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https://www.readbyqxmd.com/read/29775774/hospital-admissions-2000-2014-a-retrospective-analysis-of-288-096-events-in-patients-with-dementia
#1
Catarina Bernardes, João Massano, Alberto Freitas
INTRODUCTION: Dementia is a leading cause of disability worldwide. It is associated with an increased risk of hospitalization, imposing a significant burden on healthcare systems. The evidence on the long-term evolution of this issue and broadly on healthcare systems is currently limited. This study aims to describe the hospitalizations of people who received a diagnosis of dementia admitted to public general hospitals in a western European country with universal health coverage, over more than a decade...
May 8, 2018: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/29773770/your-primary-care-doctor-may-have-an-md-from-cuba-experiences-from-the-latin-american-medical-school
#2
Conner Gorry
On the 40th anniversary of the Alma Ata Declaration that affirmed health for all a right and primary health care the route to guarantee that right, WHO and PAHO have issued a call to action to convert universal health into reality for the nearly four billion people worldwide lacking full coverage of essential health services. There is some urgency to this movement: WHO estimates the health workforce shortage of nearly 8 million could reach almost 13 million by 2035. And the USA is not exempt: medical associations and special commissions set up to investigate the shortage of primary care physicians, especially "under-represented minority" doctors, have issued report after report on this growing health care emergency...
April 2018: MEDICC Review
https://www.readbyqxmd.com/read/29769100/what-did-the-go4health-policy-research-project-contribute-to-the-policy-discourse-on-the-sustainable-development-goals-a-reflexive-review
#3
REVIEW
Vannarath Te, Nadia Floden, Sameera Hussain, Claire E Brolan, Peter S Hill
BACKGROUND: In 2012, the European Commission funded Go4Health-Goals and Governance for Global Health, a consortium of 13 academic research and human rights institutions from both Global North and South-to track the evolution of the Sustainable Development Goals (SDGs), and provide ongoing policy advice. This paper reviews the research outputs published between 2012 and 2016, analyzing the thematic content of the publications, and the influence on global health and development discourse through citation metrics...
May 16, 2018: Globalization and Health
https://www.readbyqxmd.com/read/29768107/does-expanding-fiscal-space-lead-to-improved-funding-of-the-health-sector-in-developing-countries-lessons-from-kenya-lagos-state-nigeria-and-south-africa
#4
Jane Doherty, Doris Kirigia, Chijioke Okoli, Jane Chuma, N Ezumah, Hyacinth Ichoku, Kara Hanson, Diane McIntyre
BACKGROUND: The global focus on promoting Universal Health Coverage has drawn attention to the need to increase public domestic funding for health care in low- and middle-income countries. OBJECTIVES: This article examines whether increased tax revenue in the three territories of Kenya, Lagos State (Nigeria) and South Africa was accompanied by improved resource allocation to their public health sectors, and explores the reasons underlying the observed trends. METHODS: Three case studies were conducted by different research teams using a common mixed methods approach...
2018: Global Health Action
https://www.readbyqxmd.com/read/29765775/potential-impact-of-introducing-the-pneumococcal-conjugate-vaccine-into-national-immunisation-programmes-an-economic-epidemiological-analysis-using-data-from-india
#5
Itamar Megiddo, Eili Klein, Ramanan Laxminarayan
Pneumococcal pneumonia causes an estimated 105 000 child deaths in India annually. The planned introduction of the serotype-based pneumococcal conjugate vaccine (PCV) is expected to avert child deaths, but the high cost of PCV relative to current vaccines provided under the Universal Immunization Programme has been a concern. Cost-effectiveness studies from high-income countries are not readily comparable because of differences in the distribution of prevalent serotypes, population and health systems. We extended IndiaSim, our agent-based simulation model representative of the Indian population and health system, to model the dynamics of Streptococcus pneumoniae ...
2018: BMJ Global Health
https://www.readbyqxmd.com/read/29764108/factors-that-influence-enrolment-and-retention-in-ghana-national-health-insurance-scheme
#6
Agnes Millicent Kotoh, Genevieve Cecilia Aryeetey, Sjaak Van der Geest
BACKGROUND: The government of Ghana introduced the National Health Insurance Scheme (NHIS) in 2004 with the goal of achieving universal coverage within 5 years. Evidence, however, shows that expanding NHIS coverage and especially retaining members have remained a challenge. A multilevel perspective was employed as a conceptual framework and methodological tool to examine why enrolment and retention in the NHIS remains low. METHODS: A household survey was conducted after 20 months educational and promotional activities aimed at improving enrolment and retention rates in 15 communities in the Central and Eastern Regions (ERs) of Ghana...
October 17, 2017: International Journal of Health Policy and Management
https://www.readbyqxmd.com/read/29761755/a-deadly-wait-for-u-s-health-insurance-coverage-sitting-on-the-couch-with-malaria
#7
Jonathan S Schultz, Adam J Atherly, Andrés F Henao-Martínez
Uninsured and unprepared travelers to countries with endemic tropical diseases pose great health-care burdens and financial risks on returning to the United States. We discuss the delayed presentation of an uninsured U.S. traveler returning from West Africa with severe malaria who required intensive care measures to save his life. Despite being critically ill on his return, he sat rigoring on his couch taking antipyretics for 3 days, while he applied for insurance on the Affordable Care Act website and waited for approval because he was fearful of the costs of seeking care...
May 14, 2018: American Journal of Tropical Medicine and Hygiene
https://www.readbyqxmd.com/read/29757707/universal-rotavirus-vaccination-program-in-sicily-reduction-in-health-burden-and-cost-despite-low-vaccination-coverage
#8
Claudio Costantino, Vincenzo Restivo, Fabio Tramuto, Alessandra Casuccio, Francesco Vitale
Rotavirus is considered the main cause of severe gastroenteritis and nosocomial infections in Pediatric units, especially during late winter and early spring season in temperate region. In 2013 Sicilian Region, for the first time in Italy, introduced universal Rotavirus vaccination. This study aims to estimate health and economic impact on rotavirus Gastroenteritis (RVGE) among children aged 0-59 months in Sicily, after rotavirus vaccine introduction. We analyzed hospital discharge records including a diagnosis of RVGE occurred from 1st January 2009 to 31st December 2016 among hospitalized children aged 0 to 59 months, residents in Sicily...
May 14, 2018: Human Vaccines & Immunotherapeutics
https://www.readbyqxmd.com/read/29755760/impact-of-measles-supplementary-immunisation-activities-on-utilisation-of-maternal-and-child-health-services-in-low-income-and-middle-income-countries
#9
Iryna Postolovska, Stéphane Helleringer, Margaret E Kruk, Stéphane Verguet
Background: Measles supplementary immunisation activities (SIAs) are an integral component of measles elimination in low-income and middle-income countries (LMICs). Despite their success in increasing vaccination coverage, there are concerns about their negative consequences on routine services. Few studies have conducted quantitative assessments of SIA impact on utilisation of health services. Methods: We analysed the impact of SIAs on utilisation of selected maternal and child health services using Demographic and Health Surveys and Multiple Indicator Cluster Surveys from 28 LMICs, where at least one SIA occurred over 2000-2014...
2018: BMJ Global Health
https://www.readbyqxmd.com/read/29754969/pathways-to-drg-based-hospital-payment-systems-in-japan-korea-and-thailand
#10
Peter Leslie Annear, Soonman Kwon, Luca Lorenzoni, Stephen Duckett, Dale Huntington, John C Langenbrunner, Yuki Murakami, Changwoo Shon, Ke Xu
Countries in Asia are working towards achieving universal health coverage while ensuring improved quality of care. One element is controlling hospital costs through payment reforms. In this paper we review experiences in using Diagnosis Related Groups (DRG) based hospital payments in three Asian countries and ask if there is an "Asian way to DRGs". We focus first on technical issues and follow with a discussion of implementation challenges and policy questions. We reviewed the literature and worked as an expert team to investigate existing documentation from Japan, Republic of Korea, and Thailand...
May 7, 2018: Health Policy
https://www.readbyqxmd.com/read/29753605/assessing-university-students-sexual-risk-behaviors-as-predictors-of-human-papillomavirus-hpv-vaccine-uptake-behavior
#11
Rebecca L Rohde, Eric Adjei Boakye, Kara M Christopher, Christian J Geneus, Ronald J Walker, Mark A Varvares, Nosayaba Osazuwa-Peters
OBJECTIVES: There exists a significant gap in vaccine coverage of the human papillomavirus (HPV) among college-aged students. This study assessed sexual risk-taking behavior among university students and analyzed predictors of HPV vaccine initiation and completion in this population. MATERIALS AND METHODS: Data (n = 746) were from an anonymous online, cross-sectional survey distributed to university students, between the ages of 19-26 years, at a private Midwestern university...
May 9, 2018: Vaccine
https://www.readbyqxmd.com/read/29751836/inequities-and-their-determinants-in-coverage-of-maternal-health-services-in-burkina-faso
#12
Takondwa Mwase, Stephan Brenner, Jacob Mazalale, Julia Lohmann, Saidou Hamadou, Serge M A Somda, Valery Ridde, Manuela De Allegri
BACKGROUND: Poor and marginalized segments of society often display the worst health status due to limited access to health enhancing interventions. It follows that in order to enhance the health status of entire populations, inequities in access to health care services need to be addressed as an inherent element of any effort targeting Universal Health Coverage. In line with this observation and the need to generate evidence on the equity status quo in sub-Saharan Africa, we assessed the magnitude of the inequities and their determinants in coverage of maternal health services in Burkina Faso...
May 11, 2018: International Journal for Equity in Health
https://www.readbyqxmd.com/read/29749282/viable-funding-options-for-the-national-health-service-in-england
#13
Mahiben Maruthappu, Dominic C Marshall
Established in 1948, the National Health Service (NHS) in England was founded on the principles of universal coverage and a service free at the point of use. These principles are under threat with a funding crisis and a lack of clear political will to find a long term solution. This article reviews and explores three categories of options, looking forward, for delivery of more sustainable services. First, is for no additional funding, in which case patient expectations and the breadth of services offered would need to change...
January 1, 2018: Journal of the Royal Society of Medicine
https://www.readbyqxmd.com/read/29741692/the-challenges-of-the-family-physician-policy-in-iran-a-systematic-review-and-meta-synthesis-of-qualitative-researches
#14
Masoud Behzadifar, Meysam Behzadifar, Sanaz Heidarvand, Hasan Abolghasem Gorji, Aidin Aryankhesal, Sharare Taheri Moghadam, Roghayeh Mohammadibakhsh, Nicola Luigi Bragazzi
Background: A good level of health requires the establishment of primary health care. Family physician policy (FPP) is probably one of such initiatives, which enables societies attaining the universal health coverage. Objective: The present study is the first systematic review and meta-synthesis that seeks to provide a more comprehensive understanding of the challenges for FPP in Iran. Method: Several international scholarly databases (namely, ISI/Web of Sciences, PubMed/MEDLINE via Ovid, Embase, PsycINFO, Scopus and CINAHL via EBSCO), as well as three Iranian databases [MagIran, Irandoc and Scientific Information Database (SID) databases], were mined from January 2006 to December 2017...
May 7, 2018: Family Practice
https://www.readbyqxmd.com/read/29736278/banking-for-health-the-role-of-financial-sector-actors-in-investing-in-global-health
#15
REVIEW
Rüdiger Krech, Ilona Kickbusch, Christian Franz, Nadya Wells
The world faces multiple health financing challenges as the global health burden evolves. Countries have set an ambitious health policy agenda for the next 15 years with prioritisation of universal health coverage under the Sustainable Development Goals. The scale of investment needed for equitable access to health services means global health is one of the key economic opportunities for decades to come. New financing partnerships with the private sector are vital. The aim of this study is to unlock additional financing sources, acknowledging the imperative to link financial returns to the providers of capital, and create profitable, sustainable financing structures...
2018: BMJ Global Health
https://www.readbyqxmd.com/read/29734843/understanding-of-for-whom-under-what-conditions-and-how-the-compulsory-licensing-of-pharmaceuticals-works-in-brazil-and-thailand-a-realist-synthesis
#16
Kyung-Bok Son, Chang-Yup Kim, Tae-Jin Lee
When pharmaceuticals are not fully available mainly due to the high cost of medicines, a government can issue compulsory licensing (CL). It is well documented that Brazil and Thailand have notably attempted CL. A realist review was undertaken to understand the identical social interventions in comparative settings, and to draw practical implications for attempting CL relevant for middle-income countries in the era of high-cost medicines. CL is not only a politically well-devised measure to achieve universal health coverage, but also a tentative commitment, which is determined both at the country level and at the global level...
May 8, 2018: Global Public Health
https://www.readbyqxmd.com/read/29734013/social-capital-as-a-key-determinant-of-willingness-to-join-community-based-health-insurance-a-household-survey-in-nepal
#17
Hansoo Ko, Hwajun Kim, Chang-Gyo Yoon, Chang-Yup Kim
OBJECTIVES: Although community-based health insurance (CBHI) schemes have been considered as an intermediate stage to achieve universal health coverage (UHC) in low-resource settings, there is a knowledge gap on ways to make it better. STUDY DESIGN: More than 4000 Nepalese households were randomly selected and surveyed. METHODS: Logistic and multivariate multinomial regressions were estimated. RESULTS: Overall, 88% of included household heads were willing to join CBHI, 61% were willing to pay annual premium less than 600 Nepalese rupees (US$5...
May 4, 2018: Public Health
https://www.readbyqxmd.com/read/29730551/inpatient-care-expenditure-of-the-elderly-with-chronic-diseases-who-use-public-health-insurance-disparity-in-their-last-year-of-life
#18
Worawan Chandoevwit, Phasith Phatchana
The Thai elderly are eligible for the Civil Servant Medical Benefit Scheme (CS) or Universal Coverage Scheme (UCS) depending on their pre-retirement or their children work status. This study aimed to investigate the disparity in inpatient care expenditures in the last year of life among Thai elderly individuals who used the two public health insurance schemes. Using death registration and inpatient administrative data from 2007 to 2011, our subpopulation group included the elderly with four chronic disease groups: diabetes mellitus, hypertension and cardiovascular disease, heart disease, and cancer...
April 28, 2018: Social Science & Medicine
https://www.readbyqxmd.com/read/29730247/health-expenditure-growth-under-single-payer-systems-comparing-south-korea-and-taiwan
#19
Shou-Hsia Cheng, Hyun-Hyo Jin, Bong-Min Yang, Robert H Blank
OBJECTIVE: Achieving universal health coverage has been an important goal for many countries worldwide. However, the rapid growth of health expenditures has challenged all nations, both those with and without such universal coverage. Single-payer systems are considered more efficient for administrative affairs and may be more effective for containing costs than multipayer systems. However, South Korea, which has a typical single-payer scheme, has almost the highest growth rate in health expenditures among industrialized countries...
May 3, 2018: Value in Health Regional Issues
https://www.readbyqxmd.com/read/29729906/health-insurance-reforms-in-singapore-and-hong-kong-how-the-two-ageing-asian-tigers-respond-to-health-financing-challenges
#20
Jason Dean-Chen Yin, Alex Jingwei He
Singapore and Hong Kong, two high-income "Tiger economies" in Asia, were ranked as the top two most efficient health systems in the world. Despite remarkable similarities in history and socioeconomic development, both economies embraced rather different paths in health care reforms in the past decades, which reflect their respective sociopolitical dynamics. Rapidly ageing populations and the anxiety about future funding of health care have prompted them to embark on major health financing reforms in the recent three years...
April 30, 2018: Health Policy
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