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International Journal of Health Services: Planning, Administration, Evaluation

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https://www.readbyqxmd.com/read/28292228/revisiting-health-regionalization-in-canada
#1
Paul Barker, John Church
Twenty years ago, many of Canada's provinces began to introduce regional health authorities to address problems with their health care systems. With this action, the provinces sought to achieve advances in community decision-making, the integration of health services, and the provision of care in the home and community. The authorities were also to help restrict health care costs. An assessment of the authorities indicates, however, that over the past two decades they have been unable to meet their objectives...
April 2017: International Journal of Health Services: Planning, Administration, Evaluation
https://www.readbyqxmd.com/read/28183225/international-association-of-health-policies-iahp-call-for-solidarity
#2
Mauricio Torres-Tovar
No abstract text is available yet for this article.
April 2017: International Journal of Health Services: Planning, Administration, Evaluation
https://www.readbyqxmd.com/read/28114871/criticism-of-volume-1181-of-the-new-york-academy-of-sciences-reaches-a-new-low
#3
Alison Rosamund Katz
Rebuttal to "Debate on the Chernobyl disaster: a response to Alison Rosamund Katz," by Sergei Jargin.
April 2017: International Journal of Health Services: Planning, Administration, Evaluation
https://www.readbyqxmd.com/read/28024453/family-structure-child-living-arrangement-and-mothers-self-rated-health-in-sweden-a-cross-sectional-study
#4
Sara C Fritzell, H Michael Gähler
Alternate living, i.e. children living 50-50 with their parents following separation is emerging as a new family form. This study is the first to differentiate separated mothers with sole/main custody from mothers with alternately living children, analysing health outcomes and using a sample representative of the population. The association between the self-rated health (SRH) of mothers and different family structures are examined. Parental cooperation is included in the analyses as a potential mediator. Data on 755 mothers from the 2010 Swedish Level of Living Survey were analyzed by multivariate logistic regression...
April 2017: International Journal of Health Services: Planning, Administration, Evaluation
https://www.readbyqxmd.com/read/28474997/availability-of-outpatient-mental-health-care-by-pediatricians-and-child-psychiatrists-in-five-u-s-cities
#5
Shireen Cama, Monica Malowney, Anna Jo Bodurtha Smith, Margaret Spottswood, Elisa Cheng, Louis Ostrowsky, Jose Rengifo, J Wesley Boyd
The authors sought to assess the availability of outpatient mental health care through pediatrician and child psychiatrist offices in the United States and to characterize differences in appointment availability by location, provider type, and insurance across five cities. To do so, the authors posed as parents of a 12-year-old child with depression, gave a predetermined insurance type, and asked to make the first available appointment with the specified provider. They called the offices of 601 individual pediatricians and 312 child psychiatrists located in five U...
January 1, 2017: International Journal of Health Services: Planning, Administration, Evaluation
https://www.readbyqxmd.com/read/28449605/precarious-employment-and-quality-of-employment-in-relation-to-health-and-well-being-in-europe
#6
Mireia Julià, Christophe Vanroelen, Kim Bosmans, Karen Van Aerden, Joan Benach
This article presents an overview of the recent work on precarious employment and employment quality in relation to workers' health and well-being. More specifically, the article mainly reviews the work performed in the E.U. 7th Framework project, SOPHIE. First, we present our overarching conceptual framework. Then, we provide a compiled overview of the evidence on the sociodemographic and European cross-country distribution of employment quality and employment precariousness. Subsequently, we provide the current evidence regarding the relations with health and broader worker well-being indicators...
January 1, 2017: International Journal of Health Services: Planning, Administration, Evaluation
https://www.readbyqxmd.com/read/28152644/hospital-payer-and-racial-ethnic-mix-at-private-academic-medical-centers-in-boston-and-new-york-city
#7
Roosa Sofia Tikkanen, Steffie Woolhandler, David U Himmelstein, Nancy R Kressin, Amresh Hanchate, Meng-Yun Lin, Danny McCormick, Karen E Lasser
Academic medical centers (AMCs) are widely perceived as providing the highest-quality medical care. To investigate disparities in access to such care, we studied the racial/ethnic and payer mixes at private AMCs of New York City (NYC) and Boston, two cities where these prestigious institutions play a dominant role in the health care system. We used individual-level inpatient discharge data for acute care hospitals to examine the degree of hospital racial/ethnic and insurance segregation in both cities using the Index of Dissimilarity, together with recent changes in patterns of care in NYC...
January 1, 2017: International Journal of Health Services: Planning, Administration, Evaluation
https://www.readbyqxmd.com/read/28114872/still-elegantly-muddling-through-nice-and-uncertainty-in-decision-making-about-the-rationing-of-expensive-medicines-in-england
#8
Michael Calnan, Ferhana Hashem, Patrick Brown
This article examines the "technological appraisals" carried out by the National Institute for Health and Care Excellence as it regulates the provision of expensive new drugs within the English National Health Service on cost-effectiveness grounds. Ostensibly this is a highly rational process by which the regulatory mechanisms absorb uncertainty, but in practice, decision making remains highly complex and uncertain. This article draws on ethnographic data-interviews with a range of stakeholders and decision makers (n = 41), observations of public and closed appraisal meetings, and documentary analysis-regarding the decision-making processes involving three pharmaceutical products...
January 1, 2017: International Journal of Health Services: Planning, Administration, Evaluation
https://www.readbyqxmd.com/read/28052709/views-on-the-effects-of-the-spanish-dependency-law-on-caregivers-quality-of-life-using-concept-mapping
#9
María Salvador-Piedrafita, Davide Malmusi, Roshanak Mehdipanah, Maica Rodríguez-Sanz, Albert Espelt, Cristina Pérez, Elisabeth Solf, María Abajo Del Rincón, Carme Borrell
In 2006 the Spanish Dependency Law established new rights for people in situation of dependency. The impact of the Law could have also affected the quality of life of their carers. This study aims to understand how the Law may have influenced caregivers' quality of life through their own perceptions and those of Primary Health Care professionals, and to compare both perspectives. The study used Concept Mapping, a mixed methods technique. In total, 16 caregivers and 21 professionals participated. Both groups identified a mix of positive and negative effects...
January 1, 2017: International Journal of Health Services: Planning, Administration, Evaluation
https://www.readbyqxmd.com/read/27956579/debate-on-the-chernobyl-disaster-response-to-alison-rosamund-katz
#10
Sergei V Jargin
No abstract text is available yet for this article.
January 2017: International Journal of Health Services: Planning, Administration, Evaluation
https://www.readbyqxmd.com/read/27956578/the-cuban-response-to-the-ebola-epidemic-in-west-africa-lessons-in-solidarity
#11
Enrique Beldarraín Chaple, Mary Anne Mercer
In December 2013 the first case of Ebola appeared in Guinea. In September 2014 the United Nations (UN) and its specialized agency the World Health Organization (WHO) issued a call for medical collaboration in response to the medical crisis and social disaster caused by the Ebola virus epidemic in West Africa. Cuban authorities responded immediately to the call by offering specialized help for the epidemic, in collaboration with WHO. A group of 256 Cuban doctors, nurses and other health professionals provided direct care during the Ebola epidemic in Sierra Leone, Liberia and Equatorial Guinea from October 2014 to April 2015...
January 2017: International Journal of Health Services: Planning, Administration, Evaluation
https://www.readbyqxmd.com/read/27956577/introduction-to-the-evaluating-the-impact-of-structural-policies-on-health-inequalities-and-their-social-determinants-and-fostering-change-sophie-project
#12
Carme Borrell, Davide Malmusi, Carles Muntaner
The SOPHIE Project (acronym for Structural Policies for Health Inequalities Evaluation) has focused on evaluating the impact of structural policies on health equity, considering as such all those policies that exert a powerful influence on the structural determinants of health (e.g., patterns of social stratification, living and working conditions) and thus on health-related exposures through intermediary determinants. In these sections of the International Journal of Health Services, we present some of the main findings of the SOPHIE Project...
January 2017: International Journal of Health Services: Planning, Administration, Evaluation
https://www.readbyqxmd.com/read/27879429/is-the-nation-state-and-its-welfare-state-dead-a-critique-of-varoufakis
#13
Vicente Navarro
No abstract text is available yet for this article.
January 2017: International Journal of Health Services: Planning, Administration, Evaluation
https://www.readbyqxmd.com/read/27811018/the-quality-of-work-in-the-belgian-service-voucher-system
#14
Sarah Mousaid, Kelly Huegaerts, Kim Bosmans, Mireia Julià, Joan Benach, Christophe Vanroelen
Several European countries implemented initiatives to boost the growth of the domestic cleaning sector. Few studies investigated the quality of work in these initiatives, although effects on workers' health and on social health inequalities can be expected. This study contributes to the scant research on this subject, by investigating the quality of work in the Belgian service voucher system - a subsidized system for domestic work. The applied research methodology includes a qualitative content analysis of parliamentary debates, legislation and previous research about the service voucher system and of 40 in-depth interviews with service voucher workers...
January 2017: International Journal of Health Services: Planning, Administration, Evaluation
https://www.readbyqxmd.com/read/27799593/changes-in-health-following-housing-improvement-in-a-vulnerable-population-in-spain-a-follow-up-study
#15
Ana M Novoa, Jordi Amat, Davide Malmusi, Fernando Díaz, Mercè Darnell, Carme Trilla, Jordi Bosch, Carme Borrell
The objective of this study is to compare changes in health among a sample of families living in substandard dwellings or with housing affordability problems assisted by Caritas Diocesana de Barcelona, according to the improvement of their socioeconomic and housing situation during the study period. A quasi-experimental study was performed, including 232 families assisted by Caritas who were interviewed in 2012 and one year later. Participants could have received a set of interventions, including relocation and different types of economic subsidies...
January 2017: International Journal of Health Services: Planning, Administration, Evaluation
https://www.readbyqxmd.com/read/27793985/employment-and-labor-market-results-of-the-sophie-project-concepts-analyses-and-policies
#16
Mireia Julià, Laia Ollé-Espluga, Christophe Vanroelen, Deborah De Moortel, Sarah Mousaid, Stig Vinberg, Vanessa Puig-Barrachina, Esther Sánchez, Carles Muntaner, Lucía Artazcoz, Joan Benach
This article reports evidence gained by the SOPHIE Project regarding employment and labor market-related policies. In the first step, quality of employment and of precarious and informal employment in Europe were conceptualized and defined. Based on these definitions, we analyzed changes in the prevalence and population distribution of key health-affecting characteristics of employment and work between times of economic prosperity and economic crisis in Europe and investigated their impact on health outcomes...
January 2017: International Journal of Health Services: Planning, Administration, Evaluation
https://www.readbyqxmd.com/read/27638762/-double-burden-of-malnutrition-reexamining-the-coexistence-of-undernutrition-and-overweight-among-women-in-india
#17
Vani S Kulkarni, Veena S Kulkarni, Raghav Gaiha
India has one of the highest rates of underweight burden, with signs of rising obesity. Coexistence of underweight and overweight persons is symptomatic of the "double burden of malnutrition." The present study throws new light on the "double burden of malnutrition" among Indian women in the age group 22-49 years. The analysis is based on a nationally representative household survey, India Human Development Survey. Our results indicate the continuing pattern of socioeconomic segregation of underweight and overweight/obese women, with a large concentration of underweight women among the low socioeconomic group and of overweight/obese women among the high socioeconomic group...
January 2017: International Journal of Health Services: Planning, Administration, Evaluation
https://www.readbyqxmd.com/read/27530991/gender-policies-and-gender-inequalities-in-health-in-europe-results-of-the-sophie-project
#18
Laia Palència, Deborah De Moortel, Lucía Artazcoz, María Salvador-Piedrafita, Vanessa Puig-Barrachina, Emma Hagqvist, Glòria Pérez, Marisol E Ruiz, Sara Trujillo-Alemán, Christophe Vanroelen, Davide Malmusi, Carme Borrell
The aim of this article is to explain the results of the SOPHIE project regarding the effect of gender policies on gender inequalities in health in Europe. We start with the results of a systematic review on how gender regimes and gender equality policies at the country level impact women's health and gender inequalities in health. Then, we report on three empirical analyses on the relationship between different family policy models existing in Europe and gender inequalities in health. Finally we present four case studies on specific examples of gender policies or determinants of gender inequalities in health...
January 2017: International Journal of Health Services: Planning, Administration, Evaluation
https://www.readbyqxmd.com/read/27940519/austerity-resistant-social-policies-to-protect-employment-the-italian-case-of-the-wage-supplementation-fund-cassa-integrazione-guadagni-in-2009-2013
#19
Elena Gelormino, Maurizio Marino, Roberto Leombruni, Giuseppe Costa
During the worse phase of the economic downturn, few social policies resisted to the austerity measures imposed to Italy by the European Union. Among them, the most important is the Wage Supplementation Fund, to protect workers and entrepreneurs from bankruptcy and unemployment. Adopting a realist methodology we studied the social mechanisms which are the roots of some political and administrative choices in that period; the public policy decision making approach gave us a theoretical base. Some main mechanisms have been discovered: technical and economic mechanisms overcame politics, social attitudes pushed political choices, the fear of political and social instability drove all parties...
December 9, 2016: International Journal of Health Services: Planning, Administration, Evaluation
https://www.readbyqxmd.com/read/27913757/the-impact-of-fiscal-policies-on-the-socioeconomic-determinants-of-health-a-structured-review
#20
Isabel Mosquera, Yolanda González-Rábago, Amaia Bacigalupe, Marc Suhrcke
There has been considerable recent debate around the alleged impact of discretionary fiscal policies - especially austerity policies - on health and health inequalities. Assuming that most of the impact will have to run via the effect of fiscal policies on socioeconomic determinants of health (SDH), it is of interest to gain a further understanding of the relationship between fiscal policies and SDH. Therefore, the aim of this article is to review the recent evidence on the impact of discretionary fiscal policies on key SDH, i...
December 2, 2016: International Journal of Health Services: Planning, Administration, Evaluation
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