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https://www.readbyqxmd.com/read/28722771/navigating-and-negotiating-information-and-support-experiences-of-first-time-mothers
#1
Megan Aston, Sheri Price, Joelle Monaghan, Meaghan Sim, Andrea Hunter, Victoria Little
AIM: To examine how first time mothers in Nova Scotia (NS) identified and prioritized their own postpartum needs and where they went for information and support, inclusive of informal or formal programs and services, social media, family and friends. BACKGROUND: The early postpartum period is an exciting, yet stressful life experience for first time mothers. Mothers have often turned to families, friends and health care professionals for support and information; however, these social networks look differently today due to changes in institutional policies and postpartum health care practices, as well as the emergence of online resources and networks...
July 19, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28722548/the-change-makers-of-west-africa
#2
EDITORIAL
Sue Godt, Sharmila Mhatre, Anne-Marie Schryer-Roy
West Africa was the focus of global attention during the Ebola virus disease outbreak, when systemic health system weaknesses compounded a serious emergency and complicated response efforts. Following the crisis, calls were made to strengthen health systems, but investments to date have fallen short of delivering the support needed to build strong health systems able to prevent and manage future outbreaks.In part, this reality serves to highlight the shortcomings of the solutions being repeatedly prioritised by external funders and experts, solutions that often fail to consider the wealth of West African evidence and actors actively working to strengthen the leadership and health systems needed to drive and sustainably improve national health outcomes...
July 12, 2017: Health Research Policy and Systems
https://www.readbyqxmd.com/read/28721607/access-to-high-cost-cancer-medicines-through-the-lens-of-an-australian-senate-inquiry-defining-the-goods-at-stake
#3
Narcyz Ghinea, Miles Little, Wendy Lipworth
Cancer is a major burden on populations and health systems internationally. The development of innovative cancer medicines is seen as a significant part of the solution. These new cancer medicines are, however, expensive, leading to limited or delayed access and disagreements among stakeholders about which medicines to fund. There is no obvious resolution to these disagreements, with stakeholders holding firmly to divergent positions. Access to cancer medicines was recently explored in Australia in a Senate Inquiry into the Availability of New, Innovative, and Specialist Cancer Drugs in Australia...
July 18, 2017: Journal of Bioethical Inquiry
https://www.readbyqxmd.com/read/28719793/twenty-years-of-progress-on-maternal-and-child-health-in-the-philippines-an-equity-lens
#4
Caryn Bredenkamp, Leander R Buisman
This article assesses trends and inequalities in maternal and child health in the Philippines between 1993 and 2013, using 6 national household surveys, and also compares the Philippines' performance to 15 other Asia-Pacific countries. Thirteen indicators of child health outcomes and maternal and child health interventions are examined. Two measures of inequality are used: the absolute difference between the poorest and wealthiest quintile, and the concentration index. Coverage of all indicators has improved, both on average and among the poorest quintile; however, increases are very small for child health interventions (especially immunization coverage)...
July 2017: Asia-Pacific Journal of Public Health
https://www.readbyqxmd.com/read/28716350/progress-and-priorities-for-reproductive-maternal-newborn-and-child-health-in-kenya-a-countdown-to-2015-country-case-study
#5
Emily C Keats, Anthony Ngugi, William Macharia, Nadia Akseer, Emma Nelima Khaemba, Zaid Bhatti, Arjumand Rizvi, John Tole, Zulfiqar A Bhutta
BACKGROUND: Progress in reproductive, maternal, newborn, and child health (RMNCH) in Kenya has been inconsistent over the past two decades, despite the global push to foster accountability, reduce child mortality, and improve maternal health in an equitable manner. Although several cross-sectional assessments have been done, a systematic analysis of RMNCH in Kenya was needed to better understand the push and pull factors that govern intervention coverage and influence mortality trends...
August 2017: Lancet Global Health
https://www.readbyqxmd.com/read/28711284/financialisation-in-health-care-an-analysis-of-private-equity-fund-investments-in-turkey
#6
Ipek Eren Vural
The 2007-2008 global financial crisis revived interest in the impacts of financial markets and actors on our social and economic life. Nevertheless, research on health care financialisation remains scant. This article presents findings from research on one modality of financial investments in health care: global private equity funds' investments in private hospitals. Adopting a political economy approach, it analyses the drivers and impacts of the upsurge of global private equity investments in the Turkish private hospital sector amid the global financial crisis...
June 9, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28709461/do-public-nursing-home-care-providers-deliver-higher-quality-than-private-providers-evidence-from-sweden
#7
Ulrika Winblad, Paula Blomqvist, Andreas Karlsson
BACKGROUND: Swedish nursing home care has undergone a transformation, where the previous virtual public monopoly on providing such services has been replaced by a system of mixed provision. This has led to a rapidly growing share of private actors, the majority of which are large, for-profit firms. In the wake of this development, concerns have been voiced regarding the implications for care quality. In this article, we investigate the relationship between ownership and care quality in nursing homes for the elderly by comparing quality levels between public, for-profit, and non-profit nursing home care providers...
July 14, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28709413/who-wants-to-be-involved-in-health-care-decisions-comparing-preferences-for-individual-and-collective-involvement-in-england-and-sweden
#8
Mio Fredriksson, Max Eriksson, Jonathan Tritter
BACKGROUND: Patient and public involvement (PPI) is framed as positive for individuals, the health system, public health, as well as for communities and society as a whole. We investigated whether preferences for PPI differed between two countries with Beveridge type health systems-Sweden and England. We measured willingness to be involved in individual treatment decisions and in decisions about the organization and provision of local health and social care services. METHODS: This was a comparative cross-sectional study of the general population's preferences...
July 14, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28708245/health-equity-issues-related-to-childhood-obesity-a-scoping-review
#9
Clemencia M Vargas, Elsie M Stines, Herta S Granado
PURPOSE: The purpose of this scoping review was to determine the health-equity issues that relate to childhood obesity. METHODS: Health-equity issues related to childhood obesity were identified by analyzing food environment, natural and built environment, and social environment. The authors searched Medline, PubMed, and Web of Science, using the keywords "children" and "obesity." Specific terms for each environment were added: "food desert," "advertising," "insecurity," "price," "processing," "trade," and "school" for food environment; "urban design," "land use," "transportation mode," "public facilities," and "market access" for natural and built environment; and "financial capacity/poverty," "living conditions," "transport access," "remoteness," "social support," "social cohesion," "working practices," "eating habits," "time," and "social norms" for social environment...
July 14, 2017: Journal of Public Health Dentistry
https://www.readbyqxmd.com/read/28707333/equity-in-maternal-and-infant-care-services-in-china-a-trend-analysis-based-on-residence-and-area-2000-2014
#10
Hong Liang, Shuai Fang, Shanshan Liu, Xinyu Liu, Yanting Li, Ming Li, Yimin Zhang
Equity in maternal- and infant-care services is key to achieving equity in maternal and infant health outcomes. In this study, 12 indicators of maternal and infant services were selected to measure equity in maternal and infant services in China from 2000-2014 using the Theil index and between-group variance, with the result showing that equity has improved steadily and significantly, though serious inequities in premarital and reproductive health services remain. Relatively speaking, equity at the interprovincial level has increased, but equity in urban-rural stratification has improved more, indicating that policies should focus on interprovincial inequities and premarital and reproductive health services...
July 14, 2017: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/28705359/misconceived-equity-health-care-resources-contextual-poverty-and-child-health-disparities-in-peru
#11
Heeju Shin, Lissette Aliaga-Linares, Marcus Britton
Although many studies have examined determinants of child health, fewer have explored factors explaining regional disparities in child health outcomes. In the Peruvian context, we examined the relationship between regional disparities in child malnutrition and local variation in health resources (health care resources and the socioeconomic environment). Using the Peruvian 2007-2008 Continuous Demographic and Health Survey (N = 8020) and governmental administrative data, our analyses show that 1) only selected types of health care resources (medical professionals and outpatient visits) are related to child nutritional status, 2) local poverty predicts nutritional status net of household characteristics, and, most importantly, 3) a significant portion of regional differences in child malnutrition are explained by local poverty, whereas health care resources are not associated with regional disparities...
August 2017: Social Science Research
https://www.readbyqxmd.com/read/28705320/quality-and-equitable-health-care-gaps-for%C3%A2-women-attributions-to-sex-differences-in-cardiovascular-medicine
#12
REVIEW
Leslee J Shaw, Carl J Pepine, Joe Xie, Puja K Mehta, Alanna A Morris, Neal W Dickert, Keith C Ferdinand, Martha Gulati, Harmony Reynolds, Sharonne N Hayes, Dipti Itchhaporia, Jennifer H Mieres, Elizabeth Ofili, Nanette K Wenger, C Noel Bairey Merz
The present review synthesizes evidence and discusses issues related to health care quality and equity for women, including minority population subgroups. The principle of "sameness" or women and men receiving equitable, high-quality care is a near-term target, but optimal population health cannot be achieved without consideration of the unique, gendered structural determinants of health and the development of unique care pathways optimized for women. The aim of this review is to promote enhanced awareness, develop critical thinking in sex and gender science, and identify strategic pathways to improve the cardiovascular health of women...
July 18, 2017: Journal of the American College of Cardiology
https://www.readbyqxmd.com/read/28699077/focusing-attention-on-ancestral-diversity-within-genomics-research-a-potential-means-for-promoting-equity-in-the-provision-of-genomics-based-healthcare-services-in-developing-countries
#13
Nirmala D Sirisena, Vajira H W Dissanayake
Although we are well into the second decade after the completion of the International Human Genome Project, genomic research has failed to fully represent the diverse ancestry of global populations. The resultant healthcare challenges faced by populations underrepresented in genomic research needs to be tackled by the global scientific community. In this paper, we address several major factors which have contributed to the existing health disparity and put forward a combination of scientific and political interventions needed to bring about a change that will ensure all global populations benefit equally from the advances made in genomic medicine and research...
July 11, 2017: Journal of Community Genetics
https://www.readbyqxmd.com/read/28697732/an-assessment-of-equity-in-the-distribution-of-non-financial-health-care-inputs-across-public-primary-health-care-facilities-in-tanzania
#14
August Kuwawenaruwa, Josephine Borghi, Michelle Remme, Gemini Mtei
BACKGROUND: There is limited evidence on how health care inputs are distributed from the sub-national level down to health facilities and their potential influence on promoting health equity. To address this gap, this paper assesses equity in the distribution of health care inputs across public primary health facilities at the district level in Tanzania. METHODS: This is a quantitative assessment of equity in the distribution of health care inputs (staff, drugs, medical supplies and equipment) from district to facility level...
July 11, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28696824/age-appropriate-versus-up-to-date-coverage-of-routine-childhood-vaccinations-among-young-children-in-israel
#15
Chen Stein-Zamir, Avi Israeli
BACKGROUND AND AIMS: Routine childhood vaccinations schedules recommend that children receive the vaccine doses at specific ages. Vaccination coverage data are conventionally reported by the up-to-date method. We aimed to assess vaccination timeliness by the age-appropriate method and compare to the up-to-date vaccination coverage. METHODS: Assessment of age-appropriate and up-to-date vaccination coverage among children born in Israel in 2009 and followed to age 48 months (national representative sample, n = 3892)...
July 11, 2017: Human Vaccines & Immunotherapeutics
https://www.readbyqxmd.com/read/28694285/aafp-takes-leadership-role-with-launch-of-center-for-diversity-health-equity
#16
Michael Laff
No abstract text is available yet for this article.
July 2017: Annals of Family Medicine
https://www.readbyqxmd.com/read/28693549/equity-in-hta-what-doesn-t-get-measured-gets-marginalised
#17
Richard Cookson, Andrew J Mirelman
When making recommendations about the public funding of new health technologies, policy makers typically pay close attention to quantitative evidence about the comparative effectiveness, cost effectiveness and budget impact of those technologies - what we might call "efficiency" criteria. Less attention is paid, however, to quantitative evidence about who gains and who loses from these public expenditure decisions, and whether those who gain are better or worse off than the rest of the population in terms of their health - what we might call "equity" criteria...
July 10, 2017: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/28692613/associations-among-cardiometabolic-abnormalities-obesity-and-sociobehavioral-factors-in-a-southern-nevada-adult-population
#18
Jing Feng, Michael D Johnson, Joseph P Iser
CONTEXT: Cardiometabolic abnormalities underlie many health risks associated with obesity. OBJECTIVE: We determined the relationship between cardiometabolic abnormalities, sociodemographic characteristics, and modifiable risk factors among adults in Southern Nevada. DESIGN: We included 2415 participants older than 20 years from the Behavioral Risk Factor Surveillance System surveys conducted in 2011, 2013, and 2015 in Southern Nevada. Cardiometabolic abnormalities were assessed on the combined basis of blood pressure, cholesterol, and diabetes status...
July 7, 2017: Journal of Public Health Management and Practice: JPHMP
https://www.readbyqxmd.com/read/28691146/expanding-the-cultural-adaptation-framework-for-population-level-impact
#19
Nancy A Gonzales
Attention to cultural diversity and cultural adaptation of evidence-based interventions (EBIs) has been a longstanding priority in prevention science. However, EBIs for diverse populations present several challenges for broad dissemination and population impact. The five papers in this special issue underscore some of these challenges and offer new ways of thinking and recommendations for the next generation of type 2 translation research. This commentary underscores three broad recommendations, including the need for a more expanded conceptualization and empirical understanding of the core tension between fidelity and adaptation; greater focus on the systems of care that deliver EBIs to culturally diverse populations, including increased attention to such issues as access and engagement; and greater flexibility in strategies to adapt and evaluate interventions within and across communities and settings that serve diverse populations...
August 2017: Prevention Science: the Official Journal of the Society for Prevention Research
https://www.readbyqxmd.com/read/28689472/politics-and-professions-interdisciplinary-team-models-and-their-implications-for-health-equity-in-ontario
#20
Susan Marie Haydt
Ontario's efforts to reform primary care through interdisciplinary primary care teams are unprecedented in Canada. Since 2004, the provincial government has focused its reform efforts on three models: Family Health Teams (FHTs), Community Health Centres (CHCs), and Nurse Practitioner-led Clinics (NPLCs). These models vary by team structure, funding, and governance. I examine the strong preference for the FHT model by the government and medical profession, and the implications of this preference on health equity...
January 1, 2017: International Journal of Health Services: Planning, Administration, Evaluation
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