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https://www.readbyqxmd.com/read/28923520/exploring-associations-between-state-education-initiatives-and-teachers-sleep-a-social-ecological-approach
#1
Kaori Fujishiro, Amy N Farley, Marie Kellemen, Christopher M Swoboda
Social policies that are not specifically aimed at impacting health can still have health consequences. State education reforms, such as standardized testing and stringent accountability for schools and teachers, may affect teacher health by changing their working conditions. This study explores associations between state education initiatives and teachers' sleep, an important predictor of productivity and chronic health conditions. The Behavioral Risk Factor Surveillance System 2013 and 2014 data sets provided sleep and demographic data for 7836 teachers in 29 states in the United States...
September 12, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28918762/standard-comparison-of-local-mental-health-care-systems-in-eight-european-countries
#2
M R Gutiérrez-Colosía, L Salvador-Carulla, J A Salinas-Pérez, C R García-Alonso, J Cid, D Salazzari, I Montagni, F Tedeschi, G Cetrano, K Chevreul, J Kalseth, G Hagmair, C Straßmayr, A L Park, R Sfectu, T Ala-Nikkola, J L González-Caballero, L Rabbi, B Kalseth, F Amaddeo
AIMS: There is a need of more quantitative standardised data to compare local Mental Health Systems (MHSs) across international jurisdictions. Problems related to terminological variability and commensurability in the evaluation of services hamper like-with-like comparisons and hinder the development of work in this area. This study was aimed to provide standard assessment and comparison of MHS in selected local areas in Europe, contributing to a better understanding of MHS and related allocation of resources at local level and to lessen the scarcity in standard service comparison in Europe...
September 18, 2017: Epidemiology and Psychiatric Sciences
https://www.readbyqxmd.com/read/28918678/the-affordable-care-act-medicaid-expansions-and-personal-finance
#3
Kyle J Caswell, Timothy A Waidmann
Using a novel data set from a major credit bureau, we examine the early effects of the Affordable Care Act Medicaid expansions on personal finance. We analyze less common events such as personal bankruptcy, and more common occurrences such as medical collection balances, and change in credit scores. We estimate triple-difference models that compare individual outcomes across counties that expanded Medicaid versus counties that did not, and across expansion counties that had more uninsured residents versus those with fewer...
September 1, 2017: Medical Care Research and Review: MCRR
https://www.readbyqxmd.com/read/28918502/the-refinement-glossary-of-terms-an-international-terminology-for-mental-health-systems-assessment
#4
Ilaria Montagni, Luis Salvador-Carulla, David Mcdaid, Christa Straßmayr, Florian Endel, Petri Näätänen, Jorid Kalseth, Birgitte Kalseth, Tihana Matosevic, Valeria Donisi, Karine Chevreul, Amélie Prigent, Raluca Sfectu, Carmen Pauna, Mencia R Gutiérrez-Colosia, Francesco Amaddeo, Heinz Katschnig
Comparing mental health systems across countries is difficult because of the lack of an agreed upon terminology covering services and related financing issues. Within the European Union project REFINEMENT, international mental health care experts applied an innovative mixed "top-down" and "bottom-up" approach following a multistep design thinking strategy to compile a glossary on mental health systems, using local services as pilots. The final REFINEMENT glossary consisted of 432 terms related to service provision, service utilisation, quality of care and financing...
September 16, 2017: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/28915337/the-cost-and-cost-effectiveness-of-childhood-cancer-treatment-in-el-salvador-central-america-a-report-from-the-childhood-cancer-2030-network
#5
Soad Fuentes-Alabi, Nickhill Bhakta, Roberto Franklin Vasquez, Sumit Gupta, Susan E Horton
BACKGROUND: Although previous studies have examined the cost of treating individual childhood cancers in low-income and middle-income countries, to the authors' knowledge none has examined the overall cost and cost-effectiveness of operating a childhood cancer treatment center. Herein, the authors examined the cost and sources of financing of a pediatric cancer unit in Hospital Nacional de Ninos Benjamin Bloom in El Salvador, and make estimates of cost-effectiveness. METHODS: Administrative data regarding costs and volumes of inputs were obtained for 2016 for the pediatric cancer unit...
September 15, 2017: Cancer
https://www.readbyqxmd.com/read/28911324/leadership-and-governance-of-community-health-worker-programmes-at-scale-a-cross-case-analysis-of-provincial-implementation-in-south-africa
#6
Helen Schneider, Nonhlanhla Nxumalo
BACKGROUND: National community health worker (CHW) programmes are returning to favour as an integral part of primary health care systems, often on the back of pre-existing community based initiatives. There are significant challenges to the integration and support of such programmes, and they require coordination and stewardship at all levels of the health system. This paper explores the leadership and governance tasks of large-scale CHW programmes at sub-national level, through the case of national reforms to South Africa's community based sector, referred to as the Ward Based Outreach Team (WBOT) strategy...
September 15, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28904010/vitamin-d-supplementation-to-palliative-cancer-patients-protocol-of-a-double-blind-randomised-controlled-trial-palliative-d
#7
Maria Helde-Frankling, Jenny Bergqvist, Caritha Klasson, Marie Nordström, Jonas Höijer, Peter Bergman, Linda Björkhem-Bergman
BACKGROUND: According to a small pilot study on palliative cancer patients at our ward, vitamin D supplementation had beneficial effects on pain (measured as opioid consumption), infections and quality of life (QoL) without having any significant side effects. OBJECTIVE: The primary objective of the 'Palliative-D' study is to test the hypothesis that vitamin D supplementation for 12 weeks reduces opioid consumption. The secondary objectives are to study if reduction of antibiotic consumption and fatigue as well as improvement in QoL assessments can be observed...
September 13, 2017: BMJ Supportive & Palliative Care
https://www.readbyqxmd.com/read/28903737/experiences-with-out-patient-hospital-service-utilisation-among-older-persons-in-the-asante-akyem-north-district-ghana
#8
Jonathan Bayuo
BACKGROUND: Though ageing is not a disease, it has been associated with the occurrence of conditions which require health service utilisation. Ghana's population is characterised by a steady growth in the number of older adults and previous studies have noted limited levels regarding utilisation by older persons. METHODS: Thus, this study utilised a qualitative approach to explore older persons' experiences regarding out-patient hospital service utilisation in the Asante Akyem North District of Ghana...
September 13, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28902320/-investing-in-health-the-economic-case-report-of-the-wish-investing-in-health-forum-2016
#9
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
#10
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/28901984/institution-wide-implementation-strategies-finance-and-administration-for-enhanced-recovery-after-surgery-programs
#11
Peter A Najjar, Edward E Whang, Richard D Urman, Casey T McGrath, Jennifer R Beloff, Ronald Bleday
No abstract text is available yet for this article.
2017: International Anesthesiology Clinics
https://www.readbyqxmd.com/read/28901334/rainfall-shocks-are-not-necessarily-a-sensitive-early-indicator-of-changes-in-wasting-prevalence
#12
N A Ledlie, H Alderman, J L Leroy, L You
Evidence on the impact of weather shocks on child nutrition focuses on linear growth retardation (stunting) and thus, associates the effect of a short-term measure (weather events) on a cumulative measure (attained height). Relatively little is known on how weather shocks predict increases in wasting in a population. This study explores whether deviation in rainfall in Ethiopia, a drought prone country, is a sensitive indicator of future increases in wasting. Around 12% of children 0-23 months were wasted, but we found no consistent association between the rainfall shock variables and child weight-for-height Z-scores...
September 13, 2017: European Journal of Clinical Nutrition
https://www.readbyqxmd.com/read/28901243/an-exploration-into-municipal-waste-charges-for-environmental-management-at-local-level-the-case-of-spain
#13
Ignasi Puig-Ventosa, Sergio Sastre Sanz
Municipal waste charges have been widely acknowledged as a crucial tool for waste management at the local level. This is because they contribute to financing the costly provision of waste collection and treatment services and they can be designed to provide an economic stimulus to encourage citizens and local businesses to improve separate collection and recycling. This work presents a methodology to evaluate a sample of 125 municipal waste charges in Spain for the year 2015, covering 33.91% of the Spanish population...
September 1, 2017: Waste Management & Research
https://www.readbyqxmd.com/read/28900351/an-overview-of-different-health-indicators-used-in-the-european-health-systems
#14
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/28898403/healthcare-financing-systems-for-increasing-the-use-of-tobacco-dependence-treatment
#15
REVIEW
Floor A van den Brand, Gera E Nagelhout, Ayalu A Reda, Bjorn Winkens, Silvia M A A Evers, Daniel Kotz, Onno Cp van Schayck
BACKGROUND: Tobacco smoking is the leading preventable cause of death worldwide, which makes it essential to stimulate smoking cessation. The financial cost of smoking cessation treatment can act as a barrier to those seeking support. We hypothesised that provision of financial assistance for people trying to quit smoking, or reimbursement of their care providers, could lead to an increased rate of successful quit attempts. This is an update of the original 2005 review. OBJECTIVES: The primary objective of this review was to assess the impact of reducing the costs for tobacco smokers or healthcare providers for using or providing smoking cessation treatment through healthcare financing interventions on abstinence from smoking...
September 12, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28893752/using-environmental-engineering-to-increase-hand-hygiene-compliance-a-cross-over-study-protocol
#16
Kelly Ann Schmidtke, Navneet Aujla, Tom Marshall, Abid Hussain, Gerard P Hodgkinson, Kristopher Arheart, Joachim Marti, David J Birnbach, Ivo Vlaev
INTRODUCTION: Compliance with hand hygiene recommendations in hospital is typically less than 50%. Such low compliance inevitably contributes to hospital-acquired infections that negatively affect patients' well-being and hospitals' finances. The design of the present study is predicated on the assumption that most people who fail to clean their hands are not doing so intentionally, they just forget. The present study will test whether psychological priming can be used to increase the number of people who clean their hands on entering a ward...
September 11, 2017: BMJ Open
https://www.readbyqxmd.com/read/28893323/out-of-pocket-expenditure-for-seeking-health-care-for-sick-children-younger-than-5%C3%A2-years-of-age-in-bangladesh-findings-from-cross-sectional-surveys-2009-and-2012
#17
Tazeen Tahsina, Nazia Binte Ali, D M Emdadul Hoque, Tanvir M Huda, Shumona Sharmin Salam, Mohammad Mehedi Hasan, Md Altaf Hossain, Ziaul Matin, Lianne Kuppen, Sarah P Garnett, Shams El Arifeen
BACKGROUND: Bangladesh has committed to universal health coverage, and options to decrease household out-of-pocket expenditure (OPE) are being explored. Understanding the determinants of OPE is an essential step. This study aimed to estimate and identify determinants of OPE in seeking health care for sick under-five children. METHODS: Cross-sectional data was collected by structured questionnaire in 2009 (n = 7362) and 2012 (n = 6896) from mothers of the under-five children...
September 11, 2017: Journal of Health, Population, and Nutrition
https://www.readbyqxmd.com/read/28891363/exploring-the-association-of-dental-care-utilization-with-oral-impacts-on-daily-performances-oidp-a-prospective-study-of-ageing-people-in-norway-and-sweden
#18
Ferda Gülcan, Gunnar Ekbäck, Sven Ordell, Kristin S Klock, Stein Atle Lie, Anne Nordrehaug Åstrøm
OBJECTIVES: To explore the association of dental health care utilization with oral impacts on daily performances (OIDP) across time focusing ageing Norwegian and Swedish adults adjusting for predisposing, enabling, and need related-factors as defined by Andersen's model. METHODS: Data were based on Norwegian and Swedish 1942 birth-cohorts conducted in 2007 (age 65) and 2012 (age 70). In Norway, the response rates ranged from 54% to 58%. Corresponding figures in Sweden were from 72% to 73%...
September 10, 2017: Acta Odontologica Scandinavica
https://www.readbyqxmd.com/read/28891235/financial-arrangements-for-health-systems-in-low-income-countries-an-overview-of-systematic-reviews
#19
REVIEW
Charles S Wiysonge, Elizabeth Paulsen, Simon Lewin, Agustín Ciapponi, Cristian A Herrera, Newton Opiyo, Tomas Pantoja, Gabriel Rada, Andrew D Oxman
BACKGROUND: One target of the Sustainable Development Goals is to achieve "universal health coverage, including financial risk protection, access to quality essential health-care services and access to safe, effective, quality and affordable essential medicines and vaccines for all". A fundamental concern of governments in striving for this goal is how to finance such a health system. This concern is very relevant for low-income countries. OBJECTIVES: To provide an overview of the evidence from up-to-date systematic reviews about the effects of financial arrangements for health systems in low-income countries...
September 11, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28890321/general-hospital-costs-in-england-of-medical-and-psychiatric-care-for-patients-who-self-harm-a-retrospective-analysis
#20
Apostolos Tsiachristas, David McDaid, Deborah Casey, Fiona Brand, Jose Leal, A-La Park, Galit Geulayov, Keith Hawton
BACKGROUND: Self-harm is an extremely common reason for hospital presentation. However, few estimates have been made of the hospital costs of assessing and treating self-harm. Such information is essential for planning services and to help strengthen the case for investment in actions to reduce the frequency and effects of self-harm. In this study, we aimed to calculate the costs of hospital medical care associated with a self-harm episode and the costs of psychosocial assessment, together with identification of the key drivers of these costs...
September 7, 2017: Lancet Psychiatry
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