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International Journal of Health Policy and Management

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https://www.readbyqxmd.com/read/27801356/medicalisation-and-overdiagnosis-what-society-does-to-medicine
#1
Wieteke van Dijk, Marjan J Faber, Marit A C Tanke, Patrick P T Jeurissen, Gert P Westert
The concept of overdiagnosis is a dominant topic in medical literature and discussions. In research that targets overdiagnosis, medicalisation is often presented as the societal and individual burden of unnecessary medical expansion. In this way, the focus lies on the influence of medicine on society, neglecting the possible influence of society on medicine. In this perspective, we aim to provide a novel insight into the influence of society and the societal context on medicine, in particularly with regard to medicalisation and overdiagnosis...
August 31, 2016: International Journal of Health Policy and Management
https://www.readbyqxmd.com/read/27801357/values-in-health-policy-a-concept-analysis
#2
REVIEW
Lida Shams, Ali Akbari Sari, Shahram Yazdani
BACKGROUND: Despite the significant role "values" play in decision-making no definition or attributes regarding the concept have been provided in health policy-making. This study aimed to clarify the defining attributes of a concept of value and its irrelevant structures in health policy-making. We anticipate our findings will help reduce the semantic ambiguities associated with the use of "values" and other concepts such as principles, criteria, attitudes, and beliefs. METHODS: An extensive search of literature was carried out using electronic data base and library...
August 17, 2016: International Journal of Health Policy and Management
https://www.readbyqxmd.com/read/27694656/without-explicit-targets-does-france-meet-minimum-volume-thresholds-for-hip-and-knee-replacement-and-bariatric-surgeries
#3
William B Weeks, Bruno Ventelou, Zeynep Or
No abstract text is available yet for this article.
August 10, 2016: International Journal of Health Policy and Management
https://www.readbyqxmd.com/read/27694651/politics-power-poverty-and-global-health-systems-and-frames
#4
Solomon Benatar
Striking disparities in access to healthcare and in health outcomes are major characteristics of health across the globe. This inequitable state of global health and how it could be improved has become a highly popularized field of academic study. In a series of articles in this journal the roles of power and politics in global health have been addressed in considerable detail. Three points are added here to this debate. The first is consideration of how the use of definitions and common terms, for example 'poverty eradication,' can mask full exposure of the extent of rectification required, with consequent failure to understand what poverty eradication should mean, how this could be achieved and that a new definition is called for...
August 6, 2016: International Journal of Health Policy and Management
https://www.readbyqxmd.com/read/27801364/from-almost-empty-to-half-full-a-response-to-recent-commentaries
#5
Lisa Forman, Gorik Ooms, Claire E Brolan
No abstract text is available yet for this article.
July 17, 2016: International Journal of Health Policy and Management
https://www.readbyqxmd.com/read/27694678/uk-and-twenty-comparable-countries-gdp-expenditure-on-health-1980-2013-the-historic-and-continued-low-priority-of-uk-health-related-expenditure
#6
Andrew J E Harding, Colin Pritchard
It is well-established that for a considerable period the United Kingdom has spent proportionally less of its gross domestic product (GDP) on health-related services than almost any other comparable country. Average European spending on health (as a % of GDP) in the period 1980 to 2013 has been 19% higher than the United Kingdom, indicating that comparable countries give far greater fiscal priority to its health services, irrespective of its actual fiscal value or configuration. While the UK National Health Service (NHS) is a comparatively lean healthcare system, it is often regarded to be at a 'crisis' point on account of low levels of funding...
July 10, 2016: International Journal of Health Policy and Management
https://www.readbyqxmd.com/read/27694655/looking-beyond-fda-warning-letters-to-explore-unforeseen-trouble-spots-in-edtca-a-response-to-recent-commentaries
#7
Hyosun Kim
No abstract text is available yet for this article.
July 10, 2016: International Journal of Health Policy and Management
https://www.readbyqxmd.com/read/27694686/re-conceptualising-public-health-interventions-in-government-a-response-to-recent-commentaries
#8
Gemma Carey
No abstract text is available yet for this article.
July 5, 2016: International Journal of Health Policy and Management
https://www.readbyqxmd.com/read/27801363/have-non-physician-clinicians-come-to-stay-comment-on-non-physician-clinicians-in-sub-saharan-africa-and-the-evolving-role-of-physicians
#9
Gottlieb Lobe Monekosso
A decade ago, sub-Saharan Africa accounted for 24% of the global disease burden but was served by only 4% of the global health workforce. The chronic shortage of medical doctors has led other health professionals especially nurses to perform the role of healthcare providers. These health workers have been variously named clinical officers, health officers, physician assistants, nurse practitioners, physician associates and non-physician clinicians (NPCs) defined as "health workers who have fewer clinical skills than physicians but more than nurses...
June 29, 2016: International Journal of Health Policy and Management
https://www.readbyqxmd.com/read/27801362/consumers-or-citizens-whose-voice-will-healthwatch-represent-and-will-it-matter-comment-on-challenges-facing-healthwatch-a-new-consumer-champion-in-england
#10
Brad Wright
Efforts to achieve effective and meaningful patient and public involvement (PPI) in healthcare have existed for nearly a century, albeit with limited success. This brief commentary discusses a recent paper by Carter and Martin exploring the "Challenges Facing Healthwatch, a New Consumer Champion in England," and places these challenges in the context of the broader struggle to give a voice to healthcare consumers and citizens. With an overview of what can go right and-perhaps more importantly-what can go wrong, the question remains: will Healthwatch-and other PPI efforts in healthcare-represent the voice of consumers or citizens and will it matter?...
June 22, 2016: International Journal of Health Policy and Management
https://www.readbyqxmd.com/read/27801361/low-decision-space-means-no-decentralization-in-fiji-comment-on-decentralisation-of-health-services-in-fiji-a-decision-space-analysis
#11
Jean-Paul Faguet
Mohammed, North, and Ashton find that decentralization in Fiji shifted health-sector workloads from tertiary hospitals to peripheral health centres, but with little transfer of administrative authority from the centre. Decision-making in five functional areas analysed remains highly centralized. They surmise that the benefits of decentralization in terms of services and outcomes will be limited. This paper invokes Faguet's (2012) model of local government responsiveness and accountability to explain why this is so - not only for Fiji, but in any country that decentralizes workloads but not the decision space of local governments...
June 22, 2016: International Journal of Health Policy and Management
https://www.readbyqxmd.com/read/27801355/priority-setting-for-universal-health-coverage-we-need-evidence-informed-deliberative-processes-not-just-more-evidence-on-cost-effectiveness
#12
EDITORIAL
Rob Baltussen, Maarten P Jansen, Evelinn Mikkelsen, Noor Tromp, Jan Hontelez, Leon Bijlmakers, Gert Jan Van der Wilt
Priority setting of health interventions is generally considered as a valuable approach to support low- and middle-income countries (LMICs) in their strive for universal health coverage (UHC). However, present initiatives on priority setting are mainly geared towards the development of more cost-effectiveness information, and this evidence does not sufficiently support countries to make optimal choices. The reason is that priority setting is in reality a value-laden political process in which multiple criteria beyond cost-effectiveness are important, and stakeholders often justifiably disagree about the relative importance of these criteria...
June 22, 2016: International Journal of Health Policy and Management
https://www.readbyqxmd.com/read/27694659/assessing-patient-participation-in-health-policy-decision-making-in-cyprus
#13
Kyriakos Souliotis, Eirini Agapidaki, Lily Evangelia Peppou, Chara Tzavara, George Samoutis, Mamas Theodorou
Although the importance of patient participation in the design and evaluation of health programs and services is well-documented, there is scarcity of research with regard to patient association (PA) participation in health policy decision-making processes. To this end, the present study aimed to validate further a previously developed instrument as well as to investigate the degree of PA participation in health policy decision-making in Cyprus. A convenient sample of 114 patients-members of patients associations took part in the study...
June 20, 2016: International Journal of Health Policy and Management
https://www.readbyqxmd.com/read/27694654/implementing-health-in-all-policies-time-and-ideas-matter-too-comment-on-understanding-the-role-of-public-administration-in-implementing-action-on-the-social-determinants-of-health-and-health-inequities
#14
Carole Clavier
Carey and Friel suggest that we turn to knowledge developed in the field of public administration, especially new public governance, to better understand the process of implementing health in all policies (HiAP). In this commentary, I claim that theories from the policy studies bring a broader view of the policy process, complementary to that of new public governance. Drawing on the policy studies, I argue that time and ideas matter to HiAP implementation, alongside with interests and institutions. Implementing HiAP is a complex process considering that it requires the involvement and coordination of several policy sectors, each with their own interests, institutions and ideas about the policy...
June 20, 2016: International Journal of Health Policy and Management
https://www.readbyqxmd.com/read/27694653/decentralisation-decision-space-and-directions-for-future-research-comment-on-decentralisation-of-health-services-in-fiji-a-decision-space-analysis
#15
Maryam Zahmatkesh, Mark Exworthy
Decentralisation continues to re-appear in health system reform across the world. Evaluation of these reforms reveals how research on decentralisation continues to evolve. In this paper, we examine the theoretical foundations and empirical references which underpin current approaches to studying decentralisation in health systems.
June 18, 2016: International Journal of Health Policy and Management
https://www.readbyqxmd.com/read/27694647/diabetes-dictating-policy-an-editorial-commemorating-world-health-day-2016
#16
Amirhossein Takian, Sara Kazempour-Ardebili
The 21st century is an era of great challenge for humankind; we are combating terrorism, climate change, poverty, human rights issues and last but not least non-communicable diseases (NCDs). The burden of the latter has become so large that it is being recognized by world leaders globally as an area that it is in need of much greater attention. In light of this concern, the World Health Organization (WHO) dedicated this year's World Health Day (held on April 7, 2016) to raising international awareness on diabetes, the fastest growing NCD in the world...
June 18, 2016: International Journal of Health Policy and Management
https://www.readbyqxmd.com/read/27694685/expanded-hta-legitimacy-and-independence-comment-on-expanded-hta-enhancing-fairness-and-legitimacy
#17
Keith Syrett
This brief commentary seeks to develop the analysis of Daniels, Porteny and Urrutia of the implications of expansion of the scope of health technology assessment (HTA) beyond issues of safety, efficacy, and cost-effectiveness. Drawing in particular on experience in the United Kingdom, it suggests that such expansion can be understood not only as a response to the problem of insufficiency of evidence, but also to that of legitimacy. However, as expansion of HTA also renders it more visibly political in character, it is plausible that its legitimacy may be undermined, rather than enhanced by, independence from the policy process...
June 12, 2016: International Journal of Health Policy and Management
https://www.readbyqxmd.com/read/27694652/the-evolving-role-of-physicians-don-t-forget-the-generalist-primary-care-providers-comment-on-non-physician-clinicians-in-sub-saharan-africa-and-the-evolving-role-of-physicians
#18
Vincent Kalumire Cubaka, Michael Schriver, Maaike Flinkenflögel, Philip Cotton
The editorial "Non-physician Clinicians in Sub-Saharan Africa and the Evolving Role of Physicians" by Eyal et al describes non-physician clinicians' (NPC) need for mentorship and support from physicians. We emphasise the same need of support for front line generalist primary healthcare providers who carry out complex tasks yet may have an inadequate skill mix.
June 12, 2016: International Journal of Health Policy and Management
https://www.readbyqxmd.com/read/27694684/u-form-vs-m-form-how-to-understand-decision-autonomy-under-healthcare-decentralization-comment-on-decentralisation-of-health-services-in-fiji-a-decision-space-analysis
#19
Arturo Vargas Bustamante
For more than three decades healthcare decentralization has been promoted in developing countries as a way of improving the financing and delivery of public healthcare. Decision autonomy under healthcare decentralization would determine the role and scope of responsibility of local authorities. Jalal Mohammed, Nicola North, and Toni Ashton analyze decision autonomy within decentralized services in Fiji. They conclude that the narrow decision space allowed to local entities might have limited the benefits of decentralization on users and providers...
June 7, 2016: International Journal of Health Policy and Management
https://www.readbyqxmd.com/read/27694683/universal-health-coverage-the-critical-importance-of-global-solidarity-and-good-governance-comment-on-ethical-perspective-five-unacceptable-trade-offs-on-the-path-to-universal-health-coverage
#20
Andreas A Reis
This article provides a commentary to Ole Norheim' s editorial entitled "Ethical perspective: Five unacceptable trade-offs on the path to universal health coverage." It reinforces its message that an inclusive, participatory process is essential for ethical decision-making and underlines the crucial importance of good governance in setting fair priorities in healthcare. Solidarity on both national and international levels is needed to make progress towards the goal of universal health coverage (UHC).
June 7, 2016: International Journal of Health Policy and Management
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