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Health systems research and policy

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https://www.readbyqxmd.com/read/29450830/personalized-medicine-and-pay-for-performance-should-pharmaceutical-firms-be-fully-penalized-when-treatment-fails
#1
Fernando Antoñanzas, Roberto Rodríguez-Ibeas, Carmelo A Juárez-Castelló
In this article, we model the behavior of a pharmaceutical firm that has marketing authorization for a new therapy believed to be a candidate for personalized use in a subset of patients, but that lacks information as to why a response is seen only in some patients. We characterize the optimal outcome-based reimbursement policy a health authority should follow to encourage the pharmaceutical firm to undertake research and development activities to generate the information needed to effectively stratify patients...
February 15, 2018: PharmacoEconomics
https://www.readbyqxmd.com/read/29447259/medical-professionalism-of-foreign-born-and-foreign-trained-physicians-under-close-scrutiny-a-qualitative-study-with-stakeholders-in-germany
#2
Corinna Klingler, Fatiha Ismail, Georg Marckmann, Katja Kuehlmeyer
Hospitals in Germany employ increasing numbers of foreign-born and foreign-trained (FB&FT) physicians. Studies have investigated how FB&FT physicians experience their professional integration into the German healthcare system, however, the perspectives of stakeholders working with and shaping the work experiences of FB&FT physicians in German hospitals have so far been neglected. This study explores relevant stakeholders' opinions and attitudes towards FB&FT physicians-which likely influence how these physicians settle in-and how these opinions were formed...
2018: PloS One
https://www.readbyqxmd.com/read/29445625/improvement-of-emergency-management-mechanism-of-public-health-crisis-in-rural-china-a-review-article
#3
REVIEW
Jiaxiang Hu, Chao Chen, Tingting Kuai
Background: With the rapid development of social economy in China, various public health emergencies frequently occur. Such emergencies cause a serious threat to human health and public safety, especially in rural China. Owing to flaws in emergency management mechanism and policy, the government is not capable to effectively deal with public health emergencies. Therefore, this study aimed to discuss the path to improve the emergency management mechanism for public health emergency in rural China...
February 2018: Iranian Journal of Public Health
https://www.readbyqxmd.com/read/29445050/has-the-financial-protection-been-materialized-in-iranian-health-system-analyzing-household-income-and-expenditure-survey-2003-2014
#4
Hesam Ghiasvand, Alireza Olyaeemanesh, Reza Majdzadeh, Zhaleh Abdi, Mohammadreza Mobinizadeh
BACKGROUND: The financial protection against catastrophic and impoverishing health expenditures is one of the main aspects of the universal health coverage. This study aimed to present a clear picture of the financial protection situation in Iran from 2003-2014. STUDY DESIGN: This is an analytical study on secondary data of Statistical Center of Iran (SCI). The study has some policy implications for policy makers; therefore, it is an applied one. METHODS: Data related to the Iranian rural and urban household payments on health expenditures was obtained from annual surveys of the SCI...
January 3, 2018: Journal of Research in Health Sciences
https://www.readbyqxmd.com/read/29444767/patient-reported-measures-for-person-centered-coordinated-care-a-comparative-domain-map-and-web-based-compendium-for-supporting-policy-development-and-implementation
#5
Helen Lloyd, Hannah Wheat, Jane Horrell, Thavapriya Sugavanam, Benjamin Fosh, Jose M Valderas, James Close
BACKGROUND: Patient-reported measure (PRM) questionnaires were originally used in research to measure outcomes of intervention studies. They have now evolved into a diverse family of tools measuring a range of constructs including quality of life and experiences of care. Current health and social care policy increasingly advocates their use for embedding the patient voice into service redesign through new models of care such as person-centered coordinated care (P3C). If chosen carefully and used efficiently, these tools can help improve care delivery through a variety of novel ways, including system-level feedback for health care management and commissioning...
February 14, 2018: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/29441117/contextual-factors-in-maternal-and-newborn-health-evaluation-a-protocol-applied-in-nigeria-india-and-ethiopia
#6
Kate Sabot, Tanya Marchant, Neil Spicer, Della Berhanu, Meenakshi Gautham, Nasir Umar, Joanna Schellenberg
Background: Understanding the context of a health programme is important in interpreting evaluation findings and in considering the external validity for other settings. Public health researchers can be imprecise and inconsistent in their usage of the word "context" and its application to their work. This paper presents an approach to defining context, to capturing relevant contextual information and to using such information to help interpret findings from the perspective of a research group evaluating the effect of diverse innovations on coverage of evidence-based, life-saving interventions for maternal and newborn health in Ethiopia, Nigeria, and India...
2018: Emerging Themes in Epidemiology
https://www.readbyqxmd.com/read/29440807/palliative-care-policy-analysis-in-iran-a-conceptual-model
#7
Mojgan Ansari, Maryam Rassouli, Mohhamad Esmaiel Akbari, Abbas Abbaszadeh, Ali Akbarisari
Background: Palliative care programs are rapidly evolving for patients with life-threatening illnesses. Increased and earlier access for facilities is a subject of growing importance in health services, policy, and research. Aim: This study was conducted to explain stakeholders' perceptions of the factors affecting the design of such a palliative care system and its policy analysis. Methodology: Semi-structured in-depth interviews conducted following purposive sampling of the participants...
January 2018: Indian Journal of Palliative Care
https://www.readbyqxmd.com/read/29438575/primary-care-professionals-providing-non-urgent-care-in-hospital-emergency-departments
#8
REVIEW
Daniela Gonçalves-Bradley, Jaspreet K Khangura, Gerd Flodgren, Rafael Perera, Brian H Rowe, Sasha Shepperd
BACKGROUND: In many countries emergency departments (EDs) are facing an increase in demand for services, long waits, and severe crowding. One response to mitigate overcrowding has been to provide primary care services alongside or within hospital EDs for patients with non-urgent problems. However, it is unknown how this impacts the quality of patient care and the utilisation of hospital resources, or if it is cost-effective. This is the first update of the original Cochrane Review published in 2012...
February 13, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29438072/using-a-network-organisational-architecture-to-support-the-development-of-learning-healthcare-systems
#9
Maria T Britto, Sandra C Fuller, Heather C Kaplan, Uma Kotagal, Carole Lannon, Peter A Margolis, Stephen E Muething, Pamela J Schoettker, Michael Seid
The US National Academy of Sciences has called for the development of a Learning Healthcare System in which patients and clinicians work together to choose care, based on best evidence, and to drive discovery as a natural outgrowth of every clinical encounter to ensure innovation, quality and value at the point of care. However, the vision of a Learning Healthcare System has remained largely aspirational. Over the last 13 years, researchers, clinicians and families, with support from our paediatric medical centre, have designed, developed and implemented a network organisational model to achieve the Learning Healthcare System vision...
February 5, 2018: BMJ Quality & Safety
https://www.readbyqxmd.com/read/29437751/what-are-the-costs-associated-with-child-and-maternal-healthcare-within-australia-a-study-protocol-for-the-use-of-data-linkage-to-identify-health-service-use-and-health-system-and-patient-costs
#10
Emily J Callander, Haylee Fox
INTRODUCTION: The current literature in Australia demonstrates that there are variations in access and outcomes in perinatal care based on socioeconomic factors. However, little has been done looking at the level of out-of-pocket healthcare costs associated with perinatal care. The primary aim of this project will be to quantify health service use and out-of-pocket healthcare expenditure associated with childbearing and early childhood in Queensland, Australia. METHODS AND ANALYSIS: This project will build Australia's first model (called Maternal & Child Cost MOD) of out-of-pocket healthcare expenditure by using administrative data from the Queensland Perinatal Data Collection, of all childbearing women and their resultant children, who gave birth in Queensland between 1 July 2012 and 30 June 2016...
February 6, 2018: BMJ Open
https://www.readbyqxmd.com/read/29433543/engaging-policy-makers-heath-system-managers-and-policy-analysts-in-the-knowledge-synthesis-process-a-scoping-review
#11
Andrea C Tricco, Wasifa Zarin, Patricia Rios, Vera Nincic, Paul A Khan, Marco Ghassemi, Sanober Diaz, Ba' Pham, Sharon E Straus, Etienne V Langlois
BACKGROUND: It is unclear how to engage a wide range of knowledge users in research. We aimed to map the evidence on engaging knowledge users with an emphasis on policy-makers, health system managers, and policy analysts in the knowledge synthesis process through a scoping review. METHODS: We used the Joanna Briggs Institute guidance for scoping reviews. Nine electronic databases (e.g., MEDLINE), two grey literature sources (e.g., OpenSIGLE), and reference lists of relevant systematic reviews were searched from 1996 to August 2016...
February 12, 2018: Implementation Science: IS
https://www.readbyqxmd.com/read/29433508/research-priority-setting-reproductive-health-in-the-occupied-palestinian-territory
#12
Niveen M E Abu-Rmeileh, Rula Ghandour, Marina Tucktuck, Mohammad Obiedallah
BACKGROUND: Occupied Palestinian territory (oPt) is an authority with limited resources. Therefore, research conducted in such a setting should be prioritized and coordinated to follow a national research agenda. This study aims to produce a research agenda for reproductive health in the oPt that can be utilized by reproductive health stakeholders and contribute to the development of policy-based evidence to guide health practice. METHODS: In the current study, we followed research prioritization methods developed by the World Health Organization-Child Health and Nutrition Research Initiative...
February 13, 2018: Reproductive Health
https://www.readbyqxmd.com/read/29433362/the-icf-has-made-a-difference-to-functioning-and-disability-measurement-and-statistics
#13
Rosamond H Madden, Anita Bundy
AIMS: Fifteen years after the publication of the International Classification of Functioning, Disability and Health (ICF), we investigated: How ICF applications align with ICF aims, contents and principles, and how the ICF has been used to improve measurement of functioning and related statistics. METHODS: In a scoping review, we investigated research published 2001-2015 relating to measurement and statistics for evidence of: a change in thinking; alignment of applications with ICF specifications and philosophy; and the emergence of new knowledge...
February 12, 2018: Disability and Rehabilitation
https://www.readbyqxmd.com/read/29432254/moving-from-the-hiv-organ-policy-equity-act-to-hiv-organ-policy-equity-in-action-changing-practice-and-challenging-stigma
#14
Brianna L Doby, Aaron A R Tobian, Dorry L Segev, Christine M Durand
PURPOSE OF REVIEW: The HIV Organ Policy Equity (HOPE) Act, signed in 2013, reversed the federal ban on HIV-to-HIV transplantation. In this review, we examine the progress in HOPE implementation, the current status of HIV-to-HIV transplantation, and remaining challenges. RECENT FINDINGS: Pursuant to the HOPE Act, the Department of Health and Human Services revised federal regulations to allow HIV-to-HIV transplants under research protocols adherent to criteria published by the National Institutes of Health...
February 9, 2018: Current Opinion in Organ Transplantation
https://www.readbyqxmd.com/read/29429309/the-experiences-of-patients-and-carers-living
#15
Stephen R Leeder, Tanisha Jowsey, Justin W McNab
BACKGROUND: Non-communicable diseases (NCDs) are increasing in prevalence and straining health systems globally. This creates a so-called 'burden of disease', which can be traced in terms of fiscal health system matters and in terms of quality of life and lived experiences of people with NCDs. The United Nations has called for a global agenda to manage NCDs and reduce their burden. OBJECTIVE: The purpose of this article is to summarise key findings from the Serious and Continuing Illness Policy and Practice Study concerning patients’ and carers’ experiences of multimorbid NCDs in Australia...
January 2018: Aust J Gen Pract
https://www.readbyqxmd.com/read/29428577/qualitative-analysis-of-governance-trends-after-health-system-reforms-in-latin-america-lessons-from-mexico
#16
A Arredondo, E Orozco, A L Recaman
OBJECTIVE: Health policies in Latin America are centered on the democratization of health. Since 2003, during the last generation of reforms, health systems in this region have promoted governance strategies for better agreements between governments, institutions, and civil society. In this context, we develop an evaluative research to identify trends and evidence of governance after health care reforms in six regions of Mexico. METHODS: Evaluative research was developed with a retrospective design based on qualitative analysis...
February 8, 2018: Public Health
https://www.readbyqxmd.com/read/29425378/government-cloud-computing-policies-potential-opportunities-for-advancing-military-biomedical-research
#17
Frank J Lebeda, Jeffrey J Zalatoris, Julia B Scheerer
Introduction: This position paper summarizes the development and the present status of Department of Defense (DoD) and other government policies and guidances regarding cloud computing services. Due to the heterogeneous and growing biomedical big datasets, cloud computing services offer an opportunity to mitigate the associated storage and analysis requirements. Having on-demand network access to a shared pool of flexible computing resources creates a consolidated system that should reduce potential duplications of effort in military biomedical research...
February 7, 2018: Military Medicine
https://www.readbyqxmd.com/read/29423279/physiotherapy-for-people-with-mental-health-problems-in-sub-saharan-african-countries-a-systematic-review
#18
REVIEW
Davy Vancampfort, Brendon Stubbs, Michel Probst, James Mugisha
Background: There is a need for psychosocial interventions to address the escalating mental health burden in Sub-Saharan Africa (SSA). Physiotherapists could have a central role in reducing the burden and facilitating recovery within the multidisciplinary care of people with mental health problems. The aim of this systematic review was to explore the role of physiotherapists within the current mental health policies of SSA countries and to explore the current research evidence for physiotherapy to improve functional outcomes in people with mental health problems in SSA...
2018: Archives of Physiotherapy
https://www.readbyqxmd.com/read/29421125/the-need-for-a-formalised-system-of-quality-control-for-environmental-policy-science
#19
Piers Larcombe, Peter Ridd
Research science used to inform public policy decisions, herein defined as "Policy-Science", is rarely subjected to rigorous checking, testing and replication. Studies of biomedical and other sciences indicate that a considerable fraction of published peer-reviewed scientific literature, perhaps half, has significant flaws. To demonstrate the potential failings of the present approaches to scientific Quality Control (QC), we describe examples of science associated with perceived threats to the Great Barrier Reef (GBR), Australia...
January 2018: Marine Pollution Bulletin
https://www.readbyqxmd.com/read/29421067/patient-safety-movement-history-and-future-directions
#20
REVIEW
Meghan E Lark, Kay Kirkpatrick, Kevin C Chung
Despite progress within the past 15 years, improving patient safety in health care remains an important public health issue. The history of safety policies, research, and development has revealed that this issue is more complex than initially perceived and is pertinent to all health care settings. Solutions, therefore, must be approached at the systems level and supplemented with a change in safety culture, especially in higher risk fields such as surgery. To do so, health care agents at all levels have started to prioritize the improvement of nontechnical skills such as teamwork, communication, and accountability, as reflected by the development of various checklists and safety campaigns...
February 2018: Journal of Hand Surgery
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