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https://www.readbyqxmd.com/read/28077235/drivers-of-poor-medical-care
#1
REVIEW
Vikas Saini, Sandra Garcia-Armesto, David Klemperer, Valerie Paris, Adam G Elshaug, Shannon Brownlee, John P A Ioannidis, Elliott S Fisher
The global ubiquity of overuse and underuse of health-care resources and the gravity of resulting harms necessitate an investigation of drivers to inform potential solutions. We describe the network of influences that contribute to poor care and suggest that it is driven by factors that fall into three domains: money and finance; knowledge, bias, and uncertainty; and power and human relationships. In each domain the drivers operate at the global, national, regional, and individual level, and are modulated by the specific contexts within which they act...
January 6, 2017: Lancet
https://www.readbyqxmd.com/read/28077089/control-beliefs-and-risk-for-4-year-mortality-in-older-adults-a-prospective-cohort-study
#2
Wei Duan-Porter, Susan Nicole Hastings, Brian Neelon, Courtney Harold Van Houtven
BACKGROUND: Control beliefs are important psychological factors that likely contribute to heterogeneity in health outcomes for older adults. We evaluated whether control beliefs are associated with risk for 4-year mortality, after accounting for established "classic" biomedical risk factors. We also determined if an enhanced risk model with control beliefs improved identification of individuals with low vs. high mortality risk. METHODS: We used nationally representative data from the Health and Retirement Study (2006-2012) for adults 50 years or older in 2006 (n = 7313) or 2008 (n = 6301)...
January 11, 2017: BMC Geriatrics
https://www.readbyqxmd.com/read/28069859/global-health-a-pivotal-moment-of-opportunity-and-peril
#3
Lawrence O Gostin, Eric A Friedman
A growing tide of populism in Europe and the United States, combined with other factors, threatens the solidarity upon which the global health movement is based. The highest-profile example of the turn toward populism is US president-elect Donald Trump, whose proposals would redefine US engagement in global health, development, and environmental efforts. In this challenging landscape, three influential global institutions-the United Nations, the World Health Organization, and the World Bank-are undergoing leadership transitions...
January 1, 2017: Health Affairs
https://www.readbyqxmd.com/read/28069528/personal-and-professional-well-being-of-surgical-residents-in-new-england
#4
Peter S Yoo, John J Tackett, Mark W Maxfield, Rosemarie Fisher, Stephen J Huot, Walter E Longo
BACKGROUND: Although there is increasing literature about burnout and attrition among surgeons, little is known about personal and professional well-being of surgical trainees. STUDY DESIGN: General surgery residents from the six New England states participated in a cross-sectional, qualitative, self-reported survey to assess the domains of personal health maintenance, personal finance, work environment, and fatigue management as they relate to surgical training...
January 6, 2017: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/28069345/patients-perspectives-on-quality-of-life-after-burn
#5
Marianne B Kool, Rinie Geenen, Marthe R Egberts, Hendriët Wanders, Nancy E Van Loey
BACKGROUND: The concept quality of life (QOL) refers to both health-related outcomes and one's skills to reach these outcomes, which is not yet incorporated in the burn-related QOL conceptualisation. The aim of this study was to obtain a comprehensive overview of relevant burn-specific domains of QOL from the patient's perspective and to determine its hierarchical structure. METHODS: Concept mapping was used comprising a focus group (n=6), interviews (n=25), and a card-sorting task (n=24) in burn survivors...
January 6, 2017: Burns: Journal of the International Society for Burn Injuries
https://www.readbyqxmd.com/read/28068538/utilization-of-peers-in-services-for-youth-with-emotional-and-behavioral-challenges-a-scoping-review
#6
Geetha Gopalan, Sang Jung Lee, Ryan Harris, Mary C Acri, Michelle R Munson
This scoping review synthesizes published and unpublished information on Youth Peer Support Services (YPSS), where young adults with current or prior mental health challenges provide support services to other youth and young adults currently struggling with similar difficulties. Existing published and unpublished "grey" literature were reviewed, yielding 30 programs included for data extraction and qualitative syntheses using a descriptive analytic framework. Findings identify variations in service delivery structures, program goals, host service systems, peer roles, core competencies, training and supervision needs, outcomes for youth and young adult consumers, as well as organizational readiness needs to integrate YPSS...
January 6, 2017: Journal of Adolescence
https://www.readbyqxmd.com/read/28068362/conflict-of-interest-policies-at-french-medical-schools-starting-from-the-bottom
#7
Paul Scheffer, Christian Guy-Coichard, David Outh-Gauer, Zoéline Calet-Froissart, Mathilde Boursier, Barbara Mintzes, Jean-Sébastien Borde
BACKGROUND: Medical faculties have a role in ensuring that their students are protected from undue commercial influence during their training, and are educated about professional-industry interactions. In North America, many medical faculties have introduced more stringent conflict of interest (COI) policies during the last decade. We asked whether similar steps had been taken in France. We hypothesized that such policies may have been introduced following a 2009-2010 drug safety scandal (benfluorex, Mediator) in which COIs in medicine received prominent press attention...
2017: PloS One
https://www.readbyqxmd.com/read/28067194/mapping-actions-to-improve-access-to-medicines-for-mental-disorders-in-low-and-middle-income-countries
#8
C Barbui, T Dua, K Kolappa, B Saraceno, S Saxena
AIMS: In recent years a number of intergovernmental initiatives have been activated in order to enhance the capacity of countries to improve access to essential medicines, particularly for mental disorders. In May 2013 the 66th World Health Assembly adopted the World Health Organization (WHO) Comprehensive Mental Health Action Plan 2013-2020, which builds upon the work of WHO's Mental Health Gap Action Programme. Within this programme, evidence-based guidelines for mental disorders were developed, including recommendations on appropriate use of medicines...
January 9, 2017: Epidemiology and Psychiatric Sciences
https://www.readbyqxmd.com/read/28056968/co-payments-for-general-practitioners-in-denmark-an-analysis-using-two-policy-models
#9
Camilla Hansen, Despena Andrioti
BACKGROUND: The increasing health expenditure for general practitioners (GPs) in Denmark requires that other ways of financing the health system are investigated. This study aims to analyse possibilities for implementing out-of-pocket payments to GPs in Denmark. METHODS: The study was conducted as a literature review with 11 articles included. The Health Policy Triangle and the Kingdon Model were used in analysing and discussing the implementation of a cost-sharing policy with an emphasis on the out-of-pocket payments method...
January 5, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28056954/estimating-direct-effects-of-parental-occupation-on-spaniards-health-by-birth-cohort
#10
Jaime Pinilla, Beatriz G Lopez-Valcarcel, Rosa M Urbanos-Garrido
BACKGROUND: Social health inequalities in adult population are partly due to socioeconomic circumstances in childhood. A better understanding of how those circumstances affect health during adulthood may improve the opportunities for reducing health disparities. The objective of this study is to investigate the effect of parental socioeconomic status, which is proxied by occupation, on adult Spaniards' health by birth cohort. The analysis will allow checking not only the direct impact of parental occupation on their offspring's health, but also whether inherited inequality has been reduced over time...
January 5, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28052771/performance-based-financing-for-improving-hiv-aids-service-delivery-a-systematic-review
#11
Amitabh B Suthar, Jason M Nagata, Sabin Nsanzimana, Till Bärnighausen, Eyerusalem K Negussie, Meg C Doherty
BACKGROUND: Although domestic HIV/AIDS financing is increasing, international HIV/AIDS financing has plateaued. Providing incentives for the health system (i.e. performance-based financing [PBF]) may help countries achieve more with available resources. We systematically reviewed effects of PBF on HIV/AIDS service delivery to inform WHO guidelines. METHODS: PubMed, WHO Index Medicus, conference databases, and clinical trial registries were searched in April 2015 for randomised trials, comparative contemporaneous studies, or time-series studies...
January 4, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28050999/retaining-health-workforce-in-rural-and-underserved-areas-of-india-what-works-and-what-doesn-t-a-critical-interpretative-synthesis
#12
REVIEW
Sonu Goel, Federica Angeli, Nidhi Bhatnagar, Neetu Singla, Manoj Grover, Hans Maarse
BACKGROUND: Human resource for health is critical in quality healthcare delivery. India, with a large rural population (68.8%), needs to urgently bridge the gaps in health workforce deployment between urban and rural areas. METHODS: We did a critical interpretative synthesis of the existing literature by using a predefined selection criteria to assess relevant manuscripts to identify the reasons for retaining the health workforce in rural and underserved areas. We discuss different strategies for retention of health workforce in rural areas on the basis of four major retention interventions, viz...
July 2016: National Medical Journal of India
https://www.readbyqxmd.com/read/28050680/combined-social-and-private-health-insurance-versus-catastrophic-out-of-pocket-payments-for-private-hospital-care-in-greece
#13
Nikolaos Grigorakis, Christos Floros, Haritini Tsangari, Evangelos Tsoukatos
The high level of out of pocket (OOP) payments constitutes a major concern for Greece and several other European and OECD countries as a result of the significant down turning of their public health finances due to the 2008 financial crisis. The basic objective of this study is to provide empirical evidence on the effect of combining social health insurance (SHI) and private health insurance (PHI) on OOP payments. Further, this study examines the catastrophic impact of OOP payments on insured's welfare using the incidence and intensity methodological approach of measuring catastrophic health care expenditures...
January 3, 2017: Int J Health Econ Manag
https://www.readbyqxmd.com/read/28049495/the-link-between-the-west-african-ebola-outbreak-and-health-systems-in-guinea-liberia-and-sierra-leone-a-systematic-review
#14
REVIEW
Haitham Shoman, Emilie Karafillakis, Salman Rawaf
BACKGROUND: An Ebola outbreak started in December 2013 in Guinea and spread to Liberia and Sierra Leone in 2014. The health systems in place in the three countries lacked the infrastructure and the preparation to respond to the outbreak quickly and the World Health Organisation (WHO) declared a public health emergency of international concern on August 8 2014. OBJECTIVE: The aim of this study was to determine the effects of health systems' organisation and performance on the West African Ebola outbreak in Guinea, Liberia and Sierra Leone and lessons learned...
January 4, 2017: Globalization and Health
https://www.readbyqxmd.com/read/28049486/towards-eliminating-malaria-in-high-endemic-countries-the-roles-of-community-health-workers-and-related-cadres-and-their-challenges-in-integrated-community-case-management-for-malaria-a-systematic-review
#15
REVIEW
Bruno F Sunguya, Linda B Mlunde, Rakesh Ayer, Masamine Jimba
BACKGROUND: Human resource for health crisis has impaired global efforts against malaria in highly endemic countries. To address this, the World Health Organization (WHO) recommended scaling-up of community health workers (CHWs) and related cadres owing to their documented success in malaria and other disease prevention and management. Evidence is inconsistent on the roles and challenges they encounter in malaria interventions. This systematic review aims to summarize evidence on roles and challenges of CHWs and related cadres in integrated community case management for malaria (iCCM)...
January 3, 2017: Malaria Journal
https://www.readbyqxmd.com/read/28049466/cost-benefit-analysis-of-malaria-rapid-diagnostic-test-the-perspective-of-nigerian-community-pharmacists
#16
Ifeoma Jovita Ezennia, Sunday Odunke Nduka, Obinna Ikechukwu Ekwunife
BACKGROUND: In 2010, the World Health Organization issued a guideline that calls for a shift from presumptive to test-based treatment. However, test-based treatment is still unpopular in community pharmacies. This could be due to unwillingness of customers to spend extra finance on rapid diagnostic test (RDT). It could also result from lack of interest from community pharmacists since they may perceive no financial gain attached to this service. This study assessed the cost-benefit of test-based malaria treatment to community pharmacists...
January 3, 2017: Malaria Journal
https://www.readbyqxmd.com/read/28046059/donor-financing-of-global-mental-health-1995-2015-an-assessment-of-trends-channels-and-alignment-with-the-disease-burden
#17
F J Charlson, J Dieleman, L Singh, H A Whiteford
BACKGROUND: A recent report by the Institute for Health Metrics and Evaluation (IHME) highlights that mental health receives little attention despite being a major cause of disease burden. This paper extends previous assessments of development assistance for mental health (DAMH) in two significant ways; first by contrasting DAMH against that for other disease categories, and second by benchmarking allocated development assistance against the core disease burden metric (disability-adjusted life year) as estimated by the Global Burden of Disease Studies...
2017: PloS One
https://www.readbyqxmd.com/read/28038432/parents-experience-of-unintended-childbearing-a-qualitative-study-of-factors-that-mitigate-or-exacerbate-effects
#18
Megan L Kavanaugh, Kathryn Kost, Lori Frohwirth, Isaac Maddow-Zimet, Vivian Gor
Births resulting from an unintended pregnancy affect individuals differentially, and some may experience more negative consequences than others. In this study, we sought to describe the mechanisms through which the severity of effects may be mitigated or exacerbated. We conducted in-depth interviews with 35 women and 30 men, all with a youngest child born resulting from an unintended pregnancy, in two urban sites in the United States. Respondents described both negative and positive effects of the child's birth in the areas of school; work and finances; partner relationships; personal health and outlook on life trajectories...
December 18, 2016: Social Science & Medicine
https://www.readbyqxmd.com/read/28029541/funding-gap-for-immunization-across-94-low-and-middle-income-countries
#19
Sachiko Ozawa, Simrun Grewal, Allison Portnoy, Anushua Sinha, Richard Arilotta, Meghan L Stack, Logan Brenzel
Novel vaccine development and production has given rise to a growing number of vaccines that can prevent disease and save lives. In order to realize these health benefits, it is essential to ensure adequate immunization financing to enable equitable access to vaccines for people in all communities. This analysis estimates the full immunization program costs, projected available financing, and resulting funding gap for 94 low- and middle-income countries over five years (2016-2020). Vaccine program financing by country governments, Gavi, and other development partners was forecasted for vaccine, supply chain, and service delivery, based on an analysis of comprehensive multi-year plans together with a series of scenario and sensitivity analyses...
October 28, 2016: Vaccine
https://www.readbyqxmd.com/read/28028435/age-or-health-status-which-influences-medical-insurance-enrollment-greater
#20
Wei Xu, Gong-Jie Cai, Guan-Nan Li, Jing-Jing Cao, Qiong-Hua Shi, Jie Bai
BACKGROUND: The New Cooperative Medical Scheme (NCMS) for peasantries implemented in 2003 and the Urban Resident Basic Medical Insurance (URBMI) for the urban unemployed implemented in 2007 have many similarities. They both apply the financing mode of individual premiums plus government's subsidies, and the voluntary enrollment. The Chinese government plans to integrate these two systems and build a unified basic medical insurance system for the unemployed in order to achieve the medical equity and increase the general health level...
December 2016: Journal of Global Health
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