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Health Policy

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https://www.readbyqxmd.com/read/28811098/the-governance-of-integrated-health-and-social-care-in-england-since-2010-great-expectations-not-met-once-again
#1
Mark Exworthy, Martin Powell, Jon Glasby
Integrating health and social care has long been a goal of policy-makers and practitioners. Yet, this aim has remained elusive, partly due to conflicting definitions and a weak evidence base. As part of a special edition exploring the use of the TAPIC (transparency, accountability, participation, integrity and capability) framework in different national contexts and inter-agency settings, this article examines the governance of integrated care in England since 2010, focusing on the extent to which thesefive governance attributes are applicable to integrated care in England...
August 2, 2017: Health Policy
https://www.readbyqxmd.com/read/28807332/synthetic-biology-regulation-and-governance-lessons-from-tapic-for-the-united-states-european-union-and-singapore
#2
Benjamin D Trump
Synthetic biology is an emerging technology with potential benefits to various fields, yet also contains potential risks to human and environmental health. The field remains in an emerging state with limited quantitative guidance and a small but growing population of international researchers that conduct work within this field. Given the uncertain nature of this technology, an adaptive and anticipatory governance framework may be necessary to balance the potential benefits that may accrue from the technology's continued research alongside a desire to reduce or eliminate potential risks that may arise...
August 2, 2017: Health Policy
https://www.readbyqxmd.com/read/28774730/the-impact-of-the-mass-media-on-obstetricians-behavior-in-norway
#3
Jostein Grytten, Irene Skau, Rune Sørensen
Little is known about how physicians and hospitals respond to the risk of being negatively exposed in the mass media. We assume that newspapers will cover events more closely in the areas where they have most of their circulation. Within such areas the likelihood of negative publicity increases. The research question is whether obstetricians respond to negative newspaper coverage by choosing the least risky method of delivery, i.e. Caesarean section. This was tested on a large set of data from the Medical Birth Registry of Norway for the period 2000-2011...
July 26, 2017: Health Policy
https://www.readbyqxmd.com/read/28756852/the-mcdonaldization-of-appraisal-doctors-views-of-the-early-impacts-of-medical-revalidation-in-the-united-kingdom
#4
Julian Archer, Suzanne Nunn, Sam Regan de Bere
INTRODUCTION: Medical regulation is rapidly changing with claims that systems such as revalidation/relicensing will reassure the public. Yet the impact of such initiatives is unknown. METHODS: Using the principles of efficiency, calculability, predictability and control through technology, identified by Ritzer, and exampled by the McDonalds business model, we analyzed interviews with doctors between May 2012-Dec 2013 which focused on doctor experiences of appraisal and revalidation in SW England...
July 22, 2017: Health Policy
https://www.readbyqxmd.com/read/28803706/health-policy-in-times-of-austerity-a-conceptual-framework-for-evaluating-effects-of-policy-on-efficiency-and-equity-illustrated-with-examples-from-europe-since-2008
#5
Martin Wenzl, Huseyin Naci, Elias Mossialos
The objective of this paper is to provide a framework for evaluation of changes in health policy against overarching health system goals. We propose a categorisation of policies into seven distinct health system domains. We then develop existing analytical concepts of insurance coverage and cost-effectiveness further to evaluate the effects of policies in each domain on equity and efficiency. The framework is illustrated with likely effects of policy changes implemented in a sample of European countries since 2008...
July 19, 2017: Health Policy
https://www.readbyqxmd.com/read/28751033/the-relationship-between-health-services-standardized-costs-and-mortality-is-non-linear-results-from-a-large-hmo-population
#6
Jiska Cohen-Mansfield, Michal Skornick-Bouchbinder, Moshe Hoshen, Shai Brill
Older age, male gender, and poor socioeconomic status have been found to predict mortality. Studies have also documented an elevation in health services standardized costs (HSSC) and expenditures in the last years of life. We examined the contribution of HSSC in the last years of life in predicting mortality beyond predictors that have been established in the literature, and whether the impact of HSSC on mortality is linear. Vulnerability, operationalized as being exempt from co-payments due to poverty, being a holocaust survivor, or other reasons, was examined as potentially mediating the relationship between HSSC and mortality...
July 12, 2017: Health Policy
https://www.readbyqxmd.com/read/28734683/health-seeking-behavior-and-medical-facility-choice-in-samsun-turkey
#7
Cihad Dündar
OBJECTIVE: Examining the factors that play a role in determining patient preferences for different healthcare institutions. METHOD: This descriptive study was conducted in five family health centers (FHC) and in six hospitals in Samsun Province in Turkey. The data were collected from 1700 volunteer patients by using a structured questionnaire, while they were waiting for consultation. RESULT: The average number of out-patient visits was 9...
July 12, 2017: Health Policy
https://www.readbyqxmd.com/read/28734682/how-have-systematic-priority-setting-approaches-influenced-policy-making-a-synthesis-of-the-current-literature
#8
REVIEW
Lydia Kapiriri, Donya Razavi
BACKGROUND: There is a growing body of literature on systematic approaches to healthcare priority setting from various countries and different levels of decision making. This paper synthesizes the current literature in order to assess the extent to which program budgeting and marginal analysis (PBMA), burden of disease & cost-effectiveness analysis (BOD/CEA), multi-criteria decision analysis (MCDA), and accountability for reasonableness (A4R), are reported to have been institutionalized and influenced policy making and practice...
July 12, 2017: Health Policy
https://www.readbyqxmd.com/read/28733067/hospital-quality-variation-matters-a-time-trend-and-cross-section-analysis-of-outcomes-in-german-hospitals-from-2006-to-2014
#9
Christoph Pross, Reinhard Busse, Alexander Geissler
Awareness of care variation and associated differences in outcome quality is important for patients to recognize and leverage the benefits of hospital choice and for policy makers, providers, and suppliers to adapt initiatives to improve hospital quality of care. We examine panel data on outcome quality in German hospitals between 2006 and 2014 for cholecystectomy, pacemaker implantation, hip replacement, percutaneous coronary intervention (PCI), stroke, and acute myocardial infarction (AMI). We use risk-adjusted and unadjusted outcomes based on 16 indicators...
July 8, 2017: Health Policy
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
#10
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/28751032/effects-of-long-term-high-continuity-of-care-on-avoidable-hospitalizations-of-chronic-obstructive-pulmonary-disease-patients
#11
I-Po Lin, Shiao-Chi Wu
OBJECTIVE: To examine the effects of high continuity of care (COC) maintained for a longer time on the risk of avoidable hospitalization of patients with chronic obstructive pulmonary disease (COPD). METHODS: A retrospective cohort study design was adopted. We used a claim data regarding health care utilization under a universal health insurance in Taiwan. We selected 2199 subjects who were newly diagnosed with COPD. We considered COPD-related avoidable hospitalizations as outcome variables...
July 6, 2017: Health Policy
https://www.readbyqxmd.com/read/28733068/effects-of-eu-harmonization-policies-on-national-public-supervision-of-clinical-trials-a-dynamic-cycle-of-institutional-change-and-institutional-work
#12
Jacqueline C F van Oijen, Kor J Grit, Hester M van de Bovenkamp, Roland A Bal
BACKGROUND: The EU Clinical Trials Directive (EUCTD) and the EU Clinical Trials Regulation aim to harmonize good clinical practice (GCP) of clinical trials across Member States. Using the Netherlands as a case study, this paper analyzes how endeavours to implement the EUCTD set in motion a dynamic process of institutional change and institutional work. This process lead to substantial differences between policy and actual practice; therefore, it is important to learn more about the implementation of harmonization policies...
June 30, 2017: Health Policy
https://www.readbyqxmd.com/read/28797706/prioritisation-of-specialist-health-care-services-not-nice-not-easy-but-it-can-be-done
#13
Pippa Anderson, Philip Webb, Sam Groves
The challenges of delivering healthcare within budget constraints are ever present. Highly specialised technologies (HSTs) have high costs of provision inevitably contributing to NHS cost pressures. Between 2012-2015 the Welsh Health Specialised Services Committee (WHSSC) developed prioritisation methods to make recommendations for HST funding in Wales. Methods adapted as the process continued but was always evidence based and supported by a prioritisation panel of stakeholders. Methods changed from discreet choice to the Portsmouth Score Card, a simple multi-criteria decision analysis (MCDA) method...
June 24, 2017: Health Policy
https://www.readbyqxmd.com/read/28701260/review-of-early-assessment-models-of-innovative-medical-technologies
#14
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
#15
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
#16
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
#17
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
#18
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
#19
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
#20
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...
August 2017: Health Policy
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