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Health economics and financing

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https://www.readbyqxmd.com/read/28933057/healthcare-finance-in-the-kingdom-of-saudi-arabia-a-qualitative-study-of-householders-attitudes
#1
Mohammed Khaled Al-Hanawi, Omar Alsharqi, Saja Almazrou, Kirit Vaidya
BACKGROUND: The public sector healthcare system in Saudi Arabia, essentially financed by oil revenues and 'free at the point of delivery', is coming under increasing strain due to escalating expenditure and an increasingly volatile oil market and is likely to be unsustainable in the medium to long term. OBJECTIVES: This study examines how satisfied the Saudi people are with their public sector healthcare services and assesses their willingness to contribute to financing the system through a national health insurance scheme...
September 20, 2017: Applied Health Economics and Health Policy
https://www.readbyqxmd.com/read/28902320/-investing-in-health-the-economic-case-report-of-the-wish-investing-in-health-forum-2016
#2
Gavin Yamey, Naomi Beyeler, Hester Wadge, Dean Jamison
Developing country governments and aid agencies face difficult decisions on how best to allocate their finite resources. Investments in many different sectors -including education, water and sanitation, transportation, and health- can all reap social and economic benefits. This report focuses specifically on the health sector. It presents compelling evidence of the value of scaling-up health investments. The economic case for increasing these investments in health has never been stronger. Having made progress in reducing maternal and child mortality, and deaths from infectious diseases, it is essential that policymakers do not become complacent...
May 2017: Salud Pública de México
https://www.readbyqxmd.com/read/28902279/-aging-and-long-term-care-in-chile-challenges-in-the-oecd-context
#3
Pablo Villalobos Dintrans
Chile is fully in the process of demographic transition, with a rapidly aging population. This situation poses multiple public policy challenges, including those in the public health sector. Specifically, the association between aging and the loss of autonomy calls for the rapid design of a long-term care policy in the country. The purpose of this article is to describe Chile's current situation with respect to long-term care in aging, using the experience of the countries of the Organisation for Economic Co-operation and Development to draw attention to the need to move forward with the design and financing of a coordinated policy in the country that will permit early action to meet the challenges of aging in the coming decades...
August 21, 2017: Revista Panamericana de Salud Pública, Pan American Journal of Public Health
https://www.readbyqxmd.com/read/28900351/an-overview-of-different-health-indicators-used-in-the-european-health-systems
#4
REVIEW
M Gaeta, F Campanella, L Capasso, G M Schifino, L Gentile, G Banfi, G Pelissero, C Ricci
INTRODUCTION: In the European Union three different health systems could be defined according to service delivery, financing, and economic policies: Beveridge, Bismarck and Mixed system. Although health systems are hardly to compare, various organizations are developing methods assessing performance. In the present work the performance of the three systems were evaluated using European Community Health Indicators according to Organization for Economic Cooperation and Development. METHODS: The study has been conducted among the 28 states of the European Union using the following indicators: Standardized death rate for diseases of the circulatory system, standardized death rate of malignant neoplasms, road traffic accidents with injury, life expectancy at birth, incidence of Human Immunodeficiency Virus (HIV), infant deaths, pure alcohol consumption, infants vaccinated against Diphtheria Tetanus Pertussis (DTP), public and total expenditure on health over the period 2001-2010...
June 2017: Journal of Preventive Medicine and Hygiene
https://www.readbyqxmd.com/read/28889030/crowdfunding-our-health-economic-risks-and-benefits
#5
Matthew J Renwick, Elias Mossialos
Crowdfunding is an expanding form of alternative financing that is gaining traction in the health sector. This article presents a typology for crowdfunded health projects and a review of the main economic benefits and risks of crowdfunding in the health market. We use evidence from a literature review, complimented by expert interviews, to extend the fundamental principles and established theories of crowdfunding to a health market context. Crowdfunded health projects can be classified into four types according to the venture's purpose and funding method...
August 31, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28864710/principles-of-child-health-care-financing
#6
Mark L Hudak, Mark E Helm, Patience H White
After passage of the Patient Protection and Affordable Care Act, more children and young adults have become insured and have benefited from health care coverage than at any time since the creation of the Medicaid program in 1965. From 2009 to 2015, the uninsurance rate for children younger than 19 years fell from 9.7% to 5.3%, whereas the uninsurance rate for young adults 19 to 25 years of age declined from 31.7% to 14.5%. Nonetheless, much work remains to be done. The American Academy of Pediatrics (AAP) believes that the United States can and should ensure that all children, adolescents, and young adults from birth through the age of 26 years who reside within its borders have affordable access to high-quality and comprehensive health care, regardless of their or their families' incomes...
September 2017: Pediatrics
https://www.readbyqxmd.com/read/28833418/conflicting-rationales-leader-s-experienced-ethical-challenges-in-community-health-care-for-older-people
#7
Åshild Slettebø, Ragnhild Skaar, Kari Brodtkorb, Anne Skisland
BACKGROUND: Ethical challenges arise in all types of care, and leaders need to be aware of how to resolve these challenges. Healthcare systems tend to be organised around medical conditions, and the patient is often faced with a series of uncoordinated visits to multiple specialties. Ideally, care should be organised around the patient's needs. AIM: The purpose of this article was to highlight some ethical challenges perceived by leaders with responsibility for management and service distribution, finance and ensuring quality of community health services for older people...
August 22, 2017: Scandinavian Journal of Caring Sciences
https://www.readbyqxmd.com/read/28833400/how-cross-linguistic-differences-in-the-grammaticalization-of-future-time-reference-influence-intertemporal-choices
#8
Dieter Thoma, Agnieszka E Tytus
According to Chen's (2013) Linguistic Savings Hypothesis (LSH), our native language affects our economic behavior. We present three studies investigating how cross-linguistic differences in the grammaticalization of future-time reference (FTR) affect intertemporal choices. In a series of decision scenarios about finance and health issues, we let speakers of altogether five languages that represent FTR with increasing strength, that is, Chinese, German, Danish, Spanish, and English, choose between hypothetical sooner-smaller and later-larger reward options...
August 22, 2017: Cognitive Science
https://www.readbyqxmd.com/read/28828741/health-expenditure-and-all-cause-mortality-in-the-galaxy-of-italian-regional-healthcare-systems-a-15-year-panel-data-analysis
#9
Davide Golinelli, Fabrizio Toscano, Andrea Bucci, Jacopo Lenzi, Maria Pia Fantini, Nicola Nante, Gabriele Messina
BACKGROUND: The sustainability of healthcare systems is a topic of major interest. During periods of economic instability, policy makers typically reallocate resources and execute linear cuts in different areas of public spending, including healthcare. OBJECTIVES: The aim of this paper was to examine whether and how per capita public healthcare expenditure (PHE) in the Italian regions was related to the all-cause mortality rate (MR) between 1999 and 2013 and to determine which expenditure item most affected mortality in the short and very short term...
August 21, 2017: Applied Health Economics and Health Policy
https://www.readbyqxmd.com/read/28812815/stakeholders-perspectives-on-the-success-drivers-in-ghana-s-national-health-insurance-scheme-identifying-policy-translation-issues
#10
Adam Fusheini, Gordon Marnoch, Ann Marie Gray
BACKGROUND: Ghana's National Health Insurance Scheme (NHIS), established by an Act of Parliament (Act 650), in 2003 and since replaced by Act 852 of 2012 remains, in African terms, unprecedented in terms of growth and coverage. As a result, the scheme has received praise for its associated legal reforms, clinical audit mechanisms and for serving as a hub for knowledge sharing and learning within the context of South-South cooperation. The scheme continues to shape national health insurance thinking in Africa...
October 1, 2016: International Journal of Health Policy and Management
https://www.readbyqxmd.com/read/28796563/indirect-costs-of-diabetes-and-its-impact-on-the-public-finance-the-case-of-poland
#11
Andrzej Torój, Aneta Mela
BACKGROUND: Growing public and private expenditure on healthcare results i.a. from the spreading of chronic diseases. Diabetes belongs to the most frequent ones, beyond neoplasms and cardiological diseases, and hence generates a significant burden for the public finance in terms of the direct costs, leading e.g. to the occurrence of opportunity cost of missed public investment. However, the economy suffers also from the indirect cost of diabetes that manifests itself in the loss in Gross Domestic Product (GDP) and general government revenues...
August 10, 2017: Expert Review of Pharmacoeconomics & Outcomes Research
https://www.readbyqxmd.com/read/28764768/more-than-a-virus-a-qualitative-study-of-the-social-implications-of-hepatitis-b-infection-in-china
#12
J Wallace, M Pitts, C Liu, V Lin, B Hajarizadeh, J Richmond, S Locarnini
BACKGROUND: China has the largest absolute number of people living with hepatitis B with up to 300,000 people estimated to die each year from hepatitis B related diseases. Despite advances in immunisation, clinical management, and health policy, there is still a lack of accessible and affordable health care for people with hepatitis B. Through in-depth interviews, this study identifies the personal, social and economic impact of living with hepatitis B and considers the role of stigma and discrimination as barriers to effective clinical management of the disease...
August 1, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28743238/determinants-of-stunting-and-severe-stunting-among-burundian-children-aged-6-23-months-evidence-from-a-national-cross-sectional-household-survey-2014
#13
Sandra Nkurunziza, Bruno Meessen, Jean-Pierre Van Geertruyden, Catherine Korachais
BACKGROUND: Burundi is one of the poorest countries and is among the four countries with the highest prevalence of stunting (58%) among children aged less than 5 years. This situation undermines the economic growth of the country as undernutrition is strongly associated with less schooling and reduced economic productivity. Identifying the determinants of stunting and severe stunting may help policy-makers to direct the limited Burundian resources to the most vulnerable segments of the population, and thus make it more cost effective...
July 25, 2017: BMC Pediatrics
https://www.readbyqxmd.com/read/28730222/tuberculosis-and-its-particularities-in-romania-and-worldwide
#14
Floarea Mimi NiŢu, Mihai Olteanu, Costin Teodor Streba, Gabriela Jimborean, Paraschiva Postolache, Milena Adina Man, Antigona Carmen Trofor, Roxana Maria Nemeş, Livia Dragonu, Mădălina Olteanu
Tuberculosis (TB) is a global health issue, with a rising incidence since the beginning of this century. It poses a severe mortality risk and also poses a serious economic risk as it reduces the working capacity of an individual in the most productive part of life. Developing countries face widespread tuberculosis infection - up to 95% of all cases and 98% of deaths, respectively. It is a highly contagious infectious disease caused by Mycobacterium tuberculosis (the Koch bacillus) that can be contracted from either humans or animal hosts...
2017: Romanian Journal of Morphology and Embryology, Revue Roumaine de Morphologie et Embryologie
https://www.readbyqxmd.com/read/28728918/financing-transformative-health-systems-towards-achievement-of-the-health-sustainable-development-goals-a-model-for-projected-resource-needs-in-67-low-income-and-middle-income-countries
#15
Karin Stenberg, Odd Hanssen, Tessa Tan-Torres Edejer, Melanie Bertram, Callum Brindley, Andreia Meshreky, James E Rosen, John Stover, Paul Verboom, Rachel Sanders, Agnès Soucat
BACKGROUND: The ambitious development agenda of the Sustainable Development Goals (SDGs) requires substantial investments across several sectors, including for SDG 3 (healthy lives and wellbeing). No estimates of the additional resources needed to strengthen comprehensive health service delivery towards the attainment of SDG 3 and universal health coverage in low-income and middle-income countries have been published. METHODS: We developed a framework for health systems strengthening, within which population-level and individual-level health service coverage is gradually scaled up over time...
September 2017: Lancet Global Health
https://www.readbyqxmd.com/read/28718230/determinants-of-impoverishment-due-to-out-of-pocket-payments-in-nigeria
#16
Bolaji Samson Aregbeshola, Samina Mohsin Khan
BACKGROUND: Poverty is an extreme consequence of out of pocket payments in countries with health systems that do not provide financial risk protection through mandatory health insurance coverage for people in both the formal and informal sectors. The study assessed the determinants of impoverishment due to out of pocket payments in Nigeria. METHODS: Secondary data from the Harmonized Nigeria Living Standard Survey (HNLSS) of 2009/10 was utilized to assess factors associated with impoverishment in Nigeria...
April 2017: Journal of Ayub Medical College, Abbottabad: JAMC
https://www.readbyqxmd.com/read/28710698/health-social-and-economic-outcomes-experienced-by-families-as-a-result-of-receiving-assistance-from-a-community-based-diaper-bank
#17
Kelley E C Massengale, Jennifer Toller Erausquin, Michelle Old
Objectives This paper aims to describe low-income recipients of a community-based diaper bank and the multiple daily challenges they face. Our paper seeks to document the health, social, and financial outcomes recipients experienced after receiving assistance. Methods We surveyed families (n = 150) about their experiences receiving diapers from a diaper bank in the southeastern United States. Additionally, we conducted short, focused interviews with families (n = 15) about outcomes after receiving diapers...
July 14, 2017: Maternal and Child Health Journal
https://www.readbyqxmd.com/read/28673344/the-association-of-health-insurance-with-institutional-delivery-and-access-to-skilled-birth-attendants-evidence-from-the-kenya-demographic-and-health-survey-2008-09
#18
Lawrence P O Were, Edwin Were, Richard Wamai, Joseph Hogan, Omar Galarraga
BACKGROUND: Healthcare financing through health insurance is gaining traction as developing countries strive to achieve universal health coverage and address the limited access to critical health services for specific populations including pregnant women and their children. However, these reforms are taking place despite limited evaluation of impact of health insurance on maternal health in developing countries including Kenya. In this study we evaluate the association of health insurance with access and utilization of obstetric delivery health services for pregnant women in Kenya...
July 3, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28659606/the-right-to-health-in-brazil-a-constitutional-guarantee-threatened-by-fiscal-austerity
#19
Luis Eugenio Portela Fernandes de Souza
After 25 years of expanding coverage and improving the quality of preventive public health measures and publicly financed medical care associated with positive outcomes for the health of Brazil's population, our country suffers from deterioration of social policies. Among the areas of policy affected by new economic austerity measures is health-with potential to damage lives. These threats stem mainly from the 2016 approval of a Constitutional amendment that limits, for the next 20 years, public investments in health, education, social assistance, and social security...
June 28, 2017: Journal of Public Health Policy
https://www.readbyqxmd.com/read/28632781/climate-change-and-marine-fisheries-least-developed-countries-top-global-index-of-vulnerability
#20
Robert Blasiak, Jessica Spijkers, Kanae Tokunaga, Jeremy Pittman, Nobuyuki Yagi, Henrik Österblom
Future impacts of climate change on marine fisheries have the potential to negatively influence a wide range of socio-economic factors, including food security, livelihoods and public health, and even to reshape development trajectories and spark transboundary conflict. Yet there is considerable variability in the vulnerability of countries around the world to these effects. We calculate a vulnerability index of 147 countries by drawing on the most recent data related to the impacts of climate change on marine fisheries...
2017: PloS One
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