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https://www.readbyqxmd.com/read/28919106/selecting-relevant-features-from-the-electronic-health-record-for-clinical-code-prediction
#1
Elyne Scheurwegs, Boris Cule, Kim Luyckx, Léon Luyten, Walter Daelemans
A multitude of information sources is present in the electronic health record (EHR), each of which can contain clues to automatically assign diagnosis and procedure codes. These sources however show information overlap and quality differences, which complicates the retrieval of these clues. Through feature selection, a denser representation with a consistent quality and less information overlap can be obtained. We introduce and compare coverage-based feature selection methods, based on confidence and information gain...
September 14, 2017: Journal of Biomedical Informatics
https://www.readbyqxmd.com/read/28916366/measuring-progress-and-projecting-attainment-on-the-basis-of-past-trends-of-the-health-related-sustainable-development-goals-in-188-countries-an-analysis-from-the-global-burden-of-disease-study-2016
#2
(no author information available yet)
BACKGROUND: The UN's Sustainable Development Goals (SDGs) are grounded in the global ambition of "leaving no one behind". Understanding today's gains and gaps for the health-related SDGs is essential for decision makers as they aim to improve the health of populations. As part of the Global Burden of Diseases, Injuries, and Risk Factors Study 2016 (GBD 2016), we measured 37 of the 50 health-related SDG indicators over the period 1990-2016 for 188 countries, and then on the basis of these past trends, we projected indicators to 2030...
September 8, 2017: Lancet
https://www.readbyqxmd.com/read/28912198/frequency-of-low-value-care-in-alberta-canada-a-retrospective-cohort-study
#3
Finlay A McAlister, Meng Lin, Jeff Bakal, Stafford Dean
OBJECTIVE: To determine how frequently 10 low-value services highlighted by Choosing Wisely are done and what factors influence their provision. METHODS: This is a retrospective cohort study using routinely collected health data from five linked data sets from 2012 to 2015 in the Canadian province of Alberta to determine the frequency with which 10 low-value services were provided. RESULTS: Between 2012 and 2015, 162 143 people (4% of all 3 814 536 adult Albertans and 5% of the 3 423 135 who saw a physician at least once in that time frame) received at least one of the 10 low-value services, including 29...
September 14, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28911763/early-antenatal-care-visit-a-systematic-analysis-of-regional-and-global-levels-and-trends-of-coverage-from-1990-to-2013
#4
Ann-Beth Moller, Max Petzold, Doris Chou, Lale Say
BACKGROUND: The timing of the first antenatal care visit is paramount for ensuring optimal health outcomes for women and children, and it is recommended that all pregnant women initiate antenatal care in the first trimester of pregnancy (early antenatal care visit). Systematic global analysis of early antenatal care visits has not been done previously. This study reports on regional and global estimates of the coverage of early antenatal care visits from 1990 to 2013. METHODS: Data were obtained from nationally representative surveys and national health information systems...
October 2017: Lancet Global Health
https://www.readbyqxmd.com/read/28906168/the-affordable-care-act-how-nixon-s-health-reform-proposal-became-democrats-albatross
#5
Steffie Woolhandler, David U Himmelstein
President Obama's signature health care reform, the Affordable Care Act (ACA), was passed in 2010 and fully implemented in 2014. Two years later, Republicans' attacks on the ACA as a failed reform helped fuel their recent electoral victory. The legislation significantly expanded insurance coverage. But it was built on, and fortified, private health insurance firms, and it accelerated the corporate takeover of hospitals and physicians' practices. This obeisance to corporate interests precluded making coverage universal or care affordable...
January 1, 2017: International Journal of Health Services: Planning, Administration, Evaluation
https://www.readbyqxmd.com/read/28903757/access-to-medicines-and-hepatitis-c-in-africa-can-tiered-pricing-and-voluntary-licencing-assure-universal-access-health-equity-and-fairness
#6
Yibeltal Assefa, Peter S Hill, Anar Ulikpan, Owain D Williams
BACKGROUND: The recent introduction of Direct Acting Antivirals (DAAs) for treating Hepatitis C Virus (HCV) can significantly assist in the world reaching the international target of elimination by 2030. Yet, the challenge facing many individuals and countries today lies with their ability to access these treatments due to their relatively high prices. Gilead Sciences applies differential pricing and licensing strategies arguing that this provides fairer and more equitable access to these life-saving medicines...
September 13, 2017: Globalization and Health
https://www.readbyqxmd.com/read/28903533/joint-symposium-of-korean-cancer-association-uicc-aro-cross-boundary-cancer-studies-cancer-and-universal-health-coverage-uhc-in-asia
#7
Eun-Cheol Park, Norie Kawahara, Shinjiro Nozaki, Hasbullah Thabrany, Shunya Yoshimi, Sohee Park, Duk Hyoung Lee, Hideyuki Akaza, Jae Kyung Roh
On 16 June 2016, the Korean Cancer Association (KCA) and Union for International Cancer Control-Asia Regional Office (UICC-ARO) organized a joint symposium as part of the official program of the 42nd Annual Meeting of the Korean Cancer Association to discuss the topic 'Cross-boundary Cancer Studies: Cancer and Universal Health Coverage (UHC) in Asia.' Universal Health Coverage is included in the Sustainable Development Goals adopted by the United Nations as part of the 2030 Agenda for Sustainable Development...
September 1, 2017: Japanese Journal of Clinical Oncology
https://www.readbyqxmd.com/read/28902320/-investing-in-health-the-economic-case-report-of-the-wish-investing-in-health-forum-2016
#8
Gavin Yamey, Naomi Beyeler, Hester Wadge, Dean Jamison
Developing country governments and aid agencies face difficult decisions on how best to allocate their finite resources. Investments in many different sectors -including education, water and sanitation, transportation, and health- can all reap social and economic benefits. This report focuses specifically on the health sector. It presents compelling evidence of the value of scaling-up health investments. The economic case for increasing these investments in health has never been stronger. Having made progress in reducing maternal and child mortality, and deaths from infectious diseases, it is essential that policymakers do not become complacent...
May 2017: Salud Pública de México
https://www.readbyqxmd.com/read/28900348/improvement-in-vaccination-knowledge-among-health-students-following-an-integrated-extra-curricular-intervention-an-explorative-study-in-the-university-of-palermo
#9
REVIEW
C Marotta, D D Raia, G Ventura, N Casuccio, F Dieli, C D'Angelo, V Restivo, C Costantino, F Vitale, A Casuccio
INTRODUCTION: Vaccination coverages threaten to decrease because of false beliefs in their unsafety and inefficacy. Therefore formation of future health-care workers on this topic is fundamental to deal with any doubt and to promote active immunization among general population. METHODS: In order to assess health-care students' knowledge about vaccination before an integrated seminar on this topic, and to evaluate their improvement after the educational intervention, an integrated educational intervention was held by a multidisciplinary team...
June 2017: Journal of Preventive Medicine and Hygiene
https://www.readbyqxmd.com/read/28895835/massachusetts-what-universal-coverage-could-look-like
#10
Joseph Burns
The lowest rate of uninsured, but costs are a concern. That's due, in part, to the clout of the state's large prestigious health care systems, especially Partners Healthcare in Boston, which includes Harvard-affiliated Massachusetts General Hospital, and Brigham and Women's hospitals.
July 2017: Managed Care
https://www.readbyqxmd.com/read/28895493/comparative-health-system-performance-in-six-middle-income-countries-cross-sectional-analysis-using-world-health-organization-study-of-global-ageing-and-health
#11
COMPARATIVE STUDY
Riyadh Alshamsan, John Tayu Lee, Sangeeta Rana, Hasan Areabi, Christopher Millett
Objective To assess and compare health system performance across six middle-income countries that are strengthening their health systems in pursuit of universal health coverage. Design Cross-sectional analysis from the World Health Organization Study on global AGEing and adult health, collected between 2007 and 2010. Setting Six middle-income countries: China, Ghana, India, Mexico, Russia and South Africa. Participants Nationally representative sample of adults aged 50 years and older. Main outcome measures We present achievement against key indicators of health system performance across effectiveness, cost, access, patient-centredness and equity domains...
September 2017: Journal of the Royal Society of Medicine
https://www.readbyqxmd.com/read/28893323/out-of-pocket-expenditure-for-seeking-health-care-for-sick-children-younger-than-5%C3%A2-years-of-age-in-bangladesh-findings-from-cross-sectional-surveys-2009-and-2012
#12
Tazeen Tahsina, Nazia Binte Ali, D M Emdadul Hoque, Tanvir M Huda, Shumona Sharmin Salam, Mohammad Mehedi Hasan, Md Altaf Hossain, Ziaul Matin, Lianne Kuppen, Sarah P Garnett, Shams El Arifeen
BACKGROUND: Bangladesh has committed to universal health coverage, and options to decrease household out-of-pocket expenditure (OPE) are being explored. Understanding the determinants of OPE is an essential step. This study aimed to estimate and identify determinants of OPE in seeking health care for sick under-five children. METHODS: Cross-sectional data was collected by structured questionnaire in 2009 (n = 7362) and 2012 (n = 6896) from mothers of the under-five children...
September 11, 2017: Journal of Health, Population, and Nutrition
https://www.readbyqxmd.com/read/28893263/evaluation-of-a-continuous-community-based-itn-distribution-pilot-in-lainya-county-south-sudan-2012-2013
#13
Albert Kilian, Lisa Woods Schnurr, Tafadzwa Matova, Richmond Ato Selby, Kojo Lokko, Sean Blaufuss, Miatta Zenabu Gbanya, Ruth Allan, Hannah Koenker, Martin Swaka, George Greer, Megan Fotheringham, Lilia Gerberg, Matthew Lynch
BACKGROUND: Continuous distribution of insecticide-treated nets (ITNs) has now been accepted as one way of sustaining ITN universal coverage. Community-based channels offer an interesting means of delivering ITNs to households to sustain universal ITN coverage. The objective of this study was to provide proof of concept for this channel. METHODS: A 9-month, community-based, distribution pilot was implemented beginning 1 year after a mass campaign in Lainya County, South Sudan from 2012 to 2013...
September 11, 2017: Malaria Journal
https://www.readbyqxmd.com/read/28891235/financial-arrangements-for-health-systems-in-low-income-countries-an-overview-of-systematic-reviews
#14
REVIEW
Charles S Wiysonge, Elizabeth Paulsen, Simon Lewin, Agustín Ciapponi, Cristian A Herrera, Newton Opiyo, Tomas Pantoja, Gabriel Rada, Andrew D Oxman
BACKGROUND: One target of the Sustainable Development Goals is to achieve "universal health coverage, including financial risk protection, access to quality essential health-care services and access to safe, effective, quality and affordable essential medicines and vaccines for all". A fundamental concern of governments in striving for this goal is how to finance such a health system. This concern is very relevant for low-income countries. OBJECTIVES: To provide an overview of the evidence from up-to-date systematic reviews about the effects of financial arrangements for health systems in low-income countries...
September 11, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28890891/collaborative-approaches-and-policy-opportunities-for-accelerated-progress-toward-effective-disease-prevention-care-and-control-using-the-case-of-poverty-diseases-to-explore-universal-access-to-affordable-health-care
#15
Samia Laokri
BACKGROUND: There is a massive global momentum to progress toward the sustainable development and universal health coverage goals. However, effective policies to health-care coverage can only emerge through high-quality services delivered to empowered care users by means of strong local health systems and a translational standpoint. Health policies aimed at removing user fees for a defined health-care package may fail at reaching desired results if not applied with system thinking. METHOD: Secondary data analysis of two country-based cost-of-illness studies was performed to gain knowledge in informed decision-making toward enhanced access to care in the context of resource-constraint settings...
2017: Frontiers in Medicine
https://www.readbyqxmd.com/read/28888126/rural-urban-disparities-in-unmet-long-term-care-needs-in-china-the-role-of-the-hukou-status
#16
Yumei Zhu, August Österle
This article studies rural-urban disparities in unmet long-term care (LTC) needs in China. Firstly, it investigates the prevalence of unmet LTC needs for three populations which differ according to the extent of LTC needs. Secondly, it examines the impact of having rural or urban hukou registration status and rural or urban residence. The analysis is based on the China Health and Retirement Longitudinal Study (CHARLS) 2013. The broadly, intermediately and narrowly defined LTC population comprises, respectively, 3,682, 1002 and 446 functionally disabled people aged 45 and older...
August 24, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28882386/knowledge-of-medical-students-on-national-health-care-system-a-french-multicentric-survey
#17
A-L Feral-Pierssens, A-S Jannot
BACKGROUND: Education on national health care policy and costs is part of our medical curriculum explaining how our health care system works. Our aim was to measure French medical students' knowledge about national health care funding, costs and access and explore association with their educational and personal background. METHODS: We developed a web-based survey exploring knowledge on national health care funding, access and costs through 19 items and measured success score as the number of correct answers...
September 4, 2017: Revue D'épidémiologie et de Santé Publique
https://www.readbyqxmd.com/read/28875704/amplifying-progress-toward-multiple-development-goals-through-resource-recovery-from-sanitation
#18
John T Trimmer, Roland D Cusick, Jeremy S Guest
The United Nations' Sustainable Development Goals (SDGs) recognize that current sanitation gaps must be closed to better serve those without access to safely managed systems (Target 6.2: universal sanitation coverage) and those connected to sewers without wastewater treatment (Target 6.3: halving the proportion of untreated wastewater). Beyond mitigating environmental and health concerns, implementing resource recovery sanitation systems could simultaneously improve the availability of agricultural nutrients (SDG 2) and household energy (SDG 7)...
September 6, 2017: Environmental Science & Technology
https://www.readbyqxmd.com/read/28872535/the-opportunity-awaits-to-lead-orthopaedic-telehealth-innovation-aoa-critical-issues
#19
Montri D Wongworawat, Gary Capistrant, John M Stephenson
Telehealth is a way to provide health-care services to a patient from a provider who is at another location. The most common methods include a live interactive visit with the patient, interpretation of imaging, and monitoring of patient progress. Principally, telehealth is a way of providing a service rather than a type of service. It is about patient care, not data care.Examples of orthopaedic applications include conducting patient examinations, interpreting imaging studies, and providing postoperative care...
September 6, 2017: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/28871512/decision-making-and-priority-setting-the-evolving-path-towards-universal-health-coverage
#20
Francesco Paolucci, Ken Redekop, Ayman Fouda, Gianluca Fiorentini
Health technology assessment (HTA) is widely viewed as an essential component in good universal health coverage (UHC) decision-making in any country. Various HTA tools and metrics have been developed and refined over the years, including systematic literature reviews (Cochrane), economic modelling, and cost-effectiveness ratios and acceptability curves. However, while the cost-effectiveness ratio is faithfully reported in most full economic evaluations, it is viewed by many as an insufficient basis for reimbursement decisions...
September 4, 2017: Applied Health Economics and Health Policy
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