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https://www.readbyqxmd.com/read/28224422/satisfaction-of-village-doctors-with-the-township-and-village-health-services-integration-policy-in-the-western-minority-inhabited-areas-of-china
#1
Da Feng, Liang Zhang, Yuan-Xi Xiang, Dong-Lan Zhang, Ruo-Xi Wang, Shang-Feng Tang, Hang Fu, Bo-Yang Li
Township and Village Health Services Integration Management (TVHSIM) is an essential form of China's two-tiered health service integration plan at the township and village level. Its main purpose, also one of the target goals in China's new healthcare reform, is to gradually integrate rural health services and appropriately allocate rural health resources. This study aims to assess the village doctors' satisfaction with the TVHSIM and provide scientific base to further improve TVHSIM. A cross-sectional study was carried out in which 162 village doctors from Qinghai, Inner Mongolia and Xinjiang in western China were interviewed...
February 2017: Journal of Huazhong University of Science and Technology. Medical Sciences
https://www.readbyqxmd.com/read/28222716/assessing-the-feasibility-of-introducing-health-insurance-in-afghanistan-a-qualitative-stakeholder-analysis
#2
Wu Zeng, Christine Kim, Lauren Archer, Omarzaman Sayedi, Mohammad Yousuf Jabarkhil, Kathleen Sears
BACKGROUND: In the last decade, the health status of Afghans has improved drastically. However, the health financing system in Afghanistan remains fragile due to high out-of-pocket spending and reliance on donor funding. To address the country's health financing challenges, the Ministry of Public Health investigated health insurance as a mechanism to mobilize resources for health. This paper presents stakeholders' opinions on seven preconditions of implementing this approach, as their understanding and buy-in to such an approach will determine its success...
February 22, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28199405/co-financing-for-viral-load-monitoring-during-the-course-of-antiretroviral-therapy-among-patients-with-hiv-aids-in-vietnam-a-contingent-valuation-survey
#3
Quyen Le Thi Nguyen, Long Hoang Nguyen, Bach Xuan Tran, Huong Thi Thu Phan, Huong Thi Le, Hinh Duc Nguyen, Tho Dinh Tran, Cuong Duy Do, Cuong Manh Nguyen, Vu Thi Minh Thuc, Carl Latkin, Melvyn W B Zhang, Roger C M Ho
BACKGROUND: Viral load testing is considered the gold standard for monitoring HIV treatment; however, given its high cost, some patients cannot afford viral load testing if this testing is not subsidized. Since foreign aid for HIV/AIDS in Vietnam is rapidly decreasing, we sought to assess willingness to pay (WTP) for viral load and CD4 cell count tests among HIV-positive patients, and identified factors that might inform future co-payment schemes. METHODS: A multi-site cross-sectional survey was conducted with 1133 HIV-positive patients on antiretroviral therapy (ART) in Hanoi and Nam Dinh...
2017: PloS One
https://www.readbyqxmd.com/read/28188462/caring-for-the-caregiver-identifying-the-needs-of-those-called-to-care-through-partnerships-with-congregations
#4
Panagis Galiatsatos, Katie Nelson, W Daniel Hale
As the older adult population continues to grow, the prevalence of chronic diseases is also increasing, leading to the need for novel ways of managing this large population of patients. One solution is to focus on informal caregivers. These informal caregivers already make a substantial contribution to our nation's healthcare finances and patient health outcomes. Caregivers also derive benefits from caring for their family member or friend; however, it is not uncommon for these individuals to experience negative health consequences, or what is often called "burden of care...
February 10, 2017: Journal of Religion and Health
https://www.readbyqxmd.com/read/28178979/managed-care-and-inpatient-mortality-in-adults-effect-of-primary-payer
#5
Anika L Hines, Susan O Raetzman, Marguerite L Barrett, Ernest Moy, Roxanne M Andrews
BACKGROUND: Because managed care is increasingly prevalent in health care finance and delivery, it is important to ascertain its effects on health care quality relative to that of fee-for-service plans. Some stakeholders are concerned that basing gatekeeping, provider selection, and utilization management on cost may lower quality of care. To date, research on this topic has been inconclusive, largely because of variation in research methods and covariates. Patient age has been the only consistently evaluated outcome predictor...
February 8, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28153856/death-of-outrage-over-talking-about-dying
#6
Nrupen A Bhavsar, Sara Constand, Matthew Harker, Donald H Taylor
OBJECTIVES: We examined public reaction to the proposed Center for Medicare and Medicaid Services rule reimbursing physicians for advanced care planning (ACP) discussions with patients. METHODS: Public comments made on regulations.gov were reviewed for relevance to ACP policy and their perceived position on ACP (ie, positive, negative and neutral). Descriptive statistics were used to quantify the results. RESULTS: A total of 2225 comments were submitted to regulations...
February 2, 2017: BMJ Supportive & Palliative Care
https://www.readbyqxmd.com/read/28153591/the-present-and-future-challenges-facing-urology-departments-at-academic-health-centers
#7
REVIEW
Benjamin McCormick, Raj S Pruthi
Academic health centers have represented the pinnacle of healthcare, and continue to serve as examples around the world by providing innovative clinical care, cutting-edge research, and premier education. However, with recent changes in healthcare - particularly finances - the tripartite mission of the academic urology department is under fire. The next five to ten years are sure to bring immense change to AHCs in the United States as they adjust to new market and environmental conditions impacting the three distinct, but interrelated, elements of their mission...
January 30, 2017: Urology
https://www.readbyqxmd.com/read/28152735/early-impact-of-the-affordable-care-act-aca-on-financial-worry
#8
Xin Hu, Helen M Parsons, Zhiyuan Zheng
: 44 Background: We examined changes in financial worry for working-aged cancer survivors compared to individuals without a cancer history (controls) after ACA-mandated health insurance enrollment and caps on cost-sharing were implemented in 2014. We hypothesized that cancer survivors would be more likely to report financial worry, and that ACA implementation would reduce financial worry. METHODS: We pooled data from the 2013-2014 National Health Interview Survey for adults aged 21-64 years...
March 2016: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/28152714/data-collection-for-care-pathways-in-the-cleveland-clinic-health-system
#9
Chad W Cummings, Marc A Shapiro, Dennis Urbanek, Brian James Bolwell
: 115 Background: Care pathways are established methods of reducing healthcare costs and disparities in oncology care. To demonstrate their impact, health systems must measure and report data on care pathway adherence and outcomes in near real-time. Automating data abstraction across a health system for oncology is difficult due to the amount and detail of data required. Manual abstraction of data is considered slow and costly. Many consider Electronic Medical Record (EMR) integration of care pathways essential in order to successfully implement and assess...
March 2016: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/28151946/impact-of-publicly-financed-health-insurance-schemes-on-healthcare-utilization-and-financial-risk-protection-in-india-a-systematic-review
#10
Shankar Prinja, Akashdeep Singh Chauhan, Anup Karan, Gunjeet Kaur, Rajesh Kumar
Several publicly financed health insurance schemes have been launched in India with the aim of providing universalizing health coverage (UHC). In this paper, we report the impact of publicly financed health insurance schemes on health service utilization, out-of-pocket (OOP) expenditure, financial risk protection and health status. Empirical research studies focussing on the impact or evaluation of publicly financed health insurance schemes in India were searched on PubMed, Google scholar, Ovid, Scopus, Embase and relevant websites...
2017: PloS One
https://www.readbyqxmd.com/read/28143517/predictors-of-high-out-of-pocket-healthcare-expenditure-an-analysis-using-bangladesh-household-income-and-expenditure-survey-2010
#11
Azaher Ali Molla, Chunhuei Chi, Alicia Lorena Núñez Mondaca
BACKGROUND: Predictors of high out-of-pocket household healthcare expenditure are essential for creating effective health system finance policy. In Bangladesh, 63.3% of health expenditure is out-of-pocket and born by households. It is imperative to know what determines household health expenditure. This study aims to investigate the predicting factors of high out-of-pocket household healthcare expenditure targeting to put forward policy recommendations on equity in financial burden. METHODS: Bangladesh household income and expenditure survey 2010 provides data for this study...
January 31, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28105555/malaria-and-economic-evaluation-methods-challenges-and-opportunities
#12
Tom L Drake, Yoel Lubell
There is a growing evidence base on the cost effectiveness of malaria interventions. However, certain characteristics of malaria decision problems present a challenge to the application of healthcare economic evaluation methods. This paper identifies five such challenges. The complexities of (i) declining incidence and cost effectiveness in the context of an elimination campaign; (ii) international aid and its effect on resource constraints; and (iii) supranational priority setting, all affect how health economists might use a cost-effectiveness threshold...
January 19, 2017: Applied Health Economics and Health Policy
https://www.readbyqxmd.com/read/28103858/the-personal-and-workplace-characteristics-of-uninsured-expatriate-males-in-saudi-arabia
#13
Abdulwahab Alkhamis, Peter Cosgrove, Gamal Mohamed, Amir Hassan
BACKGROUND: A major concern by the health decision makers in Gulf Cooperative Council (GCC) countries is the burden of financing healthcare. While other GCC countries have been examining different options, Saudi Arabia has endeavoured to reform its private healthcare system and control expatriate access to government resources through the provision of Compulsory Employment-Based Health Insurance (CEBHI). The objective of this research was to investigate, in a natural setting, the characteristics of uninsured expatriates based on their personal and workplace characteristics...
January 19, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28093341/physicians-poverty-and-profits-can-robin-hood-finance-health-care-in-developing-countries
#14
Russell J Andrews, Tariq M Khan, Nigel Crisp
No abstract text is available yet for this article.
January 16, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28089280/financial-hardship-on-the-path-to-universal-health-coverage-in-the-gulf-states
#15
Riyadh Alshamsan, Hannah Leslie, Azeem Majeed, Margaret Kruk
BACKGROUND: Countries globally are pursuing universal health coverage to ensure better healthcare for their populations and prevent households from catastrophic expenditure. The countries of the Gulf Cooperation Council (GCC) have and continue to implement reforms to strengthen their health systems. A common theme between the countries is their pursuit of universal health coverage to provide access to necessary health care without exposing people to financial hardship. METHODS: Using nationally representative data from the Global Findex study, we sought to analyze the hardship faced by individuals from four high-income countries in the GCC...
January 7, 2017: Health Policy
https://www.readbyqxmd.com/read/28087118/open-lower-limb-fractures-in-major-trauma-centers-a-loss-leader
#16
Elizabeth K Tissingh, Arman Memarzadeh, Joseph Queally, Peter Hull
PURPOSE: Open lower limb fractures are resource intensive injuries. Regardless of the financing model, the cost of treatment is an important consideration for any healthcare provider. METHODS: Open lower limb fractures treated at our centre were identified over a six-month period. Isolated open femur or tibia fractures were included as well as cases with multiple fractures. Direct inpatient care costs were calculated and income was reviewed for each case according to 'Healthcare Resource Group' (HRG) cost codes...
February 2017: Injury
https://www.readbyqxmd.com/read/28069528/personal-and-professional-well-being-of-surgical-residents-in-new-england
#17
Peter S Yoo, John J Tackett, Mark W Maxfield, Rosemarie Fisher, Stephen J Huot, Walter E Longo
BACKGROUND: Although there is increasing literature about burnout and attrition among surgeons, little is known about personal and professional well-being of surgical trainees. STUDY DESIGN: General surgery residents from the six New England states participated in a cross-sectional, qualitative, self-reported survey to assess the domains of personal health maintenance, personal finance, work environment, and fatigue management as they relate to surgical training...
January 6, 2017: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/28065173/a-little-could-go-a-long-way-financing-for-mental-healthcare-in-low-and-middle-income-countries
#18
L Asher, M J De Silva
No abstract text is available yet for this article.
January 9, 2017: Epidemiology and Psychiatric Sciences
https://www.readbyqxmd.com/read/28056968/co-payments-for-general-practitioners-in-denmark-an-analysis-using-two-policy-models
#19
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/28050999/retaining-health-workforce-in-rural-and-underserved-areas-of-india-what-works-and-what-doesn-t-a-critical-interpretative-synthesis
#20
REVIEW
Sonu Goel, Federica Angeli, Nidhi Bhatnagar, Neetu Singla, Manoj Grover, Hans Maarse
BACKGROUND: Human resource for health is critical in quality healthcare delivery. India, with a large rural population (68.8%), needs to urgently bridge the gaps in health workforce deployment between urban and rural areas. METHODS: We did a critical interpretative synthesis of the existing literature by using a predefined selection criteria to assess relevant manuscripts to identify the reasons for retaining the health workforce in rural and underserved areas. We discuss different strategies for retention of health workforce in rural areas on the basis of four major retention interventions, viz...
July 2016: National Medical Journal of India
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