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https://www.readbyqxmd.com/read/29140099/oral-healthcare-for-persons-with-intellectual-or-developmental-disabilities-why-is-there-a-disparity
#1
Michael Milano
Despite some progress, a significant disparity still exists in oral healthcare between individuals with intellectual or developmental disabilities and the general population. Barriers generated by finances, a lack of appropriately trained dental providers, and the patients themselves combine to create significant challenges to providing dental care. However, strategies exist that can help to decrease the magnitude of these hurdles so this disparity can be minimized.
November 2017: Compendium of Continuing Education in Dentistry
https://www.readbyqxmd.com/read/29129491/-population-based-analysis-of-the-healthcare-expenditure-in-catalonia-spain-what-and-who-consumes-more-resources
#2
Emili Vela, Montse Clèries, Vincenzo Alberto Vella, Cristina Adroher, Anna García-Altés
OBJECTIVE: To analyse the distribution of the expenditure according to the healthcare services and characteristics of patients, using the microdata of the Catalan population's use of healthcare services. METHODS: A fee or an indirect cost has been applied to all healthcare activities financed by CatSalut during 2014, computing the health expenditure made up by each person and adding it all up for the inhabitants of Catalonia (Spain). RESULTS: The sum of the healthcare expenditure made by all the inhabitants of Catalonia represents 97...
November 9, 2017: Gaceta Sanitaria
https://www.readbyqxmd.com/read/29127225/exploring-the-characteristics-of-the-high-cost-population-from-the-family-perspective-a-cross-sectional-study-in-jiangsu-province-china
#3
Yudong Miao, Dongfu Qian, Sandeep Sandeep, Ting Ye, Yadong Niu, Dan Hu, Liang Zhang
BACKGROUND: Across a range of healthcare settings, 5% of the population accounts for half of healthcare spending: these patients are identified as a 'high-cost population'. Characterising high-cost users is essential for predicting potential high-cost patients and the development of appropriate interventions to improve the management and financing of these patients. OBJECTIVE: This cross-sectional study aimed to explore the characteristics of this high-cost population from a family perspective in China and provide suggestions for social health insurance policy development...
November 9, 2017: BMJ Open
https://www.readbyqxmd.com/read/29113446/the-relationship-between-primary-healthcare-providers-and-their-external-supervisors-in-rwanda
#4
Michael Schriver, Vincent K Cubaka, Laetitia Nyirazinyoye, Sylvere Itangishaka, Per Kallestrup
BACKGROUND: External supervision of Rwandan primary healthcare facilities unfolds as an interaction between supervisors and healthcare providers. Their relationship has not been thoroughly studied in Rwanda, and rarely in Africa. AIM: To explore perceived characteristics and effects of the relationship between providers in public primary healthcare facilities and their external supervisors in Rwanda. SETTING: We conducted three focus group discussions with primary healthcare providers (n = 16), three with external supervisors (n = 15) and one mixed (n = 5)...
November 1, 2017: African Journal of Primary Health Care & Family Medicine
https://www.readbyqxmd.com/read/29105989/patient-reported-experience-of-the-impact-and-burden-of-neuroendocrine-tumors-oceania-patient-results-from-a-large-global-survey
#5
John Leyden, Nick Pavlakis, David Chan, Michael Michael, Stephen Clarke, Mustafa Khasraw, Timothy Price
AIM: Despite the considerable impact of neuroendocrine tumors (NETs) on patients' lives, the patient journey is not well documented. The aim of this survey was to identify the impact and burden of NETs from the patient perspective. METHODS: This was a self-reported global survey regarding NET knowledge/awareness, disease impact/management, interaction with medical teams, and desired improvements. One hundred thirty-eight patients (7% of the global study) in the Oceania region answered closed-ended questions using graded descriptors on their experience of living with NETs...
November 6, 2017: Asia-Pacific Journal of Clinical Oncology
https://www.readbyqxmd.com/read/29092033/the-welfare-implications-of-public-healthcare-financing-a-macro-micro-simulation-analysis-of-uganda
#6
Judith Kabajulizi, Marcus R Keogh-Brown, Richard D Smith
Studies on global health and development suggest that there is a strong correlation between the burden of disease and a country's level of income. Poorer countries tend to suffer more deaths from preventable causes such as communicable, maternal, perinatal and nutritional conditions, compared with high-income countries. In low-income countries, the government health expenditure share in the general government budget is low and out-of-pocket payments for healthcare relatively high. They also rely heavily on external resources for health funding, yet sustainability of external resource flows is not guaranteed...
December 1, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/29082015/does-foreign-aid-crowd-out-government-investments-evidence-from-rural-health-centres-in-rwanda
#7
Chunling Lu, Benjamin Cook, Chris Desmond
BACKGROUND: Rural healthcare facilities in low-income countries play a major role in providing primary care to rural populations. We examined the link of foreign aid with government investments and medical service provision in rural health centres in Rwanda. METHODS: Using the District Health System Strengthening Tool, a web-based database built by the Ministry of Health in Rwanda, we constructed two composite indices representing provision of (1) child and maternal care and (2) HIV, tuberculosis (TB) and malaria services in 330 rural health centres between 2009 and 2011...
2017: BMJ Global Health
https://www.readbyqxmd.com/read/29075485/using-the-world-health-organization-health-system-building-blocks-through-survey-of-healthcare-professionals-to-determine-the-performance-of-public-healthcare-facilities
#8
Tsegahun Manyazewal
BACKGROUND: Acknowledging the health system strengthening agenda, the World Health Organization (WHO) has formulated a health systems framework that describes health systems in terms of six building blocks. This study aimed to determine the current status of the six WHO health system building blocks in public healthcare facilities in Ethiopia. METHODS: A quantitative, cross-sectional study was conducted in five public hospitals in central Ethiopia which were in a post-reform period...
2017: Archives of Public Health, Archives Belges de Santé Publique
https://www.readbyqxmd.com/read/29071113/introducing-the-national-institute-for-sports-medicine-in-hungary-a-complex-sports-medical-healthcare-and-screening-system
#9
REVIEW
Judit Laki, Ágnes Soós, Péter Jákó, András Tállay, Ábel Perjés, Anita Megyeriné Szabó
The Hungarian National Institute for Sports Medicine (NISM) was founded in 1952 to provide medical coverage for national teams, screening and periodic health evaluation (PHE) for all Hungarian athletes. The system of 'all in one and ASAP' evolved by now to a specific state-funded healthcare provider with complex sports medical and sport-related services available for athletes. The NISM created a countrywide network to make health clearance available for all athletes close to their place of residency. This centralised system guarantees the uniformity and financial independence of the network, as it is directly financed by the government and free for every competitive athlete...
2017: BMJ Open Sport & Exercise Medicine
https://www.readbyqxmd.com/read/29054594/what-can-be-achieved-with-a-single-payer-nhi-system-the-case-of-taiwan
#10
William C Hsiao, Shou-Hsia Cheng, Winnie Yip
The United Nations has incorporated the noble goal of Universal Health Coverage (UHC) in its 2030 Agenda for Sustainable Development. Most nations have already embraced UHC as their goal. However, an intense policy debate has risen about which health system structure can best achieve UHC. Is a single-payer system more efficient, equitable and effective than a multiple-payer system for middle income countries? We argue that empirical evidence and in-depth analysis of single-payer and multiple-payer systems should inform this debate...
December 7, 2016: Social Science & Medicine
https://www.readbyqxmd.com/read/29040516/integrated-mental-health-services-in-china-challenges-and-planning-for-the-future
#11
Di Liang, Vickie M Mays, Wei-Chin Hwang
Eager to build an integrated community-based mental health system, in 2004 China started the '686 Programme', whose purpose was to integrate hospital and community services for patients with serious mental illness. In 2015, the National Mental Health Working Plan (2015-2020) proposed an ambitious strategy for implementing this project. The goal of this review is to assess potential opportunities for and barriers to successful implementation of a community-based mental health system that integrates hospital and community mental health services into the general healthcare system...
October 13, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/29035338/integrating-medication-therapy-management-mtm-services-provided-by-community-pharmacists-into-a-community-based-accountable-care-organization-aco
#12
Brian Isetts
(1) Background: As the U.S. healthcare system evolves from fee-for-service financing to global population-based payments designed to be accountable for both quality and total cost of care, the effective and safe use of medications is gaining increased importance. The purpose of this project was to determine the feasibility of integrating medication therapy management (MTM) services provided by community pharmacists into the clinical care teams and the health information technology (HIT) infrastructure for Minnesota Medicaid recipients of a 12-county community-based accountable care organization (ACO)...
October 16, 2017: Pharmacy (Basel, Switzerland)
https://www.readbyqxmd.com/read/29020993/assessment-of-a-business-to-consumer-b2c-model-for-telemonitoring-patients-with-chronic-heart-failure-chf
#13
Andrija S Grustam, Hubertus J M Vrijhoef, Ron Koymans, Philipp Hukal, Johan L Severens
BACKGROUND: The purpose of this study is to assess the Business-to-Consumer (B2C) model for telemonitoring patients with Chronic Heart Failure (CHF) by analysing the value it creates, both for organizations or ventures that provide telemonitoring services based on it, and for society. METHODS: The business model assessment was based on the following categories: caveats, venture type, six-factor alignment, strategic market assessment, financial viability, valuation analysis, sustainability, societal impact, and technology assessment...
October 11, 2017: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/29018584/affordability-of-comprehensive-community-health-worker-programmes-in-rural-sub-saharan-africa
#14
Celia Taylor, Frances Griffiths, Richard Lilford
INTRODUCTION: Community health worker (CHW) programmes have low costs per person served and are central to achieving universal healthcare. However, their total cost is high and the target of one million CHWs for sub-Saharan Africa by 2015 was not met. We consider the affordability of rural CHW programmes by estimating total programme costs relative to national healthcare expenditure at different CHW salaries and resources available for healthcare. METHODS: We combine an existing source of rural CHW programme costs with World Bank data to estimate relative CHW programme costs in 37 countries...
2017: BMJ Global Health
https://www.readbyqxmd.com/read/28993378/characterisation-of-the-rural-indigent-population-in-burkina-faso-a-screening-tool-for-setting-priority-healthcare-services-in-sub-saharan-africa
#15
Samiratou Ouédraogo, Valéry Ridde, Nicole Atchessi, Aurélia Souares, Jean-Louis Koulidiati, Quentin Stoeffler, Maria-Victoria Zunzunegui
BACKGROUND: In Africa, health research on indigent people has focused on how to target them for services, but little research has been conducted to identify the social groups that compose indigence. Our aim was to identify what makes someone indigent beyond being recognised by the community as needing a card for free healthcare. METHODS: We used data from a survey conducted to evaluate a state-led intervention for performance-based financing of health services in two districts of Burkina Faso...
October 8, 2017: BMJ Open
https://www.readbyqxmd.com/read/28985776/-toward-innovative-hospital-care
#16
Rose-Marie Loudcher, Yasmine Tebib-Chibani
For healthcare financing to remain profitable and to continue to function, the care system must be innovative in terms of patient care. Work organisation has changed with the pricing system for medical acts. The system of enhanced recovery after surgery helps to reduce hospitalisation times and to reflect on organisation. Nurses are on the front line.
October 2017: Revue de L'infirmière
https://www.readbyqxmd.com/read/28983429/hepatitis-c-understanding-factors-that-influence-the-physicians-treatment-decisions
#17
Celine Miani, Catriona Manville, Peter Burge, Sonja Marjanovic, Joanna Chataway
This study aimed to inform Hepatitis C (HCV) treatment by (1) better understanding the nexus of factors physicians consider when making HCV treatment decisions; (2) investigating the comparative influence and importance of specific factors and the trade-offs implicated in the decisionmaking process; and (3) examining how much thrombocytopenia impacts treatment decisions and how it impacts treatment. To meet this goal, we conducted five analyses, focusing on four European countries characterised by different approaches to healthcare organisation and financing, which alongside cultural differences may have potential implications for treatment pathways for patients with HCV infection...
January 2017: Rand Health Quarterly
https://www.readbyqxmd.com/read/28981660/demand-for-private-healthcare-in-a-universal-public-healthcare-system-empirical-evidence-from-sri-lanka
#18
Asankha Pallegedara, Michael Grimm
This paper examines healthcare utilization behaviour in Sri Lanka with special emphasis on the choice between costly private and free public healthcare services. We use a data set that combines nationwide household survey data and district level healthcare supply data. Our findings suggest that even with universal public healthcare policy, richer people tend to use private sector healthcare services rather than public services. We also find significant regional and ethnic discrepancies in healthcare access bearing the risk of social tensions if these are further amplified...
November 1, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28981239/-diabetes-care-pathways-and-the-diabetic-convention-in-2017
#19
V de Brouckère, L Plat
Diabetes is a chronic, pandemic disorder which has a growing impact on healthcare costs and leads to severe micro- and macro-vascular complications. In 2009, Belgium introduced " care trajectories " (CT), a program which allows multidisciplinary management of this disease. CT is built on a partnership between three parties: the patient (central to the concept), the general practitioner (GP) and the diabetologist. The GP is responsible for the medical management according to an individualized care plan. The specialist's task is to update the GPs' knowledge and to coach them...
2017: Revue Médicale de Bruxelles
https://www.readbyqxmd.com/read/28973515/barriers-and-enablers-of-kangaroo-mother-care-implementation-from-a-health-systems-perspective-a-systematic-review
#20
Grace Chan, Ilana Bergelson, Emily R Smith, Tobi Skotnes, Stephen Wall
Kangaroo Mother Care (KMC) is an evidence-based intervention that reduces neonatal morbidity and mortality. However, adoption among health systems has varied. Understanding the interaction between health system functions-leadership, financing, healthcare workers (HCWs), technologies, information and research, and service delivery-and KMC is essential to understanding KMC adoption. We present a systematic review of the barriers and enablers of KMC implementation from the perspective of health systems, with a focus on HCWs and health facilities...
December 1, 2017: Health Policy and Planning
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