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https://www.readbyqxmd.com/read/29903000/assessing-out-of-pocket-expenditures-for-primary-health-care-how-responsive-is-the-democratic-republic-of-congo-health-system-to-providing-financial-risk-protection
#1
Samia Laokri, Rieza Soelaeman, David R Hotchkiss
BACKGROUND: The goal of universal health coverage is challenging for chronically under-resourced health systems. Although household out-of-pocket payments are the most important source of health financing in low-income countries, relatively little is known about the drivers of primary health care expenditure and the predictability of the burden associated with high fee-for-service payments. This study describes out-of-pocket health expenditure and investigates demand- and supply-side drivers of excessive costs in the Democratic Republic of Congo (DRC), a central African country in the midst of a process of reforming its health financing system towards universal health coverage...
June 15, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29886441/which-patients-receive-surgery-in-for-profit-and-non-profit-hospitals-in-a-universal-health-system-an-explorative-register-based-study-in-norway
#2
Geir Hiller Holom, Nina Alexandersen, Jeremy D Goldhaber-Fiebert, Terje P Hagen
OBJECTIVES: To compare the socioeconomic status (SES) and case-mix among day surgical patients treated at private for-profit hospitals (PFPs) and non-profit hospitals (NPs) in Norway, and to explore whether the use of PFPs in a universal health system has compromised the principle of equal access regardless of SES. DESIGN: A retrospective, exploratory study comparing hospital types using the Norwegian Patient Register linked with socioeconomic data from Statistics Norway by using Norwegian citizens' personal identification numbers...
June 9, 2018: BMJ Open
https://www.readbyqxmd.com/read/29879975/a-5-year-audit-of-major-maxillofacial-surgeries-at-usmanu-danfodiyo-university-teaching-hospital-nigeria
#3
Adebayo Aremu Ibikunle, Abdurrazaq Olanrewaju Taiwo, Ramat Oyebunmi Braimah
BACKGROUND: There is a paucity of data on the pattern of oral and maxillofacial surgeries done in Nigeria. Despite the rising prominence of oral and maxillofacial surgery as a specialty in our immediate environment, no published audit of the surgeries performed exist. This study aims to present the pattern and types of major surgeries done by oral and maxillofacial surgeons in our hospital as well as the indications for such surgeries. It is hoped that the findings will assist in formulating informed policies and improving healthcare delivery...
June 7, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29870111/-pay-for-success-financing-and-home-based-multicomponent-childhood-asthma-interventions-modeling-results-from-the-detroit-medicaid-population
#4
Paula M Lantz, George Miller, Corwin N Rhyan, Sara Rosenbaum, Leighton Ku, Samantha Iovan
Policy Points: The Pay for Success (PFS) financing approach has potential for scaling the implementation of evidence-based prevention interventions in Medicaid populations, including a range of multicomponent interventions for childhood asthma that combine home environment risk mitigation with medical case management. Even though this type of intervention is efficacious and cost-saving among high-risk children with asthma, the main challenges for implementation in a PFS context include legal and regulatory barriers to capturing federal Medicaid savings and using them as a source of private investor repayment...
June 2018: Milbank Quarterly
https://www.readbyqxmd.com/read/29862027/how-to-apply-sha-2011-at-a-subnational-level-in-china-s-practical-situation-take-children-health-expenditure-as-an-example
#5
Mingyang Li, Ang Zheng, Wenjuan Duan, Xin Mu, Chunli Liu, Yang Yang, Xin Wang
Background: System of Health Accounts 2011 (SHA 2011) is a new health care accounts system, revised from SHA 1.0 by the Organisation for Economic Co-operation and Development (OECD), the World Health Organization (WHO) and Eurostat. It keeps the former tri-axial relationship and develops three analytical interfaces, in order to fix the existing shortcomings and make it more convenient for analysis and comparison across countries. SHA 2011 was introduced in China in 2014, and little about its application in China has been reported...
June 2018: Journal of Global Health
https://www.readbyqxmd.com/read/29857556/a-comparison-of-mental-health-care-systems-in-northern-and-southern-europe-a-service-mapping-study
#6
Minna Sadeniemi, Nerea Almeda, Jose A Salinas-Pérez, Mencía R Gutiérrez-Colosía, Carlos García-Alonso, Taina Ala-Nikkola, Grigori Joffe, Sami Pirkola, Kristian Wahlbeck, Jordi Cid, Luis Salvador-Carulla
Mental health services (MHS) have gone through vast changes during the last decades, shifting from hospital to community-based care. Developing the optimal balance and use of resources requires standard comparisons of mental health care systems across countries. This study aimed to compare the structure, personnel resource allocation, and the productivity of the MHS in two benchmark health districts in a Nordic welfare state and a southern European, family-centered country. The study is part of the REFINEMENT (Research on Financing Systems' Effect on the Quality of Mental Health Care) project...
May 31, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29802802/reported-effects-of-the-srtr-5-tier-rating-system-on-us-transplant-centers-results-of-a-national-survey
#7
Sarah E Van Pilsum Rasmussen, Alvin G Thomas, Jacqueline Garonzik-Wang, Macey L Henderson, Sarah S Stith, Dorry L Segev, Lauren Hersch Nicholas
BACKGROUND: In the US, the Scientific Registry of Transplant Recipients (SRTR) provides publicly available quality report cards. These reports have historically rated transplant programs using a 3-tier system. In 2016, the SRTR temporarily transitioned to a 5-tier system, which classified more programs as under-performing. METHODS: As part of a larger survey about transplant quality metrics, we surveyed members of the American Society of Transplant Surgeons and American Society of Transplantation (N = 280 respondents) on transplant center experiences with patient and payer responses to the 5-tier SRTR ratings...
May 26, 2018: Transplant International: Official Journal of the European Society for Organ Transplantation
https://www.readbyqxmd.com/read/29801186/-impact-of-population-aging-on-utilization-of-medical-rehabilitation-in-germany-till-2040
#8
Enno Nowossadeck
BACKGROUND: The paper analyzes the influence of population aging on the future number of medical rehabilitation cases. Implications for the most important providers of rehabilitation services (Deutsche Rentenversicherung (DRV) (German Pension Insurance) and Gesetzliche Krankenversicherung (GKV) (Statutory Health Insurance)) are discussed. METHODS: Data provided by the DRV and the GKV were used. A third database is the Hospital Statistics of the Federal Statistical Office...
May 25, 2018: Die Rehabilitation
https://www.readbyqxmd.com/read/29785800/organizational-models-for-health-actions-in-the-field-of-blood-and-blood-products-in-brazilian-and-spanish-regional-contexts
#9
M K Bomfim de Souza
BACKGROUND AND OBJECTIVES: This article aims to characterize some elements that define the organizational models of healthcare actions in the field of blood and blood products. MATERIALS AND METHODS: This exploratory and qualitative study was carried out based on a documentary survey complemented by interviews with key informants of hemotherapy services from three regional territories in Spain and Brazil. RESULTS: It was evidenced demographic, territorial and organizational characteristics, as well as on instruments, resources and individuals involved in the planning, organization and implementation of services and actions in the area...
May 21, 2018: Vox Sanguinis
https://www.readbyqxmd.com/read/29784426/financial-validation-of-the-european-society-of-thoracic-surgeons-risk-score-predicting-prolonged-air-leak-after-video-assisted-thoracic-surgery-lobectomy
#10
Alessandro Brunelli, Cecilia Pompili, Padma Dinesh, Vinod Bassi, Andrea Imperatori
OBJECTIVES: The objective of this study was to verify whether the European Society of Thoracic Surgeons prolonged air leak risk score for video-assisted thoracoscopic lobectomy was associated with incremental postoperative costs. METHODS: We retrospectively analyzed 353 patients subjected to video-assisted thoracoscopic lobectomy or segmentectomy (April 2014 to March 2016). Postoperative costs were obtained from the hospital Finance Department. Patients were grouped in different classes of risk according to their prolonged air leak risk score...
April 27, 2018: Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/29770158/whodas-2-0-as-a-measure-of-severity-of-illness-results-of-a-flda-analysis
#11
Alba Sedano-Capdevila, María Luisa Barrigón, David Delgado-Gomez, Igor Barahona, Fuensanta Aroca, Inmaculada Peñuelas-Calvo, Carolina Miguelez-Fernandez, Alba Rodríguez-Jover, Susana Amodeo-Escribano, Marta González-Granado, Enrique Baca-García
WHODAS 2.0 is the standard measure of disability promoted by World Health Organization whereas Clinical Global Impression (CGI) is a widely used scale for determining severity of mental illness. Although a close relationship between these two scales would be expected, there are no relevant studies on the topic. In this study, we explore if WHODAS 2.0 can be used for identifying severity of illness measured by CGI using the Fisher Linear Discriminant Analysis (FLDA) and for identifying which individual items of WHODAS 2...
2018: Computational and Mathematical Methods in Medicine
https://www.readbyqxmd.com/read/29751278/pregnancy-related-acute-kidney-injury-requiring-dialysis-as-an-indicator-of-severe-adverse-maternal-morbidity-at-a-tertiary-center-in-southwest-nigeria
#12
Ibraheem O Awowole, Oluseyi S Omitinde, Fatiu A Arogundade, Sekinah B Bola-Oyebamiji, Olumide A Adeniyi
OBJECTIVE: Despite being a Critical Intervention in the WHO Near-miss concept, the indications and clinical outcomes of patients with Pregnancy-Related Acute Kidney Injury (PRAKI) requiring dialysis at the Obafemi Awolowo University Teaching Hospitals Complex, Nigeria remain unknown. This retrospective review was conducted to facilitate counselling, prognostication and introduction of preventative measures by providing contemporary data on the aetiology and clinical outcomes of women with PRAKI...
May 2, 2018: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/29747650/hospital-financing-of-ischaemic-stroke-determinants-of-funding-and-usefulness-of-drg-subcategories-based-on-severity-of-illness
#13
Sarah Dewilde, Lieven Annemans, Hilde Pincé, Vincent Thijs
BACKGROUND: Several Western and Arab countries, as well as over 30 States in the US are using the "All-Patient Refined Diagnosis-Related Groups" (APR-DRGs) with four severity-of-illness (SOI) subcategories as a model for hospital funding. The aim of this study is to verify whether this is an adequate model for funding stroke hospital admissions, and to explore which risk factors and complications may influence the amount of funding. METHODS: A bottom-up analysis of 2496 ischaemic stroke admissions in Belgium compares detailed in-hospital resource use (including length of stay, imaging, lab tests, visits and drugs) per SOI category and calculates total hospitalisation costs...
May 11, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29746481/disease-specific-out-of-pocket-and-catastrophic-health-expenditure-on-hospitalization-in-india-do-indian-households-face-distress-health-financing
#14
Anshul Kastor, Sanjay K Mohanty
BACKGROUND: Rising non-communicable diseases (NCDs) coupled with increasing injuries have resulted in a significant increase in health spending in India. While out-of-pocket expenditure remains the major source of health care financing in India (two-thirds of the total health spending), the financial burden varies enormously across diseases and by the economic well-being of the households. Though prior studies have examined the variation in disease pattern, little is known about the financial risk to the families by type of diseases in India...
2018: PloS One
https://www.readbyqxmd.com/read/29743054/australian-integrative-oncology-services-a-mixed-method-study-exploring-the-views-of-cancer-survivors
#15
Jennifer Hunter, Jane Ussher, Chloe Parton, Andrew Kellett, Caroline Smith, Geoff Delaney, Eleanor Oyston
BACKGROUND: The significant use of traditional and complementary medicine (T&CM) by cancer survivors is well documented. The aim of this study was to explore cancer survivors' views on integrating T&CM services with conventional cancer care. METHOD: A mixed-method study design with an emphasis on qualitative methodology was used to conduct and analyse four focus group interviews and an on-line survey. Purposive sampling recruited 33 cancer survivors and caregivers from Arabic, Vietnamese, Chinese and Anglo-European Australian backgrounds who participated in one of four focus group interviews, and 121 cancer survivors who responded to an on-line survey...
May 9, 2018: BMC Complementary and Alternative Medicine
https://www.readbyqxmd.com/read/29720168/challenges-for-health-care-providers-parents-and-patients-who-face-a-child-hood-cancer-diagnosis-in-zambia
#16
Mulima Walubita, Bornwell Sikateyo, Joseph M Zulu
BACKGROUND: Zambia is experiencing high prevalence of childhood cancer. However, very few children access and complete treatment for cancer. This study aimed to document the challenges for health care providers, parents and patients who face a child hood cancer diagnosis in Zambia, and their coping strategies. METHODS: This was an exploratory health facility-based qualitative study that was conducted at a Paediatric oncology ward at referral hospital in Zambia. In-depth individual interviews conducted with fifteen (15) caregivers and seven (7) key informants were analysed using thematic analysis...
May 2, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29708056/development-of-clinical-pharmacy-in-belgian-hospitals-through-pilot-projects-funded-by-the-government
#17
A Somers, A Spinewine, I Spriet, S Steurbaut, P Tulkens, J D Hecq, L Willems, H Robays, M Dhoore, H Yaras, I Vanden Bremt, M Haelterman
Objectives The goal is to develop clinical pharmacy in the Belgian hospitals to improve drug efficacy and to reduce drug-related problems. Methods From 2007 to 2014, financial support was provided by the Belgian federal government for the development of clinical pharmacy in Belgian hospitals. This project was guided by a national Advisory Working Group. Each funded hospital was obliged to describe yearly its clinical pharmacy activities. Results In 2007, 20 pharmacists were funded in 28 pilot hospitals; this number was doubled in 2009 to 40 pharmacists over 54 institutions, representing more than half of all acute Belgian hospitals...
April 30, 2018: Acta Clinica Belgica
https://www.readbyqxmd.com/read/29696326/access-to-orthopaedic-surgical-care-in-northern-tanzania-a-modelling-study
#18
Ajay Premkumar, Xiaohan Ying, W Mack Hardaker, Honest H Massawe, David J Mshahaba, Faiton Mandari, Anthony Pallangyo, Rogers Temu, Gileard Masenga, David A Spiegel, Neil P Sheth
BACKGROUND: The global burden of musculoskeletal disease and resulting disability is enormous and is expected to increase over the next few decades. In the world's poorest regions, the paucity of information defining and quantifying the current state of access to orthopaedic surgical care is a major problem in developing effective solutions. This study estimates the number of individuals in Northern Tanzania without adequate access to orthopaedic surgical services. METHODS: A chance tree was created to model the probability of access to orthopaedic surgical services in the Northern Tanzanian regions of Arusha, Kilimanjaro, Tanga, Singida, and Manyara, with respect to four dimensions: timeliness, surgical capacity, safety, and affordability...
April 25, 2018: World Journal of Surgery
https://www.readbyqxmd.com/read/29691269/implementation-of-a-pharmacy-managed-program-for-the-transition-of-chemotherapy-to-the-outpatient-setting
#19
Ali McBride, Christopher J Campen, James Camamo, Marie Maloney, Daniel Persky, Sandra E Kurtin, Nikki L Barket, Ravitharan Krishnadasan, Emad Elquza, Faiz Anwer, Kurt Weibel
PURPOSE: Implementation of a pharmacy-managed program for the transition of chemotherapy to the outpatient setting is described. SUMMARY: The University of Arizona Cancer Center and Banner-University Medical Center Tucson are affiliated not-for-profit academic medical centers in Tucson, Arizona, whose facilities include a hospital and ambulatory care clinics that maintain 3 outpatient infusion centers. The cancer center pharmacy currently employs 25 pharmacists, with 4 clinical pharmacists serving both the inpatient and outpatient treatment sites...
May 1, 2018: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/29682690/priorities-of-a-good-death-according-to-cancer-patients-their-family-caregivers-physicians-and-the-general-population-a-nationwide-survey
#20
Young Ho Yun, Kyoung-Nam Kim, Jin-Ah Sim, EunKyo Kang, Jihye Lee, Jiyeon Choo, Shin Hye Yoo, Miso Kim, Young Ae Kim, Beo Deul Kang, Hyun-Jeong Shim, Eun-Kee Song, Jung Hun Kang, Jung Hye Kwon, Jung Lim Lee, Soon Nam Lee, Chi Hoon Maeng, Eun Joo Kang, Young Rok Do, Yoon Seok Choi, Kyung Hae Jung
PURPOSE: Understanding the concept of a "good death" is crucial to end-of-life care, but our current understanding of what constitutes a good death is insufficient. Here, we investigated the components of a good death that are important to the general population, cancer patients, their families, and physicians. METHODS: We conducted a stratified nationwide cross-sectional survey of cancer patients and their families from 12 hospitals, physicians from 12 hospitals and the Korean Medical Association, and the general population, investigating their attitudes toward 10 good-death components...
April 22, 2018: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
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