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Major Policy Initiatives for Health Care Delivery in the 21st Century
2nd Wave
This technological revolution began over 300 years ago with the industrial revolution. It began in Britain and it represented by the social organization and the division of labour and the use of machines. This technological revolution resulted in productive at an even greater scale and was represented by the institution of the factory on one hand and the hospital on the other hand.
The division of labour took place within the health sector and the doctor moved away from the home to the hospital to see more patients over a longer period of time. But, we all know that the Mediterranean rim countries who utilized 1st Wave technologies declined and were overtaken by the Pacific rim countries of Western Europe who achieved greater wealth by the scientific revolution as the present the 2nd Wave technology of the industrial revolution.
It was out of that, the welfare state was borne, universities, great lecture halls also most mimicking large factories of Europe. Keeping with this professional and institutionalization training and institutional service became an inevitable imperative of policy, plan and action by governments.
The process of manpower development gained greater importance through these institutions. Training was put on a mass scale through massive learning institutions and the apprenticeship system vis a vis the doctor who evolved to the development of medical schools and further division of medicine with the domain of medicine as became too much to handle computerized and this was reflected both in institutions of learning and the hospital system of delivery of health care.
Although carrying with it a level of alienation of the doctor/patient relationship, new theories was compensated by a greater degree of scientific evaluation because the use of massive technology such as Xray, laboratory investigation which could only be located in an institutionalized context because of inordinate costs.
The countries of Western Europe which rode in the crest of scientific revolution then took centre stage as the richest countries in the world while the Mediterranean rim countries languished in 1st Wave technology which became not only out of date, but at the end of World War II the crisis inherent in the industrial revolution since building a successful chicken factory in Germany is not sustainable if you are going to build similar factories in the Atlantic some one will be put out of business and the crisis of 2nd Wave technology led to World War II. The aftermath of which is still being felt. [more]
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