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https://www.readbyqxmd.com/read/28436346/development-of-health-technology-assessment-in-romania
#1
Silvia Gabriela Scintee, Marius Ciutan
OBJECTIVES: The aim of this study was to describe and analyze the introduction of health technology (HTA) in Romania. METHODS: Based on a review of the literature and legislative documents and personal experiences and observations, the authors describe, evaluate, and explain the background and evolution of the HTA system. RESULTS: Initiatives to introduce HTA in Romania date from the early 1990s, but real steps were taken only in 2012 when the European Union Directive 2011/24/ on the application of patients' rights in cross-border health care had to be passed into Romanian law...
April 24, 2017: International Journal of Technology Assessment in Health Care
https://www.readbyqxmd.com/read/28434458/relationship-between-state-malpractice-environment-and-quality-of-health-care-in-the-united-states
#2
Karl Y Bilimoria, Jeanette W Chung, Christina A Minami, Min-Woong Sohn, Emily S Pavey, Jane L Holl, Michelle M Mello
BACKGROUND: One major intent of the medical malpractice system in the United States is to deter negligent care and to create incentives for delivering high-quality health care. A study was conducted to assess whether state-level measures of malpractice risk were associated with hospital quality and patient safety. METHODS: In an observational study of short-term, acute-care general hospitals in the United States that publicly reported in the Centers for Medicaid & Medicare Services Hospital Compare in 2011, hierarchical regression models were used to estimate associations between state-specific malpractice environment measures (rates of paid claims, average Medicare Malpractice Geographic Practice Cost Index [MGPCI], absence of tort reform laws, and a composite measure) and measures of hospital quality (processes of care, imaging utilization, 30-day mortality and readmission, Agency for Healthcare Research and Quality Patient Safety Indicators, and patient experience from the Hospital Consumer Assessment of Healthcare Providers and Systems [HCAHPS])...
May 2017: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/28434211/health-conditions-and-motivations-for-marijuana-use-among-young-adult-medical-marijuana-patients-and-non-patient-marijuana-users
#3
Stephen E Lankenau, Janna Ataiants, Salini Mohanty, Sheree Schrager, Ellen Iverson, Carolyn F Wong
INTRODUCTION: While marijuana has been legal for medical purposes in California since 1996, little is known about the health histories of young adult medical marijuana patients who are a significant proportion of medical marijuana patients. We examined whether young adult medical marijuana patients reported health conditions and motivations for use that were consistent with medical use of marijuana in California. METHODS: Young adults (N = 366) aged 18 to 26 years were sampled in Los Angeles in 2014-2015 and segmented into medical marijuana 'patients' (n = 210), marijuana users with a current recommendation, and non-patient users or 'non-patients' (n = 156), marijuana users who never had a medical marijuana recommendation...
April 23, 2017: Drug and Alcohol Review
https://www.readbyqxmd.com/read/28431783/supplementary-health-insurance-from-the-consumer-point-of-view-are-israelis-consumers-doing-an-informed-rational-choice-when-purchasing-supplementary-health-insurance
#4
Giora Kaplan, Yael Shahar, Orna Tal
BACKGROUND: The National Health Insurance Law in Israel ensures basic health basket eligibility for all its citizens. A supplemental health insurance plan (SHIP) is offered for an additional fee. Over the years, the percentage of supplemental insurance's holders has risen considerably, ranking among the highest in OECD countries. The assumption that consumers implement an informed rational choice based on relevant information is doubtful. Are consumers sufficiently well informed to make market processes work well? OBJECTIVES: To examine perspectives, preferences and knowledge of Israelis in relation to SHIP...
April 8, 2017: Health Policy
https://www.readbyqxmd.com/read/28431767/the-new-drug-conditional-approval-process-in-china-challenges-and-opportunities
#5
REVIEW
Xuefang Yao, Jinxi Ding, Yingfang Liu, Penghui Li
PURPOSE: Our aim was to characterize the newly established new drug conditional approval process in China and discuss the challenges and opportunities with respect to new drug research and development and registration. METHODS: We examined the new approval program through literature review, law analysis, and data analysis. Data were derived from published materials, such as journal articles, government publications, press releases, and news articles, along with statistical data from INSIGHT-China Pharma Databases, the China Food and Drug Administration website, the Center for Drug Evaluation website, the US Food and Drug Administration website, and search results published by Google...
April 18, 2017: Clinical Therapeutics
https://www.readbyqxmd.com/read/28430029/legal-mapping-analysis-of-state-telehealth-reimbursement-policies
#6
Kate E Trout, Sankeerth Rampa, Fernando A Wilson, Jim P Stimpson
BACKGROUND: There exists rapid growth and inconsistency in the telehealth policy environment, which makes it difficult to quantitatively evaluate the impact of telehealth reimbursement and other policies without the availability of a legal mapping database. INTRODUCTION: We describe the creation of a legal mapping database of state-level policies related to telehealth reimbursement of healthcare services. Trends and characteristics of these policies are presented...
April 21, 2017: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/28429997/attitudes-toward-cognitive-enhancer-use-among-new-zealand-tertiary-students
#7
Sanyogita Sanya Ram, Safeera Hussainy, Marcus Henning, Kay Stewart, Maree Jensen, Bruce Russell
BACKGROUND: Cognitive enhancement is the use of prescription stimulant medicines by healthy individuals for nonmedical use in academic settings. Commonly used cognitive enhancers (CEs) include methylphenidate, amphetamines, and modafinil. To understand the motivation to use CEs, it is important to look beyond prevalence and explore the extent to which attitudes, beliefs, and intentions predict the decision to use CEs. OBJECTIVE: The study aimed to investigate what factors explain the decision to use CEs among tertiary students in New Zealand, using the Theory of Planned Behaviour (TPB)...
April 21, 2017: Substance Use & Misuse
https://www.readbyqxmd.com/read/28429990/medicaid-waivers-and-negotiated-federalism-in-the-us-is-there-relevance-to-other-federal-systems
#8
Carol S Weissert, William G Weissert
Medicaid waivers have been a principal tool of innovation in health policy in the US since at least the mid 1970s. As Republicans seek to give the states more flexibility in their implementation and management of both Medicaid and the Affordable Care Act or its replacement, waiver authority is likely to be one of the key work arounds for avoiding political barriers in the US Senate. While block-granting Medicaid may require 60 senate votes, waiver authority already exists in both Medicaid law and the Affordable Care Act...
January 1, 2017: Journal of Health Services Research & Policy
https://www.readbyqxmd.com/read/28426321/hansae-vietnam-s-garment-factory-latest-example-of-how-corporate-social-responsibility-has-failed-to-protect-workers
#9
Garrett Brown
A Korean-operated garment factory complex in Vietnam was subject to 26 separate corporate social responsibility (CSR) audits in 2015. However, thorough inspections by two other non-governmental organizations in 2016 found numerous violations of Vietnamese occupational health and safety and labor laws as well as violations of the corporate codes of conduct of the international clothing brands which source apparel from the facility. The 2016 investigations indicate the lack of efficacy of the 2015 CSR audits and call into question whether voluntary CSR programs and audits by for-profit CSR monitoring companies can effectively protect the health, safety and legal rights of workers in global supply chains...
April 20, 2017: Journal of Occupational and Environmental Hygiene
https://www.readbyqxmd.com/read/28426318/us-state-statutes-banning-powdered-alcohol-exceptions-and-penalties
#10
Andrea M Garcia
To examine state statutes banning powdered alcohol, we identified relevant statutes in all 50 states and the District of Columbia through a search (initial search March 2016; follow-up search November 2016) using the legal research database LexisNexis. To identify the laws, we used the following search terms: "concentrated alcohol," "crystalline alcohol," "granulated alcohol," "palcohol," and "powdered alcohol." As of November 2016, 31 states had statutory bans on powdered alcohol. Statutes in 22 states outline penalties for violating the state's ban on powdered alcohol...
April 20, 2017: American Journal of Public Health
https://www.readbyqxmd.com/read/28426313/substance-use-criteria-to-restrict-medicaid-coverage-of-hepatitis-c-treatment-cost-versus-ethics
#11
Joshua M Liao, Michael A Fischer
Medicaid programs provide health insurance coverage for many patients with hepatitis C, a public health problem for which effective but very expensive treatments are now available. Facing constrained budgets, most states adopted prior authorization criteria for sofosbuvir, the first of these agents. Using fee-for-service utilization data from 42 Medicaid programs in 2014, we found that strict behavioral criteria-those that limited coverage on the basis of drug or alcohol use and included specific abstinence or treatment requirements-were associated with significantly less spending on sofosbuvir...
April 20, 2017: American Journal of Public Health
https://www.readbyqxmd.com/read/28426307/how-california-prepared-for-implementation-of-physician-assisted-death-a-primer
#12
Laura A Petrillo, Elizabeth Dzeng, Krista L Harrison, Lindsay Forbes, Benjamin Scribner, Barbara A Koenig
Physician-assisted death is now legal in California, and similar laws are being considered in many other states. The California law includes safeguards, yet health care providers will face practical and ethical issues while implementing physician-assisted death that are not addressed by the law. To help providers and health care facilities in California prepare to provide optimal care to patients who inquire about physician-assisted death, we brought together experts from California, Oregon, and Washington...
April 20, 2017: American Journal of Public Health
https://www.readbyqxmd.com/read/28426305/us-public-opinion-on-carrying-firearms-in-public-places
#13
Julia A Wolfson, Stephen P Teret, Deborah Azrael, Matthew Miller
OBJECTIVES: To estimate US public opinion, overall and by gun ownership status, about the public places where legal gun owners should be allowed to carry firearms. METHODS: We fielded an online survey among 3949 adults, including an oversample of gun owners and veterans, in April 2015. We used cross-tabulations with survey weights to generate nationally representative estimates. RESULTS: Fewer than 1 in 3 US adults supported gun carrying in any of the specified venues...
April 20, 2017: American Journal of Public Health
https://www.readbyqxmd.com/read/28426304/a-significant-and-quiet-threat-to-public-health-in-the-united-states-state-preemption
#14
Jennifer L Pomeranz, Mark Pertschuk
State and local governments traditionally protect the health and safety of their populations more strenuously than does the federal government. Preemption, when a higher level of government restricts or withdraws the authority of a lower level of government to act on a particular issue, was historically used as a point of negotiation in the legislative process. More recently, however, 3 new preemption-related issues have emerged that have direct implications for public health. First, multiple industries are working on a 50-state strategy to enact state laws preempting local regulation...
April 20, 2017: American Journal of Public Health
https://www.readbyqxmd.com/read/28426299/effect-of-legislation-on-indoor-tanning-prevalence-in-alabama
#15
Aaron J Blashill, Sherry Pagoto
OBJECTIVES: To examine changes in indoor tanning prevalence among Alabama high school students the year before and after its 2014 legal restrictions compared with Florida, which had more lenient legislation. METHODS: We analyzed the Alabama and Florida 2015 Youth Risk Behavior Survey (n = 14 389; population = 1 864 241) by gender, age, year (2013, 2015), state (Alabama, Florida), and year-by-state interactions. RESULTS: Prevalence of indoor tanning was higher among Alabama youths, but the difference did not significantly change after the law was passed in Alabama (between-state change differences ranged from a 3...
April 20, 2017: American Journal of Public Health
https://www.readbyqxmd.com/read/28422921/population-based-estimate-of-trauma-related-deaths-for-law-enforcement-personnel-risks-for-death-are-higher-and-increasing-over-time
#16
Alexander L Eastman, Michael W Cripps, Kareem R Abdelfattah, Kenji Inaba, Thomas G Weiser, David A Spain, Kristan L Staudenmayer
OBJECTIVE: Trauma-related deaths remain an important public health problem. One group susceptible to death due to traumatic mechanisms is U.S. Law Enforcement (LE). We hypothesized that LE officers experienced a higher chance of violent death compared to the general U.S. population and that risks have increased over time. METHODS: The National Institute on Occupational Safety and Health (NIOSH) National Occupational Mortality Surveillance (NOMS) is a population-based survey of occupational deaths...
April 18, 2017: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/28421684/navigating-the-rolling-hills-of-justice-mental-disabilities-employment-and-the-evolving-jurisprudence-of-the-americans-with-disabilities-act
#17
Lauren Wylonis, Nina T Wylonis, Robert Sadoff
Mental illness and disability affect millions of individuals yearly in the U.S. The most important legislation protecting the mentally disabled in the workplace in the U.S. over the last half century has been the Americans with Disabilities Act (ADA) and its associated legislation and guidance. Although the employee should first request reasonable accommodation with the employer, evaluation by a mental health professional is one of the initial steps for individuals who report significant psychiatric symptoms that are impairing their functioning at work in the U...
March 2017: Behavioral Sciences & the Law
https://www.readbyqxmd.com/read/28421573/-forensic-flexible-assertive-community-treatment-client-characteristics-and-treatment-outcomes
#18
L Neijmeijer, J Verwoerd, M van Vugt, C Place, H Kroon
BACKGROUND: (Flexible) Assertive community treatment ((f)act) is applied increasingly to forensic psychiatric clients. However, evidence about the effectiveness of forensic (f)act is scanty. AIM: To investigate to what extent (subgroups of) clients receiving care from forensic (f)act teams show, after a year, changes in their social and psychological functioning and are subjected to fewer justicial outcome measures. METHOD: Between 2009 and 2011, eight forensic (f)act teams collected, at two measurement moments separated by an average of 12 months, data relating to client characteristics and outcomes of care...
2017: Tijdschrift Voor Psychiatrie
https://www.readbyqxmd.com/read/28420772/health-care-for-individuals-with-hearing-loss-or-vision-loss-a-minefield-of-barriers-to-accessibility
#19
Jan Withers, Cynthia Speight
Individuals with hearing or vision loss face significant barriers in accessing health care, resulting in documented health inequities. These barriers are typically in the form of inaccessible communication or information, as well as impediments to orientation or mobility. Compliance with applicable accessibility laws, such as the Americans with Disabilities Act, requires that providers have a sound understanding of the specific aids and services that assure compliance.
March 2017: North Carolina Medical Journal
https://www.readbyqxmd.com/read/28420546/facilitating-fresh-state-laws-supporting-school-gardens-are-associated-with-use-of-garden-grown-produce-in-school-nutrition-services-programs
#20
Lindsey Turner, Julien Leider, Elizabeth Piekarz, Rebecca M Schermbeck, Caitlin Merlo, Nancy Brener, Jamie F Chriqui
OBJECTIVE: To examine whether state laws are associated with the presence of school gardens and the use of garden-grown produce in school nutrition services programs. DESIGN: Nationally representative data from the School Health Policies and Practices Study 2014 were combined with objectively coded state law data regarding school gardens. MAIN OUTCOME MEASURES: Outcomes were: (1) the presence of a school garden at each school (n = 419 schools), and (2) the use of garden-grown items in the school nutrition services program...
April 15, 2017: Journal of Nutrition Education and Behavior
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