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https://www.readbyqxmd.com/read/29777334/patient-engagement-in-community-health-center-leadership-how-does-it-happen
#1
Anjana E Sharma, Beatrice Huang, Margae Knox, Rachel Willard-Grace, Michael B Potter
Patient engagement in primary care leadership is an important means to involve community voices at community health centers. Federally qualified health centers (FQHCs) are mandated to have patient representation within their governing boards, while practices seeking patient-centered medical home certification receive credit for implementing patient advisory councils (PACs). Our objective was to compare and contrast how community health centers engage patients in clinic management, decision-making and planning within governing boards versus PACs...
May 18, 2018: Journal of Community Health
https://www.readbyqxmd.com/read/29776689/on-the-nexus-of-air-pollution-and-health-expenditures-new-empirical-evidence
#2
Carla Blázquez-Fernández, David Cantarero-Priento, Marta Pascual-Sáez
OBJECTIVE: To analyse the impact of per capita income and environmental air quality variables on health expenditure determinants. METHOD: In this study, we analyse the relationship between air pollution and health expenditure in 29 OECD countries over the period 1995-2014. In addition, we test whether our findings differ between countries with higher or lower incomes. RESULTS: The econometric results show that per capita income has a positive effect on health expenditure, but is not as statistically significant as expected when lag-time is incorporated...
May 15, 2018: Gaceta Sanitaria
https://www.readbyqxmd.com/read/29776356/policy-development-and-challenges-of-global-mental-health-a-systematic-review-of-published-studies-of-national-level-mental-health-policies
#3
Wei Zhou, Yu Yu, Mei Yang, Lizhang Chen, Shuiyuan Xiao
BACKGROUND: Mental health policy can be an essential and powerful tool to improve a population's mental health. However, around one third of countries do not possess a mental health policy, and there are large disparities in population coverage rates between high- and low-income countries. The goal of this study is to identify the transition and implementation challenges of mental health policies in both high-income countries (HICs) as well as middle- and low-income countries (MLICs)...
May 18, 2018: BMC Psychiatry
https://www.readbyqxmd.com/read/29775965/the-frontier-framework-and-its-eight-frontier-archetypes-a-new-conceptual-approach-to-representing-staff-and-patient-well-being-in-health-systems
#4
Darrin L Baines
This paper proposes a new conceptual framework for jointly analysing the production of staff and patient welfare in health systems. Research to date has identified a direct link between staff and patient well-being. However, until now, no one has produced a unified framework for analysing them concurrently. In response, this paper introduces the "Frontier Framework". The new conceptual framework is applicable to all health systems regardless of their structure or financing. To demonstrate the benefits of its use, an empirical example of the Frontier Framework is constructed using data from the UK's National Health Service...
May 4, 2018: Social Science & Medicine
https://www.readbyqxmd.com/read/29774957/progress-and-challenges-in-consolidating-the-management-of-amazonian-protected-areas-and-indigenous-territories
#5
Raymond E Gullison, Jared Hardner
Achieving the effective management of all existing protected areas and indigenous territories in the Amazon Biome may be needed to avoid a deforestation "tipping point" beyond which regional climatic feedbacks and global climate change interact to catalyze irreversible drying and savannization of large portions of the biome. However, the time and money required to consolidate the effective management of all types of protected sites in the Amazon is still poorly understood. At present, protected areas and indigenous territories cover 45...
May 18, 2018: Conservation Biology: the Journal of the Society for Conservation Biology
https://www.readbyqxmd.com/read/29774803/-the-financial-is-the-main-issue-it-s-not-even-the-child-exploring-the-role-of-finances-in-men-s-concepts-of-fatherhood-and-fertility-intention
#6
Megan Hamm, Elizabeth Miller, Lovie Jackson Foster, Mario Browne, Sonya Borrero
Despite demonstrable need, men's utilization of sexual and reproductive health services remains low. This low utilization may particularly affect low-income men, given the disproportionate prevalence of unintended pregnancy in low-income populations. Bolstering men's utilization of sexual and reproductive health services requires understanding the services that are most relevant to them. Semistructured interviews about fatherhood, fertility intention, and contraceptive use were conducted with 58 low-income Black and White men in Pittsburgh, Pennsylvania...
May 1, 2018: American Journal of Men's Health
https://www.readbyqxmd.com/read/29773083/reprising-the-globalization-dimensions-of-international-health
#7
EDITORIAL
Ronald Labonté
Globalization is a fairly recent addition to the panoply of concepts describing the internationalization of health concerns. What distinguishes it from 'international health' or its newer morphing into 'global health' is a specific analytical concern with how globalization processes, past or present, but particularly since the start of our neoliberal era post-1980, is affecting health outcomes. Globalization processes influence health through multiple social pathways: from health systems and financing reforms to migration flows and internal displacement; via trade and investment treaties, labour market 'flexibilization', and the spread of unhealthy commodities; or through deploying human rights and environment protection treaties, and strengthening health diplomacy efforts, to create more equitable and sustainable global health outcomes...
May 18, 2018: Globalization and Health
https://www.readbyqxmd.com/read/29770443/the-impact-of-policy-incentives-on-long-term-care-insurance-and-medicaid-costs-does-underwriting-matter
#8
Portia Y Cornell, David C Grabwoski
OBJECTIVE: To test whether underwriting modifies the effect of state-based incentives on individuals' purchase of long-term care insurance. DATA SOURCE: Health and Retirement Study (HRS), 1996-2012. STUDY DESIGN: We estimated difference-in-difference regression models with an interaction of state policy indicators with individuals' probabilities of being approved for long-term care insurance. DATA EXTRACTION: We imputed probabilities of underwriting approval for respondents in the HRS using a model developed with underwriting decisions from two U...
May 16, 2018: Health Services Research
https://www.readbyqxmd.com/read/29770294/three-dimensional-modelling-and-three-dimensional-printing-in-pediatric-and-congenital-cardiac-surgery
#9
REVIEW
Laszlo Kiraly
Three-dimensional (3D) modelling and printing methods greatly support advances in individualized medicine and surgery. In pediatric and congenital cardiac surgery, personalized imaging and 3D modelling presents with a range of advantages, e.g., better understanding of complex anatomy, interactivity and hands-on approach, possibility for preoperative surgical planning and virtual surgery, ability to assess expected results, and improved communication within the multidisciplinary team and with patients. 3D virtual and printed models often add important new anatomical findings and prompt alternative operative scenarios...
April 2018: Translational Pediatrics
https://www.readbyqxmd.com/read/29770158/whodas-2-0-as-a-measure-of-severity-of-illness-results-of-a-flda-analysis
#10
Alba Sedano-Capdevila, María Luisa Barrigón, David Delgado-Gomez, Igor Barahona, Fuensanta Aroca, Inmaculada Peñuelas-Calvo, Carolina Miguelez-Fernandez, Alba Rodríguez-Jover, Susana Amodeo-Escribano, Marta González-Granado, Enrique Baca-García
WHODAS 2.0 is the standard measure of disability promoted by World Health Organization whereas Clinical Global Impression (CGI) is a widely used scale for determining severity of mental illness. Although a close relationship between these two scales would be expected, there are no relevant studies on the topic. In this study, we explore if WHODAS 2.0 can be used for identifying severity of illness measured by CGI using the Fisher Linear Discriminant Analysis (FLDA) and for identifying which individual items of WHODAS 2...
2018: Computational and Mathematical Methods in Medicine
https://www.readbyqxmd.com/read/29769100/what-did-the-go4health-policy-research-project-contribute-to-the-policy-discourse-on-the-sustainable-development-goals-a-reflexive-review
#11
REVIEW
Vannarath Te, Nadia Floden, Sameera Hussain, Claire E Brolan, Peter S Hill
BACKGROUND: In 2012, the European Commission funded Go4Health-Goals and Governance for Global Health, a consortium of 13 academic research and human rights institutions from both Global North and South-to track the evolution of the Sustainable Development Goals (SDGs), and provide ongoing policy advice. This paper reviews the research outputs published between 2012 and 2016, analyzing the thematic content of the publications, and the influence on global health and development discourse through citation metrics...
May 16, 2018: Globalization and Health
https://www.readbyqxmd.com/read/29769071/informal-workers-access-to-health-care-services-findings-from-a-qualitative-study-in-the-kassena-nankana-districts-of-northern-ghana
#12
James Akazili, Samuel Chatio, John Ele-Ojo Ataguba, Isaiah Agorinya, Edmund Wedam Kanmiki, Osman Sankoh, Abraham Oduro
BACKGROUND: Over the past two decades, employment in the informal sector has grown rapidly in all regions including low and middle-income countries. In the developing countries, between 50 and 75% of workers are employed in the informal sector. In Ghana, more than 80% of the total working population is working in the informal sector. They are largely self-employed persons such as farmers, traders, food processors, artisans, craft-workers among others. The persistent problem in advancing efforts to address health vulnerabilities of informal workers is lack of systematic data...
May 16, 2018: BMC International Health and Human Rights
https://www.readbyqxmd.com/read/29768107/does-expanding-fiscal-space-lead-to-improved-funding-of-the-health-sector-in-developing-countries-lessons-from-kenya-lagos-state-nigeria-and-south-africa
#13
Jane Doherty, Doris Kirigia, Chijioke Okoli, Jane Chuma, N Ezumah, Hyacinth Ichoku, Kara Hanson, Diane McIntyre
BACKGROUND: The global focus on promoting Universal Health Coverage has drawn attention to the need to increase public domestic funding for health care in low- and middle-income countries. OBJECTIVES: This article examines whether increased tax revenue in the three territories of Kenya, Lagos State (Nigeria) and South Africa was accompanied by improved resource allocation to their public health sectors, and explores the reasons underlying the observed trends. METHODS: Three case studies were conducted by different research teams using a common mixed methods approach...
2018: Global Health Action
https://www.readbyqxmd.com/read/29768104/knowledge-beliefs-attitudes-and-behaviors-regarding-sickle-cell-disease-implications-for-prevention
#14
Marcella Smith, Gracie Brownell
Sickle cell disease (SCD) is a widespread inherited blood disorder, which leaves lasting effects on the health, social functioning, and finances of individuals, families, communities, and health care systems. A nonexperimental, cross-sectional research design was used to assess 415 college students' knowledge about SCD. Data was obtained through an online survey derived from a modified version of the SCD Knowledge Assessment Tool. The majority of participants (79%) reported previous SCD knowledge; however, 21% of the participants reported no previous SCD knowledge...
May 16, 2018: Social Work in Public Health
https://www.readbyqxmd.com/read/29765669/entrainment-in-the-master-equation
#15
Michael Margaliot, Lars Grüne, Thomas Kriecherbauer
The master equation plays an important role in many scientific fields including physics, chemistry, systems biology, physical finance and sociodynamics. We consider the master equation with periodic transition rates. This may represent an external periodic excitation like the 24 h solar day in biological systems or periodic traffic lights in a model of vehicular traffic. Using tools from systems and control theory, we prove that under mild technical conditions every solution of the master equation converges to a periodic solution with the same period as the rates...
April 2018: Royal Society Open Science
https://www.readbyqxmd.com/read/29765567/effects-of-multimodal-communication-program-on-patients-with-chronic-aphasia-a-single-subject-a-b-a-design-study
#16
Shohre Kaviani, Afshin Samaei, Masoomeh Salmani, Noureddin Nakhostin Ansari, Farnaz Dehnavi, Ehsan Shahverdi
Background and aim: Aphasia as a common consequence of stroke, is an acquired neurologic communication disorder that can affect symbol language processing. Different types of intervention approaches have been introduced. Multimodal Communication Program (MCP) is a new augmentative alternative communication approach in chronic aphasia. The aim of this study was to investigate the effect of MCP on communication skills of patients with chronic aphasia. Methods: This prospective, single subject, A-B-A design study was done during 2016 in Semnan, Iran...
March 2018: Electronic Physician
https://www.readbyqxmd.com/read/29765565/the-rediscovery-of-the-social-side-of-medicine-philosophy-and-value-of-the-international-classification-of-functioning-disability-and-health-icf
#17
EDITORIAL
Wolfgang Seger
Medicine is at risk of sliding into a sole repair service for the malfunction of organs. But the patients' hope and confidence towards doctors practicing this repair work go far beyond that: after acute medical treatment many patients suffer from chronic impairments due to the natural course of the disease or as a result of medical interventions. Despite resulting handicaps, patients aim at participating in family and social life, retaining a workplace and receiving support to remain a valued member of the family and the community...
March 2018: Electronic Physician
https://www.readbyqxmd.com/read/29758022/determinants-of-hardship-financing-in-coping-with-out-of-pocket-payment-for-care-seeking-of-under-five-children-in-selected-rural-areas-of-bangladesh
#18
Tazeen Tahsina, Nazia Binte Ali, Md Abu Bakkar Siddique, Sameen Ahmed, Mubashshira Rahman, Sajia Islam, Md Mezanur Rahman, Bushra Amena, D M Emdadul Hoque, Tanvir M Huda, Shams El Arifeen
BACKGROUND: Around 63% of total health care expenditure in Bangladesh is mitigated through out of pocket payment (OOP). Heavy reliance on OOP at the time of care seeking poses great threat for financial impoverishment of the households. Households employ different strategies to cope with the associated financial hardship. OBJECTIVE: The aim of this paper is to understand the determinants of hardship financing in coping with OOP adopted for health care seeking of under five childhood illnesses in rural setting of Bangladesh...
2018: PloS One
https://www.readbyqxmd.com/read/29757040/cost-savings-for-biosimilars-in-the-united-states-a-theoretical-framework-and-budget-impact-case-study-application-using-filgrastim
#19
Simrun Grewal, Scott Ramsey, Sanjeev Balu, Josh J Carlson
OBJECTIVE: Biosimilars can directly reduce the cost of treating patients for whom a reference biologic is indicated by offering a highly similar, lower priced alternative. We examine factors related to biosimilar regulatory approval, uptake, pricing, and financing and the potential impact on drug expenditures in the U.S. METHODS: We developed a framework to illustrate how key factors including regulatory policies, provider and patient perception, pricing, and payer policies impact biosimilar cost-savings...
May 14, 2018: Expert Review of Pharmacoeconomics & Outcomes Research
https://www.readbyqxmd.com/read/29751807/assessment-of-modern-contraceptives-continuation-switching-and-discontinuation-among-clients-in-pakistan-study-protocol-of-24-months-post-family-planning-voucher-intervention-follow-up
#20
Moazzam Ali, Syed Khurram Azmat, Hasan Bin Hamza
BACKGROUND: Pakistan has the second highest fertility rate in South Asia and its increasing population growth presents a significant challenge for country's path to progress and development. Modern contraceptive methods only account for a slow-rising 26% of use in Pakistan which is further lowest in the underserved areas (< 20%), with a high unmet need for family planning (20%). The David and Lucile Packard Foundation USA and Pakistan funded two operational research projects from 2012 to 2015, that employed a Demand-side Financing (DSF) approach testing the effectiveness of single and multi-purpose voucher schemes in increasing access and uptake of FP services and products among the women of two-lowest income quintiles in the Punjab province of Pakistan...
May 11, 2018: BMC Health Services Research
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