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https://www.readbyqxmd.com/read/28319907/the-impact-of-welfare-reform-on-the-health-insurance-coverage-utilization-and-health-of-low-education-single-mothers
#1
Kimberly Narain, Marianne Bitler, Ninez Ponce, Gerald Kominski, Susan Ettner
The Personal Responsibility Work Opportunity and Reconciliation Act (PRWORA) of 1996 imposed time limits on the receipt of welfare cash benefits and mandated cash benefit sanctions for failure to meet work requirements. Many studies examining the health implications of PRWORA have found associated declines in health insurance coverage and healthcare utilization among single mothers but no impact of PRWORA on health outcomes. A limitation of this literature is that most studies cover a time period before time limits were implemented in all states and also before individuals began actually timing out...
March 11, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28319813/the-clinical-implications-of-legalizing-marijuana-are-physician-and-non-physician-providers-prepared
#2
Elizabeth Brooks, Doris C Gundersen, Erin Flynn, Ashley Brooks-Russell, Sheana Bull
INTRODUCTION: Passage of voter-driven marijuana reform laws signals a shift in public attitudes for marijuana use. For providers, legalization may necessitate practice modifications, particularly regarding patient-provider conversations about use and risk. We examined healthcare providers' knowledge of marijuana laws and health implications, professional practice behaviors, and attitudes about training. MATERIALS AND METHODS: We surveyed 114 Colorado-based providers who care for children, adolescents, pregnant and breastfeeding women using a Venue-Day-Time survey methodology throughout Colorado...
March 10, 2017: Addictive Behaviors
https://www.readbyqxmd.com/read/28300982/primary-healthcare-in-portugal-10-years-of-contractualization-of-health-services-in-the-region-of-lisbon
#3
Baltazar Ricardo Monteiro, Ana Maria Silva Azenha Pisco, Fátima Candoso, Sónia Bastos, Magda Reis
Contractualization consists in the development and implementation of a documented agreement whereby one party (payer) provides compensation to the other party (provider) in exchange for a set of health services to a targeted population. We describe, through a case study, the history and the process of implementation of primary health care contractualization (since 1992) in Portugal, emphasizing the consolidation and future challenges of the primary healthcare reform started in 2005. This article resorts to a case study to reflect on the results obtained in the Cluster of Health Centers of the Northern West, Regional Administration of Lisbon and Tagus Valley, between 2009 and 2015, following implementation of contractualization...
March 2017: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/28300976/primary-health-care-reform-in-the-cities-of-lisbon-and-rio-de-janeiro-context-strategies-results-learning-and-challenges
#4
Daniel Soranz, Luís Augusto Coelho Pisco
On the 30th anniversary of Alma-Ata, the World Health Organization published in 2008 the "Primary Health Care Now More Than Ever" Report, calling on all governments to reflect on the need to reflect on four sets of reforms. These included: (i) universal coverage reforms; (ii) service delivery reforms; (iii) public policies reforms that would ensure healthier communities; and (iv) leadership reforms. In this context, in the period 2005-2016, the cities of Rio de Janeiro and Lisbon developed a profound primary healthcare reform, and did so by sharing many of the solutions based on the best internationally recognized organizational practices...
March 2017: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/28299972/older-and-incarcerated-policy-implications-of-aging-prison-populations
#5
Zachary Psick, Jonathan Simon, Rebecca Brown, Cyrus Ahalt
Purpose The purpose of this paper is to explore the policy Implications of aging prison populations. Design/methodology/approach An examination of the worldwide aging trend in prison and its implications for correctional policy, including an examination of population aging in California prisons as a case example of needed reform. Findings Prison populations worldwide are aging at an unprecedented rate, and age-related medical costs have had serious consequences for jurisdictions struggling to respond to the changes...
March 13, 2017: International Journal of Prisoner Health
https://www.readbyqxmd.com/read/28299970/human-rights-and-correctional-health-policy-a-view-from-europe
#6
Mary Rogan
Purpose Correctional healthcare should promote the protection of human rights. The purpose of this paper is to bring a discussion of human rights into debates on how such policy should be best organized. Design/methodology/approach The paper achieves its aim by providing an analysis of European prison law and policy in the area of prison health, through assessing decisions of the European Court of Human Rights, as well as policies created by the European Committee for the Prevention of Torture. Findings The paper describes the position of the European Court of Human Rights on the topics of access to healthcare, ill health and release from prison, mental illness in prison, and the duty to provide rehabilitative programming for those seeking to reduce their level of "risk...
March 13, 2017: International Journal of Prisoner Health
https://www.readbyqxmd.com/read/28299244/large-scale-health-information-database-and-privacy-protection
#7
Ryuichi Yamamoto
Japan was once progressive in the digitalization of healthcare fields but unfortunately has fallen behind in terms of the secondary use of data for public interest. There has recently been a trend to establish large-scale health databases in the nation, and a conflict between data use for public interest and privacy protection has surfaced as this trend has progressed. Databases for health insurance claims or for specific health checkups and guidance services were created according to the law that aims to ensure healthcare for the elderly; however, there is no mention in the act about using these databases for public interest in general...
September 2016: Japan Medical Association Journal: JMAJ
https://www.readbyqxmd.com/read/28298226/addressing-the-double-burden-of-diabetes-and-tuberculosis-lessons-from-kyrgyzstan
#8
Jolene Skordis-Worrall, Jeff Round, Matthias Arnold, Aida Abdraimova, Baktygul Akkazieva, David Beran
BACKGROUND: The incidence of diabetes and tuberculosis co-morbidity is rising, yet little work has been done to understand potential implications for health systems, healthcare providers and individuals. Kyrgyzstan is a priority country for tuberculosis control and has a 5% prevalence of diabetes in adults, with many health system challenges for both conditions. METHODS: Patient exit interviews collected data on demographic and socio-economic characteristics, health spending and care seeking for people with diabetes, tuberculosis and both diabetes and tuberculosis...
March 15, 2017: Globalization and Health
https://www.readbyqxmd.com/read/28295808/a-critical-review-of-published-research-literature-reviews-on-nursing-and-healthcare-ageism
#9
REVIEW
Donna M Wilson, Mavis A Nam, Jill Murphy, João Paulo Victorino, Ellen C Gondim, Gail Low
AIMS AND OBJECTIVES: To establish how common and impactful nursing and healthcare ageism is, and if proven interventions or prevention methods exist. BACKGROUND: Ageism has been a concern since 1969 when it was first introduced as a concept for social reform. As ageism has been linked to lower quality health services and reduced health care access, it is imperative that healthcare and nursing ageism is prevented or identified and reduced or eliminated. METHODS: A qualitative narrative review of published research literature reviews using a scoping design to map all published reviews was undertaken...
March 15, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28292766/examining-sufficiency-and-equity-in-the-geographic-distribution-of-physicians-in-japan-a-longitudinal-study
#10
Koji Hara, Tetsuya Otsubo, Susumu Kunisawa, Yuichi Imanaka
OBJECTIVES: The objective of this study was to longitudinally examine the geographic distribution of physicians in Japan with adjustment for healthcare demand according to changes in population age structure. METHODS: We examined trends in the number of physicians per 100 000 population in Japan's secondary medical areas (SMAs) from 2000 to 2014. Healthcare demand was adjusted using health expenditure per capita. Trends in the Gini coefficient and the number of SMAs with a low physician supply were analysed...
March 14, 2017: BMJ Open
https://www.readbyqxmd.com/read/28292629/the-5-clinical-pillars-of-value-for-total-joint-arthroplasty-in-a-bundled-payment-paradigm
#11
Kelvin Kim, Richard Iorio
BACKGROUND: Our large, urban, tertiary, university-based institution reflects on its 4-year experience with Bundled Payments for Care Improvement. We will describe the importance of 5 clinical pillars that have contributed to the early success of our bundled payment initiative. We are convinced that value-based care delivered through bundled payment initiatives is the best method to optimize patient outcomes while rewarding surgeons and hospitals for adapting to the evolving healthcare reforms...
February 14, 2017: Journal of Arthroplasty
https://www.readbyqxmd.com/read/28291130/making-the-pediatric-perioperative-surgical-home-come-to-life-by-leveraging-existing-health-information-technology
#12
Izabela C Leahy, Rachel Borczuk, Lynne R Ferrari
PURPOSE OF REVIEW: To design a patient data dashboard for the Department of Anesthesiology, Perioperative and Pain Medicine at Boston Children's Hospital that supports care integration across the healthcare system as described by the pediatric perioperative surgical home (PPSH) initiative. RECENT FINDINGS: By using 360 Technology, patient data was automatically pulled from all available Electronic Health Record sources from 2005 to the present. The PPSH dashboard described in this report provides a guide for implementation of PPSH Clinical Care Pathways...
March 11, 2017: Current Opinion in Anaesthesiology
https://www.readbyqxmd.com/read/28289779/-does-the-healthcare-for-rare-diseases-benefit-from-the-legislative-reforms
#13
Ralf Heyder
BACKGROUND: The founding of the National Action League for People with Rare Diseases (NAMSE) in 2010 represents the creation of a significant political platform. In addition, recent years had seen Germany and the EU adopt specific legislative measures aimed at improving healthcare for people with rare diseases. OBJECTIVE: In this article we will give an overview of the legislative reforms adopted between 2013 and 2016 and evaluate how the specific healthcare situation of people with rare diseases has been improved...
March 13, 2017: Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz
https://www.readbyqxmd.com/read/28265820/how-a-bottom-up-multi-stakeholder-initiative-helped-transform-the-renal-replacement-therapy-landscape-in-spain
#14
Rafael Selgas, Laura Rodriguez, Juan Carlos Julian, Cesar Remon, Mario Prieto-Velasco, Javier Perez-Contreras, Miguel Perez Fontan
Healthcare reforms aim to change certain parts of the health system to improve quality of care, access, or financial sustainability. Traditionally, healthcare reform is understood as an action undertaken by a government at a national or local level. However, bottom-up changes can also lead to improvements in the health system. This paper describes the efforts of a coordinated multi-stakeholder advocacy group in Spain to promote a more cost-effective and patient-centred treatment for people receiving renal replacement therapy and assesses the outcomes of their advocacy for health system financing and patient satisfaction...
March 6, 2017: Applied Health Economics and Health Policy
https://www.readbyqxmd.com/read/28263939/association-between-physician-teamwork-and-health-system-outcomes-after-coronary-artery-bypass-grafting
#15
John M Hollingsworth, Russell J Funk, Spencer A Garrison, Jason Owen-Smith, Samuel A Kaufman, Francis D Pagani, Brahmajee K Nallamothu
BACKGROUND: Patients undergoing coronary artery bypass grafting (CABG) must often see multiple providers dispersed across many care locations. To test whether teamwork (assessed with the bipartite clustering coefficient) among these physicians is a determinant of surgical outcomes, we examined national Medicare data from patients undergoing CABG. METHODS AND RESULTS: Among Medicare beneficiaries who underwent CABG between 2008 and 2011, we mapped relationships between all physicians who treated them during their surgical episodes, including both surgeons and nonsurgeons...
November 2016: Circulation. Cardiovascular Quality and Outcomes
https://www.readbyqxmd.com/read/28262631/-surgical-treatment-for-endocarditis-in-iceland-1997-2003
#16
Hedinn Sigurdsson, Sunna Gestsdottir, Kristjan G Gudmundsson, Sigridur Halldorsdottir
INTRODUCTION: Most GPs in Iceland are public employees on fixed salaries which is very different from their Norwegian colleagues. The aim of this study was to explore the experience of Icelandic GPs who have also worked as GPs in Norway and compare their experience of working in these two neighboring countries. MATERIAL AND METHODS: Data were collected through interviews with 16 GPs that during the study period 2009-2010 were all working in Iceland. Two to ten years had passed since their return from Norway...
2017: Læknablađiđ
https://www.readbyqxmd.com/read/28258527/commentary-the-importance-of-medicaid-expansion-for-criminal-justice-populations-in-the-south
#17
EDITORIAL
Nickolas D Zaller, David H Cloud, Lauren Brinkley-Rubinstein, Benjamin Bouvier, Sarah Martino, Brad Brockmann
Though the full implications of a Trump presidency for ongoing health care and criminal justice reform efforts remain uncertain, whatever policy changes are made will be particularly salient for the South, which experiences the highest incarceration rates, highest uninsured rates, and worst health outcomes in the United States. The passage of the Affordable Care Act (ACA) in 2010 was a watershed event and many states have taken advantage of opportunities created by the ACA to expand healthcare coverage to their poorest residents, and to develop partnerships between health and justice systems...
December 2017: Health & Justice
https://www.readbyqxmd.com/read/28243420/access-to-healthcare-in-urban-family-physician-reform-from-physicians-and-patients-perspective-a-survey-based-project-in-two-pilot-provinces-in-iran
#18
Vahid Kohpeima Jahromi, Reza Dehnavieh, Mohammad Hossein Mehrolhassani, Hosain Saberi Anari
INTRODUCTION: Iran introduced the urban family physician reform, based on the primary healthcare (PHC) approach, in 2012. The reform is restricted to two pilot provinces, which are Fars and Mazandaran and its policymakers request evidence of the reform progress. The study aimed to determine the accessibility of health care in the two pilot sites. METHODS: A cross-sectional study using Primary Care Evaluation Tool (PCET) questionnaires was performed with a multistage stratified cluster sample of the family physicians (n=141) and patients (n=710) in the two provinces between September 2015 and March 2016...
January 2017: Electronic Physician
https://www.readbyqxmd.com/read/28225940/-monitoring-of-inequality-in-financial-protection-and-healthcare-in-mexico-an-analysis-of-health-surveys-2000-2006-and-2012
#19
Juan Pablo Gutiérrez, Sebastián García-Saisó, Rodrigo Espinosa-de la Peña, Dulce Alejandra Balandrán
Objective: To analyze trends in inequality in financial protection and healthcare in Mexico between 2000 and 2012, using simple and complex measures. Materials and methods: Analysis of national health surveys 2000, 2006 and 2012, generating estimates of absolute and relative gaps and the slope index of inequality using imputated income as socioeconomic measure, and differences by sex, rural/urban residence, and ethnic background. Results: Between 2000 and 2012, socioeconomic inequality in financial protection vanished, while it remains in healthcare access, with larger barriers to access healthcare among those in the lowest socioeconomic condition...
November 2016: Salud Pública de México
https://www.readbyqxmd.com/read/28224675/substance-use-treatment-provider-behavior-and-healthcare-reform-evidence-from-massachusetts
#20
Johanna Catherine Maclean, Brendan Saloner
We examine the impact of the 2006 Massachusetts healthcare reform on substance use disorder (SUD) treatment facilities' provision of care. We test the impact of the reform on treatment quantity and access. We couple data on the near universe of specialty SUD treatment providers in the USA with a synthetic control method approach. We find little evidence that the reform lead to changes in treatment quantity or access. Reform effects were similar among for-profit and non-profit facilities. In an extension, we show that the reform altered the setting in which treatment is received, the number of offered services, and the number of programs for special populations...
February 21, 2017: Health Economics
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