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https://www.readbyqxmd.com/read/29208419/planning-of-polish-physician-workforce-systemic-inconsistencies-challenges-and-possible-ways-forward
#1
Alicja Domagała, Jacek Klich
BACKGROUND: Poland has the lowest number of physicians per 1000 population (2.2/1000) in the EU. This is accompanied by a considerable migration rate of Polish physicians to other EU countries (estimated at above 7%). Among other consequences, this results in waiting lists and unmet health needs. OBJECTIVE: The aim of this article is an identification of the main challenges for physician workforce planning in Poland. METHODS: The authors analysed national and international documents, reports, official statements, publications and statistical databases...
December 1, 2017: Health Policy
https://www.readbyqxmd.com/read/29217111/tackling-the-challenge-of-multi-morbidity-actions-for-health-policy-and-research
#2
EDITORIAL
Apostolos Tsiachristas, Ewout van Ginneken, Mieke Rijken
No abstract text is available yet for this article.
November 29, 2017: Health Policy
https://www.readbyqxmd.com/read/29198852/demographic-factors-and-attitudes-that-influence-the-support-of-the-general-public-for-the-introduction-of-universal-healthcare-in-ireland-a-national-survey
#3
Catherine D Darker, Erica Donnelly-Swift, Lucy Whiston
Ireland is still struggling to end the inequitable two-tiered health system and introduce universal healthcare (UHC). Public opinion can influence health policy choice and implementation. However, the public are rarely asked for their views. This study describes the demographic and attitudinal factors that influence the support of the public for the introduction of UHC. It provides data on a nationally representative survey sample of n=972. There are high levels of support for the introduction of UHC (n=846 87...
November 24, 2017: Health Policy
https://www.readbyqxmd.com/read/29191387/knowledge-translation-in-tri-sectoral-collaborations-an-exploration-of-perceptions-of-academia-industry-and-healthcare-collaborations-in-innovation-adoption
#4
Suzanne Sayuri Ii, Louise Fitzgerald, Megan M Morys-Carter, Natasha L Davie, Richard Barker
With the aging population and increase in chronic disease conditions, innovation to transform treatment pathways and service delivery will be necessary. The innovation adoption process however, can take 15 years before widespread adoption occurs in most healthcare systems. Current UK government policies to increase the facilitation of innovation adoption are under way. The aim of this study is to explore perceptions of tri-sectoral collaborations in the healthcare sector. The data in the study are drawn from a cross-sectional survey conducted in 2015 of professionals in academia, industry and the healthcare sectors in England, focusing on Diabetes care...
November 24, 2017: Health Policy
https://www.readbyqxmd.com/read/29169610/out-of-pocket-health-expenditure-differences-in-chile-insurance-performance-or-selection
#5
Pablo Villalobos Dintrans
Chile has a mixed health system with public and private actors engaged in provision and insurance. This dual system generates important differences in health expenditure between private and public insurances. Selection is a preeminent feature of the Chilean insurance system. In order to explain the role of the insurance in out-of-pocket expenditures between households for different insurance schemes, decomposition methods are applied to disentangle the effect of household 'composition and insurance' degree of financial protection on health expenditures...
November 20, 2017: Health Policy
https://www.readbyqxmd.com/read/29157994/the-importance-of-population-differences-influence-of-individual-characteristics-on-the-australian-public-s-preferences-for-emergency-care
#6
LETTER
Paul Harris, Jennifer A Whitty, Elizabeth Kendall, Julie Ratcliffe, Andrew Wilson, Peter Littlejohns, Paul A Scuffham
A better understanding of the public's preferences and what factors influence them is required if they are to be used to drive decision-making in health. This is particularly the case for service areas undergoing continual reform such as emergency and primary care. Accordingly, this study sought to determine if attitudes, socio-demographic characteristics and healthcare experiences influence the public's intentions to access care and their preferences for hypothetical emergency care alternatives. A discrete choice experiment was used to elicit the preferences of Australian adults (n=1529)...
November 17, 2017: Health Policy
https://www.readbyqxmd.com/read/29203172/how-much-do-cancer-specialists-earn-a-comparison-of-physician-fees-and-remuneration-in-oncology-and-radiology-in-high-income-countries
#7
REVIEW
Seán Boyle, Jeremy Petch, Kathy Batt, Isabelle Durand-Zaleski, Sarah Thomson
The main driver of higher spending on health care in the US is believed to be substantially higher fees paid to US physicians in comparison with other countries. We aim to compare physician incomes in radiology and oncology considering differences in relation to fees paid, physician capacity and volume of services provided in five countries: the United States, Canada, Australia, France and the United Kingdom. The fee for a consultation with a specialist in oncology varies threefold across countries, and more than fourfold for chemotherapy...
November 16, 2017: Health Policy
https://www.readbyqxmd.com/read/29146104/an-innovative-approach-to-participatory-health-policy-development-in-bulgaria-the-conception-and-first-achievements-of-the-partnership-for-health
#8
Antoniya Dimova, Maria Rohova, Stanimir Hasardzhiev, Anne Spranger
The Bulgarian Partnership for Health was established in 2015 as a new forum for health policy formulation and discussion. The Partnership presents a new approach of structured and sustained stakeholder involvement to overcome the lack of public participation in health policy development and implementation. Constituted as a permanent consultative body to the Council of Ministers, the Partnership engages a wide variety of stakeholders and professionals to shape and improve health policies. The shared governance of the Partnership between the Minister of Health and a patient organisation supports the elaboration of legislative acts based on the stakeholders' collaboration in priority areas...
November 11, 2017: Health Policy
https://www.readbyqxmd.com/read/29153922/e-health-in-switzerland-the-laborious-adoption-of-the-federal-law-on-electronic-health-records-ehr-and-health-information-exchange-hie-networks
#9
Carlo De Pietro, Igor Francetic
Within the framework of a broader e-health strategy launched a decade ago, in 2015 Switzerland passed a new federal law on patients' electronic health records (EHR). The reform requires hospitals to adopt interoperable EHRs to facilitate data sharing and cooperation among healthcare providers, ultimately contributing to improvements in quality of care and efficiency in the health system. Adoption is voluntary for ambulatories and private practices, that may however be pushed towards EHRs by patients. The latter have complete discretion in the choice of the health information to share...
November 10, 2017: Health Policy
https://www.readbyqxmd.com/read/29153847/effect-of-incentive-payments-on-chronic-disease-management-and-health-services-use-in-british-columbia-canada-interrupted-time-series-analysis
#10
M Ruth Lavergne, Michael R Law, Sandra Peterson, Scott Garrison, Jeremiah Hurley, Lucy Cheng, Kimberlyn McGrail
We studied the effects of incentive payments to primary care physicians for the care of patients with diabetes, hypertension, and Chronic Obstructive Pulmonary Disease (COPD) in British Columbia, Canada. We used linked administrative health data to examine monthly primary care visits, continuity of care, laboratory testing, pharmaceutical dispensing, hospitalizations, and total h ealth care spending. We examined periods two years before and two years after each incentive was introduced, and used segmented regression to assess whether there were changes in level or trend of outcome measures across all eligible patients following incentive introduction, relative to pre-intervention periods...
November 10, 2017: Health Policy
https://www.readbyqxmd.com/read/29128200/exploring-sociodemographic-and-economic-factors-that-promote-adverse-drug-reactions-reporting-by-patients
#11
Pedro Inácio, João José Gomes, Marja Airaksinen, Afonso Cavaco
BACKGROUND: Adverse drug reactions (ADRs) are recognized as a leading cause of morbidity and mortality, and an important cost factor to health systems. Patient reporting of ADRs has emerged as an important topic in recent years but reporting rates are still low in many countries. OBJECTIVE: To explore different countries' sociodemographic and economic features as explanatory factors for population ADRs reporting, including the propensity of patients' reporting to pharmacovigilance authorities...
November 8, 2017: Health Policy
https://www.readbyqxmd.com/read/29129270/patient-centeredness-of-integrated-care-programs-for-people-with-multimorbidity-results-from-the-european-icare4eu-project
#12
Iris van der Heide, Sanne Snoeijs, Sabrina Quattrini, Verena Struckmann, Anneli Hujala, François Schellevis, Mieke Rijken
INTRODUCTION: This paper aims to support the implementation of patient-centered care for people with multimorbidity in Europe, by providing insight into ways in which patient-centeredness is currently shaped in integrated care programs for people with multimorbidity in European countries. METHODS: In 2014, expert organizations in 31 European countries identified 200 integrated care practices ('programs') in 25 countries of which 123 were included in our study. Managers of 112 programs from 24 countries completed a questionnaire about characteristics and results of the program, including questions on elements of patient-centeredness...
November 6, 2017: Health Policy
https://www.readbyqxmd.com/read/29113728/expanding-the-clinical-role-of-community-pharmacy-a-qualitative-ethnographic-study-of-medication-reviews-in-ontario-canada
#13
Sarah J Patton, Fiona A Miller, Lusine Abrahamyan, Valeria E Rac
Medication reviews by community pharmacists are an increasingly common strategy to improve medication management for chronic conditions, and are part of wider efforts to make more effective use of community-based health professionals. To identify opportunities to optimize the medication review program in Ontario, Canada, we explored how providers and clients interpret and operationalize medication reviews within everyday community pharmacy practice. We conducted a qualitative ethnographic study at four pharmacies in Ontario, Canada, including non-participant observation of provider and client activities and interactions with specific attention to medication reviews, as well as brief ethnographic interviews with providers and clients, and in-depth, semi-structured interviews with providers...
November 4, 2017: Health Policy
https://www.readbyqxmd.com/read/29100609/economic-evaluations-of-alcohol-prevention-interventions-is-the-evidence-sufficient-a-review-of-methodological-challenges
#14
REVIEW
Sarah R Hill, Luke Vale, David Hunter, Emily Henderson, Yemi Oluboyede
Public health interventions have unique characteristics compared to health technologies, which present additional challenges for economic evaluation (EE). High quality EEs that are able to address the particular methodological challenges are important for public health decision-makers. In England, they are even more pertinent given the transition of public health responsibilities in 2013 from the National Health Service to local government authorities where new agents are shaping policy decisions. Addressing alcohol misuse is a globally prioritised public health issue...
October 27, 2017: Health Policy
https://www.readbyqxmd.com/read/29102089/managing-multimorbidity-profiles-of-integrated-care-approaches-targeting-people-with-multiple-chronic-conditions-in-europe
#15
Mieke Rijken, Anneli Hujala, Ewout van Ginneken, Maria Gabriella Melchiorre, Peter Groenewegen, Franζois Schellevis
In response to the growing populations of people with multiple chronic diseases, new models of care are currently being developed in European countries to better meet the needs of these people. This paper aims to describe the occurrence and characteristics of various types of integrated care practices in European countries that target people with multimorbidity. Data were analysed from multimorbidity care practices participating in the Innovating care for people with multiple chronic conditions (ICARE4EU) project, covering all 28EU Member States, Iceland, Norway and Switzerland...
October 19, 2017: Health Policy
https://www.readbyqxmd.com/read/29055519/good-better-best-a-comprehensive-comparison-of-healthcare-providers-performance-an-application-to-physiotherapy-practices-in-primary-care
#16
Sander Steenhuis, Niels Groeneweg, Xander Koolman, France Portrait
Most payment methods in healthcare stimulate volume-driven care, rather than value-driven care. Value-based payment methods such as Pay-For-Performance have the potential to reduce costs and improve quality of care. Ideally, outcome indicators are used in the assessment of providers' performance. The aim of this paper is to describe the feasibility of assessing and comparing the performances of providers using a comprehensive set of quality and cost data. We had access to unique and extensive datasets containing individual data on PROMs, PREMs and costs of physiotherapy practices in Dutch primary care...
October 13, 2017: Health Policy
https://www.readbyqxmd.com/read/29042060/australian-general-practitioners-initiate-statin-therapy-primarily-on-the-basis-of-lipid-levels-new-zealand-general-practitioners-use-absolute-risk
#17
REVIEW
Chris Schilling, Josh Knight, Duncan Mortimer, Dennis Petrie, Philip Clarke, John Chalmers, Andrew Kerr, Rod Jackson
OBJECTIVES: To compare the determinants of initial statin prescribing between New Zealand and Australia. New Zealand has a system-wide absolute risk-based approach to primary care cardiovascular disease (CVD) management, while Australia has multiple guidelines. METHOD: Classification and Regression Tree (CART) analysis of two observational studies of primary care CVD management from New Zealand (PREDICT-CVD) and Australia (AusHeart). Over 80% of eligible New Zealanders have been screened for CVD risk...
October 10, 2017: Health Policy
https://www.readbyqxmd.com/read/29033059/structural-integration-and-performance-of-inter-sectoral-public-health-related-policy-networks-an-analysis-across-policy-phases
#18
D T J M Peters, J Raab, K M Grêaux, K Stronks, J Harting
BACKGROUND: Inter-sectoral policy networks may be effective in addressing environmental determinants of health with interventions. However, contradictory results are reported on relations between structural network characteristics (i.e., composition and integration) and network performance, such as addressing environmental determinants of health. This study examines these relations in different phases of the policy process. METHODS: A multiple-case study was performed on four public health-related policy networks...
October 10, 2017: Health Policy
https://www.readbyqxmd.com/read/29031934/-we-don-t-have-the-infrastructure-to-support-them-at-home-how-health-system-inadequacies-impact-on-long-term-care-admissions-of-people-with-dementia
#19
Nora-Ann Donnelly, Niamh Humphries, Anne Hickey, Frank Doyle
OBJECTIVES: The influence of healthcare system factors on long-term care admissions has received relatively little attention. We address this by examining how inadequacies in the healthcare system impact on long-term care admissions of people with dementia. This is done in the context of the Irish healthcare system. METHODS: Thirty-eight qualitative in-depth interviews with healthcare professionals and family carers were conducted. Interviews focused on participants' perceptions of the main factors which influence admission to long-term care...
October 6, 2017: Health Policy
https://www.readbyqxmd.com/read/29031933/relevant-models-and-elements-of-integrated-care-for-multi-morbidity-results-of-a-scoping-review
#20
Verena Struckmann, Fenna R M Leijten, Ewout van Ginneken, Markus Kraus, Miriam Reiss, Anne Spranger, Melinde R S Boland, Thomas Czypionka, Reinhard Busse, Maureen Rutten-van Mölken
BACKGROUND: In order to provide adequate care for the growing group of persons with multi-morbidity, innovative integrated care programmes are appearing. The aims of the current scoping review were to i) identify relevant models and elements of integrated care for multi-morbidity and ii) to subsequently identify which of these models and elements are applied in integrated care programmes for multi-morbidity. METHODS: A scoping review was conducted in the following scientific databases: Cochrane, Embase, PubMed, PsycInfo, Scopus, Sociological Abstracts, Social Services Abstracts, and Web of Science...
October 6, 2017: Health Policy
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