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https://www.readbyqxmd.com/read/28724381/the-human-resources-for-health-effort-index-a-tool-to-assess-and-inform-strategic-health-workforce-investments
#1
Alfredo L Fort, Rachel Deussom, Randi Burlew, Kate Gilroy, David Nelson
BACKGROUND: Despite its importance, the field of human resources for health (HRH) has lagged in developing methods to measure its status and progress in low- and middle-income countries suffering a workforce crisis. Measures of professional health worker densities and distribution are purely numerical, unreliable, and do not represent the full spectrum of workers providing health services. To provide more information on the multi-dimensional characteristics of human resources for health, in 2013-2014, the global USAID-funded CapacityPlus project, led by IntraHealth International, developed and tested a 79-item HRH Effort Index modeled after the widely used Family Planning Effort Index...
July 19, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/28721956/direction-of-uneven-health-care-expenditure-evidence-from-northeast-india
#2
Tiken Das, Pradyut Guha
BACKGROUND: Although the need for ensuring universal coverage in health has received the attention of policymakers under the Millennium Development Goals program, the skewed pattern of health-care expenditure has been increased globally. OBJECTIVE: To find out the pattern of public health-care expenditure in northeastern states of India and also to identify the nature of inter-state variation in health-care expenditure among the states. METHODS: The study was based on the secondary data collected from the State Finance Figures of Budgetary Statistics of Reserve Bank of India...
April 2017: Indian Journal of Public Health
https://www.readbyqxmd.com/read/28716120/advancing-team-based-primary-health-care-a-comparative-analysis-of-policies-in-western-canada
#3
Esther Suter, Sara Mallinson, Renee Misfeldt, Omenaa Boakye, Louise Nasmith, Sabrina T Wong
BACKGROUND: We analyzed and compared primary health care (PHC) policies in British Columbia, Alberta and Saskatchewan to understand how they inform the design and implementation of team-based primary health care service delivery. The goal was to develop policy imperatives that can advance team-based PHC in Canada. METHODS: We conducted comparative case studies (n = 3). The policy analysis included: Context review: We reviewed relevant information (2007 to 2014) from databases and websites...
July 17, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28700022/permanent-education-in-healthcare-services-educational-activities-developed-in-the-state-of-minas-gerais-brazil
#4
Roseni Rosângela de Sena, Maria José Cabral Grillo, Lizziane d'Ávila Pereira, Stephanie Marques Moura Franco Belga, Bruna Dias França, Camila Poliana de Freitas
Objective: To analyse educational activities carried out in the state of Minas Gerais, Brazil, considered permanent education in healthcare. Method: This is a mixed methods study with a qualitative approach and the participation of 492 municipal health departments. Data were collected in March and October 2014 through interviews available online. The data were tabulated using Excel software. The data were subjected to thematic content analysis and statistic descriptive analysis...
July 6, 2017: Revista Gaúcha de Enfermagem
https://www.readbyqxmd.com/read/28691329/progress-in-hpv-vaccination-in-low-and-lower-middle-income-countries
#5
D Scott LaMontagne, Paul J N Bloem, Julia M L Brotherton, Katherine E Gallagher, Ousseynou Badiane, Cathy Ndiaye
The past 10 years have seen remarkable progress in the global scale-up of human papillomavirus (HPV) vaccinations. Forty-three low- and lower-middle-income countries (LLMICs) have gained experience in delivering this vaccine to young adolescent girls through pilot programs, demonstration programs, and national introductions and most of these have occurred in the last 4 years. The experience of Senegal is summarized as an illustrative country case study. Publication of numerous delivery experiences and lessons learned has demonstrated the acceptability and feasibility of HPV vaccinations in LLMICs...
July 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28687252/treatment-of-early-onset-scoliosis-with-a-hybrid-of-a-concave-magnetic-driver-mcgr-and-a-contralateral-passive-sliding-rod-construct-with-apical-control-preliminary-report-on-17-cases
#6
Simon T Skov, Sebastiaan P J Wijdicks, Cody Bünger, René M Castelein, Haisheng Li, Moyo C Kruyt
BACKGROUND CONTEXT: Magnetic controlled growth rods (MCGRs) are increasingly popular for surgical treatment of severe early-onset scoliosis (EOS), because they allow non-invasive extensions with good growth maintenance. We combined a MCGR with a contralateral passive sliding rod construct with apical control on the convex side to improve efficiency in terms of costs and 3D correction. PURPOSE: To investigate the feasibility, 3D correction, spinal growth and complications of the apical control MCGR/sliding rod hybrid...
July 4, 2017: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/28686128/healthcare-managers-perception-of-economies-of-scale
#7
Anna Svarts
Purpose The purpose of this paper is to explore how healthcare managers perceive economies of scale and the underlying mechanisms for how scale/size affects performance. Design/methodology/approach Data were collected in 20 in-depth interviews with healthcare professionals from 13 healthcare delivery organizations and from a public authority that finances and contracts healthcare services. Data were coded and analysed using content analysis. Findings The study concludes that the impact of scale on performance is perceived by healthcare professionals to be different for different types of healthcare services: For surgery, significant scale effects related to spreading of fixed cost, the experience curve, and potential for process improvement...
May 15, 2017: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/28682706/telehealth-support-of-managed-care-for-a-correctional-system-the-open-architecture-telehealth-model
#8
Ellen S Rappaport, H Neal Reynolds, Sharon Baucom, Thomas M Lehman
INTRODUCTION: The intent was to evaluate time to match initial investment of a new, statewide correctional system telehealth program based upon cumulative savings by avoidance of transportation and custody-related costs. MATERIALS AND METHODS: The setting was a statewide correctional system where prisoners received medical care through enhanced telemedicine technology supported by newly recruited specialty providers delivered through an open architecture system...
July 6, 2017: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/28679806/analysis-of-end-of-life-care-out-of-pocket-spending-and-place-of-death-in-16-european-countries-and-israel
#9
Martina Orlovic, Joachim Marti, Elias Mossialos
In Europe the aging of the population will pose considerable challenges to providing high-quality end-of-life care. The complexity of providing care and the large spectrum of actors involved make it difficult to understand the care pathways and how these are influenced by financial and institutional factors. We examined a large, multicountry data set with waves of data from the period 2006-13 to determine the differences in health care usage, out-of-pocket spending, and place of death in sixteen European countries and Israel...
July 1, 2017: Health Affairs
https://www.readbyqxmd.com/read/28671285/twelve-months-of-implementation-of-health-care-performance-based-financing-in-burkina-faso-a-qualitative-multiple-case-study
#10
Valéry Ridde, Maurice Yaogo, Sylvie Zongo, Paul-André Somé, Anne-Marie Turcotte-Tremblay
To improve health services' quantity and quality, African countries are increasingly engaging in performance-based financing (PBF) interventions. Studies to understand their implementation in francophone West Africa are rare. This study analysed PBF implementation in Burkina Faso 12 months post-launch in late 2014. The design was a multiple and contrasted case study involving 18 cases (health centres). Empirical data were collected from observations, informal (n = 224) and formal (n = 459) interviews, and documents...
July 3, 2017: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/28668222/the-selfie-framework-for-integrated-care-for-multi-morbidity-development-and-description
#11
Fenna R M Leijten, Verena Struckmann, Ewout van Ginneken, Thomas Czypionka, Markus Kraus, Miriam Reiss, Apostolos Tsiachristas, Melinde Boland, Antoinette de Bont, Roland Bal, Reinhard Busse, Maureen Rutten-van Mölken
BACKGROUND: The rise of multi-morbidity constitutes a serious challenge in health and social care organisation that requires a shift from disease- towards person-centred integrated care. The aim of the current study was to develop a conceptual framework that can aid the development, implementation, description, and evaluation of integrated care programmes for multi-morbidity. METHODS: A scoping review and expert discussions were used to identify and structure concepts for integrated care for multi-morbidity...
June 20, 2017: Health Policy
https://www.readbyqxmd.com/read/28666472/policy-entrepreneurship-in-the-reform-of-pediatric-dentistry
#12
Burton L Edelstein, William R Maas
In a recently published IJHPR article, Cohen and Horev ask whether an individual who holds rightful governmental power is able to effectively "challenge the equilibrium" in ways that might "clash with the goals" of an influential group". This question is raised within the context of a shift in governmental policy that imposed the potential for cost management by HMOs acting as financial intermediaries for pediatric dental care in an effort to provide Israeli children better access to affordable dental care...
June 30, 2017: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/28665261/the-onset-and-progression-of-alcohol-use-disorders-a-qualitative-study-from-goa-india
#13
Nathalie Mackinnon, Urvita Bhatia, Abhijit Nadkarni
Quantitative evidence about the burden of alcohol use disorders (AUDs) needs to be complemented with a nuanced qualitative understanding of explanatory models to help supplement public health strategies that are too often steeped uncritically in biomedical models. The aim of this study was to identify the role of various factors in the onset and persistence of AUD and recovery from AUD. This was a qualitative study nested in a population cohort from Goa, India. In-depth interviews of men with incident, recovered, and persistent AUD covered topics such as changes in drinking habits over time, perceptions and experiences about starting/stopping drinking, and so on...
June 30, 2017: Journal of Ethnicity in Substance Abuse
https://www.readbyqxmd.com/read/28660666/factors-associated-with-the-pricing-of-childhood-vaccines-in-the-u-s-public-sector
#14
Weiwei Chen, Mark Messonnier, Fangjun Zhou
Vaccine purchase cost has grown substantially over the last few decades. A closer look at vaccine prices reveals that not all vaccines shared the same increasing pattern. Various factors, such as vaccine attributes, competition, and supply shortages, could relate to price changes. In this study, we examined whether a variety of factors influenced the prices of noninfluenza childhood vaccines purchased in the public sector from 1996 to 2014. The association differed among price-capped vaccines and combination vaccines...
June 29, 2017: Health Economics
https://www.readbyqxmd.com/read/28659606/the-right-to-health-in-brazil-a-constitutional-guarantee-threatened-by-fiscal-austerity
#15
Luis Eugenio Portela Fernandes de Souza
After 25 years of expanding coverage and improving the quality of preventive public health measures and publicly financed medical care associated with positive outcomes for the health of Brazil's population, our country suffers from deterioration of social policies. Among the areas of policy affected by new economic austerity measures is health-with potential to damage lives. These threats stem mainly from the 2016 approval of a Constitutional amendment that limits, for the next 20 years, public investments in health, education, social assistance, and social security...
June 28, 2017: Journal of Public Health Policy
https://www.readbyqxmd.com/read/28657823/recovery-housing-evolving-models-to-address-resident-needs
#16
Amy A Mericle, Douglas L Polcin, Jordana Hemberg, Jennifer Miles
Recovery housing is a service delivery modality that simultaneously addresses the social support and housing needs of those in recovery from substance use disorders. This article describes a group of recovery homes in Texas (N = 10) representing a lesser-studied type of recovery housing, one which explicitly bridges treatment and peer support by providing a variety of recovery support services. All residents meet with a recovery coach, undergo regular drug screening, and have access to intensive outpatient treatment-a program that was developed specifically to support the needs of residents in the homes...
June 28, 2017: Journal of Psychoactive Drugs
https://www.readbyqxmd.com/read/28641588/health-technology-performance-assessment-real-world-evidence-for-public-healthcare-sustainability
#17
Augusto Afonso Guerra-Júnior, Lívia Lovato Pires de Lemos, Brian Godman, Marion Bennie, Cláudia Garcia Serpa Osorio-de-Castro, Juliana Alvares, Aine Heaney, Carlos Alberto Vassallo, Björn Wettermark, Gaizka Benguria-Arrate, Iñaki Gutierrez-Ibarluzea, Vania Cristina Canuto Santos, Clarice Alegre Petramale, Fransciso de Assis Acurcio
OBJECTIVES: Health technology financing is often based on randomized controlled trials (RCTs), which are often the same ones used for licensing. Because they are designed to show the best possible results, typically Phase III studies are conducted under ideal and highly controlled conditions. Consequently, it is not surprising that technologies do not always perform in real life in the same way as controlled conditions. Because financing (and price paid) decisions can be made with overestimated results, health authorities need to ask whether health systems achieve the results they expect when they choose to pay for a technology...
June 23, 2017: International Journal of Technology Assessment in Health Care
https://www.readbyqxmd.com/read/28632830/-declaration-of-the-chilean-academy-of-medicine-of-law-20-850-on-clinical-trials-of-pharmaceutical-products-and-medical-devices-and-of-the-bylaw-that-will-regulate-its-application
#18
Gloría López, Gloría Valdés, Emilio Roessler, Vicente Valdivieso
In Chile, high cost treatments required by selected medical conditions are financed by the State, according to Law 20.850. A bylaw under discussion by the Senate regulates clinical trials, posing complex issues that will endanger local interest in front-line research: 1) The exclusive and mandatory control bestowed to the Institute of Public Health during all stages of the trials and also the surveillance of institutions performing clinical trials, overriding their Clinical Research Review Boards; 2) The 10 year period during which any adverse event is assumed to have been caused by the medication or devise evaluated by the trial, unless the contrary is proven in a judicial process; 3) Individuals submitted to the trials are entitled to free post trial access to the treatment received during the study, financed by the trial supporting entities and as long as the drug or devise is considered to be useful...
April 2017: Revista Chilena de Infectología: órgano Oficial de la Sociedad Chilena de Infectología
https://www.readbyqxmd.com/read/28632781/climate-change-and-marine-fisheries-least-developed-countries-top-global-index-of-vulnerability
#19
Robert Blasiak, Jessica Spijkers, Kanae Tokunaga, Jeremy Pittman, Nobuyuki Yagi, Henrik Österblom
Future impacts of climate change on marine fisheries have the potential to negatively influence a wide range of socio-economic factors, including food security, livelihoods and public health, and even to reshape development trajectories and spark transboundary conflict. Yet there is considerable variability in the vulnerability of countries around the world to these effects. We calculate a vulnerability index of 147 countries by drawing on the most recent data related to the impacts of climate change on marine fisheries...
2017: PloS One
https://www.readbyqxmd.com/read/28625876/mental-health-in-zimbabwe-a-health-systems-analysis
#20
Khameer Kidia, Debra Machando, Walter Mangezi, Reuben Hendler, Megan Crooks, Melanie Abas, Dixon Chibanda, Graham Thornicroft, Maya Semrau, Helen Jack
There has been little external analysis of Zimbabwe's mental health system. We did a systems analysis to identify bottlenecks and opportunities for mental health service improvement in Zimbabwe and to generate cost-effective, policy-relevant solutions. We combined in-depth interviews with a range of key stakeholders in health and mental health, analysis of mental health laws and policies, and publicly available data about mental health. Five themes are key to mental health service delivery in Zimbabwe: policy and law; financing and resources; criminal justice; workforce, training, and research; and beliefs about mental illness...
June 15, 2017: Lancet Psychiatry
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