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International Journal of Health Planning and Management

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https://www.readbyqxmd.com/read/29327468/why-do-people-become-health-workers-analysis-from-life-histories-in-4-post-conflict-and-post-crisis-countries
#1
Sophie Witter, Haja Wurie, Justine Namakula, Wilson Mashange, Yotamu Chirwa, Alvaro Alonso-Garbayo
While there is a growing body of literature on how to attract and retain health workers once they are trained, there is much less published on what motivates people to train as health professions in the first place in low- and middle-income countries and what difference this makes to later retention. In this article, we examine patterns in expressed motivation to join the profession across different cadres, based on 103 life history interviews conducted in northern Uganda, Sierra Leone, Cambodia, and Zimbabwe...
January 12, 2018: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/29327375/impact-of-hiv-aids-epidemic-on-human-capital-development-in-west-africa
#2
Rasaki Stephen Dauda
West Africa occupies the third position with respect to the burden of human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS) globally, after Southern and East Africa. About 5 million adults and children are infected with the disease in the subregion, while HIV prevalence in the general population hovers around 2% and 5%. This paper attempts to investigate the impact of HIV/AIDS epidemic on human capital development in 11 West African countries over the period 1990 to 2011. The study used a dynamic panel data modeling approach, using first difference, difference generalized methods of moment, and system generalized methods of moment estimating techniques...
January 12, 2018: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/29327367/the-free-healthcare-initiative-in-sierra-leone-evaluating-a-health-system-reform-2010-2015
#3
Sophie Witter, Nouria Brikci, Tim Harris, Richard Williams, Sarah Keen, Ana Mujica, Alex Jones, Alex Murray-Zmijewski, Barbara Bale, Bailah Leigh, Ade Renner
This article presents the findings of a theory-based evaluation of the Sierra Leone Free Health Care Initiative (FHCI), using mixed methods. Analytical approaches included time-series analysis of national survey data to examine mortality and morbidity trends, as well as modelling of impact using the Lives Saved Tool and expenditure trend analysis. We find that the FHCI responded to a clear need in Sierra Leone, was well designed to bring about needed changes in the health system to deliver services to the target beneficiaries, and did indeed bring funds and momentum to produce important systemic reforms...
January 12, 2018: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/29327366/financing-elderly-people-s-long-term-care-needs-evidence-from-china
#4
Fengyue Li, Junko Otani
Confronted by accelerated population aging, China is establishing a long-term care (LTC) system. This study discusses challenges and recommendations for financing China's LTC system. On the basis of the data on elderly people's self-care ability from the Chinese Longitudinal Healthy Longevity Survey, we calculate the size of the elderly population that need LTC for the period from 2015 to 2030 and analyse the increasing tendency of LTC expenses by considering the impact of price increase. We also analyse the local governments' financial capacity for LTC support by comparing the expense level to the fiscal revenue...
January 12, 2018: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/29315859/medical-and-economic-factors-influencing-generic-drug-use-in-the-japanese-public-health-system-influencing-factors-in-different-populations
#5
Tomoya Tachi, Kosuke Saito, Hiroki Esaki, Yuta Kanematsu, Aki Yoshida, Ikuto Sugita, Yoshihiro Noguchi, Teppei Makino, Michi Umeda, Masahiro Yasuda, Takashi Mizui, Chitoshi Goto, Hitomi Teramachi
Factors influencing generic drug use must be considered when new drug policies are established and initiatives are implemented to promote generic drug use. This study was conducted to elucidate medical and economic factors that influence generic drug use in the Japanese public health system by evaluating the degree of generic drug use via a multivariate analysis. We conducted a retrospective study of medications administered to inpatients at Gifu Municipal Hospital (Japan) from November 1 to 14, 2014. Details of inpatients (age, sex, and type of medical insurance) and the drugs administered (prescribing institution, dispensing pharmacy, price, and class) were assessed...
January 8, 2018: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/29315808/hospital-accreditation-in-iran-a-qualitative-case-study-of-kerman-hospitals
#6
Mahmood Nekoei-Moghadam, Mohammadreza Amiresmaili, Mohammadhosein Iranemansh, Mahla Iranmanesh
BACKGROUND: According to published evidence, accreditation is one of the evaluating tools in health care organizations. But, there is disagreement among authorities and experts in this regard. This study aims to investigate the evaluation of hospital accreditation in an Iranian context. METHODS: In this qualitative study, a purposive sample of 170 informants was used. Semi-structured interviews were conducted to gather data, which were analyzed using a framework analysis method...
January 8, 2018: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/29314258/critical-evaluation-of-international-health-programs-reframing-global-health-and-evaluation
#7
Chunhuei Chi, Anaïs Tuepker, Rebecca Schoon, Alicia Núñez Mondaca
Striking changes in the funding and implementation of international health programs in recent decades have stimulated debate about the role of communities in deciding which health programs to implement. An important yet neglected piece of that discussion is the need to change norms in program evaluation so that analysis of community ownership, beyond various degrees of "participation," is seen as central to strong evaluation practices. This article challenges mainstream evaluation practices and proposes a framework of Critical Evaluation with 3 levels: upstream evaluation assessing the "who" and "how" of programming decisions; midstream evaluation focusing on the "who" and "how" of selecting program objectives; and downstream evaluation, the focus of current mainstream evaluation, which assesses whether the program achieved its stated objectives...
January 5, 2018: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/29282772/planning-without-action-and-action-without-planning-examining-a-regional-health-system-s-efforts-to-improve-patient-flow-1998-2013
#8
Sara A Kreindler
Most health care organizations engage in formal and informal planning, yet their improvement initiatives may remain disjointed and reactive. Research on organizational decision-making has found that the "discovery" approach (seek and assess multiple options before selecting one) outperforms "idea imposition" (identify 1 option, then gather information to [dis]confirm it), yet is observed relatively infrequently. Might this imply that discovery frequently collapses before fruition? This qualitative study sought to better understand the planning-action disjunction, as observed in 1 organization, by comparing its planning processes against the discovery approach...
December 28, 2017: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/29277916/do-health-care-reforms-in-turkey-have-a-significant-effect-in-equal-access-to-maternal-and-child-health-services-in-turkey-an-evidence-from-20%C3%A2-years
#9
Fatih Santas, Yusuf Celik, Mehmet Ali Eryurt
This study aimed to investigate whether there was an improvement in the equitable access to maternal and child health care services by examining the effects of socioeconomic and individual factors in Turkey from 1993 to 2013 and determine the effectiveness of health care reforms implemented mainly under the Health Transformation Program since 2003 on equitable access t;o maternal and child health care services in terms of years. The study used nationally representative 5 Turkey Demographic and Health Surveys (1993, 1998, 2003, 2008, and 2013)...
December 26, 2017: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/29230872/ageing-in-india-financial-hardship-from-health-expenditures
#10
Ting-Hsuan J Lee, Indrani Saran, Krishna D Rao
India's rapidly ageing population raises concerns about the burden of health care payments among older individuals who may have both limited income and greater health care needs. Using a nationally representative household survey, we investigate the association between age and financial hardship due to health expenditures. We find that both the probability of experiencing health problems and mean total out-of-pocket health expenditures increase with age. Second, the probability of households experiencing catastrophic health expenditures increases with each additional member aged 60 and above-33% of households with one 60+ member and 38% of households with 2 or more 60+ members experienced catastrophic health expenditures, compared to only 20% in households with all members under the age of 60 years...
December 12, 2017: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/29218815/prospective-systemic-risk-analysis-of-the-dispensing-process-in-german-community-pharmacies
#11
Tatjana Stojković, Olaf Rose, Ronja Woltersdorf, Valentina Marinković, Tanja Manser, Ulrich Jaehde
BACKGROUND: Medicine dispensing represents an error-prone activity, carrying a considerable risk for patients. OBJECTIVE: To prospectively identify and prioritize potential failure modes in the medicine dispensing process as well as to develop corrective actions for patient safety improvement in German community pharmacies. METHOD: Failure mode and effects analysis was performed in 2 community pharmacies in North Rhine-Westphalia, Germany, in October 2016...
December 7, 2017: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/29210101/problems-of-dual-vulnerability-in-nutrition-a-qualitative-study-of-older-persons-caring-for-under-5-year-olds-in-post-disaster-haiti
#12
Stephanie Raybould, Thomas Ward, Renée Burnett, Logan Manikam, Mackentoch Tibe, Barry Munslow
SITUATION: Malnutrition plays a significant role in under-five mortality rates following disasters. Older people play an important role in childcare in non-Western societies, which often increases in displacement contexts. Until now, policy, in general, and nutrition programmes, in particular, have focused on the mother-child dyad. AIM: To gather information on possible barriers to older carers accessing nutritional services for the children they care for and explore ways to overcome these obstacles...
December 5, 2017: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/29193286/understanding-ed-performance-after-the-implementation-of-activity-based-funding
#13
Ghasem-Sam Toloo, John Burke, Julia Crilly, Ged Williams, Bridie McCann, Gerry FitzGerald, Anthony Bell
OBJECTIVE: The aim of this study was to describe emergency department (ED) activities and staffing after the introduction of activity-based funding (ABF) to highlight the challenges of new funding arrangements and their implementation. METHODS: A retrospective study of public hospital EDs in Queensland, Australia, was undertaken for 2013-2014. The ED and hospital characteristics are described to evaluate the alignment between activity and resourcing levels and their impact on performance...
November 29, 2017: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/29171093/government-helper-and-citizen-advocate-a-case-study-of-the-multiple-roles-and-pressures-facing-a-nongovernmental-organization-contracted-by-government-to-strengthen-community-health-in-northern-india
#14
Kerry Scott, Asha S George, Steven A Harvey, Shinjini Mondal, Gupteswar Patel, Raman Vr, Kabir Sheikh
While nongovernmental organizations (NGOs) can potentially strengthen valuable citizen political engagement, NGOs that are increasingly oriented towards donor and government contracts may instead contribute to depoliticizing development. Amidst competing pressures, NGO experiences and agency in managing multiple roles require examination. We present a qualitative case study of an NGO implementing a government-designed intervention to strengthen Village Health, Sanitation, and Nutrition Committees (VHSNCs) in rural north India...
November 24, 2017: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/29124785/time-to-address-gender-inequalities-against-female-physicians
#15
Suad Hannawi, Issa Al Salmi
Although the health care system depends heavily on female physicians, it discriminates against women and tends to concentrate female physicians' work in lower status occupations. Gender discrimination has structural, social, and cultural dimensions. Such discrimination is perceived differently by various stakeholders and the public. In addition, there is reluctance to publicly acknowledge gender discrimination, especially in the culturally conservative Middle East region. Gender discrimination leads to underrepresentation of female physicians in leadership roles and certain specialties and hence leads to less attention and understanding of the working conditions of female physicians and their roles in the health care system...
November 10, 2017: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/29076570/validity-and-reliability-of-the-japanese-version-of-the-care-transitions-measure
#16
Mai Yoshimura, Miho Sato, Naomi Sumi
OBJECTIVE: To evaluate the validity and reliability of the Japanese Version of the Care Transitions Measure (J-CTM-15). DESIGN: Questionnaire items were translated, and a longitudinal study was conducted. SETTING: Three urban hospitals: a special functioning hospital, a regional-designated cancer care hospital, and a private hospital in the northern part of Japan. PARTICIPANTS: Patients, aged 20 years and older, who were discharged from hospitals...
October 27, 2017: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/29076562/a-systematic-review-of-empirical-studies-on-methodology-and-burden-of-informal-patient-payments-in-health-systems
#17
REVIEW
Abdolvahed Khodamoradi, Mohammad Payam Ghaffari, Reza Daryabeygi-Khotbehsara, Haniye Sadat Sajadi, Reza Majdzadeh
INTRODUCTION: Informal patients' payments (IPPs) is a sensitive subject. The aim of current study was to assess the trends in informal payment studies and explore methods of IPPs measurement, prevalence, and features (payment type, volume, and receiver) in various contexts. METHODS: A search strategy was developed to identify peer-reviewed articles addressing informal payments on PubMed, Science Direct, Web of Science, Scopus, and CINAHL. A total of 1252 studies were identified initially...
October 27, 2017: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/29072341/perspectives-on-the-underlying-drivers-of-urgent-and-emergency-care-reconfiguration-in-ireland
#18
E Droog, C Foley, O Healy, C Buckley, M Boyce, S McHugh, J P Browne
BACKGROUND: There is an increasing tendency to reconfigure acute hospital care towards a more centralised and specialised model, particularly for complex care conditions. Although centralisation is presented as "evidence-based", the relevant studies are often challenged by groups which hold perspectives and values beyond those implicit in the literature. This study investigated stakeholder perspectives on the rationale for the reconfiguration of urgent and emergency care in Ireland. Specifically, it considered the hypothesis that individuals from different stakeholder groups would endorse different positions in relation to the motivation for, and goals of, reconfiguration...
October 26, 2017: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/29052258/challenges-of-rashtriya-swasthya-bima-yojana-rsby-in-west-bengal-india-an-exploratory-study
#19
Satarupa Bandyopadhyay, Kasturi Sen
This study reviews the economic viability of the Rashtriya Swasthya Bima Yojana (RSBY), India's landmark health insurance program for below poverty line (BPL) populations in West Bengal state of India. It addresses the issue through in-depth analysis of literature, national and state level data, and a number of key stakeholder interviews. The study argues that the market failure conditions of this insurance model will continue to perpetuate losses for not only the state, but also for insurance companies, unless they adjust on a continuous basis for profit by raising the premium rate...
October 20, 2017: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/29044696/relative-reductions-in-health-care-utilization-among-young-adults-before-aging-out-of-extended-dependent-coverage
#20
Weiwei Chen
The 2010 Affordable Care Act extended dependent coverage for adult children up to age 26 in the USA. Since then, considerable studies have assessed its various impacts among young adults. However, little is known about whether there is any change in health care use when young adults age out of dependent coverage. This study examines health care consumption changes among young adults prior to their aging out process. I used data from a large insurance claim database and studied health care utilization of young adults under parents' coverage during a 2-year period in a difference-in-difference framework...
October 18, 2017: International Journal of Health Planning and Management
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