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Health Economics, Policy, and Law

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https://www.readbyqxmd.com/read/29108525/who-s-afraid-of-institutionalizing-health-technology-assessment-hta-interests-and-policy-positions-on-hta-in-the-czech-republic
#1
Olga Löblová
This article identifies the interests and policy positions of key health policy stakeholders regarding the creation of a health technology assessment (HTA) agency in the Czech Republic, and what considerations influenced them. Vested interests have been suggested as a factor mitigating the diffusion of HTA bodies internationally. The Czech Republic recently considered and discarded establishing an HTA agency, making it a good case for studying actors' policy positions throughout the policy debates. Findings are based on in-depth, semi-structured expert and elite interviews with 34 key Czech health policy actors, supported by document analysis and extensive triangulation...
November 7, 2017: Health Economics, Policy, and Law
https://www.readbyqxmd.com/read/28877775/legal-advocacy-as-a-tool-to-advance-roma-health
#2
Tamar Ezer, Alphia Abdikeeva, Martin McKee
Roma in central Europe face many violations of their rights, including those that impede their access to high-quality health care. Legal frameworks have the potential to address these violations, whereas legal advocacy services offer a means for enforcement of rights. We undertook key informant interviews with Roma civil society organisations and selected knowledgeable individuals in Macedonia, Romania and Serbia to identify lessons from the development of these services. Achievements were reported in four areas...
September 7, 2017: Health Economics, Policy, and Law
https://www.readbyqxmd.com/read/28720160/the-incidence-of-health-financing-in-south-africa-findings-from-a-recent-data-set
#3
John E Ataguba, Di McIntyre
There is an international call for countries to ensure universal health coverage. This call has been embraced in South Africa (SA) in the form of a National Health Insurance (NHI). This is expected to be financed through general tax revenue with the possibility of additional earmarked taxes including a surcharge on personal income and/or a payroll tax for employers. Currently, health services are financed in SA through allocations from general tax revenue, direct out-of-pocket payments, and contributions to medical scheme...
July 19, 2017: Health Economics, Policy, and Law
https://www.readbyqxmd.com/read/28573964/a-place-in-the-sun-healthcare-rights-of-retired-uk-citizens-in-spain-post-brexit
#4
Joaquin Cayon-De Las Cuevas, Tamara Hervey
At least 100,000 retired UK citizens currently live in Spain. Under EU law, they are entitled to access the Spanish National Health Service (NHS) with minimum administrative difficulty. What will their legal position be under a 'no-deal Brexit'? This is a question of Spanish law. The worst case scenario is that they will have to reapply for their residence permits under the Spanish legislation applicable to non-EU/European Economic Area citizens, with all the administrative inconvenience and cost entailed. If they successfully reapply, their personal health care costs will be considerably higher than at present, should they choose to remain in Spain...
July 2017: Health Economics, Policy, and Law
https://www.readbyqxmd.com/read/28573963/contested-evidence-a-dutch-reimbursement-decision-taken-to-court-corrigendum
#5
Floortje Moes, Eddy Houwaart, Diana Delnoij, Klasien Horstman
No abstract text is available yet for this article.
July 2017: Health Economics, Policy, and Law
https://www.readbyqxmd.com/read/28660840/does-certificate-of-need-law-enhance-competition-in-inpatient-care-market-an-empirical-analysis
#6
Jomon A Paul, Huan Ni, Aniruddha Bagchi
This article investigates the impact of Certificate of Need (CON) laws on competition in the inpatient care market. One of the major criticisms of these laws is that it may hinder competition in the health care market, which can lead to higher prices. However, from a theoretical standpoint, CON laws could also promote competition by limiting excessive expansion from incumbents. Our main conclusion is that CON laws by and large enhanced competition in the inpatient market during the period of our study. This indicates that the effects of CON laws to hinder predatory behavior could dominate its effects of preventing new entrants into the inpatient care market...
June 29, 2017: Health Economics, Policy, and Law
https://www.readbyqxmd.com/read/28482945/the-effect-of-universal-health-insurance-for-children-in-vietnam
#7
Binh T Nguyen, Anthony T Lo Sasso
Our research investigates the effects of the 2005 universal health insurance program for children under age 6 in Vietnam on health care utilization, household out-of-pocket (OOP) spending and self-reported health outcomes using data from the Vietnam Household Living Standard Survey in 2002-2004-2006-2008. We use difference-in-differences to compare children eligible for the program to older children who are ineligible for the program. Results indicate that the program increased insurance coverage by 250% for children age 0-5 relative to the pre-policy period...
May 9, 2017: Health Economics, Policy, and Law
https://www.readbyqxmd.com/read/28462750/health-equality-social-justice-and-the-poverty-of-autonomy
#8
Christopher Newdick
How does the concept of autonomy assist public responses to 'lifestyle' diseases? Autonomy is fundamental to bioethics, but its emphasis on self-determination and individuality hardly supports public health policies to eat and drink less and take more exercise. Autonomy rejects a 'nanny' state. Yet, the cost of non-communicable diseases is increasing to individuals personally and to public health systems generally. Health care systems are under mounting and unsustainable pressure. What is the proper responsibility of individuals, governments and corporate interests working within a global trading environment? When public health care resources are unlikely to increase, we cannot afford to be so diffident to the cost of avoidable diseases...
May 2, 2017: Health Economics, Policy, and Law
https://www.readbyqxmd.com/read/28462745/the-efficiency-of-the-local-health-systems-investigating-the-roles-of-health-administrations-and-health-care-providers
#9
Laura Anselmi, Mylène Lagarde, Kara Hanson
The analysis of efficiency in health care has largely focussed either on individual health care providers, or on sub-national health systems conceived as a unique decision-making unit. However, in hierarchically organized national health services, two separate entities are responsible for turning financial resources into services at the local level: health administrations and health care providers. Their separate roles and the one of health administrations in particular have not been explicitly considered in efficiency analysis...
May 2, 2017: Health Economics, Policy, and Law
https://www.readbyqxmd.com/read/28446256/innovation-informed-consent-health-research-and-the-supreme-court-montgomery-v-lanarkshire-a-brave-new-world
#10
Jean V McHale
The Supreme Court decision in Montgomery v Lanarkshire ([2015] UKSC11) has been hailed as a landmark not least because the Court enshrines the doctrine of informed consent formally into English law for the first time in relation to medical treatment. This paper explores the decision in Montgomery. It examines what its implications may be in the future for the consent process in relation to health research and innovative treatment and whether it may prove a watershed moment leading to changing dialogues and expectations in relation to consent...
April 27, 2017: Health Economics, Policy, and Law
https://www.readbyqxmd.com/read/28443522/legal-and-organisational-innovation-in-the-italian-pharmacy-system-commercial-vs-public-interest
#11
Alceste Santuari
Pharmacy services are undoubtedly an important part of primary care. Pharmacists are entrepreneurs and simultaneously they are entrusted with a public mission in the health care sector. Pharmacies then reflect a contrast between a commercial/economic objective and public interest, which is to be identified with citizens' universal right to health care services. This is the reason why in Italy, as in many other EU countries, pharmacies supply their services according to a prior authorisation granted by public authorities...
April 26, 2017: Health Economics, Policy, and Law
https://www.readbyqxmd.com/read/28416025/healthcare-innovation-and-patent-law-s-pharmaceutical-privilege-is-there-a-pharmaceutical-privilege-and-if-so-should-we-remove-it
#12
Graham Dutfield
This article reviews current trends in patent claims regarding personalised, stratified and precision medicine. These trends are not particularly well understood by policymakers, even less by the public, and are quite recent. Consequently, their implications for the public interest have hardly been thought out. Some see personalised and other secondary drug patent claims as promoting better targeted treatment. Others are inclined to see them as \manifestations of 'evergreening' whereby companies are, in some cases quite cynically, trying to extend market monopolies in old products or creating new monopolies based on supposedly improved versions of such earlier drugs...
April 18, 2017: Health Economics, Policy, and Law
https://www.readbyqxmd.com/read/28414005/health-care-and-health-innovation-in-europe-regulating-for-public-benefit-or-for-commercial-profit
#13
Amanda Warren-Jones
No abstract text is available yet for this article.
April 17, 2017: Health Economics, Policy, and Law
https://www.readbyqxmd.com/read/28414003/regulatory-theory-commercially-sustainable-markets-rely-upon-satisfying-the-public-interest-in-obtaining-credible-goods
#14
Amanda Warren-Jones
Regulatory theory is premised on the failure of markets, prompting a focus on regulators and industry from economic perspectives. This article argues that overlooking the public interest in the sustainability of commercial markets risks markets failing completely. This point is exemplified through health care markets - meeting an essential need - and focuses upon innovative medicines as the most desired products in that market. If this seemingly invulnerable market risks failure, there is a pressing need to consider the public interest in sustainable markets within regulatory literature and practice...
April 17, 2017: Health Economics, Policy, and Law
https://www.readbyqxmd.com/read/28382886/outsourcing-day-surgery-to-private-for-profit-hospitals-the-price-effects-of-competitive-tendering
#15
Terje P Hagen, Geir Hiller Holom, Kebebew N Amayu
Setting prices for elective patient treatments in private for-profit (PFP) hospitals in traditional tax-funded health systems is challenging since both the organisation of these hospitals and the tasks they perform differ considerably from what we find in public hospitals. From the year 2000, Norway became one of a few countries to gradually implement a procurement system based on competitive tendering when outsourcing elective surgery. In this study we analyse the effect of introducing competitive tendering on the prices paid to PFP hospitals...
April 6, 2017: Health Economics, Policy, and Law
https://www.readbyqxmd.com/read/28332466/towards-a-coherent-global-framework-for-health-financing-recommendations-and-recent-developments
#16
Trygve Ottersen, Riku Elovainio, David B Evans, David McCoy, Di Mcintyre, Filip Meheus, Suerie Moon, Gorik Ooms, John-Arne Røttingen
The articles in this special issue have demonstrated how unprecedented transitions have come with both challenges and opportunities for health financing. Against the background of these challenges and opportunities, the Working Group on Health Financing at the Chatham House Centre on Global Health Security laid out, in 2014, a set of policy responses encapsulated in 20 recommendations for how to make progress towards a coherent global framework for health financing. These recommendations pertain to domestic financing of national health systems, global public goods for health, external financing for national health systems and the cross-cutting issues of accountability and agreement on a new global framework...
April 2017: Health Economics, Policy, and Law
https://www.readbyqxmd.com/read/28332465/the-challenge-of-middle-income-countries-to-development-assistance-for-health-recipients-funders-both-or-neither
#17
Trygve Ottersen, Suerie Moon, John-Arne Røttingen
Recent developments have transformed the role and characteristics of middle-income countries (MICs). Many stakeholders now question the appropriate role of MICs in the system of development assistance for health (DAH), and key funders have already recast their approach to these countries. The pressing question is whether MICs should be recipients, funders, both or neither. The answer has deep implications for individual countries and their citizens, and for the DAH system as a whole. We clarify the fundamental issues involved and emphasise a special feature of many MICs: mid-level gross national income per capita (GNIpc) combined with substantial health needs and large inequalities...
April 2017: Health Economics, Policy, and Law
https://www.readbyqxmd.com/read/28332464/distributing-development-assistance-for-health-simulating-the-implications-of-11-criteria
#18
Trygve Ottersen, Suerie Moon, John-Arne Røttingen
After years of unprecedented growth in development assistance for health (DAH), the DAH system is challenged on several fronts: by the economic downturn and stagnation of DAH, by the epidemiological transition and increase in non-communicable diseases and by the economic transition and rise of the middle-income countries. Central to any potent response is a fair and effective allocation of DAH across countries. A myriad of criteria has been proposed or is currently used, but there have been no comprehensive assessment of their distributional implications...
April 2017: Health Economics, Policy, and Law
https://www.readbyqxmd.com/read/28332463/development-assistance-for-health-critiques-proposals-and-prospects-for-change
#19
Suerie Moon, Oluwatosin Omole
After a 'golden age' of extraordinary growth in the level of development assistance for health (DAH) since 1990, funding seems to have reached a plateau. With the launch of the Sustainable Development Goals, debate has intensified regarding what international financing for health should look like in the post-2015 era. In this review paper, we offer a systematic overview of problems and proposals for change. Major critiques of the current DAH system include: that the total volume of financing is inadequate; financial flows are volatile and uncertain; DAH may not result in additional resources for health; too small a proportion of DAH is transferred to recipient countries; inappropriate priority setting; inadequate coordination; weak mechanisms for accountability; and disagreement on the rationale for DAH...
April 2017: Health Economics, Policy, and Law
https://www.readbyqxmd.com/read/28332462/development-assistance-for-health-what-criteria-do-multi-and-bilateral-funders-use
#20
Trygve Ottersen, Aparna Kamath, Suerie Moon, Lene Martinsen, John-Arne Røttingen
After years of unprecedented growth in development assistance for health (DAH), the system is challenged on several fronts: by the economic downturn and stagnation of DAH, by the epidemiological transition and increase in non-communicable diseases, and by the economic transition and rise of the middle-income countries. This raises questions about which countries should receive DAH and how much, and, fundamentally, what criteria that promote fair and effective allocation. Yet, no broad comparative assessment exists of the criteria used today...
April 2017: Health Economics, Policy, and Law
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