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https://www.readbyqxmd.com/read/28640674/racial-ethnic-minority-older-adults-perspectives-on-proposed-medicaid-reforms-effects-on-dental-care-access
#1
Mary E Northridge, Ivette Estrada, Eric W Schrimshaw, Ariel P Greenblatt, Sara S Metcalf, Carol Kunzel
To examine how proposed Medicaid reform plans are experienced by racial/ethnic minority older adults and what the implications are for their ability to access dental care through Medicaid, from 2013 to 2015 we conducted focus groups in northern Manhattan, New York, New York, among African American, Dominican, and Puerto Rican adults aged 50 years and older. Participants reported problems with affording copayments for care, complicated health and social issues, the need for vision and dental care close to home, and confusion about and stigmatization with Medicaid coverage...
June 22, 2017: American Journal of Public Health
https://www.readbyqxmd.com/read/28639364/changes-in-chronic-disease-management-among-community-health-centers-chcs-in-china-has-health-reform-improved-chc-ability
#2
Zhaoxin Wang, Jianwei Shi, Zhigui Wu, Huiling Xie, Yifan Yu, Ping Li, Rui Liu, Limei Jing
Since the 1980s, China has been criticized for its mode of chronic disease management (CDM) that passively provides treatment in secondary and tertiary hospitals but lacks active prevention in community health centers (CHCs). Since there are few systematic evaluations of the CHCs' methods for CDM, this study aimed to analyze their abilities. On the macroperspective, we searched the literature in China's largest and most authoritative databases and the official websites of health departments. Literature was used to analyze the government's efforts in improving CHCs' abilities to perform CDM...
June 22, 2017: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/28639255/necessity-and-feasibility-of-improving-mental-health-services-in-china-a-systematic-qualitative-review
#3
REVIEW
Xudong Zhao, Liang Liu, Chengping Hu, Fazhan Chen, Xirong Sun
It has been nearly 40 years since the reform and opening up of Mainland China. The mental health services system has developed rapidly as a part of the profound socioeconomic changes that ensued. However, its development has not been as substantial as other areas of medical care. For the current qualitative systematic review, we searched databases, including China Biology Medicine disc, Weipu, China National Knowledge Infrastructure, Wanfang digital periodical full text data, China's important newspaper full text database, China Statistical Yearbook database, etc...
June 22, 2017: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/28638034/-post-graduated-education-and-medical-pedagogics-a-new-approach-based-on-the-competence-oriented-educational-program-for-neurologists-in-the-field-of-children-epileptology
#4
O A Milovanova, S Yu Astanina, I E Tambiev, N D Andreeva
The highly qualified performance of jobs according to professional standards due to the reformed system of additional professional education is one of the objectives of practical health care. The development of the educational program 'Children epileptology. Clinical, diagnostic and treatment issues' for increasing the qualification of neurologists was based on the competent approach that orients the content and process of education on the formation of competence in work performance. Work performance, in its turn, allowed the determination of professional tasks by neurologists...
2017: Zhurnal Nevrologii i Psikhiatrii Imeni S.S. Korsakova
https://www.readbyqxmd.com/read/28637638/the-gap-in-medical-informatics-and-continuing-education-between-the-united-states-and-china-a-comparison-of-conferences-in-2016
#5
Jun Liang, Kunyan Wei, Qun Meng, Zhenying Chen, Jiajie Zhang, Jianbo Lei
BACKGROUND: China launched its second health reform in 2010 with considerable investments in medical informatics (MI). However, to the best of our knowledge, research on the outcomes of this ambitious undertaking has been limited. OBJECTIVE: Our aim was to understand the development of MI and the state of continuing education in China and the United States from the perspective of conferences. METHODS: We conducted a quantitative and qualitative analysis of four MI conferences in China and two in the United States: China Medical Information Association Annual Symposium (CMIAAS), China Hospital Information Network Annual Conference (CHINC), China Health Information Technology Exchange Annual Conference (CHITEC), China Annual Proceeding of Medical Informatics (CPMI) versus the American Medical Informatics Association (AMIA) and Healthcare Information and Management Systems Society (HIMSS)...
June 21, 2017: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/28637441/impact-of-tobacco-industry-and-other-corporations-in-the-defeat-of-the-1994-clinton-health-care-plan
#6
Michael Givel
BACKGROUND: The primary reason cited by many scholars for the defeat of the Clinton Administration's 1994 health care reform bill has long been identified as Health Insurance Association of America and National Federation of Independent Businesses opposition to the bill. Given this predominant consensus combined with sizeable proposed funding for the bill by a large tobacco product tax, this manuscript examined what the tobacco industry's role was in whole or part in defeating the Clinton health care bill...
June 21, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28636700/appropriateness-health-care-reform-and-the-surgeon-perspectives-from-the-surgical-outcomes-club
#7
Joel S Weissman, Rachel R Kelz, Clara N Lee
No abstract text is available yet for this article.
June 21, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/28630551/exploring-legal-restrictions-regulatory-reform-and-geographic-disparities-in-abortion-access-in-thailand
#8
Grady Arnott, Grace Sheehy, Orawee Chinthakanan, Angel M Foster
Despite decades of advocacy among Thai governmental and nongovernmental actors to remove abortion from the country's 1957 Criminal Code, this medically necessary service remains significantly legally restricted. In 2005, in the most recent regulatory reform to date, the Thai Medical Council established regulatory measures to allow a degree of physician interpretation within the confines of the existing law. Drawing on findings from a review of institutional policies and legislative materials, key informant interviews, and informal discussions with health service providers, government representatives, and nonprofit stakeholders, this article explores how legal reforms and health policies have shaped the abortion landscape in Thailand and influenced geographic disparities in availability and accessibility...
June 2017: Health and Human Rights
https://www.readbyqxmd.com/read/28630544/pregnancies-and-fetal-anomalies-incompatible-with-life-in-chile-arguments-and-experiences-in-advocating-for-legal-reform
#9
Lidia Casas, Lieta Vivaldi
Chile allows abortion under no circumstances. Whether it's fetal anomaly incompatible with life or congenital malformation resulting in little or no life expectancy, all Chilean women are expected to carry their pregnancies to term. In this context, in January 2015 the Chilean Congress began debating a bill to legalize abortion on three grounds, including fatal congenital malformation. The medical community, including midwives, has presented its views for and against, especially on how the law may affect clinical practices; in addition, women, many of whom have experienced a fatal congenital malformation diagnosis, have weighed in...
June 2017: Health and Human Rights
https://www.readbyqxmd.com/read/28630538/abortion-law-and-policy-around-the-world-in-search-of-decriminalization
#10
Marge Berer
The aim of this paper is to provide a panoramic view of laws and policies on abortion around the world, giving a range of country-based examples. It shows that the plethora of convoluted laws and restrictions surrounding abortion do not make any legal or public health sense. What makes abortion safe is simple and irrefutable-when it is available on the woman's request and is universally affordable and accessible. From this perspective, few existing laws are fit for purpose. However, the road to law reform is long and difficult...
June 2017: Health and Human Rights
https://www.readbyqxmd.com/read/28619031/healthy-people-and-healthy-profits-elaborating-a-conceptual-framework-for-governing-the-commercial-determinants-of-non-communicable-diseases-and-identifying-options-for-reducing-risk-exposure
#11
REVIEW
Kent Buse, Sonja Tanaka, Sarah Hawkes
BACKGROUND: Non-communicable diseases (NCDs) represent a significant threat to human health and well-being, and carry significant implications for economic development and health care and other costs for governments and business, families and individuals. Risks for many of the major NCDs are associated with the production, marketing and consumption of commercially produced food and drink, particularly those containing sugar, salt and transfats (in ultra-processed products), alcohol and tobacco...
June 15, 2017: Globalization and Health
https://www.readbyqxmd.com/read/28617244/continuity-of-care-in-infancy-and-early-childhood-health-outcomes
#12
Elizabeth Enlow, Molly Passarella, Scott A Lorch
BACKGROUND AND OBJECTIVES: Continuity of care is a key aspect of the patient-centered medical home and improves pediatric outcomes. Health care reform requires high-quality data to demonstrate its continued value. We hypothesized that increased provider continuity in infancy will reduce urgent health care use and increase receipt of preventive services in early childhood. METHODS: Continuity, using the Usual Provider of Care measure, was calculated across all primary care encounters during the first year of life in a prospectively-constructed cohort of 17 773 infants receiving primary care from birth through 3 years at 30 clinics...
June 15, 2017: Pediatrics
https://www.readbyqxmd.com/read/28617237/reforming-refugee-healthcare-in-canada-exploring-the-use-of-policy-tools
#13
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/28615973/can-biosimilars-help-achieve-the-goals-of-us-health-care-reform
#14
REVIEW
Ralph Boccia, Ira Jacobs, Robert Popovian, Gilberto de Lima Lopes
The US Patient Protection and Affordable Care Act (ACA) aims to expand health care coverage, contain costs, and improve health care quality. Accessibility and affordability of innovative biopharmaceuticals are important to the success of the ACA. As it is substantially more difficult to manufacture them compared with small-molecule drugs, many of which have generic alternatives, biologics may increase drug costs. However, biologics offer demonstrated improvements in patient care that can reduce expensive interventions, thus lowering net health care costs...
2017: Cancer Management and Research
https://www.readbyqxmd.com/read/28614525/-the-articulator-of-primary-health-care-program-an-innovative-proposal-for-qualification-of-primary-health-care
#15
Giovanna Cabral Doricci, Carla Guanaes-Lorenzi, Maria José Bistafa Pereira
In 2009, the Secretary of State for Health of Sao Paulo created a Program with a view to qualify the primary care in the state. This proposal includes a new job function, namely the articulator of primary care. Due to the scarcity of information about the practice of these new professionals in the scientific literature, this article seeks to analyze how articulators interpret their function and how they describe their daily routines. Thirteen articulators were interviewed. The interviews were duly analyzed by qualitative delineation...
June 2017: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/28614501/the-group-oral-health-movement-in-brazil
#16
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/28614475/-positioning-ecuador-in-the-global-health-agenda-as-a-result-of-sector-reform
#17
Cristina Luna, Carlos Andrés Emanuele, Daniel De La Torre
Objective: Analyze strategies implemented by Ecuador's Ministry of Public Health (MPH) to position the country in the global health agenda during the period 2011-2015 as a result of health sector reform. Method: Documentary review and interviews with stakeholders in national and international agencies with respect to positioning in the global health sphere during the study period. Results: It was observed that the reform process produced a new framework to manage international health relations...
June 8, 2017: Revista Panamericana de Salud Pública, Pan American Journal of Public Health
https://www.readbyqxmd.com/read/28614472/-human-resources-for-health-in-ecuador-s-new-model-of-care
#18
Verónica Espinosa, Daniel de la Torre, Cecilia Acuña, Cristina Cadena
Objective: Describe strategies implemented by Ecuador's Ministry of Public Health (MPH) to strengthen human resources for health leadership and respond to the new model of care, as a part of the reform process in the period 2012-2015. Methods: A documentary review was carried out of primary and secondary sources on development of human resources for health before and after the reform. Results: In the study period, Ecuador developed a new institutional and regulatory framework for developing human resources for health to respond to the requirements of a model of care based on primary health care...
June 8, 2017: Revista Panamericana de Salud Pública, Pan American Journal of Public Health
https://www.readbyqxmd.com/read/28614471/-payment-mechanisms-and-financial-resources-management-for-consolidation-of-ecuador-s-health-system
#19
Tatiana Villacrés, Ana Cristina Mena
Objective: Analyze the proposal by the Ministry of Public Health to reform the public financing model in Ecuador with regard to pooling of funds and payment mechanisms. Method: A literature review was done of the financing model, the current legal framework, and the budgetary bases in Pubmed, SciELO, LILACS Ecuador, and regional LILACS using the key words health financing, health financing systems, capitation, pooling of funds, health system reform Ecuador, health system Ecuador, and health payment mechanisms...
June 8, 2017: Revista Panamericana de Salud Pública, Pan American Journal of Public Health
https://www.readbyqxmd.com/read/28613116/reduction-of-thoroughbred-racing-fatalities-at-new-york-racing-association-racetracks-using-a-multi-disciplinary-mortality-review-process
#20
Scott E Palmer, Sean P McDonough, Hussni O Mohammed
Between January 1, 2013 and December 31, 2015, findings of a New York State Gaming Commission-Cornell University postmortem examination program were utilized in a multi-disciplinary mortality review process to review 129 racing fatalities at Thoroughbred racetracks operated by the New York Racing Association (NYRA). Musculoskeletal fractures comprised 79% of the fatalities; cardiopulmonary conditions accounted for 12% of the fatalities. Other causes of death included gastrointestinal (3%), respiratory (5%), and central nervous system (2%) conditions...
June 1, 2017: Journal of Veterinary Diagnostic Investigation
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