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https://www.readbyqxmd.com/read/28595897/system-influences-on-work-disability-due-to-low-back-pain-an-international-evidence-synthesis
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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
#7
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
#8
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
#9
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
#10
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
#11
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
#12
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
#13
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
https://www.readbyqxmd.com/read/28550936/the-bare-necessities-a-realist-review-of-necessity-argumentations-used-in-health-care-coverage-decisions
#14
REVIEW
Tineke Kleinhout-Vliek, Antoinette de Bont, Bert Boer
CONTEXT: Policy makers and insurance companies decide on coverage of care by both calculating (cost-) effectiveness and assessing the necessity of coverage. AIM: To investigate argumentations pertaining to necessity used in coverage decisions made by policy makers and insurance companies, as well as those argumentations used by patients, authors, the public and the media. METHODS: This study is designed as a realist review, adhering to the RAMESES quality standards...
May 5, 2017: Health Policy
https://www.readbyqxmd.com/read/28546030/new-insights-into-health-financing-first-results-of-the-international-data-collection-under-the-system-of-health-accounts-2011-framework
#15
Michael Mueller, David Morgan
International comparisons of health spending and financing are most frequently carried out using datasets of international organisations based on the System of Health Accounts (SHA). This accounting framework has recently been updated and 2016 saw the first international data collection under the new SHA 2011 guidelines. In addition to reaching better comparability of health spending figures and greater country coverage, the updated framework has seen changes in the dimension of health financing leading to important consequences when analysing health financing data...
May 2, 2017: Health Policy
https://www.readbyqxmd.com/read/28495121/approaches-to-appropriate-care-delivery-from-a-policy-perspective-a-case-study-of-australia-england-and-switzerland
#16
Joelle Robertson-Preidler, Matthew Anstey, Nikola Biller-Andorno, Alexandra Norrish
BACKGROUND: Appropriateness is a conceptual way for health systems to balance Triple Aim priorities for improving population health, containing per capita cost, and improving the patient experience of care. Comparing system approaches to appropriate care delivery can help health systems establish priorities and facilitate appropriate care practices. METHODS: We conceptualized system appropriateness by identifying policies that aim to achieve the Triple Aim and their consequent trade-offs for financing, clinical practice, and the individual patient...
April 29, 2017: Health Policy
https://www.readbyqxmd.com/read/28550937/increase-in-computed-tomography-in-australia-driven-mainly-by-practice-change-a-decomposition-analysis
#17
Cameron M Wright, Max K Bulsara, Richard Norman, Rachael E Moorin
BACKGROUND: Publicly funded computed tomography (CT) procedure descriptions in Australia often specify the body site, rather than indication for use. This study aimed to evaluate the relative contribution of demographic versus non-demographic factors in driving the increase in CT services in Australia. METHODS: A decomposition analysis was conducted to assess the proportion of additional CT attributable to changing population structure, CT use on a per capita basis (CPC, a proxy for change in practice) and/or cost of CT...
April 28, 2017: Health Policy
https://www.readbyqxmd.com/read/28495205/gatekeeping-and-the-utilization-of-physician-services-in-france-evidence-on-the-m%C3%A3-decin-traitant-reform
#18
Magali Dumontet, Thomas Buchmueller, Paul Dourgnon, Florence Jusot, Jérôme Wittwer
In 2005, France implemented a gatekeeping reform designed to improve care coordination and to reduce utilization of specialists' services. Under this policy, patients designate a médecin traitant, typically a general practitioner, who will be their first point of contact during an episode of care and who will provide referrals to specialists. A key element of the policy is that patients who self-refer to a specialist face higher cost sharing than if they received a referral from their médecin traitant. We consider the effect of this policy on the utilization of physician services...
April 28, 2017: Health Policy
https://www.readbyqxmd.com/read/28483139/job-stickiness-of-young-nurses-in-ontario-does-the-employer-organization-participation-in-the-nursing-graduate-guarantee-initiative-make-a-difference
#19
Mohamad Alameddine, Andrea Baumann, Kanecy Onate, Mary Crea, Nour El Arnaout, Raisa Deber
This study assesses the long-term impact of the Nursing Graduate Guarantee (NGG) initiative using the concept of "stickiness" to examine the employment trends of young nurses in Ontario and evaluate the effect of employers' participation in the NGG on the full-time (FT) employment patterns of young nurses and whether this effect varies by category of nurse and sector of employment. A quantitative analysis of a de-identified linked subset of the College of Nurses of Ontario nursing registration database for years 2000-2014 and data collected from the NGG employment portal for years 2007-2014 was performed...
April 28, 2017: Health Policy
https://www.readbyqxmd.com/read/28465031/popular-initiatives-in-2014-2016-call-for-the-introduction-of-mandatory-dental-care-insurance-in-switzerland-the-contrasting-positions-at-stake
#20
Enrico di Bella, Lucia Leporatti, Marcello Montefiori, Ivo Krejci, Stefano Ardu
Switzerland's mandatory health insurance system provides coverage for a standard benefits package for all residents. However, adult dental care is covered only in case of accidents and inevitable dental illnesses, while routine dental care is almost completely financed out-of-pocket. In general, unmet health needs in Switzerland are low, but unmet dental needs are significant, when compared with other countries in Europe. Recent popular initiatives in Switzerland have aimed to introduce a mandatory insurance model for dental care through a mandatory contribution of 1% of gross salaries toward dental care insurance...
April 12, 2017: Health Policy
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