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https://www.readbyqxmd.com/read/28544070/the-importance-of-assessing-out-of-pocket-payments-when-the-financing-of-antiretroviral-therapy-is-transitioned-to-domestic-funding-findings-from-vietnam
#1
Benjamin Johns, Le Bao Chau, Kieu Huu Hanh, Nguyen Thuy Huong, Hoa Mai Do, Anh Thuy Duong, Long Hoang Nguyen
OBJECTIVE: To assess out-of-pocket payments and catastrophic health expenditures among antiretroviral therapy (ART) patients in Vietnam, and to model catastrophic payments under different copayment scenarios when the primary financing of ART changes to social health insurance. METHODS: Cross-sectional facility-based survey of 843 patients at 42 health facilities representative of 87% of ART patients in 2015. RESULTS: Because of donor and government funding, no payments were made for antiretroviral drugs...
May 19, 2017: Tropical Medicine & International Health: TM & IH
https://www.readbyqxmd.com/read/28543627/dental-insurance-service-use-and-health-outcomes-in-australia-a-systematic-review
#2
REVIEW
Emmanuel Gnanamanickam, Dana Teusner, Peter Arrow, David S Brennan
Private Health Insurance plays a key role in financing dental care in Australia. Having private dental insurance has been associated with higher levels of access to dental care, visiting for a check-up, and receiving a favourable pattern of services. Associations with better oral health have also been reported. In the absence of any existing review, this paper aims to systematically review the relationship between dental insurance and dental service use and, or oral health outcomes in Australia. A systematic search of online databases and subsequent sifting resulted in 36 publications, 33 of which were cross-sectional and three cohort analyses...
May 25, 2017: Australian Dental Journal
https://www.readbyqxmd.com/read/28541518/mapping-healthcare-systems-a-policy-relevant-analytic-tool
#3
Neelam Sekhri Feachem, Ariana Afshar, Cristina Pruett, Anton L V Avanceña
Background: In the past decade, an international consensus on the value of well-functioning systems has driven considerable health systems research. This research falls into two broad categories. The first provides conceptual frameworks that take complex healthcare systems and create simplified constructs of interactions and functions. The second focuses on granular inputs and outputs. This paper presents a novel translational mapping tool - the University of California, San Francisco mapping tool (the Tool) - which bridges the gap between these two areas of research, creating a platform for multi-country comparative analysis...
May 25, 2017: International Health
https://www.readbyqxmd.com/read/28541422/where-women-go-to-deliver-understanding-the-changing-landscape-of-childbirth-in-africa-and-asia
#4
Dominic Montagu, May Sudhinaraset, Nadia Diamond-Smith, Oona Campbell, Sabine Gabrysch, Lynn Freedman, Margaret E Kruk, France Donnay
Growing evidence from a number of countries in Asia and Africa documents a large shift towards facility deliveries in the past decade. These increases have not led to the improvements in health outcomes that were predicted by health policy researchers in the past. In light of this unexpected evidence, we have assessed data from multiple sources, including nationally representative data from 43 countries in Asia and Africa, to understand the size and range of changing delivery location in Asia and Africa. We have reviewed the policies, programs and financing experiences in multiple countries to understand the drivers of changing practices, and the consequences for maternal and neonatal health and the health systems serving women and newborns...
May 25, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28538275/defining-quality-of-rheumatolgic-care-argentina
#5
Enrique R Soriano
Health care system in Argentina is highly fragmented and disconnected. Argentina's health system is divided into 3 major nonintegrated subsystems as follows: public subsystem, financed through taxes; the social security subsystem, financed through obligatory insurance schemes; and the private subsystem, financed through voluntary insurance. There are approximately 800 rheumatologists in Argentina, serving a population of approximately 40 million people, representing approximately 1.8 rheumatologists per 100...
June 2017: Journal of Clinical Rheumatology: Practical Reports on Rheumatic & Musculoskeletal Diseases
https://www.readbyqxmd.com/read/28532500/extending-access-to-essential-services-against-constraints-the-three-tier-health-service-delivery-system-in-rural-china-1949-1980
#6
Xing Lin Feng, Melisa Martinez-Alvarez, Jun Zhong, Jin Xu, Beibei Yuan, Qingyue Meng, Dina Balabanova
BACKGROUND: China has made remarkable progress in scaling up essential services during the last six decades, making health care increasingly available in rural areas. This was partly achieved through the building of a three-tier health system in the 1950s, established as a linked network with health service facilities at county, township and village level, to extend services to the whole population. METHODS: We developed a Theory of Change to chart the policy context, contents and mechanisms that may have facilitated the establishment of the three-tier health service delivery system in rural China...
May 23, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28532418/the-role-of-health-system-governance-in-strengthening-the-rural-health-insurance-system-in-china
#7
REVIEW
Beibei Yuan, Weiyan Jian, Li He, Bingyu Wang, Dina Balabanova
BACKGROUND: Systems of governance play a key role in the operation and performance of health systems. In the past six decades, China has made great advances in strengthening its health system, most notably in establishing a health insurance system that enables residents of rural areas to achieve access to essential services. Although there have been several studies of rural health insurance schemes, these have focused on coverage and service utilization, while much less attention has been given to the role of governance in designing and implementing these schemes...
May 23, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28532306/from-instinct-to-evidence-the-role-of-data-in-country-decision-making-in-chile
#8
Ximena Paz Aguilera, Consuelo Espinosa-Marty, Carla Castillo-Laborde, Claudia Gonzalez
BACKGROUND: The Chilean health system has undergone profound reforms since 1990, while going through political upheaval and facing demographic, health, and economic transformations. The full information requirements to develop an evidence-informed process implied the best possible use of the available data, as well as efforts to improve information systems. OBJECTIVE: To examine, from a historical perspective, the use of evidence during the health sector reforms undertaken in Chile from 1990 to date, and to identify the factors that have both determined improvements in the data and facilitated their use...
January 2017: Global Health Action
https://www.readbyqxmd.com/read/28527729/the-hospitalization-profiles-of-patients-with-or-without-diabetes-treated-for-nontraumatic-lower-extremity-amputation-in-ribeir%C3%A3-o-preto-s%C3%A3-o-paulo-state-brazil-2001-2008
#9
Flávia F L Rodrigues, Domingos Alves, Carla R S Teixeira, Clarissa C A Arrelias, Maria T C G Torquato, Manoel A Santos, Maria Lucia Zanetti
The aim of this retrospective study was to assess the hospitalizations of patients with or without diabetes mellitus (DM) who underwent nontraumatic lower extremity amputation (NLEA) with regard to demographic and hospitalization-related variables. It is a high proportion of hospital beds in developing countries, for patients with diabetes mellitus with lower extremity complications. Nontraumatic amputations of lower extremities rates is an important indicator to assess the effectiveness of efforts to reduce chronic complications related to diabetic foot...
June 2017: Journal of Vascular Nursing: Official Publication of the Society for Peripheral Vascular Nursing
https://www.readbyqxmd.com/read/28522129/provision-of-prehospital-emergency-medical-services-in-punjab-pakistan-case-study-of-a-public-sector-provider
#10
Veena M Sriram, Rizwan Naseer, Adnan A Hyder
BACKGROUND: The availability and quality of emergency medical services in low- and middle-income countries, including Pakistan, are extremely limited. New models for prehospital emergency medical services provision have recently emerged across multiple sectors, and research on these models is urgently needed to inform current and future emergency medical services systems in low-resource settings. The objective of this case study was to provide a comprehensive description of the organizational structure and service delivery model of a public sector provider in the Punjab Province of Pakistan, Rescue 1122, with a focus on operations in Lahore...
May 15, 2017: Surgery
https://www.readbyqxmd.com/read/28511770/federal-per-capita-funding-of-medicaid-deals-a-wild-card-to-the-states
#11
(no author information available yet)
Since its inception, the federal government has financed a certain percentage of Medicaid expenditures. The American Health Care Act would ditch the percentage funding and replace it with a set amount per Medicaid beneficiary. The bill calls for using each state's spending in 2016 as the base year to arrive at the per Medicaid beneficiary amount.
April 2017: Managed Care
https://www.readbyqxmd.com/read/28504785/addressing-noncommunicable-diseases-in-primary-care-the-case-of-type-2-diabetes
#12
K M Narayan, E C Rhodes
The rapid growth of noncommunicable diseases represents a formidable global health challenge. Here we use type 2 diabetes as a case study to illustrate the rise of noncommunicable diseases and call attention to the important role of primary care systems in addressing these diseases in low- and middle-income countries. Comprehensive screening for diabetes should be implemented through primary care systems to increase early detection of prediabetes and undiagnosed diabetes - a first step to diabetes prevention and management...
December 2016: Journal of the Royal College of Physicians of Edinburgh
https://www.readbyqxmd.com/read/28501069/emergency-department-utilization-related-to-dental-conditions-and-distribution-of-dentists-nebraska-2011-2013
#13
Sankeerth Rampa, Fernando A Wilson, Rajvi Wani, Veerasathpurush Allareddy
PURPOSE: This study aims to provide estimates of hospital-based emergency department (ED) visits due to dental conditions in Nebraska and to examine patient-related characteristics associated with ED charges. In addition, this study provides dental-related ED visits and distribution of dentists by county. METHODS: For the study, we used the State Emergency Department Database for Nebraska for the years 2011 through 2013 and the Health Resources and Services Administration's Area Health Resource File...
June 2017: Journal of Evidence-based Dental Practice
https://www.readbyqxmd.com/read/28499321/-group-discussions-in-health-services-research-part-1-introduction-and-deliberations-on-selection-of-method-and-planning
#14
Nadine Janis Pohontsch, Veronika Müller, Susanne Brandner, Christoph Karlheim, Saskia Jünger, Katharina Klindtworth, Maren Stamer, Nicole Höfling-Engels, Vera Kleineke, Benigna Brandt, Margret Xyländer, Christiane Patzelt, Thorsten Meyer
Health services researchers focus on the players, structures and impact of health care in "real life". They investigate how social aspects, financing, organizational structures, technologies and personal attitudes affect the process and outcomes of health care. Qualitative research methods are used here, which address how people act according to their unique living conditions (outside the context of experimental studies). Different methods of debriefing groups are essential for qualitative health services research...
May 12, 2017: Das Gesundheitswesen
https://www.readbyqxmd.com/read/28495121/approaches-to-appropriate-care-delivery-from-a-policy-perspective-a-case-study-of-australia-england-and-switzerland
#15
Joelle Robertson-Preidler, Matthew Anstey, Nikola Biller-Andorno, Alexandra Norrish
BACKGROUND: Appropriateness is a conceptual way for health systems to balance Triple Aim priorities for improving population health, containing per capita cost, and improving the patient experience of care. Comparing system approaches to appropriate care delivery can help health systems establish priorities and facilitate appropriate care practices. METHODS: We conceptualized system appropriateness by identifying policies that aim to achieve the Triple Aim and their consequent trade-offs for financing, clinical practice, and the individual patient...
April 29, 2017: Health Policy
https://www.readbyqxmd.com/read/28493644/the-quality-of-life-of-people-who-have-chronic-wounds-and-who-self-treat
#16
Suzanne Kapp, Charne MiIller, Nick Santamaria
AIM: The aim of this study was to investigate the effect of chronic wounds on the physical, emotional, social, lifestyle and financial domains of quality of life among people who self-treat their wounds. BACKGROUND: Patient centered models of care have received increased attention over recent decades because of the potential to contribute positively to the patient's health and well-being. A contemporary understanding of the effect of chronic wounds on quality of life may assist care providers and healthcare systems to respond to patient needs and improve patient outcomes...
May 11, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28493177/what-is-single-payer-health-care-a-review-of-definitions-and-proposals-in-the-u-s
#17
Jodi L Liu, Robert H Brook
BACKGROUND: Single-payer systems have been proposed as a health care reform alternative in the United States. However, there is no consensus on the definition of single-payer. Most definitions characterize single-payer as one entity that collects funds and pays for health care on behalf on an entire population. Increased flexibility for state health care reform may provide opportunities for state-based single-payer systems to be considered. OBJECTIVE: To explore the concept of single-payer and to describe the contents of single-payer health care proposals...
May 10, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28492762/equity-in-out-of-pocket-payment-in-chile
#18
Alicia Lorena Núñez Mondaca, Chunhuei Chi
OBJECTIVE: To assess the distribution of financial burden in Chile, with a focus on the burden and progressivity of out-of-pocket payment. METHODS: Based on the principle of ability to pay, we explore factors that contribute to inequities in the health system finance and issues about the burden of out-of-pocket payment, as well as the progressivity and redistributive effect of out-of-pocket payment in Chile. Our analysis is based on data from the 2006 National Survey on Satisfaction and Out-of-Pocket Payments...
May 4, 2017: Revista de Saúde Pública
https://www.readbyqxmd.com/read/28491127/global-initiatives-in-maternal-and-newborn-health
#19
Vanessa Brizuela, Özge Tunçalp
In 2015, 17 sustainable development goals were established for 2030. These global goals aim to ensure healthy lives and promote wellbeing for all. In support of the sustainable development goals, the World Health Organization proposed a new global strategy for women's, children's, and adolescents' health in 2016 with three overarching objectives: to survive, to thrive, and to transform. We are now globally seeking not only to end preventable deaths but also to ensure health and wellbeing, and expand enabling environments...
March 2017: Obstetric Medicine
https://www.readbyqxmd.com/read/28488516/nursing-shortages-put-future-of-nhs-at-risk
#20
Candace Imison
When it comes to the future of the health service, pressure on the workforce is as great a threat, if not greater, than pressure on finances. This was my argument in evidence to the House of Lords' recent inquiry into the long-term sustainability of the NHS.
May 10, 2017: Nursing Standard
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