caa a22 4500 386356041 CHVBK 20180307111853.0 cr unu---uuuuu 161130e198901 xx s 000 0 eng 10.1017/S0266462300005882 doi S0266462300005882 pii (NATIONALLICENCE)cambridge-10.1017/S0266462300005882 Michaeli Dan Tel Aviv-Elias Sourasky Medical Center Crisis and Challenges in the Health Care System: A Personal Point of View [Elektronische Daten] [Dan Michaeli] Public health care systems in countries all over the world are confronted with increasing difficulties. The problems are mainly economic, but they also reflect difficulties of adaptation to changes both in society as a whole and within the health care services. The atmosphere of a crisis results from internal struggles within the health care system and with other welfare and social services that face economical difficulties, while confronting accelerated demographical, social, technological, and cultural changes. The situation is more acute because of the inability of modern society to provide the public health care system with resources (human and financial) according to the expectations that have developed in the welfare state since the end of World War II. New welfare policy, adjusted to the changes that occur within the society, is needed. In this struggle, the public health services find themselves in the center of the discussion as one of the whole of public social services and in competition with other public welfare systems. Economical and organizational problems are the most acute and attract a great deal of interest, and they are amply discussed in many articles and conferences. I shall not deal with them in this article. Copyright © Cambridge University Press 1989 International Journal of Technology Assessment in Health Care Cambridge University Press 5/1(1989-01), 1-4 0266-4623 5:1<1 1989 5 THC https://doi.org/10.1017/S0266462300005882 text/html Onlinezugriff via DOI 1 editorial jats NATIONALLICENCE 856 40 https://doi.org/10.1017/S0266462300005882 text/html Onlinezugriff via DOI NATIONALLICENCE 100 1- Michaeli Dan Tel Aviv-Elias Sourasky Medical Center NATIONALLICENCE 773 0- International Journal of Technology Assessment in Health Care Cambridge University Press 5/1(1989-01), 1-4 0266-4623 5:1<1 1989 5 THC CC0 http://creativecommons.org/publicdomain/zero/1.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-cambridge