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health care financing

Nadine Sannino, Julie Biga, Thierry Kurth, Elise Picon
The policy designed to address social inequalities in health (SIH) currently does not integrate the specificities of self-employed persons, who nevertheless occupy an intermediate position in the mortality gradient observed since the 1990s. Qualitative analysis of the care pathway of precarious people, financed by the French Directorate of health care services (DGOS), despite its limitations, highlights the difficulties encountered by self-employed persons in the use of the health system in its present state and shows the poor perception of these difficulties, due to the limitations of the available evaluation tools of individual precarity, the representations of professional and institutional actors, or the absence of response in the field of social solidarity...
September 6, 2018: Santé Publique: Revue Multidisciplinaire Pour la Recherche et L'action
Rena Eichler, Susan Gigli, Lisa LeRoy
Universal health coverage reforms are complex and impact numerous processes, institutions, and individuals. To know whether reforms are being implemented as planned and working as envisioned, policy makers and managers need information and insights on bottlenecks. The United States Agency for International Development (USAID) provided support to build implementation research (IR) capacity and to conduct cycles of research to help Indonesia understand how its single-payer national insurance reform, Jaminan Kesehatan Nasional (JKN), was affecting primary care...
December 13, 2018: Global Health, Science and Practice
Shamima Khan, Joshua J Spooner, Harlan E Spotts
Background: Not much is currently known about United States (US) physicians' opinions about healthcare financing, specifically subsequent to the creation and implementation of the Affordable Care Act (ACA). Objectives: A four state survey of practicing US based physicians' opinions about healthcare financing following ACA passage and implementation. Methods: Physician leaders practicing in the state of New York, Texas, Colorado and Mississippi were surveyed. Two factor analyses (FA) were conducted to understand the underlying constructs...
December 9, 2018: Pharmacy (Basel, Switzerland)
Mandi Pratt-Chapman, Afsan Bhadelia
Cancer causes significant death and disability globally. However, costs of more personalized cancer care continue to climb, while access to basic cancer screening and treatment is not available to much of the world. This chapter provides an overview of the status of patient-reported outcomes (PROs) in cancer clinical care and research. PROs are valuable for health care and health economic decision-making at institutional, regional, national, and international levels. PRO data should be considered along with cost and survival data when approving new therapies...
2019: Recent Results in Cancer Research
Julian Schwarz, Barbara Stöckigt, Anne Berghöfer, Sebastian von Peter, Burkhart Brückner
OBJECTIVE: This study explores the conditions for the stakeholders' cooperation in an integrative care model for people with psychosocial problems. METHODS: Expert interviews on various community mental health care providers were led and content analyzed. RESULTS: Joint objectives and conceptually comparable financing models were found to be essential for cooperation across mental health and social integration services. CONCLUSIONS: Implementation of intersectoral financing for both clinical and social integration services can promote interagency cooperation...
December 12, 2018: Psychiatrische Praxis
Mohita Gupta, Sarvesh Singh
A study of sources of finance which the household resorts to, in order to meet the hospitalization expense can be of use to policy makers who may want to work in the direction of providing financial security against hospitalization expenses to the masses. In this view, an attempt has been made to study the sources of finance for hospitalized treatment at an individual level based on criteria such as level of living, socio-economic background, level of care in India, as well as at state level through unit level data of the survey on "Social Consumption related to Health", conducted by National Sample Survey (NSS) during January, 2014 to June, 2014...
October 2018: Indian Journal of Public Health
Judita Kinkorová, Ondřej Topolčan
Biobanks have during last two decades gained an important role in the whole process of biomedical research and health care not only in Europe but also worldwide. Biobanks are one of the pillars in personalised medicine tackling all its aspects such as prevention, diagnosis, treatment and monitoring closely the specific characteristics of an individual patient. The current and future power of biobanks is the amount of samples of high-quality and related information available for current and future research of diseases, for optimising patients´ prevention, diagnosis, treatment and monitoring...
December 2018: EPMA Journal
Naghmeh Foroutan, Jean-Eric Tarride, Feng Xie, Mitchell Levine
Introduction: Budget impact analysis (BIA) in health care, sometimes referred to as resource impact, is the financial change in the use of health resources associated with adding a new drug to a formulary or the adoption of a new health technology. Several national and transnational organizations worldwide have updated their BIA guidelines in the past 4 years. The aim of the present review was to provide a comprehensive list of the key recommendations of BIA guidelines from different countries that may be of interest for those who wish to build or to update BIA guidelines...
2018: ClinicoEconomics and Outcomes Research: CEOR
J Ssebunnya, S Kangere, J Mugisha, S Docrat, D Chisholm, C Lund, F Kigozi
Background: In spite of the pronounced adverse economic consequences of mental, neurological, and substance use disorders on households in most low- and middle-income countries, service coverage and financial protection for these families is very limited. The aim of this study was to generate potential strategies for sustainably financing mental health care in Uganda in an effort to move towards increased financial protection and service coverage for these families. Methods: The process of identifying potential strategies for sustainably financing mental health care in Uganda was guided by an analytical framework developed by the Emerging Mental health systems in low and middle income countries (EMERALD project)...
2018: International Journal of Mental Health Systems
Pankaj Bahuguna, Indranil Mukhopadhyay, Akashdeep Singh Chauhan, Saroj Kumar Rana, Sakthivel Selvaraj, Shankar Prinja
INTRODUCTION: Public health spending in India has been traditionally one of the lowest globally. Punjab is one of the states with highest proportion of out-of-pocket expenditures for healthcare in India. We undertook this study to produce the sub-national health accounts (SNHA) for Punjab state in India. METHODOLOGY: We used System of Health Accounts (SHA) 2011 framework for preparing health accounts for Punjab state. Data on health spending by government was obtained from concerned public sector departments both at state and central level...
2018: PloS One
Masoud Behzadifar, Tina Beyranvand, Mehdi Jafari, Meysam Behzadifar, Masood Taheri Mirghaed, Mariano Martini, Nicola Luigi Bragazzi
Background: Out-of-pocket (OOP) expenditure directly impacts on poverty and household welfare, especially when there is a decline in healthcare financing. This study was aimed to describe the temporal pattern of OOP expenditures related to Iranian healthcare services during 1995-2014. Methods: For describing the trend of OOP spending in Iran, the database of the World Bank was mined for the period under study. Further, the trend analysis has been complemented by an exhaustive and comprehensive review of the extant literature...
October 2018: Iranian Journal of Public Health
Stephanie Kulhawy-Wibe, Kathryn M King-Shier, Cheryl Barnabe, Braden J Manns, Brenda R Hemmelgarn, David J T Campbell
Background: Type 2 diabetes is highly prevalent in Canadian First Nations (FN) communities. FN individuals with diabetes are less likely to receive guideline recommended care and access specialist care. They are also less likely to be able to engage in optimal self-management behaviours. While the systemic and racial contributors to this problem have been well described, individuals' experiences with structural barriers to care and self-management remain under-characterized. Methods: We utilized qualitative methods to gain insight into the structural barriers to self-management experienced by FN individuals with diabetes...
2018: Diabetology & Metabolic Syndrome
Kent Garber, Carla Cecilia Ramírez Cabrera, Quang-Le Dinh, Justin T Gerstle, AiXuan Holterman, Leecarlo Millano, Nyagetuba J K Muma, Liem Thanh Nguyen, Hoang Tran, Son Ngoc Tran, Shant Shekherdimian
BACKGROUND: The global burden of pediatric surgical conditions continues to remain inadequately addressed, particularly in low- and middle-income countries. Among the many factors contributing to this gap are a lack of access to care secondary to resource shortages and inequitable distribution, underfinancing of healthcare systems, poor quality of care, and contextual challenges such as natural disasters and conflict. The relative contribution of these and other factors varies widely by region and even with countries of a region...
December 6, 2018: World Journal of Surgery
Golnar Aref-Adib, Tayla McCloud, Jamie Ross, Puffin O'Hanlon, Victoria Appleton, Sarah Rowe, Elizabeth Murray, Sonia Johnson, Fiona Lobban
Digital health interventions present an important opportunity to improve health care for people with psychosis or bipolar disorder, but despite their potential, integrating and implementing them into clinical settings has been difficult worldwide. This Review aims to identify factors affecting implementation of digital health interventions for people affected by psychosis or bipolar disorder. We searched seven databases and synthesised data from 26 studies using the Consolidated Framework for Implementation Research...
December 3, 2018: Lancet Psychiatry
Maureen E Maigret, Richard W Besdine, Martha Rounds-Watson
This paper describes a unique collaboration between consumer health care advocates, experts in geriatrics, a state, and a health plan to improve care for adults with both Medicare and Medicaid. Ineffective care coordination between the Medicare and Medicaid programs has led to poor care and high costs. As part of the Affordable Care Act (ACA), CMS initiated state demonstrations to align financing and care delivery. In 2016, Rhode Island launched an integrated care model. Geriatrics experts teamed up with an aging services advocate to work on the Rhode Island project...
December 3, 2018: Rhode Island Medical Journal
Asher J Schranz, Aaron Fleischauer, Vivian H Chu, Li-Tzy Wu, David L Rosen
Background: Drug use-associated infective endocarditis (DUA-IE) is increasing as a result of the opioid epidemic. Infective endocarditis may require valve surgery, but surgical treatment of DUA-IE has invoked controversy, and the extent of its use is unknown. Objective: To examine hospitalization trends for DUA-IE, the proportion of hospitalizations with surgery, patient characteristics, length of stay, and charges. Design: 10-year analysis of a statewide hospital discharge database...
December 4, 2018: Annals of Internal Medicine
Emily R Smith, Tessa L Concepcion, Kelli J Niemeier, Adesoji O Ademuyiwa
Investing in surgery has been highlighted as integral to strengthening overall health systems and increasing economic prosperity in low-income and middle-income countries (LMICs). The provision of surgical care in LMICs not only affects economies on a macro-level, but also impacts individual families within communities at a microeconomic level. Given that children represent 50% of the population in LMICs and the burden of unmet surgical needs in these areas is high, investing pediatric-specific components of surgical and anesthesia care is needed...
November 30, 2018: World Journal of Surgery
Mohammad Hossein Yarmohammadian, Elahe Khorasani, Mohsen Ghaffari Darab, Manal Etemadi, Mahan Mohammadi
CONTEXT: Health system reform plan refers to conducting some fundamental, systematic, and sustainable changes. AIMS: The aim of the present study was to evaluate different required inputs of Iran Health Transformation Plan from experts' viewpoints. SETTINGS AND DESIGN: The data of this qualitative study were collected using semi-structured interviews. SUBJECTS AND METHODS: The purposive sampling method led to 18 participant selection and then they were interviewed...
2018: Journal of Education and Health Promotion
Netnapis Suchonwanich, Winai Wananukul
Problem: Historically in Thailand, access to poison antidotes was limited and antivenom stock management was inefficient. Approach: In 2010, the country established a national antidote programme, which created national and subnational antidote stocks, managed their distribution and trained health-care providers on clinical management and antidote use. In 2013, the programme incorporated antivenoms to improve stock management and avoid wastage due to stock expiry...
December 1, 2018: Bulletin of the World Health Organization
K Scott Baker, Karen L Syrjala
Adolescents and young adults (AYAs) with cancer, defined by the National Cancer Institute as having been diagnosed between the ages of 15 and 39 years old, have not benefited from the same improvements in quality of outcomes and survival that have been seen for individuals diagnosed in childhood or as older adults. Although is leukemia composed of a diverse group of diagnoses, leukemia AYA survivors share unique vulnerabilities with other AYA diagnostic groups. They will spend the majority of their lives as survivors, with clear evidence of adverse medical conditions, health care requirements, and social and psychological needs that differ not only from their peers but also, from the needs of other cancer survivor populations...
November 30, 2018: Hematology—the Education Program of the American Society of Hematology
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