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Performance-Based Financing

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https://www.readbyqxmd.com/read/28504224/denmark-coronary-and-structural-heart-interventions-from-2010-to-2015
#1
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/28486688/risk-of-diabetes-according-to-male-factor-infertility-a-register-based-cohort-study
#2
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
#3
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
https://www.readbyqxmd.com/read/28469840/do-the-equity-efficiency-preferences-of-the-israeli-basket-committee-match-those-of-israeli-health-policy-makers
#4
Amir Shmueli
BACKGROUND: Prioritization of medical technologies requires a multi-dimensional view. Often, conflicting equity and efficiency criteria should be reconciled. The most dramatic manifestation of such conflict is in the prioritization of new medical technologies asking for public finance performed yearly by the Israeli Basket Committee. The aim of this paper is to compare the revealed preferences of the 2006/7 Basket Committee's members with the declared preferences of health policy-makers in Israel...
2017: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/28459045/re-engineering-alzheimer-clinical-trials-global-alzheimer-s-platform-network
#5
J Cummings, P Aisen, R Barton, J Bork, R Doody, J Dwyer, J C Egan, H Feldman, D Lappin, L Truyen, S Salloway, R Sperling, G Vradenburg
Alzheimer's disease (AD) drug development is costly, time-consuming, and inefficient. Trial site functions, trial design, and patient recruitment for trials all require improvement. The Global Alzheimer Platform (GAP) was initiated in response to these challenges. Four GAP work streams evolved in the US to address different trial challenges: 1) registry-to-cohort web-based recruitment; 2) clinical trial site activation and site network construction (GAP-NET); 3) adaptive proof-of-concept clinical trial design; and 4) finance and fund raising...
June 2016: Journal of Prevention of Alzheimer's Disease
https://www.readbyqxmd.com/read/28457940/road-to-the-future-priorities-for-child-health-services-research
#6
REVIEW
Gerry Fairbrother, Denise Dougherty, Rosina Pradhananga, Lisa A Simpson
BACKGROUND: Prior health services research (HSR) agendas for children have been published, but major ones are now over 15 years old and do not reflect augmented understanding of the drivers and determinants of children's health; recent changes in the organization, financing, and delivery of health care; a growing emphasis on population health; and major demographic shifts in the population. A policy-relevant research agenda that integrates knowledge gained over the past two decades is essential to guide future child HSR (CHSR)...
April 27, 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/28452651/physicians-and-nurses-attitudes-towards-performance-based-financial-incentives-in-burundi-a-qualitative-study-in-the-province-of-gitega
#7
Martin Rudasingwa, Marie Rose Uwizeye
BACKGROUND: Performance-based financing (PBF) was first implemented in Burundi in 2006 as a pilot programme in three provinces and was rolled out nationwide in 2010. PBF is a reform approach to improve the quality, quantity, and equity of health services and aims at achieving universal health coverage. It focuses on how to best motivate health practitioners. OBJECTIVE: To elicit physicians' and nurses' experiences and views on how PBF influenced and helped them in healthcare delivery...
2017: Global Health Action
https://www.readbyqxmd.com/read/28433325/the-role-of-private-non-profit-healthcare-organizations-in-nhs-systems-implications-for-the-portuguese-hospital-devolution-program
#8
REVIEW
Álvaro S Almeida
The national health services (NHS) of England, Portugal, Finland and other single-payer universalist systems financed by general taxation, are based on the theoretical principle of an integrated public sector payer-provider. However, in practice one can find different forms of participation of non-public healthcare providers in those NHS, including private for profit providers, but also third sector non-profit organizations (NPO). This paper reviews the role of non-public non-profit healthcare organizations in NHS systems...
April 1, 2017: Health Policy
https://www.readbyqxmd.com/read/28408255/supraorbital-versus-endoscopic-endonasal-approaches-for-olfactory-groove-meningiomas-a-cost-minimization-study
#9
Gurpreet S Gandhoke, Matthew Pease, Kenneth J Smith, Raymond F Sekula
INTRODUCTION: We performed a cost-minimization study comparing the supraorbital and endoscopic, endonasal (EEA) approaches with or without the addition of craniotomy for the resection of olfactory groove meningioma. METHODS: We built a decision tree using probabilities of gross total resection and CSF leak rates with the supraorbital approach versus EEA with and without additional craniotomy. The cost (not charge or reimbursement) at each 'stem' of this decision tree, for both surgical options was obtained from our hospital's finance department...
April 10, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28403330/dental-management-survey-brazil-dms-br-creation-and-validation-of-a-management-instrument
#10
Paola Sampaio Gonzales, Ismar Eduardo Martins, Maria Gabriela Haye Biazevic, Paulo Roberto da Silva, Edgard Michel-Crosato
Questionnaires for the assessment of knowledge and self-perception can be useful to diagnose what a dentist knows about management and administration. The aim of the present study was to create and validate the Dental Management Survey Brazil (DMS-BR) scale, based on meetings with experts in the field. After having elaborated the first version, 10 audits were performed in dental offices in order to produce the final version, which included nine dimensions: location, patient, finance, marketing, competition, quality, staff, career, and productivity...
April 10, 2017: Brazilian Oral Research
https://www.readbyqxmd.com/read/28400312/assigning-clinical-codes-with-data-driven-concept-representation-on-dutch-clinical-free-text
#11
Elyne Scheurwegs, Kim Luyckx, Léon Luyten, Bart Goethals, Walter Daelemans
Clinical codes are used for public reporting purposes, are fundamental to determining public financing for hospitals, and form the basis for reimbursement claims to insurance providers. They are assigned to a patient stay to reflect the diagnosis and performed procedures during that stay. This paper aims to enrich algorithms for automated clinical coding by taking a data-driven approach and by using unsupervised and semi-supervised techniques for the extraction of multi-word expressions that convey a generalisable medical meaning (referred to as concepts)...
April 8, 2017: Journal of Biomedical Informatics
https://www.readbyqxmd.com/read/28399824/long-term-impact-of-self-financed-rotavirus-vaccines-on-rotavirus-associated-hospitalizations-and-costs-in-the-valencia-region-spain
#12
Alejandro Orrico-Sanchez, Mónica López-Lacort, Silvia Pérez-Vilar, Javier Díez-Domingo
BACKGROUND: Rotavirus vaccines are available in Spain from 2007. They are recommended by the Spanish Pediatric Association, but not funded by the National Health System (NHS) and its coverage rate reached 40-50%. The hospitalization rate reduction of rotavirus caused gastroenteritis (RVAGE) directly attributable to vaccination remains unclear due to the large differences described in published studies, ranging from 14 to 44.5% in children <5 years of age, even with similar vaccination coverage...
April 11, 2017: BMC Infectious Diseases
https://www.readbyqxmd.com/read/28392591/achieving-moral-high-quality-affordable-medical-care-in-america-through-a-true-free-market
#13
David McKalip
The basis of a just and moral economic model for health care is examined in the context of Catholic social teaching. The performance of the current model of "central economic planning" in medicine is evaluated in terms of the core principles of the social doctrine of the Catholic Church and compared to freedom-based economic models. It is clear that the best way to respect and serve human dignity, the common good, subsidiarity, and solidarity in medicine is through the establishment of a true, free-market health economy...
November 2016: Linacre Quarterly
https://www.readbyqxmd.com/read/28382750/performance-based-financing-in-the-heath-sector-in-low-and-middle-income-countries-is-there-anything-whereof-it-may-be-said-see-this-is-new
#14
REVIEW
Elisabeth Paul, Dimitri Renmans
Whereas performance-based financing (PBF) is now developing fast in the health sector in low- and middle-income countries and is presented an innovative approach-concomitantly, subject to a separate research stream-it shares many features of the "managing for results" (MfR) and performance-based budgeting (PBB) currents that have existed for decades. In this paper, we first argue that PBF as currently developed in the health sector in low- and middle-income countries shares many features and thus can be viewed as an avatar of MfR and more precisely PBB...
April 6, 2017: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/28369426/performance-based-financing-the-same-is-different
#15
Dimitri Renmans, Nathalie Holvoet, Bart Criel, Bruno Meessen
Although it is increasingly acknowledged within the Performance-Based Financing (PBF) research community that PBF is more than just payments based on outputs verified for quality, this narrow definition of PBF is still very present in many studies and evaluations. This leads to missed opportunities, misunderstandings and an unhelpful debate. Therefore, we reinforce the claim that PBF should be viewed as a reform package focused on targeted services with many different aspects that go beyond the health worker level...
March 27, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28355878/promoting-colorectal-cancer-screening-through-a-new-model-of-delivering-rural-primary-care-in-the-usa-a-qualitative-study
#16
Jungyoon Kim, Lufei Young, Sarbinaz Bekmuratova, Daniel J Schober, Hongmei Wang, Shreya Roy, Soumitra S Bhuyan, Alice Schumaker, Li-Wu Chen
INTRODUCTION: Despite the known benefits of colorectal cancer (CRC) screening, rural areas have consistently reported lower screening rates than their urban counterparts. Alternative healthcare delivery models, such as accountable care organizations (ACOs), have the potential to increase CRC rates through collaboration among healthcare providers with the aim of improving quality and decreasing cost. However, researchers have not sufficiently explored how this innovative model could influence the promotion of cancer screening...
January 2017: Rural and Remote Health
https://www.readbyqxmd.com/read/28335830/international-non-governmental-organizations-provision-of-community-based-tuberculosis-care-for-hard-to-reach-populations-in-myanmar-2013-2014
#17
Kyaw Thu Soe, Saw Saw, Johan van Griensven, Shuisen Zhou, Le Win, Palanivel Chinnakali, Safieh Shah, Myo Myo Mon, Si Thu Aung
BACKGROUND: National tuberculosis (TB) programs increasingly engage with international non-governmental organizations (INGOs), especially to provide TB care in complex settings where community involvement might be required. In Myanmar, however, there is limited data on how such INGO community-based programs are organized and how effective they are. In this study, we describe four INGO strategies for providing community-based TB care to hard-to-reach populations in Myanmar, and assess their contribution to TB case detection...
March 24, 2017: Infectious Diseases of Poverty
https://www.readbyqxmd.com/read/28301588/is-it-all-about-the-money-a-qualitative-exploration-of-the-effects-of-performance-based-financial-incentives-on-zimbabwe-s-voluntary-male-medical-circumcision-program
#18
Caryl Feldacker, Aaron F Bochner, Amy Herman-Roloff, Marrianne Holec, Vernon Murenje, Abby Stepaniak, Sinokuthemba Xaba, Mufata Tshimanga, Vuyelwa Chitimbire, Shingirai Makaure, Joseph Hove, Scott Barnhart, Batsirai Makunike
BACKGROUND: In 2013, Zimbabwe's voluntary medical male circumcision (VMMC) program adopted performance-based financing (PBF) to speed progress towards ambitious VMMC targets. The $25 USD PBF intended to encourage low-paid healthcare workers to remain in the public sector and to strengthen the public healthcare system. The majority of the incentive supports healthcare workers (HCWs) who perform VMMC alongside other routine services; a small portion supports province, district, and facility levels...
2017: PloS One
https://www.readbyqxmd.com/read/28298338/quality-of-care-in-performance-based-financing-how-it-is-incorporated-in-32-programs-across-28-countries
#19
REVIEW
Jessica Gergen, Erik Josephson, Martha Coe, Samantha Ski, Supriya Madhavan, Sebastian Bauhoff
OBJECTIVE: To describe how quality of care is incorporated into performance-based financing (PBF) programs, what quality indicators are being used, and how these indicators are measured and verified. METHODS: An exploratory scoping methodology was used to characterize the full range of quality components in 32 PBF programs, initiated between 2008 and 2015 in 28 low- and middle-income countries, totaling 68 quality tools and 8,490 quality indicators. The programs were identified through a review of the peer-reviewed and gray literature as well as through expert consultation with key donor representatives...
March 15, 2017: Global Health, Science and Practice
https://www.readbyqxmd.com/read/28297296/development-of-a-universal-medical-x-ray-imaging-phantom-prototype
#20
Annemari Groenewald, Willem A Groenewald
Diagnostic X-ray imaging depends on the maintenance of image quality that allows for proper diagnosis of medical conditions. Maintenance of image quality requires quality assurance programs on the various X-ray modalities, which consist of projection radiography (including mobile X-ray units), fluoroscopy, mammography, and computed tomography (CT) scanning. Currently a variety of modality-specific phantoms are used to perform quality assurance (QA) tests. These phantoms are not only expensive, but suitably trained personnel are needed to successfully use them and interpret the results...
November 2016: Journal of Applied Clinical Medical Physics
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