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https://www.readbyqxmd.com/read/28898403/healthcare-financing-systems-for-increasing-the-use-of-tobacco-dependence-treatment
#1
REVIEW
Floor A van den Brand, Gera E Nagelhout, Ayalu A Reda, Bjorn Winkens, Silvia M A A Evers, Daniel Kotz, Onno Cp van Schayck
BACKGROUND: Tobacco smoking is the leading preventable cause of death worldwide, which makes it essential to stimulate smoking cessation. The financial cost of smoking cessation treatment can act as a barrier to those seeking support. We hypothesised that provision of financial assistance for people trying to quit smoking, or reimbursement of their care providers, could lead to an increased rate of successful quit attempts. This is an update of the original 2005 review. OBJECTIVES: The primary objective of this review was to assess the impact of reducing the costs for tobacco smokers or healthcare providers for using or providing smoking cessation treatment through healthcare financing interventions on abstinence from smoking...
September 12, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28891235/financial-arrangements-for-health-systems-in-low-income-countries-an-overview-of-systematic-reviews
#2
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/28887343/population-health-and-medicine-policy-and-financial-drivers
#3
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/28885240/advancing-value-based-population-health-management-through-payer-provider-partnerships-improving-outcomes-for-children-with-complex-conditions
#4
Pamela Peele, Donna Keyser, John Lovelace, Deborah Moss
Population health management (PHM) approaches to improve cost and quality remain limited. To address this gap, stakeholders within an integrated delivery and financing system in Western Pennsylvania designed, implemented, and tested a value-based care model for children with medically complex conditions that could be scaled across the broader pediatric population. The model included: (1) a multilevel, interdisciplinary infrastructure; (2) actionable analytics reports to guide continuous quality improvement; (3) alternative provider payments; (4) consumer-directed spending accounts; and (5) shared savings with practices...
September 1, 2017: Journal for Healthcare Quality: Official Publication of the National Association for Healthcare Quality
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
#5
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/28874198/who-pays-for-healthcare-in-bangladesh-an-analysis-of-progressivity-in-health-systems-financing
#6
Azaher Ali Molla, Chunhuei Chi
BACKGROUND: The relationship between payments towards healthcare and ability to pay is a measure of financial fairness. Analysis of progressivity is important from an equity perspective as well as for macroeconomic and political analysis of healthcare systems. Bangladesh health systems financing is characterized by high out-of-pocket payments (63.3%), which is increasing. Hence, we aimed to see who pays what part of this high out-of-pocket expenditure. To our knowledge, this was the first progressivity analysis of health systems financing in Bangladesh...
September 6, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28871318/-psychotherapy-with-older-caregivers
#7
REVIEW
G Wilz, K Pfeiffer
Nursing and caring for a relative can be regarded as an important developmental task, which mainly affects elderly people who provide care for their very old parents or their (spouse) partners. Being responsible for the care of someone can be associated with a severe caregiver burden and experienced as a crisis. Possible psychological consequences are pronounced depressive symptoms or maladaptive stress reactions. For these caregivers, psychotherapeutic counselling can be sensible and helpful in addition to other resources of caregiver support...
September 4, 2017: Der Nervenarzt
https://www.readbyqxmd.com/read/28869386/-history-present-state-and-perspectives-of-czech-burns-medicine
#8
P Brychta
Care for burn patients is defined in most developed countries as an independent multidisciplinary specialty (burn medicine) and it is concentrated to specialized units, which are sufficiently staffed with appropriate space area and equipment. Since the 50s of the previous century in the former Czechoslovakia, there were five such units, three of which were in the Czech Republic (Prague, Ostrava, Brno). The specialty successfully developed and achieved prestige also abroad, mainly due to uninterrupted contacts with the foreign units...
2017: Acta Chirurgiae Plasticae
https://www.readbyqxmd.com/read/28868141/we-need-a-nice-for-global-development-spending
#9
Kalipso Chalkidou, Anthony J Culyer, Amanda Glassman, Ryan Li
With aid budgets shrinking in richer countries and more money for healthcare becoming available from domestic sources in poorer ones, the rhetoric of value for money or improved efficiency of aid spending is increasing. Taking healthcare as one example, we discuss the need for and potential benefits of (and obstacles to) the establishment of a national institute for aid effectiveness. In the case of the UK, such an institute would help improve development spending decisions made by DFID, the country's aid agency, as well as by the various multilaterals, such as the Global Fund, through which British aid monies is channelled...
2017: F1000Research
https://www.readbyqxmd.com/read/28863012/critical-care-organizations-business-of-critical-care-and-value-performance-building
#10
Sharon Leung, Sara R Gregg, Craig M Coopersmith, A Joseph Layon, John Oropello, Daniel R Brown, Stephen M Pastores, Vladimir Kvetan
OBJECTIVE: New, value-based regulations and reimbursement structures are creating historic care management challenges, thinning the margins and threatening the viability of hospitals and health systems. The Society of Critical Care Medicine convened a taskforce of Academic Leaders in Critical Care Medicine on February 22, 2016, during the 45th Critical Care Congress to develop a toolkit drawing on the experience of successful leaders of critical care organizations in North America for advancing critical care organizations (Appendix 1)...
August 31, 2017: Critical Care Medicine
https://www.readbyqxmd.com/read/28851795/trends-in-disability-of-instrumental-activities-of-daily-living-among-older-chinese-adults-1997-2006-population-based-study
#11
Yajun Liang, Anna-Karin Welmer, Jette Möller, Chengxuan Qiu
BACKGROUND: Data on trends for disability in instrumental activity of daily living (IADL) are sparse in older Chinese adults. OBJECTIVES: To assess trends in prevalence and incidence of IADL disability among older Chinese adults and to explore contributing factors. DESIGN: Population based study. SETTING: 15 provinces and municipalities in China. SUBJECTS: Participants (age ≥60) were from four waves of the China Health and Nutrition Survey, conducted in 1997 (n=1533), 2000 (n=1581), 2004 (n=2028) and 2006 (n=2256), and from two cohorts constructed within the national survey: cohort 1997-2004 (n=712) and cohort 2000-2006 (n=823)...
August 28, 2017: BMJ Open
https://www.readbyqxmd.com/read/28843945/the-foundational-public-health-services-as-a-framework-for-estimating-spending
#12
Beth A Resnick, Jessica S Fisher, Ian P Colrick, Jonathon P Leider
INTRODUCTION: In support of the nation's effort to address rising healthcare costs and improve healthcare outcomes, the National Academy of Medicine called for a minimum package of public health services available in every community to protect and improve population health and identification of the resources needed to make these services universally available. In response, the Foundational Public Health Services (FPHS) framework was developed to outline a basic set of public health programs and capabilities...
August 23, 2017: American Journal of Preventive Medicine
https://www.readbyqxmd.com/read/28840504/from-big-data-to-smart-data-for-pharmacovigilance-the-role-of-healthcare-databases-and-other-emerging-sources
#13
Gianluca Trifirò, Janet Sultana, Andrew Bate
In the last decade 'big data' has become a buzzword used in several industrial sectors, including but not limited to telephony, finance and healthcare. Despite its popularity, it is not always clear what big data refers to exactly. Big data has become a very popular topic in healthcare, where the term primarily refers to the vast and growing volumes of computerized medical information available in the form of electronic health records, administrative or health claims data, disease and drug monitoring registries and so on...
August 24, 2017: Drug Safety: An International Journal of Medical Toxicology and Drug Experience
https://www.readbyqxmd.com/read/28833882/change-in-care-transition-practice-for-patients-with-non-specific-chest-pain-after-ed-evaluation-2006-2012
#14
Maame Yaa A B Yiadom, Cathy A Jenkins, Christopher W Baugh, Sean P Collins, Monisha C Bhatia, Robert S Dittus, Alan B Storrow
OBJECTIVES: From 2005-2010 healthcare financing shifts in the United States may have affected care transition practices for emergency department (ED) patients with non-specific chest pain (CP) after ED evaluation. Despite being less acutely ill than those with myocardial infarction, these patients' management can be challenging. The risk of missing acute coronary syndrome is considerable enough to often warrant admission. Diagnostic advances and reimbursement limitations on the use of inpatient admission are encouraging the use of alternative ED care transition practices...
August 18, 2017: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/28833418/conflicting-rationales-leader-s-experienced-ethical-challenges-in-community-health-care-for-older-people
#15
Åshild Slettebø, Ragnhild Skaar, Kari Brodtkorb, Anne Skisland
BACKGROUND: Ethical challenges arise in all types of care, and leaders need to be aware of how to resolve these challenges. Healthcare systems tend to be organised around medical conditions, and the patient is often faced with a series of uncoordinated visits to multiple specialties. Ideally, care should be organised around the patient's needs. AIM: The purpose of this article was to highlight some ethical challenges perceived by leaders with responsibility for management and service distribution, finance and ensuring quality of community health services for older people...
August 22, 2017: Scandinavian Journal of Caring Sciences
https://www.readbyqxmd.com/read/28828741/health-expenditure-and-all-cause-mortality-in-the-galaxy-of-italian-regional-healthcare-systems-a-15-year-panel-data-analysis
#16
Davide Golinelli, Fabrizio Toscano, Andrea Bucci, Jacopo Lenzi, Maria Pia Fantini, Nicola Nante, Gabriele Messina
BACKGROUND: The sustainability of healthcare systems is a topic of major interest. During periods of economic instability, policy makers typically reallocate resources and execute linear cuts in different areas of public spending, including healthcare. OBJECTIVES: The aim of this paper was to examine whether and how per capita public healthcare expenditure (PHE) in the Italian regions was related to the all-cause mortality rate (MR) between 1999 and 2013 and to determine which expenditure item most affected mortality in the short and very short term...
August 21, 2017: Applied Health Economics and Health Policy
https://www.readbyqxmd.com/read/28821517/quality-differences-between-private-for-profit-private-non-profit-and-public-hospitals-in-norway-a-retrospective-national-register-based-study-of-acute-readmission-rates-following-total-hip-and-knee-arthroplasties
#17
Geir Hiller Holom, Terje P Hagen
OBJECTIVES: To compare the quality of care-using unplanned acute hospital readmissions as a quality measure-among patients treated at private for-profit hospitals (PFPs), private non-profit hospitals (PNPs) and public hospitals (PUBs) in Norway. DESIGN: A retrospective comparative study using the Norwegian Patient Register. Readmissions were evaluated by logistic regressions both using adjustment for various patient-level and other covariates, and a two-stage model using distance as an instrumental variable...
August 18, 2017: BMJ Open
https://www.readbyqxmd.com/read/28820517/global-oncology-volunteering-making-an-effective-contribution
#18
Annette Galassi, Rachna Pradhan, Gayatri Palat, Virginia T LeBaron
Elements of a good health system are lacking in most low- and middle-income countries (LMICs) and in many high-income countries, including the United States. 
A major problem is financing health care. On average, about 50% of healthcare financing in low-income countries comes from out-of-pocket payments, compared to 30% in middle-income countries and 14% in high-income countries.
September 1, 2017: Oncology Nursing Forum
https://www.readbyqxmd.com/read/28819474/expanding-health-insurance-scheme-in-the-informal-sector-in-nigeria-awareness-as-a-potential-demand-side-tool
#19
David Ayobami Adewole, Saidat Abisola Akanbi, Kayode Omoniyi Osungbade, Segun Bello
INTRODUCTION: The implementation and expansion of a health insurance scheme in the informal sector, particularly in developing countries, is a challenge. With the aid of an innovative Information-Education and Communication model, titled 'Understanding the concept of health insurance: An innovative social marketing tool', an assessment of the awareness and perception of the scheme among market women was carried out. METHODS: This is a cross-sectional descriptive survey, carried out among market women in Ibadan, Nigeria...
2017: Pan African Medical Journal
https://www.readbyqxmd.com/read/28812846/to-what-extent-is-long-term-care-representative-of-elderly-care-a-case-study-of-elderly-care-financing-in-lombardy-italy
#20
Elenka Brenna, Lara Gitto
The ageing of European population has been rapidly increasing during the last decades, and the problem of elderly care financing has become an issue for policy-makers. Long-term care (LTC) financing is considered a suitable proxy of the resources committed to elderly care by each government, but the preciseness of this approximation depends on the extent to which LTC is representative of elderly care within each country. Since there is a broad heterogeneity in LTC funding, organization and setting among European States, it is difficult to find a common parameter representing the public resources destined to the elderly care...
February 25, 2017: International Journal of Health Policy and Management
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