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Health systems research and policy

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https://www.readbyqxmd.com/read/29691723/beyond-participation-politics-incommensurability-and-the-emergence-of-mental-health-service-users-activism-in-chile
#1
Cristian R Montenegro
Although the organisation of mental health service users and ex-users in Latin America is a recent and under-researched phenomenon, global calls for their involvement in policy have penetrated national agendas, shaping definitions and expectations about their role in mental health systems. In this context, how such groups react to these expectations and define their own goals, strategies and partnerships can reveal the specificity of the "user movement" in Chile and Latin America. This study draws on Jacques Rancière's theorisation of "police order" and "politics" to understand the emergence of users' collective identity and activism, highlighting the role of practices of disengagement and rejection...
April 24, 2018: Culture, Medicine and Psychiatry
https://www.readbyqxmd.com/read/29690570/mapping-the-hidden-hazards-community-led-spatial-data-collection-of-street-level-environmental-stressors-in-a-degraded-urban-watershed
#2
Na'Taki Osborne Jelks, Timothy L Hawthorne, Dajun Dai, Christina H Fuller, Christine Stauber
We utilized a participatory mapping approach to collect point locations, photographs, and descriptive data about select built environment stressors identified and prioritized by community residents living in the Proctor Creek Watershed, a degraded, urban watershed in Northwest Atlanta, Georgia. Residents (watershed researchers) used an indicator identification framework to select three watershed stressors that influence urban livability: standing water, illegal dumping on land and in surface water, and faulty stormwater infrastructure...
April 22, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29686869/a-review-of-the-australian-healthcare-system-a-policy-perspective
#3
REVIEW
Sunil K Dixit, Murali Sambasivan
This article seeks to review the Australian healthcare system and compare it to similar systems in other countries to highlight the main issues and problems. A literature search for articles relating to the Australian and other developed countries' healthcare systems was conducted by using Google and the library of Victoria University, Melbourne. Data from the websites of the Commonwealth of Australia, the Australian Institute of Health and Welfare, the Australian Productivity Commission, the Organisation for Economic Co-operation and Development and the World Bank have also been used...
2018: SAGE Open Medicine
https://www.readbyqxmd.com/read/29685729/assessment-of-health-care-hospital-admissions-and-mortality-by-ethnicity-population-based-cohort-study-of-health-system-performance-in-scotland
#4
Srinivasa Vittal Katikireddi, Genevieve Cezard, Raj S Bhopal, Linda Williams, Anne Douglas, Andrew Millard, Markus Steiner, Duncan Buchanan, Aziz Sheikh, Laurence Gruer
BACKGROUND: Ethnic minorities often experience barriers to health care. We studied six established quality indicators of health-system performance across ethnic groups in Scotland. METHODS: In this population-based cohort study, we linked ethnicity from Scotland's Census 2001 (April 29, 2001) to hospital admissions and mortality records, with follow-up until April 30, 2013. Indicators of health-system performance included amenable deaths (ie, deaths avertable by effective treatment), preventable deaths (ie, deaths avertable by public health policy), avoidable deaths (combined amenable and preventable deaths), avoidable hospital admissions, unplanned readmissions, and length of stay...
April 20, 2018: Lancet. Public Health
https://www.readbyqxmd.com/read/29685443/a-systemic-integrative-framework-to-describe-comprehensively-a-swine-health-system-flanders-as-an-example
#5
Cristina Rojo-Gimeno, Jeroen Dewulf, Dominiek Maes, Erwin Wauters
A well-functioning swine health system is crucial to ensure a sustainable pig production. Yet, little attention has been paid to understand it. The objective of this study was to unravel the complexity of a swine health system by using a systems-thinking approach for the case of Flanders (Northern part of Belgium). To that end, qualitative interviews were held with 33 relevant stakeholders. A hybrid thematic analysis was conducted which consisted of two phases. First, an inductive thematic analysis was conducted and second, the resulting themes were classified into the building blocks of a systemic framework...
June 1, 2018: Preventive Veterinary Medicine
https://www.readbyqxmd.com/read/29683382/public-health-system-delivered-mental-health-preventive-care-links-to-significant-reduction-of-health-care-costs
#6
Jie Chen, Priscilla Novak, Howard Goldman
The objective was to estimate the association between health care expenditures and implementation of preventive mental health programs by local health departments (LHDs). Multilevel nationally representative data sets were linked to test the hypothesis that LHDs' provision of preventive mental health programs was associated with cost savings. A generalized linear model with log link and gamma distribution and state-fixed effects was used to estimate the association between LHDs' mental illness prevention services and total health care expenditures per person per year for adults aged 18 years and older...
April 23, 2018: Population Health Management
https://www.readbyqxmd.com/read/29683205/prohibiting-physicians-dual-practice-in-iran-policy-options-for-implementation
#7
Mohammad Bazyar, Arash Rashidian, Nader Jahanmehr, Faranak Behzadi, Javad Moghri, Leila Doshmangir
BACKGROUND: In Iran, based on the recent national policy documents, physician dual practice (PDP) has been prohibited. This study aimed to develop policy options (POs) to implement physicians' dual practice prohibition law in Iran. METHODS: International evidence published in English and local documents published in Persian about PDP analyzed and results (advantages, disadvantages, challenges and requirements to ban PDP, and applied policies to limit the dual practice) were extracted...
April 23, 2018: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/29681637/nutrinet-salud-m%C3%A3-xico-prospective-study-online-2018-2028-relationship-between-nutrition-and-health-and-determinants-of-dietary-habits-and-nutritional-status
#8
Jorge Armando Barriguete-Meléndez, Serge Hercberg, Pilar Galán, André Parodi, Jacques Baulieux
Background: NutriNet-Salud Mexico is a digital health information system, e-epidemiology instrument, online, open and free, to recording and analysis the determinants of dietary habits and nutritional status of the Mexican population, for the prevention of overweight, obesity and noncommunicable diseases for the period 2018-2028. Objective: Describe the design, development and implementation of NutriNet-Salud Mexico from the French model NutriNet-Santé France 2008-2018...
2018: Cirugia y Cirujanos
https://www.readbyqxmd.com/read/29681039/the-safe-and-effective-use-of-shared-data-underpinned-by-stakeholder-engagement-and-evaluation-practice
#9
Andrew Georgiou, Farah Magrabi, Hannele Hypponen, Zoie Shui-Yee Wong, Pirkko Nykänen, Philip J Scott, Elske Ammenwerth, Michael Rigby
OBJECTIVES:  The paper draws attention to: i) key considerations involving the confidentiality, privacy, and security of shared data; and ii) the requirements needed to build collaborative arrangements encompassing all stakeholders with the goal of ensuring safe, secure, and quality use of shared data. METHOD:  A narrative review of existing research and policy approaches along with expert perspectives drawn from the International Medical Informatics Association (IMIA) Working Group on Technology Assessment and Quality Development in Health Care and the European Federation for Medical Informatics (EFMI) Working Group for Assessment of Health Information Systems...
April 22, 2018: Yearbook of Medical Informatics
https://www.readbyqxmd.com/read/29678973/involving-the-public-in-epidemiological-public-health-research-a-qualitative-study-of-public-and-stakeholder-involvement-in-evaluation-of-a-population-wide-natural-policy-experiment
#10
Rachel Anderson de Cuevas, Lotta Nylén, Bo Burström, Margaret Whitehead
BACKGROUND: Public involvement in research is considered good practice by European funders; however, evidence of its research impact is sparse, particularly in relation to large-scale epidemiological research. OBJECTIVES: To explore what difference public and stakeholder involvement made to the interpretation of findings from an evaluation of a natural policy experiment to influence the wider social determinants of health: 'Flexicurity'. SETTING: Stockholm County, Sweden...
April 20, 2018: BMJ Open
https://www.readbyqxmd.com/read/29678413/patient-access-to-medicines-in-two-countries-with-similar-health-systems-and-differing-medicines-policies-implications-from-a-comprehensive-literature-review
#11
REVIEW
Zaheer-Ud-Din Babar, Todd Gammie, Ali Seyfoddin, Syed Shahzad Hasan, Louise E Curley
BACKGROUND: Countries with similar health systems but different medicines policies might result in substantial medicines usage differences and resultant outcomes. The literature is sparse in this area. OBJECTIVE: To review pharmaceutical policy research in New Zealand and Australia and discuss differences between the two countries and the impact these differences may have on subsequent medicine access. METHODS: A review of the literature (2008-2016) was performed to identify relevant, peer-reviewed articles...
April 13, 2018: Research in Social & Administrative Pharmacy: RSAP
https://www.readbyqxmd.com/read/29671854/challenges-in-engaging-and-disseminating-health-research-results-among-alaska-native-and-american-indian-people-in-southcentral-alaska
#12
Denise A Dillard, Karen Caindec, Lisa G Dirks, Vanessa Y Hiratsuka
Alaska Native and American Indian (AN/AI) people have negative research experiences, including lack of timely, respectful, and relevant communication about research findings. Southcentral Foundation (SCF), a tribally owned and operated health care organization in Alaska, has redesigned the health care system, enacted research policies, and established a research department which uses best practices of Community Engaged Research with AN/AI people. Department staff and community members, however, perceive significant limitations in the reach of and satisfaction with ongoing engagement and dissemination efforts...
2018: American Indian and Alaska Native Mental Health Research: the Journal of the National Center
https://www.readbyqxmd.com/read/29671279/lupus-an-unrecognized-leading-cause-of-death-in-young-women-population-based-study-using-nationwide-death-certificates-2000-2015
#13
Eric Y Yen, Ram R Singh
OBJECTIVE: Mortality statistics from the Centers for Disease Control and Prevention (CDC) is used for planning healthcare policy and allocating resources. CDC uses this data to compile its annual leading-causes-of-death ranking based on a selected list of 113 causes. SLE is not included on this list. Since the cause-of-death ranking is a useful tool for assessing the relative burden of cause-specific mortality, we ranked SLE deaths among CDC's leading causes-of-death to see whether SLE is a significant cause of death among women...
April 18, 2018: Arthritis & Rheumatology
https://www.readbyqxmd.com/read/29670057/towards-improved-linkage-of-disaster-risk-reduction-and-climate-change-adaptation-in-health-a-review
#14
REVIEW
Nicola Banwell, Shannon Rutherford, Brendan Mackey, Cordia Chu
Climate change and climate-sensitive disasters significantly impact health. Linking Disaster Risk Reduction (DRR) and Climate Change Adaptation (CCA) is essential for addressing these ever present, complex and increasing risks. Recent calls have been made to build these links in health. However, there is a need to clearly articulate why linking DRR and CCA is important in health. Furthermore, little is known about how DRR and CCA should be linked in health. By extensively examining relevant literature, this review presents the current state of knowledge of linking DRR and CCA in health...
April 18, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29668967/reducing-blindness-from-retinopathy-of-prematurity-rop-in-argentina-through-collaboration-advocacy-and-policy-implementation
#15
Luxme Hariharan, Clare E Gilbert, Graham E Quinn, Frances K Barg, Celia Lomuto, Ana Quiroga, Joan McLeod-Omawale, Andrea Zin, Zulma Ortiz, Ernesto Alda, Liliana Bouzas, Marina Brussa, Adriana Cattaino, Alejandro Dinerstein, Norma Erpen, Adriana Fandiño, Lidia Galina, Julio Manzitti, Silvia Marinaro, Teresa Sepúlveda, Patricia Visintín, Juan Carlos Silva, Cynthia Magluta, Alicia Benitez
Retinopathy of prematurity (ROP) is a largely avoidable cause of blindness in children worldwide, requiring high-quality neonatal care, early detection and treatment. In middle-income countries throughout Latin America, Eastern Europe and South Asia, there has been a rise in ROP blindness due to a combination of increased survival of preterm infants, resource-scarce medical environments and lack of policies, training and human resources. However, Argentina is an example of country where rates of ROP blindness have declined and ROP programmes have been successfully and effectively embedded within the health and legal system...
April 16, 2018: Health Policy and Planning
https://www.readbyqxmd.com/read/29667292/sharing-power-in-criminal-justice-the-potential-of-co-production-for-offenders-experiencing-mental-health-and-addictions-in-new-zealand
#16
Katey Thom, Dave Burnside
Co-production has begun to make inroads into research, policy, and practice in mental health and addictions. Little is known, however, about the role co-production has or could have in shaping how the criminal justice system responds to mental health and addictions. Given that a large majority of prisoners in Aotearoa New Zealand have been diagnosed with either a mental health or substance use disorder within their lifetime, it is imperative alternative approaches are considered if we are to reduce the high imprisonment rates and contribute positively to health, safety, and well-being of all New Zealanders...
April 17, 2018: International Journal of Mental Health Nursing
https://www.readbyqxmd.com/read/29667210/pastoral-power-and-the-promotion-of-self-care
#17
Lorelei Jones
In many countries government policy is becoming increasingly reliant on citizens taking greater responsibility for their health and wellbeing and limiting their consumption of public services. In this paper I develop Foucauldian perspectives on the work required to create and maintain responsibilised subjects, focusing on the role of 'pastors' - specialists, experts and therapists who promote desirable subjectivities (Waring and Latif ). Drawing from ethnographic research, I consider how government policies for the promotion of self-care within the English healthcare system not only place increased emphasis on patients taking responsibility for their own health and wellbeing, but also seek to constitute new pastoral subjectivities as responsible for conducting the conduct of patients...
April 17, 2018: Sociology of Health & Illness
https://www.readbyqxmd.com/read/29667158/obesity-prevention-and-management-strategies-in-canada-shifting-paradigms-and-putting-people-first
#18
REVIEW
Arya M Sharma, Ximena Ramos Salas
PURPOSE OF REVIEW: The purpose of this study was to review public and private sector obesity policies in Canada and to make recommendations for future evidence-based obesity prevention and management strategies. RECENT FINDINGS: Synthesis of obesity prevention and management policies and research studies are presented in three primary themes: (1) Increased awareness about the impact of weight bias and obesity stigma in Canada; (2) Inadequate government obesity prevention and management policies and strategies; and (3) Lack of comprehensive private sector obesity prevention and management policies...
April 17, 2018: Current Obesity Reports
https://www.readbyqxmd.com/read/29665809/generating-evidence-for-health-policy-in-challenging-settings-lessons-learned-from-four-prevention-of-mother-to-child-transmission-of-hiv-implementation-research-studies-in-nigeria
#19
Nadia A Sam-Agudu, Muktar H Aliyu, Olusegun A Adeyemi, Frank Oronsaye, Bolanle Oyeledun, Amaka G Ogidi, Echezona E Ezeanolue
BACKGROUND: Implementation research (IR) facilitates health systems strengthening and optimal patient outcomes by generating evidence for scale-up of efficacious strategies in context. Thus, difficulties in generating IR evidence, particularly in limited-resource settings with wide disease prevention and treatment gaps, need to be anticipated and addressed. Nigeria is a priority country for the prevention of mother-to-child transmission of HIV (PMTCT). This paper analyses the experiences of four PMTCT IR studies in Nigeria, and proffers solutions to major challenges encountered during implementation...
April 17, 2018: Health Research Policy and Systems
https://www.readbyqxmd.com/read/29664956/you-pray-to-your-god-a-qualitative-analysis-of-challenges-in-the-provision-of-safe-timely-and-affordable-surgical-care-in-uganda
#20
Katherine Albutt, Rachel R Yorlets, Maria Punchak, Peter Kayima, Didacus B Namanya, Geoffrey A Anderson, Mark G Shrime
BACKGROUND: Five billion people lack access to safe, affordable, and timely surgical and anesthesia care. Significant challenges remain in the provision of surgical care in low-resource settings. Uganda is no exception. METHODS: From September to November 2016, we conducted a mixed-methods countrywide surgical capacity assessment at 17 randomly selected public hospitals in Uganda. Researchers conducted 35 semi-structured interviews with key stakeholders to understand factors related to the provision of surgical care...
2018: PloS One
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