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Results-Based Financing

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https://www.readbyqxmd.com/read/29765565/the-rediscovery-of-the-social-side-of-medicine-philosophy-and-value-of-the-international-classification-of-functioning-disability-and-health-icf
#1
EDITORIAL
Wolfgang Seger
Medicine is at risk of sliding into a sole repair service for the malfunction of organs. But the patients' hope and confidence towards doctors practicing this repair work go far beyond that: after acute medical treatment many patients suffer from chronic impairments due to the natural course of the disease or as a result of medical interventions. Despite resulting handicaps, patients aim at participating in family and social life, retaining a workplace and receiving support to remain a valued member of the family and the community...
March 2018: Electronic Physician
https://www.readbyqxmd.com/read/29751178/how-does-performance-based-financing-affect-health-workers-intrinsic-motivation-a-self-determination-theory-based-mixed-methods-study-in-malawi
#2
Julia Lohmann, Adamson S Muula, Nathalie Houlfort, Manuela De Allegri
"Intrinsic motivation crowding out", the erosion of high-quality, sustainable motivation through the introduction of financial incentives, is one of the most frequently discussed but yet little researched potential unfavorable consequence of Performance-based Financing (PBF). We used the opportunity of the introduction of PBF in Malawi to investigate whether and how PBF affected intrinsic motivation, using a mixed-methods research design theoretically grounded in Self-Determination Theory (SDT). The quantitative component served to estimate the impact of PBF on intrinsic motivation, relying on a controlled pre- and post-test design, with data collected from health workers in 23 intervention and 10 comparison facilities before (March/April 2013; n = 70) and approximately two years after (June/July 2015; n = 71) the start of the intervention...
April 30, 2018: Social Science & Medicine
https://www.readbyqxmd.com/read/29750803/high-throughput-nonparametric-probability-density-estimation
#3
Jenny Farmer, Donald Jacobs
In high throughput applications, such as those found in bioinformatics and finance, it is important to determine accurate probability distribution functions despite only minimal information about data characteristics, and without using human subjectivity. Such an automated process for univariate data is implemented to achieve this goal by merging the maximum entropy method with single order statistics and maximum likelihood. The only required properties of the random variables are that they are continuous and that they are, or can be approximated as, independent and identically distributed...
2018: PloS One
https://www.readbyqxmd.com/read/29746481/disease-specific-out-of-pocket-and-catastrophic-health-expenditure-on-hospitalization-in-india-do-indian-households-face-distress-health-financing
#4
Anshul Kastor, Sanjay K Mohanty
BACKGROUND: Rising non-communicable diseases (NCDs) coupled with increasing injuries have resulted in a significant increase in health spending in India. While out-of-pocket expenditure remains the major source of health care financing in India (two-thirds of the total health spending), the financial burden varies enormously across diseases and by the economic well-being of the households. Though prior studies have examined the variation in disease pattern, little is known about the financial risk to the families by type of diseases in India...
2018: PloS One
https://www.readbyqxmd.com/read/29744798/the-effect-of-future-time-perspective-on-procrastination-the-role-of-parahippocampal-gyrus-and-ventromedial-prefrontal-cortex
#5
Peiwei Liu, Tingyong Feng
Procrastination is an almost universal affliction, which occurs across culture and brings serious consequences across multiple fields, such as finance, health and education. Previous research has showed procrastination can be influenced by future time perspective (FTP). However, little is known about the neural basis underlying the impact of FTP on procrastination. To address this question, we used voxel-based morphometry (VBM) based on brain structure. In line with previous findings, the behavioral result indicated that FTP inventory scores were significantly negatively correlated with procrastination inventory scores (r = -0...
May 9, 2018: Brain Imaging and Behavior
https://www.readbyqxmd.com/read/29734674/a-cross-disciplinary-successful-aging-intervention-and-evaluation-comparison-of-person-to-person-and-digital-assisted-approaches
#6
Hui-Chuan Hsu, Tsuann Kuo, Ju-Ping Lin, Wei-Chung Hsu, Chia-Wen Yu, Yen-Cheng Chen, Wan-Zhen Xie, Wei-Chiang Hsu, Ya-Lan Hsu, Mu-Ting Yu
Background : Successful aging has been the paradigm of old-age life. The purpose of this study was to implement and evaluate a cross-disciplinary intervention program using two approaches for community-based older adults in Taichung, Taiwan. Methods : The content of the intervention included successful aging concepts and preparation, physical activity, chronic disease and health management, dietary and nutrition information, cognitive training, emotional awareness and coping skills, family relationship and resilience, legal concepts regarding financial protection, and Internet use...
May 4, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29699423/single-family-housing-value-resilience-of-walkable-versus-unwalkable-neighborhoods-during-a-market-downturn-causal-evidence-and-policy-implications
#7
Minjie Xu, Chia-Yuan Yu, Chanam Lee, Lawrence D Frank
OBJECTIVES: This study investigated the resilience of single-family housing values in walkable versus unwalkable neighborhoods during the economic downturn from 2008 to 2012 in Dallas, Texas. METHODS: Using propensity score matching and difference in differences methods, this study established a natural experimental design to compare before-and-after value changes of single-family (SF) homes in walkable neighborhoods with unwalkable neighborhoods during the Great Recession...
January 1, 2018: American Journal of Health Promotion: AJHP
https://www.readbyqxmd.com/read/29689693/vortioxetine-improves-symptomatic-and-functional-outcomes-in-major-depressive-disorder-a-novel-dual-outcome-measure-in-depressive-disorders
#8
Michael Cronquist Christensen, Henrik Loft, Roger S McIntyre
BACKGROUND: With symptomatic remission and functional recovery as the overarching therapeutic objectives of antidepressant therapy, composite endpoint measures that conjointly consider both aspects of treatment are needed. This analysis evaluated the combined effect of vortioxetine on depressive symptoms and functional capacity in adults with MDD. METHODS: NCT01564862, a multinational, double-blind, placebo-controlled, duloxetine-referenced study, conducted between April 2012 and February 2014, in 602 adult outpatients (18-65 years) with moderate-to-severe MDD (Montgomery-Åsberg Depression Rating Scale (MADRS) ≥ 26), a major depressive episode of ≥ 3 months' duration, and self-reported cognitive symptoms were randomized to once-daily vortioxetine (10 or 20mg), duloxetine (60mg), or placebo for 8 weeks...
February 2018: Journal of Affective Disorders
https://www.readbyqxmd.com/read/29651309/causes-of-differences-in-the-uptake-of-cardiac-implantation-electronic-devices-in-slovenia-in-comparison-to-other-countries
#9
Valentina Prevolnik Rupel, Renata Erker, Marko Divjak
Introduction: The purpose of this study is to analyse and present the causes of the differences in crude utilization rate in cardiac implantation electronic devices, specifically pacemakers and automatic implantable cardioverter-defibrillators, across 5 European countries, with a specific emphasis on Slovenia. Methods: Based on the results of the analysis of the uptake of cardiac implantation electronic devices across countries studied in MedtecHTA project, the targeted interviews were conducted to explain the factors that impact the differences and explain data in Slovenia...
March 2018: Zdravstveno Varstvo
https://www.readbyqxmd.com/read/29619534/-unmet-needs-of-family-dementia-caregivers-of-persons-with-dementia-primary-medical-care
#10
REVIEW
I Zwingmann, W Hoffmann, B Michalowsky, D Wucherer, T Eichler, S Teipel, A Dreier-Wolfgramm, I Kilimann, J R Thyrian
BACKGROUND: Results of current research studies revealed that providing informal care for people with dementia (PwD) is associated with caregivers' burden and a variety of health impairments. In order to provide optimal support for family caregivers of PwD, general practitioners and specialists should be able to identify caregivers' unmet needs in primary care. OBJECTIVES: The present article provides an overview of unmet needs of family caregivers that are relevant for general practitioners as well as specialists in neurology, psychiatry, psychotherapy and psychosomatics...
April 4, 2018: Der Nervenarzt
https://www.readbyqxmd.com/read/29618962/development-of-hospital-based-data-sets-as-a-vehicle-for-implementation-of-a-national-electronic-health-record
#11
Leila Keikha, Seyede Sedigheh Seied Farajollah, Reza Safdari, Marjan Ghazisaeedi, Niloofar Mohammadzadeh
Background: In developing countries such as Iran, international standards offer good sources to survey and use for appropriate planning in the domain of electronic health records (EHRs). Therefore, in this study, HL7 and ASTM standards were considered as the main sources from which to extract EHR data. Objective: The objective of this study was to propose a hospital data set for a national EHR consisting of data classes and data elements by adjusting data sets extracted from the standards and paper-based records...
2018: Perspectives in Health Information Management
https://www.readbyqxmd.com/read/29607103/unraveling-pbf-effects-beyond-impact-evaluation-results-from-a-qualitative-study-in-cameroon
#12
Manuela De Allegri, Maria Paola Bertone, Shannon McMahon, Idrissou Mounpe Chare, Paul Jacob Robyn
Introduction: Performance-based financing (PBF) has acquired increased prominence as a means of reforming health system purchasing structures in low-income and middle-income countries. A number of impact evaluations have noted that PBF often produces mixed and heterogeneous effects. Still, little systematic effort has been channelled towards understanding what causes such heterogeneity, including looking more closely at implementation processes. Methods: Our qualitative study aimed at closing this gap in knowledge by attempting to unpack the mixed and heterogeneous effects detected by the PBF impact evaluation in Cameroon to inform further implementation as the country scales up the PBF approach...
2018: BMJ Global Health
https://www.readbyqxmd.com/read/29573463/decomposing-inequality-in-financial-protection-situation-in-iran-after-implementing-the-health-reform-plan-what-does-the-evidence-show-based-on-national-survey-of-households-budget
#13
Tayebeh Moradi, Seyran Naghdi, Heather Brown, Hesam Ghiasvand, Mohammadreza Mobinizadeh
BACKGROUND: Lack of well-designed healthcare financing mechanisms and high level of out-of-pocket payments in Iran over the last decades led to implementing Health Transformation Plan, in 2014. This study aims to decompose inequality in financial protection of Iranian households after the implementation of the Health Transformation Plan. METHODS: The data of Statistical Center of Iran (SCI) Survey on Rural and Urban Households Income-Expenditure in 2015 to 2016 were used...
March 24, 2018: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/29565977/global-screening-for-critical-habitat-in-the-terrestrial-realm
#14
Kerstin M Brauneder, Chloe Montes, Simon Blyth, Leon Bennun, Stuart H M Butchart, Michael Hoffmann, Neil D Burgess, Annabelle Cuttelod, Matt I Jones, Val Kapos, John Pilgrim, Melissa J Tolley, Emma C Underwood, Lauren V Weatherdon, Sharon E Brooks
Critical Habitat has become an increasingly important concept used by the finance sector and businesses to identify areas of high biodiversity value. The International Finance Corporation (IFC) defines Critical Habitat in their highly influential Performance Standard 6 (PS6), requiring projects in Critical Habitat to achieve a net gain of biodiversity. Here we present a global screening layer of Critical Habitat in the terrestrial realm, derived from global spatial datasets covering the distributions of 12 biodiversity features aligned with guidance provided by the IFC...
2018: PloS One
https://www.readbyqxmd.com/read/29564851/-holistic-healthcare-for-the-aged-concepts-and-strategies
#15
Jing-Jy Wang, Yueh-Ying Yang, Mei-Yin Liu
Advancing medical technology continues to extend the average human life span, resulting in population aging globally as well as in Taiwan. The challenges posed by aging society increase not only medical and care costs but also the burden on pension funds and the social welfare system. In addition, there is currently a desperate need for many well-trained health providers as well as a friendly and comprehensive long-term care system. However, attention should not simply focus on medical payments and long-term care, as this may prolong the length of unhealthy living years for the aged and further strain national finances...
April 2018: Hu Li za Zhi the Journal of Nursing
https://www.readbyqxmd.com/read/29564163/performance-based-financing-in-low-income-and-middle-income-countries-isn-t-it-time-for-a-rethink
#16
REVIEW
Elisabeth Paul, Lucien Albert, Badibanga N'Sambuka Bisala, Oriane Bodson, Emmanuel Bonnet, Paul Bossyns, Sandro Colombo, Vincent De Brouwere, Alexandre Dumont, Dieudonné Sèdjro Eclou, Karel Gyselinck, Fatoumata Hane, Bruno Marchal, Remo Meloni, Mathieu Noirhomme, Jean-Pierre Noterman, Gorik Ooms, Oumar Mallé Samb, Freddie Ssengooba, Laurence Touré, Anne-Marie Turcotte-Tremblay, Sara Van Belle, Philippe Vinard, Valéry Ridde
This paper questions the view that performance-based financing (PBF) in the health sector is an effective, efficient and equitable approach to improving the performance of health systems in low-income and middle-income countries (LMICs). PBF was conceived as an open approach adapted to specific country needs, having the potential to foster system-wide reforms. However, as with many strategies and tools, there is a gap between what was planned and what is actually implemented. This paper argues that PBF as it is currently implemented in many contexts does not satisfy the promises...
2018: BMJ Global Health
https://www.readbyqxmd.com/read/29559495/liftoff-the-blossoming-of-contraceptive-implant-use-in-africa
#17
Roy Jacobstein
This article draws from national surveys of every sub-Saharan African country with at least 1 recent survey published between 2015 and 2017 and 2 prior surveys from 2003 to 2014. Twelve countries comprising over 60% of the region's population met these inclusion criteria. The analysis considers recent and longer-term changes in 3 key variables: modern contraceptive prevalence rate (mCPR), method-specific prevalence, and a method's share of the current modern method mix. As recently as 2011, implant CPR in sub-Saharan Africa was only 1...
March 20, 2018: Global Health, Science and Practice
https://www.readbyqxmd.com/read/29514743/a-case-mix-classification-system-for-explaining-healthcare-costs-using-administrative-data-in-italy
#18
Maria Chiara Corti, Francesco Avossa, Elena Schievano, Pietro Gallina, Eliana Ferroni, Natalia Alba, Matilde Dotto, Cristina Basso, Silvia Tiozzo Netti, Ugo Fedeli, Domenico Mantoan
BACKGROUND: The Italian National Health Service (NHS) provides universal coverage to all citizens, granting primary and hospital care with a copayment system for outpatient and drug services. Financing of Local Health Trusts (LHTs) is based on a capitation system adjusted only for age, gender and area of residence. We applied a risk-adjustment system (Johns Hopkins Adjusted Clinical Groups System, ACG® System) in order to explain health care costs using routinely collected administrative data in the Veneto Region (North-eastern Italy)...
March 4, 2018: European Journal of Internal Medicine
https://www.readbyqxmd.com/read/29513861/-the-health-system-in-venezuela-a-patient-without-medication
#19
Alejandra Carrillo Roa
The situation in Venezuela is marked by a profound socioeconomic crisis that raises questions concerning its effects on the health system. The study's aim was to analyze the trends and current situation of the Venezuelan health system, with special emphasis on financing. Based on the World Health Organization's Framework for Action to Strengthen Health Systems, five of the system's six basic components were studied, along with the results in terms of coverage and the population's health. Healthcare financing in Venezuela proved to be primarily private, with a high and growing share of out-of-pocket expenditures, one of the highest in the world...
March 5, 2018: Cadernos de Saúde Pública
https://www.readbyqxmd.com/read/29505584/prescribing-patterns-and-associated-factors-of-antibiotic-prescription-in-primary-health-care-facilities-of-kumbo-east-and-kumbo-west-health-districts-north-west-cameroon
#20
Elvis Dzelamonyuy Chem, Damian Nota Anong, Jane-Francis K T Akoachere
BACKGROUND: Inappropriate use of antibiotics is a global public health challenge and has been associated with antibiotic resistance. WHO reports show that efforts to promote rational antibiotic use in developing countries are poor. With the growing number of infections with antibiotic resistant bacteria, rational drug use becomes imperative and studies that promote rational drug use are highly necessary. Considering this, we investigated prescribing patterns and predictors of antibiotic prescription in primary health care facilities in Kumbo East (KE) and Kumbo West (KW) health districts in North West Cameroon, to contribute data which could influence policy on antibiotic use...
2018: PloS One
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