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International Journal of Health Policy and Management

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https://www.readbyqxmd.com/read/28005537/erosion-of-trust-in-the-medical-profession-in-india-time-for-doctors-to-act
#1
Sumit Kane, Michael Calnan
In India, over the last decade, a series of stewardship failures in the health system, particularly in the medical profession, have led to a massive erosion of trust in these institutions. In many low- and middle-income countries (LMICs), the situation is similar and has reached crisis proportions; this crisis requires urgent attention. This paper draws on the insights from the recent developments in India, to argue that a purely control-based regulatory response to this crisis in the medical profession, as is being currently envisaged by the Parliament and the Supreme Court of India, runs the risk of undermining the trusting interpersonal relations between doctors and their patients...
November 2, 2016: International Journal of Health Policy and Management
https://www.readbyqxmd.com/read/28005551/outcomes-and-impact-of-training-and-development-in-health-management-and-leadership-in-relation-to-competence-in-role-a-mixed-methods-systematic-review-protocol
#2
Reuben Olugbenga Ayeleke, Nicola North, Katharine Ann Wallis, Zhanming Liang, Annette Dunham
BACKGROUND: The need for competence training and development in health management and leadership workforces has been emphasised. However, evidence of the outcomes and impact of such training and development has not been systematically assessed. The aim of this review is to synthesise the available evidence of the outcomes and impact of training and development in relation to the competence of health management and leadership workforces. This is with a view to enhancing the development of evidence-informed programmes to improve competence...
October 17, 2016: International Journal of Health Policy and Management
https://www.readbyqxmd.com/read/28005545/decentralisation-the-question-of-management-capacity-a-response-to-recent-commentaries
#3
Jalal Mohammed, Nicola North, Toni Ashton
No abstract text is available yet for this article.
October 4, 2016: International Journal of Health Policy and Management
https://www.readbyqxmd.com/read/28005555/provider-governance-a-basic-blackbox-seldom-looked-at-properly-a-response-to-recent-commentaries
#4
Richard B Saltman, Antonio Duran
No abstract text is available yet for this article.
September 24, 2016: International Journal of Health Policy and Management
https://www.readbyqxmd.com/read/28005547/the-legal-strength-of-international-health-instruments-what-it-brings-to-global-health-governance
#5
Haik Nikogosian, Ilona Kickbusch
Public health instruments have been under constant development and renewal for decades. International legal instruments, with their binding character and strength, have a special place in this development. The start of the 21st century saw, in particular, the birth of the first World Health Organization (WHO)-era health treaties - the WHO Framework Convention on Tobacco Control (WHO FCTC) and its first Protocol. The authors analyze the potential impact of these instruments on global health governance and public health, beyond the traditional view of their impact on tobacco control...
September 4, 2016: International Journal of Health Policy and Management
https://www.readbyqxmd.com/read/27801356/medicalisation-and-overdiagnosis-what-society-does-to-medicine
#6
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
#7
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/28005536/integrated-care-a-pill-for-all-ills
#8
EDITORIAL
Maria Goddard, Anne R Mason
There is an increasing policy emphasis on the integration of care, both within the healthcare sector and also between the health and social care sectors, with the simple aim of ensuring that individuals get the right care, in the right place, at the right time. However, implementing this simple aim is rather more complex. In this editorial, we seek to make sense of this complexity and ask: what does integrated care mean in practice? What are the mechanisms by which it is expected to achieve its aim? And what is the nature of the evidence base around the outcomes delivered?...
August 13, 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
#9
LETTER
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
#10
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/28005544/a-new-generation-of-physicians-in-sub-saharan-africa-comment-on-non-physician-clinicians-in-sub-saharan-africa-and-the-evolving-role-of-physicians
#11
Gilles Dussault, Nadia M Cobb
This commentary follows up on an editorial by Eyal and colleagues in which these authors discuss the implications of the emergence of non-physician clinicians (NPCs) on the health labour market for the education of medical doctors. We generally agree with those authors and we want to stress the importance of clarifying the terminology to describe these practitioners and of defining more formally their scope of practice as prerequisites to identifying the new competencies which physicians need to acquire. We add one new competencies domain, the utilization of new communication technologies, to those listed in the editorial...
July 20, 2016: International Journal of Health Policy and Management
https://www.readbyqxmd.com/read/28005546/health-promotion-in-an-age-of-normative-equity-and-rampant-inequality
#12
EDITORIAL
Ronald Labonté
The world was different when the Ottawa Charter for Health Promotion was released 30 years ago. Concerns over the environment and what we now call the 'social determinants of health' were prominent in 1986. But the acceleration of ecological crises and economic inequalities since then, in a more complex and multi-polar world, pose dramatically new challenges for those committed to the original vision of the Charter. Can the 2015 Sustainable Development Goals (SDGs), agreed to by all the world's governments, offer a new advocacy and programmatic platform for a renewal of health promotion's founding ethos? Critiqued from both the right and the left for, respectively, their aspirational idealism and lack of political analysis, the SDGs are an imperfect but still compelling normative statement of how much of the world thinks the world should look like...
July 18, 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
#13
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
#14
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
#15
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/28005543/the-evolution-of-the-physician-role-in-the-setting-of-increased-non-physician-clinicians-in-sub-saharan-africa-an-insistence-on-timing-and-culturally-sensitive-purposefully-selected-skill-development-comment-on-non-physician-clinicians-in-sub-saharan-africa
#16
Agnes Binagwaho, Gabriela Sarriera, Arielle Eagan
As Eyal et al put forth in their piece, Non-physician Clinicians in Sub-Saharan Africa and the Evolving Role of Physicians, task-shifting across sub-Saharan Africa through non-physician clinicians (NPCs) has led to an improvement in access to health services in the context of physician-shortages. Here, we offer a commentary to the piece by Eyal et al, concurring that physician's roles should evolve into specialized medicine and that skills in mentorship, research, management, and leadership may create more holistic physicians clinical services...
July 9, 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
#17
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/28005542/governance-must-dive-into-organizations-to-make-a-real-difference-comment-on-governance-government-and-the-search-for-new-provider-models
#18
Jean-Louis Denis, Susan Usher
In their 2016 article, Saltman and Duran provide a thoughtful examination of the governance challenges involved in different care delivery models adopted in primary care and hospitals in two European countries. This commentary examines the limited potential of structural changes to achieve real reform and considers that, unless governance arrangements actually succeed in penetrating organizations, they are unlikely to improve care. It proposes three sets of levers influenced by governance that have potential to influence what happens at the point of care: harnessing the autonomy and expertise of professionals at a collective level to work towards better safety and quality; creating enabling contexts for cross-fertilization of clinical and organizational expertise, notably through teamwork; and patient and public engagement to achieve greater agreement on improvement priorities and overcome provider/manager tensions...
July 3, 2016: International Journal of Health Policy and Management
https://www.readbyqxmd.com/read/28005541/fair-processes-for-priority-setting-putting-theory-into-practice-comment-on-expanded-hta-enhancing-fairness-and-legitimacy
#19
Maarten P Jansen, Jan-Kees Helderman, Bert Boer, Rob Baltussen
Embedding health technology assessment (HTA) in a fair process has great potential to capture societal values relevant to public reimbursement decisions on health technologies. However, the development of such processes for priority setting has largely been theoretical. In this paper, we provide further practical lead ways on how these processes can be implemented. We first present the misconception about the relation between facts and values that is since long misleading the conduct of HTA and underlies the current assessment-appraisal split...
July 3, 2016: International Journal of Health Policy and Management
https://www.readbyqxmd.com/read/28005554/decentralisation-a-portmanteau-concept-that-promises-much-but-fails-to-deliver-comment-on-decentralisation-of-health-services-in-fiji-a-decision-space-analysis
#20
Stephen Peckham
Decentralisation has been described as an empty concept that lacks clarity. Yet there is an enduring interest in the process of decentralisation within health systems and public services more generally. Many claims about the benefits of decentralisation are not supported by evidence. It may be useful as an organising framework for analysis of health systems but in this context it lacks conceptual clarity and particularly often ignores level context issues given the focus on a principal-agent/vertical centre/local axis or other aspects of limits on autonomy such as standards for professional practice...
July 2, 2016: International Journal of Health Policy and Management
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