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International Journal of Health Planning and Management

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https://www.readbyqxmd.com/read/29124785/time-to-address-gender-inequalities-against-female-physicians
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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
https://www.readbyqxmd.com/read/29027260/determinants-of-bed-net-policy-implementation-a-case-study-of-southern-benin
#7
Georges Danhoundo, Mary E Wiktorowicz, Shahirose Sadrudin Premji, Khalidha Nasiri
BACKGROUND: Malaria is a major global health challenge. This study aims to clarify the manner in which contextual factors determine the use and maintenance of bed nets and the extent to which malaria prevention policy is responsive to them in Southern Benin. METHODS: Semi-structured interviews and direct observations were undertaken with 30 pregnant women in the municipality of So-Ava from June to August 2015. Key informants in the Ministry of Health and local community health workers were also interviewed regarding malaria prevention policy formation, and the monitoring and evaluation of bed net interventions, respectively...
October 13, 2017: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/29024036/how-and-why-do-countries-differ-in-their-governance-and-financing-related-administrative-expenditure-in-health-care-an-analysis-of-oecd-countries-by-health-care-system-typology
#8
Luc L Hagenaars, Niek S Klazinga, Michael Mueller, David J Morgan, Patrick P T Jeurissen
INTRODUCTION: Administration is vital for health care. Its importance may increase as health care systems become more complex, but academic attention has remained minimal. We investigated trends in administrative expenditure across OECD countries, cross-country spending differences, spending differences between health care system typologies, and differences in the scale and scope of administrative functions across typologies. METHODS: We used OECD data, which include health system governance and financing-related administrative activities by regulators, governance bodies, and insurers (macrolevel), but exclude administrative expenditure by health care providers (mesolevel and microlevel)...
October 12, 2017: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/29024021/too-many-and-too-few-the-paradoxical-case-of-physicians-in-the-russian-federation
#9
Christopher J Gerry, Igor Sheiman
There is a paradox characterising the Russian health workforce. By international standards, Russia has a very high number of physicians per capita but at the same time is confronted by chronic real shortages of qualified physicians. This paper explores the reasons for this paradox by examining the structural characteristics of health workforce development in the context of the Soviet legacy and the comparative performance of other European countries. The paper uses data on comparative health workforce dynamics to argue that Russia is a European laggard, before then evaluating recent and current policies within that context...
October 11, 2017: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/29024004/shortening-gestational-age-at-term-and-organisation-of-birth-care-in-the-czech-republic
#10
Martina Štípková
A trend of the shortening duration of pregnancies carried to term has been observed in several countries and represents a growing public health concern. This paper describes the trend in the Czech Republic and shows its relation to the changing demographic structure of mothers and the organisation of maternity care. Data from the birth register are used and supplemented with information about the capacity of maternity care (number of beds at maternity clinics, number of obstetricians and midwives). Logistic regression is used to estimate the odds of 37 to 39 vs 40+ completed weeks of gestation...
October 10, 2017: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/29024002/boundary-spanning-actors-in-complex-adaptive-governance-systems-the-case-of-multisectoral-nutrition
#11
David Pelletier, Suzanne Gervais, Hajra Hafeez-Ur-Rehman, Dia Sanou, Jackson Tumwine
A growing literature highlights complexity of policy implementation and governance in global health and argues that the processes and outcomes of policies could be improved by explicitly taking this complexity into account. Yet there is a paucity of studies exploring how this can be achieved in everyday practice. This study documents the strategies, tactics, and challenges of boundary-spanning actors working in 4 Sub-Saharan Africa countries who supported the implementation of multisectoral nutrition as part of the African Nutrition Security Partnership in Burkina Faso, Mali, Ethiopia, and Uganda...
October 10, 2017: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/28983958/management-of-syphilis-in-pregnancy-knowledge-and-practices-of-health-care-providers-and-barriers-to-the-control-of-disease-in-teresina-brazil
#12
Danielle Carvalho Rodrigues, Rosa Maria Soares Madeira Domingues
AIMS: The aim of the study is to verify the knowledge and practices of health professionals working in prenatal care (PNC) related with syphilis during pregnancy and to identify the main barriers to the implementation of protocols for the control of this disease. METHODS: A cross-sectional study in Teresina, Brazil, from January to May 2015, was conducted with 366 physicians and nurses working in PNC, corresponding to 70% of eligible professionals. We evaluated 20 knowledge and practice criteria related to the diagnosis and treatment of syphilis during pregnancy with a 95% compliance standard...
October 6, 2017: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/28980729/barriers-and-facilitators-for-implementation-of-family-medicine-oriented-model-of-primary-care-in-bosnia-and-herzegovina-a-qualitative-study
#13
Maja Racic, Tanja Pekez-Pavlisko, Sandra Jokovic
INTRODUCTION: A health care system reform and the development of a new primary health care model, oriented toward family medicine, have been implemented to improve the quality of health services in Bosnia and Herzegovina. The primary objective of this article was to identify factors that hinder or facilitate implementation of family medicine in the country. METHODS: The qualitative study was performed by focus groups sessions, involving 54 family physicians, selected from 15 geographical regions in Bosnia and Herzegovina...
October 5, 2017: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/28960552/programmes-for-the-prevention-of-parent-to-child-transmission-of-hiv-in-papua-new-guinea-health-system-challenges-and-opportunities
#14
Anna Tynan, Lisa Vallely, Martha Kupul, Ruthy Neo, Voletta Fiya, Heather Worth, Grace Kariwiga, Glen D L Mola, John Kaldor, Angela Kelly-Hanku
BACKGROUND: Prevention of parent-to-child transmission (PPTCT) of HIV is a highly complex package of interventions, which spans services in both maternal and child health programmes. In Papua New Guinea (PNG), a commitment to ensure that all pregnant women and their partners have access to the full range of PPTCT interventions exists; however, efforts to increase access and utilisation of PPTCT remain far from optimal. The aim of this paper is to examine health care worker (HCW) perception of health system factors impacting on the performance of PPTCT programmes...
September 27, 2017: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/28940311/impact-of-chronic-disease-on-the-mid-age-employment-in-taiwan
#15
Chun-Chih Chen, Ying-Tzu Lin
Chronic diseases, also known as non-communicable diseases (NCDs), have become the leading causes of deaths and disability around the world. Cardiovascular disease, cancer, and diabetes are also listed in the top 10 causes of deaths in Taiwan for decades. This study aims to investigate the relationship the chronic diseases and the mid-age employment in Taiwan. We estimate the impact of the chronic diseases on employment using the 2009 NHIS data of Taiwan using 2 kinds of probit model. In addition, we show that a usual probit model can underestimate the negative effect of NCDs on mid-age employment...
September 22, 2017: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/28940668/challenges-facing-community-health-workers-in-brazil-s-family-health-strategy-a-qualitative-study
#16
Rebecca Grossman-Kahn, Julia Schoen, John William Mallett, Alexandra Brentani, Elizabeth Kaselitz, Michele Heisler
Community health worker (CHW) programs are implemented in many low- and middle-income countries such as Brazil to increase access to and quality of care for underserved populations; CHW programs have been found to improve certain indicators of health, but few studies have investigated the daily work of CHWs, their perspectives on what both helps and hinders them from fulfilling their roles, and ways that their effectiveness and job satisfaction could be increased. To examine these questions, we observed clinic visits, CHW home visits, and conducted semistructured interviews with CHWs in 7 primary care centers in Brazil-2 in Salvador, Bahia, and 5 in São Paulo, SP-in which CHWs are incorporated into the work of all primary care health teams...
September 21, 2017: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/28892187/patient-satisfaction-with-health-care-services-at-a-national-institute-of-ophthalmology
#17
Nguyen Van Huy, Nguyen Ngoc Dung, Cao Duc Thang, Le Thuy Hanh
Little is known about how patients in developing countries, such as Vietnam, are satisfied with eye care services. The purpose of this study was to assess the satisfaction with health services and its associated factors among patients attending a national institute of ophthalmology in Vietnam. In a cross-sectional study utilizing quantitative methods, 500 inpatients and their relatives attending a national institute of ophthalmology in Vietnam were approached for data collection. The results indicated that under 50% of the patients were satisfied with eye care services...
September 11, 2017: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/28877388/motivation-of-the-nurses-in-pre-hospital-emergency-and-educational-hospitals-emergency-in-the-southeast-of-iran
#18
Hojjat Sheikhbardsiri, Gholamreza Khademipour, Mahmoud Nekoei-Moghadam, Mohsen Aminizadeh
INTRODUCTION: Nurses, as the largest human resource element of health care systems, have a major role in providing ongoing, high-quality care to patients. Therefore, due to the importance of this issue, this study aimed to determine job motivation of the nurses in pre-hospital and educational hospitals emergency in the southeast of Iran. METHODS: In this study, a cross-sectional method was used, and it was conducted in educational hospitals and pre-hospital emergencies under supervision of the Kerman University of Medical Sciences in 2017...
September 6, 2017: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/28877361/-enticing-case-study-or-celebrated-anomaly-policy-learning-from-the-cuban-health-system
#19
Rob Baggott, George Lambie
Cuba is regarded as having achieved very good health outcomes for its level of economic development. It has adopted policies and programs that focus on prevention, universal access to healthcare, a strong primary care system, the integration of health in all policies, and public participation in health. It has also established a strong and accessible system of medical education and provides substantial medical aid and support to other countries. Why then, it may be asked, has the Cuban experience not had greater influence on health policies and reforms elsewhere? This article, based on a literature review and new primary sources, analyzes various factors highlighted in the policy transfer literature to explain this...
September 6, 2017: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/28875508/evolution-of-hiv-aids-response-in-brazil-policy-innovations-and-challenges-in-the-fourth-decade-of-the-epidemic
#20
Elize Massard da Fonseca, Francisco Inacio Bastos
Brazil was the first low- and middle-income country to provide universal treatment access to people living with the acquired immunodeficiency syndrome (AIDS), becoming a widely acclaimed model for best practice to managing this epidemic. However, we know little about important challenges to the key pillars of Brazil's response. This article discusses how the evolution of the country's health system institutions and international advancements in AIDS treatment and prevention affected the national response. Decentralization of health system resources and policy making brought fresh challenges to the centralized governance of the national AIDS program and to civil society, weakening their coordination and advocacy capacity...
September 6, 2017: International Journal of Health Planning and Management
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