As a physician and academic, I have practiced, researched and taught various aspects of clinical and public health medicine on 5 continents and for almost 40 years, while being attached to the Institute of Tropical Medicine in Antwerp. An annotated list of my research findings is available at: http://jeanpierreunger.be
The main categories of these researches were as follows:
- Professional medical and paramedical practice
- Medical knowledge: production and management
- Medical ethics
- Clinical and public health education
- Disease control
- Organisation and management of health services
- National health policies
- Development cooperation and international health policies
- Clinical research, public health and health policy methods
- Formulation of alternative policies in health, international aid, research and education.
A few principles guided my action and analysis:
- Access to professional health care and a universal health system is a human right and a key to social justice. In medicine, whether clinical or public health, publicly funded academics should contribute to the exercise of this right.
- In order to encourage professionals to be ethical, reflective and involved in the transmission of professionalism, the mission of public services management and of public policies should be social and professional - not commercial and industrial.
- For the sake of relevance to medical professionalism and public sector development, I relied on action research and action learning. Practice was part of my academic duty. And so, I used medical practice to conceptualize health management; health management practice to evaluate national health policies; and national and regional policy guidance to evaluate international health policies.
- To consolidate my theories, I conducted my researches in a large array of countries, from developing to industrial.
- I always referred to explicit medical values and quality criteria of health care. This type of research was interdisciplinary and therefore inherently quite risky.
For 4 years I was director and for 6, co-director of the Master of Public Health course. I am now an Associate Professor Emeritus of the Institute of Tropical Medicine and a visiting professor at the Health and Society Institute, Faculty of Medicine, University of Newcastle, UK.
Key publications
Unger J.-P., De Paepe P., Green A. A code of best practice for disease control programmes to avoid damaging health care services in developing countries. Int J Health Planning and Management 2003, 18, S27-S39.
Unger J.-P., De Paepe P., Buitrón R., Soors W. Costa Rica: Achievements of a heterodox health policy. American Journal of Public Health 2008; 98(4), 636-643.
International Health and Aid Policies. Editors: J.-P.Unger, P.De Paepe, K.Sen, W.Soors. Cambridge University Press, 2010 (275 pages). http://www.cambridge.org/us/catalogue/catalogue.asp?isbn=9780521174268
Unger, J.-P., & De Paepe, P. (2019). Commercial Health Care Financing: The Cause of U.S., Dutch, and Swiss Health Systems Inefficiency? International Journal of Health Services, 49(3), 431–456. https://doi.org/10.1177/0020731419847113
Unger, JP., Morales, I., De Paepe, P. et al. A plea to merge clinical and public health practices: reasons and consequences. BMC Health Serv Res 20, 1068 (2020).