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International Journal of Health Planning and Management

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https://www.readbyqxmd.com/read/28791771/public-strategies-for-improving-ehealth-integration-and-long-term-sustainability-in-public-health-care-systems-findings-from-an-italian-case-study
#1
Sabina De Rosis, Sabina Nuti
eHealth is expected to contribute in tackling challenges for health care systems. However, it also imposes challenges. Financing strategies adopted at national as well regional levels widely affect eHealth long-term sustainability. In a public health care system, the public actor is among the main "buyers" eHealth. However, public interventions have been increasingly focused on cost containment. How to match these 2 aspects? This article explores some central issues, mainly related to financial aspects, in the development of effective and valuable eHealth strategies in a public health care system: How can the public health care system (as a "buyer") improve long-term success and sustainability of eHealth solutions? What levers are available to match in the long period different interests of different stakeholders in the eHealth field? A case study was performed in the Region of Tuscany, Italy...
August 8, 2017: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/28766744/active-offer-of-health-services-in-french-in-ontario-analysis-of-reorganization-and-management-strategies-of-health-care-organizations
#2
Elina Farmanova, Luc Bonneville, Louise Bouchard
BACKGROUND: The availability of health services in French is not only weak but also inexistent in some regions in Canada. As a result, estimated 78% of more than a million of Francophones living in a minority situation in Canada experience difficulties accessing health care in French. To promote the delivery of health services in French, publicly funded organizations are encouraged to take measures to ensure that French-language services are clearly visible, available, easily accessible, and equivalent to the quality of services offered in English...
August 2, 2017: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/28766742/research-gaps-in-routine-health-information-system-design-barriers-to-data-quality-and-use-in-low-and-middle-income-countries-a-literature-review
#3
REVIEW
Manish Kumar, David Gotz, Tara Nutley, Jason B Smith
Despite the potential impact of health information system (HIS) design barriers on health data quality and use and, ultimately, health outcomes in low- and middle-income countries (LMICs), no comprehensive literature review has been conducted to study them in this context. We therefore conducted a formal literature review to understand system design barriers to data quality and use in LMICs and to identify any major research gaps related understanding how system design affects data use. We conducted an electronic search across 4 scientific databases-PubMed, Web of Science, Embase, and Global Health-and consulted a data use expert...
August 2, 2017: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/28758235/great-expectations-an-analysis-of-researchers-and-policy-makers-perceptions-of-the-potential-value-of-the-australian-indigenous-burden-of-disease-study-for-policy
#4
Aaron Katz, Deepa Gajjar, Anthony B Zwi, Peter S Hill
The "Burden of disease and injury in Aboriginal and Torres Strait Islander Peoples" was commissioned by the Australian government as part of the Australian Burden of Disease study. This paper explores the extent to which key actors in the research and policy communities expected the Indigenous Burden of Disease study's findings to inform, influence, or drive federal decisions concerning Indigenous health in Australia. This qualitative research undertook interviews with 13 key informants with significant involvement in the Indigenous Burden of Disease study: six researchers, five policy makers, and two knowledge brokers...
July 30, 2017: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/28736874/the-impact-of-changes-in-china-s-family-patterns-on-family-pension-functions
#5
Su Zhongxin, Hu Zhan, Peng Xizhe
Using data from the Chinese census and the China Statistical Yearbook, this paper will analyze the historical changes and future trends of family households in China over the past 30 years and explore the changes of family pension functions and corresponding policies. Our analysis yielded 3 notable results. First, in family size miniaturization and structural simplification, 1- and 2-generation family households are the main body of contemporary China. Second, for family aging and changes in living patterns, which primarily manifest as an increase in; the proportion of elderly households and in middle-aged and elderly people in the family, the elderly model and the "multigenerational model" have become the 2 major residence models for the elderly in China...
July 24, 2017: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/28731547/does-hospital-ownership-influence-hospital-referral-region-health-rankings-in-the-united-states
#6
Hanadi Hamadi, Emma Apatu, Aaron Spaulding
Extensive evidence demonstrates that a hospital's organizational ownership structure impacts its overall performance, but little is known concerning the influence of hospital structure on the health of its community. This paper explores the association between US hospital referral region (HRR) health rankings and hospital ownership and performance. Data from the 2016 Commonwealth Fund Scorecard on Local Health System Performance, the American Hospital Association dataset, and the Hospital Value-Based Purchasing dataset are utilized to conduct a cross-sectional analysis of 36 quality measures across 306 HRRs...
July 21, 2017: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/28707707/evidence-for-capitation-reform-in-a-new-rural-cooperative-medical-scheme-in-pudong-new-area-shanghai-a-longitudinal-study
#7
Yanmei Wang, Zhiqun Shu, Jianjun Gu, Xiaoming Sun, Limei Jing, Jie Bai, Xuan Huang, Jiquan Lou, Qunfang Zhang, Ming Li
Currently, China has been experiencing rapid growth of medical costs, serious waste of medical resources, increasing disease burden for residents, and a medical insurance fund deficit. Therefore, an urgent problem that needs to be solved is to choose a rational payment for the insurance system. To empirically evaluate the long-term effects of capitation reform in a New Rural Cooperative Medical Scheme in Pudong New Area, we collected and analysed data regarding financing, fund operation, medical service cost, and medical care-seeking behaviour from 2011 to 2015, a duration that includes data before and after reform...
July 14, 2017: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/28707333/equity-in-maternal-and-infant-care-services-in-china-a-trend-analysis-based-on-residence-and-area-2000-2014
#8
Hong Liang, Shuai Fang, Shanshan Liu, Xinyu Liu, Yanting Li, Ming Li, Yimin Zhang
Equity in maternal- and infant-care services is key to achieving equity in maternal and infant health outcomes. In this study, 12 indicators of maternal and infant services were selected to measure equity in maternal and infant services in China from 2000-2014 using the Theil index and between-group variance, with the result showing that equity has improved steadily and significantly, though serious inequities in premarital and reproductive health services remain. Relatively speaking, equity at the interprovincial level has increased, but equity in urban-rural stratification has improved more, indicating that policies should focus on interprovincial inequities and premarital and reproductive health services...
July 14, 2017: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/28671285/twelve-months-of-implementation-of-health-care-performance-based-financing-in-burkina-faso-a-qualitative-multiple-case-study
#9
Valéry Ridde, Maurice Yaogo, Sylvie Zongo, Paul-André Somé, Anne-Marie Turcotte-Tremblay
To improve health services' quantity and quality, African countries are increasingly engaging in performance-based financing (PBF) interventions. Studies to understand their implementation in francophone West Africa are rare. This study analysed PBF implementation in Burkina Faso 12 months post-launch in late 2014. The design was a multiple and contrasted case study involving 18 cases (health centres). Empirical data were collected from observations, informal (n = 224) and formal (n = 459) interviews, and documents...
July 3, 2017: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/28670754/the-development-and-impact-of-primary-health-care-in-china-from-1949-to-2015-a-focused-review
#10
Huazhang Li, Kun Liu, Jianjun Gu, Yimin Zhang, Yun Qiao, Xiaoming Sun
High-quality primary health care (PHC) services are associated with better health outcomes and positive health equity. Providing PHC services to all inhabitants is one of the Chinese government's health care objectives. However, an imbalance between people's increasing health needs and effective health service utilization exists in China. The objective of this review is to identify evidence for PHC development in China and to summarize the challenges as a reference for the future improvement of China's PHC system...
July 2, 2017: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/28664588/welfare-wellness-and-job-satisfaction-of-chinese-physicians-a-national-survey-of-public-tertiary-hospitals-in-china
#11
Jing Sun, Jing Ma, Guangyu Hu, Qi Zhao, Changzheng Yuan, Wen Si, Xinqing Zhang, Yuanli Liu
Little national data are available on Chinese physicians' welfare, wellness, and job satisfaction. We conducted a self-administered smartphone-based national survey in early 2016 of 17 945 physicians from 136 tertiary hospitals across 31 provinces in China. In addition to collecting the physicians' basic information, we also measured 5 domains (the ethical and working environments, welfare, wellness, and job satisfaction). Half of the physicians reported a hospital-based annual income of less than RMB 72 000 ($10 300), and 60...
June 30, 2017: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/28664591/development-and-enrolee-satisfaction-with-basic-medical-insurance-in-china-a-systematic-review-and-stratified-cluster-sampling-survey
#12
Limei Jing, Ru Chen, Lisa Jing, Yun Qiao, Jiquan Lou, Jing Xu, Junwei Wang, Wen Chen, Xiaoming Sun
Basic Medical Insurance (BMI) has changed remarkably over time in China because of health reforms that aim to achieve universal coverage and better health care with adequate efforts by increasing subsidies, reimbursement, and benefits. In this paper, we present the development of BMI, including financing and operation, with a systematic review. Meanwhile, Pudong New Area in Shanghai was chosen as a typical BMI sample for its coverage and management; a stratified cluster sampling survey together with an ordinary logistic regression model was used for the analysis...
June 29, 2017: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/28643470/the-association-of-hospital-governance-with-innovation-in-taiwan
#13
Chen-Wei Yang, Yu-Hua Yan, Shih-Chieh Fang, Syeda Noorein Inamdar, Hsien-Cheng Lin
Hospitals in Taiwan are facing major changes and innovation is increasingly becoming a critical factor for remaining competitive. One determinant that can have a significant impact on innovation is hospital governance. However, there is limited prior research on the relationship between hospital governance and innovation. The purpose of this study is to propose a conceptual framework to hypothesize the relationship between governance mechanisms and innovation and to empirically test the hypotheses in hospital organizations...
June 23, 2017: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/28643400/a-study-of-regulatory-policies-and-relevant-issues-concerning-electronic-cigarette-use-in-taiwan
#14
Tzuu Hwa Jiang, Li Min Cheng, Matthew A Hawkins
Recent technological innovations have increased the amount of tobacco products available to smokers. In particular, electronic cigarettes, sometimes call e-cigarettes, have received substantial attention as their sales have rapidly increased. Electronic cigarettes were invented in China and now have become prevalent worldwide. Electronic cigarettes can be considered fashionable and come in numerous flavors; accordingly, many young adults and students have begun to use e-cigarettes. However, like traditional tobacco products, e-cigarettes have negative influences on human health...
June 23, 2017: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/28643342/progress-and-policy-implication-of-the-insurance-programs-for-catastrophic-diseases-in-china
#15
Wenhui Mao, Luying Zhang, Wen Chen
The State Council encouraged the involvement of commercial insurance companies (CICs) in the development of the Insurance Program for Catastrophic Diseases (IPCD), yet its implementation has rarely been reported. We collected literature and policy documentation and conducted interviews in 10 cities with innovative IPCD policies to understand the details of the implementation of IPCD. IPCDs are operated at the prefectural level in 14 provinces, while in 4 municipalities and 6 provinces, unified IPCDs have been implemented at higher levels...
June 23, 2017: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/28639364/changes-in-chronic-disease-management-among-community-health-centers-chcs-in-china-has-health-reform-improved-chc-ability
#16
Zhaoxin Wang, Jianwei Shi, Zhigui Wu, Huiling Xie, Yifan Yu, Ping Li, Rui Liu, Limei Jing
Since the 1980s, China has been criticized for its mode of chronic disease management (CDM) that passively provides treatment in secondary and tertiary hospitals but lacks active prevention in community health centers (CHCs). Since there are few systematic evaluations of the CHCs' methods for CDM, this study aimed to analyze their abilities. On the macroperspective, we searched the literature in China's largest and most authoritative databases and the official websites of health departments. Literature was used to analyze the government's efforts in improving CHCs' abilities to perform CDM...
June 22, 2017: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/28639255/necessity-and-feasibility-of-improving-mental-health-services-in-china-a-systematic-qualitative-review
#17
REVIEW
Xudong Zhao, Liang Liu, Chengping Hu, Fazhan Chen, Xirong Sun
It has been nearly 40 years since the reform and opening up of Mainland China. The mental health services system has developed rapidly as a part of the profound socioeconomic changes that ensued. However, its development has not been as substantial as other areas of medical care. For the current qualitative systematic review, we searched databases, including China Biology Medicine disc, Weipu, China National Knowledge Infrastructure, Wanfang digital periodical full text data, China's important newspaper full text database, China Statistical Yearbook database, etc...
June 22, 2017: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/28632912/surveillance-and-early-warning-systems-of-infectious-disease-in-china-from-2012-to-2014
#18
Honglong Zhang, Liping Wang, Shengjie Lai, Zhongjie Li, Qiao Sun, Peng Zhang
Appropriate surveillance and early warning of infectious diseases have very useful roles in disease control and prevention. In 2004, China established the National Notifiable Infectious Disease Surveillance System and the Public Health Emergency Event Surveillance System to report disease surveillance and events on the basis of data sources from the National Notifiable Infectious Disease Surveillance System, China Infectious Disease Automated-alert and Response System in this country. This study provided a descriptive summary and a data analysis, from 2012 to 2014, of these 3 key surveillance and early warning systems of infectious disease in China with the intent to provide suggestions for system improvement and perfection...
June 20, 2017: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/28627092/the-contextual-level-effects-of-social-trust-on-health-in-transitional-countries-instrumental-variable-analysis-of-26-countries
#19
Nazim Habibov, Alex Cheung
We analyse the effect of contextual-level social capital on health status in a sample of 26 transitional countries of Central and South Europe, Mongolia, and the former Soviet Union for 2006-2010 (N = 51 911). Contextual-level social capital is conceptualized as country-level social trust, while health status is conceptualized as self-rated health. We use ordinary least squares and instrumental variable regressions to address endogeneity and especially to rule out reverse causality. Both instrumental variable and ordinary least squares regressions suggest a strong positive effect of country-level trust on health...
June 19, 2017: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/28612498/china-s-health-care-system-reform-progress-and-prospects
#20
Ling Li, Hongqiao Fu
This paper discusses the progress and prospects of China's complex health care reform beginning in 2009. The Chinese government's undertaking of systemic reform has achieved laudable achievements, including the expansion of social health insurance, the reform of public hospitals, and the strengthening of primary care. An innovative policy tool in China, policy experimentation under hierarchy, played an important role in facilitating these achievements. However, China still faces gaps and challenges in creating a single payer system, restructuring the public hospitals, and establishing an integrated delivery system...
June 14, 2017: International Journal of Health Planning and Management
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