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Health Affairs

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https://www.readbyqxmd.com/read/29140737/older-americans-were-sicker-and-faced-more-financial-barriers-to-health-care-than-counterparts-in-other-countries
#1
Robin Osborn, Michelle M Doty, Donald Moulds, Dana O Sarnak, Arnav Shah
High-income countries are grappling with the challenge of caring for aging populations, many of whose members have chronic illnesses and declining capacity to manage activities of daily living. The 2017 Commonwealth Fund International Health Policy Survey of Older Adults in eleven countries showed that US seniors were sicker than their counterparts in other countries and, despite universal coverage under Medicare, faced more financial barriers to health care. The survey's findings also highlight economic hardship and mental health problems that may affect older adults' health, use of care, and outcomes...
November 15, 2017: Health Affairs
https://www.readbyqxmd.com/read/29018104/much-activity-uncertainty-remains
#2
Timothy Stoltzfus Jost
Bipartisan market stabilization negotiations gave way to a last-gasp attempt at repeal and replace; the ACA emerged intact but buffeted by uncertainty.
October 10, 2017: Health Affairs
https://www.readbyqxmd.com/read/28928263/health-benefits-in-2017-stable-coverage-workers-faced-considerable-variation-in-costs
#3
Gary Claxton, Matthew Rae, Michelle Long, Anthony Damico, Heidi Whitmore, Gregory Foster
The annual Kaiser Family Foundation/Health Research and Educational Trust Employer Health Benefits Survey found that in 2017, average annual premiums (employer and worker contributions combined) rose 4 percent for single coverage, to $6,690, and 3 percent for family coverage, to $18,764. Covered workers contributed 18 percent of the premium for single coverage and 31 percent for family coverage, on average, although there was considerable variation around these averages. For covered workers in small firms, 10 percent did not make a premium contribution for family coverage, while 36 percent made a contribution of more than half of their premium...
September 19, 2017: Health Affairs
https://www.readbyqxmd.com/read/29137526/tools-to-reduce-newborn-deaths-in-africa
#4
Rebecca R Richards-Kortum
An engineering team designs a breathing device specifically for premature babies born in low-resource health care settings.
November 2017: Health Affairs
https://www.readbyqxmd.com/read/29137525/global-health-policy
#5
Alan R Weil
No abstract text is available yet for this article.
November 2017: Health Affairs
https://www.readbyqxmd.com/read/29137524/making-the-most-of-microfinance-networks
#6
Margaret K Saunders
Together, data scientists and microfinance institutions are bringing vital health products to Haiti's rural communities.
November 2017: Health Affairs
https://www.readbyqxmd.com/read/29137523/foundations-efforts-to-improve-rural-health-care
#7
(no author information available yet)
No abstract text is available yet for this article.
November 2017: Health Affairs
https://www.readbyqxmd.com/read/29137521/cleaning-up-medical-research-rigor-mortis-how-sloppy-science-creates-worthless-cures-crushes-hope-and-wastes-billions-by-richard-harris-new-york-ny-basic-books-2017-288-pp-28-00
#8
https://www.readbyqxmd.com/read/29137520/the-future-of-health-care-today-prescription-for-the-future-the-twelve-transformational-practices-of-highly-effective-medical-organizations-by-ezekiel-j-emanuel-new-york-ny-publicaffairs-2017-272-pp-27-00
#9
https://www.readbyqxmd.com/read/29137518/unlikely-surgeons-a-surgeon-in-the-village-an-american-doctor-teaches-brain-surgery-in-africa-by-tony-bartelme-boston-ma-beacon-press-2017-288-pp-27-95
#10
https://www.readbyqxmd.com/read/29137517/the-new-way-of-governing-global-health-governing-global-health-who-runs-the-world-and-why-by-chelsea-clinton-and-devi-sridhar-new-york-ny-oxford-university-press-2017-304-pp-24-95
#11
https://www.readbyqxmd.com/read/29137516/to-reduce-neonatal-mortality-nigeria-is-taking-a-simple-treatment-nationwide
#12
T R Goldman
No abstract text is available yet for this article.
November 2017: Health Affairs
https://www.readbyqxmd.com/read/29137515/choosing-wisely-campaign-valuable-for-providers-who-knew-about-it-but-awareness-remained-constant-2014-17
#13
Carrie H Colla, Alexander J Mainor
Together with physician specialty societies, the Choosing Wisely® campaign has codified recommendations of which health care services' use should be questioned and discussed with patients. The ABIM Foundation administered surveys in 2014 and 2017 to examine physicians' attitudes toward and awareness of the use of low-value care. The surveys included questions on the factors driving that use, physicians' comfort in having conversations with patients about that use, and physicians' exposure to the Choosing Wisely campaign...
November 2017: Health Affairs
https://www.readbyqxmd.com/read/29137514/lower-income-countries-that-face-the-most-rapid-shift-in-noncommunicable-disease-burden-are-also-the-least-prepared
#14
Thomas J Bollyky, Tara Templin, Matthew Cohen, Joseph L Dieleman
Demographic and epidemiological changes are shifting the disease burden from communicable to noncommunicable diseases in lower-income countries. Within a generation, the share of disease burden attributed to noncommunicable diseases in some poor countries will exceed 80 percent, rivaling that of rich countries, but this burden is likely to affect much younger people in poorer countries. The health systems of lower-income countries are unprepared for this change. We examined the shift to noncommunicable diseases and estimated preparedness for the shift by ranking 172 nations using a health system capacity index for noncommunicable disease...
November 2017: Health Affairs
https://www.readbyqxmd.com/read/29137513/trends-in-the-alignment-and-harmonization-of-reproductive-maternal-newborn-and-child-health-funding-2008-13
#15
Melisa Martinez-Alvarez, Arnab Acharya, Leonardo Arregoces, Lara Brearley, Catherine Pitt, Christopher Grollman, Josephine Borghi
Donor financing to low- and middle-income countries for reproductive, maternal, newborn, and child health increased substantially from 2008 to 2013. However, increased spending by donors might not improve outcomes, if funds are delivered in ways that undermine countries' public financial management systems and incur high transaction costs for project implementation. We combined quantitative and qualitative methods to examine the quality of funding for reproductive, maternal, newborn, and child health globally and in Tanzania, based on two principles of aid effectiveness: the alignment of donor financing with the recipient country's public health financial management systems, and donor harmonization for coordinated, transparent, and collectively effective actions...
November 2017: Health Affairs
https://www.readbyqxmd.com/read/29137512/microfinance-institutions-successful-delivery-of-micronutrient-powders-a-randomized-trial-in-rural-haiti
#16
Aaron Baum, Wesly Elize, Florence Jean-Louis
Globally, two-thirds of child deaths could be prevented by increased provision of health interventions such as vaccines, micronutrient supplements, and water purification tablets. We report the results from a randomized controlled trial in Haiti during 2012 that tested whether microfinance institutions-which reach 200 million households worldwide-can effectively deliver health products. These institutions provide loans to underserved entrepreneurs, primarily poor women in rural areas. In the intervention group, micronutrient powders to improve the nutrition of young children were distributed at regularly occurring microfinance meetings by a trained borrower...
November 2017: Health Affairs
https://www.readbyqxmd.com/read/29137511/in-british-columbia-the-supply-of-primary-care-physicians-grew-but-their-rate-of-clinical-activity-declined
#17
Lindsay Hedden, Morris L Barer, Kimberlyn McGrail, Michael Law, Ivy L Bourgeault
Reports of a primary care shortage are ubiquitous in Canada and the United States. We used a population-based, retrospective cohort study to examine the extent to which the feminization and aging of the primary care physician workforce and secular trends may contribute to changes in the availability of primary care services. We used billing data for all primary care physicians in British Columbia for the period 2005-12. We used multivariate linear mixed-effects models to study physician remuneration and activity levels...
November 2017: Health Affairs
https://www.readbyqxmd.com/read/29137510/accountable-care-reforms-improve-women-s-and-children-s-health-in-nepal
#18
Duncan Maru, Sheela Maru, Isha Nirola, Jonathan Gonzalez-Smith, Andrea Thoumi, Prajwol Nepal, Pushpa Chaudary, Indira Basnett, Krishna Udayakumar, Mark McClellan
Over the past decade the Ministry of Health of Nepal and the nonprofit Possible have partnered to deliver primary and secondary health care via a public-private partnership. We applied an accountable care framework that we previously developed to describe the delivery of their integrated reproductive, maternal, newborn, and child health services in the Achham district in rural Nepal. In a prospective pre-post study, examining pregnancies at baseline and 541 pregnancies in follow-up over the course of eighteen months, we found an improvement in population-level indicators linked to reducing maternal and infant mortality: receipt of four antenatal care visits (83 percent to 90 percent), institutional birth rate (81 percent to 93 percent), and the prevalence of postpartum contraception (19 percent to 47 percent)...
November 2017: Health Affairs
https://www.readbyqxmd.com/read/29137509/explicit-bias-toward-high-income-country-research-a-randomized-blinded-crossover-experiment-of-english-clinicians
#19
Matthew Harris, Joachim Marti, Hillary Watt, Yasser Bhatti, James Macinko, Ara W Darzi
Unconscious bias may interfere with the interpretation of research from some settings, particularly from lower-income countries. Most studies of this phenomenon have relied on indirect outcomes such as article citation counts and publication rates; few have addressed or proven the effect of unconscious bias in evidence interpretation. In this randomized, blinded crossover experiment in a sample of 347 English clinicians, we demonstrate that changing the source of a research abstract from a low- to a high-income country significantly improves how it is viewed, all else being equal...
November 2017: Health Affairs
https://www.readbyqxmd.com/read/29137508/health-professional-education-and-universal-health-coverage-a-summary-of-challenges-and-selected-case-studies
#20
Arthika Sripathy, Joachim Marti, Hannah Patel, Javaid I Sheikh, Ara W Darzi
Low- and middle-income countries are experiencing serious shortages in meeting health workforce requirements for universal health coverage. We examine how national-level policies can address these deficiencies and support the development of an appropriately skilled health workforce in line with population needs. We discuss three innovative, government-led solutions that are designed to align health workforce training with the demands of universal health coverage. Specifically, we discuss two initiatives to train and retain doctors in rural areas of Thailand, the large-scale training of community health workers within multidisciplinary primary health care teams in Brazil, and the introduction of a postgraduate diploma program in primary care for nurses in India...
November 2017: Health Affairs
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