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https://www.readbyqxmd.com/read/28205279/cancelled-procedures-in-the-english-nhs-evidence-from-the-2010-tariff-reform
#1
Graham Cookson, Simon Jones, Ioannis Laliotis
This paper explores the role of incentives in the English National Health Service. Until financial year 2009/2010, elective procedures that were cancelled after admission received a fixed reimbursement associated with a specific healthcare resource group code. We investigate whether this induced trusts to admit and then cancel, rather than cancel before admission and/or to cancel low fee over high fee work. As the tariff was ended in April 2010, we conduct an interrupted time series analysis to examine if their behaviour was affected after the tariff removal...
February 16, 2017: Health Economics
https://www.readbyqxmd.com/read/28199277/funding-accountable-care-in-oregon-financial-models-in-two-coordinated-care-organizations
#2
Lauren Broffman, Kristin Brown, Bruce K Bayley, Lucy Savitz, Jill Rissi
Oregon's coordinated care organizations (CCOs) are an integral part of a massive statewide reform that brings accountable care to Medicaid. CCOs are regional collaboratives among health plans, providers, county public health, and communitybased organizations that administer a single global budget covering physical, mental, and dental healthcare for low-income Oregonians. CCOs have been given freedom within the global budget to implement reforms that might capture efficiencies in cost and quality. For this study-fielded between 2012 and 2015-we traced the path of the global budget through the interior structures of two of Oregon's most promising CCOs...
July 2016: Journal of Healthcare Management / American College of Healthcare Executives
https://www.readbyqxmd.com/read/28187994/defining-the-value-of-magnetic-resonance-imaging-in-prostate-brachytherapy-using-time-driven-activity-based-costing
#3
Nikhil G Thaker, Peter F Orio, Louis Potters
Magnetic resonance imaging (MRI) simulation and planning for prostate brachytherapy (PBT) may deliver potential clinical benefits but at an unknown cost to the provider and healthcare system. Time-driven activity-based costing (TDABC) is an innovative bottom-up costing tool in healthcare that can be used to measure the actual consumption of resources required over the full cycle of care. TDABC analysis was conducted to compare patient-level costs for an MRI-based versus traditional PBT workflow. TDABC cost was only 1% higher for the MRI-based workflow, and utilization of MRI allowed for cost shifting from other imaging modalities, such as CT and ultrasound, to MRI during the PBT process...
February 7, 2017: Brachytherapy
https://www.readbyqxmd.com/read/28187906/narrating-health-and-scarcity-guyanese-healthcare-workers-development-reformers-and-sacrifice-as-solution-from-socialist-to-neoliberal-governance
#4
Alexis Walker
In oral history interviews, Guyanese healthcare workers emphasize continuity in public health governance throughout the late twentieth century, despite major shifts in broader systems of governance during this period. I argue that these healthcare workers' recollections reflect long-term scarcities and the discourses through which both socialist politicians and neoliberal reformers have narrated them. I highlight the striking similarities in discourses of responsibility and efficiency advanced by socialist politicians in 1970s Guyana and by World Bank representatives designing the country's market transition in the late 1980s, and the ways these discourses have played out in Guyana's health system...
February 1, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28169818/-the-humanistic-model-of-nursing-care-udem-160-an-innovative-and-pragmatic-perspective
#5
Chantal Cara, Jérôme Gauvin-Lepage, Hélène Lefebvre, Dimitri Létourneau, Marie Alderson, Caroline Larue, Janique Beauchamp, Lisette Gagnon, Manouche Casimir, Francine Girard, Marielle Roy, Louise Robinette, Caroline Mathieu
<ce:para>As in many other countries, Québec is not immune to healthcare reforms, which can unfortunately hinder quality of care as well as induce some dehumanization, both for the patients and the healthcare professionals. Thus, the « Humanistic Model of Nursing Care - UdeM » (HMNC-UdeM) aspires to offer an innovative perspective that aims at improving the quality and the safety of care, in addition to satisfaction and well-being for both patients and nurses. While respecting their theoretical influences, the authors present their vision of the central concepts of the discipline and the Model’s key concepts, seeking to make them more understandable, accessible, and applicable in nurses’ daily practice...
July 5, 2016: Recherche en Soins Infirmiers
https://www.readbyqxmd.com/read/28166675/the-uk-s-national-programme-for-it-why-was-it-dismantled
#6
Taghreed Justinia
This paper discusses the UK's National Programme for IT (NPfIT), which was an ambitious programme launched in 2002 with an initial budget of some £6.2 billion. It attempted to implement a top-down digitization of healthcare in England's National Health Service (NHS). The core aim of the NPfIT was to bring the NHS' use of information technology into the 21st century, through the introduction of an integrated electronic patient record systems, and reforming the way that the NHS uses information, and hence to improve services and the quality of patient care...
February 2017: Health Services Management Research
https://www.readbyqxmd.com/read/28159007/beyond-patient-care-the-impact-of-healthcare-reform-on-job-satisfaction-in-the-ethiopian-public-healthcare-sector
#7
Tsegahun Manyazewal, Mokgadi C Matlakala
BACKGROUND: While healthcare reform has been a central attention for local governments, its impact on job satisfaction is poorly understood. This study aimed to determine the impact of healthcare reform on job satisfaction in the public healthcare sector in Ethiopia. METHODS: The study was designed as a facility-based cross-sectional survey of healthcare professionals and carried out in all public hospitals in central Ethiopia which have been implementing healthcare reform (n = 5)...
February 3, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/28158706/revisiting-the-risks-associated-with-health-and-healthcare-reform-in-england-perspective-of-faculty-of-public-health-members
#8
Mark F Lambert, Sarah Sowden
No abstract text is available yet for this article.
December 2, 2016: Journal of Public Health
https://www.readbyqxmd.com/read/28152652/the-effect-of-regional-politics-on-regional-life-expectancy-in-italy-1980-2010
#9
Marcel F Jonker, Edoardo D'Ippolito, Terje A Eikemo, Peter D Congdon, Nicola Nante, Johan P Mackenbach, Carlijn B M Kamphuis
BACKGROUND: The evidence on the association between politics and health is scarce considering the importance of this topic for population health. Studies that investigated the effect of different political regimes on health outcomes show inconsistent results. METHODS: Bayesian time-series cross-section analyses are used to examine the overall impact of regional politics on variations in Italian regional life expectancy (LE) at birth during the period 1980-2010. Our analyses control for trends in and unobserved determinants of regional LE, correct for temporal as well as spatial autocorrelation, and employ a flexible specification for the timing of the political effects...
February 1, 2017: Scandinavian Journal of Public Health
https://www.readbyqxmd.com/read/28151522/-plagiarism-a-fools-errand
#10
EDITORIAL
Tom Jefferson, Luca De Fiore
An old Italian proverb states that lies have short legs. In other words, in the end you get found out. This is exactly what happened to an Italian researcher who acted as a referee for a manuscript submitted in 2015 to Annals of Internal Medicine. After a negative report (which presumably led to the rejection of the submission) he submitted a manuscript which was essentially the same. But he and his accomplices got found out and paraded in front of the world in an earth-shatteringly polite "Dear Plagiarist" letter by the first robbed author: Dr Michael Dansinger...
2017: Recenti Progressi in Medicina
https://www.readbyqxmd.com/read/28150253/-the-role-of-nursing-education-in-the-advancement-of-the-nursing-profession
#11
Mei Chang Yeh
The present article discusses the role of nursing education in the advancement of the nursing profession in the context of the three facets of knowledge: generation, dissemination, and application. Nursing is an applied science and the application of knowledge in practice is the ultimate goal of the nursing profession. The reform of the healthcare delivery model requires that nurses acquire and utilize evidence-based clinical knowledge, critical thinking, effective communication, and team collaboration skills in order to ensure the quality of patient care and safety...
February 2017: Hu Li za Zhi the Journal of Nursing
https://www.readbyqxmd.com/read/28148264/what-limits-the-utilization-of-health-services-among-china-labor-force-analysis-of-inequalities-in-demographic-socio-economic-and-health-status
#12
Liming Lu, Jingchun Zeng, Zhi Zeng
BACKGROUND: Inequalities in demographic, socio-economic and health status for China labor force place them at greater health risks, and marginalized them in the utilization of healthcare services. This paper identifies the inequalities which limit the utilization of health services among China labor force, and provides a reference point for health policy. METHODS: Data were collected from 23,505 participants aged 15 to 65, from the 2014 China Labor Force Dynamic Survey (a nationwide cross-sectional survey covering 29 provinces with a multi-stage cluster, and stratified, probability sampling strategy) conducted by Sun Yat-sen University...
February 2, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28145640/recognition-of-the-concept-of-publicness-in-healthcare-a-content-analysis-of-korean-newspapers
#13
Hye Sook Min, Yukyung Park, Chang Yup Kim
The traditional boundaries between public and private sectors has been blurred, and questions raised regarding how publicness could be conceptualized. The empirical study on the concept of publicness can reveal greatly diversified views on publicness, and help to reduce confusion over publicness. For the content analysis, 750 news articles of 8 national Korean newspapers were retrieved from the Korea Integrated News Database System. The articles were coded by the inductive category for the topic of the paragraph, the concept related to publicness, and the overall tone toward publicness...
March 2017: Journal of Korean Medical Science
https://www.readbyqxmd.com/read/28142382/predictors-of-hospital-length-and-cost-of-stay-in-a-national-sample-of-adult-patients-with-psychotic-disorders
#14
Melissa L Bessaha, Martha Shumway, Melissa Edmondson Smith, Charlotte L Bright, George J Unick
OBJECTIVE: This study examined effects of patient-level and hospital-level characteristics on length and cost of hospital stays among adult patients with psychotic disorders. METHODS: A subsample of 677,684 adult patients with a primary diagnosis of a psychotic disorder was drawn from the 2003-2011 Healthcare Cost and Utilization Project Nationwide Inpatient Sample. A nationally representative survey design and census data were used to calculate hospitalization rates...
February 1, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/28135996/mental-health-and-public-policies-implemented-in-the-northeast-of-brazil-a-systematic-review-with-meta-analysis
#15
Sonilde Saraiva Januário, Florido Sampaio das Neves Peixoto, Nádia Nara Rolim Lima, Vânia Barbosa do Nascimento, Danilo Ferreira de Sousa, Dayse Christina Rodrigues Pereira Luz, Claúdio Gleidiston Lima da Silva, Modesto Leite Rolim Neto
INTRODUCTION: Studies about mental disorders are very rare in the Northeast of Brazil, especially when psychopathologies in children and adolescents are considered. The consequence is a small availability of data and an absence of a real epidemiological profile. METHODS: This is a systematic review with meta-analysis, following the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) protocol, in the period from 2003 to 2015, using the databases LILACS, SciELO and BVS...
February 2017: International Journal of Social Psychiatry
https://www.readbyqxmd.com/read/28132641/counting-the-cost-of-healthcare-reform
#16
Al Rundio
Fiscal cost containment is an inherent component of any nurse manager's job, regardless of practice setting.
January 30, 2017: Nursing Management (Harrow)
https://www.readbyqxmd.com/read/28132168/delivery-and-payment-redesign-to-reduce-disparities-in-high-risk-postpartum-care
#17
Elizabeth A Howell, Norma A Padrón, Susan J Beane, Joanne Stone, Virginia Walther, Amy Balbierz, Rashi Kumar, José A Pagán
Purpose This paper describes the implementation of an innovative program that aims to improve postpartum care through a set of coordinated delivery and payment system changes designed to use postpartum care as an opportunity to impact the current and future health of vulnerable women and reduce disparities in health outcomes among minority women. Description A large health care system, a Medicaid managed care organization, and a multidisciplinary team of experts in obstetrics, health economics, and health disparities designed an intervention to improve postpartum care for women identified as high-risk...
January 28, 2017: Maternal and Child Health Journal
https://www.readbyqxmd.com/read/28130949/how-appropriate-is-all-this-data-sharing-building-consensus-around-what-we-need-to-know-about-shared-electronic-health-records-in-extended-circles-of-care
#18
Josephine McMurray, Kelly A Grindrod, Catherine Burns
BACKGROUND: The bulk of healthcare spending is on individuals who have complex needs related to age, income, chronic disease and mental illness. Care involves many different professions, and interoperable electronic health records (EHRs) are increasingly essential. OBJECTIVES: The objective of this paper is to describe the use of a nominal group technique (NGT) to develop a stakeholder-centred research agenda for clinical interoperability in extended circles of care that include social supports...
2017: Healthcare Quarterly
https://www.readbyqxmd.com/read/28129637/damage-caps-and-defensive-medicine-revisited
#19
Myungho Paik, Bernard Black, David A Hyman
Does tort reform reduce defensive medicine and thus healthcare spending? Several (though not all) prior studies, using a difference-in-differences (DiD) approach, find lower Medicare spending for hospital care after states adopt caps on non-economic or total damages ("damage caps"), during the "second" reform wave of the mid-1980s. We re-examine this issue in several ways. We study the nine states that adopted caps during the "third reform wave," from 2002 to 2005. We find that damage caps have no significant impact on Medicare Part A spending, but predict roughly 4% higher Medicare Part B spending...
November 14, 2016: Journal of Health Economics
https://www.readbyqxmd.com/read/28103939/physician-migration-at-its-roots-a-study-on-the-emigration-preferences-and-plans-among-medical-students-in-romania
#20
Şoimita Mihaela Suciu, Codruta Alina Popescu, Mugur Daniel Ciumageanu, Anca Dana Buzoianu
BACKGROUND: Migration of healthcare workers is receiving increased attention worldwide. In Europe, the creation of a border-free labor market and its expansion with the EU enlargements of 2004, 2007, and 2013 endowed health professionals with the right to provide services and to relocate to another EU Member State. For the Romanian doctors, the EU-wide recognition of the medical degree obtained in Romania has created new opportunities, while inadequate working conditions and relatively low salaries pushed many of them to search for employment abroad...
January 19, 2017: Human Resources for Health
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