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https://www.readbyqxmd.com/read/29141738/dynamic-clinical-algorithms-digital-technology-can-transform-health-care-decision-making
#1
David Bell, Noni Gachuhi, Nassim Assefi
Most health care in low-income countries is delivered at a primary care level by health workers who lack quality training and supervision, often distant from more experienced support. Lack of knowledge and poor communication result in a poor quality of care and inefficient delivery of health services. Although bringing great benefits in sectors such as finance and telecommunication in recent years, the Digital Revolution has lightly and inconsistently affected the health sector. These advances offer an opportunity to dramatically transform health care by increasing the availability and timeliness of information to augment clinical decision-making, based on improved access to patient histories, current information on disease epidemiology, and improved incorporation of data from point-of-care and centralized diagnostic testing...
November 6, 2017: American Journal of Tropical Medicine and Hygiene
https://www.readbyqxmd.com/read/29141485/flexible-competency-based-medical-education-more-time-efficient-higher-costs
#2
Tiuri R van Rossum, Fedde Scheele, Henk E Sluiter, Peter J Bosman, Lotte Rijksen, Ide C Heyligers
The financing of postgraduate medical education (PGME) becomes an important topic. PGME is costly, and in most western countries is partly paid by public funding. One of the models that can help to reduce costs is time-variable PGME. Moving to true outcome-based education can lead to more efficient training programs while maintaining educational quality. We analyzed the financial effects of time-variable PGME by identifying the educational activities of PGME programs and comparing the costs and revenues of these activities in gynecology training as an example...
November 16, 2017: Medical Teacher
https://www.readbyqxmd.com/read/29137513/trends-in-the-alignment-and-harmonization-of-reproductive-maternal-newborn-and-child-health-funding-2008-13
#3
Melisa Martinez-Alvarez, Arnab Acharya, Leonardo Arregoces, Lara Brearley, Catherine Pitt, Christopher Grollman, Josephine Borghi
Donor financing to low- and middle-income countries for reproductive, maternal, newborn, and child health increased substantially from 2008 to 2013. However, increased spending by donors might not improve outcomes, if funds are delivered in ways that undermine countries' public financial management systems and incur high transaction costs for project implementation. We combined quantitative and qualitative methods to examine the quality of funding for reproductive, maternal, newborn, and child health globally and in Tanzania, based on two principles of aid effectiveness: the alignment of donor financing with the recipient country's public health financial management systems, and donor harmonization for coordinated, transparent, and collectively effective actions...
November 2017: Health Affairs
https://www.readbyqxmd.com/read/29129491/-population-based-analysis-of-the-healthcare-expenditure-in-catalonia-spain-what-and-who-consumes-more-resources
#4
Emili Vela, Montse Clèries, Vincenzo Alberto Vella, Cristina Adroher, Anna García-Altés
OBJECTIVE: To analyse the distribution of the expenditure according to the healthcare services and characteristics of patients, using the microdata of the Catalan population's use of healthcare services. METHODS: A fee or an indirect cost has been applied to all healthcare activities financed by CatSalut during 2014, computing the health expenditure made up by each person and adding it all up for the inhabitants of Catalonia (Spain). RESULTS: The sum of the healthcare expenditure made by all the inhabitants of Catalonia represents 97...
November 9, 2017: Gaceta Sanitaria
https://www.readbyqxmd.com/read/29117642/policy-change-and-the-national-essential-medicines-list-development-process-in-brazil-between-2000-and-2014-has-the-essential-medicine-concept-been-abandoned
#5
Claudia Garcia Serpa Osorio-de-Castro, Thiago Botelho Azeredo, Vera Lúcia Edais Pepe, Luciane Cruz Lopes, Sueli Yamauti, Brian Godman, Lars L Gustafsson
Brazil has had a National Essential Medicines List (EML) since 1964. From 2000 to 2010, five consecutive evidence-based editions were produced, building on the essential medicines concept. In 2012, the government changed course to establish a new paradigm, introducing adoption of new medicines as the main aim within the recommendation process. The objective of the paper is to report efforts to develop Brazil's national EML, policy changes from 2000 to 2014, discussing results, challenges and perspectives. Brazilian EML history and development process were collected from legislation, minutes, reports and legal ordinances, from 2000 to 2014...
November 8, 2017: Basic & Clinical Pharmacology & Toxicology
https://www.readbyqxmd.com/read/29101188/a-systematic-approach-to-injury-policy-assessment-introducing-the-assessment-of-child-injury-prevention-policies-a-chipp
#6
Olakunle Alonge, Priyanka Agrawal, David Meddings, Adnan A Hyder
INTRODUCTION: This study presents a systematic approach-assessment of child injury prevention policies (A-CHIPP)-to assess and track policies on effective child injury interventions at the national level. Results from an initial pilot test of the approach in selected countries are presented. METHOD: A literature review was conducted to identify conceptual models for injury policy assessment, and domains and indicators were proposed for assessing national injury policies for children aged 1-9 years...
November 3, 2017: Injury Prevention: Journal of the International Society for Child and Adolescent Injury Prevention
https://www.readbyqxmd.com/read/29093511/a-solar-radiation-database-for-chile
#7
Alejandra Molina, Mark Falvey, Roberto Rondanelli
Chile hosts some of the sunniest places on earth, which has led to a growing solar energy industry in recent years. However, the lack of high resolution measurements of solar irradiance becomes a critical obstacle for both financing and design of solar installations. Besides the Atacama Desert, Chile displays a large array of "solar climates" due to large latitude and altitude variations, and so provides a useful testbed for the development of solar irradiance maps. Here a new public database for surface solar irradiance over Chile is presented...
November 1, 2017: Scientific Reports
https://www.readbyqxmd.com/read/29082015/does-foreign-aid-crowd-out-government-investments-evidence-from-rural-health-centres-in-rwanda
#8
Chunling Lu, Benjamin Cook, Chris Desmond
BACKGROUND: Rural healthcare facilities in low-income countries play a major role in providing primary care to rural populations. We examined the link of foreign aid with government investments and medical service provision in rural health centres in Rwanda. METHODS: Using the District Health System Strengthening Tool, a web-based database built by the Ministry of Health in Rwanda, we constructed two composite indices representing provision of (1) child and maternal care and (2) HIV, tuberculosis (TB) and malaria services in 330 rural health centres between 2009 and 2011...
2017: BMJ Global Health
https://www.readbyqxmd.com/read/29069378/the-effect-of-a-performance-based-financing-program-on-hiv-and-maternal-child-health-services-in-mozambique-an-impact-evaluation
#9
Yogesh Rajkotia, Omer Zang, Pierre Nguimkeu, Jessica Gergen, Iva Djurovic, Paula Vaz, Franscisco Mbofana, Kebba Jobarteh
Performance-based financing (PBF) is a mechanism by which health providers are paid on the basis of outputs or results delivered. A PBF program was implemented on the provision of HIV, prevention of mother-to child HIV transmission (PMTCT), and maternal/child health (MCH) services in two provinces of Mozambique. A retrospective case-control study design was used in which PBF provinces were matched with control provinces to evaluate the impact of PBF on 18 indicators. Due to regional heterogeneity, we evaluated the intervention sites (North and South) separately...
December 1, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/29035338/integrating-medication-therapy-management-mtm-services-provided-by-community-pharmacists-into-a-community-based-accountable-care-organization-aco
#10
Brian Isetts
(1) Background: As the U.S. healthcare system evolves from fee-for-service financing to global population-based payments designed to be accountable for both quality and total cost of care, the effective and safe use of medications is gaining increased importance. The purpose of this project was to determine the feasibility of integrating medication therapy management (MTM) services provided by community pharmacists into the clinical care teams and the health information technology (HIT) infrastructure for Minnesota Medicaid recipients of a 12-county community-based accountable care organization (ACO)...
October 16, 2017: Pharmacy (Basel, Switzerland)
https://www.readbyqxmd.com/read/29034335/reliability-and-validity-of-the-lichtenberg-financial-decision-screening-scale
#11
Peter A Lichtenberg, Jeanne A Teresi, Katja Ocepek-Welikson, Joseph P Eimicke
The scarcity of empirically validated assessment instruments continues to impede the work of professionals in a number of fields, including medicine, finance, and estate planning; adult protective services; and criminal justice-and, more importantly, it impedes their ability to effectively assist and, in some case, protect their clients. Other professionals (e.g. legal, financial, medical, mental health services) are in a position to prevent financial exploitation and would benefit from access to new instruments...
March 1, 2017: Innov Aging
https://www.readbyqxmd.com/read/29027837/malpractice-in-paediatric-minimally-invasive-surgery-a-current-concept-results-of-an-international-survey
#12
Ciro Esposito, Maria Escolino, Marcela Bailez, Steve Rothenberg, Mark Davenport, Amulya Saxena, Anthony Caldamone, Philipp Szavay, Paul Philippe, Holger Till, Philippe Montupet, George W Holcomb Rd
This study aimed to assess malpractice in paediatric minimally invasive surgery (MIS), and attitudes, prevention strategies and mechanisms to support surgeons while they are under investigation. An observational, multicentric, questionnaire-based study was conducted. The survey questionnaire was sent via mail, and it comprised four sections. Twenty-four paediatric surgeons (average age 54.6 years), from 13 different countries, participated in this study. The majority had >15 years of experience in MIS. Three (12...
January 1, 2017: Medicine, Science, and the Law
https://www.readbyqxmd.com/read/29020993/assessment-of-a-business-to-consumer-b2c-model-for-telemonitoring-patients-with-chronic-heart-failure-chf
#13
Andrija S Grustam, Hubertus J M Vrijhoef, Ron Koymans, Philipp Hukal, Johan L Severens
BACKGROUND: The purpose of this study is to assess the Business-to-Consumer (B2C) model for telemonitoring patients with Chronic Heart Failure (CHF) by analysing the value it creates, both for organizations or ventures that provide telemonitoring services based on it, and for society. METHODS: The business model assessment was based on the following categories: caveats, venture type, six-factor alignment, strategic market assessment, financial viability, valuation analysis, sustainability, societal impact, and technology assessment...
October 11, 2017: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/29017454/productivity-losses-and-public-finance-burden-attributable-to-breast-cancer-in-poland-2010-2014
#14
Błażej Łyszczarz, Ewelina Nojszewska
BACKGROUND: Apart from the health and social burden of the disease, breast cancer (BC) has important economic implications for the sick, health system and whole economy. There has been a growing interest in the economic aspects of breast cancer and analyses of the disease costs seem to be the most explored topic. However, the results from these studies are hardly comparable. With this study we aim to contribute to the field by providing estimates of productivity losses and public finance burden attributable to BC in Poland...
October 10, 2017: BMC Cancer
https://www.readbyqxmd.com/read/28967491/the-impact-of-introducing-a-new-hospital-financing-system-drgs-in-poland-on-hospitalisations-for-atherosclerosis-an-interrupted-time-series-analysis-2004-2012
#15
Elżbieta Buczak-Stec, Paweł Goryński, Aneta Nitsch-Osuch, Krzysztof Kanecki, Piotr Tyszko
OBJECTIVES: Hospital payment based on diagnosis-related groups (DRGs) was introduced in Poland in July 2008. We evaluate the impact of this policy on the frequency of hospitalisation for atherosclerosis in internal medicine units of district hospitals and non-public hospitals in Poland. METHODS: Data were collected between 2004 and 2012 from each district and non-public hospital participating in the General Hospital Morbidity Study (165 hospitals in total). Atherosclerosis was defined using the ICD-10 code I70...
November 2017: Health Policy
https://www.readbyqxmd.com/read/28959479/perspective-and-future-of-evidence-based-medicine
#16
Suning You
BACKGROUND: Evidence-based medicine (EBM) has evolved over a century. EBM is now the guiding principle of medical practice. High-level EBM usually derives from a well-designed, randomised, double blind, placebo controlled trial of parallel groups and sufficient number of patients enrolled. However, in recent times, concerns of EBM misguiding clinical practice have been on the rise. This paper aims at exploring the root cause of why EBM is perhaps losing its touch as the measuring standard of clinical practice...
December 2016: Stroke and Vascular Neurology
https://www.readbyqxmd.com/read/28956071/-an-archive-for-science-state-and-nation-climatological-data-practices-in-switzerland-1860-1914
#17
Franziska Hupfer
In the second half of the nineteenth century, most European countries began to finance weather observation networks. As a result, climatological data practices changed fundamentally. Using the example of Switzerland, this paper examines the political, institutional and methodological dimensions of national data archives. The institutionalization of data collection within the national framework meant, on the one hand, that more observations were systematically made and published. On the other hand, it also meant that the monitoring was connected to state boundaries...
December 2017: NTM
https://www.readbyqxmd.com/read/28953608/the-impact-and-financial-burden-of-pulmonary-arterial-hypertension-on-patients-and-caregivers-results-from-a-national-survey
#18
Zhenguo Zhai, Xia Zhou, Shuai Zhang, Wanmu Xie, Jun Wan, Tuguang Kuang, Yuanhua Yang, Huan Huang, Chen Wang
Pulmonary arterial hypertension (PAH) is a chronic progressive devastating disease. Symptom burden might impair health-related quality of life of patients. Furthermore, treatment on this disease brings significant financial burden to patients' families. Both physiological and psychological symptoms have been reported, but limited evidence regarding the impact of PAH on patients and caregivers exists, especially the emotional issues and their association with patients' health quality. The main purpose of this study was to describe the impact of PAH on patients and their caregivers in a Chinese population...
September 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28948025/does-access-to-credit-services-influence-availability-of-essential-child-medicines-and-licensing-status-among-private-medicine-retail-outlets-in-uganda
#19
Lorraine Nabbanja Kabunga, Paschal Mujasi
BACKGROUND: Despite making great progress in reducing under five mortality in the last three decades. Uganda still ranks high among countries with the highest under five mortality rates. More than a third (36%) of these deaths are caused by pneumonia (15%), malaria (12%), or diarrhea (9%). For many mothers and caregivers, private drug shops are a point of care seeking for these illnesses. However, many drug-shops, are unlicensed and do not stock essential commodities due to insufficient capital and operational funds...
2017: Journal of Pharmaceutical Policy and Practice
https://www.readbyqxmd.com/read/28942205/the-unintended-consequences-of-community-verifications-for-performance-based-financing-in-burkina-faso
#20
Anne-Marie Turcotte-Tremblay, Idriss Ali Gali-Gali, Manuela De Allegri, Valéry Ridde
Performance-based financing (PBF) is being widely implemented to improve healthcare services in Africa. An essential component of PBF involves conducting community verifications, wherein investigators from local associations attempt to trace samples of patients. Community surveys are administered to patients to verify whether healthcare workers reported fictitious services to increase their revenue. At the same time, client satisfaction surveys are administered to assess whether patients are satisfied with the services received...
September 8, 2017: Social Science & Medicine
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