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International Journal of Health Services: Planning, Administration, Evaluation

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https://www.readbyqxmd.com/read/30638431/what-is-happening-in-sweden
#1
Bo Burström
Election to the parliament was held in Sweden on 9 September 2018. None of the traditional political blocks obtained a majority of the vote. The nationalist Sweden Democrats party increased their share of the vote from 13% in 2014 elections to 17% of the vote in 2018. As no traditional political block wants to collaborate with the Sweden Democrats, no new government has yet been formed, more than 2 months after the election. Health care was a prominent issue in the elections. Health care in Sweden is universal and tax-funded, with a strong emphasis on equity...
January 14, 2019: International Journal of Health Services: Planning, Administration, Evaluation
https://www.readbyqxmd.com/read/30626258/does-the-patent-linkage-system-prolong-effective-market-exclusivity-recent-evidence-from-the-korea-u-s-free-trade-agreement-in-korea
#2
Kyung-Bok Son, SeungJin Bae, Tae-Jin Lee
This study evaluated the effect of the patent linkage system, fully introduced by the Korea-U.S. Free Trade Agreement in 2015, on patent challenges and the effective market exclusivity of new medicines in Korea. We used pharmaceutical approval data and pharmaceutical litigation data to detect new medicines and their counterparts, to collect patent challenges against new medicines, and to calculate effective market exclusivity for new medicines. Then, a nonparametric event history model was applied to statistically explain the duration of the market exclusivity of new medicines...
January 9, 2019: International Journal of Health Services: Planning, Administration, Evaluation
https://www.readbyqxmd.com/read/30616460/revisiting-the-income-inequality-hypothesis-with-292-oecd-regional-units
#3
Ki-Tae Kim
The income inequality hypothesis on the relationship between income inequality and population health has been debated for decades Disagreement exists on the hypothesis because empirical findings have reached inconsistent conclusions. At the cross-national level, the limited number of industrialized nations has created a chronic small-N problem for statistical analyses of the hypothesis. The OECD regional database containing statistics of hundreds of regional units can provide a breakthrough and is used for the first time for multiple regression in this article...
January 7, 2019: International Journal of Health Services: Planning, Administration, Evaluation
https://www.readbyqxmd.com/read/30587064/health-canada-s-use-of-its-notice-of-compliance-with-conditions-drug-approval-policy-a-retrospective-cohort-analysis
#4
Joel Lexchin
Health Canada has developed its Notice of Compliance with conditions (NOC/c) policy to get promising new drugs for serious diseases to market faster than would be possible through its standard approval process. Companies can receive an NOC/c for a new drug or a new indication based on incomplete evidence in return for agreeing to conduct post-market studies. This paper investigates the additional therapeutic gain from drugs approved under this policy, the percent of drugs that have fulfilled their conditions, and the length of time for fulfillment...
December 26, 2018: International Journal of Health Services: Planning, Administration, Evaluation
https://www.readbyqxmd.com/read/30428269/reducing-health-inequalities-comparison-of-survival-after-acute-myocardial-infarction-according-to-health-provider-in-chile
#5
Faustino Alonso, Carolina Nazzal, Francisco Cerecera, José Ignacio Ojeda
Health inequalities are marked in Chile. To address this situation, a health reform was implemented in 2005 that guarantees acute myocardial infarction (AMI) health care for the entire population. We evaluated if the health reform changed AMI early and long-term survival rates by hospital provider (public/private) using a longitudinal population-based study of patients ≥15 years with a first AMI in Chile between 2002 and 2011. Time trends and early (within 28 days) and long-term (29-365 days) survival by age were assessed...
November 14, 2018: International Journal of Health Services: Planning, Administration, Evaluation
https://www.readbyqxmd.com/read/30428268/the-uneven-foci-of-work-disability-research-across-cause-based-and-comprehensive-social-security-systems
#6
Ellen MacEachen, Sharanya Varatharajan, Bronson Du, Emma Bartel, Kerstin Ekberg
This scoping review identified what kinds of work disability policy issues are critiqued in articles published in countries with cause-based versus comprehensive welfare systems. Drawing on a review of work disability policy research, we identified 74 English-language, peer-reviewed articles that focused on program adequacy and design. Articles on cause-based systems dwelled on system fairness and policies of proof of entitlement, while those on comprehensive systems focused more on system design complexities relating to worker inclusion and scope of medical certificates...
November 14, 2018: International Journal of Health Services: Planning, Administration, Evaluation
https://www.readbyqxmd.com/read/30388375/health-services-access-inequalities-between-native-and-immigrant-in-a-southern-european-region
#7
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
#8
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
#9
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
#10
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
#11
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
#12
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/30213248/neoliberalism-and-accountability-failure-in-the-delivery-of-services-affecting-the-health-of-the-public
#13
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
#14
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
#15
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
#16
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
#17
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
#18
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
#19
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
#20
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
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