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https://www.readbyqxmd.com/read/28989051/the-effect-of-taxation-and-regulation-on-cigarette-smoking-fresh-evidence-from-turkey
#1
Tamer Cetin
Enacting Law No 5247 in May 2008, Turkey has initiated crucial anti-tobacco policies in the last decade. This paper aims to reveal on the effect of anti-tobacco policies such as excise taxes and regulations on cigarette smoking. To this aim, I empirically investigate the long-term dynamics of demand for cigarettes in Turkey through the OLS estimation strategy under various scenarios and models. Using monthly and quarterly data that cover the pre- and post- anti-smoking policy periods, I estimate demand elasticities and compare the pre- and post- taxation and regulation terms...
September 29, 2017: Health Policy
https://www.readbyqxmd.com/read/28987457/migration-intentions-among-portuguese-junior-doctors-results-from-a-survey
#2
Pedro Ramos, Hélio Alves
Migration of health personnel during periods of economic crisis represents a challenge for policymakers in origin and destination countries. Portugal is going through a period of economic hardship and much has been speculated about an increase in junior doctors' migration during this period. Using a questionnaire administered to a sample of Portuguese junior doctors who were still in the general residency (1st-year after medical school), we aim at determining the prevalence of migration intentions among Portuguese junior doctors and to identify the most important drivers of career choice for those who are considering emigrating in the near future...
September 28, 2017: Health Policy
https://www.readbyqxmd.com/read/28965792/what-do-women-want-valuing-women-s-preferences-and-estimating-demand-for-alternative-models-of-maternity-care-using-a-discrete-choice-experiment
#3
Christopher G Fawsitt, Jane Bourke, Richard A Greene, Brendan McElroy, Nicolas Krucien, Rosemary Murphy, Jennifer E Lutomski
In many countries, there has been a considerable shift towards providing a more woman-centred maternity service, which affords greater consumer choice. Maternity service provision in Ireland is set to follow this trend with policymakers committed to improving maternal choice at hospital level. However, women's preferences for maternity care are unknown, as is the expected demand for new services. In this paper, we used a discrete choice experiment (DCE) to (1) investigate women's strengths of preference for different features of maternity care; (2) predict market uptake for consultant- and midwifery-led care, and a hybrid model of care called the Domiciliary In and Out of Hospital Care scheme; and (3) calculate the welfare change arising from the provision of these services...
September 23, 2017: Health Policy
https://www.readbyqxmd.com/read/28965791/maternity-services-for-rural-and-remote-australia-barriers-to-operationalising-national-policy
#4
Jo Longman, Jude Kornelsen, Jen Pilcher, Sue Kildea, Sue Kruske, Stefan Grzybowski, Sarah Robin, Margaret Rolfe, Deborah Donoghue, Geoffrey G Morgan, Lesley Barclay
INTRODUCTION: In Australia, many small birthing units have closed in recent years, correlating with adverse outcomes including a rise in the number of babies born before arrival to hospital. Concurrently, a raft of national policy and planning documents promote continued provision of rural and remote maternity services, articulating a strategic intent for services to provide responsive, woman-centred care as close as possible to a woman's home. The aims of this paper are to contribute to an explanation of why this strategic intent is not realised, and to investigate the utility of an evidence based planning tool (the Toolkit) to assist with planning services to realise this intent...
September 22, 2017: Health Policy
https://www.readbyqxmd.com/read/28969921/implementation-of-national-palliative-care-guidelines-in-swedish-acute-care-hospitals-a-qualitative-content-analysis-of-stakeholders-perceptions
#5
S Lind, L Wallin, T Brytting, C J Fürst, J Sandberg
In high-income countries a large proportion of all deaths occur in hospitals. A common way to translate knowledge into clinical practice is developing guidelines for different levels of health care organisations. During 2012, national clinical guidelines for palliative care were published in Sweden. Later, guidance for palliative care was issued by the National Board of Health and Welfare. The aim of this study was two-fold: to investigate perceptions regarding these guidelines and identify obstacles and opportunities for implementation of them in acute care hospitals...
September 21, 2017: Health Policy
https://www.readbyqxmd.com/read/28964515/fences-and-ambulances-intersectoral-governance-for-health
#6
EDITORIAL
Scott L Greer, Nikolai Vasev, Matthias Wismar
No abstract text is available yet for this article.
September 21, 2017: Health Policy
https://www.readbyqxmd.com/read/28958707/governing-energy-while-neglecting-health-the-case-of-poland
#7
Nikolay Vasev
The present article discusses Poland's continued reliance on coal power and the consequent impacts on public health. Concrete aspects of the energy infrastructure and political priorities are shown to compromise as compromising public governance and leading to deteriorated health standards among the general population. To make this case, this study juxtaposes the most recent developments in the Polish energy sector with current measures in EU energy policy and reforms in other EU Member States. Special attention is paid to developments in Poland following the political shift in October 2015, when a new government came to power...
September 21, 2017: Health Policy
https://www.readbyqxmd.com/read/28987456/introduction-of-freedom-of-choice-for-hospital-outpatient-care-in-portugal-implications-and-results-of-the-2016-reform
#8
J Simões, G F Augusto, I Fronteira
In Portugal, the National Health Service (NHS) assures universal access to medical treatment and care that is free at the point of delivery - except for relatively small user charges. Freedom of choice is limited and competition between the public and the private sectors is almost non-existent. In May 2016, the Ministry of Health introduced a new law that facilitates the referral of NHS users from primary healthcare units to outpatient consultations in NHS hospitals outside of the referral area. However, for inpatient care, patients are still bound to receive treatment within their referral area, which is determined by place of residence...
September 20, 2017: Health Policy
https://www.readbyqxmd.com/read/28967491/the-impact-of-introducing-a-new-hospital-financing-system-drgs-in-poland-on-hospitalisations-for-atherosclerosis-an-interrupted-time-series-analysis-2004-2012
#9
Elżbieta Buczak-Stec, Paweł Goryński, Aneta Nitsch-Osuch, Krzysztof Kanecki, Piotr Tyszko
OBJECTIVES: Hospital payment based on diagnosis-related groups (DRGs) was introduced in Poland in July 2008. We evaluate the impact of this policy on the frequency of hospitalisation for atherosclerosis in internal medicine units of district hospitals and non-public hospitals in Poland. METHODS: Data were collected between 2004 and 2012 from each district and non-public hospital participating in the General Hospital Morbidity Study (165 hospitals in total). Atherosclerosis was defined using the ICD-10 code I70...
September 20, 2017: Health Policy
https://www.readbyqxmd.com/read/28964514/trade-policy-governance-what-health-policymakers-and-advocates-need-to-know
#10
Holly Jarman
Trade policies affect determinants of health as well as the options and resources available to health policymakers. There is therefore a need for health policymakers and related stakeholders in all contexts to understand and connect with the trade policymaking process. This paper uses the TAPIC (transparency, accountability, participation, integrity, capacity) governance framework to analyze how trade policy is commonly governed. I conclude that the health sector is likely to benefit when transparency in trade policymaking is increased, since trade negotiations to date have often left out health advocates and policymakers...
September 18, 2017: Health Policy
https://www.readbyqxmd.com/read/28967492/multimorbidity-care-model-recommendations-from-the-consensus-meeting-of-the-joint-action-on-chronic-diseases-and-promoting-healthy-ageing-across-the-life-cycle-ja-chrodis
#11
Katie Palmer, Alessandra Marengoni, Maria João Forjaz, Elena Jureviciene, Tiina Laatikainen, Federica Mammarella, Christiane Muth, Rokas Navickas, Alexandra Prados-Torres, Mieke Rijken, Ulrike Rothe, Laurène Souchet, Jose Valderas, Theodore Vontetsianos, Jelka Zaletel, Graziano Onder
Patients with multimorbidity have complex health needs but, due to the current traditional disease-oriented approach, they face a highly fragmented form of care that leads to inefficient, ineffective, and possibly harmful clinical interventions. There is limited evidence on available integrated and multidimensional care pathways for multimorbid patients. An expert consensus meeting was held to develop a framework for care of multimorbid patients that can be applied across Europe, within a project funded by the European Union; the Joint Action on Chronic Diseases and Promoting Healthy Ageing across the Life Cycle (JA-CHRODIS)...
September 14, 2017: Health Policy
https://www.readbyqxmd.com/read/28942090/improving-risk-equalization-for-individuals-with-persistently-high-costs-experiences-from-the-netherlands
#12
Frank Eijkenaar, René C J A van Vliet
BACKGROUND: Risk-equalization (RE) models in competitive health insurance markets have become increasingly sophisticated. However, these models still have important imperfections. A specific problem in the Netherlands is that insurers are insufficiently compensated for individuals who can persistently be found in the right-end tail of the cost distribution. OBJECTIVES: The goal of this study is to explore and evaluate options for improving compensation for persistently high-cost individuals in the Dutch basic health insurance...
September 14, 2017: Health Policy
https://www.readbyqxmd.com/read/28958706/reforming-voluntary-drug-insurance-in-russian-healthcare-does-social-solidarity-matter
#13
Christopher J Gerry, Maria Kaneva, Liudmila Zasimova
With low take-up of both private health insurance and the existing public drug reimbursement scheme, it is thought that less than 5% of the Russian population have access to free outpatient drug treatment. This represents a major policy challenge for a country grappling with reforms of its healthcare system and experiencing low or no economic growth and significant associated reductions in spending on social services. In this paper, we draw on data from a 2011 Levada-Center survey to examine the attitudes and social solidarity of the Russian population towards drug policies in general and towards the introduction of a proposed voluntary drug insurance system in particular...
September 8, 2017: Health Policy
https://www.readbyqxmd.com/read/28851590/shelter-from-the-storm-roles-responsibilities-and-challenges-in-united-states-housing-policy-governance
#14
Charley Willison
Housing is a critical social determinant of health. Housing policy not only affects health by improving housing quality, affordability, and insecurity; housing policy affects health upstream through the politics that shape housing policy design, implementation, and management. These politics, or governance strategies, determine the successes or failures of housing policy programs. This paper is an overview of challenges in housing policy governance in the United States. I examine the important relationship between housing and health, and emphasize why studying housing policy governance matters...
August 17, 2017: Health Policy
https://www.readbyqxmd.com/read/28899575/ehealth-in-integrated-care-programs-for-people-with-multimorbidity-in-europe-insights-from-the-icare4eu-project
#15
Maria Gabriella Melchiorre, Roberta Papa, Mieke Rijken, Ewout van Ginneken, Anneli Hujala, Francesco Barbabella
INTRODUCTION: Care for people with multimorbidity requires an integrated approach in order to adequately meet their complex needs. In this respect eHealth could be of help. This paper aims to describe the implementation, as well as benefits and barriers of eHealth applications in integrated care programs targeting people with multimorbidity in European countries, including insights on older people 65+. METHODS: Within the framework of the ICARE4EU project, in 2014, expert organizations in 24 European countries identified 101 integrated care programs based on selected inclusion criteria...
August 12, 2017: Health Policy
https://www.readbyqxmd.com/read/28811098/the-governance-of-integrated-health-and-social-care-in-england-since-2010-great-expectations-not-met-once-again
#16
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
#17
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/28942091/classification-trees-for-identifying-non-use-of-community-based-long-term-care-services-among-older-adults
#18
Michael James Penkunas, Kirsten Yuna Eom, Angelique Wei-Ming Chan
Home- and center-based long-term care (LTC) services allow older adults to remain in the community while simultaneously helping caregivers cope with the stresses associated with providing care. Despite these benefits, the uptake of community-based LTC services among older adults remains low. We analyzed data from a longitudinal study in Singapore to identify the characteristics of individuals with referrals to home-based LTC services or day rehabilitation services at the time of hospital discharge. Classification and regression tree analysis was employed to identify combinations of clinical and sociodemographic characteristics of patients and their caregivers for individuals who did not take up their referred services...
October 2017: Health Policy
https://www.readbyqxmd.com/read/28935231/pandemic-legislation-in-the-european-union-fit-for-purpose-the-need-for-a-systematic-comparison-of-national-laws
#19
Elizabeth M Speakman, Scott Burris, Richard Coker
Sound governance is central to effective pandemic management. Key international legal instruments governing pandemic management in the European Union (EU): the International Health Regulations (2005) and Decision 1082/13 require EU Member States to develop national plans and invite them to establish national legal frameworks to support compliance with this international legislation. Although Member States may design the legal framework as they choose, the strongest instrument of pandemic governance is national legislation...
October 2017: Health Policy
https://www.readbyqxmd.com/read/28927575/inequity-in-healthcare-use-among-older-people-after-2008-the-case-of-southern-european-countries
#20
Lara Patrício Tavares, Francesca Zantomio
Despite the sizeable cuts in public healthcare spending, which were part of the austerity measures recently undertaken in Southern European countries, little attention has been devoted to monitoring its distributional consequences in terms of healthcare use. This study aims at measuring socioeconomic inequities in primary and secondary healthcare use experienced some time after the crisis onset in Italy, Spain and Portugal. The analysis, based on data drawn from the Survey of Health, Ageing and Retirement in Europe (SHARE), focuses on older people, who generally face significantly higher healthcare needs, and whose health appeared to have worsened in the aftermath of the crisis...
October 2017: Health Policy
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