and case studies in a number of service industries, this is ideal for policymakers and students interested in trade.

Trade integration contributes substantially to economic development and poverty alleviation. In recent years much progress was made to liberalize the trade regime, but customs procedures are often still complex, costly and non-transparent. This situation leads to misallocation of resources. 'Customs Modernization Handbook' provides an overview of the key elements of a successful customs modernization strategy and draws lessons from a number of successful customs reforms as well as from customs reform projects that have been undertaken by the World Bank. It describes a number of key import procedures, that have proved particularly troublesome for customs administrations and traders, and provides practical guidelines to enhance their efficiency. The Handbook also reviews the appropriate legal framework for customs operations as well as strategies to combat corruption.

What are public health services? Countries across Europe understand what they are or what they should include differently. This study describes the experiences of nine countries detailing the ways they have opted to organize and finance public health services and train and employ their public health workforce. It covers England France Germany Italy the Netherlands Slovenia Sweden Poland and the Republic of Moldova and aims to give insights into current practice that will support decision-makers in their efforts to strengthen public health capacities and services. Each country chapter captures the historical background of public health services and the context in which they operate; sets out the main organizational structures; assesses the sources of public health financing and how it is allocated; explains the training and employment of the public health workforce; and analyses existing frameworks for quality and performance assessment. The study reveals a wide range of experience and variation across Europe and clearly illustrates two fundamentally different approaches to public health services: integration with curative health services (as in Slovenia or Sweden) or organization and provision through a separate parallel structure (Republic of Moldova). The case studies explore the context that explain this divergence and its implications. This study is the result of close collaboration between the European Observatory on Health Systems and Policies and the WHO Regional Office for Europe Division of Health Systems and Public Health. It accompanies two other Observatory publications Organization and financing of public health services in Europe and The role of public health organizations in addressing public health problems in Europe: the case of obesity alcohol and antimicrobial resistance (both forthcoming).