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International Journal of Health Services: Planning, Administration, Evaluation

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https://www.readbyqxmd.com/read/30388375/health-services-access-inequalities-between-native-and-immigrant-in-a-southern-european-region
#1
Elena Rodríguez-Álvarez, Nerea Lanborena, Luisa N Borrell
With the economic crisis in Spain, austerity measures were applied. However, it is unknown how these measures have affected the pattern of use of health services for the immigrant population. Thus, the objective of this study was to examine the inequalities in access to different levels of health care services according to place of birth. We used data from the 2014 Foreign Immigrant Population Survey (n = 1,908) and the Basque Health Survey 2013 for the native population (n = 4,232) for adults aged 16-59 years residing in the Basque Country, Spain...
November 2, 2018: International Journal of Health Services: Planning, Administration, Evaluation
https://www.readbyqxmd.com/read/30335552/creating-partnerships-to-achieve-health-care-reform-moving-beyond-a-politics-of-scale
#2
Neil Hanlon, Trish Reay, David Snadden, Martha MacLeod
This article critically exams efforts to achieve primary health care reform using a consultative and relationship-building approach. The study is set in a predominantly rural region of British Columbia, Canada, and concerns the efforts of a regional health authority to engage actively with community members to develop more integrated and patient-centered primary health care delivery. We examine points of tension between providers and administrators engaged in the reform process and show how these are often expressed discursively as a binary opposition involving central and local interests...
October 18, 2018: International Journal of Health Services: Planning, Administration, Evaluation
https://www.readbyqxmd.com/read/30309290/hard-currency-solidarity-and-soft-power-the-motives-implications-and-lessons-of-cuban-health-internationalism
#3
Rob Baggott, George Lambie
This article explores Cuba's health assistance and support for other countries. It explores the rationale and motivations for Cuba's internationalism in health. It then details the various aspects of its health interventions, including emergency relief, strengthening of health systems, treatment programs, training of health professionals, engagement in multilateral cooperation, and biotechnology. The article analyzes the benefits of Cuba's health internationalism for Cuba and for others. It also explores potential adverse consequences and criticisms of Cuba's approach...
October 11, 2018: International Journal of Health Services: Planning, Administration, Evaluation
https://www.readbyqxmd.com/read/30309289/how-much-time-before-attempting-compulsory-licensing-of-pharmaceuticals-a-non-parametric-event-history-model-with-p-splines
#4
Kyung-Bok Son
Compulsory licensing (CL), provided by the Agreement on Trade-Related Aspects of Intellectual Property Rights, enables countries, including high-income countries, to ensure the protection of public health in the context of stringent intellectual property regimes. This study investigated associations between the time to attempted CL and a series of factors at the drug and country level. We used a dataset of all attempted CL that occurred from 1995 to 2014, calculated the duration as the difference in years between the year of global marketing of a certain drug and the year of attempted CL in a certain country, and applied a nonparametric event history model...
October 11, 2018: International Journal of Health Services: Planning, Administration, Evaluation
https://www.readbyqxmd.com/read/30293505/cuba-s-strategy-toward-universal-health
#5
Pol De Vos
After 40 years of the Alma Ata Declaration on primary health care, the Pan American Journal of Public Health published an actualized overview of Cuban policies on health and well-being. It describes the longstanding and successful experience of this socialist country, developed in adverse and complex circumstances. The Cuban case remains one of the leading examples of a comprehensive governmental approach toward population health and well-being. The analysis underscores the essential role of continued political will toward population health...
October 6, 2018: International Journal of Health Services: Planning, Administration, Evaluation
https://www.readbyqxmd.com/read/30282497/home-care-in-ontario-perspectives-on-equity
#6
Alla Yakerson
Home care is an integral aspect of the Canadian health care system. Services provided to individuals allow them to live with independence and dignity within the comfort of their own residences. This article examines the historical evolution of Ontario's home care reform and the current challenges faced by staff members, patients, and their caregivers in reference to health equity. Political economy and feminist lenses are used to highlight the impact of market-based health care reforms on gendered experiences and access to home care services...
October 3, 2018: International Journal of Health Services: Planning, Administration, Evaluation
https://www.readbyqxmd.com/read/30189784/more-reform-of-the-english-national-health-service-from-competition-back-to-planning
#7
Richard Q Lewis
The period of sustained financial austerity since 2009 has led to a shift in competition policy within the English National Health Service. Policymakers have directed their attention away from the preexisting priority to support quicker access to routine and planned hospital care and have focused instead on improving emergency, cancer, and general practitioner services. This has prompted the development of a new policy framework and, in particular, a desire to create collaborative health systems focused on specific populations...
September 6, 2018: International Journal of Health Services: Planning, Administration, Evaluation
https://www.readbyqxmd.com/read/30170503/governmental-illegitimacy-and-incompetency-in-canada-and-other-liberal-nations-implications-for-health
#8
Dennis Raphael, Morris Komakech, Toba Bryant, Ryan Torrence
The welfare state literature on developing nations is concerned with how governmental illegitimacy and incompetency are the sources of inequality, exploitation, exclusion, and domination of significant proportions of their citizenry. These dimensions clearly contribute to the problematic health outcomes in these nations. In contrast, developed nations are assumed to grapple with less contentious issues of stratification, decommodification, and the relative role of the state, market, and family in providing economic and social security, also important pathways to health...
August 31, 2018: International Journal of Health Services: Planning, Administration, Evaluation
https://www.readbyqxmd.com/read/30213248/neoliberalism-and-accountability-failure-in-the-delivery-of-services-affecting-the-health-of-the-public
#9
John Church, Amy Gerlock, Donna Lynn Smith
Since the 1980s, the emergence of neoliberalism as a dominant government paradigm has led to increasing instances of accountability failure, resulting in significant injuries or death. Employing a grounded theory approach, accountability failure is defined and explored through analysis of 18 public inquiries and reports in the United Kingdom and Canada. The analysis reveals that the combination of a neoliberal policy paradigm and flawed regulation, governance, culture, and performance management inevitably led to accountability failure...
October 2018: International Journal of Health Services: Planning, Administration, Evaluation
https://www.readbyqxmd.com/read/30213247/digital-platforms-gig-economy-precarious-employment-and-the-invisible-hand-of-social-class
#10
Carles Muntaner
Digital platform capitalism, as exemplified by companies like Uber or Lyft has the potential to transform employment and working conditions for an increasing segment of the worforce. Most digital economy workers are exposed to the health damaging precarious employment conditions characteristic of the contemporary working class in high income countries. Just as with Guy Standing or Mike Savage's "precariat" it might appear that digital platform workers are a new social class or that they do not belong to any social class...
October 2018: International Journal of Health Services: Planning, Administration, Evaluation
https://www.readbyqxmd.com/read/30213246/cora-du-bois-brief-stint-with-the-world-health-organization-1950-1951-right-time-wrong-place
#11
Socrates Litsios
Brock Chisholm, director-general of the World Health Organization (WHO) in the early 1950s, was heard to say that "one cultural anthropologist [Cora Du Bois] was worth one hundred malaria teams." Paul Russell, the leading malariologist at the time, responded (privately in his diary) that Chisholm's remark was the sort that "one might expect from a psychiatrist planning a world health program." George Foster reported that Du Bois "was completely disgusted with" her stay at WHO. "They never asked her to do anything...
October 2018: International Journal of Health Services: Planning, Administration, Evaluation
https://www.readbyqxmd.com/read/30092699/-as-natural-as-the-air-around-us-on-the-origin-and-development-of-the-concept-of-structural-violence-in-health-research
#12
Fernando De Maio, David Ansell
This article examines the concept of "structural violence." Originating in the work of Johan Galtung in 1969 and popularized by Paul Farmer, structural violence is increasingly invoked in health literature. It is a complex concept - rich in its explanatory potential but vague in its operational definition and arguably limited in its theoretical precision. Its potential lies in the focus it gives to the deep structural roots of health inequities; in contrast to the more passive term "social determinants of health," structural violence explicitly identifies social, economic, and political systems as the causes of the causes of poor health...
October 2018: International Journal of Health Services: Planning, Administration, Evaluation
https://www.readbyqxmd.com/read/30088434/medical-expenditures-on-and-by-immigrant-populations-in-the-united-states-a-systematic-review
#13
Lila Flavin, Leah Zallman, Danny McCormick, J Wesley Boyd
In health care policy debates, discussion centers around the often-misperceived costs of providing medical care to immigrants. This review seeks to compare health care expenditures of U.S. immigrants to those of U.S.-born individuals and evaluate the role which immigrants play in the rising cost of health care. We systematically examined all post-2000, peer-reviewed studies in PubMed related to health care expenditures by immigrants written in English in the United States. The reviewers extracted data independently using a standardized approach...
October 2018: International Journal of Health Services: Planning, Administration, Evaluation
https://www.readbyqxmd.com/read/30040005/intellectual-property-protection-and-drug-plan-coverage-evidence-from-ontario
#14
Paul Grootendorst, Minsup Shim, Adam Falconi, Tyler Robinson, Joel Lexchin
Canada has strengthened intellectual property (IP) protections for pharmaceutical drugs several times over the last 3 decades. This study investigates whether the IP changes had an effect on the market exclusivity time of brand products on the Ontario Drug Benefit (ODB) formulary. We constructed a database that included the first brand approval date for drugs launched between 1974 and 2012, the first ODB listing date of the brand drug, and the first ODB listing date of the generic form of the drug. We then calculated the time of formulary exclusivity to detect any changes in market exclusivity times associated with changes to Canada's IP regimen...
October 2018: International Journal of Health Services: Planning, Administration, Evaluation
https://www.readbyqxmd.com/read/29996714/why-is-the-u-s-preterm-birth-rate-so-much-higher-than-the-rates-in-canada-great-britain-and-western-europe
#15
Janet M Bronstein, Martha S Wingate, Anne E Brisendine
The portion of newborns delivered before term is considerably higher in the United States than in other developed countries. We compare the array of risk exposures and protective factors common to women across national settings, using national, regional, and international databases, review articles, and research reports. We find that U.S. women have higher rates of obesity, heart disease, and poor health status than women in other countries. This is in part because more U.S. women are exposed to the stresses of racism and income disparity than women in other national settings, and stress loads are known to disrupt physiological functions...
October 2018: International Journal of Health Services: Planning, Administration, Evaluation
https://www.readbyqxmd.com/read/29978727/how-does-stronger-protection-of-intellectual-property-rights-affect-national-pharmaceutical-expenditure-an-analysis-of-oecd-countries
#16
Youn Jung, Soonman Kwon
Intellectual property rights (IPR) protection for pharmaceuticals has been comprehensive and strict since the establishment of the World Trade Organization in 1995 and the subsequent implementation of the TRIPS Agreement. This study investigated the relationship between the level of IPR and national pharmaceutical expenditure using panel data of 22 OECD countries from 1970 to 2009. The patent index was used to measure the level of national protection for IPR along with other covariates: GDP per capita, the percentage of population aged over 65, number of doctors, proportion of public financing among total pharmaceutical expenditure, under-5 mortality, price index, and period indicators...
October 2018: International Journal of Health Services: Planning, Administration, Evaluation
https://www.readbyqxmd.com/read/29952239/barriers-to-health-care-services-among-palestinian-women-denied-family-unification-in-israel
#17
Nihaya Daoud, Samira Alfayumi-Zeadna, Yousef T Jabareen
Family unification received public and political attention following recent global immigration crises, though less within health research. In Israel, under the Family Reunification Order, about 20,000 Palestinian women from the Occupied Palestinian Territories are denied residency and the right to universal health care services (HSC) after marrying Palestinian citizens and moving to Israel. To better understand the relationship between lacking residency and barriers to accessing HCS, we conducted in-depth interviews with 21 Palestinian women (ages 22-59) denied family unification...
October 2018: International Journal of Health Services: Planning, Administration, Evaluation
https://www.readbyqxmd.com/read/29902944/the-definition-of-health-towards-new-perspectives
#18
Fabio Leonardi
The definition of health is not just a theoretical issue, because it has many implications for practice, policy, and health services. The current definition of health, formulated by the WHO, is no longer adequate for dealing with the new challenges in health care systems. Despite many attempts to replace it, no alternative definition has reached a wide level of consensus. Assuming an epistemological perspective, the need for a unique definition has to be rejected in favor of a plural approach in which cannot exist the best definition of health but many different definitions, more or less useful depending on the scope of application...
October 2018: International Journal of Health Services: Planning, Administration, Evaluation
https://www.readbyqxmd.com/read/29807483/the-influence-of-individuals-vulnerabilities-and-their-interactions-on-the-assessment-of-a-primary-care-experience
#19
Ola M Haidar, Paul A Lamarche, Jean-Frederic Levesque, Robert Pampalon
This study examines the relationship between the vulnerabilities of individuals and their assessments of their primary care experiences in the setting of a universal care system. It focuses on 2 specific objectives: (1) evaluating the influence of each of the 5 vulnerabilities on the assessment of the care experience; (2) evaluating the influence of the interactions between the different types of vulnerabilities on the assessment of the care experience. The study identifies the primary care experience of 9,206 people...
October 2018: International Journal of Health Services: Planning, Administration, Evaluation
https://www.readbyqxmd.com/read/29683033/needs-in-service-provision-for-oral-health-care-in-older-people-a-comparison-between-greater-manchester-united-kingdom-and-utrecht-the-netherlands
#20
Babette Everaars, Katarina Jerković-Ćosić, Gert-Jan van der Putten, Ian A Pretty, Paul Brocklehurst
Retaining natural teeth for longer, together with increasing care dependency in the elderly, has the potential to hamper adequate oral self-care and service provision. The aim of this qualitative study was to compare and contrast views from a multi-stakeholder perspective on the future priorities for oral health care services of older people in the United Kingdom and the Netherlands. A participatory setting partnership was undertaken with 4 key stakeholder groups in the United Kingdom and the Netherlands. A final consensus group considered collective responses...
October 2018: International Journal of Health Services: Planning, Administration, Evaluation
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