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{ "type" : "literal", "value" : "Sistem kesehatan adalah sistem yang mencakup organisasi dan sumber daya yang memberikan pelayanan kesehatan untuk memenuhi kebutuhan kesehatan populasi sasaran. Ada berbagai macam sistem kesehatan di seluruh dunia, dengan beragam sejarah dan struktur organisasi seperti halnya negara. Secara implisit, negara harus merancang dan mengembangkan sistem kesehatan sesuai dengan kebutuhan dan sumber daya mereka. Meskipun demikian, unsur-unsur yang umum ditemukan di hampir semua sistem kesehatan adalah layanan kesehatan primer dan tindakan kesehatan masyarakat. Di beberapa negara, perencanaan sistem kesehatan didistribusikan di antara pelaku pasar. Di negara lainnya, upaya bersama dilakukan antara pemerintah, serikat pekerja, organisasi amal, organisasi keagamaan, atau lembaga terkoordinasi lainnya" , "lang" : "in" } ,
{ "type" : "literal", "value" : "Un sistema sanitario (detto in modo pi\u00F9 generico servizio sanitario) \u00E8 l'organizzazione di persone, istituzioni e risorse finalizzata a fornire servizi di assistenza sanitaria a tutela della salute della popolazione." , "lang" : "it" } ,
{ "type" : "literal", "value" : "A health system, health care system or healthcare system is an organization of people, institutions, and resources that delivers health care services to meet the health needs of target populations. There is a wide variety of health systems around the world, with as many histories and organizational structures as there are nations. Implicitly, nations must design and develop health systems in accordance with their needs and resources, although common elements in virtually all health systems are primary healthcare and public health measures. In some countries, health system planning is distributed among market participants. In others, there is a concerted effort among governments, trade unions, charities, religious organizations, or other co-ordinated bodies to deliver planned health care se" , "lang" : "en" } ,
{ "type" : "literal", "value" : "Un sistema d'assist\u00E8ncia sanit\u00E0ria \u00E9s l'organitzaci\u00F3 de persones, institucions i recursos que ofereixen serveis d'assist\u00E8ncia sanit\u00E0ria per satisfer les necessitats de salut de les poblacions objectiu." , "lang" : "ca" } ,
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{ "type" : "literal", "value" : "Das Gesundheitssystem bzw. Gesundheitswesen umfasst alle Personen, Organisationen, Einrichtungen, Regelungen und Prozesse, deren Aufgabe die F\u00F6rderung und Erhaltung der Gesundheit sowie deren Sicherung durch Pr\u00E4vention und Behandlung von Krankheiten und Verletzungen ist. Der Begriff Gesundheitswesen dient der Beschreibung des \u00E4u\u00DFerst komplexen Gesundheitssystems zur Krankenversorgung und Gesunderhaltung, wogegen die Gesundheitswirtschaft als ganze neben der station\u00E4ren und ambulanten Versorgung Kranker und der Vorbeugung gegen Krankheiten bei Gesunden unter anderem auch die Herstellung von Arzneimitteln und Medizinprodukten, den Gesundheitstourismus, die Wellness- sowie die Fitnessbranche umfasst. Der Begriff Sanit\u00E4tswesen ist f\u00FCr den notfallmedizinischen Dienst und Erste Hilfe, f\u00FCr den milit\u00E4rischen Sektor, im Katastrophen-/Zivilschutz und f\u00FCr diverse \u00F6ffentliche Aufgaben wie Hygiene \u00FCblich." , "lang" : "de" } ,
{ "type" : "literal", "value" : "System opieki zdrowotnej (r\u00F3wnie\u017C system zdrowotny) \u2013 system definiowany jako sp\u00F3jna ca\u0142o\u015B\u0107, kt\u00F3rej liczne, powi\u0105zane mi\u0119dzy sob\u0105 cz\u0119\u015Bci wsp\u00F3lnie oddzia\u0142ywaj\u0105c wp\u0142ywaj\u0105 pozytywnie na stan zdrowia populacji. Jest on wyodr\u0119bnion\u0105 ca\u0142o\u015Bci\u0105 z\u0142o\u017Con\u0105 z wielu r\u00F3\u017Cnorodnych element\u00F3w, kt\u00F3re powi\u0105zane s\u0105 r\u00F3\u017Cnorodnymi wi\u0119ziami (czyli mi\u0119dzy kt\u00F3rymi zachodz\u0105 r\u00F3\u017Cnorodne relacje) i kt\u00F3ry realizuje cele zwi\u0105zane ze zdrowiem. System zdrowotny mo\u017Cna r\u00F3wnie\u017C zdefiniowa\u0107 jako zorganizowany i skoordynowany zesp\u00F3\u0142 dzia\u0142a\u0144, kt\u00F3rego celem jest realizacja \u015Bwiadcze\u0144 i us\u0142ug profilaktyczno-leczniczych i rehabilitacyjnych maj\u0105cych na celu zabezpieczenie i popraw\u0119 stanu zdrowia jednostki i zbiorowo\u015Bci. W literaturze mo\u017Cna spotka\u0107 wiele koncepcji odno\u015Bnie do element\u00F3w wchodz\u0105cych w sk\u0142ad systemu ochrony zdrowia. W modelu tradycyjnym, reprezentowanym przez D. Mechanica, elementy sk\u0142adowe systemu by\u0142y to\u017Csame z trzema szczeblami opieki: pierwszego, drugiego i trzeciego szczebla, czyli opiek\u0105 podstawow\u0105, specjalistyczn\u0105 i w\u0105skospecjalistyczn\u0105. Na pierwszym poziomie dochodzi do pierwszego kontaktu mi\u0119dzy systemem i lud\u017Ami. Pozosta\u0142e poziomy s\u0142u\u017C\u0105 wsparciem i dostarczaj\u0105 \u015Bwiadcze\u0144 specjalistycznych, staj\u0105c si\u0119 coraz bardziej z\u0142o\u017Conymi w miar\u0119 przesuwania si\u0119 w g\u00F3r\u0119 systemu. Obecnie najbardziej rozpowszechnionym podej\u015Bciem do problemu jest koncepcja tzw. \u201Etr\u00F3jk\u0105ta\u201D. Wyr\u00F3\u017Cnia si\u0119 tu trzech uczestnik\u00F3w systemu: pacjent\u00F3w (jako podmioty korzystaj\u0105ce ze \u015Bwiadcze\u0144), lekarzy wraz z pozosta\u0142ymi wytw\u00F3rcami us\u0142ug zdrowotnych oraz p\u0142atnika publicznego, nazywanego r\u00F3wnie\u017C \u201Ep\u0142atnikiem trzeciej strony\u201D (dysponuj\u0105cego \u015Brodkami publicznymi)." , "lang" : "pl" } ,
{ "type" : "literal", "value" : "Un sistema de salud y asistencia sanitaria, sistema sanitario o sistema de salud es una organizaci\u00F3n y el m\u00E9todo por el cual se provee la asistencia sanitaria. Los sistemas sanitarios son producto de la historia y de la cultura de las sociedades en que se desarrollan, y expresan los valores predominantes en las mismas.\u200B Estos sistemas se dedican a la prestaci\u00F3n de servicios sanitarios, principalmente a la prevenci\u00F3n y a la atenci\u00F3n cl\u00EDnica.\u200B" , "lang" : "es" } ,
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{ "type" : "literal", "value" : "A health system, health care system or healthcare system is an organization of people, institutions, and resources that delivers health care services to meet the health needs of target populations. There is a wide variety of health systems around the world, with as many histories and organizational structures as there are nations. Implicitly, nations must design and develop health systems in accordance with their needs and resources, although common elements in virtually all health systems are primary healthcare and public health measures. In some countries, health system planning is distributed among market participants. In others, there is a concerted effort among governments, trade unions, charities, religious organizations, or other co-ordinated bodies to deliver planned health care services targeted to the populations they serve. However, health care planning has been described as often evolutionary rather than revolutionary. As with other social institutional structures, health systems are likely to reflect the history, culture and economics of the states in which they evolve. These peculiarities bedevil and complicate international comparisons and preclude any universal standard of performance." , "lang" : "en" } ,
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{ "type" : "literal", "value" : "Um sistema de sa\u00FAde \u00E9 composto pela rela\u00E7\u00E3o que o conjunto de institui\u00E7\u00F5es prestadoras de servi\u00E7os de sa\u00FAde mant\u00E9m entre si. Enquanto sistema, tal como postulado pela teoria geral dos sistemas, refere-se a uma inter-rela\u00E7\u00E3o entre seus elementos componentes onde o todo ou o sistema em si n\u00E3o pode ser reduzido a an\u00E1lise separada de seus componentes. N\u00E3o h\u00E1 um consenso sobre o modelo ideal de organiza\u00E7\u00E3o ou mesmo sobre quais os seus componentes e responsabilidades quanto \u00E0 sa\u00FAde da popula\u00E7\u00E3o, essa diversidade de interpreta\u00E7\u00F5es vem da pr\u00F3pria dificuldade de definir sa\u00FAde bem como das distintas proposi\u00E7\u00F5es pol\u00EDticas e te\u00F3ricas sobre a concep\u00E7\u00E3o de sa\u00FAde p\u00FAblica tamb\u00E9m compreendida como sa\u00FAde comunit\u00E1ria medicina preventiva e social. Observe-se ainda, na perspectiva da teoria de organiza\u00E7\u00E3o dos sistemas que um conjunto de institui\u00E7\u00F5es de sa\u00FAde desarticuladas entre si n\u00E3o comp\u00F5em um sistema de sa\u00FAde ou como ensinam os especialistas em planejamento de sa\u00FAde coletiva t\u00E3o possuem a efici\u00EAncia e efic\u00E1cia que poderiam ter ao realizar suas a\u00E7\u00F5es de sa\u00FAde. O texto da lei que criou o sistema nacional de sa\u00FAde no Brasil, como resultado de um processo de luta debates pol\u00EDtico que data pelo menos ao in\u00EDcio do s\u00E9culo XX denominado reforma sanit\u00E1ria e simultaneamente a evolu\u00E7\u00E3o das concep\u00E7\u00F5es de sa\u00FAde p\u00FAblica no panorama internacional, define um sistema de sa\u00FAde como\u2026o complexo de servi\u00E7os do setor p\u00FAblico e do setor privado voltados para a\u00E7\u00F5es de interesse da sa\u00FAde\u2026abrangendo atividades que visem a promo\u00E7\u00E3o, prote\u00E7\u00E3o, e recupera\u00E7\u00E3o da sa\u00FAde\u2026Esse sistema particularmente evoluiu para cria\u00E7\u00E3o do Sistema \u00DAnico de Sa\u00FAde SUS mas refere-se ao complexo de servi\u00E7os e atividades que aqui analisamos como componente dos sitemas de sa\u00FAde." , "lang" : "pt" } ,
{ "type" : "literal", "value" : "Un sistema d'assist\u00E8ncia sanit\u00E0ria \u00E9s l'organitzaci\u00F3 de persones, institucions i recursos que ofereixen serveis d'assist\u00E8ncia sanit\u00E0ria per satisfer les necessitats de salut de les poblacions objectiu. Hi ha una \u00E0mplia varietat de sistemes d'assist\u00E8ncia sanit\u00E0ria a tot el m\u00F3n, amb tantes hist\u00F2ries i estructures organitzatives com nacions. Impl\u00EDcitament, les nacions han de dissenyar i desenvolupar sistemes de salut d'acord amb les seves necessitats i recursos, tot i que els elements comuns en pr\u00E0cticament tots els sistemes de salut s\u00F3n l'atenci\u00F3 prim\u00E0ria i les mesures de salut p\u00FAblica. En alguns pa\u00EFsos, la planificaci\u00F3 del sistema sanitari es distribueix entre els participants del mercat. En altres, hi ha un esfor\u00E7 concertat entre governs, sindicats, organitzacions ben\u00E8fiques, organitzacions religioses o altres \u00F2rgans coordinats per proporcionar serveis d'atenci\u00F3 sanit\u00E0ria planificats dirigits a les poblacions a les quals atenen. No obstant aix\u00F2, la planificaci\u00F3 sanit\u00E0ria s'ha descrit sovint com a evolutiva i no revolucion\u00E0ria. Com passa amb altres estructures institucionals socials, \u00E9s probable que els sistemes d'assist\u00E8ncia sanit\u00E0ria reflecteixin la hist\u00F2ria, la cultura i l'economia dels estats en qu\u00E8 evolucionen. Aquestes peculiaritats s\u00F3n importants i compliquen les comparacions internacionals i impedeixen qualsevol est\u00E0ndard de rendiment del sistema a nivell mundial." , "lang" : "ca" } ,
{ "type" : "literal", "value" : "Un sistema sanitario (detto in modo pi\u00F9 generico servizio sanitario) \u00E8 l'organizzazione di persone, istituzioni e risorse finalizzata a fornire servizi di assistenza sanitaria a tutela della salute della popolazione. Nel mondo \u00E8 presente una grande quantit\u00E0 di sistemi sanitari. In alcuni paesi la sanit\u00E0 \u00E8 completamente liberalizzata e/o privatizzata, in altri dove questa \u00E8 prerogativa unica dei governi all'interno del cosiddetto stato sociale, in altri ancora dove concorrono sistemi sanitari di tipo misto ovvero sia pubblico che privato. Ad ogni modo, la pianificazione dell'assistenza sanitaria \u00E8 stata descritta spesso come un processo evolutivo piuttosto che rivoluzionario." , "lang" : "it" } ,
{ "type" : "literal", "value" : "Un syst\u00E8me de sant\u00E9 ou syst\u00E8me de soins de sant\u00E9 d\u00E9crit les moyens organisationnels et strat\u00E9giques mis en place par pays, par zones g\u00E9ographiques ou entit\u00E9s communautaires, afin d'assurer une continuit\u00E9 et une qualit\u00E9 des prestations de sant\u00E9 m\u00E9dicale. Il r\u00E9unit toutes les organisations, institutions et ressources qui interviennent en mati\u00E8re de sant\u00E9 et qui fournissent des soins formels (m\u00E9decins, infirmiers, maternit\u00E9, h\u00F4pitaux et pharmacies), des soins informels (gu\u00E9risseurs traditionnels, travailleurs communautaires) ainsi que d'autres services, comme la recherche. Un syst\u00E8me de sant\u00E9 complet comporte de tr\u00E8s nombreux autres \u00E9l\u00E9ments nature\u2014 soit tout ce qui contribue \u00E0 promouvoir ou \u00E0 prot\u00E9ger la sant\u00E9 humaine. L'\u00E9tude d'un syst\u00E8me de sant\u00E9 permanent permet de d\u00E9peindre par juridictions, la nature et le fonctionnement de la prise en charge m\u00E9dicale et sociale et des m\u00E9dicaments, le financement et la gestion des d\u00E9penses li\u00E9es \u00E0 la sant\u00E9, les moyens de lutte contre les maladies, de pr\u00E9vention ou de promotion de la sant\u00E9 mis en place dans le cadre de politiques sanitaires publiques, du d\u00E9ploiement et de la formation des ressources humaines m\u00E9dicales ou encore des moyens de recherche scientifique mis en place." , "lang" : "fr" } ] ,
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