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https://www.readbyqxmd.com/read/28918762/standard-comparison-of-local-mental-health-care-systems-in-eight-european-countries
#1
M R Gutiérrez-Colosía, L Salvador-Carulla, J A Salinas-Pérez, C R García-Alonso, J Cid, D Salazzari, I Montagni, F Tedeschi, G Cetrano, K Chevreul, J Kalseth, G Hagmair, C Straßmayr, A L Park, R Sfectu, T Ala-Nikkola, J L González-Caballero, L Rabbi, B Kalseth, F Amaddeo
AIMS: There is a need of more quantitative standardised data to compare local Mental Health Systems (MHSs) across international jurisdictions. Problems related to terminological variability and commensurability in the evaluation of services hamper like-with-like comparisons and hinder the development of work in this area. This study was aimed to provide standard assessment and comparison of MHS in selected local areas in Europe, contributing to a better understanding of MHS and related allocation of resources at local level and to lessen the scarcity in standard service comparison in Europe...
September 18, 2017: Epidemiology and Psychiatric Sciences
https://www.readbyqxmd.com/read/28902320/-investing-in-health-the-economic-case-report-of-the-wish-investing-in-health-forum-2016
#2
Gavin Yamey, Naomi Beyeler, Hester Wadge, Dean Jamison
Developing country governments and aid agencies face difficult decisions on how best to allocate their finite resources. Investments in many different sectors -including education, water and sanitation, transportation, and health- can all reap social and economic benefits. This report focuses specifically on the health sector. It presents compelling evidence of the value of scaling-up health investments. The economic case for increasing these investments in health has never been stronger. Having made progress in reducing maternal and child mortality, and deaths from infectious diseases, it is essential that policymakers do not become complacent...
May 2017: Salud Pública de México
https://www.readbyqxmd.com/read/28902279/-aging-and-long-term-care-in-chile-challenges-in-the-oecd-context
#3
Pablo Villalobos Dintrans
Chile is fully in the process of demographic transition, with a rapidly aging population. This situation poses multiple public policy challenges, including those in the public health sector. Specifically, the association between aging and the loss of autonomy calls for the rapid design of a long-term care policy in the country. The purpose of this article is to describe Chile's current situation with respect to long-term care in aging, using the experience of the countries of the Organisation for Economic Co-operation and Development to draw attention to the need to move forward with the design and financing of a coordinated policy in the country that will permit early action to meet the challenges of aging in the coming decades...
August 21, 2017: Revista Panamericana de Salud Pública, Pan American Journal of Public Health
https://www.readbyqxmd.com/read/28901334/rainfall-shocks-are-not-necessarily-a-sensitive-early-indicator-of-changes-in-wasting-prevalence
#4
N A Ledlie, H Alderman, J L Leroy, L You
Evidence on the impact of weather shocks on child nutrition focuses on linear growth retardation (stunting) and thus, associates the effect of a short-term measure (weather events) on a cumulative measure (attained height). Relatively little is known on how weather shocks predict increases in wasting in a population. This study explores whether deviation in rainfall in Ethiopia, a drought prone country, is a sensitive indicator of future increases in wasting. Around 12% of children 0-23 months were wasted, but we found no consistent association between the rainfall shock variables and child weight-for-height Z-scores...
September 13, 2017: European Journal of Clinical Nutrition
https://www.readbyqxmd.com/read/28900351/an-overview-of-different-health-indicators-used-in-the-european-health-systems
#5
REVIEW
M Gaeta, F Campanella, L Capasso, G M Schifino, L Gentile, G Banfi, G Pelissero, C Ricci
INTRODUCTION: In the European Union three different health systems could be defined according to service delivery, financing, and economic policies: Beveridge, Bismarck and Mixed system. Although health systems are hardly to compare, various organizations are developing methods assessing performance. In the present work the performance of the three systems were evaluated using European Community Health Indicators according to Organization for Economic Cooperation and Development. METHODS: The study has been conducted among the 28 states of the European Union using the following indicators: Standardized death rate for diseases of the circulatory system, standardized death rate of malignant neoplasms, road traffic accidents with injury, life expectancy at birth, incidence of Human Immunodeficiency Virus (HIV), infant deaths, pure alcohol consumption, infants vaccinated against Diphtheria Tetanus Pertussis (DTP), public and total expenditure on health over the period 2001-2010...
June 2017: Journal of Preventive Medicine and Hygiene
https://www.readbyqxmd.com/read/28893323/out-of-pocket-expenditure-for-seeking-health-care-for-sick-children-younger-than-5%C3%A2-years-of-age-in-bangladesh-findings-from-cross-sectional-surveys-2009-and-2012
#6
Tazeen Tahsina, Nazia Binte Ali, D M Emdadul Hoque, Tanvir M Huda, Shumona Sharmin Salam, Mohammad Mehedi Hasan, Md Altaf Hossain, Ziaul Matin, Lianne Kuppen, Sarah P Garnett, Shams El Arifeen
BACKGROUND: Bangladesh has committed to universal health coverage, and options to decrease household out-of-pocket expenditure (OPE) are being explored. Understanding the determinants of OPE is an essential step. This study aimed to estimate and identify determinants of OPE in seeking health care for sick under-five children. METHODS: Cross-sectional data was collected by structured questionnaire in 2009 (n = 7362) and 2012 (n = 6896) from mothers of the under-five children...
September 11, 2017: Journal of Health, Population, and Nutrition
https://www.readbyqxmd.com/read/28891363/exploring-the-association-of-dental-care-utilization-with-oral-impacts-on-daily-performances-oidp-a-prospective-study-of-ageing-people-in-norway-and-sweden
#7
Ferda Gülcan, Gunnar Ekbäck, Sven Ordell, Kristin S Klock, Stein Atle Lie, Anne Nordrehaug Åstrøm
OBJECTIVES: To explore the association of dental health care utilization with oral impacts on daily performances (OIDP) across time focusing ageing Norwegian and Swedish adults adjusting for predisposing, enabling, and need related-factors as defined by Andersen's model. METHODS: Data were based on Norwegian and Swedish 1942 birth-cohorts conducted in 2007 (age 65) and 2012 (age 70). In Norway, the response rates ranged from 54% to 58%. Corresponding figures in Sweden were from 72% to 73%...
September 10, 2017: Acta Odontologica Scandinavica
https://www.readbyqxmd.com/read/28891235/financial-arrangements-for-health-systems-in-low-income-countries-an-overview-of-systematic-reviews
#8
REVIEW
Charles S Wiysonge, Elizabeth Paulsen, Simon Lewin, Agustín Ciapponi, Cristian A Herrera, Newton Opiyo, Tomas Pantoja, Gabriel Rada, Andrew D Oxman
BACKGROUND: One target of the Sustainable Development Goals is to achieve "universal health coverage, including financial risk protection, access to quality essential health-care services and access to safe, effective, quality and affordable essential medicines and vaccines for all". A fundamental concern of governments in striving for this goal is how to finance such a health system. This concern is very relevant for low-income countries. OBJECTIVES: To provide an overview of the evidence from up-to-date systematic reviews about the effects of financial arrangements for health systems in low-income countries...
September 11, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28889030/crowdfunding-our-health-economic-risks-and-benefits
#9
Matthew J Renwick, Elias Mossialos
Crowdfunding is an expanding form of alternative financing that is gaining traction in the health sector. This article presents a typology for crowdfunded health projects and a review of the main economic benefits and risks of crowdfunding in the health market. We use evidence from a literature review, complimented by expert interviews, to extend the fundamental principles and established theories of crowdfunding to a health market context. Crowdfunded health projects can be classified into four types according to the venture's purpose and funding method...
August 31, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28887343/population-health-and-medicine-policy-and-financial-drivers
#10
Jill E Lavigne, Jack Brown, Gary R Matzke
PURPOSE: The financial and policy levers of population health and potential opportunities for pharmacists are described. SUMMARY: Three long-standing problems drive the focus on population health: (1) the United States suffers far worse population health outcomes compared with those of other developed nations that spend significantly less on healthcare, (2) the U.S. healthcare system's focus on "sick care" fails to address upstream prevention and population health improvement, and (3) financial incentives for healthcare delivery are poorly aligned with improvements in population health outcomes...
September 15, 2017: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/28886233/mistrust-of-physicians-in-china-society-institution-and-interaction-as-root-causes
#11
Cheris Shun-Ching Chan
Based on two years' ethnographic research on doctor-patient relations in urban China, this paper examines the causes of patients' mistrust of physicians. I identify the major factors at the societal, institutional, and interpersonal levels that lead to patients' mistrust of physicians. First, I set the context by describing the extent of mistrust at the societal level. Then, I investigate the institutional sources of mistrust. I argue that the financing mechanism of public hospitals and physicians' income structures are the most crucial factors in inducing patients' mistrust...
September 8, 2017: Developing World Bioethics
https://www.readbyqxmd.com/read/28880355/-mental-health-as-a-front-line-service-for-bewildered-persons
#12
C L Mulder, J van Weeghel, A Wierdsma, J Zoeteman, A Schene
'Bewildered persons' have often been in the news over the last few years. There has been much discussion about the meaning of the term 'bewildered persons', the number of people involved, the way the problem should be tackled and the role of the mental health services.<br/> AIM: To look critically at the term 'bewildered persons' and to discuss the suspected increase in numbers and the role of mental health services.<br/> METHOD: Review and discussion of the relevant literature relating to 'bewildered persons' which has been published in the last 25 years...
2017: Tijdschrift Voor Psychiatrie
https://www.readbyqxmd.com/read/28879178/identification-of-delivery-models-for-the-provision-of-predictive-genetic-testing-in-europe-protocol-for-a-multicentre-qualitative-study-and-a-systematic-review-of-the-literature
#13
Brigid Unim, Tyra Lagerberg, Erica Pitini, Corrado De Vito, Maria Rosaria Vacchio, Giovanna Adamo, Annalisa Rosso, Elvira D'Andrea, Carolina Marzuillo, Paolo Villari
INTRODUCTION: The appropriate application of genomic technologies in healthcare is surrounded by many concerns. In particular, there is a lack of evidence on what constitutes an optimal genetic service delivery model, which depends on the type of genetic test and healthcare context considered. The present project aims to identify, classify, and evaluate delivery models for the provision of predictive genetic testing in Europe and in selected Anglophone extra-European countries (the USA, Canada, Australia, and New Zealand)...
2017: Frontiers in Public Health
https://www.readbyqxmd.com/read/28878668/analysis-of-regional-variation-in-the-scope-of-eligibility-defined-by-ages-in-children-s-medical-expense-subsidy-program-in-japan
#14
Takuma Sugahara
Children's medical expense subsidy programs are programs run by local governments that use public monies to reduce or eliminate the copayments for children's medical treatment including pharmaceutical cost (typically 20% for preschoolers and 30% thereafter). Currently, all prefectures and municipalities in Japan provide subsidies for infants' and children's medical expenses, but scope on ages of eligibility, income limits, and copayment requirements vary. The fact that these programs are run by local governments has given rise to differences in the costs borne by households with children, depending on the jurisdiction in which they live...
2017: Frontiers in Pharmacology
https://www.readbyqxmd.com/read/28865665/a-new-framework-for-addressing-adverse-childhood-and-community-experiences-the-building-community-resilience-model
#15
Wendy R Ellis, William H Dietz
OBJECTIVE: We propose a transformative approach to foster collaboration across child health, public health, and community-based agencies to address the root causes of toxic stress and childhood adversity and to build community resilience. METHODS: Physicians, members of social service agencies, and experts in toxic stress and adverse childhood experiences (ACEs) were interviewed to inform development of the Building Community Resilience (BCR) model. Through a series of key informant interviews and focus groups, we sought to understand the role of BCR for child health systems and their partners to reduce toxic stress and build community resilience to improve child health outcomes...
September 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/28865648/financing-mechanisms-for-reducing-adversity-and-enhancing-resilience-through-implementation-of-primary-prevention
#16
Sarah M Steverman, David L Shern
The experience of adversity and toxic stress in childhood is associated with the development of chronic health and behavioral health problems. These problems contribute substantially to health care expenditures and the overall burden of disease. Although a strong scientific literature documents the effectiveness of primary prevention in reducing childhood adversity, promoting well-being and lessening the incidence of negative outcomes, funding for these interventions is highly fragmented across multiple government agencies as well as private and philanthropic sectors...
September 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/28864710/principles-of-child-health-care-financing
#17
Mark L Hudak, Mark E Helm, Patience H White
After passage of the Patient Protection and Affordable Care Act, more children and young adults have become insured and have benefited from health care coverage than at any time since the creation of the Medicaid program in 1965. From 2009 to 2015, the uninsurance rate for children younger than 19 years fell from 9.7% to 5.3%, whereas the uninsurance rate for young adults 19 to 25 years of age declined from 31.7% to 14.5%. Nonetheless, much work remains to be done. The American Academy of Pediatrics (AAP) believes that the United States can and should ensure that all children, adolescents, and young adults from birth through the age of 26 years who reside within its borders have affordable access to high-quality and comprehensive health care, regardless of their or their families' incomes...
September 2017: Pediatrics
https://www.readbyqxmd.com/read/28857284/fiscal-transfers-based-on-inputs-or-outcomes-lessons-from-the-twelfth-and-thirteenth-finance-commission-in-india
#18
Victoria Y Fan, Smriti Iyer, Avani Kapur, Rifaiyat Mahbub, Anit Mukherjee
BACKGROUND: There is limited empirical evidence about the efficacy of fiscal transfers for a specific purpose, including for health which represents an important source of funds for the delivery of public services especially in large populous countries such as India. OBJECTIVE: To examine two distinct methodologies for allocating specific-purpose centre-to-state transfers, one using an input-based formula focused on equity and the other using an outcome-based formula focused on performance...
August 30, 2017: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/28857056/health-risks-of-climate-change-in-the-world-health-organization-south-east-asia-region
#19
Kathryn J Bowen, Kristie L Ebi
Countries in the World Health Organization (WHO) South-East Asia Region are particularly vulnerable to a changing climate. Changes in extreme weather events, undernutrition and the spread of infectious diseases are projected to increase the number of deaths due to climate change by 2030, indicating the need to strengthen activities for adaptation and mitigation. With support from the WHO Regional Office for South-East Asia and others, countries have started to include climate change as a key consideration in their national public health policies...
September 2017: WHO South-East Asia Journal of Public Health
https://www.readbyqxmd.com/read/28851781/protocol-for-a-nationwide-survey-of-primary-health-care-in-china-the-china-peace-patient-centered-evaluative-assessment-of-cardiac-events-mpp-million-persons-project-primary-health-care-survey
#20
Meng Su, Qiuli Zhang, Jiapeng Lu, Xi Li, Na Tian, Yun Wang, Winnie Yip, Kar Keung Cheng, George A Mensah, Ralph I Horwitz, Elias Mossialos, Harlan M Krumholz, Lixin Jiang
INTRODUCTION: China has pioneered advances in primary health care (PHC) and public health for a large and diverse population. To date, the current state of PHC in China has not been subjected to systematic assessments. Understanding variations in primary care services could generate opportunities for improving the structure and function of PHC. METHODS AND ANALYSIS: This paper describes a nationwide PHC study (PEACE MPP Primary Health Care Survey) conducted across 31 provinces in China...
August 28, 2017: BMJ Open
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