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International Journal of Health Planning and Management

Insa Koné, Bettina Maria Zimmermann, Karin Nordström, Bernice Simone Elger, Tenzin Wangmo
CONTEXT: Germany and Switzerland have introduced diagnosis-related groups (DRGs) for hospital reimbursement. This scoping review aims to evaluate if empirical evidence exists on the effect of the DRG introduction. METHODS: Medline via PubMed, Embase (Elsevier), CINAHL, PsychINFO, and Psyndex were systematically screened for studies from 2003 onwards using keywords-DRG, prospective payment system, and lump sum-in English, German, and French. Abstracts were screened for alignment with our inclusion criteria and classified as editorial/commentary, review, or empirical study...
November 13, 2018: International Journal of Health Planning and Management
Melvin Obadha, Jane Chuma, Jacob Kazungu, Edwine Barasa
BACKGROUND: Provider payment mechanisms (PPMs) play a critical role in universal health coverage due to the incentives they create for health care providers to deliver needed services, quality, and efficiency. We set out to explore public, private, and faith-based providers' experiences with capitation and fee-for-service in Kenya and identified attributes of PPMs that providers considered important. METHODS: We conducted a qualitative study in two counties in Kenya...
November 13, 2018: International Journal of Health Planning and Management
Donna M Wilson, Rashmi Devkota
The aim of this 2018 research study was to determine why nurse-based Injury Units were developed in Ireland and how they function in the Irish healthcare system, including what they contribute in relation to addressing the healthcare needs of Irish citizens. A document review was completed and interviews of nurse practitioners and physicians working in Irish Emergency Rooms (ERs) and Injury Units, as well as nurse managers with responsibility for Injury Units and health service executives who helped design Injury Units...
November 8, 2018: International Journal of Health Planning and Management
Bie Nio Ong
PURPOSE: The conceptual presentation of a detailed case study of structural reorganisation in the English NHS illustrates what factors lead to productive or unproductive organisational change. FINDINGS: This autoethnography of a NHS Trust chair provides an account of two reorganisations over an 8-year period. The paper is based on diaries that allow for the presentation of examples that highlight different processes and outcomes. The various actors in the two reorganisations gave complex and multilayered meanings to structural changes and their impact...
November 8, 2018: International Journal of Health Planning and Management
Ali Reza Kalantari, Mohammad Jafari Sirizi, Mohammad Hossein Mehrolhassani, Reza Dehnavieh
BACKGROUND: Strategic purchasing has been introduced as a key strategy for solving the problems faced by insurance companies. In Iran, the government has mandated the Iran Health Insurance Organization (IHIO) to implement this strategy. However, there are serious challenges to achieving that. The present study aims to identify these challenges. METHODS: In this qualitative study, a semi-structured interview was conducted on 27 health managers and experts at the national level...
November 8, 2018: International Journal of Health Planning and Management
Luz Maria González-Robledo, Edson Serván-Mori, Anaid Casas-López, Sergio Flores-Hernández, María Lilia Bravo, Gilberto Sánchez-González, Gustavo Nigenda
OBJECTIVE: To present a systematic narrative review, informed by international experience, on the use of genomic analysis technologies in the primary care of noncommunicable chronic diseases (NCDs) during the last 20 years. METHODS: We used the methodology for conducting systematic reviews proposed by the Center for Coordination and Information on Evidence for Policies and Practices. The selected articles were organized by time, place, study design, and type of DNA sequencing...
November 8, 2018: International Journal of Health Planning and Management
Songul Cinaroglu
Social and health policies and political participation are associated with each political tradition related to public health outcomes. However, there is a lack of evidence for the relationship between policy and outcomes. This study seeks to determine the relationship between politics, labour and welfare state indicators, economic inequality, and health outcome indicators. Data to test the model was obtained from the Turkish Statistical Institute (TurkStat) that belongs to the 81 provinces of Turkey. Path analysis was used to model the associations between policy, labour and welfare states, economic inequality, and health outcomes...
November 8, 2018: International Journal of Health Planning and Management
Deborah A Milinkovic, Stephen Birch, Fran Scott, K Bruce Newbold, Jessica Hopkins, Muntasir Saffie, Beverley M Essue
BACKGROUND: Eliminating tuberculosis (TB) in low-incidence countries is an important global health priority, and Canada has committed to achieve this goal. The elimination of TB in low-incidence countries requires effective management and treatment of latent tuberculosis infection (LTBI). This study aimed to understand and describe the system-level barriers to LTBI treatment for immigrant populations in the Greater Toronto and Hamilton Area, Ontario, Canada. METHODS: A qualitative study that used purposive sampling to recruit and interview health system advisors and planners (n = 10), providers (n = 13), and clients of LTBI health services (n = 9)...
November 7, 2018: International Journal of Health Planning and Management
Nina L Hall, Sophie Matthews, Arabella Hickson, Peter S Hill
Sustainable Development Goal 3 (SDG 3) focuses on health and well-being. To understand the in-country monitoring challenges for developing countries of reporting against SDG 3, this research sought published data for the four Pacific countries of Fiji, Papua New Guinea (PNG), the Solomon Islands, and Vanuatu-within a region with well-documented and significant health challenges. This research found that there are limited recent, comprehensive, and comparable data with identified sources against the SDG 3 outcome indicators at an in-country level...
November 7, 2018: International Journal of Health Planning and Management
José María Faílde Garrido, Laura Ruiz Soriano, María Reyes Pérez Fernández, María Lameiras Fernández, Yolanda Rodríguez Castro
At the beginning of their academic studies (testing phase), the quality of life and certain health-related behaviors were evaluated. Four years later (retest phase), they were reevaluated. Between the two evaluation periods, a health promotion (HP) program was applied. The battery of instruments included measures: health-related quality of life (HRQOL), alcoholic and nicotine dependence, eating habits, physical activity, and sexual behaviors. It also included a number of sociodemographic data. The results show that, in general, the students reported adequate levels of HRQOL, and there were no important differences between the two evaluation moments...
October 31, 2018: International Journal of Health Planning and Management
Samira Alrawahi, Stina Fransson Sellgren, Nasar Alwahaibi, Salem Altouby, Mats Brommels
BACKGROUND: The worldwide shortage of health care professionals has prompted Oman to recruit such professionals from other countries. Among such professionals, medical laboratory technologists are key in effective health care delivery, and it is therefore important to discover what influences the job satisfaction enjoyed by them. However, little research has been undertaken in this area; consequently, this study explores the factors that impact upon job satisfaction among medical laboratory technologists in University Hospital, Oman...
October 31, 2018: International Journal of Health Planning and Management
Mathieu Roy, Pierre Dagenais, Linda Pinsonneault, Véronique Déry
INTRODUCTION: In 2014, the health authorities of the Eastern Townships (Québec, Canada) commissioned an evaluation of the mental health admission system for adults (GASMA) to identify the best GASMA organizational or structural elements and optimize the mental health services continuum. METHODS: To develop better services, seven indicators (ie, accessibility to services, integration of levels of services, user satisfaction, guidance and management time, evaluation tools, professional composition, and interprofessional collaboration) were examined through four evaluation questions...
October 31, 2018: International Journal of Health Planning and Management
Ying Zhang, Rui Wang, Xinyi Yao
Significant prepayment of health care is a crucial factor to ensure that all individuals have access to effective health services at affordable prices. The research questions we address here are as follows: What role does economic growth play in changing the level of health care prepayment? Does government's willingness to spend more on health mean higher prepayment rates in the health financing system? What are their dynamic relationships? These questions are addressed in China over the 1978 to 2014 period by employing the continuous wavelet analysis...
October 31, 2018: International Journal of Health Planning and Management
Chandrima Chatterjee, Narayan Chandra Nayak, Jitendra Mahakud, Suhita Chopra Chatterjee
India is experiencing rapid population ageing in recent years. One of the most concomitant issues is the choice of health care services among the elderly, leading to its impact on the magnitude of health expenditure. Applying Andersen's Health Behavioural Model, this study identifies the predictors of the choice of inpatient health care services among the Indian elderly between private and public services. It also examines the nature of interregional disparity in the choice of health care services. Using NSSO data, the results suggest that the elderly belonging to upper caste and having higher levels of education, higher incomes, larger family size, and needing surgery are likely to choose private health care, while those experiencing higher economic dependence, chronic diseases, and higher duration of hospitalisation tend to prefer public inpatient services...
October 31, 2018: International Journal of Health Planning and Management
Jennifer Priaulx, Marcell Csanádi, Harry J de Koning, Martin McKee
PURPOSE: The relationship between cancer screening activities in Europe and the health systems in which they are embedded varies, with some screening programs organized largely separately and others using existing health service staff and facilities. Whatever the precise arrangements, the opportunity for screening to achieve health gain depends on many elements interacting within and beyond the health system, from an accurate register identifying the target population to a means to ensure and monitor follow-up...
October 31, 2018: International Journal of Health Planning and Management
Alexandre Morais Nunes, Diogo Cunha Ferreira
Portugal has one of the most complete public systems worldwide. Since 1979, the Portuguese National Health Service (NHS) was developed based on the integration and complementarity between different levels of care (primary, secondary, continued, and palliative care). However, in 2009, the absence of economic growth and the increased foreign debt led the country to a severe economic slowdown, reducing the public funding and weakening the decentralized model of health care administration. During the austerity period, political attention has focused primarily on reducing health care costs and consolidating the efficiency and sustainability with no structural reform...
October 28, 2018: International Journal of Health Planning and Management
Geha Nath Khanal
Various factors limit access to and utilization of health services even when provided at subsidized cost. This results in poor utilization of services that contributes to further economic impoverishment and health care disparity. Many countries are experimenting with various approaches to tackle the poor utilization of health care services including demand-side financing policy. This paper explains the policymaking process during the formulation of safe delivery incentive program, a conditional cash transfer program in Nepal using Kindgon's multiple streams framework...
October 28, 2018: International Journal of Health Planning and Management
Hazem Smadi, Hussam Alshraideh, Wae'd Bataineh
PURPOSE: Distribution network plays a vital role on the efficiency and the responsiveness of a supply chain. Any product or service goes through a network until it reaches the final customer. Health care systems incorporate distribution networks to better provide health services to patients. In this study, a distribution network for communicable diseases has been developed. The proposed network addresses Hepatitis A in Jordan as a case study, as it is considered one of the common communicable diseases in Jordan...
October 28, 2018: International Journal of Health Planning and Management
Sarah Saizan, Surianti Sukeri, Wan Mohd Zahiruddin, Mohd Nazri Shafei, Awang Hamat Rukman, Osman Malina, Tengku Zetty Maztura Tengku Jamaluddin, Daud Aziah
Leptospirosis is an endemic disease in Malaysia. Despite the increasing incidence rate, knowledge on the economic assessment of preventing leptospirosis is still limited. This paper introduces the willingness-to-contribute (WTC) method for estimating the economic benefit of preventing leptospirosis. A cross-sectional study using the WTC method was applied to measure how much time respondents in Kelantan were willing to contribute toward preventing leptospirosis. Study respondents were wet market traders aged 18 years old and above who were fluent in the Malay language...
October 25, 2018: International Journal of Health Planning and Management
Gerard Scholten, Linda Muijsers-Creemers, Jan Moen, Roland Bal
This empirical, multicase research into developing governance structures highlights the strategies of four Dutch hospitals to strengthen their governability. The hospitals studied choose to commit themselves to duality as their starting point for structuring governance arrangements. All of them create positions of doctors and managers that are based on consensual decision making and common responsibility, in this way structuring governance at hospital level and unit level. Interestingly, they consciously choose to create ambiguous positions keeping formalization by rules and job descriptions low...
October 23, 2018: International Journal of Health Planning and Management
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