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https://www.readbyqxmd.com/read/28641588/health-technology-performance-assessment-real-world-evidence-for-public-healthcare-sustainability
#1
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
#2
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
#3
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
#4
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
https://www.readbyqxmd.com/read/28614517/economic-growth-and-inflation-rate-implications-for-municipal-revenue-and-health-expenditure-of-the-municipalities-of-pernambuco-brazil
#5
Marciana Feliciano, Adriana Falangola Benjamin Bezerra, Antônio Carlos Gomes do Espírito Santo
This paper analyzes the implications of municipal budget revenue growth and the monetary policy's inflation rates goals in the availability of public health resources of municipalities. This is a descriptive, exploratory, quantitative, retrospective and longitudinal cross-sectional study covering the period 2002-2011. We analyzed health financing and expenditure variables in the municipalities of the state of Pernambuco, Brazil, describing the trend and the relationship between them. Data showed the growth of the variables and trend towards homogeneity...
June 2017: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/28614505/why-do-people-appeal-to-the-courts-for-access-to-medication-the-case-of-insulin-analogues-in-bahia-brazil
#6
Erick Soares Lisboa, Luis Eugenio Portela Fernandes de Souza
Insulin analogues have been the object of controversy concerning their therapeutic superiority to human insulin. Perhaps, in part, because of this, insulin analogues are frequently the subject of lawsuits. The judicialization of health has been well studied, but little is known about the reasons that lead people to go to the courts to obtain access to medicines on SUS (the Brazilian National Health System). Therefore, this study aims to analyze the reasons that led people to appeal to the courts to obtain access to insulins analogues in the state of Bahia...
June 2017: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/28614471/-payment-mechanisms-and-financial-resources-management-for-consolidation-of-ecuador-s-health-system
#7
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/28612298/comparing-strategies-for-providing-child-and-youth-mental-health-care-services-in-canada-the-united-states-and-the-netherlands
#8
Scott T Ronis, Amanda K Slaunwhite, Kathryn E Malcom
This paper reviews how child and youth mental health care services in Canada, the United States, and the Netherlands are organized and financed in order to identify systems and individual-level factors that may inhibit or discourage access to treatment for youth with mental health problems, such as public or private health insurance coverage, out-of-pocket expenses, and referral requirements for specialized mental health care services. Pathways to care for treatment of mental health problems among children and youth are conceptualized and discussed in reference to health insurance coverage and access to specialty services...
June 13, 2017: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/28607243/costing-of-immunization-service-provision-in-kalutara-district-sri-lanka-a-cross-sectional-study
#9
Hemali Jayasekara, Amala De Silva, Ananda Amarasinghe
BACKGROUND: Immunization is regarded as the single most cost-effective way to prevent vaccine-preventable diseases. With the rising cost of the National Immunization Programme (NIP) in Sri Lanka, immunization costing studies could help programme managers to ensure sustainable immunization financing in the country. METHODS: Four medical officer of health (MOH) divisions in Kalutara district were included, to estimate the cost incurred for the NIP programme. Fifteen immunization clinics from urban and rural settings were selected from the selected MOH divisions, by a simple random sampling method...
September 2016: WHO South-East Asia Journal of Public Health
https://www.readbyqxmd.com/read/28606184/multicomponent-intervention-versus-usual-care-for-management-of-hypertension-in-rural-bangladesh-pakistan-and-sri-lanka-study-protocol-for-a-cluster-randomized-controlled-trial
#10
Tazeen H Jafar, Imtiaz Jehan, H Asita de Silva, Aliya Naheed, Mihir Gandhi, Pryseley Assam, Eric A Finkelstein, Helena Legido Quigley, Marcel Bilger, Aamir Hameed Khan, John David Clemens, Shah Ebrahim, Elizabeth L Turner, Anuradhani Kasturiratne
BACKGROUND: High blood pressure (BP) is the leading attributable risk for cardiovascular disease (CVD). In rural South Asia, hypertension continues to be a significant public health issue with sub-optimal BP control rates. The goal of the trial is to compare a multicomponent intervention (MCI) to usual care to evaluate the effectiveness and cost-effectiveness of the MCI for lowering BP among adults with hypertension in rural communities in Bangladesh, Pakistan and Sri Lanka. METHODS/DESIGN: This study is a stratified, cluster randomized controlled trial with a qualitative component for evaluation of processes and stakeholder feedback...
June 12, 2017: Trials
https://www.readbyqxmd.com/read/28599364/the-true-costs-of-participatory-sanitation-evidence-from-community-led-total-sanitation-studies-in-ghana-and-ethiopia
#11
Jonny Crocker, Darren Saywell, Katherine F Shields, Pete Kolsky, Jamie Bartram
Evidence on sanitation and hygiene program costs is used for many purposes. The few studies that report costs use top-down costing methods that are inaccurate and inappropriate. Community-led total sanitation (CLTS) is a participatory behavior-change approach that presents difficulties for cost analysis. We used implementation tracking and bottom-up, activity-based costing to assess the process, program costs, and local investments for four CLTS interventions in Ghana and Ethiopia. Data collection included implementation checklists, surveys, and financial records review...
June 5, 2017: Science of the Total Environment
https://www.readbyqxmd.com/read/28597531/attitudes-in-australia-on-the-upscheduling-of-over-the-counter-codeine-to-a-prescription-only-medication
#12
Jacqui McCoy, Raimondo Bruno, Suzanne Nielsen
INTRODUCTION AND AIMS: In December 2016, the Australian Therapeutic Goods Administration announced that over-the-counter (OTC) codeine would be available by prescription-only in February 2018. Prior to this announcement, the authors aimed to evaluate attitudes among Australian codeine consumers, pharmacists and general medical practitioners (GP) towards the proposed upscheduling of OTC codeine. DESIGN AND METHODS: Public Therapeutic Goods Administration submissions on codeine upscheduling were assessed, and a brief questionnaire was developed to assess the common issues raised...
June 8, 2017: Drug and Alcohol Review
https://www.readbyqxmd.com/read/28597353/bringing-the-family-in-through-the-back-door-the-stealthy-expansion-of-family-care-in-asian-and-european-long-term-care-policy
#13
Naonori Kodate, Virpi Timonen
In the era of global ageing, amid political concerns about increasing care needs and long-term sustainability of current care regimes, most high-income economies are seeking to minimise the use of institutional care and to expand formal home care for their older populations. In long-term care reforms, concerns about public funding, formal providers and the paid care workforce are foremost. However, an integral yet hidden part of all these reforms is the stealthily growing role of family carers. This article aims to identify and spell out how developments in formal home care bring about different modes of increasing, encouraging and necessitating family care inputs, across welfare states...
June 9, 2017: Journal of Cross-cultural Gerontology
https://www.readbyqxmd.com/read/28597221/editorial-board-self-publishing-rates-in-czech-economic-journals
#14
Radek Zdeněk
This article investigates whether editorial board members of selected economic journals publish their research papers in their 'own' journal. Journals were selected from the Journal Citation Report(®) from the categories Business; Business, Finance; and Economics. Only research articles published between 2012 and 2015 were included in the analysis. We recorded ratios concerning the share of articles authored by editorial board members, the share of editorial board members publishing in their own journals and ratios representing their publication output...
June 8, 2017: Science and Engineering Ethics
https://www.readbyqxmd.com/read/28596626/a-theoretical-model-of-the-relationship-between-the-h-index-and-other-simple-citation-indicators
#15
Lucio Bertoli-Barsotti, Tommaso Lando
Of the existing theoretical formulas for the h-index, those recently suggested by Burrell (J Informetr 7:774-783, 2013b) and by Bertoli-Barsotti and Lando (J Informetr 9(4):762-776, 2015) have proved very effective in estimating the actual value of the h-index Hirsch (Proc Natl Acad Sci USA 102:16569-16572, 2005), at least at the level of the individual scientist. These approaches lead (or may lead) to two slightly different formulas, being based, respectively, on a "standard" and a "shifted" version of the geometric distribution...
2017: Scientometrics
https://www.readbyqxmd.com/read/28595064/a-means-of-improving-public-health-in-low-and-middle-income-countries-benefits-and-challenges-of-international-public-private-partnerships
#16
REVIEW
L Kostyak, D M Shaw, B Elger, B Annaheim
OBJECTIVE: In the last two decades international public-private partnerships have become increasingly important to improving public health in low- and middle-income countries. Governments realize that involving the private sector in projects for financing, innovation, development, and distribution can make a valuable contribution to overcoming major health challenges. Private-public partnerships for health can generate numerous benefits but may also raise some concerns. To guide best practice for public-private partnerships for health to maximize benefits and minimize risks, the first step is to identify potential benefits, challenges, and motives...
June 5, 2017: Public Health
https://www.readbyqxmd.com/read/28592907/-epidemiology-of-asthma-in-adults-living-in-the-silesian-voivodeship-according-to-secondary-epidemiological-data
#17
Ewa Niewiadomska, Małgorzata Kowalska
BACKGROUND: Asthma is a serious public health challenge because of the increasing number of people with a new diagnosis and consequently the increasing costs of medical treatment (direct and indirect). The aim of this study is to analyze available epidemiological data with respect to their spatial and temporal variability in the Silesian voivodeship. In addition, the costs incurred by the National Health Fund (Narodowy Fundusz Zdrowia - NFZ) in treating asthmaic patients are analyzed...
June 8, 2017: Medycyna Pracy
https://www.readbyqxmd.com/read/28589017/financing-for-universal-health-coverage-in-small-island-states-evidence-from-the-fiji-islands
#18
Augustine D Asante, Wayne Irava, Supon Limwattananon, Andrew Hayen, Joao Martins, Lorna Guinness, John E Ataguba, Jennifer Price, Stephen Jan, Anne Mills, Virginia Wiseman
BACKGROUND: Universal health coverage (UHC) is critical to global poverty alleviation and equity of health systems. Many low-income and middle-income countries, including small island states in the Pacific, have committed to UHC and reforming their health financing systems to better align with UHC goals. This study provides the first comprehensive evidence on equity of the health financing system in Fiji, a small Pacific island state. The health systems of such states are poorly covered in the international literature...
March 2017: BMJ Global Health
https://www.readbyqxmd.com/read/28589000/system-wide-analysis-of-health-financing-equity-in-cambodia-a-study-protocol
#19
Virginia Wiseman, Augustine Asante, Por Ir, Supon Limwattananon, Bart Jacobs, Marco Liverani, Andrew Hayen, Stephen Jan
BACKGROUND: To assess progress towards universal health coverage, countries like Cambodia require evidence on equity in the financing and distribution of healthcare benefits. This evidence must be based on a system-wide perspective that recognises the complex roles played by the public and private sectors in many contemporary healthcare systems. OBJECTIVE: To undertake a system-wide assessment of who pays and who benefits from healthcare in Cambodia and to understand the factors influencing this...
January 2017: BMJ Global Health
https://www.readbyqxmd.com/read/28588989/accelerating-progress-towards-universal-health-coverage-in-asia-and-pacific-improving-the-future-for-women-and-children
#20
Allison Beattie, Robert Yates, Douglas J Noble
Universal health coverage generates significant health and economic benefits and enables governments to reduce inequity. Where universal health coverage has been implemented well, it can contribute to nation-building. This analysis reviews evidence from Asia and Pacific drawing out determinants of successful systems and barriers to progress with a focus on women and children. Access to healthcare is important for women and children and contributes to early childhood development. Universal health coverage is a political process from the start, and public financing is critical and directly related to more equitable health systems...
November 2016: BMJ Global Health
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