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EDITORIAL<br />

Embracing the<br />

‘health society’<br />

PROFESSOR PER-GUNNAR SVENSSON<br />

DIRECTOR GENERAL, INTERNATIONAL HOSPITAL FEDERATION<br />

This issue is a fine example of what I think the<br />

<strong>International</strong> <strong>Hospital</strong> Federation does best which is to<br />

gather experiences from around the globe <strong>and</strong> share<br />

them <strong>and</strong> in this last edition of the year it is perhaps<br />

appropriate that we have contributions from every continent.<br />

They range in content from the higher principles behind<br />

policymaking to the first h<strong>and</strong> accounts of the nursing<br />

shortages in one Pakistani hospital with its dire <strong>and</strong><br />

sometimes unexpected implications. What links them all is<br />

the constant change that they reflect <strong>and</strong> the intense<br />

thought <strong>and</strong> actions that go into improving hospitals <strong>and</strong><br />

health systems. Change that will doubtless continue into<br />

2005.<br />

Sometimes to move forward we need to consider our<br />

fundamental beliefs. For example, is there such a thing as a<br />

‘health society’? Professor Kickbusch, a major figure in<br />

global public health, believes there is <strong>and</strong> that the territory<br />

of citizen health is on the march, offering opportunities for<br />

all types of organisations <strong>and</strong> individuals to participate in the<br />

governance of that society <strong>and</strong> embrace a radical new era of<br />

health policy. IHF members will doubtless be a part of the<br />

process she envisages.<br />

The Vice-President of the German <strong>Hospital</strong> Association<br />

sees a growing health society in Europe, where national<br />

borders can no longer limit a growing ‘Common Market’ in<br />

health care that looks to shared goals <strong>and</strong> competition to<br />

provide them. Argentina’s recent economic <strong>and</strong> political<br />

problems have had a devastating impact on the health<br />

system of that country, but the crisis has also brought a<br />

untied approach to unraveling a complex structure <strong>and</strong> the<br />

real chance of a more inclusive health society. We have this<br />

from a first h<strong>and</strong> account.<br />

Part of any health society will undoubtedly be the<br />

emerging reality of ehealth <strong>and</strong> in the first of our ehealth<br />

sections put together under the auspices of the <strong>International</strong><br />

e<strong>Health</strong> Association, we have the Canadian perspective from<br />

Richard C Alvarez who is contributing so much to its<br />

development there. We also take a look at the development<br />

of the <strong>World</strong> <strong>Health</strong> Channel, a pioneering medical<br />

education network.<br />

Over the coming year, I’m sure that the pace of change will<br />

not slacken <strong>and</strong> I hope that the journal will be able to help<br />

readers embrace that change <strong>and</strong> learn how others see the<br />

challenges <strong>and</strong> the solutions. I wish you a happy new year.<br />

Finally, I would like, on behalf of the IHF, to forward our<br />

deepest regrets <strong>and</strong> condolences to those countries hit by<br />

the Tsunami disaster in South-East Asia. We will in later<br />

issues of the journal, return to the issue of disaster<br />

preparedness <strong>and</strong> the role of hospitals <strong>and</strong> health services<br />

under such circumstances. ❑<br />

Vol. 40 No. 4 WORLD | <strong>World</strong> hospitals <strong><strong>Hospital</strong>s</strong> <strong>and</strong> <strong>and</strong> health <strong>Health</strong> services <strong>Services</strong> | 13| 03

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