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https://www.readbyqxmd.com/read/28522129/provision-of-prehospital-emergency-medical-services-in-punjab-pakistan-case-study-of-a-public-sector-provider
#1
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/28520498/palliative-care-and-parkinson-s-disease-caregiver-perspectives
#2
Isabel Boersma, Jacqueline Jones, Christina Coughlan, Julie Carter, David Bekelman, Janis Miyasaki, Jean Kutner, Benzi Kluger
BACKGROUND: Palliative care for Parkinson's disease (PD) is an emerging area of interest for clinicians, patients and families. Identifying the palliative care needs of caregivers is central to developing and implementing palliative services for families affected by PD. The objective of this paper was to elicit PD caregiver needs, salient concerns, and preferences for care using a palliative care framework. MATERIALS AND METHODS: 11 PD caregivers and one non-overlapping focus group (n = 4) recruited from an academic medical center and community support groups participated in qualitative semi-structured interviews...
May 18, 2017: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/28516142/survey-data-on-factors-affecting-negotiation-of-professional-fees-between-estate-valuers-and-their-clients-when-the-mortgage-is-financed-by-bank-loan-a-case-study-of-mortgage-valuations-in-ikeja-lagos-state-nigeria
#3
Chukwuemeka O Iroham, Hilary I Okagbue, Olalekan A Ogunkoya, James D Owolabi
In this article, two sets of questionnaires were administered to professionals and clients (commercial banks) on their willingness to negotiate the professional fees charged by the Estate Valuers assuming that the mortgage in valuation was financed by bank loan. A range of fees options were provided. Other factors such as the business environment and mortgage valuation can influence the negotiated fees when the data obtained from the survey data is analyzed.
June 2017: Data in Brief
https://www.readbyqxmd.com/read/28511770/federal-per-capita-funding-of-medicaid-deals-a-wild-card-to-the-states
#4
(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/28505252/financing-and-distribution-of-pharmaceuticals-in-the-united-states
#5
Matan C Dabora, Namrata Turaga, Kevin A Schulman
No abstract text is available yet for this article.
May 15, 2017: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/28504785/addressing-noncommunicable-diseases-in-primary-care-the-case-of-type-2-diabetes
#6
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/28504235/sweden-coronary-and-structural-heart-interventions-from-2010-to-2015
#7
Nils Witt, Andreas Rück, Stefan K James, Sasha Koul, Bo Lagerqvist
Sparsely populated and with wide non-urbanised areas, Sweden faces specific challenges in providing publicly financed, high-quality and equal healthcare to all parts of the country. As a result, a decentralised organisation for acute coronary care has been developed with coronary care units and catheterisation laboratories in several small- and medium-sized city areas. In contrast, highly specialised non-emergent interventional procedures are centralised to a few high-volume centres, mainly located at university hospitals in large city areas...
May 15, 2017: EuroIntervention
https://www.readbyqxmd.com/read/28504224/denmark-coronary-and-structural-heart-interventions-from-2010-to-2015
#8
Hans-Henrik Tilsted, Ole Ahlehoff, Christian J Terkelsen, Frants Pedersen, Cengiz Özcan, Troels H Jørgensen, Jens E Nielsen-Kudsk, Jan Ravkilde, Henrik Nissen, Sune A Pedersen, Ole Havndrup, Jens F Lassen
Interventional cardiology in Denmark has been carried out since the mid 1980s. Interventional cardiology is only performed at a few high-volume centres. Healthcare coverage is universal and is essentially free of charge. Hospitals are mostly publicly owned and financed by fixed budgets and, in part, an activity-based funding system. Approximately 30,000 coronary angiographies (CAG), 10,000 percutaneous coronary interventions (PCIs) of which approximately 25% are primary PCIs, and 500 transcatheter aortic valve implantations (TAVIs) are carried out each year...
May 15, 2017: EuroIntervention
https://www.readbyqxmd.com/read/28501069/emergency-department-utilization-related-to-dental-conditions-and-distribution-of-dentists-nebraska-2011-2013
#9
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
#10
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
#11
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
#12
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
#13
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/28493127/improved-cho-cell-line-stability-and-recombinant-protein-expression-during-long-term-culture
#14
Zeynep Betts, Alan J Dickson
Therapeutic proteins require proper folding and posttranslational modifications to be effective and biologically active. Chinese hamster ovary (CHO) cells are by far the most frequently used host for commercial production of therapeutic proteins. However, an unpredictable decrease in protein productivity during the time required for scale up impairs process yields, time, finance, and regulatory approval for the desired product. Therefore, it is important to assess cell lines at stages throughout the period of long-term culture in terms of productivity and various molecular parameters including plasmid and mRNA copy numbers and location of the plasmid on the host cell chromosome...
2017: Methods in Molecular Biology
https://www.readbyqxmd.com/read/28492762/equity-in-out-of-pocket-payment-in-chile
#15
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
#16
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
#17
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
https://www.readbyqxmd.com/read/28486981/patients-willingness-to-pay-for-the-treatment-of-tuberculosis-in-nigeria-exploring-own-use-and-altruism
#18
Ogbonnia G Ochonma, Obinna E Onwujekwe
BACKGROUND: Although, current treatment services for Tuberculosis (TB) in Nigeria are provided free of charge in public facilities, the benefits (value) that patients attach to such service is not known. In addition, the prices that could be charged for treatment in case government and its partners withdraw from the provision of free services or inclusion of the services in health insurance plans are not known. Hence, there is a need to elicit the maximum amounts that patients are willing to pay for TB treatment services, both for themselves and for the very poor patients that may not be able to pay if some user fees are introduced (altruistic willingness to pay)...
May 10, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28486688/risk-of-diabetes-according-to-male-factor-infertility-a-register-based-cohort-study
#19
Clara Helene Glazer, Jens Peter Bonde, Aleksander Giwercman, Ditte Vassard, Anja Pinborg, Lone Schmidt, Elvira Vaclavik Bräuner
STUDY QUESTION: Is male factor infertility associated with an increased risk of developing diabetes? SUMMARY ANSWER: The study provides evidence that male factor infertility may predict later occurrence of diabetes mellitus with the risk being related to the severity of the underlying fertility problem. WHAT IS KNOWN ALREADY: Previous cross-sectional studies have shown an increased prevalence of comorbidities among infertile men when compared to controls...
May 9, 2017: Human Reproduction
https://www.readbyqxmd.com/read/28485716/the-former-yugoslav-republic-of-macedonia-health-system-review
#20
Neda Milevska Kostova, Snezhana Chichevalieva, Ninez A Ponce, Ewout van Ginneken, Juliane Winkelmann
This analysis of the health system of the former Yugoslav Republic of Macedonia reviews recent developments in organization and governance, health financing, health care provision, health reforms and health system performance. The country has made important progress during its transition from a socialist system to a market-based system, particularly in reforming the organization, financing and delivery of health care and establishing a mix of private and public providers. Though total health care expenditure has risen in absolute terms in recent decades, it has consistently fallen as share of GDP, and high levels of private health expenditure remain...
May 2017: Health Systems in Transition
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