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Social Science & Medicine

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https://www.readbyqxmd.com/read/28238540/structural-adjustment-and-health-a-conceptual-framework-and-evidence-on-pathways
#1
Alexander E Kentikelenis
Economic reform programs designed by the International Monetary Fund and the World Bank-so-called 'structural adjustment programs'-have formed one of the most influential policy agendas of the past four decades. To gain access to financial support from these organizations, countries-often in economic crisis-have reduced public spending, limited the role of the state, and deregulated economic activity. This article identifies the multiple components of structural adjustment, and presents a conceptual framework linking them to health systems and outcomes...
February 23, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28238539/can-intersectionality-theory-enrich-population-health-research
#2
Mark A Green, Clare R Evans, S V Subramanian
No abstract text is available yet for this article.
February 22, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28237863/structural-violence-and-chronic-kidney-disease-of-unknown-etiology-in-sri-lanka
#3
M W Amarasiri de Silva, Steven M Albert, J M K B Jayasekara
Research published on Chronic Kidney Disease of Unknown Etiology (CKDu) in Sri Lanka has been undertaken largely from biomedical and epidemiological perspectives. The main objective of these studies has been to identify the etiology of the disease, which affects as much as 15-21% of the population in some regions and is associated with kidney failure. Few studies have sought to address how CKDu is socially and behaviorally situated in the affected districts. The present study, informed by structural violence theory, utilized a mixed-method approach that analyzed primary and secondary data for Medawachchiya District Secretariat Division in Anuradhapura District for 2010 and 2015, and examined CKDu as a manifestation of social inequality and exclusion and the creation of a marginalized group of agricultural laborers...
February 20, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28237460/the-impact-of-healthcare-spending-on-health-outcomes-a-meta-regression-analysis
#4
Craig A Gallet, Hristos Doucouliagos
While numerous studies assess the impact of healthcare spending on health outcomes, typically reporting multiple estimates of the elasticity of health outcomes (most often measured by a mortality rate or life expectancy) with respect to healthcare spending, the extent to which study attributes influence these elasticity estimates is unclear. Accordingly, we utilize a meta-data set (consisting of 65 studies completed over the 1969-2014 period) to examine these elasticity estimates using meta-regression analysis (MRA)...
February 20, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28236713/tinkering-toward-departure-the-limits-of-improvisation-in-rural-ethiopian-biomedical-practices
#5
Stephanie Rieder
This paper explores Ethiopian physicians' responses to tensions produced by gaps between ideals of biomedicine and realities of clinical practice in two rural Ethiopian hospitals. Physicians engage in creativity and improvisation, including relying on informal networks and practices and tinkering within diagnoses and procedures, to overcome constraints of lack of resources and limited opportunities to engage in "good medicine." These courageous, but often unsuccessful attempts to mitigate professional and personal conflicts within their medical practices represent improvisation in impossible circumstances...
February 16, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28226301/the-influence-of-welfare-systems-on-pay-for-performance-programs-for-general-practitioners-a-critical-review
#6
REVIEW
Mehdi Ammi, Grant Fortier
While pay-for-performance (P4P) programs are increasingly common tools used to foster quality and efficiency in primary care, the evidence concerning their effectiveness is at best mixed. In this article, we explore the influence of welfare systems on four P4P-related dimensions: the level of healthcare funders' commitment to P4Ps (by funding and length of program operation), program design (specifically target-based vs. participation-based program), physicians' acceptance of the program and program effects...
February 16, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28226302/towards-a-theoretical-model-on-medicines-as-a-health-need
#7
Claudia Marcela Vargas-Peláez, Luciano Soares, Marina Raijche Mattozo Rover, Carine Raquel Blatt, Aukje Mantel-Teeuwisse, Francisco Augusto Rossi Buenaventura, Luis Guillermo Restrepo, María Cristina Latorre, José Julián López, María Teresa Bürgin, Consuelo Silva, Silvana Nair Leite, Farias Mareni Rocha
Medicines are considered one of the main tools of western medicine to resolve health problems. Currently, medicines represent an important share of the countries' healthcare budget. In the Latin America region, access to essential medicines is still a challenge, although countries have established some measures in the last years in order to guarantee equitable access to medicines. A theoretical model is proposed for analysing the social, political, and economic factors that modulate the role of medicines as a health need and their influence on the accessibility and access to medicines...
February 15, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28237862/disability-poverty-and-role-of-the-basic-livelihood-security-system-on-health-services-utilization-among-the-elderly-in-south-korea
#8
Boyoung Jeon, Haruko Noguchi, Soonman Kwon, Tomoko Ito, Nanako Tamiya
With rapid aging, many of the elderly suffer from poverty and high healthcare needs. In Korea, there is a means-tested and non-contributory public assistance, the National Basic Livelihood Security System (NBLSS). The purpose of this study is to show older population's condition of disability and poverty, to evaluate the impact of NBLSS on health services utilization, and to examine the differential effect of the NBLSS by disability status among the elderly. This study used the Korea Welfare Panel Study data 2005-2014 with the final sample of 40,365, who were 65 years and older...
February 14, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28214723/how-financial-strain-affects-health-evidence-from-the-dutch-national-bank-household-survey
#9
Carla Prentice, Donal McKillop, Declan French
The mechanisms by which financial strain affects health are not well understood. In this paper, we conduct a longitudinal mediation analysis of the Dutch National Bank Household Survey. To quantify the relative importance of biological and nonbiological pathways from financial strain to health, we consider smoking, heavy drinking and being overweight as plausible behavioural responses to financial strain but find that only 4.9% of the response of self-reported health to financial strain is mediated by these behaviours...
February 14, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28219027/do-u-s-states-socioeconomic-and-policy-contexts-shape-adult-disability
#10
Jennifer Karas Montez, Mark D Hayward, Douglas A Wolf
Growing disparities in adult mortality across U.S. states point to the importance of assessing disparities in other domains of health. Here, we estimate state-level differences in disability, and draw on the WHO socio-ecological framework to assess the role of ecological factors in explaining these differences. Our study is based on data from 5.5 million adults aged 25-94 years in the 2010-2014 waves of the American Community Survey. Disability is defined as difficulty with mobility, independent living, self-care, vision, hearing, or cognition...
February 13, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28215430/a-randomized-controlled-trial-of-a-resilience-based-intervention-on-psychosocial-well-being-of-children-affected-by-hiv-aids-effects-at-6-and-12-month-follow-up
#11
Xiaoming Li, Sayward E Harrison, Amanda J Fairchild, Peilian Chi, Junfeng Zhao, Guoxiang Zhao
BACKGROUND: Global literature suggests that resilience-based interventions may yield improvements in psychosocial well-being for vulnerable children, but limited data are available regarding the efficacy of such interventions among children affected by parental HIV/AIDS. OBJECTIVE: To evaluate initial efficacy of a multi-level resilience-based intervention among children affected by parental HIV/AIDS in China in improving children's psychosocial well-being and resilience-related outcomes...
February 13, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28214722/when-high-pressure-system-constraints-and-a-social-justice-mission-collide-a-socio-structural-analysis-of-emergency-department-social-work-services
#12
Megan Moore, Margaret Cristofalo, Danae Dotolo, Nicole Torres, Alexandra Lahdya, Leyna Ho, Mia Vogel, Mollie Forrester, Bonnie Conley, Susan Fouts
The emergency department (ED) can be a critical intervention point for many patients with multifaceted needs. Social workers have long been part of interdisciplinary ED teams. This study aimed to contribute to the limited understanding of social worker-patient interactions and factors influencing social work services in this setting. This paper reports a qualitative content analysis of social work medical record notes (N = 1509) of services provided to trauma patients in an urban, public, level 1 trauma center and an in-depth analysis of semi-structured interviews with ED social workers (N = 10)...
February 11, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28214724/where-biomedicalisation-and-magic-meet-therapeutic-innovations-of-elite-sports-injury-in-british-professional-football-and-cycling
#13
Alex Faulkner, Michael McNamee, Catherine Coveney, Jonathan Gabe
Injury is a conspicuous feature of the practice and public spectacle of contemporary elite sports. The paper argues that the 'biomedicalisation' thesis (medico-industrial nexus, techno-scientific drivers, medical optimisation, biologisation, the rise of evidence and health surveillance) goes some way to capturing the use in elite sports injury of some highly specialised mainstream therapies and some highly maverick biological therapies, which are described. Nevertheless, these main strands of biomedicalisation do not capture the full range of these phenomena in the contexts of sports medicine and athletes' practices in accessing innovative, controversial therapies...
February 9, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28202309/working-in-scarcity-effects-on-social-interactions-and-biomedical-care-in-a-tanzanian-hospital
#14
Adrienne E Strong
Based on mixed-methods, ethnographic research in government health facilities conducted in Rukwa, Tanzania over 23 months between 2012 and 2015, this paper explores the social implications of budget shortfalls in the healthcare system at the level of a regional hospital. Budget crises resulted from the late disbursal of funds and the failure of outside donors to meet aid commitments needed to subsidize healthcare at the national level. Healthcare administrators recounted specific donors who pulled out of commitments as a direct result of foreign government austerity measures enacted after the global financial crisis of 2008...
February 7, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28192745/accepted-monitoring-or-endured-quarantine-ebola-contacts-perceptions-in-senegal
#15
Alice Desclaux, Dioumel Badji, Albert Gautier Ndione, Khoudia Sow
During the 2014-2016 West Africa Ebola epidemic, transmission chains were controlled through contact tracing, i.e., identification and follow-up of people exposed to Ebola cases. WHO recommendations for daily check-ups of physical symptoms with social distancing for 21 days were unevenly applied and sometimes interpreted as quarantine. Criticisms arose regarding the use of coercion and questioned contact tracing on ethical grounds. This article aims to analyze contact cases' perceptions and acceptance of contact monitoring at the field level...
February 7, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28190628/reporting-bias-inflates-the-reputation-of-medical-treatments-a-comparison-of-outcomes-in-clinical-trials-and-online-product-reviews
#16
Mícheál de Barra
OBJECTIVES: People often hold unduly positive expectations about the outcomes of medicines and other healthcare products. Here the following explanation is tested: people who have a positive outcome tend to tell more people about their disease/treatment than people with poor or average outcomes. Akin to the file drawer problem in science, this systematically and positively distorts the information available to others. METHOD: If people with good treatment outcomes are more inclined to tell others, then they should also be more inclined to write online medical product reviews...
February 7, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28190627/does-evidence-based-hearsay-determine-the-use-of-medical-treatments
#17
John P A Ioannidis
No abstract text is available yet for this article.
February 6, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28192744/revisiting-informal-payments-in-29-transitional-countries-the-scale-and-socio-economic-correlates
#18
Nazim Habibov, Alex Cheung
This study assesses informal payments (IPs) in 29 transitional countries using a fully comparable household survey. The countries of the former Soviet Union, especially those in the Caucasus and Central Asia, exhibit the highest scale of IPs, followed by Southern Europe, and then Eastern Europe. The lowest and the highest scale of IPs were in Slovenia (2.7%) and Azerbaijan (73.9%) respectively. We found that being from a wealthier household, experiencing lower quality of healthcare in the form of long waiting times, lack of medicines, absence of personnel, and disrespectful treatment, and having relatives to help when needed, are associated with a higher odds ratio of IPs...
February 3, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28189820/the-patient-feedback-response-framework-understanding-why-uk-hospital-staff-find-it-difficult-to-make-improvements-based-on-patient-feedback-a-qualitative-study
#19
Laura Sheard, Claire Marsh, Jane O'Hara, Gerry Armitage, John Wright, Rebecca Lawton
Patients are increasingly being asked for feedback about their healthcare experiences. However, healthcare staff often find it difficult to act on this feedback in order to make improvements to services. This paper draws upon notions of legitimacy and readiness to develop a conceptual framework (Patient Feedback Response Framework - PFRF) which outlines why staff may find it problematic to respond to patient feedback. A large qualitative study was conducted with 17 ward based teams between 2013 and 2014, across three hospital Trusts in the North of England...
February 3, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28189819/sensitivity-of-measuring-the-progress-in-financial-risk-protection-to-survey-design-and-its-socioeconomic-and-demographic-determinants-a-case-study-in-rwanda
#20
Chunling Lu, Kai Liu, Lingling Li, Yuhong Yang
Reliable and comparable information on households with catastrophic health expenditure (HCHE) is crucial for monitoring and evaluating our progress towards achieving universal financial risk protection. This study aims to investigate the sensitivity of measuring the progress in financial risk protection to survey design and its socioeconomic and demographic determinants. Using the Rwanda Integrated Living Conditions Survey in 2005 and 2010/2011, we derived the level and trend of the percentage of the HCHE using out-of-pocket health spending data derived from (1) a health module with a two-week recall period and six (2005)/seven (2010/2011) survey questions (Method 1) and (2) a consumption module with a four-week/ten-/12-month recall period and 11(2005)/24 (2010/2011) questions (Method 2)...
February 3, 2017: Social Science & Medicine
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