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https://www.readbyqxmd.com/read/28429977/are-some-areas-more-equal-than-others-socioeconomic-inequality-in-potentially-avoidable-emergency-hospital-admissions-within-english-local-authority-areas
#1
Jessica Sheringham, Miqdad Asaria, Helen Barratt, Rosalind Raine, Richard Cookson
Objectives Reducing health inequalities is an explicit goal of England's health system. Our aim was to compare the performance of English local administrative areas in reducing socioeconomic inequality in emergency hospital admissions for ambulatory care sensitive chronic conditions. Methods We used local authority area as a stable proxy for health and long-term care administrative geography between 2004/5 and 2011/12. We linked inpatient hospital activity, deprivation, primary care, and population data to small area neighbourhoods (typical population 1500) within administrative areas (typical population 250,000)...
April 2017: Journal of Health Services Research & Policy
https://www.readbyqxmd.com/read/28427479/mainstreaming-gender-and-promoting-intersectionality-in-papua-new-guinea-s-health-policy-a-triangulated-analysis-applying-data-mining-and-content-analytic-techniques
#2
G Lamprell, J Braithwaite
BACKGROUND: Gender mainstreaming is an approach to policy and planning that emphasizes equality between the sexes. It is the stated policy for gender equity in Papua New Guinea's (PNG) health sector, as well as all other sectors, and is enshrined in the policies of its biggest aid givers. However, there is criticism that gender mainstreaming's application has too often been technocratic and lacking in conceptual clarity not only in PNG but elsewhere. In the health sector this is further exacerbated by a traditional bio-medical approach, which is often paternalistic and insufficiently patient- and family-centered...
April 20, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28427353/assessing-the-impact-of-natural-policy-experiments-on-socioeconomic-inequalities-in-health-how-to-apply-commonly-used-quantitative-analytical-methods
#3
Yannan Hu, Frank J van Lenthe, Rasmus Hoffmann, Karen van Hedel, Johan P Mackenbach
BACKGROUND: The scientific evidence-base for policies to tackle health inequalities is limited. Natural policy experiments (NPE) have drawn increasing attention as a means to evaluating the effects of policies on health. Several analytical methods can be used to evaluate the outcomes of NPEs in terms of average population health, but it is unclear whether they can also be used to assess the outcomes of NPEs in terms of health inequalities. The aim of this study therefore was to assess whether, and to demonstrate how, a number of commonly used analytical methods for the evaluation of NPEs can be applied to quantify the effect of policies on health inequalities...
April 20, 2017: BMC Medical Research Methodology
https://www.readbyqxmd.com/read/28426597/accommodating-immigrant-women-s-preferences-for-female-health-care-providers
#4
Christa Aubrey, Zubia Mumtaz, Patrick B Patterson, Radha Chari, B F Peter Mitchell
OBJECTIVE: To investigate obstetricians' perspectives of the importance, effect, and challenges of providing intrapartum care to immigrant women who request a female obstetrician. METHODS: A focused ethnography was conducted at a large teaching hospital, which serves a high proportion of immigrant clientele (predominantly North or East African, Middle Eastern, and South Asian) in Edmonton, Alberta, Canada. Data collection comprised single, semistructured interviews with a purposive sample of 20 obstetric health care providers (10 resident and 10 staff obstetricians)...
May 2017: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28424144/expertise-and-infrastructure-capacity-impacts-acute-coronary-syndrome-outcomes
#5
Carolyn M Astley, Isuru Ranasinghe, David Brieger, Chris J Ellis, Julie Redfern, Tom Briffa, Bernadette Aliprandi-Costa, Tegwen Howell, Stephen G Bloomer, Greg Gamble, Andrea Driscoll, Karice K Hyun, Chris J Hammett, Derek P Chew
Objective Effective translation of evidence to practice may depend on systems of care characteristics within the health service. The present study evaluated associations between hospital expertise and infrastructure capacity and acute coronary syndrome (ACS) care as part of the SNAPSHOT ACS registry.Methods A survey collected hospital systems and process data and our analysis developed a score to assess hospital infrastructure and expertise capacity. Patient-level data from a registry of 4387 suspected ACS patients enrolled over a 2-week period were used and associations with guideline care and in-hospital and 6-, 12- and 18-month outcomes were measured...
April 20, 2017: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/28422547/active-travel-behavior-in-a-border-region-of-texas-and-new-mexico-motivators-deterrents-and-characteristics
#6
Ipek N Sener, Richard J Lee
BACKGROUND: Active travel has been linked with improved transportation and health outcomes, such as reduced traffic congestion and air pollution, improved mobility, accessibility and equity, and increased physical and mental health. The purpose of this study was to better understand active travel characteristics, motivators, and deterrents in the El Paso, Texas, region. METHODS: A multimodal transportation survey brought together elements of transportation and health, with a focus on attitudinal characteristics...
April 19, 2017: Journal of Physical Activity & Health
https://www.readbyqxmd.com/read/28421566/precision-global-health-in-the-digital-age
#7
Antoine Flahault, Antoine Geissbuhler, Idris Guessous, Philippe Guérin, Isabelle Bolon, Marcel Salathé, Gérard Escher
Precision global health is an approach similar to precision medicine, which facilitates, through innovation and technology, better targeting of public health interventions on a global scale, for the purpose of maximising their effectiveness and relevance. Illustrative examples include: the use of remote sensing data to fight vector-borne diseases; large databases of genomic sequences of foodborne pathogens helping to identify origins of outbreaks; social networks and internet search engines for tracking communicable diseases; cell phone data in humanitarian actions; drones to deliver healthcare services in remote and secluded areas...
April 19, 2017: Swiss Medical Weekly
https://www.readbyqxmd.com/read/28420540/what-do-we-mean-when-we-talk-about-the-triple-aim-a-systematic-review-of-evolving-definitions-and-adaptations-of-the-framework-at-the-health-system-level
#8
REVIEW
Gustavo Mery, Shilpi Majumder, Adalsteinn Brown, Mark J Dobrow
Notwithstanding important contributions of the Triple Aim, uncritical enthusiasm regarding the implications of the framework may be leading to inconsistent use, particularly when applied at the health system level, which goes beyond the original positioning of the framework as a strategic organizing principle to guide improvement initiatives at the organizational or local community level. We systematically identified uses of the Triple Aim that extended beyond its original intention to focus on uses at the whole health system level, to assess convergence and divergence with the original definition...
April 1, 2017: Health Policy
https://www.readbyqxmd.com/read/28420381/operations-research-in-global-health-a-scoping-review-with-a-focus-on-the-themes-of-health-equity-and-impact
#9
REVIEW
Beverly D Bradley, Tiffany Jung, Ananya Tandon-Verma, Bassem Khoury, Timothy C Y Chan, Yu-Ling Cheng
BACKGROUND: Operations research (OR) is a discipline that uses advanced analytical methods (e.g. simulation, optimisation, decision analysis) to better understand complex systems and aid in decision-making. Herein, we present a scoping review of the use of OR to analyse issues in global health, with an emphasis on health equity and research impact. A systematic search of five databases was designed to identify relevant published literature. A global overview of 1099 studies highlights the geographic distribution of OR and common OR methods used...
April 18, 2017: Health Research Policy and Systems
https://www.readbyqxmd.com/read/28420267/promoting-health-through-policy-and-systems-change-public-health-students-and-mentors-on-the-value-of-policy-advocacy-experience-in-academic-internships
#10
Daniela Marquez, Dylan Pell, Sue Forster-Cox, Evelyn Garcia, Sophia Ornelas, Brenna Bandstra, Holly Mata
Emerging professionals and new Certified Health Education Specialists often lack academic training in and actual experience in National Commission for Health Education Credentialing Area of Responsibility VII: Communicate, Promote, and Advocate for Health, Health Education/Promotion, and the Profession. For undergraduate and graduate students who have an opportunity to complete an internship or practicum experience, gaining experience in Competencies 7.2: Engage in advocacy for health and health education/promotion and 7...
May 2017: Health Promotion Practice
https://www.readbyqxmd.com/read/28419529/critical-discourse-analysis-of-social-justice-in-nursing-s-foundational-documents
#11
Claire P Valderama-Wallace
OBJECTIVE: Social inequities threaten the health of the global population. A superficial acknowledgement of social justice by nursing's foundational documents may limit the degree to which nurses view injustice as relevant to nursing practice and education. The purpose was to examine conceptualizations of social justice and connections to broader contexts in the most recent editions. DESIGN: Critical discourse analysis examines and uncovers dynamics related to power, language, and inequality within the American Nurses Association's Code of Ethics, Scope and Standards of Practice, and Social Policy Statement...
April 17, 2017: Public Health Nursing
https://www.readbyqxmd.com/read/28419286/horizontal-inequity-in-outpatient-care-use-and-untreated-morbidity-evidence-from-nationwide-surveys-in-india-between-1995-and-2014
#12
Anamika Pandey, George B Ploubidis, Lynda Clarke, Lalit Dandona
Equity in healthcare has been a long-term guiding principle of health policy in India. We estimate the change in horizontal inequities in healthcare use over two decades comparing the older population (60 years or more) with the younger population (under 60 years). We used data from the nationwide healthcare surveys conducted in India by the National Sample Survey Organization in 1995-96 and 2014 with sample sizes 633 405 and 335 499, respectively. Bivariate and multivariate logit regression analyses were used to study the socioeconomic differentials in self-reported morbidity (SRM), outpatient care and untreated morbidity...
April 17, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28418797/reframing-the-context-of-the-breastfeeding-narrative-a-critical-opportunity-for-health-equity-through-evidence-based-advocacy
#13
Michele K Griswold
No abstract text is available yet for this article.
May 2017: Journal of Human Lactation: Official Journal of International Lactation Consultant Association
https://www.readbyqxmd.com/read/28416570/taking-health-into-account-in-all-policies-raising-and-keeping-health-equity-high-on-the-political-agenda
#14
EDITORIAL
Lauri Kokkinen, Ketan Shankardass, Patricia O'Campo, Carles Muntaner
No abstract text is available yet for this article.
April 17, 2017: Journal of Epidemiology and Community Health
https://www.readbyqxmd.com/read/28412464/grade-equity-guidelines-1-health-equity-in-guideline-development-introduction-and-rationale
#15
Vivian A Welch, Elie A Akl, Gord Guyatt, Kevin Pottie, Javier Eslava-Schmalbach, Mohammed T Ansari, Hans de Beer, Matthias Briel, Tony Dans, Inday Dans, Monica Hultcrantz, Janet Jull, Srinivasa Vittal Katikireddi, Joerg Meerpohl, Rachael Morton, Annhild Mosdol, Jennifer Petkovic, Holger Schünemann, Ravi Sharaf, Jasvinder Singh, Roger Stanev, Thomy Tonia, Mario Tristan, Sigurd Vitols, Joseph Watine, Peter Tugwell
OBJECTIVES: This paper introduces the rationale and methods for explicitly considering health equity in the GRADE methodology for development of clinical, public health and health system guidelines. STUDY DESIGN AND SETTING: guidance for guideline development STUDY DESIGN AND SETTING: We searched for guideline methodology papers, conceptual papers about health equity and examples of guidelines which considered health equity explicitly. We held three meetings with GRADE working group members, and invited comments from the GRADE working group listserve RESULTS: We developed three papers on incorporating equity considerations into the overall approach to guideline development, rating certainty and assembling the evidence base and evidence to decision/recommendation...
April 12, 2017: Journal of Clinical Epidemiology
https://www.readbyqxmd.com/read/28411964/understanding-what-matters-an-exploratory-study-to-investigate-the-views-of-the-general-public-for-priority-setting-criteria-in-health-care
#16
Julie Ratcliffe, Emily Lancsar, Ruth Walker, Yuanyuan Gu
Health care policy makers internationally are increasingly expressing commitment to consultation with, and incorporation of, the views of the general public into the formulation of health policy and the process of setting health care priorities. In practice, however, there are relatively few opportunities for the general public to be involved in health care decision-making. In making resource allocation decisions, funders, tasked with managing scarce health care resources, are often faced with difficult decisions in balancing efficiency with equity considerations...
March 16, 2017: Health Policy
https://www.readbyqxmd.com/read/28405531/will-the-meikirch-model-a-new-framework-for-health-induce-a-paradigm-shift-in-healthcare
#17
REVIEW
Johannes Bircher, Eckhart G Hahn
Over the past decades, scientific medicine has realized tremendous advances. Yet, it is felt that the quality, costs, and equity of medicine and public health have not improved correspondingly and, both inside and outside the USA, may even have changed for the worse. An initiative for improving this situation is value-based healthcare, in which value is defined as health outcomes relative to the cost of achieving them. Value-based healthcare was advocated in order to stimulate competition among healthcare providers and thereby reduce costs...
March 6, 2017: Curēus
https://www.readbyqxmd.com/read/28403844/health-and-legal-literacy-for-migrants-twinned-strands-woven-in-the-cloth-of-social-justice-and-the-human-right-to-health-care
#18
Bilkis Vissandjée, Wendy E Short, Karine Bates
BACKGROUND: Based on an analysis of published literature, this paper provides an over-view of the challenges associated with delivering on the right to access quality health care for international migrants to industrialized countries, and asks which group of professionals is best equipped to provide services that increase health and legal literacy. Both rights and challenges are approached from a social justice perspective with the aim of identifying opportunities to promote greater health equity...
April 13, 2017: BMC International Health and Human Rights
https://www.readbyqxmd.com/read/28403738/a-critique-of-risk-disclosure-as-the-solution-for-minimizing-toxic-exposures-in-pregnancy
#19
Anne Rochon Ford, Dayna Nadine Scott
The issue of pregnant women's exposures to everyday chemicals and the implications for the health of future children are receiving increased attention in popular media and in the academic press. In response, health profession organizations are developing clinical practice guidelines for warning pregnant women about the risks associated with exposures to certain toxics. We evaluate different sides of a risk-avoidance approach for pregnant women in the context of a hypothetical case study involving phthalates and women who work in nail salons...
May 2017: New Solutions: a Journal of Environmental and Occupational Health Policy: NS
https://www.readbyqxmd.com/read/28402827/structural-racism-and-health-inequities-in-the-usa-evidence-and-interventions
#20
REVIEW
Zinzi D Bailey, Nancy Krieger, Madina Agénor, Jasmine Graves, Natalia Linos, Mary T Bassett
Despite growing interest in understanding how social factors drive poor health outcomes, many academics, policy makers, scientists, elected officials, journalists, and others responsible for defining and responding to the public discourse remain reluctant to identify racism as a root cause of racial health inequities. In this conceptual report, the third in a Series on equity and equality in health in the USA, we use a contemporary and historical perspective to discuss research and interventions that grapple with the implications of what is known as structural racism on population health and health inequities...
April 8, 2017: Lancet
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