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International Journal of Health Planning and Management

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https://www.readbyqxmd.com/read/28393385/the-impact-of-economic-crisis-on-the-greek-hospitals-productivity
#1
Panagiotis Mitropoulos, Ioannis Mitropoulos, Haralampos Karanikas, Nikolaos Polyzos
During the recent economic crisis, Greece implemented a comprehensive reform in the health care system. The 2010 health reform occurred under the constraints imposed by the memorandum of understanding that the Greek Government signed with its EU/International Monetary Fund creditors to control its deficit. The objective of the study is to examine the impact of the reform on the efficiency and productivity of public hospitals in Greece. We use the Malmquist productivity index to comparatively examine the potential changes before and after the reform years...
April 10, 2017: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/28382750/performance-based-financing-in-the-heath-sector-in-low-and-middle-income-countries-is-there-anything-whereof-it-may-be-said-see-this-is-new
#2
REVIEW
Elisabeth Paul, Dimitri Renmans
Whereas performance-based financing (PBF) is now developing fast in the health sector in low- and middle-income countries and is presented an innovative approach-concomitantly, subject to a separate research stream-it shares many features of the "managing for results" (MfR) and performance-based budgeting (PBB) currents that have existed for decades. In this paper, we first argue that PBF as currently developed in the health sector in low- and middle-income countries shares many features and thus can be viewed as an avatar of MfR and more precisely PBB...
April 6, 2017: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/28382687/stakeholders-views-on-maternity-care-shortcomings-in-rural-ghana-an-ethnographic-study-among-women-providers-public-and-quasiprivate-policy-sector-actors
#3
Martin Amogre Ayanore, Milena Pavlova, Regien Biesma, Wim Groot
Access to skilled provider and emergency obstetric care is not universal across all districts in Ghana. The lived experiences of 3 stakeholder groups on maternity care shortcomings in 3 rural Ghanaian districts are examined in this study. We applied an ethnographic study approach where field data were collected between March to May 2015 in 3 rural districts of northern Ghana. Data were collected among women with recent births experiences (n = 90), health care providers (n = 16), and policy actors (n = 6)...
April 6, 2017: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/28370318/the-impact-of-change-from-copayment-to-coinsurance-on-medical-care-usage-and-expenditure-in-outpatient-setting-in-older-koreans
#4
Byoungjun Bae, Bo Ram Choi, Inmyung Song
Patient cost-sharing change was implemented on August 1, 2007, for outpatient care in the clinic setting in Korea from copayment to coinsurance. This study aims to estimate the effect of the policy change on medical care usage and expenditure in older Koreans. By using national health insurance claims data from the Health Insurance Reimbursement Assessment Service, this study analyzed the entire 137 million claims for a total of approximately 4.1 million patients aged 60 to 69 years who had been diagnosed and/or treated for outpatient care in clinics from January 1, 2007, to December 31, 2008...
April 3, 2017: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/28332259/the-effect-of-mobile-phone-short-message-service-on-maternal-health-in-south-west-nigeria
#5
Oluwatosin Omole, Macellina Y Ijadunola, Ezeomu Olotu, Olorunfemi Omotoso, Bamidele Bello, Olalekan Awoniran, Abimbola Phillips, Adesegun Fatusi
BACKGROUND: The maternal mortality ratio in Nigeria is estimated to be about 814 per 100,000 live births, and deliveries taken outside a health facility have been implicated as a major factor for this high number. Mobile phones interventions are continually being explored in the health field but its usefulness in maternal health in Nigeria has not been widely explored. OBJECTIVE: To determine the impact of SMS (text messages) on maternal health behaviour in Ife-Ijesa zone of Osun State, Nigeria...
March 22, 2017: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/28332223/change-management-in-an-environment-of-ongoing-primary-health-care-system-reform-a-case-study-of-australian-primary-health-care-services
#6
Sara Javanparast, Janny Maddern, Fran Baum, Toby Freeman, Angela Lawless, Ronald Labonté, David Sanders
INTRODUCTION/BACKGROUND: Globally, health reforms continue to be high on the health policy agenda to respond to the increasing health care costs and managing the emerging complex health conditions. Many countries have emphasised PHC to prevent high cost of hospital care and improve population health and equity. The existing tension in PHC philosophies and complexity of PHC setting make the implementation and management of these changes more difficult. This paper presents an Australian case study of PHC restructuring and how these changes have been managed from the viewpoint of practitioners and middle managers...
March 22, 2017: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/28317168/the-health-policy-pendulum-cost-control-vs-activity-growth
#7
Trond Tjerbo, Terje P Hagen
BACKGROUND: Cost containment is a major policy challenge and one of the key drivers of health care reform. In this article, we focus on the role cost control has played as a reform driver in the Norwegian hospital sector between 1980 and 2014. METHODS: We use data on aggregate expenditure as well as on activity changes from year to year. We also use qualitative data for illustrative purposes. RESULTS: We identify 4 phases in the period 1980 to 2014: two where activity increases have dominated the agenda and 2 where cost control has been emphasized...
March 20, 2017: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/28317164/analysis-and-determination-the-efficiency-of-the-european-health-systems
#8
María Del Rocío Moreno-Enguix, Juan Cándido Gómez-Gallego, María Gómez Gallego
The current economic crisis has increased the interest in analyzing the efficiency of health care systems, as their funding is a very important part of the budgets for different countries. In this work determines the efficiency in the health services in European countries applying data envelopment analysis. In addition, the combined application of data envelopment analysis methods and ACP can provide an evaluation of the efficiency with respect to differently oriented productive health systems in the different countries...
March 20, 2017: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/28252219/the-bandung-neurosurgery-patient-outcomes-project-indonesia-part-ii-patient-pathways-and-feasibility-and-acceptability-of-telephone-follow-up
#9
Agung Budi Sutiono, Ahmad Faried, Susan McAllister, Amelia Ganefianty, Kalih Sarjono, Muhammad Zafrullah Arifin, Sarah Derrett
INTRODUCTION: Support of neurosurgery patients following discharge from hospital is important. Currently, little is known about patients' in low- and middle-income countries before and after their hospital treatment. This companion paper reports patients' pathways before and after hospital admission and the feasibility of following up this ill-patient population by telephone. METHODS: Eligible patients were aged ≥18 years admitted to the Neurosurgery Department in Dr...
March 2, 2017: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/28252218/the-bandung-neurosurgery-patient-outcomes-project-indonesia-part-i-methods-participant-characteristics-and-pre-discharge-outcomes
#10
Susan McAllister, Amelia Ganefianty, Ahmad Faried, Agung Budi Sutiono, Kalih Sarjono, Regina Melia, Sheila Sumargo, Muhammad Zafrullah Arifin, Sarah Derrett
INTRODUCTION: Little is known about neurosurgery patient outcomes in Indonesia. Our study sought to describe patient characteristics, health care pathways, health-related quality of life, and health/rehabilitation care needs of patients admitted to, and discharged from, a major neurosurgery department. METHODS: Eligible patients were aged ≥18 years admitted to the Neurosurgery Department in a regional referral hospital in Bandung, Indonesia. Baseline data was collected on admission...
March 2, 2017: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/28156027/a-qualitative-study-on-human-resources-for-primary-health-care-in-iran
#11
Mahmood Nekoei Moghadam, Mohammadreza Amiresmaili, Vahideh Sadeghi, Ali-Hossein Zeinalzadeh, Mahmud Tupchi, Sahar Parva
BACKGROUND: According to World Bank Group report, while Primary Health Care (PHC) services in Iran were appropriate to the needs of the population in the late 1970s and 1980s, the changing burden of diseases and shifting demand patterns have rendered the existing PHC system no longer suitable to meet current and emergent needs. Based on previous studies, one of the main PHC challenges in Iran relates to human resources issues. METHODS: This study was conducted in 2012 at 3 scales of local (Tabriz city), provincial (East Azerbaijan), and national levels...
February 3, 2017: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/28078803/why-do-they-care-narratives-of-physician-volunteers-on-motivations-for-participation-in-short-term-medical-missions-abroad
#12
Paul H Caldron, Ann Impens, Milena Pavlova, Wim Groot
BACKGROUND: Short-term medical missions (STMMs) refer to the provision of direct pro bono medical services in lower and middle income countries for periods ranging from days to a few weeks by physicians from rich countries. Survey data have provided limited information on demographic and professional profiles of physicians as well as monetary and manpower inputs. Understanding why physicians participate, however, remains incomplete. The study's objective was to elicit physicians' motivations directly...
January 12, 2017: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/28078799/specifying-a-state-guaranteed-health-benefits-package-for-kazakhstan-lessons-for-emerging-economies-and-middle-income-countries
#13
Michael Jones, Tata Chanturidze, Sam Franzen, Alex Manu, Mike Naylor
The Government of Kazakhstan is engaged in a "root and branch" modernisation of the health care sector. One aspect of the raft of modernisation programmes was to revisit the State Guaranteed Health Benefits Package, with the aim to review citizen entitlements to healthcare. This paper reviews the ongoing evolution of the planning of the health benefits package in Kazakhstan, with the main challenges encountered, and critical lessons learned, to be considered for similar attempts elsewhere. The main conclusions are that: the design process requires a blend of technical and socio-political analysis, because it attracts public interest, and therefore political risks; the scale and burden of analysis need to be kept to manageable proportions; and the relationship between the benefits package and funding modalities needs to be carefully managed by the State, to ensure access to declared entitlements to all members, including the most vulnerable, while keeping the package financially feasible...
January 12, 2017: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/28066918/implementation-of-the-redesigned-community-health-fund-in-the-dodoma-region-of-tanzania-a-qualitative-study-of-views-from-rural-communities
#14
Albino Kalolo, Lara Gautier, Ralf Radermacher, Manfred Stoermer, Albrecht Jahn, Menoris Meshack, Manuela De Allegri
The need to understand how an intervention is received by the beneficiary community is well recognised and particularly neglected in the micro-health insurance (MHI) domain. This study explored the views and reactions of the beneficiary community of the redesigned Community Health Fund (CHF) implemented in the Dodoma region of Tanzania. We collected data from focus group discussions with 24 groups of villagers (CHF members and nonmembers) and in-depth interviews with 12 key informants (enrolment officers and health care workers)...
January 8, 2017: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/28297129/towards-a-non-ethics-based-consensual-public-policy-on-abortion
#15
David Alvargonzález
The absence of agreement on the ethical legitimacy of abortion does not entail the impossibility of finding a consensus on the best policy on abortion. This consensus is affordable because nobody doubts that, regarding the methods of birth control, contraception is better than abortion, abortion is better than infanticide and abortion is worse the later and the less safe it is performed. Because the complete elimination of abortion is not possible, the most relevant realistic political objectives that can be proposed are reducing the abortion rate, reducing the gestational age of abortions and making the remaining abortions safer...
January 2017: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/28297128/editorial-for-32-1
#16
EDITORIAL
Calum R Paton
No abstract text is available yet for this article.
January 2017: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/26681656/lean-healthcare-in-developing-countries-evidence-from-brazilian-hospitals
#17
Luana Bonome Message Costa, Moacir Godinho Filho, Antonio Freitas Rentes, Thiago Moreno Bertani, Ronaldo Mardegan
The present study evaluates how five sectors of two Brazilian hospitals have implemented lean healthcare concepts in their operations. The main characteristics of the implementation process are analyzed in the present study: the motivational factor for implementation, implementation time, form (consultancy or internal), team (hospital and consultants), lean implementation continuity/sustainability, lean healthcare tools and methods implemented, problems/improvement opportunities, lean healthcare barriers faced during the implementation process, and critical factors that affected the implementation and the results obtained in each case...
January 2017: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/26644198/the-impact-of-regional-policies-on-emergency-department-management-and-performance-the-case-of-the-regional-government-of-sicily
#18
Simone Fanelli, Marco Ferretti, Antonello Zangrandi
BACKGROUND: Improvement in healthcare, seeking the correct balance between quality and costs, is an ongoing concern in many countries. Many countries have developed and implemented improvement programmes in health care, particularly in emergency departments (ED), which play a key role in terms of hospital resources and planning. The regional government of Sicily implemented a project 2010-2012 to improve ED care quality and patient safety. PURPOSE: This paper aims to evaluate improvements implemented by the Regional Health Authority of Sicily in the 20 main EDs...
January 2017: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/26644076/great-expectations-introduction-of-flow-managers-in-a-university-hospital
#19
Runo Axelsson, Susanna Bihari Axelsson, Jeppe Gustafsson, Janne Seemann
A major reorganization of a university hospital included the clinical structure as well as the administrative structure of the hospital. The focus of the reorganization was to improve the coordination of patient flows through the hospital. An important part of the organizational change was the introduction of flow managers. The aim of the article is to describe and analyze the challenges of the flow managers in the implementation of the reorganization. The description is based on a number of individual and focus group interviews with professionals and managers on different organizational levels...
January 2017: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/26580458/preferences-of-bulgarian-consumers-for-quality-access-and-price-attributes-of-healthcare-services-result-of-a-discrete-choice-experiment
#20
Thijs van de Schoot, Milena Pavlova, Elka Atanasova, Wim Groot
OBJECTIVE: The aim of the study is to determine the preferences of Bulgarian citizens regarding the provision of healthcare services. METHOD: A survey was carried out in Bulgaria among a nationally representative sample of 1003 respondents. Both a discrete choice experiment and a self-explicated ranking of outpatient and inpatient service attributes were included in the survey. The data are analyzed to elicit the preferences of Bulgarian healthcare consumers for service attributes and to compare them with previous studies in Bulgaria and other countries in Central and Eastern Europe...
January 2017: International Journal of Health Planning and Management
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