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https://www.readbyqxmd.com/read/30107107/physician-well-being-financial-aspects
#1
Deborah Teasley
The US health care system has an unequal distribution of physician supply, is poorly accessible in some areas, and has wide disparities in patient health status. The Patient Protection and Affordable Care Act (ACA) was intended to address these issues by providing affordable health insurance coverage, Medicaid expansion, and care delivery system redesign (particularly through physician payment reform). As part of payment reform, the Medicare Access and CHIP Reauthorization Act (MACRA) went into effect in January 2017...
October 2018: FP Essentials
https://www.readbyqxmd.com/read/30092618/making-dietary-changes-following-a-diagnosis-of-prediabetes-a-qualitative-exploration-of-barriers-and-facilitators
#2
S Abel, L C Whitehead, K J Coppell
AIM: To explore the experiences of people recently diagnosed with prediabetes and overweight or obese in making dietary changes following a six-month primary care nurse-delivered dietary intervention pilot. METHODS: Semi-structured interviews were conducted with 20 participants, purposefully selected to ensure a mix of ethnicity, gender and glycaemic outcome. Thematic analysis of interview data was undertaken. RESULTS: Participants described feeling shocked when they received the diagnosis of prediabetes...
August 9, 2018: Diabetic Medicine: a Journal of the British Diabetic Association
https://www.readbyqxmd.com/read/30091463/cost-comparison-and-determinants-of-out-of-pocket-payments-on-child-delivery-care-in-bangladesh
#3
Abdur Razzaque Sarker, Marufa Sultana, Nausad Ali, Raisul Akram, Nurnabi Sheikh, Rashidul Alam Mahumud, Alec Morton
OBJECTIVES: The objective of this study is to capture the relevant out-of-pocket (OOP) costs, coping mechanisms, and associated factors that are related to child delivery in Bangladesh through the use of nationwide household level data. DATA AND METHODS: The study was conducted using a secondary data source of the latest Bangladesh Demographic and Health Survey 2014. A cross-sectional survey was performed for 6 months, from June to November 2014, where closed-ended questions regarding child delivery-related expenditure were included...
August 9, 2018: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/30086021/ncrp-vision-for-the-future-and-program-area-committee-activities-in-2017
#4
John D Boice
The National Council on Radiation Protection and Measurements' (NCRP) vision for the future is to improve radiation protection for the general public and workers. This vision is embodied within NCRP's ongoing initiatives: preparedness for nuclear terrorism, increasing the number of radiation professionals critically needed for the nation, providing new guidance for radiation protection in the United States, addressing the protection issues surrounding the ever-increasing use of ionizing radiation in medicine, assessing the radiation doses to aircrew due to higher altitude and longer flights, providing guidance on emerging radiation issues such as the radioactive waste from hydraulic fracturing, focusing on difficult issues such as high-level waste management, and providing better estimates of radiation risks at low doses within the framework of the Million Person Study of Low Dose Radiation Health Effects...
February 2018: Health Physics
https://www.readbyqxmd.com/read/30080875/understanding-variations-in-health-insurance-coverage-in-ghana-kenya-nigeria-and-tanzania-evidence-from-demographic-and-health-surveys
#5
Hubert Amu, Kwamena Sekyi Dickson, Akwasi Kumi-Kyereme, Eugene Kofuor Maafo Darteh
BACKGROUND: Realisation of universal health coverage is not possible without health financing systems that ensure financial risk protection. To ensure this, some African countries have instituted health insurance schemes as venues for ensuring universal access to health care for their populace. In this paper, we examined variations in health insurance coverage in Ghana, Kenya, Nigeria, and Tanzania. METHODS: We used data from demographic and health surveys of Ghana (2014), Kenya (2014), Nigeria (2013), and Tanzania (2015)...
2018: PloS One
https://www.readbyqxmd.com/read/30078673/evolutionary-considerations-on-social-status-eating-behavior-and-obesity
#6
REVIEW
Ann E Caldwell, R Drew Sayer
Lower socioeconomic status (SES) is consistently related to higher obesity risk, especially in women living in developed countries such as the United States and Western Europe. Prevailing theories to describe this relationship have focused primarily on proximate level factors such as the generally poorer food environment (e.g. relative lack of healthy food options and higher concentrations of fast food restaurants) found in lower vs. higher SES neighborhoods and the higher financial costs associated with purchasing healthy, nutrient-dense foods compared to unhealthy, energy-dense foods...
August 3, 2018: Appetite
https://www.readbyqxmd.com/read/30075777/private-health-insurance-in-germany-and-chile-two-stories-of-co-existence-segmentation-and-conflict
#7
Andres Roman-Urrestarazu, Justin C Yang, Stefanie Ettelt, Inna Thalmann, Valeska Seguel Ravest, Carol Brayne
BACKGROUND: In Germany and Chile, substitutive private health insurance has been shaped by its co-existence with statutory social health insurance. Despite differences in the way choice is available to users in the health insurance regimes of Chile and Germany, the way in which each country has managed choice between private health insurance and statutory social health insurance provides a unique opportunity to comparatively assess the consequences of such an arrangement that has been previously underexamined...
August 3, 2018: International Journal for Equity in Health
https://www.readbyqxmd.com/read/30074226/effects-of-integrated-case-payment-on-medical-expenditure-and-readmission-of-inpatients-with-chronic-obstructive-pulmonary-disease-a-nonrandomized-comparative-study-in-xi-county-china
#8
Meng Shi, Jing Wang, Liang Zhang, Yan Yan, Yu-Dong Miao, Xiang Zhang
In the past few decades, Chinese government attempted to reduce the economic burden of chronic diseases and lower family financial risk of patients by establishing a nationwide coverage of Social Health Insurance system. However, the payment mode of Social Health Insurance varies across Chinese healthcare settings, and the effectiveness of each mode differs. This study aimed to evaluate the effects of integrated case payment on medical expenditure and readmission of inpatients with chronic obstructive pulmonary disease (COPD), a complex, multicomponent, chronic condition...
June 2018: Current medical science
https://www.readbyqxmd.com/read/30056050/progress-towards-universal-health-coverage-in-myanmar-a-national-and-subnational-assessment
#9
Su Myat Han, Md Mizanur Rahman, Md Shafiur Rahman, Khin Thet Swe, Matthew Palmer, Haruka Sakamoto, Shuhei Nomura, Kenji Shibuya
BACKGROUND: Attainment of universal health coverage is a global health priority. The Myanmar Government has committed to attainment of universal health coverage by 2030, but progress so far has not been assessed. We aimed to estimate national and subnational health service coverage and financial risk protection. METHODS: We used nationally representative data from the Myanmar Demographic and Health Survey (2016) and the Integrated Household Living Condition Assessment (2010) to examine 26 health service indicators and explored the incidence of catastrophic health payment and impoverishment caused by out-of-pocket payments...
September 2018: Lancet Global Health
https://www.readbyqxmd.com/read/30052141/health-impacts-of-extreme-weather-events-exploring-protective-factors-with-a-capitals-framework
#10
Lisa Reyes Mason, Jennifer Erwin, Aaron Brown, Kelsey N Ellis, Jon M Hathaway
PURPOSE: Extreme weather events are increasing with climate change. The physical and mental health of people served by social workers may be especially at risk from these hazards. This exploratory study examines if specific types of human, financial, physical, and social capital are associated with health impacts from excessive summer heat and extreme winter weather. METHOD: Data from resident surveys (N = 424) in low- and moderate-income areas of a Southeastern US city are analyzed with descriptive statistics and logistic regression...
September 2018: Journal of Evidence-informed Social Work
https://www.readbyqxmd.com/read/30047952/desarrollo-de-la-capacidad-para-la-regulaci%C3%A3-n-en-salud-en-m%C3%A3-xico
#11
Carlos Santos-Burgoa, Manuel Urbina-Fuentes, Juan Ángel Rivera-Dommarco, Martha Híjar, Julio Salvador Sánchez-Tépoz, Juan Carlos Gallaga-Solórzano, Rocío Del Carmen Alatorre Eden-Wynter, Armida Zúñiga-Estrada, Ricardo García-Sarubbi, Claudia Gabriela García-Chávez, Ana Carolina Ariza
La Academia Nacional de Medicina es un espacio esencial para discutir la ciencia de la regulación en salud y posicionar su impacto en la salud y la economía. Enmarcada dentro de la función rectora de la autoridad sanitaria, la regulación en salud es la acción de proteger a la población de los peligros sanitarios involuntarios contra los cuales el individuo no puede protegerse; es una función esencial de la salud pública, componente institucional del sistema de salud y, por ende, vinculada a sus reformas y a la cobertura universal...
2018: Gaceta Médica de México
https://www.readbyqxmd.com/read/30045215/acog-committee-opinion-no-749-marriage-and-family-building-equality-for-lesbian-gay-bisexual-transgender-queer-intersex-asexual-and-gender-nonconforming-individuals
#12
(no author information available yet)
The American College of Obstetricians and Gynecologists reaffirms its support of unrestricted access to legal marriage for all adults. The American College of Obstetricians and Gynecologists believes that no matter how a child comes into a family, all children and parents deserve equitable protections and access to available resources to maximize the health of that family unit. Obstetrician-gynecologists should recognize the diversity in parenting desires that exists in the lesbian, gay, bisexual, transgender, queer, intersex, asexual, and gender nonconforming communities and should take steps to ensure that clinical spaces are affirming and open to all patients, such that equitable and comprehensive, reproductive health care can meet the needs of these communities...
August 2018: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/30045209/acog-committee-opinion-no-749-summary-marriage-and-family-building-equality-for-lesbian-gay-bisexual-transgender-queer-intersex-asexual-and-gender-nonconforming-individuals
#13
(no author information available yet)
The American College of Obstetricians and Gynecologists reaffirms its support of unrestricted access to legal marriage for all adults. The American College of Obstetricians and Gynecologists believes that no matter how a child comes into a family, all children and parents deserve equitable protections and access to available resources to maximize the health of that family unit. Obstetrician-gynecologists should recognize the diversity in parenting desires that exists in the lesbian, gay, bisexual, transgender, queer, intersex, asexual, and gender nonconforming communities and should take steps to ensure that clinical spaces are affirming and open to all patients, such that equitable and comprehensive, reproductive health care can meet the needs of these communities...
August 2018: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/30044651/unlike-medical-spending-medical-bills-in-collections-decrease-with-patients-age
#14
Michael Batty, Christa Gibbs, Benedic Ippolito
Health policy is often designed to help protect patients' financial security. However, there is limited understanding of the role medical debt plays in household finances. We used credit report data on more than four million Americans to study the age profile of people whose medical bills were sent to a US collections agency in 2016. We found that, unlike health care use and spending, medical collections decreased substantially with age. The average size of medical debt decreased nearly 40 percent from patients age twenty-seven to sixty-four, with increases in health insurance coverage and incomes likely playing important mediating roles...
August 2018: Health Affairs
https://www.readbyqxmd.com/read/30043655/the-affordable-care-act-attenuates-financial-strain-according-to-poverty-level
#15
Ryan M McKenna, Brent A Langellier, Héctor E Alcalá, Dylan H Roby, David T Grande, Alexander N Ortega
We use data from the 2011-2016 National Health Interview Survey to examine how the Patient Protection and Affordable Care Act (ACA) has influenced disparities in health care-related financial strain, access to care, and utilization of services by categories of the Federal Poverty Level (FPL). We use multivariable regression analyses to determine the ACA's effects on these outcome measures, as well as to determine how changes in these measures varied across different FPL levels. We find that the national implementation of the ACA's insurance expansion provisions in 2014 was associated with improvements in health care-related financial strain, access, and utilization...
January 2018: Inquiry: a Journal of Medical Care Organization, Provision and Financing
https://www.readbyqxmd.com/read/30037977/federal-parity-and-spending-for-mental-illness
#16
Alene Kennedy-Hendricks, Andrew J Epstein, Elizabeth A Stuart, Rebecca L Haffajee, Emma E McGinty, Alisa B Busch, Haiden A Huskamp, Colleen L Barry
BACKGROUND: Families of children with mental health conditions face heavy economic burdens. One of the objectives of the Mental Health Parity and Addiction Equity Act (MHPAEA) is to reduce the financial burden for those with intensive mental health service needs. Few researchers to date have examined MHPAEA's effects on children with mental health conditions and those with particularly high mental health expenditures. METHODS: A difference-in-differences approach was used to compare commercially insured children ages 3 to 18 years (in 2008) who were continuously enrolled in plans newly subject to parity under MHPAEA to children continuously enrolled in plans never subject to parity...
August 2018: Pediatrics
https://www.readbyqxmd.com/read/30020368/neoliberal-meritocracy-and-financial-capitalism-consequences-for-social-protection-and-health
#17
Ana Luiza d'Ávila Viana, Hudson Pacifico da Silva
There is inherent tension between the idea of health as a social right and of health as a private good. From the latter perspective, healthcare provision is brought closer to the logic of ownership, where access depends on ability to pay. The prioritization of markets (over governments), economic incentives (over social or cultural norms), and entrepreneurship (over collective or community action), one of the hallmarks of neoliberalism, constitutes a project to dismantle the welfare state, defined as a set of policy mechanisms designed to meet collective needs...
July 2018: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/30020366/changing-systems-of-social-protection-in-the-context-of-the-changing-political-economies-since-the-1980s
#18
Evelyne Huber, Sara Niedzwiecki
This article provides an overview of the profound changes in the more advanced welfare states in Europe and Latin America over the past 35 years. Deindustrialization, informalization, and the rise of unstable employment, combined with aging populations rendered traditional employment-based models of social protection less effective and at the same time increased demands on the welfare state. The two main responses to these challenges were efforts at cost containment and inclusion in non-contributory social protection schemes and health services of those in marginal labor market positions...
July 2018: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/30019445/relationship-between-gerotranscendence-and-oral-health-related-quality-of-life
#19
Yusuke Mihara, Ken-Ichi Matsuda, Koudai Hatta, Yasuyuki Gondo, Yukie Masui, Takeshi Nakagawa, Kei Kamide, Tatsuro Ishizaki, Yasumichi Arai, Yoshinobu Maeda, Kazunori Ikebe
OBJECTIVES: The purpose of our cross-sectional study was to investigate the relationship between gerotranscendence and oral health-related quality of life (OHR-QOL). To our knowledge, this is the first study to investigate the relationship between gerotranscendence and OHR-QOL. METHODS: Participants (total n = 1969; 70-year-old group, n = 999; 80-year-old group, n = 970) were drawn from resident lists in four areas of Japan: one urban area and one rural area in each of two geographical regions...
July 17, 2018: Journal of Oral Rehabilitation
https://www.readbyqxmd.com/read/30015243/financial-protection-of-households-against-health-shocks-in-greece-during-the-economic-crisis
#20
Athanasios E Chantzaras, John N Yfantopoulos
BACKGROUND: Harsh funding cutbacks along with measures shifting cost to patients have been implemented in the Greek health system in recent years. Our objective was to investigate the evolution of financial protection of Greek households against out-of-pocket payments (OOPP) during the economic crisis. METHODS: National representative data of 33,091 households were derived from the Household Budget Surveys for the period 2008-2015. Financial protection was assessed by applying the approaches of catastrophic (CHE) and impoverishing OOPP...
August 2018: Social Science & Medicine
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