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https://www.readbyqxmd.com/read/28092107/rsv-associated-hospitalizations-in-children-in-karachi-pakistan-implications-for-vaccine-prevention-strategies
#1
Asad Ali, Mohammad Tahir Yousafzai, Rabbia Waris, Fatima Jafri, Fatima Aziz, Imran Naeem Abbasi, Anita Zaidi
Major progress is being made in vaccines against Respiratory Syncytial Virus (RSV), with multiple vaccine candidates currently in the clinical phase of development. Making an investment case for public sector financing of RSV vaccine will require estimation of burden, cost-effectiveness and impact. The aim of this study is to determine the proportion, age distribution and clinical spectrum of RSV associated hospitalizations in children in Karachi, Pakistan. A three years prospective study was conducted at the Aga Khan University hospital in Karachi, a city of 20 million in south Pakistan, from August 2009 to June 2012...
January 16, 2017: Journal of Medical Virology
https://www.readbyqxmd.com/read/28076585/-priorities-of-clinical-drug-trials-in-brazil-and-neglected-diseases-of-poverty
#2
Rafael Santos Santana, Silvana Nair Leite
Objective: To identify clinical drug trials performed in Brazil between 2012 and 2015, with emphasis on those focusing on neglected diseases of poverty. Method: Two clinical trial registries, ReBEC (Brazilian registry) and ClinicalTrials.gov were surveyed. The following aspects were investigated: distribution of clinical trials in relation to the burden of disease in Brazil, distribution of trials regarding their focus on diseases of poverty vs. diseases not linked to poverty, phase of trials, performing institution, and type of funding (private, public, or mixed)...
November 2016: Revista Panamericana de Salud Pública, Pan American Journal of Public Health
https://www.readbyqxmd.com/read/28056968/co-payments-for-general-practitioners-in-denmark-an-analysis-using-two-policy-models
#3
Camilla Hansen, Despena Andrioti
BACKGROUND: The increasing health expenditure for general practitioners (GPs) in Denmark requires that other ways of financing the health system are investigated. This study aims to analyse possibilities for implementing out-of-pocket payments to GPs in Denmark. METHODS: The study was conducted as a literature review with 11 articles included. The Health Policy Triangle and the Kingdon Model were used in analysing and discussing the implementation of a cost-sharing policy with an emphasis on the out-of-pocket payments method...
January 5, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28050680/combined-social-and-private-health-insurance-versus-catastrophic-out-of-pocket-payments-for-private-hospital-care-in-greece
#4
Nikolaos Grigorakis, Christos Floros, Haritini Tsangari, Evangelos Tsoukatos
The high level of out of pocket (OOP) payments constitutes a major concern for Greece and several other European and OECD countries as a result of the significant down turning of their public health finances due to the 2008 financial crisis. The basic objective of this study is to provide empirical evidence on the effect of combining social health insurance (SHI) and private health insurance (PHI) on OOP payments. Further, this study examines the catastrophic impact of OOP payments on insured's welfare using the incidence and intensity methodological approach of measuring catastrophic health care expenditures...
January 3, 2017: Int J Health Econ Manag
https://www.readbyqxmd.com/read/28049495/the-link-between-the-west-african-ebola-outbreak-and-health-systems-in-guinea-liberia-and-sierra-leone-a-systematic-review
#5
REVIEW
Haitham Shoman, Emilie Karafillakis, Salman Rawaf
BACKGROUND: An Ebola outbreak started in December 2013 in Guinea and spread to Liberia and Sierra Leone in 2014. The health systems in place in the three countries lacked the infrastructure and the preparation to respond to the outbreak quickly and the World Health Organisation (WHO) declared a public health emergency of international concern on August 8 2014. OBJECTIVE: The aim of this study was to determine the effects of health systems' organisation and performance on the West African Ebola outbreak in Guinea, Liberia and Sierra Leone and lessons learned...
January 4, 2017: Globalization and Health
https://www.readbyqxmd.com/read/28048333/mo-a-209-01-aapm-journal-finances-facts-figures-and-fundamentals
#6
S Armato
: Scientific publishing is a major endeavor of the AAPM. Although publishing requires substantial resources, it has the potential to generate both reputation and revenue to further the missions of our society. The AAPM owns and publishes two journals: Medical Physics and the Journal of Applied Clinical Medical Physics (JACMP). Medical Physics, with the tagline "The international journal of medical physics research and practice," publishes research concerned with the application of physics and mathematics to the solution of problems in medicine and human biology, with an emphasis on theoretical and experimental approaches...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28038483/a-new-museum-within-the-croatian-academy-of-sciences-and-arts-and-the-first-of-its-kind-in-croatia-the-croatian-museum-of-medicine-and-pharmacy
#7
EDITORIAL
Silvija Brkić Midžić
One decade has passed since the Croatian Academy of Sciences and Arts initiated the foundation of the Croatian Museum of Medicine and Pharmacy, providing it with the location of 300m in Gundulićeva Street 24 in Zagreb. The foundation of the Museum was the Collection of the History of Medicine and Pharmacy which was in safekeeping of the Division for the History of Medical Sciences of the Croatian Academy of Sciences and Arts in Zagreb for more than fifty years. It was put together by combining the materials from two collections: the pharmaceutical-historical collection in Zagreb, which subsequently became the collection of the Institute for the History of Pharmacy, and the one of the Croatian Medical History Museum, which was established in 1944 within the Croatian Medical Association...
December 2016: Acta Medico-historica Adriatica: AMHA
https://www.readbyqxmd.com/read/28025323/role-of-emerging-private-hospitals-in-a-post-soviet-mixed-health-system-a-mixed-methods-comparative-study-of-private-and-public-hospital-inpatient-care-in-mongolia
#8
Uranchimeg Tsevelvaanchig, Hebe Gouda, Peter Baker, Peter S Hill
BACKGROUND: The collapse of the Soviet Union in 1990 severely impacted the health sector in Mongolia. Limited public funding for the post-Soviet model public system and a rapid growth of poorly regulated private providers have been pressing issues for a government seeking to re-establish universal health coverage. However, the evidence available on the role of private providers that would inform sector management is very limited. This study analyses the current contribution of private hospitals in Mongolia for the improvement of accessibility of health care and efficiency...
December 26, 2016: Health Policy and Planning
https://www.readbyqxmd.com/read/28024239/hospitals-as-complex-adaptive-systems-a-case-study-of-factors-influencing-priority-setting-practices-at-the-hospital-level-in-kenya
#9
Edwine W Barasa, Sassy Molyneux, Mike English, Susan Cleary
There is a dearth of literature on priority setting and resource allocation (PSRA) practices in hospitals, particularly in low and middle income countries (LMICs). Using a case study approach, we examined PSRA practices in 2 public hospitals in coastal Kenya. We collected data through a combination of in-depth interviews of national level policy makers, hospital managers, and frontline practitioners in the case study hospitals (n = 72), review of documents such as hospital plans and budgets, minutes of meetings and accounting records, and non-participant observations of PSRA practices in case study hospitals over a period of 7 months...
December 20, 2016: Social Science & Medicine
https://www.readbyqxmd.com/read/28013398/means-tested-public-support-and-the-interaction-between-long-term-care-insurance-and-informal-care
#10
Jean-Marc Bascans, Christophe Courbage, Cornel Oros
This paper investigates theoretically how the structure of means-tested public long-term care (LTC) support influences the relationship between LTC insurance and informal care. Three types of public support encountered in various means-tested LTC schemes are examined. First, the level to be considered for means-testing only takes into account the level of wealth of the recipient without considering the cost of LTC or the possible insurance benefits. Second, the public support also considers the LTC needs of the recipient...
December 24, 2016: Int J Health Econ Manag
https://www.readbyqxmd.com/read/28011094/using-cost-benefit-analysis-and-social-return-on-investment-to-evaluate-the-impact-of-social-enterprise-promises-implementation-and-limitations
#11
Joseph J Cordes
Since the early 2000's there has been growing interest in using the Social Return on Investment (SROI) as a measure for assessing the performance of social enterprises. By analogy with its business counterpart, the Return on Investment (ROI), the SROI is a metric that compares the monetized social costs of a program with the monetized social benefits of achieving an outcome (or set of outcomes). For example, calculating the SROI of a nonprofit half-way house for drug addicts might involve estimating the reduced social costs attributable to successful rehabilitation of addicts, and comparing this to the social costs of operating the half-way house...
November 21, 2016: Evaluation and Program Planning
https://www.readbyqxmd.com/read/28008577/-licensing-of-pharmaceuticals-and-medical-devices-in-germany-weaknesses-and-opportunities
#12
D Reinhardt, M Wildner
The purpose of this study is to describe and compare the licensing of pharmaceuticals and medical devices in Germany. Weaknesses and opportunities of the respective processes are identified. Methods: To describe and compare the two approaches, a systematic literature review was conducted, followed by an archival analysis, guided by experts. Unstructured interviews were conducted with experts (users, financers, surveillants and producers) personally or by telephone to identify weaknesses and opportunities. The data were evaluated by content analysis according to Mayring and MAXQDA 11...
December 2016: Das Gesundheitswesen
https://www.readbyqxmd.com/read/27999229/continuous-professional-development-and-health-sector-governance-in-egypt
#13
Rita Maria Ferrelli, Dolores Mattossovich, Mervat El-Seweify, Nabil Dowidar
The Authors present the main activities and results of a Project financed by the Italian-Egyptian Debt Swap Agreement (IEDDS/DS) of the Italian Development Cooperation to repay public debt. The Health Governance Project operated within the Egyptian health reform paradigm and aimed at producing evidence for policy makers to direct and reorient the health sector and service management. It developed along three phases: i) preparatory training of trainers, ii) training in health governance according to modern andragogic methods, such as problem-based learning, iii) following implementation...
October 2016: Annali Dell'Istituto Superiore di Sanità
https://www.readbyqxmd.com/read/27993960/patterns-of-informal-patient-payments-in-bulgaria-hungary-and-ukraine-a-comparison-across-countries-years-and-type-of-services
#14
Tetiana Stepurko, Milena Pavlova, Irena Gryga, Péter Gaál, Wim Groot
Informal payments for health care are a well-known phenomenon in many health care systems around the world. While informal payments could be an important source of health care financing, they have an adverse impact on efficiency and access to care, and are a major impediment to ongoing health care reforms. This paper aims to study the scale and patterns of informal patient payments for out-patient and in-patient services in three former-socialist countries: Bulgaria, Hungary and Ukraine. The data are collected in 2010 and 2011 based on national representative samples and are analysed in pooled models to explain variations in payments...
December 19, 2016: Health Policy and Planning
https://www.readbyqxmd.com/read/27991981/-financing-organization-costs-and-services-performance-of-the-argentinean-health-sub-systems
#15
Natalia Yavich, Ernesto Pablo Báscolo, Jeannie Haggerty
Objective: To analyze the relationship between health system financing and services organization models with costs and health services performance in each of Rosario's health sub-systems. Materials and methods: The financing and organization models were characterized using secondary data. Costs were calculated using the WHO/SHA methodology. Healthcare quality was measured by a household survey (n=822). Results: Public subsystem:Vertically integrated funding and primary healthcare as a leading strategy to provide services produced low costs and individual-oriented healthcare but with weak accessibility conditions and comprehensiveness...
September 2016: Salud Pública de México
https://www.readbyqxmd.com/read/27990676/updated-competencies-for-the-dental-public-health-specialist-using-the-past-and-present-to-frame-the-future
#16
Jane A Weintraub, R Gary Rozier
OBJECTIVE: A new set of competencies for entry-level specialists in dental public health (DPH) developed in 2016 updates the 1998 version. Our objective is to provide some context and perspective on this update. METHODS: We discuss the evolution of this dental specialty, how it differs from other dental specialties, and its importance for the public's oral health. Some societal trends that provide the rationale for this update are summarized. The ways in which this set of competencies differs from the last version are described...
September 2016: Journal of Public Health Dentistry
https://www.readbyqxmd.com/read/27982390/factors-associated-to-caesarean-delivery-in-public-and-private-health-care-systems
#17
Rosana Rosseto de Oliveira, Emiliana Cristina Melo, Elisiane Soares Novaes, Patrícia Louise Rodrigues Varela Ferracioli, Thais Aidar de Freitas Mathias
OBJECTIVE: Identifying factors associated to Caesarean sections among the residents of Maringá-PR, according to the financing source for delivery. METHODS: A cross-sectional study with data from 920 postpartum women interviewed between October 2013 and February 2014. Association analysis was performed by logistic regression. RESULTS: Caesarean section rates were 55.5% in the Unified Healthcare System (SUS) and 93.8% in the private system...
September 2016: Revista da Escola de Enfermagem da U S P
https://www.readbyqxmd.com/read/27943164/sustaining-gains-in-health-programs-technical-efficiency-and-its-determinants-in-malaria-programs-in-sub-saharan-africa
#18
Esso-Hanam Atake
BACKGROUND: Since the year 2000, Africa has made significant progress in the fight against malaria. Between 2000 and 2015, the incidence and death from malaria fell by 42 and 66%, respectively. However, the African region still accounts for most global cases of malaria. In 2015, the region was home to 89% of malaria cases and 91% of malaria death. OBJECTIVE: This study aimed to evaluate efficiency of policies against malaria in 30 malaria-endemic Sub-Saharan African (SSA) countries, from the perspective of sustaining gains...
December 9, 2016: Applied Health Economics and Health Policy
https://www.readbyqxmd.com/read/27942105/measuring-wealth-and-wealth-inequality-comparing-two-u-s-surveys
#19
Fabian T Pfeffer, Robert F Schoeni, Arthur Kennickell, Patricia Andreski
Household wealth and its distribution are topics of broad public debate and increasing scholarly interest. We compare the relative strength of two of the main data sources used in research on the wealth holdings of U.S. households, the Survey of Consumer Finances (SCF) and the Panel Study of Income Dynamics (PSID), by providing a description and explanation of differences in the level and distribution of wealth captured in these two surveys. We identify the factors that account for differences in average net worth but also show that estimates of net worth are similar throughout most of the distribution...
2016: Journal of Economic and Social Measurement
https://www.readbyqxmd.com/read/27941976/the-effect-of-contact-investigations-and-public-health-interventions-in-the-control-and-prevention-of-measles-transmission-a-simulation-study
#20
Wayne T A Enanoria, Fengchen Liu, Jennifer Zipprich, Kathleen Harriman, Sarah Ackley, Seth Blumberg, Lee Worden, Travis C Porco
BACKGROUND: Measles cases continue to occur despite its elimination status in the United States. To control transmission, public health officials confirm the measles diagnosis, identify close contacts of infectious cases, deliver public health interventions (i.e., post-exposure prophylaxis) among those who are eligible, and follow-up with the close contacts to determine overall health outcomes. A stochastic network simulation of measles contact tracing was conducted using existing agent-based modeling software and a synthetic population with high levels of immunity in order to estimate the impact of different interventions in controlling measles transmission...
2016: PloS One
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