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Health systems research and policy

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https://www.readbyqxmd.com/read/29029154/interrogating-resilience-in-health-systems-development
#1
Remco van de Pas, Majdi Ashour, Anuj Kapilashrami, Suzanne Fustukian
The Fourth Global Symposium on Health Systems Research was themed around 'Resilient and responsive health systems for a changing world.' This commentary is the outcome of a panel discussion at the symposium in which the resilience discourse and its use in health systems development was critically interrogated. The 2014-15 Ebola outbreak in West-Africa added momentum for the wider adoption of resilient health systems as a crucial element to prepare for and effectively respond to crisis. The growing salience of resilience in development and health systems debates can be attributed in part to development actors and philanthropies such as the Rockefeller Foundation...
September 23, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/29028243/new-challenges-of-public-health-bringing-the-future-of-personalised-healthcare-into-focus
#2
Walter Ricciardi, Stefania Boccia
The greater personalization of healthcare represents a driver of innovation for research, and for the healthcare systems and industries as a whole. Still policy-makers, healthcare professionals, citizens and private companies need to take some steps to realize the potential for such a radical shift. In this paper, we illustrate the challenges, the benefits and consequences that might accompany the implementation of personalized healthcare, and the steps that policy-makers and practitioners would need to take to realise its potential...
October 1, 2017: European Journal of Public Health
https://www.readbyqxmd.com/read/29028232/towards-an-overarching-european-health-information-system
#3
Marieke Verschuuren, Annemiek van Bolhuis, Nicole Rosenkötter, Mariken Tijhuis, Hans van Oers
A European health information system (HIS) supports mutual learning between member states through international comparisons. In addition, it informs international policy agendas. Collaboration between the major stakeholders, most importantly the World Health Organization Regional Office for Europe (WHO-Euro), the European Commission and OECD, is important for member states, as this will contribute to better and more efficiently produced health intelligence. This paper focuses on this 'supra-international' collaboration...
October 1, 2017: European Journal of Public Health
https://www.readbyqxmd.com/read/29026457/applications-of-information-and-communications-technologies-to-public-health-a-scoping-review-using-the-mesh-term-public-health-informatics
#4
Arjun Kumar Bhattarai, Aein Zarrin, Joon Lee
OBJECTIVE: To investigate the public health domains, key informatics concepts, and information and communications technologies (ICTs) applied in articles that are tagged with the MeSH term "public health informatics" and primarily focus on applying ICTs to public health. MATERIALS AND METHODS: The MeSH term "public health informatics" was searched on MEDLINE-PubMed. The results of the search were then screened in two steps in order to only include articles about applying ICTs to public health problems...
2017: Online Journal of Public Health Informatics
https://www.readbyqxmd.com/read/29026456/geographic-information-systems-usability-perception-and-preferences-of-public-health-professionals
#5
Awatef A Ben Ramadan, Jeannette Jackson-Thompson, Suzanne A Boren
BACKGROUND: Analyzing and visualizing health-related databases using Geographic Information Systems (GISs) becomes essential in controlling many public health problems. OBJECTIVES: To explore the perception and preferences of public health professionals (PHPs) about the usability of GISs in public health field. METHODS: For this scoping review, the investigators searched Medline Ovid, PubMed, IEEE, Scopus, and GeoBase databases. A total of 105 articles were identified...
2017: Online Journal of Public Health Informatics
https://www.readbyqxmd.com/read/29026439/priority-setting-for-mental-health-research-in-chile
#6
Pedro Zitko, Francesca Borghero, Cynthia Zavala, Niina Markkula, Emilio Santelices, Nicolás Libuy, Alfredo Pemjean
BACKGROUND: Scientific knowledge is a fundamental tool for making informed health policy decisions, but the link between health research and public policy decision-making is often missing. This study aims to identify and prioritize a national set of research gaps in mental health. METHODS: A multi-approach method to identify gaps in knowledge was developed, including (1) document analysis and identification of possible research questions, (2) interviews to Ministry of Health key informants, (3) focus groups with different stakeholders, and (4) a web consultation addressed to academics...
2017: International Journal of Mental Health Systems
https://www.readbyqxmd.com/read/29024002/boundary-spanning-actors-in-complex-adaptive-governance-systems-the-case-of-multisectoral-nutrition
#7
David Pelletier, Suzanne Gervais, Hajra Hafeez-Ur-Rehman, Dia Sanou, Jackson Tumwine
A growing literature highlights complexity of policy implementation and governance in global health and argues that the processes and outcomes of policies could be improved by explicitly taking this complexity into account. Yet there is a paucity of studies exploring how this can be achieved in everyday practice. This study documents the strategies, tactics, and challenges of boundary-spanning actors working in 4 Sub-Saharan Africa countries who supported the implementation of multisectoral nutrition as part of the African Nutrition Security Partnership in Burkina Faso, Mali, Ethiopia, and Uganda...
October 10, 2017: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/29023741/oral-healthcare-systems-for-an-ageing-population-concepts-and-challenges
#8
Elisa M Ghezzi, Keita Kobayashi, Deok-Young Park, Patcharawan Srisilapanan
Oral healthcare systems (OHCS) are designed to maintain the health and function through Communication (Health promotion and education), Prevention, Assessment and Diagnosis, and Treatment. The complexity of these OHCS functions for the ageing are described utilizing the spectrum of dependency of the Seattle Care Pathway framework. Barriers and disparities which challenge the development of OHCS for the ageing can be universal but often vary between developed and developing countries. Recognizing that oral diseases are largely preventable, strategies to improve OHCS must be targeted locally, nationally, and internationally at oral health policy, education, research, and clinical care...
September 2017: International Dental Journal
https://www.readbyqxmd.com/read/29023740/surveillance-and-monitoring-of-oral-health-in-elderly-people
#9
Hideo Miyazaki, Judith A Jones, Eugenio D Beltrán-Aguilar
Continued ageing of the global population is expected to pose significant challenges to maintaining optimum lifelong health in individuals and populations. Oral health is an essential element of general health and quality of life throughout an individual's life course, yet it is often neglected in integrated approaches to general health promotion. Surveillance and monitoring systems are essential for developing oral health policy and strategy at both national and community levels. As major oral diseases, dental caries and periodontal diseases are core indicators for surveillance at every stage of life...
September 2017: International Dental Journal
https://www.readbyqxmd.com/read/29020991/building-a-bright-evidence-informed-future-a-conversation-starter-from-the-incoming-editors
#10
EDITORIAL
Tari Turner, Fadi El-Jardali
Health Research and Policy Systems (HARPS) has gone from strength to strength since it was established in 2003. As new Editors-in-Chief, we look forward to a bright future for HARPS, and we would like to start a conversation with you, HARPS readers, authors, editors and others, about how HARPS can best support ongoing progress and debate on evidence-informed health research policy and systems, particularly in developing countries. As a starting point for discussion, we would like to highlight three areas that we are passionate about, namely supporting an integrated community of researchers and policy-makers; building a focus on how health research and policy systems can support achievement of the Sustainable Development Goals; and strengthening our commitment to communicating and disseminating the work published in HARPS...
October 11, 2017: Health Research Policy and Systems
https://www.readbyqxmd.com/read/29020961/hazardous-waste-and-health-impact-a-systematic-review-of-the-scientific-literature
#11
REVIEW
L Fazzo, F Minichilli, M Santoro, A Ceccarini, M Della Seta, F Bianchi, P Comba, M Martuzzi
Waste is part of the agenda of the European Environment and Health Process and included among the topics of the Sixth Ministerial Conference on Environment and Health. Disposal and management of hazardous waste are worldwide challenges. We performed a systematic review to evaluate the evidence of the health impact of hazardous waste exposure, applying transparent and a priori defined methods. The following five steps, based on pre-defined systematic criteria, were applied. 1. Specify the research question, in terms of "Population-Exposure-Comparators-Outcomes" (PECO)...
October 11, 2017: Environmental Health: a Global Access Science Source
https://www.readbyqxmd.com/read/29016712/forty-years-of-state-alcohol-and-pregnancy-policies-in-the-usa-best-practices-for-public-health-or-efforts-to-restrict-women-s-reproductive-rights
#12
Sarah C M Roberts, Sue Thomas, Ryan Treffers, Laurie Drabble
Aims: Alcohol consumption during pregnancy remains a public health problem despite >40 years of attention. Little is known about how state policies have evolved and whether policies represent public health goals or efforts to restrict women's reproductive rights. Methods: Our data set includes US state policies from 1970 through 2013 obtained through original legal research and from the National Institute for Alcohol Abuse and Alcoholism's (NIAAA)'s Alcohol Policy Information System...
August 2, 2017: Alcohol and Alcoholism: International Journal of the Medical Council on Alcoholism
https://www.readbyqxmd.com/read/28993391/evaluating-a-novel-integrated-community-of-care-icoc-for-patients-from-an-urbanised-low-income-community-in-singapore-using-the-participatory-action-research-par-methodology-a-study-protocol
#13
Lian Leng Low, Adlina Maulod, Kheng Hock Lee
INTRODUCTION: Poorer health outcomes and disproportionate healthcare use in socioeconomically disadvantaged patients is well established. However, there is sparse literature on effective integrated care interventions that specifically target these high-risk individuals. The Integrated Community of Care (ICoC) is a novel care model that integrates hospital-based transitional care with health and social care in the community for high-risk individuals living in socially deprived communities...
October 8, 2017: BMJ Open
https://www.readbyqxmd.com/read/28991115/preventing-adverse-events-in-cataract-surgery-recommendations-from-a-massachusetts-expert-panel
#14
Karen C Nanji, Sarah A Roberto, Michael G Morley, Joseph Bayes
Massachusetts health care facilities reported a series of cataract surgery-related adverse events (AEs) to the state in recent years, including 5 globe perforations during eye blocks performed by 1 anesthesiologist in a single day. The Betsy Lehman Center for Patient Safety, a nonregulatory Massachusetts state agency, responded by convening an expert panel of frontline providers, patient safety experts, and patients to recommend strategies for mitigating patient harm during cataract surgery. The purpose of this article is to identify contributing factors to the cataract surgery AEs reported in Massachusetts and present the panel's recommended strategies to prevent them...
October 4, 2017: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/28982818/impact-of-policy-support-on-uptake-of-evidence-based-continuous-quality-improvement-activities-and-the-quality-of-care-for-indigenous-australians-a-comparative-case-study
#15
Ross Bailie, Veronica Matthews, Sarah Larkins, Sandra Thompson, Paul Burgess, Tarun Weeramanthri, Jodie Bailie, Frances Cunningham, Ru Kwedza, Louise Clark
OBJECTIVES: To examine the impact of state/territory policy support on (1) uptake of evidence-based continuous quality improvement (CQI) activities and (2) quality of care for Indigenous Australians. DESIGN: Mixed-method comparative case study methodology, drawing on quality-of-care audit data, documentary evidence of policies and strategies and the experience and insights of stakeholders involved in relevant CQI programmes. We use multilevel linear regression to analyse jurisdictional differences in quality of care...
October 5, 2017: BMJ Open
https://www.readbyqxmd.com/read/28982645/workarounds-emerging-from-electronic-health-record-system-usage-consequences-for-patient-safety-effectiveness-of-care-and-efficiency-of-care
#16
Vincent Blijleven, Kitty Koelemeijer, Marijntje Wetzels, Monique Jaspers
BACKGROUND: Health care providers resort to informal temporary practices known as workarounds for handling exceptions to normal workflow unintendedly imposed by electronic health record systems (EHRs). Although workarounds may seem favorable at first sight, they are generally suboptimal and may jeopardize patient safety, effectiveness of care, and efficiency of care. OBJECTIVE: Research into the scope and impact of EHR workarounds on patient care processes is scarce...
October 5, 2017: JMIR Human Factors
https://www.readbyqxmd.com/read/28975931/patient-reported-outcomes-in-cancer-care-hearing-the-patient-voice-at-greater-volume
#17
REVIEW
Thomas W LeBlanc, Amy P Abernethy
Recording of patient-reported outcomes (PROs) enables direct measurement of the experiences of patients with cancer. In the past decade, the use of PROs has become a prominent topic in health-care innovation; this trend highlights the role of the patient experience as a key measure of health-care quality. Historically, PROs were used solely in the context of research studies, but a growing body of literature supports the feasibility of electronic collection of PROs, yielding reliable data that are sometimes of better quality than clinician-reported data...
October 4, 2017: Nature Reviews. Clinical Oncology
https://www.readbyqxmd.com/read/28974646/factors-associated-with-re-intubation-within-14-days-after-ventilator-liberation
#18
Chia-Chen Chu, Chin-Jung Liu, Suh-May Yen, Wen-Yu Chou, Pei-Tseng Kung, Yuh-Show Tsai, Wen-Chen Tsai
BACKGROUND: According to Taiwan's integrated delivery system policy, ventilator-dependent patients are successfully liberated from mechanical ventilation in accordance with step-down care. However, premature discharge affects the 14-d readmission quality index. Therefore, we explored the risk and related factors of subjects liberated from mechanical ventilation who were re-intubated within 14 d. METHODS: This retrospective study analyzed a cohort of ventilator-dependent subjects 17 y of age and older using a population-based database from the Taiwan National Health Research Institutes Database from 2006 to 2010...
October 3, 2017: Respiratory Care
https://www.readbyqxmd.com/read/28973503/minding-the-gaps-health-financing-universal-health-coverage-and-gender
#19
Sophie Witter, Veloshnee Govender, T K Sundari Ravindran, Robert Yates
In a webinar in 2015 on health financing and gender, the question was raised why we need to focus on gender, given that a well-functioning system moving towards Universal Health Coverage (UHC) will automatically be equitable and gender balanced. This article provides a reflection on this question from a panel of health financing and gender experts.We trace the evidence of how health-financing reforms have impacted gender and health access through a general literature review and a more detailed case-study of India...
July 25, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28973409/creating-healthy-built-environment-legislation-in-australia-a-policy-analysis
#20
Patrick Harris, Jennifer Kent, Peter Sainsbury, Anne Marie-Thow, Fran Baum, Sharon Friel, Peter McCue
Influencing healthy public policy through health advocacy remains challenging. This policy analysis research uses theories of agenda setting to understand how health came to be considered for specific mention in legislation arising from land-use planning system reform in New South Wales, Australia. This qualitative study follows critical realist methodology to conduct a policy analysis of the case. We collected data from purposively sampled in-depth interviews (n = 9), a focus group and documentary analysis...
September 5, 2017: Health Promotion International
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