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https://www.readbyqxmd.com/read/28617237/reforming-refugee-healthcare-in-canada-exploring-the-use-of-policy-tools
#1
Ethan Holtzer, Alicia Moore-Dean, Amirrtha Srikanthan, Kerry Kuluski
Refugee healthcare in Canada has been a controversial and heavily debated topic over the past several years. In this paper, we present a policy analysis of the 2012 Canadian federal government decision to change the criteria and funding of the Interim Federal Health Program (IFHP). The IFHP provides federally funded healthcare coverage for refugees until they gain access to provincially funded health insurance. The paper offers a policy perspective on the changes to refugee health coverage over time. We draw on the policy concepts of agenda setting, framing, venues and causal stories to explore this topic...
May 2017: Healthcare Policy, Politiques de Santé
https://www.readbyqxmd.com/read/28617113/change-to-healthcare-is-history-repeating-itself
#2
Rachel Lyons
In my last Board's Eye View, I wrote about the US presidential candidates and uncertainty about healthcare reform. Six months later, the story is continuing.
June 15, 2017: Emergency Nurse: the Journal of the RCN Accident and Emergency Nursing Association
https://www.readbyqxmd.com/read/28614501/the-group-oral-health-movement-in-brazil
#3
Catharina Leite Matos Soares, Jairnilson Silva Paim, Sonia Cristina de Lima Chaves, Thais Regis Aranha Rossi, Sandra Garrido Barros, Denise Nogueira Cruz
Group Oral Health (GOH) is a specific phenomenon in time, separate from other "Alternative Odontology", and a theoretical reference for dental practice in healthcare services. This study is an attempt to understand how long "Alternative Odontology" will remain with the social context of struggling for oral health in Brazil, based on the positions of the founding agents and their precursors, bearing in mind the concepts of GOH, GH (Group Health) and the SUS (Unified Healthcare System). We started out with Pierre Bourdieu's Practice Theory, complemented with Gramsci's concept of hegemony and counter-hegemony...
June 2017: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/28607646/challenges-experienced-by-nurses-in-the-implementation-of-a-healthcare-reform-plan-in-iran
#4
Shahin Salarvand, Maryam Azizimalekabadi, Azadeh Akbari Jebeli, Mohamadreza Nazer
INTRODUCTION: The Healthcare Reform Plan is counted as a plan for improving healthcare services in Iran. Undoubtedly pros and cons can be seen either in plan or implementation. This study was conducted to describe nurses' challenges in implementing healthcare reform in Iran. METHODS: A qualitative method centered upon conventional content analysis was applied. We used purposive sampling and data saturation was obtained by 30 participants. Data were analyzed using MAXQDA software...
April 2017: Electronic Physician
https://www.readbyqxmd.com/read/28603078/gatekeepers-in-the-healthcare-sector-knowledge-and-bourdieu-s-concept-of-field
#5
Fran M Collyer, Karen F Willis, Sophie Lewis
Choice is an imperative for patients in the Australian healthcare system. The complexity of this healthcare 'maze', however, means that successfully navigating and making choices depends not only on the decisions of patients, but also other key players in the healthcare sector. Utilising Bourdieu's concepts of capital, habitus and field, we analyse the role of gatekeepers (i.e., those who control access to resources, services and knowledge) in shaping patients' experiences of healthcare, and producing opportunities to enable or constrain their choices...
June 3, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28594502/single-stage-revision-total-knee-arthroplasty-in-the-setting-of-periprosthetic-knee-infection-indications-contraindications-and-postoperative-outcomes
#6
Afshin A Anoushiravani, Zain Sayeed, Mouhanad M El-Othmani, Monique C Chambers, William M Mihalko, William A Jiranek, Wayne G Paprosky, Khaled J Saleh
Single-stage revision total knee arthroplasty has become an increasingly common treatment option for patients with failed knee prostheses. Periprosthetic knee infection is the leading and most devastating cause of revision total knee arthroplasty. Although periprosthetic knee infection has been extensively studied in the orthopaedic literature, the role of single-stage revision total knee arthroplasty for the treatment of periprosthetic knee infection warrants further research. As healthcare reform shifts from a volume-based to a value-based system, it is imperative that orthopaedic surgeons understand the procedural indications, risks, and benefits of single-stage revision total knee arthroplasty...
February 15, 2017: Instructional Course Lectures
https://www.readbyqxmd.com/read/28592976/healthcare-access-challenges-facing-six-african-refugee-mothers-in-south-korea-a-qualitative-multiple-case-study
#7
Min Sun Kim, In Gyu Song, Ah Reum An, Kyae Hyung Kim, Ji Hoon Sohn, Sei Won Yang
PURPOSE: Following legal reform in 2013, the annual number of asylum seekers entering South Korea has increased from 1,143 in 2012 to 5,711 in 2015. We interviewed six African refugee mothers of young children regarding their health needs and barriers to access maternal child health services. METHODS: We recruited mothers who had visited a clinic for immigrants between July 2013 and August 2015. Participants were African refugee women, aged over 18 years, who had given birth in Korea within the previous 5 years and had come to Korea over a year before recruitment...
May 2017: Korean Journal of Pediatrics
https://www.readbyqxmd.com/read/28592416/understanding-the-american-healthcare-reform-debate
#8
Donald M Berwick
No abstract text is available yet for this article.
June 7, 2017: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/28591214/-the-devil-has-entered-you-a-qualitative-study-of-men-who-have-sex-with-men-msm-and-the-stigma-and-discrimination-they-experience-from-healthcare-professionals-and-the-general-community-in-bosnia-and-herzegovina
#9
Stela Stojisavljevic, Bosiljka Djikanovic, Bojana Matejic
Men who have sex with men (MSM) are often exposed to unequal treatment in societies worldwide as well as to various forms of stigma and discrimination in healthcare services. Bosnia and Herzegovina (B&H) is a postconflict developing country located in Southeast Europe and the Western Balkans, where little is known about the experiences of MSM regarding their communities and interactions with healthcare services. The aim of this study was to explore the types of experiences MSM face and to assess the level of stigma and discrimination they are exposed to in this setting...
2017: PloS One
https://www.readbyqxmd.com/read/28589017/financing-for-universal-health-coverage-in-small-island-states-evidence-from-the-fiji-islands
#10
Augustine D Asante, Wayne Irava, Supon Limwattananon, Andrew Hayen, Joao Martins, Lorna Guinness, John E Ataguba, Jennifer Price, Stephen Jan, Anne Mills, Virginia Wiseman
BACKGROUND: Universal health coverage (UHC) is critical to global poverty alleviation and equity of health systems. Many low-income and middle-income countries, including small island states in the Pacific, have committed to UHC and reforming their health financing systems to better align with UHC goals. This study provides the first comprehensive evidence on equity of the health financing system in Fiji, a small Pacific island state. The health systems of such states are poorly covered in the international literature...
March 2017: BMJ Global Health
https://www.readbyqxmd.com/read/28589000/system-wide-analysis-of-health-financing-equity-in-cambodia-a-study-protocol
#11
Virginia Wiseman, Augustine Asante, Por Ir, Supon Limwattananon, Bart Jacobs, Marco Liverani, Andrew Hayen, Stephen Jan
BACKGROUND: To assess progress towards universal health coverage, countries like Cambodia require evidence on equity in the financing and distribution of healthcare benefits. This evidence must be based on a system-wide perspective that recognises the complex roles played by the public and private sectors in many contemporary healthcare systems. OBJECTIVE: To undertake a system-wide assessment of who pays and who benefits from healthcare in Cambodia and to understand the factors influencing this...
January 2017: BMJ Global Health
https://www.readbyqxmd.com/read/28588989/accelerating-progress-towards-universal-health-coverage-in-asia-and-pacific-improving-the-future-for-women-and-children
#12
Allison Beattie, Robert Yates, Douglas J Noble
Universal health coverage generates significant health and economic benefits and enables governments to reduce inequity. Where universal health coverage has been implemented well, it can contribute to nation-building. This analysis reviews evidence from Asia and Pacific drawing out determinants of successful systems and barriers to progress with a focus on women and children. Access to healthcare is important for women and children and contributes to early childhood development. Universal health coverage is a political process from the start, and public financing is critical and directly related to more equitable health systems...
November 2016: BMJ Global Health
https://www.readbyqxmd.com/read/28588951/cholera-in-the-time-of-war-implications-of-weak-surveillance-in-syria-for-the-who-s-preparedness-a-comparison-of-two-monitoring-systems
#13
Annie Sparrow, Khaled Almilaji, Bachir Tajaldin, Nicholas Teodoro, Paul Langton
BACKGROUND: Public health breakdown from the Syrian government's targeting of healthcare systems in politically unsympathetic areas has yielded a resurgence of infectious diseases. Suspected cholera recently reappeared but conflict-related constraints impede laboratory confirmation. Given the government's previous under-reporting of infectious outbreaks and the reliance of the WHO on government reporting, we sought to assess the reliability of current surveillance systems. METHODS: We compared weekly surveillance reports of waterborne diseases from the Syrian government's (WHO-associated) Early Warning and Response System (EWARS), based in Damascus, and the independent, non-governmental Early Warning and Response Network (EWARN) headquartered in Gaziantep, Turkey...
November 2016: BMJ Global Health
https://www.readbyqxmd.com/read/28582655/coopetition-in-health-care-a-multi-level-analysis-of-its-individual-and-organizational-determinants
#14
Daan Westra, Federica Angeli, Martin Carree, Dirk Ruwaard
Cooperative inter-organizational relations are salient to healthcare delivery. However, they do not match with the pro-competitive healthcare reforms implemented in several countries. Healthcare organizations thus need to balance competition and cooperation in a situation of 'coopetition'. In this paper we study the individual and organizational determinants of coopetition versus those of cooperation in the price-competitive specialized care sector of the Netherlands. We use shared medical specialists as a proxy of collaboration between healthcare organizations...
May 26, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28580650/maternal-near-misses-at-a-provincial-hospital-in-papua-new-guinea-a-prospective-observational-study
#15
John W Bolnga, Marilyn Morris, Catherine Totona, Moses Laman
BACKGROUND: Maternal near-miss indices are World Health Organisation (WHO) recognised indicators that may improve our understanding of factors associated with maternal morbidity and mortality. In Papua New Guinea (PNG) where maternal mortality is among the highest in the world, only one study has documented near-miss indices in a tertiary-level hospital, but none from provincial hospitals where the majority of under-privileged women access healthcare services. AIMS: To determine the near-miss ratio, maternal mortality index (MMI), and associated maternal indices for Modilon Hospital in Madang Province of PNG...
June 5, 2017: Australian & New Zealand Journal of Obstetrics & Gynaecology
https://www.readbyqxmd.com/read/28577702/the-role-of-patient-reported-outcome-measures-in-value-based-payment-reform
#16
Lee Squitieri, Kevin J Bozic, Andrea L Pusic
The U.S. health care system is currently experiencing profound change. Pressure to improve the quality of patient care and control costs have caused a rapid shift from traditional volume-driven fee-for-service reimbursement to value-based payment models. Under the 2015 Medicare Access and Children's Health Insurance Program Reauthorization Act, providers will be evaluated on the basis of quality and cost efficiency and ultimately receive adjusted reimbursement as per their performance. Although current performance metrics do not incorporate patient-reported outcome measures (PROMs), many wonder whether and how PROMs will eventually fit into value-based payment reform...
June 2017: Value in Health: the Journal of the International Society for Pharmacoeconomics and Outcomes Research
https://www.readbyqxmd.com/read/28571667/the-role-of-the-european-structural-and-investment-funds-in-financing-health-system-in-lithuania-experience-from-2007-to-2013-funding-period-and-implications-for-the-future
#17
Liubove Murauskiene, Marina Karanikolos
European Structural and Investment Funds (ESIF) are a major source of investments in the newer EU member states. In Lithuania's health sector, the amount for the 2007-2013 funding period reached more than €400 million. In this paper we aim to (i) identify the key areas in the health sector which were supported by ESIF, (ii) determine the extent to which ESIF assisted the implementation of the ongoing health system reform; and (iii) assess whether the use of funds has led to expected improvements in healthcare...
May 10, 2017: Health Policy
https://www.readbyqxmd.com/read/28545456/towards-an-equitable-healthcare-in-china-evaluating-the-productive-efficiency-of-community-health-centers-in-jiangsu-province
#18
Lulin Zhou, Xinglong Xu, Henry Asante Antwi, Linna Wang
BACKGROUND: While the demand for the health service keeps escalating at the grass root or rural areas of China, a substantial portion of healthcare resources remains stagnant in the more developed cities and this has entrenched health inequity in many parts of China. At its conception, the Deepening Health Care Reform in 2012 China was intended to flush out these discrepancies and promote a more equitable and efficient distribution of health resources. Nearly half a decade of this reform, there are uncertainties as to whether the attainment of the objectives of the reform is in sight...
May 25, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28545038/assessing-the-facilitators-and-barriers-of-interdisciplinary-team-working-in-primary-care-using-normalisation-process-theory-an-integrative-review
#19
Pauline O'Reilly, Siew Hwa Lee, Madeleine O'Sullivan, Walter Cullen, Catriona Kennedy, Anne MacFarlane
BACKGROUND: Interdisciplinary team working is of paramount importance in the reform of primary care in order to provide cost-effective and comprehensive care. However, international research shows that it is not routine practice in many healthcare jurisdictions. It is imperative to understand levers and barriers to the implementation process. This review examines interdisciplinary team working in practice, in primary care, from the perspective of service providers and analyses 1 barriers and facilitators to implementation of interdisciplinary teams in primary care and 2 the main research gaps...
2017: PloS One
https://www.readbyqxmd.com/read/28537649/what-influences-how-patients-with-depression-rate-hospital-stay-after-total-joint-arthroplasty
#20
Chukwuweike Gwam, Jaydev B Mistry, Nicolas Piuzzi, Morad Chughtai, Anton Khlopas, Melbin Thomas, Randa K Elmallah, George Muschler, Michael A Mont, Steven F Harwin, Ronald E Delanois
BACKGROUND: Recent healthcare reform has spurred important changes to provider reimbursement. With the implementation of the Value Based Purchasing program, significant weight is placed on patient experience of care. The Press Ganey (PG) survey is currently used by over 10,000 hospitals, as it serves to help optimize patient satisfaction. However, confounding factors, such as clinical depression, are not screened against by PG. Thus, arthroplasty surgeons performing lower extremity total joint arthroplasty (TJA) may have difficulty optimizing patient satisfaction while caring for patients with clinical depression...
May 24, 2017: Surgical Technology International
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