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Health politics, policy and law

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https://www.readbyqxmd.com/read/28429990/medicaid-waivers-and-negotiated-federalism-in-the-us-is-there-relevance-to-other-federal-systems
#1
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/28369366/banning-shisha-smoking-in-public-places-in-iran-an-advocacy-coalition-framework-perspective-on-policy-process-and-change
#2
Akram Khayatzadeh-Mahani, Eric Breton, Arne Ruckert, Ronald Labonté
Introduction: Shisha smoking is a widespread custom in Iran with a rapidly growing prevalence especially among the youth. In this article, we analyze the policy process of enforcing a federal/state ban on shisha smoking in all public places in Kerman Province, Iran. Guided by the Advocacy Coalition Framework (ACF), we investigate how a shisha smoking ban reached the political agenda in 2011, how it was framed by different policy actors, and why no significant breakthrough took place despite its inclusion on the agenda...
March 27, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28366598/a-practical-framework-for-regulating-for-profit-recreational-marijuana-in-us-states-lessons-from-colorado-and-washington
#3
John T Carnevale, Raanan Kagan, Patrick J Murphy, Josh Esrick
Despite the federal prohibition against marijuana, state-level recreational use appears to be moving forward. Public opinion is shifting. Following well-publicized state-legalization in Washington and Colorado, states across the US have begun considering similar measures. Since the 2016 election, over 21% of Americans now live in places where recreational marijuana is state-legal, and over 63% of the country permits medical or recreational use at the state level. This paper does not consider whether states should legalize marijuana nor does it weigh all regulatory options available to states...
March 30, 2017: International Journal on Drug Policy
https://www.readbyqxmd.com/read/28339426/evolution-of-us-health-care-reform
#4
Laxmaiah Manchikanti, Standiford Helm Ii, Ramsin M Benyamin, Joshua A Hirsch
Major health policy creation or changes, including governmental and private policies affecting health care delivery are based on health care reform(s). Health care reform has been a global issue over the years and the United States has seen proposals for multiple reforms over the years. A successful, health care proposal in the United States with involvement of the federal government was the short-lived establishment of the first system of national medical care in the South. In the 20th century, the United States was influenced by progressivism leading to the initiation of efforts to achieve universal coverage, supported by a Republican presidential candidate, Theodore Roosevelt...
March 2017: Pain Physician
https://www.readbyqxmd.com/read/28225545/enhancing-political-will-for-universal-health-coverage-in-nigeria
#5
Bolaji S Aregbeshola
Universal health coverage aims to increase equity in access to quality health care services and to reduce financial risk due to health care costs. It is a key component of international health agenda and has been a subject of worldwide debate. Despite differing views on its scope and pathways to reach it, there is a global consensus that all countries should work toward universal health coverage. The goal remains distant for many African countries, including Nigeria. This is mostly due to lack of political will and commitment among political actors and policymakers...
January 2017: MEDICC Review
https://www.readbyqxmd.com/read/28207336/local-television-news-coverage-of-the-affordable-care-act-emphasizing-politics-over-consumer-information
#6
Sarah E Gollust, Laura M Baum, Jeff Niederdeppe, Colleen L Barry, Erika Franklin Fowler
OBJECTIVES: To examine the public health and policy-relevant messages conveyed through local television news during the first stage of Affordable Care Act (ACA) implementation, when about 10 million Americans gained insurance. METHODS: We conducted a content analysis of 1569 ACA-related local evening television news stories, obtained from sampling local news aired between October 1, 2013, and April 19, 2014. Coders systematically collected data using a coding instrument tracking major messages and information sources cited in the news...
May 2017: American Journal of Public Health
https://www.readbyqxmd.com/read/28162966/over-the-counter-antibiotics-in-saudi-arabia-an-urgent-call-for-policy-makers
#7
Sharafaldeen Bin Nafisah, Salahaldin Bin Nafesa, Aliyah H Alamery, Mazen A Alhumaid, Haitham M AlMuhaidib, Fahad A Al-Eidan
Antibiotics over-consumption is a pandemic that has a tremendous cost on the overwhelmed healthcare system. The accessibility of antibiotics coupled with the misconception of public toward those drugs both of which implicated in the use and misuse of antibiotics. The aim of this study was to investigate the perception of the community toward antibiotics, its purpose and harmfulness, in addition to the accessibility of those drugs as over the counter and without prescriptions. We also investigated the behavior toward antibiotic prescriptions when perceived unnecessary...
February 2, 2017: Journal of Infection and Public Health
https://www.readbyqxmd.com/read/28159533/guidelines-law-and-governance-disconnects-in-the-global-control-of-airline-associated-infectious-diseases
#8
REVIEW
Andrea Grout, Natasha Howard, Richard Coker, Elizabeth M Speakman
International air travel is increasingly affecting the epidemiology of infectious diseases. A particular public health, economic, and political concern is the role of air travel in bringing infectious passengers or vectors to previously non-endemic areas. Yet, little research has been done to investigate either the infection risks associated with air travel or the empirical evidence for the effectiveness of infection control measures on aircraft and at borders. We briefly review the interface between international and national legislation, policy, and guidelines in the context of existing infection risks and possible scenarios...
April 2017: Lancet Infectious Diseases
https://www.readbyqxmd.com/read/28074577/permanent-patients-hospital-discharge-planning-meets-housing-insecurity
#9
Jennifer L Herbst
Not all hospital inpatients need the level of care (including staffing, testing, monitoring, and treatment) uniquely available in the acute-care setting. In the United States, these longer-term, nonacute inpatients tend to be some combination of chronically ill, poor, homeless, undocumented, uninsured, and disabled-all groups who have struggled for health equity, political recognition, and voice. Even so, these "permanent patients" continue to receive care in one of the most expensive settings. This phenomenon is the result of federal legislation that creates an affirmative duty to care for all able to access our emergency departments without also making safe housing available to all...
January 2017: Hastings Center Report
https://www.readbyqxmd.com/read/28024680/politics-policies-pronatalism-and-practice-availability-and-accessibility-of-abortion-and-reproductive-health-services-in-turkey
#10
Katrina A MacFarlane, Mary Lou O'Neil, Deniz Tekdemir, Elvin Çetin, Barış Bilgen, Angel M Foster
Turkey has maintained liberal contraception and abortion policies since the 1980s. In 2012, the government proposed to restrict abortion; a bill limiting abortion was later drafted but never passed into law. Since the proposed restriction, women have reported difficulty accessing abortion services across Turkey. We aimed to better understand the current availability of abortion and reproductive health services in Istanbul and explore whether access to services has changed since 2012. In 2015, we completed 14 in-depth interviews with women and 11 semi-structured interviews with key informants...
November 2016: Reproductive Health Matters
https://www.readbyqxmd.com/read/27808446/science-politics-and-the-play-of-chance-in-recent-australian-drinking-law-changes
#11
Kypros Kypri
Regulating late-night alcohol sales to prevent violence continues to be hotly debated in Australia. From July this year, Queensland required premises to stop serving alcohol (last drinks) by 3 am in entertainment precincts and by 2 am in the rest of the state. The Government made legislative provision for 1 am lockouts in entertainment precincts but at the time of writing has not committed to introducing them. Lockouts, also known as one-way-doors, permit patrons to remain drinking in premises until last drinks but deny entry to new patrons...
November 3, 2016: Drug and Alcohol Review
https://www.readbyqxmd.com/read/27724893/-it-s-all-about-trust-reflections-of-researchers-on-the-complexity-and-controversy-surrounding-biobanking-in-south-africa
#12
Keymanthri Moodley, Shenuka Singh
BACKGROUND: Biobanks are precariously situated at the intersection of science, genetics, genomics, society, ethics, the law and politics. This multi-disciplinarity has given rise to a new discourse in health research involving diverse stakeholders. Each stakeholder is embedded in a unique context and articulates his/her biobanking activities differently. To researchers, biobanks carry enormous transformative potential in terms of advancing scientific discovery and knowledge. However, in the context of power asymmetries in Africa and a distrust in science born out of historical exploitation, researchers must balance the scientific imperative of collecting, storing and sharing high quality biological samples with obligations to donors/participants, communities, international collaborators, regulatory and ethics authorities...
October 10, 2016: BMC Medical Ethics
https://www.readbyqxmd.com/read/27691993/emergence-of-drivers-for-the-implementation-of-health-technology-assessment
#13
Hector Eduardo Castro Jaramillo, Ornella Moreno-Mattar, Diana Osorio-Cuevas
BACKGROUND: Health technology assessment (HTA) examines the consequences of the application of health technologies and is aimed at better informing decision-makers. Over the past 30 years, different countries have implemented HTA organizations. Colombia established by law its own HTA agency (IETS) in 2011 which started operations in November 2012. The aim of this study was to assess the feasibility of conducting and using HTA to inform decision-making in this context. Through a qualitative approach, ten "drivers" emerged with the ability to help or hinder HTA development in this context: availability and quality of data, implementation strategy, cultural aspects, local capacity, financial support, policy/political support, globalization, stakeholder pressure, health system context, and usefulness perception...
January 2016: International Journal of Technology Assessment in Health Care
https://www.readbyqxmd.com/read/27672327/development-of-the-parental-needs-scale-for-rare-diseases-a-tool-for-measuring-the-supportive-care-needs-of-parents-caring-for-a-child-with-a-rare-disease
#14
Lemuel J Pelentsov, Andrea L Fielder, Thomas A Laws, Adrian J Esterman
BACKGROUND: Children and families affected by rare diseases have received scant consideration from the medical, scientific, and political communities, with parents' needs especially having received little attention. Affected parents often have limited access to information and support and appropriate health care services. While scales to measure the needs of parents of children with chronic illnesses have been developed, there have been no previous attempts to develop a scale to assess the needs of parents of children with rare diseases...
2016: Journal of Multidisciplinary Healthcare
https://www.readbyqxmd.com/read/27661557/-mental-health-in-chile-and-finland-challenges-and-lessons
#15
COMPARATIVE STUDY
Pedro Retamal C, Niina Markkula, Sebastián Peña
This article analyses and compares the epidemiology of mental disorders and relevant public policies in Chile and Finland. In Chile, a specific mental health law is still lacking. While both countries highlight the role of primary care, Finland places more emphasis on participation and recovery of service users. Comprehensive mental health policies from Finland, such as a successful suicide prevention program, are presented. Both countries have similar prevalence of mental disorders, high alcohol consumption and high suicide rates...
July 2016: Revista Médica de Chile
https://www.readbyqxmd.com/read/27627631/holistic-review-in-medical-school-admissions-and-selection-a-strategic-mission-driven-response-to-shifting-societal-needs
#16
Sarah S Conrad, Amy N Addams, Geoffrey H Young
Medical schools and residency programs have always sought excellence in the areas of education, research, and clinical care. However, these pursuits are not accomplished within a vacuum-rather, they are continually and necessarily influenced by social, cultural, political, legal, and economic forces. Persistent demographic inequalities coupled with rapidly evolving biomedical research and a complex legal landscape heighten our collective awareness and emphasize the continued need to consider medicine's social contract when selecting, educating, and developing physicians and physician-scientists...
September 13, 2016: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/27610906/improving-health-through-political-activism
#17
Donald Johnston, Kandace Landreneau
Nurse leaders have a moral and professional obligation to be aware of and influence policy to promote health at local to national levels. As nurse leaders and concerned local residents, the authors engaged in changing the influence of a sexually-oriented business that was impacting the psychosocial health of local citizenry, especially children. Learning city ordinances and state and federal laws was a precursor to change. Professionalism in action can successfully engage community leaders, create change, and support community health...
October 2016: Journal of Christian Nursing: a Quarterly Publication of Nurses Christian Fellowship
https://www.readbyqxmd.com/read/27605659/indonesia-s-road-to-universal-health-coverage-a-political-journey
#18
Elizabeth Pisani, Maarten Olivier Kok, Kharisma Nugroho
In 2013 Indonesia, the world's fourth most populous country, declared that it would provide affordable health care for all its citizens within seven years. This crystallised an ambition first enshrined in law over five decades earlier, but never previously realised. This paper explores Indonesia's journey towards universal health coverage (UHC) from independence to the launch of a comprehensive health insurance scheme in January 2014. We find that Indonesia's path has been determined largely by domestic political concerns - different groups obtained access to healthcare as their socio-political importance grew...
September 6, 2016: Health Policy and Planning
https://www.readbyqxmd.com/read/27533363/how-to-engage-across-sectors-lessons-from-agriculture-and-nutrition-in-the-brazilian-school-feeding-program
#19
Corinna Hawkes, Bettina Gerken Brazil, Inês Rugani Ribeiro de Castro, Patricia Constante Jaime
OBJECTIVE: To provide insights for nutrition and public health practitioners on how to engage with other sectors to achieve public health goals. Specifically, this study provides lessons from the example of integrating family farming and a nutrition into a legal framework in Brazil on how to successfully shift other sectors toward nutrition goals. METHODS: The study analyzed policy processes that led to a Brazilian law linking family farming with the National School Feeding Program...
August 11, 2016: Revista de Saúde Pública
https://www.readbyqxmd.com/read/27531944/the-struggle-for-the-soul-of-public-health
#20
Lindsay Wiley
Prevention has become a central focus for health care payers, providers, policy makers, and the general public. Given the centrality of prevention to public health science, practice, and law, it would seem that conditions are ripe for the public health law renaissance to expand beyond legal and scientific circles to permeate the general consciousness. Yet, public health law and policy interventions continue to face considerable political and legal opposition. The population perspective-which emphasizes the social determinants of health, collective action to create healthier communities, and communitarian rationales for prioritizing health-is as important to public health problem-solving as the prevention orientation...
August 16, 2016: Journal of Health Politics, Policy and Law
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