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Health Policy

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https://www.readbyqxmd.com/read/28711301/the-taxation-of-unhealthy-energy-dense-foods-edfs-and-sugar-sweetened-beverages-ssbs-an-overview-of-patterns-observed-in-the-policy-content-and-policy-context-of-13-case-studies
#1
REVIEW
Luc Louis Hagenaars, Patrick Paulus Theodoor Jeurissen, Niek Sieds Klazinga
Taxation of energy-dense foods (EDFs) and sugar-sweetened beverages (SSBs) is increasingly of interest as a novel public health and fiscal policy instrument. However academic interest in policy determinants has remained limited. We address this paucity by comparing the policy content and policy context of EDF/SSB taxes witnessed in 13 case studies, of which we assume the tax is sufficiently high to induce behavioural change. The observational and non-randomized studies published on our case studies seem to indicate that the EDF/SSB taxes under investigation generally had the desired effects on prices and consumption of targeted products...
July 8, 2017: Health Policy
https://www.readbyqxmd.com/read/28701260/review-of-early-assessment-models-of-innovative-medical-technologies
#2
REVIEW
Iben Fasterholdt, Murray Krahn, Kristian Kidholm, Knud Bonnet Yderstræde, Kjeld Møller Pedersen
INTRODUCTION: Hospitals increasingly make decisions regarding the early development of and investment in technologies, but a formal evaluation model for assisting hospitals early on in assessing the potential of innovative medical technologies is lacking. This article provides an overview of models for early assessment in different health organisations and discusses which models hold most promise for hospital decision makers. METHODS: A scoping review of published studies between 1996 and 2015 was performed using nine databases...
June 24, 2017: Health Policy
https://www.readbyqxmd.com/read/28697849/post-market-surveillance-in-the-german-medical-device-sector-current-state-and-future-perspectives
#3
Claus Zippel, Sabine Bohnet-Joschko
Medical devices play a central role in the diagnosis and treatment of diseases but also bring the potential for adverse events, hazards or malfunction with serious consequences for patients and users. Medical device manufacturers are therefore required by law to monitor the performance of medical devices that have been approved by the competent authorities (post market surveillance). Conducting a nationwide online-survey in the German medical device sector in Q2/2014 in order to explore the current status of the use of post market instruments we obtained a total of 118 complete data sets, for a return rate of 36%...
June 24, 2017: Health Policy
https://www.readbyqxmd.com/read/28687183/new-decision-making-processes-for-the-pricing-of-health-technologies-in-japan-the-fy-2016-2017-pilot-phase-for-the-introduction-of-economic-evaluations
#4
Takeru Shiroiwa, Takashi Fukuda, Shunya Ikeda, Tomoyuki Takura
Economic evaluation is used for decision-making processes in healthcare technologies in many developed countries. In Japan, no health economic data have been requested for drugs, medical devices, and interventions till date. However, economic evaluation is gradually gaining importance, and a trial implementation of the cost-effectiveness evaluation of drugs and medical devices has begun. Discussions on economic evaluation began in May 2012 within a newly established sub-committee of the Chuikyo, referred to as the "Special Committee on Cost Effectiveness...
June 23, 2017: Health Policy
https://www.readbyqxmd.com/read/28687182/consistency-of-priorities-for-quality-improvement-for-nursing-homes-in-italy-and-canada-a-comparison-of-optimization-models-of-resident-satisfaction
#5
REVIEW
Sara Barsanti, Kevin Walker, Chiara Seghieri, Antonella Rosa, Walter P Wodchis
The paper seeks to identify aspects of care that may be easily modified to yield a desired level of improvement in residents' overall satisfaction with nursing homes, comparing data across Canada and Italy. Using a structured questionnaire, 681 and 1116 nursing home residents were surveyed in Ontario in 2009 and in Tuscany in 2012, respectively. Fourteen items were common to the surveys, including willingness to recommend (WTR), which was used as the dependent variable and measure of global satisfaction. The other analogous items were entered as covariates in ordinal logistic regression models predicting residents' WTR in each jurisdiction separately...
June 23, 2017: Health Policy
https://www.readbyqxmd.com/read/28668222/the-selfie-framework-for-integrated-care-for-multi-morbidity-development-and-description
#6
Fenna R M Leijten, Verena Struckmann, Ewout van Ginneken, Thomas Czypionka, Markus Kraus, Miriam Reiss, Apostolos Tsiachristas, Melinde Boland, Antoinette de Bont, Roland Bal, Reinhard Busse, Maureen Rutten-van Mölken
BACKGROUND: The rise of multi-morbidity constitutes a serious challenge in health and social care organisation that requires a shift from disease- towards person-centred integrated care. The aim of the current study was to develop a conceptual framework that can aid the development, implementation, description, and evaluation of integrated care programmes for multi-morbidity. METHODS: A scoping review and expert discussions were used to identify and structure concepts for integrated care for multi-morbidity...
June 20, 2017: Health Policy
https://www.readbyqxmd.com/read/28666547/staff-and-patient-perspectives-of-a-smoke-free-health-services-policy-in-south-australia-a-state-wide-implementation
#7
Kimberley Martin, Joanne Dono, Greg Sharplin, Jacqueline Bowden, Caroline Miller
Few jurisdictions have implemented and evaluated a complete smoking ban across all health sites in their jurisdiction, with no designated smoking areas. This article examines staff and patient perceptions and experiences of a mandated smoke-free policy implemented across all government health facilities in South Australia, including mental health sites. An online survey of health staff was conducted prior to policy implementation (n=3098), 3 months post-implementation (n=2673) and 15 months post-implementation (n=2890)...
June 20, 2017: Health Policy
https://www.readbyqxmd.com/read/28595897/system-influences-on-work-disability-due-to-low-back-pain-an-international-evidence-synthesis
#8
REVIEW
Serena Bartys, Pernille Frederiksen, Tom Bendix, Kim Burton
Work disability due to low back pain is a significant global health concern. Current policy and practice aimed at tackling this problem is largely informed by the biopsychosocial model. Resultant interventions have demonstrated some small-scale success, but they have not created a widespread decrease in work disability. This may be explained by the under-representation of the less measurable aspects in the biopsychosocial evidence base; namely the influence of relevant systems. Thus, a 'best-evidence' synthesis was conducted to collate the evidence on how compensatory (worker's compensation and disability benefits), healthcare and family systems (spouse/partner/close others) can act as obstacles to work participation for those with low back pain...
June 3, 2017: Health Policy
https://www.readbyqxmd.com/read/28610840/measuring-and-managing-health-system-performance-an-update-from-new-zealand
#9
Linda Maree Chalmers, Toni Ashton, Tim Tenbensel
In July 2016, New Zealand introduced a new approach to measuring and monitoring health system performance. This 'Systems Level Measure Framework' (SLMF) has evolved from the Integrated Performance and Incentive Framework (IPIF) previously reported in this journal. The SLMF is designed to stimulate a 'whole of system' approach that requires inter-organisational collaboration. Local 'Alliances' between government and non-government health sector organisations are responsible for planning and achieving improved health system outcomes such as reducing ambulatory sensitive hospitalisation for young children, and reducing acute hospital bed days...
June 2, 2017: Health Policy
https://www.readbyqxmd.com/read/28601435/contrasting-approaches-to-primary-care-performance-governance-in-denmark-and-new-zealand
#10
REVIEW
Tim Tenbensel, Viola Burau
In high-income countries, the arena of primary health care is becoming increasingly subject to 'performance governance' - the harnessing of performance information to the broader task of governance. Primary care presents many governance challenges because it is predominantly provided by sole practitioners or small organisations. In this article we compare Denmark and New Zealand, two small countries with tax-funded health systems which have adopted quite different instruments for performance governance in primary care...
June 2, 2017: Health Policy
https://www.readbyqxmd.com/read/28622939/social-preferences-for-prioritizing-the-treatment-of-severely-ill-patients-the-relevance-of-severity-expected-benefit-past-health-and-lifetime-health
#11
John McKie, Jeff Richardson
The study examined the preferences of a sample of the Australian public and health professionals regarding the relative importance of four different criteria for prioritizing between patients: the severity of the condition, the size of the benefit from the intervention, past health losses and expected lifetime health. A discussion-group methodology was adopted to elicit social preferences. This allowed participants time to consider all of the alternatives fully, to seek clarification of the task, and to engage in open debate about the issues raised...
June 1, 2017: Health Policy
https://www.readbyqxmd.com/read/28619464/the-ageing-society-and-emergency-hospital-admissions
#12
Raphael Wittenberg, Luke Sharpin, Barry McCormick, Jeremy Hurst
There is strong policy interest, in England as elsewhere, in slowing the growth in emergency hospital admissions, which for older people increased by 3.3% annually between 2001/2 and 2012/3. Resource constrains have increased the importance of understanding rising emergency admissions, which in policy discourse is often explained by population aging. This study examines how far the rise in emergency admissions of people over 65 was due to population ageing, how far to the changing likelihood of entering hospital at each age, and how far to other factors which might be more amenable to policy measures...
May 29, 2017: Health Policy
https://www.readbyqxmd.com/read/28578830/understanding-perspectives-on-major-system-change-a-comparative-case-study-of-public-engagement-and-the-implementation-of-urgent-and-emergency-care-system-reconfiguration
#13
Conor Foley, Elsa Droog, Orla Healy, Sheena McHugh, Claire Buckley, John Patrick Browne
OBJECTIVES: Major changes have been made to how emergency care services are configured in several regions in the Republic of Ireland. This study investigated the hypothesis that engagement activities undertaken prior to these changes influenced stakeholder perspectives on the proposed changes and impacted on the success of implementation. METHODS: A comparative case-study approach was used to explore the changes in three regions. These regions were chosen for the case study as the nature of the proposals to reconfigure care provision were broadly similar but implementation outcomes varied considerably...
May 29, 2017: Health Policy
https://www.readbyqxmd.com/read/28579276/are-public-private-partnerships-the-solution-to-tackle-neglected-tropical-diseases-a-systematic-review-of-the-literature
#14
REVIEW
Céline Aerts, Temmy Sunyoto, Fabrizio Tediosi, Elisa Sicuri
Pharmaceutical companies are reluctant to invest in research and development (R&D) of products for neglected tropical diseases (NTDs) mainly due to the low ability-to-pay of health insurance systems and of potential consumers. The available preventive and curative interventions for NTDs mostly rely on old technologies and products that are often not adequate. Moreover, NTDs mostly affect populations living in remote rural areas and conflict zones, thereby hampering access to healthcare. The challenges posed by NTDs have led to the proliferation of a variety of public-private partnerships (PPPs) in the last decades...
May 19, 2017: Health Policy
https://www.readbyqxmd.com/read/28552272/understanding-stakeholders-perspectives-and-experiences-of-general-practice-accreditation
#15
Deborah Debono, David Greenfield, Luke Testa, Virginia Mumford, Anne Hogden, Marjorie Pawsey, Johanna Westbrook, Jeffrey Braithwaite
OBJECTIVE: To examine general practice accreditation stakeholders' perspectives and experiences to identify program strengths and areas for improvements. DESIGN, SETTING AND PARTICIPANTS: Individual (n=2) and group (n=9) interviews were conducted between September 2011-March 2012 with 52 stakeholders involved in accreditation in Australian general practices. Interviews were recorded, transcribed and thematically analysed. Member checking activities in April 2016 assessed the credibility and currency of the findings in light of current reforms...
May 19, 2017: Health Policy
https://www.readbyqxmd.com/read/28624298/processes-and-experiences-of-portugal-s-international-recruitment-scheme-of-colombian-physicians-did-it-work
#16
Erika Masanet
The Portuguese Ministry of Health performed five international recruitment rounds of Latin American physicians due to the need for physicians in certain geographic areas of the country and in some specialties, as a temporary solution to shortages. Among these recruitments is that of Colombian physicians in 2011 that was the largest of the five groups. This paper presents an evaluation of the international recruitment procedure of Colombian physicians based on the criteria of procedural outcomes and health system outcomes...
May 17, 2017: Health Policy
https://www.readbyqxmd.com/read/28571667/the-role-of-the-european-structural-and-investment-funds-in-financing-health-system-in-lithuania-experience-from-2007-to-2013-funding-period-and-implications-for-the-future
#17
Liubove Murauskiene, Marina Karanikolos
European Structural and Investment Funds (ESIF) are a major source of investments in the newer EU member states. In Lithuania's health sector, the amount for the 2007-2013 funding period reached more than €400 million. In this paper we aim to (i) identify the key areas in the health sector which were supported by ESIF, (ii) determine the extent to which ESIF assisted the implementation of the ongoing health system reform; and (iii) assess whether the use of funds has led to expected improvements in healthcare...
May 10, 2017: Health Policy
https://www.readbyqxmd.com/read/28535996/time-driven-activity-based-costing-in-health-care-a-systematic-review-of-the-literature
#18
REVIEW
George Keel, Carl Savage, Muhammad Rafiq, Pamela Mazzocato
Health care organizations around the world are investing heavily in value-based health care (VBHC), and time-driven activity-based costing (TDABC) has been suggested as the cost-component of VBHC capable of addressing costing challenges. The aim of this study is to explore why TDABC has been applied in health care, how its application reflects a seven-step method developed specifically for VBHC, and implications for the future use of TDABC. This is a systematic review following the PRISMA statement. Qualitative methods were employed to analyze data through content analyses...
May 10, 2017: Health Policy
https://www.readbyqxmd.com/read/28527626/the-impact-of-economic-conditions-on-the-disablement-process-a-markov-transition-approach-using-share-data
#19
Y Arrighi, T Rapp, N Sirven
A growing number of studies underline the relationship between socioeconomic status and health at older ages. Following that literature, we explore the impact of economic conditions on changes in functional health overtime. Frailty, a state of physiological instability, has been identified in the public health literature as a candidate for disability prevention but received little attention from health economists. Using SHARE panel data, respondents aged 50 and over from ten European countries were categorised as robust, frail and dependent...
May 10, 2017: Health Policy
https://www.readbyqxmd.com/read/28522162/implementing-shared-decision-making-for-diabetes-care-across-country-settings-what-really-matters-to-people
#20
Michela Tinelli, Panagiotis Petrou, George Samoutis, Vivie Traynor, George Olympios, Alistair McGuire
CONTEXT: Growing evidence of improved clinical outcomes and patient/professional satisfaction supports shared-decision-making (SDM) services as an effective primary care interventions for diabetes. However, only a few countries have actually adopted them (e.g. England). In other European countries (e.g. Cyprus) there is awareness that patients play a crucial role in decision-making, and SDM services could be considered as innovative strategies to promote the actual implementation of patient rights legislation and strengthen primary care...
May 10, 2017: Health Policy
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