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https://www.readbyqxmd.com/read/29453504/financing-the-primary-care-behavioral-health-model
#1
Dennis S Freeman, Lesley Manson, Jeff Howard, Joel Hornberger
The PCBH model of integrated care blends behavioral health professionals into the primary care team, thereby enhancing the scope of primary care and expanding the range of services provided to the patient. Despite promising evidence in support of the model and a growing number of advocates and practitioners of PCBH integration, current reimbursement policies are not always favorable. As the nation's healthcare system transitions to value-based payment models, new financing strategies are emerging which will further support the viability of PCBH integration...
February 16, 2018: Journal of Clinical Psychology in Medical Settings
https://www.readbyqxmd.com/read/29450598/validity-of-police-contacts-as-a-performance-indicator-for-the-public-mental-health-care-system-in-amsterdam-an-open-cohort-study
#2
S Lauriks, M C A Buster, M A S de Wit, O A Arah, A W Hoogendoorn, J Peen, N S Klazinga
PURPOSE: The Public Mental Health Care (PMHC) system is a network of public services and care- and support institutions financed from public funds. Performance indicators based on the registration of police contacts could be a reliable and useful source of information for the stakeholders of the PMHC system to monitor performance. This study aimed to provide evidence on the validity of using police contacts as a performance indicator to assess the continuity of care in the PMHC system...
February 15, 2018: Social Psychiatry and Psychiatric Epidemiology
https://www.readbyqxmd.com/read/29443596/national-health-accounts-a-framework-for-understanding-health-care-financing
#3
Daniel Waldo
Over the course of the past century, the challenges facing the United States in its consumption of health care goods and services have not changed very much. What is being consumed, who is paying for it, and how much is affordable are questions that arise in every cycle of the debate-if they ever go dormant. National Health Accounts are one tool to use in the search for answers to these questions and to the challenges behind the questions. The accounts cannot (and do not pretend to) address every aspect of the debate, but they provide an important context...
February 14, 2018: Health Affairs
https://www.readbyqxmd.com/read/29442532/varying-opinions-on-who-deserves-collectively-financed-health-care-services-a-discrete-choice-experiment-on-allocation-preferences-of-the-general-public
#4
Maartje J van der Aa, Aggie T G Paulus, Mickaël J C Hiligsmann, Johannes A M Maarse, Silvia M A A Evers
In Europe, health insurance arrangements are under reform. These arrangements redistribute collectively financed resources to ensure access to health care for all. Allocation of health services is historically based on medical needs, but use of other criteria, such as lifestyle, is debated upon. Does the general public also have preferences for conditional allocation? This depends on their opinions regarding deservingness. The aim of this study was to gain insight in those opinions, specifically by examining the perceived weight of different criteria in allocation decisions...
January 2018: Inquiry: a Journal of Medical Care Organization, Provision and Financing
https://www.readbyqxmd.com/read/29440421/national-trends-in-drinking-water-quality-violations
#5
Maura Allaire, Haowei Wu, Upmanu Lall
Ensuring safe water supply for communities across the United States is a growing challenge in the face of aging infrastructure, impaired source water, and strained community finances. In the aftermath of the Flint lead crisis, there is an urgent need to assess the current state of US drinking water. However, no nationwide assessment has yet been conducted on trends in drinking water quality violations across several decades. Efforts to reduce violations are of national concern given that, in 2015, nearly 21 million people relied on community water systems that violated health-based quality standards...
February 12, 2018: Proceedings of the National Academy of Sciences of the United States of America
https://www.readbyqxmd.com/read/29440163/severity-and-management-of-postabortion-complications-among-women-in-zimbabwe-2016-a-cross-sectional-study
#6
Mugove Gerald Madziyire, Chelsea B Polis, Taylor Riley, Elizabeth A Sully, Onikepe Owolabi, Tsungai Chipato
OBJECTIVES: Abortion complications cause significant morbidity and mortality. We aimed to assess the severity and factors associated with abortion complications (induced or spontaneous), and the management of postabortion care (PAC) in Zimbabwe. DESIGN: Prospective, facility-based 28 day survey among women seeking PAC and their providers. SETTING: 127 facilities in Zimbabwe with the capacity to provide PAC, including all central and provincial hospitals, and a sample of primary health centres (30%), district/general/mission hospitals (52%), private (77%) and non-governmental organisation (NGO) (68%) facilities...
February 10, 2018: BMJ Open
https://www.readbyqxmd.com/read/29439105/the-multi-billion-dollar-drug-sensitive-spending-opportunity
#7
Jon C Easter, Kenneth Thorpe
Chronic diseases increase utilization and avoidable drug-sensitive spending, but little is done to optimize medication use and drive value. Value-based approaches to health care financing should shift focus to drug-sensitive spending to balance patient access and quality improvement with cost containment.
January 2018: North Carolina Medical Journal
https://www.readbyqxmd.com/read/29439099/addressing-the-root-cause-rising-health-care-costs-and-social-determinants-of-health
#8
Melanie Bush
The United States is the only high-income country that does not have publicly-financed universal health care, yet it has one of the world's highest public health care expenditures. This financial outlay is not bringing the desired result in health outcomes because the root cause is not being addressed: solving the systematic disparities and social determinants that lead to poor health and health inequities. Targeting resources for the most vulnerable populations and linking health care plans with community-based organizations to address social determinants of health at the outset is a cost-effective means of preventing expensive chronic illnesses and health inequities...
January 2018: North Carolina Medical Journal
https://www.readbyqxmd.com/read/29437992/-the-industry-must-be-inconspicuous-japan-tobacco-s-corruption-of-science-and-health-policy-via-the-smoking-research-foundation
#9
Kaori Iida, Robert N Proctor
OBJECTIVE: To investigate how and why Japan Tobacco, Inc. (JT) in 1986 established the Smoking Research Foundation (SRF), a research-funding institution, and to explore the extent to which SRF has influenced science and health policy in Japan. METHODS: We analysed documents in the Truth Tobacco Industry Documents archive, along with recent Japanese litigation documents and published documents. RESULTS: JT's effort to combat effective tobacco control was strengthened in the mid-1980s, following privatisation of the company...
February 4, 2018: Tobacco Control
https://www.readbyqxmd.com/read/29435353/exploring-links-between-common-mental-health-problems-alcohol-substance-use-and-perpetration-of-intimate-partner-violence-a-rapid-ethnographic-assessment-with-men-in-urban-kenya
#10
A Schafer, P Koyiet
Introduction: Kenya has some of the highest rates of gender-based violence (GBV) in the world, particularly intimate partner violence. World Vision completed a rapid ethnographic assessment to explore common problems faced by men and local perspectives about the links between men, mental health, alcohol use and GBV. Methods: Data from community free-listing surveys (n = 52), four focus group discussions and two key informant interviews formed the basis for thematic analysis and findings...
2018: Global Mental Health
https://www.readbyqxmd.com/read/29433528/effect-of-socioeconomic-inequalities-on-cholecystectomy-outcomes-a-10-year-population-based-analysis
#11
Ping Lu, Nan-Ping Yang, Nien-Tzu Chang, K Robert Lai, Kai-Biao Lin, Chien-Lung Chan
BACKGROUND: Although numerous epidemiological studies on cholecystectomy have been conducted worldwide, only a few have considered the effect of socioeconomic inequalities on cholecystectomy outcomes. Specifically, few studies have focused on the low-income population (LIP). METHODS: A nationwide prospective study based on the Taiwan National Health Insurance dataset was conducted during 2003-2012. The International Classification of ICD-9-CM procedure codes 51...
February 13, 2018: International Journal for Equity in Health
https://www.readbyqxmd.com/read/29433491/barriers-to-delivering-mental-health-services-in-georgia-with-an-economic-and-financial-focus-informing-policy-and-acting-on-evidence
#12
Lela Sulaberidze, Stuart Green, Ivdity Chikovani, Maia Uchaneishvili, George Gotsadze
BACKGROUND: Whilst there is recognition that the global burden of disease associated with mental health disorders is significant, the economic resources available, especially in Low and Middle Income Countries, are particularly scarce. Identifying the economic (system) and financial (individual) barriers to delivering mental health services and assessing the opportunities for reform can support the development of strategies for change. METHODS: A mixed methods study was developed, which engaged with a range of stakeholders from mental health services, including key informants, service managers, healthcare professional and patients and their care-takers...
February 13, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29432627/the-cost-of-family-medicine-residency-training-impacts-of-federal-and-state-funding
#13
Judith Pauwels, Amanda Weidner
BACKGROUND AND OBJECTIVES: Numerous organizations are calling for the expansion of graduate medical education (GME) positions nationally. Developing new residency programs and expanding existing programs can only happen if financial resources are available to pay for the expenses of training beyond what can be generated in direct clinical income by the residents and faculty in the program. The goal of this study was to evaluate trended data regarding the finances of family medicine residency programs to identify what financial resources are needed to sustain graduate medical education programs...
February 2018: Family Medicine
https://www.readbyqxmd.com/read/29416988/pattern-of-health-promises-for-indian-democracy-a-qualitative-review-of-political-manifestos
#14
EDITORIAL
Dinesh Kumar, Raman Kumar, Raman Chauhan, Vishav Chander, Sunil Kumar Raina
Introduction: India is a multiparty parliamentary democracy and second most populous country in the world. In spite of pressing needs of the population, healthcare is still not considered a driving electoral mobilizer as compared to the older democracies such as the UK and USA. Only three National Health Policies (1983, 2002 and 2017) have been promulgated by the respective governments during the past 70 years of India's independence. National policies are often preceded by commitment of political parties documented in the manifestos...
July 2017: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/29415240/the-financing-gaps-framework-using-need-potential-spending-and-expected-spending-to-allocate-development-assistance-for-health
#15
Annie Haakenstad, Tara Templin, Stephen Lim, Jesse B Bump, Joseph Dieleman
As growth in development assistance for health levels off, development assistance partners must make allocation decisions within tighter budget constraints. Furthermore, with the advent of comprehensive and comparable burden of disease and health financing estimates, empirical evidence can increasingly be used to direct funding to those most in need. In our 'financing gaps framework', we propose a new approach for harnessing information to make decisions about health aid. The framework was designed to be forward-looking, goal-oriented, versatile and customizable to a range of organizational contexts and health aims...
February 1, 2018: Health Policy and Planning
https://www.readbyqxmd.com/read/29415237/allocating-external-financing-for-health-a-discrete-choice-experiment-of-stakeholder-preferences
#16
Karen A Grépin, Crossley B Pinkstaff, Arne Risa Hole, Klara Henderson, Ole Frithjof Norheim, John-Arne Røttingen, Trygve Ottersen
Most donors of external financing for health use allocation policies to determine which countries are eligible to receive financial support and how much support each should receive. Currently, most of these policies place a great deal of weight on income per capita as a determinant of aid allocation but there is increasing interest in putting more weight on other country characteristics in the design of such policies. It is unclear, however, how much weight should be placed on other country characteristics...
February 1, 2018: Health Policy and Planning
https://www.readbyqxmd.com/read/29413484/tackling-cancer-burden-in-low-income-and-middle-income-countries-morocco-as-an-exemplar
#17
REVIEW
Farida Selmouni, Ahmed Zidouh, Latifa Belakhel, Catherine Sauvaget, Maria Bennani, Youssef Chami Khazraji, Abdellatif Benider, Christopher P Wild, Rachid Bekkali, Ibtihal Fadhil, Rengaswamy Sankaranarayanan
Examples of successful implementations of national cancer control plans in low-income or middle-income countries remain rare. Morocco, a country where cancer is already the second leading cause of death after cardiovascular diseases, is one exception in this regard. Population ageing and lifestyle changes are the major drivers that are further increasing the cancer burden in the country. Facing this challenge, the Moroccan Ministry of Health has developed a we l planned and pragmatic National Plan for Cancer Prevention and Control (NPCPC) that, since 2010, has been implemented with government financial support to provide basic cancer care services across the entire range of cancer control...
February 2018: Lancet Oncology
https://www.readbyqxmd.com/read/29412370/why-precision-medicine-is-not-the-best-route-to-a-healthier-world
#18
Juan Pablo Rey-López, Thiago Herick de Sá, Leandro Fórnias Machado de Rezende
Precision medicine has been announced as a new health revolution. The term precision implies more accuracy in healthcare and prevention of diseases, which could yield substantial cost savings. However, scientific debate about precision medicine is needed to avoid wasting economic resources and hype. In this commentary, we express the reasons why precision medicine cannot be a health revolution for population health. Advocates of precision medicine neglect the limitations of individual-centred, high-risk strategies (reduced population health impact) and the current crisis of evidence-based medicine...
February 5, 2018: Revista de Saúde Pública
https://www.readbyqxmd.com/read/29411676/health-systems-flattening-the-failed-promises-of-decentralisation-in-mozambique
#19
Joel Christian Reed
Over the past decade, health systems strengthening (HSS) has become a global health imperative. As an answer to the influence of large-scale initiatives and NGOs, HSS represents a backlash against disease-specific projects and funding. Depicted as a positive evolution, HSS advertises local autonomy, and a turn away from donor-driven agendas. Central to this shift was the hope that 'vertical' funding, especially for HIV/AIDS, could be better used to build up the 'crumbling core' of health infrastructure in sub-Saharan Africa...
February 7, 2018: Global Public Health
https://www.readbyqxmd.com/read/29409633/factors-influencing-experience-in-crowds-the-organiser-perspective
#20
Victoria Filingeri, Ken Eason, Patrick Waterson, Roger Haslam
Crowds are a commonplace encounter but the experience for participants can be highly variable. Crowds are complex sociotechnical phenomenon, affected by many interacting factors. Little is known, however, about how those responsible for organising crowd situations approach their responsibilities. This study conducted semi-structured interviews (n = 41) with organisers responsible for different aspects of the design, planning, management and operations of events and other crowd situations. The objective was to understand organisers' priorities, along with the consideration given to the experience of crowd participants...
April 2018: Applied Ergonomics
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