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Health economics and financing

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https://www.readbyqxmd.com/read/27909581/expansion-of-health-insurance-in-moldova-and-associated-improvements-in-access-and-reductions-in-direct-payments
#1
Thomas Hone, Jarno Habicht, Silviu Domente, Rifat Atun
BACKGROUND: Moldova is the poorest country in Europe. Economic constraints mean that Moldova faces challenges in protecting individuals from excessive costs, improving population health and securing health system sustainability. The Moldovan government has introduced a state benefit package and expanded health insurance coverage to reduce the burden of health care costs for citizens. This study examines the effects of expanded health insurance by examining factors associated with health insurance coverage, likelihood of incurring out-of-pocket (OOP) payments for medicines or services, and the likelihood of forgoing health care when unwell...
December 2016: Journal of Global Health
https://www.readbyqxmd.com/read/27887667/from-instinct-to-evidence-the-role-of-data-in-country-decision-making-in-chile
#2
Ximena Paz Aguilera, Consuelo Espinosa-Marty, Carla Castillo-Laborde, Claudia Gonzalez
BACKGROUND: The Chilean health system has undergone profound reforms since 1990, while going through many political upheavals, and faced demographic, health, and economic transformations. The full information requirements to develop an evidence-informed process implied the best possible use of available data, as well as efforts for improving the information systems. OBJECTIVE: To examine, from a historical perspective, the use of data during the health reforms undertaken in Chile since 1990, and to identify the factors that have determined its utilization and improvement...
2016: Global Health Action
https://www.readbyqxmd.com/read/27886527/universal-health-coverage-at-the-macro-level-synthetic-control-evidence-from-thailand
#3
Matthias Rieger, Natascha Wagner, Arjun S Bedi
As more and more countries are moving towards Universal Health Coverage (UHC), it is important to understand the macro level or aggregate impacts of such a policy. We use synthetic control methods to study the impact of UHC, introduced in Thailand in 2001, on various macroeconomic and health outcomes. Thailand is compared to a weighted average of control countries in terms of aggregate health financing indicators, aggregate health outcomes and economic performance, over the period 1995 to 2012. Our results suggest that UHC helps alleviate the financial consequences of illnesses...
November 17, 2016: Social Science & Medicine
https://www.readbyqxmd.com/read/27881277/impact-of-health-policy-changes-on-trends-in-the-pharmaceutical-market-in-turkey
#4
Esra Safak Yılmaz, Güvenç Koçkaya, Fatma Betül Yenilmez, Mete Saylan, Mehtap Tatar, Akif Akbulat, Hakkı Gürsöz, Saim Kerman
BACKGROUND: The implementation phase of the Turkish Health Transformation Program (HTP) began in 2003, with the aim of organizing, financing, and delivering health care services effectively, efficiently, and equally. The HTP impacted all clinical and economic outcomes of health, including pharmaceutical sales, by improving access to health services. OBJECTIVES: To understand the impact of five selected major policy changes that made an impact on supply, demand, or price in the pharmaceutical market between 1998 and 2012...
September 2016: Value in Health Regional Issues
https://www.readbyqxmd.com/read/27876090/the-impact-of-household-wealth-on-child-survival-in-ghana
#5
Stella T Lartey, Rasheda Khanam, Shingo Takahashi
BACKGROUND: Improving child health is one of the major policy agendas for most of the governments, especially in the developing countries. These governments have been implementing various strategies such as improving healthcare financing, improving access to health, increasing educational level, and income level of the household to improve child health. Despite all these efforts, under-five and infant mortality rates remain high in many developing nations. Some previous studies examined how economic development or household's economic condition contributes to child survival in developing countries...
November 22, 2016: Journal of Health, Population, and Nutrition
https://www.readbyqxmd.com/read/27856085/the-lancet-countdown-tracking-progress-on-health-and-climate-change
#6
REVIEW
Nick Watts, W Neil Adger, Sonja Ayeb-Karlsson, Yuqi Bai, Peter Byass, Diarmid Campbell-Lendrum, Tim Colbourn, Peter Cox, Michael Davies, Michael Depledge, Anneliese Depoux, Paula Dominguez-Salas, Paul Drummond, Paul Ekins, Antoine Flahault, Delia Grace, Hilary Graham, Andy Haines, Ian Hamilton, Anne Johnson, Ilan Kelman, Sari Kovats, Lu Liang, Melissa Lott, Robert Lowe, Yong Luo, Georgina Mace, Mark Maslin, Karyn Morrissey, Kris Murray, Tara Neville, Maria Nilsson, Tadj Oreszczyn, Christine Parthemore, David Pencheon, Elizabeth Robinson, Stefanie Schütte, Joy Shumake-Guillemot, Paolo Vineis, Paul Wilkinson, Nicola Wheeler, Bing Xu, Jun Yang, Yongyuan Yin, Chaoqing Yu, Peng Gong, Hugh Montgomery, Anthony Costello
The Lancet Countdown: tracking progress on health and climate change is an international, multidisciplinary research collaboration between academic institutions and practitioners across the world. It follows on from the work of the 2015 Lancet Commission, which concluded that the response to climate change could be "the greatest global health opportunity of the 21st century". The Lancet Countdown aims to track the health impacts of climate hazards; health resilience and adaptation; health co-benefits of climate change mitigation; economics and finance; and political and broader engagement...
November 11, 2016: Lancet
https://www.readbyqxmd.com/read/27828677/innovation-development-and-financing-of-institutions-of-higher-education-in-health
#7
Mario Roberto Dal Poz, Maria Helena Costa Couto, Thais de Andrade Vidaurre Franco
The article analyzes the configuration and trends in institutions of Higher Education and their relationship as components of the Health Economic-Industrial Complex (HEIC). The expansion of higher education is part of the transition from elite to mass systems, with tensions between quantitative and qualitative aspects. Such changes reflect different cultures and are related to international phenomena such as globalization, economic transformations, the development of new information and communication technologies, and the emergence of an international knowledge network...
November 3, 2016: Cadernos de Saúde Pública
https://www.readbyqxmd.com/read/27793760/surgery-for-degenerative-cervical-myelopathy-a-patient-centered-quality-of-life-and-health-economic-evaluation
#8
Christopher D Witiw, Lindsay A Tetreault, Fabrice Smieliauskas, Branko Kopjar, Eric M Massicotte, Michael G Fehlings
BACKGROUND CONTEXT: Degenerative Cervical Myelopathy (DCM) represents the most common cause of non-traumatic spinal cord impairment in adults. Surgery has been shown to improve neurological symptoms and functional status, but it is costly. As sustainability concerns in the field of healthcare rise, the value of care has come to the forefront of policy decision-making. Evidence for both health related quality of life outcomes and financial expenditures are needed to inform resource allocation decisions...
October 25, 2016: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/27767131/the-healthcare-system-and-the-provision-of-oral-healthcare-in-european-union-member-states-part-6-poland
#9
K Malkiewicz, E Malkiewicz, K A Eaton, E Widström
Poland is one of the largest European countries in terms of area and population. The country's economic situation does not allow for the allocation of sufficient public funds for healthcare in general and oral healthcare in particular. The health policy of the state focuses primarily on prophylaxis and treatment of diseases, directly threatening the health and lives of the inhabitants. Currently, expenditure on oral health accounts for only 2.7% of the public funds allocated to healthcare. In this context, providing oral care financed from public funds at an appropriate level constitutes a challenge for state institutions, centres providing medical and dental services and private practices...
October 21, 2016: British Dental Journal
https://www.readbyqxmd.com/read/27748307/impact-of-community-based-health-insurance-in-rural-india-on-self-medication-financial-protection-of-the-insured
#10
David M Dror, Arpita Chakraborty, Atanu Majumdar, Pradeep Panda, Ruth Koren
BACKGROUND & OBJECTIVES: The evidence-base of the impact of community-based health insurance (CBHI) on access to healthcare and financial protection in India is weak. We investigated the impact of CBHI in rural Uttar Pradesh and Bihar s0 tates of India on insured households' self-medication and financial position. METHODS: Data originated from (i) household surveys, and (ii) the Management Information System of each CBHI. Study design was "staggered implementation" cluster randomized controlled trial with enrollment of one-third of the treatment group in each of the years 2011, 2012 and 2013...
June 2016: Indian Journal of Medical Research
https://www.readbyqxmd.com/read/27718659/-methods-of-the-eurohope-research-program
#11
Éva Belicza, Péter Mihalicza, Judit Lám, Cecília Surján
The European Health Care Outcomes, Performance and Efficiency research was financed by the European Union between 2010 and 2013. In this program a new methodology was developed which made the analysis of regularly collected data and international benchmarking of the healthcare results of 5 socially and economically critical diagnosis group between the 7 participant countries possible. This paper presents the most important areas of the development, such as (1) the principles of the methodology, (2) the definition of available databases, code systems, (3) the events to be analysed, (4) the general rules of analyses and indicator development, (5) the exact methodology of data collection, processing, and analysis, (6) the methods of risk adjustment, (7) and the development of the standardised database...
October 2016: Orvosi Hetilap
https://www.readbyqxmd.com/read/27717353/achieving-universal-health-coverage-in-south-africa-through-a-district-health-system-approach-conflicting-ideologies-of-health-care-provision
#12
Adam Fusheini, John Eyles
BACKGROUND: Universal Health Coverage (UHC) has emerged as a major goal for health care delivery in the post-2015 development agenda. It is viewed as a solution to health care needs in low and middle countries with growing enthusiasm at both national and global levels. Throughout the world, however, the paths of countries to UHC have differed. South Africa is currently reforming its health system with UHC through developing a national health insurance (NHI) program. This will be practically achieved through a decentralized approach, the district health system, the main vehicle for delivering services since democracy...
October 7, 2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27708474/the-international-finance-facility-for-immunisation-stakeholders-perspectives
#13
Tim Crocker-Buque, Sandra Mounier-Jack
OBJECTIVE: To evaluate stakeholders' understanding and opinions of the International Finance Facility for Immunisation (IFFIm); to identify factors affecting funding levels; and to explore the future use of IFFIm. METHODS: Between July and September 2015, we interviewed 33 individuals from 25 organizations identified as stakeholders in IFFIm. In total 22.5 hours of semi-structured interviews were recorded, transcribed and analysed using a framework method. FINDINGS: Stakeholders' understanding of IFFIm's financing mechanism and its outcomes varied and many stakeholders wanted more information...
September 1, 2016: Bulletin of the World Health Organization
https://www.readbyqxmd.com/read/27693973/financing-the-hiv-response-in-sub-saharan-africa-from-domestic-sources-moving-beyond-a-normative-approach
#14
Michelle Remme, Mariana Siapka, Olivier Sterck, Mthuli Ncube, Charlotte Watts, Anna Vassall
Despite optimism about the end of AIDS, the HIV response requires sustained financing into the future. Given flat-lining international aid, countries' willingness and ability to shoulder this responsibility will be central to access to HIV care. This paper examines the potential to expand public HIV financing, and the extent to which governments have been utilising these options. We develop and compare a normative and empirical approach. First, with data from the 14 most HIV-affected countries in sub-Saharan Africa, we estimate the potential increase in public HIV financing from economic growth, increased general revenue generation, greater health and HIV prioritisation, as well as from more unconventional and innovative sources, including borrowing, health-earmarked resources, efficiency gains, and complementary non-HIV investments...
November 2016: Social Science & Medicine
https://www.readbyqxmd.com/read/27671424/healthcare-and-aging-do-european-union-countries-differ
#15
Mindaugas Stankunas, Mark Avery, Jutta Lindert, Ian Edwards, Mirko Di Rosa, Francisco Torres-Gonzalez, Elisabeth Ioannidi-Kapolou, Henrique Barros, Joaquim Soares
Purpose The purpose of this paper is to evaluate socio-economic inequalities in the use, accessibility and satisfaction with health services amongst 60-84 year old people from seven European urban communities. Design/methodology/approach Data for this study were collected in 2009. The target population was people aged 60-84 years from Stuttgart (Germany), Athens (Greece), Ancona (Italy), Kaunas (Lithuania), Porto (Portugal), Granada (Spain) and Stockholm (Sweden). The total sample comprised 4,467 respondents with a mean response rate across these countries of 45...
October 10, 2016: International Journal of Health Care Quality Assurance
https://www.readbyqxmd.com/read/27663406/the-impacts-of-decentralisation-on-health-related-equity-a-systematic-review-of-the-evidence
#16
Anthony Mwinkaara Sumah, Leonard Baatiema, Seye Abimbola
BACKGROUND: Decentralised governance of health care has been widely adopted globally over the past three decades. But despite being implemented as a management strategy across many health systems, its impact on health equity is yet unclear. OBJECTIVE: To conduct a systematic literature review of the implications of decentralised governance of health care on equity in health, health care and health financing. METHODS: A systematic search of CINAHL, EconLit, Embase, MEDLINE, PsycINFO, PubMed, Scopus, and Cochrane database of systematic reviews was conducted...
September 13, 2016: Health Policy
https://www.readbyqxmd.com/read/27599835/economic-burden-of-malaria-on-businesses-in-ghana-a-case-for-private-sector-investment-in-malaria-control
#17
Justice Nonvignon, Genevieve Cecilia Aryeetey, Keziah L Malm, Samuel Agyei Agyemang, Vivian N A Aubyn, Nana Yaw Peprah, Constance N Bart-Plange, Moses Aikins
BACKGROUND: Despite the significant gains made globally in reducing the burden of malaria, the disease remains a major public health challenge, especially in sub-Saharan Africa (SSA) including Ghana. There is a significant gap in financing malaria control globally. The private sector could become a significant source of financing malaria control. To get the private sector to appreciate the need to invest in malaria control, it is important to provide evidence of the economic burden of malaria on businesses...
2016: Malaria Journal
https://www.readbyqxmd.com/read/27572143/economic-burden-of-mental-illnesses-in-pakistan
#18
Muhammad Ashar Malik, Murad Moosa Khan
BACKGROUND: The economic consequences of mental illnesses are much more than health consequences. In Low and Middle Income Countries (LMIC) the economic impact of mental illnesses is rarely analyzed. This paper attempts to fill the gap in research on economics of mental health in LMIC. We provide economic burden of mental illness in Pakistan that can serve as an argument for reorienting health policy, resource allocation and priority settings. AIM: To estimate economic burden of mental illnesses in Pakistan...
September 2016: Journal of Mental Health Policy and Economics
https://www.readbyqxmd.com/read/27538780/the-convergence-of-chinese-county-government-health-expenditures-capitation-and-contribution
#19
Guoying Zhang, Luwen Zhang, Shaolong Wu, Xiaoqiong Xia, Liming Lu
BACKGROUND: The disparity between government health expenditures across regions is more severe in developing countries than it is in developed countries. The capitation subsidy method has been proven effective in developed countries in reducing this disparity, but it has not been tested in China, the world's largest developing country. METHODS: The convergence method of neoclassical economics was adopted to test the convergence of China's regional government health expenditure...
2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27513279/why-your-zip-code-matters-more-than-your-genetic-code-promoting-healthy-outcomes-from-mother-to-child
#20
Garth N Graham
Health equity has long been the dominant theme in the work of the Aetna Foundation. Recent data have focused on disparities through another lens, particularly the correlation between where people live (i.e., ZIP code) and their quality-and length-of life. In various cities across America, average life expectancies in certain communities are 20-30 years shorter than those mere miles away. In general, health disparities are founded on a complex interplay of racial, economic, educational, and other social factors...
October 2016: Breastfeeding Medicine: the Official Journal of the Academy of Breastfeeding Medicine
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