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https://www.readbyqxmd.com/read/28212972/variation-in-health-technology-assessment-and-reimbursement-processes-in-europe
#1
Ronald L Akehurst, Eric Abadie, Noël Renaudin, François Sarkozy
BACKGROUND: It has been suggested that differences in health technology assessment (HTA) processes among countries, particularly within Europe, have led to inequity in patient access to new medicines. OBJECTIVES: To provide an up-to-date snapshot analysis of the present status of HTA and reimbursement systems in select European countries, and to investigate the implications of these processes, especially with regard to delays in market and patient access. METHODS: HTA and reimbursement processes were assessed through a review of published and gray literature, and through a series of interviews with HTA experts...
January 2017: Value in Health: the Journal of the International Society for Pharmacoeconomics and Outcomes Research
https://www.readbyqxmd.com/read/28212638/commissioning-for-health-improvement-following-the-2012-health-and-social-care-reforms-in-england-what-has-changed
#2
E W Gadsby, S Peckham, A Coleman, D Bramwell, N Perkins, L M Jenkins
BACKGROUND: The wide-ranging program of reforms brought about by the Health and Social Care Act (2012) in England fundamentally changed the operation of the public health system, moving responsibility for the commissioning and delivery of services from the National Health Service to locally elected councils and a new national public health agency. This paper explores the ways in which the reforms have altered public health commissioning. METHODS: We conducted multi-methods research over 33 months, incorporating national surveys of Directors of Public Health and local council elected members at two time-points, and in-depth case studies in five purposively selected geographical areas...
February 17, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28209201/understanding-the-performance-of-community-health-volunteers-involved-in-the-delivery-of-health-programmes-in-underserved-areas-a-realist-synthesis
#3
REVIEW
Gaëlle Vareilles, Jeanine Pommier, Bruno Marchal, Sumit Kane
BACKGROUND: The recruitment of community health volunteers (CHVs) to support the delivery of health programmes is an established approach in underserved areas and in particular where there are health inequalities due to the scarcity of trained human resources. However, there is a dearth of evidence about what works to improve CHVs' performance. This review aimed to synthesise existing literature to explain why, how and under which circumstances intervention approaches to improve the performance of CHVs are more likely to be successful...
February 16, 2017: Implementation Science: IS
https://www.readbyqxmd.com/read/28207339/measuring-socioeconomic-inequalities-with-predicted-absolute-incomes-rather-than-wealth-quintiles-a-comparative-assessment-using-child-stunting-data-from-national-surveys
#4
Günther Fink, Cesar G Victora, Kenneth Harttgen, Sebastian Vollmer, Luís Paulo Vidaletti, Aluisio J D Barros
OBJECTIVES: To compare the predictive power of synthetic absolute income measures with that of asset-based wealth quintiles in low- and middle-income countries (LMICs) using child stunting as an outcome. METHODS: We pooled data from 239 nationally representative household surveys from LMICs and computed absolute incomes in US dollars based on households' asset rank as well as data on national consumption and inequality levels. We used multivariable regression models to compare the predictive power of the created income measure with the predictive power of existing asset indicator measures...
February 16, 2017: American Journal of Public Health
https://www.readbyqxmd.com/read/28196951/understanding-repeated-non-attendance-in-health-services-a-pilot-analysis-of-administrative-data-and-full-study-protocol-for-a-national-retrospective-cohort
#5
Andrea E Williamson, David A Ellis, Philip Wilson, Ross McQueenie, Alex McConnachie
INTRODUCTION: Understanding the causes of low engagement in healthcare is a pre-requisite for improving health services' contribution to tackling health inequalities. Low engagement includes missing healthcare appointments. Serially (having a pattern of) missing general practice (GP) appointments may provide a risk marker for vulnerability and poorer health outcomes. METHODS AND ANALYSIS: A proof of concept pilot using GP appointment data and a focus group with GPs informed the development of missed appointment categories: patients can be classified based on the number of appointments missed each year...
February 14, 2017: BMJ Open
https://www.readbyqxmd.com/read/28192712/personal-and-political-histories-in-the-designing-of-health-reform-policy-in-bolivia
#6
Alissa Bernstein
While health policies are a major focus in disciplines such as public health and public policy, there is a dearth of work on the histories, social contexts, and personalities behind the development of these policies. This article takes an anthropological approach to the study of a health policy's origins, based on ethnographic research conducted in Bolivia between 2010 and 2012. Bolivia began a process of health care reform in 2006, following the election of Evo Morales Ayma, the country's first indigenous president, and leader of the Movement Toward Socialism (Movimiento al Socialism)...
January 21, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28192276/abortion-health-services-in-canada-results-of-a-2012-national-survey
#7
Wendy V Norman, Edith R Guilbert, Christopher Okpaleke, Althea S Hayden, E Steven Lichtenberg, Maureen Paul, Katharine O'Connell White, Heidi E Jones
OBJECTIVE: To determine the location of Canadian abortion services relative to where reproductive-age women reside, and the characteristics of abortion facilities and providers. DESIGN: An international survey was adapted for Canadian relevance. Public sources and professional networks were used to identify facilities. The bilingual survey was distributed by mail and e-mail from July to November 2013. SETTING: Canada. PARTICIPANTS: A total of 94 abortion facilities were identified...
April 2016: Canadian Family Physician Médecin de Famille Canadien
https://www.readbyqxmd.com/read/28192033/seven-foundational-principles-of-population-health-policy
#8
Dru Bhattacharya, Jay Bhatt
In 2016, Keyes and Galea issued 9 foundational principles of population health science and invited further deliberations by specialists to advance the field. This article presents 7 foundational principles of population health policy whose intersection with health care, public health, preventive medicine, and now population health, presents unique challenges. These principles are in response to a number of overarching questions that have arisen in over a decade of the authors' collective practice in the public and private sectors, and having taught policy within programs of medicine, law, nursing, and public health at the graduate and executive levels...
February 13, 2017: Population Health Management
https://www.readbyqxmd.com/read/28188120/suicide-rate-in-relation-to-the-human-development-index-and-other-health-related-factors-a-global-ecological-study-from-91-countries
#9
Salman Khazaei, Vajihe Armanmehr, Shahrzad Nematollahi, Shahab Rezaeian, Somayeh Khazaei
There has been no worldwide ecological study on suicide as a global major public health problem. This study aimed to identify the variations in suicide specific rates using the Human Development Index (HDI) and some health related variables among countries around the world. In this ecological study, we obtained the data from the World Bank Report 2013. The analysis was restricted to 91 countries for which both the epidemiologic data from the suicide rates and HDI were available. Overall, the global prevalence of suicide rate was 10...
February 7, 2017: Journal of Epidemiology and Global Health
https://www.readbyqxmd.com/read/28187766/impact-of-universal-interventions-on-social-inequalities-in-physical-activity-among-older-adults-an-equity-focused-systematic-review
#10
REVIEW
Gesa Lehne, Gabriele Bolte
BACKGROUND: Physical activity is one of the most important contributors to healthy aging. Public health strategies aiming to promote physical activity among older adults are increasingly being implemented. However, little is known about their impact on social inequalities. Purpose of the study was to analyze whether and how studies of interventions consider effects on social inequalities in physical activity among older adults. METHODS: Nine electronic databases were searched to identify quantitative studies evaluating the effects of interventions on self-reported or objectively measured physical activity among the general population of older adults (≥50 years)...
February 10, 2017: International Journal of Behavioral Nutrition and Physical Activity
https://www.readbyqxmd.com/read/28187167/the-sociodemographic-behavioral-reproductive-and-health-factors-associated-with-fertility-in-brazil
#11
Cesar Augusto Oviedo Tejada, Lívia Madeira Triaca, Flávia Katrein da Costa, Franciele Hellwig
High fertility rates among disadvantaged subgroups are a public health problem because fertility levels significantly affect socioeconomic conditions and a population's welfare. This paper aims to analyze the sociodemographic, behavioral, and reproductive factors associated with fertility rates among Brazilian women aged between 15-49 years. A Poisson regression was used to analyze data from the 2006 PNDS (Pesquisa Nacional de Demografia e Saúde da Criança e da Mulher), which evaluates socioeconomic, demographic, geographic, reproductive, behavioral, and chronic disease variables...
2017: PloS One
https://www.readbyqxmd.com/read/28186936/narrowing-mortality-gap-between-men-and-women-over-two-decades-a-registry-based-study-in-ontario-canada
#12
Laura C Rosella, Andrew Calzavara, John W Frank, Tiffany Fitzpatrick, Peter D Donnelly, David Henry
BACKGROUND: Historically, women have lower all-cause mortality than men. It is less understood that sex differences have been converging, particularly among certain subgroups and causes. This has implications for public health and health system planning. Our objective was to analyse contemporary sex differences over a 20-year period. METHODS: We analysed data from a population-based death registry, the Ontario Registrar's General Death file, which includes all deaths recorded in Canada's most populous province, from 1992 to 2012 (N=1 710 080 deaths)...
November 14, 2016: BMJ Open
https://www.readbyqxmd.com/read/28185560/inequalities-in-socio-economic-characteristics-and-health-and-wellbeing-of-men-with-and-without-disabilities-a-cross-sectional-analysis-of-the-baseline-wave-of-the-australian-longitudinal-study-on-male-health
#13
Anne M Kavanagh, Zoe Aitken, Eric Emerson, Sash Sahabandu, Allison Milner, Rebecca Bentley, Anthony D LaMontagne, Jane Pirkis, David Studdert
BACKGROUND: Internationally, men with disabilities have higher rates of social and economic disadvantage and poorer health and wellbeing than men without disabilities. No single study has provided comprehensive, population-level information about the magnitude of such differences among adult men using a well-validated instrument to measure disability. METHODS: We analysed baseline data from Ten to Men - an Australian longitudinal study of male health. Ten to Men used a stratified multi-stage cluster random sample design to recruit a national sample of males aged 10 to 55 years residing in private dwellings...
October 31, 2016: BMC Public Health
https://www.readbyqxmd.com/read/28178972/association-of-socioeconomic-school-related-and-family-factors-and-physical-activity-and-sedentary-behaviour-among-adolescents-multilevel-analysis-of-the-pralimap-trial-inclusion-data
#14
Johanne Langlois, Abdou Y Omorou, Anne Vuillemin, Serge Briançon, Edith Lecomte
BACKGROUND: Social differences among adolescents in physical activity and sedentary behaviour have been identified but are not well explained. The current study aimed to identify socioeconomic, family and school-related associated factors with physical activity and sedentary behaviour among high-school adolescents. METHODS: This was a cross-sectional analysis of T0 physical activity and sedentary behaviour of 2523 students 14 - 18 years old recruited for the PRALIMAP trial from 24 French state-run high schools...
February 8, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28178958/informing-the-implementation-of-evidence-informed-decision-making-interventions-using-a-social-network-analysis-perspective-a-mixed-methods-study
#15
Reza Yousefi Nooraie, Lynne Lohfeld, Alexandra Marin, Robert Hanneman, Maureen Dobbins
BACKGROUND: Workforce development is an important aspect of evidence-informed decision making (EIDM) interventions. The structure of formal and informal social networks can influence, and be influenced, by the implementation of EIDM interventions. METHODS: In a mixed methods study we assessed the outcomes of a targeted training intervention to promote EIDM among the staff in three public health units in Ontario, Canada. This report focuses on the qualitative phase of the study in which key staff were interviewed about the process of engagement in the intervention, communications during the intervention, and social consequences...
February 8, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28168544/the-urban-dental-index-a-method-for-measuring-and-mapping-dental-health-disparities-across-urban-areas
#16
Emily Coles, Estie Kruger, Abed Aktam Anjrini, Marc Tennant
The aim of this study was to create an Urban Dental Index (UDI) for Perth, Western Australia, adapting a method utilised by the World Health Organisation. Dental health indicators were derived from the 2011 census, standardised on a (0,1) interval, amalgamated using a geometric mean, and mapped to identify dental health inequity. The validity of the UDI was tested by comparison with oral cellulitis data. Dental health disparities were examined using a ratio of the mean of the highest to lowest decile and slope of the eight middle deciles...
February 6, 2017: Journal of Urban Health: Bulletin of the New York Academy of Medicine
https://www.readbyqxmd.com/read/28155767/-environmental-health-promotion-and-reduction-of-social-inequalities-in-health-a-teaching-apartment-experience
#17
Elise Valliet, Gabriel Rousseau, Mohamed Boussouar
This project certainly constitutes a health promotion approach. However, community action as well as the creation of healthy public policies and environments still need to be strengthened.</ce:para>.
December 19, 2016: Santé Publique: Revue Multidisciplinaire Pour la Recherche et L'action
https://www.readbyqxmd.com/read/28155765/-initiatives-in-urban-health-communities-health-promotion-at-work-in-deprived-territories
#18
Clémentine Motard, Stéphane Tessier
<ce:para>The “Urban Health Workshop” [“Atelier santé ville” (Asv)] approach, created in 2000 and interfacing between urban development policies and public health, is implemented in about 250 territories. After more than fifteen years of implementation and development, it appeared useful to review experiences and analyse their effects.</ce:para><ce:para>Conducted in 2015, this research demonstrates the benefits of Asv, which created health territorial dynamics and local strategies to reduce social and territorial health inequalities...
December 19, 2016: Santé Publique: Revue Multidisciplinaire Pour la Recherche et L'action
https://www.readbyqxmd.com/read/28154759/diarrhea-no-more-does-zinc-help-the-poor-evidence-on-the-effectiveness-of-programmatic-efforts-to-reach-poorest-in-delivering-zinc-and-ors-at-scale-in-up-and-gujarat-india
#19
Amnesty E LeFevre, Diwakar Mohan, Sarmila Mazumder, Laura L Lamberti, Sunita Taneja, Robert E Black, Christa L Fischer-Walker
BACKGROUND: India has the greatest burden of diarrhea in children under 5 years globally. The Diarrhea Alleviation through zinc and oral rehydration salts (ORS) Therapy program (2010-2014) sought to improve access to and utilization of zinc and ORS among children 2-59 months in Gujarat and Uttar Pradesh (UP), India, through public and private sector delivery channels. In this analysis, we present findings on program's effect in reducing child-health inequities. METHODS: Data from cross-sectional baseline and endline surveys were used to assess disparities in key outcomes across six dimensions: socioeconomic strata, gender, caregiver education, ethnicity and geography...
December 2016: Journal of Global Health
https://www.readbyqxmd.com/read/28153752/income-financial-barriers-to-health-care-and-public-health-expenditure-a-multilevel-analysis-of-28-countries
#20
Tae Jun Kim, Nico Vonneilich, Daniel Lüdecke, Olaf von dem Knesebeck
International studies have repeatedly shown that people with lower income are more likely to experience difficulties to access medical services. Less is known on why these relations vary across countries. This study investigates whether the association between income and financial barriers to health care is influenced by national public health expenditures (PHE, in % of total health expenditure). Data from the International Social Survey Programme (2011) was used (28 countries, 23,669 respondents). Financial barriers were assessed by the individual experience of forgone care due to financial reasons...
January 24, 2017: Social Science & Medicine
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