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).

The Collected Writings of Jean-Jacques Rousseau, Volume 11.

"The Government of Poland is the only finished work in which Rousseau himself dons the mantle of legislator, applying the principles of the Social Contract to the real world around him. Poland teaches us much about the mysterious art of the Social Contract's 'legislator, ' how he transforms each individual into part of a larger whole. Only in . . . Poland do we find what this crucial transformation entails and what it presupposes. But probably the greatest lesson to be learned from . . . Poland concerns Rousseau's understanding of the proper relationship between theory and practice. . . . Time and again we see Rousseau advising the Poles to do things which are in gross violation of the strict principles of political right he had elaborated in the Social Contract." --Richard Myers in Canadian Journal of Political Science

By all accounts, the case of Poland and its segue to market economy and democracy is a success story: 30 years of uninterrupted growth and development, infrastructure expansion, and modernization of the economy and society. Epochal changes have unfolded in a timespan of merely three decades. Change has taken place so fast that children born in late 1980s and onwards cannot remember what life in Poland under communism was like and cannot relate to it. Also, many elderly people, easy victims of romanticizing their own youth, tend to forget. As a result, the uniqueness of Polish transition and transformation, the boldness and efficiency of reforms, and the success that Polish society mastered together, tend to be undermined today both domestically and internationally. Poland has now been a member of the EU for more than 15 years. During that time, Poland’s image on the EU scene evolved from newcomer, through ‘model child’, champion of growth, to – in some respects – a maverick. This volume’s objective is to remind society, old and young, researchers, scholars and practitioners, that Poland’s success is an outcome of well-thought out and bold structural reforms implemented in a swift and timely manner, of society’s support for these reforms, and of third actors’ benign assistance. Looking back on the 30 years since the collapse of communism, and at the over 15 years of EU membership, this book offers an interdisciplinary, comprehensive and critical insight into factors and processes that have led to today’s Poland.

As the most populous country in Eastern Europe as well as the birthplace of the largest anticommunist dissident movement, Poland is crucial in understanding the end of the Cold War. During the 1980s, both the United States and the Soviet Union vied for influence over Poland's politically tumultuous steps toward democratic revolution. In this groundbreaking history, Gregory F. Domber examines American policy toward Poland and its promotion of moderate voices within the opposition, while simultaneously addressing the Soviet and European influences on Poland's revolution in 1989. With a cast including Reagan, Gorbachev, and Pope John Paul II, Domber charts American support of anticommunist opposition groups--particularly Solidarity, the underground movement led by future president Lech Wa&322;&281;sa--and highlights the transnational network of Polish emigres and trade unionists that kept the opposition alive. Utilizing archival research and interviews with Polish and American government officials and opposition leaders, Domber argues that the United States empowered a specific segment of the Polish opposition and illustrates how Soviet leaders unwittingly fostered radical, pro-democratic change through their policies. The result is fresh insight into the global impact of the Polish pro-democracy movement.

In the 1980s and 90s, renowned Polish economist Tadeusz Kowalik played a leading role in the Solidarity movement, struggling alongside workers for an alternative to "really-existing socialism" that was cooperative and controlled by the workers themselves. In the ensuing two decades, "really-existing" socialism has collapsed, capitalism has been restored, and Poland is now among the most unequal countries in the world. Kowalik asks, how could this happen in a country that once had the largest and most militant labor movement in Europe? This book takes readers inside the debates within Solidar