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Health Policy

Ellen Kuhlmann, Ronald Batenburg, Gilles Dussault
No abstract text is available yet for this article.
September 11, 2018: Health Policy
António M Raimundo, A Virgílio M Oliveira, Cristóvão Silva
This study presents a quantification of the financial needs to maintain the stock of cold equipment for the preservation of medical products in public health care establishments of European Union (EU) countries. The conditions that must be guaranteed, the types of equipment used, the installed capacity, the total annual financial needs and the estimate of its evolution in the near future are addressed. A field survey involving Portuguese establishments of various types and dimensions was performed in order to assess the currently installed volume by type of equipment...
September 9, 2018: Health Policy
Emmanuele Pavolini, Ellen Kuhlmann, Tuba I Agartan, Viola Burau, Russell Mannion, Ewen Speed
A new wave of support for populist parties and movements represents a serious threat to universal healthcare coverage in traditional liberal democracies and beyond. This article aims to contribute empirical material on the relationships between healthcare governance, professions and populism. It applies an explanatory cross-country comparative approach and uses mixed methods, including micro-level data garnered from international comparative databases and documents. Denmark, England, Germany, Italy and Turkey have been selected for comparison, reflecting different types of healthcare systems and populist movements...
September 7, 2018: Health Policy
Ingeborg M van der Putten, Aggie T G Paulus, Mickael Hiligsmann, Raymond C W Hutubessy, Silvia M A A Evers
Little is known about the role of (economic) information or evidence in the different stages of the decision-making process on vaccine introduction. By conducting a document analysis on the public decision-making process of introducing human Papilloma virus (HPV) vaccine into the national vaccination program (NVP) in the Netherlands, we aim to gain insight into which information plays a role during the introduction of a vaccination programme. A document analysis was performed on the public decision-making process regarding the introduction of HPV vaccine into the NVP in the Netherlands...
September 7, 2018: Health Policy
Daniel Karl-Heinz Voigt, Philipp Lenz, Hendrik Friederichs
OBJECTIVE: The German Patients' Rights Act (PRA), promulgated on February 25, 2013, was created to enhance transparency of patients' rights. This prospective study aimed to objectively measure physicians' comprehension of the PRA. METHODS: We generated a controlled study design, developing a questionnaire consisting of six case scenarios with 4-7 dichotomous items each. The survey concluded with seven 5-point-Likert scale questions, dealing with the PRA's effects...
September 7, 2018: Health Policy
Erica Visintin, Michela Tinelli, Panos Kanavos
This study systematically compares HTA recommendations on a number of disease-modifying therapies for patients with Relapsing-Remitting Multiple Sclerosis. We analysed publicly available HTA reports for nine medicine-indication pairs across seven OECD countries using a methodological framework enabling systematic analysis of HTA recommendations. The analysis was conducted based on a number of value dimensions, including clinical and economic variables, as well as several other dimensions of value beyond cost-effectiveness...
September 6, 2018: Health Policy
Maria Cristina Ghiotto, Ylenia Rizzolo, Elisabetta Gandolfo, Emanuela Zuliani, Domenico Mantoan
PURPOSE: This paper aims to illustrate the development of the Veneto Region's (Italy) new primary care model and to report on the preliminary results. BACKGROUND: Achieving integrated management and continuity of care are the two main aims of the Veneto Region's health planning legislation for 2012-2016. Under this framework, and to meet new emerging population needs, it has become necessary to adopt a new primary care model that embraces multi-professional teams...
September 3, 2018: Health Policy
Vishal Khetpal, Elias Mossialos
Ethical debates continue to shape organ transplant policies, particularly for kidneys. Facing organ shortages, governments have created incentives targeting prospective living-anonymous donors - socially and biologically unrelated to the recipient. However, these policies may transform altruistic exchanges of tissues into trades of commodities. We use Adam Smith's concept of sympathy to outline a new approach to transplantation ethics. This is accomplished using a case study analysis of six countries with established living-anonymous kidney donation practices - Iran, Israel, the Netherlands, Saudi Arabia, the United Kingdom, and the United States...
September 1, 2018: Health Policy
Cristina Mondelo-García, Elvia Mendoza, María-Jesús Movilla-Fernández, Carmen Coronado
In Spain, the use of generics has considerably evolved in a short period of time through different anti-crisis legislation changes. Before the financial crisis the proposal of generics was an option for patients. Nowadays its use is actively enforced by Health authorities. OBJECTIVE: To explore the perceptions of pharmacists and physicians regarding the generic substitution driven by new Spanish drugs policies as well as their adaptive strategies intended to lessen the impact of changes to their patients' treatment...
August 31, 2018: Health Policy
Johannes Morche, Daniela Renner, Barbara Pietsch, Laura Kaiser, Jan Brönneke, Sabine Gruber, Katja Matthias
INTRODUCTION: Minimum volume standards have been implemented in various countries for quality or safety policies. We present minimum volume standards in an international comparison, focusing on regulatory approaches, selected sets of procedures and thresholds as well as predetermined consequences of non-compliance. MATERIALS AND METHODS: We combined a comprehensive literature search in electronic databases in March 2016 with a hand-search of governmental and related organisations' webpages...
August 31, 2018: Health Policy
Karen Wilson, Lara Khansa
The goal of this research is to compare the healthcare information technology (HIT)-related policies and infrastructures of two very differently-run countries: The United States (US) that owns the largest private healthcare system in the world, and the United Kingdom (UK) that has the largest public healthcare system worldwide. The paper specifically focuses on the differences between the two countries' adoption of electronic healthcare record (EHR) systems, and their efforts toward interoperability, healthcare information security and privacy, and patient safety...
August 31, 2018: Health Policy
Leia Peralta-Gallego, Joan Gené-Badia, Pedro Gallo
BACKGROUND: In 2012 the Spanish government passed Royal Decree-Law 16/2012 (RDL) aimed at containing public expenditure in response to the economic crisis. This RDL redefined just who would be entitled to public health care. As a result, a large proportion of undocumented immigrants in Spain were excluded from basic publicly financed health care with access only being granted under particular circumstances (emergency care, maternal care, children under 18, asylum seekers and victims of human trafficking)...
August 30, 2018: Health Policy
Eugenia Larjow
BACKGROUND: Administrative costs (AC) are a relevant spending category in health care, and several approaches exist on how to define and measure them. Based on available AC studies, this paper aims to provide a map for this multifaceted research topic. METHODS: A scoping review was conducted using the databases MEDLINE, EconLit, and Business Source Premier. Literature was screened focussing on the research question: What is known about the methodology of AC research from scientific publications? RESULTS: Definition concepts mostly rely on national cost documentations...
August 29, 2018: Health Policy
Silvia Gabriela Scîntee, Cristian Vlădescu, Anna Sagan, Cristina Hernández-Quevedo
One of the main objectives of the National Strategy for Hospitals Rationalization approved by the Romanian Government in 2011 was to resize the hospital sector in order to improve efficiency. To this end, the government decided the closure of 67 inpatient care facilities with low efficiency scores, giving them the opportunity to become nursing homes for elderly under a national programme financed by the Ministry of Labour, Family and Social Protection. The measure faced a tremendous public opposition that put pressure on politicians to re-open some hospitals, while other hospitals were re-opened by the governments that followed in order to consolidate their power...
August 29, 2018: Health Policy
Jennifer Priaulx, Harry J de Koning, Inge M C M de Kok, György Széles, Martin McKee
The aim of this study was to identify barriers to effective breast, cervical and colorectal cancer screening programmes throughout the whole of the European region using the Barriers to Effective Screening Tool (BEST). The study was part of the scope of the EU-TOPIA (TOwards imProved screening for breast, cervical and colorectal cancer In All of Europe) project and respondents were European screening organisers, researchers and policymakers taking part in a workshop for the project in Budapest in September 2017...
August 27, 2018: Health Policy
Mathieu Charbonneau, Marc-André Gagnon
The Canadian patchwork system of prescription drug coverage and the employer sponsored private health benefits group plans appear vulnerable to cost growth due to insufficient balance of power between fragmented public and private buyers, and pharmaceutical manufacturers. The emergence of "bad" insurance risks caused by new and very expensive treatments featuring high cost specialty medicines - also known as niche buster drugs - exposes this vulnerability. This study fills a gap in knowledge by seeking to better understanding how Canadian private insurers face the arrival of specialty pharmaceuticals...
August 25, 2018: Health Policy
Eleanor Turnbull, Jennifer Priaulx, Nicolien T van Ravesteyn, Sirpa Heinävaara, Ilona Siljander, Carlo Senore, Nereo Segnan, Zoltán Vokó, Judit Hagymásy, Katja Jarm, Piret Veerus, Harry J de Koning, Martin McKee
The benefits of population-based screening for breast cancer are now accepted although, in practice, programmes often fail to achieve their full potential. In this paper, we propose a conceptual model that situates screening programmes within the broader health system to understand the factors that influence their outcomes. We view the overall screening system as having multiple sub-systems to identify the population at risk, generate knowledge of effectiveness, maximise uptake, operate the programme, and optimise follow-up and assurance of subsequent treatment...
August 24, 2018: Health Policy
Eleanor Turnbull, Jennifer Priaulx, Inge M C M de Kok, Iris Lansdorp-Vogelaar, Ahti Anttila, Tytti Sarkeala, Carlo Senore, Nereo Segnan, Marcell Csanádi, János Pitter, Dominika Novak Mlakar, Urska Ivanus, Piret Veerus, Harry J de Koning, Martin McKee
The aim of this study was to identify barriers to effective cervical and colorectal cancers screening programmes in Europe. The Barriers to Effective Screening Tool (BEST), based on a health systems approach, was completed by teams of three to six experts on cancer screening in each of the six countries involved in leading the EU-TOPIA project (TOwards imProved screening for breast, cervical and colorectal cancer In All of Europe). While the basic components of screening systems and the challenges they face, such as low participation, are similar, there are also many differences, both in the structures underpinning particular functions, such as maintenance of populationregisters and monitoring outcomes, and the ways that they operate...
August 24, 2018: Health Policy
Carl Camilleri, Mireia Jofre-Bonet, Victoria Serra-Sastre
The healthcare system in Malta is financed through global budgets and healthcare is provided free at the point of use. This paper is a first attempt to examine the feasibility of introducing a Diagnosis Related Groups casemix system for Malta, not necessarily for payment and funding purposes, but as a tool to help describe, manage and measure resource use. This is particularly challenging in view of the constraints and characteristics of a small state country. The study evaluates the applicability of the MS-DRG (Version 27...
August 22, 2018: Health Policy
Claudia B Maier, Ronald Batenburg, Stephen Birch, Britta Zander, Robert Elliott, Reinhard Busse
BACKGROUND: An increasing number of countries are introducing new health professions, such as Nurse Practitioners (NPs) and Physician Assistants (PAs). There is however limited evidence, on whether these new professions are included in countries' workforce planning. METHODS: A cross-country comparison of workforce planning methods. Countries with NPs and/or PAs were identified, workforce planning projections reviewed and differences in outcomes were analysed, based on a review of workforce planning models and a scoping review...
August 11, 2018: Health Policy
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