MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Health Policy' source. Mon, 06 Feb 2012 10:04:41 +0100 http://www.medworm.com/index.php?rid=5591123&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011002867%2Fabstract%3Frss%3Dyes (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5591123 Sun, 15 Jan 2012 04:11:58 +0100 5591123 http://www.medworm.com/index.php?rid=5591117&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011002508%2Fabstract%3Frss%3Dyes The objective of the paper is to review recent studies comparing the efficiency of German public, private non-profit and private for-profit hospitals. The results of the studies are quite mixed. However, in line with the evidence found in studies from other countries, especially the US, the evidence from Germany suggests that private ownership (i.e., private non-profit and private for-profit) is not necessarily associated with higher efficiency compared to public ownership. This may be a surprising result to many policy makers as private for-profit hospitals are often perceived the most efficient ownership type by the public. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5591117 Mon, 19 Dec 2011 05:00:00 +0100 5591117 http://www.medworm.com/index.php?rid=5499951&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011002600%2Fabstract%3Frss%3Dyes (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5499951 Wed, 14 Dec 2011 04:24:51 +0100 5499951 http://www.medworm.com/index.php?rid=5499950&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011002612%2Fabstract%3Frss%3Dyes (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5499950 Wed, 14 Dec 2011 04:24:51 +0100 5499950 http://www.medworm.com/index.php?rid=5499936&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011002569%2Fabstract%3Frss%3Dyes (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5499936 Wed, 14 Dec 2011 04:24:51 +0100 5499936 http://www.medworm.com/index.php?rid=5591112&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011002429%2Fabstract%3Frss%3Dyes Conclusions: Future research should be conducted by employing conceptual models that specify how macro-economic processes, country-level welfare factors, and individual employment histories and environments relate to employment-related health inequalities. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5591112 Mon, 05 Dec 2011 05:00:00 +0100 5591112 http://www.medworm.com/index.php?rid=5499946&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011002478%2Fabstract%3Frss%3Dyes Conclusions: The list of innovative and high-cost medicines contains medicines other than innovative and high-cost medicines. Stricter criteria for placing medicines on this list should be considered in order to limit the increase in expenditure. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5499946 Fri, 02 Dec 2011 05:00:00 +0100 5499946 http://www.medworm.com/index.php?rid=5499940&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011002466%2Fabstract%3Frss%3Dyes Abstract: In Germany, coverage decisions in the statutory health insurance (SHI) system are based on the principles of evidence-based medicine. Recently, an evidence assessment by the Institute for Quality and Efficiency in Health Care (IQWiG) of the oral antidiabetics of the glinide class showed that their long-term benefit is not proven. Accordingly, the responsible Federal Joint Committee (G-BA) decided to exclude glinides from prescription in the SHI system. This was, however, objected to by the Ministry of Health, which is charged with legal supervision. We use this case to illustrate the path from evidence assessments to coverage decisions in Germany against the background of the latest health reform, which has changed the legal requirements for evidence assessments and the ensuing c... Health Policy journals http://www.medworm.com/rss/comments.php?id=5499940 Fri, 02 Dec 2011 05:00:00 +0100 5499940 http://www.medworm.com/index.php?rid=5499937&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011002430%2Fabstract%3Frss%3Dyes Conclusions: The successful implementation of an HSS necessitates a repetitive cycle of adjustments in order to meet the objectives set by the individual HSS. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5499937 Fri, 02 Dec 2011 05:00:00 +0100 5499937 http://www.medworm.com/index.php?rid=5499948&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011002235%2Fabstract%3Frss%3Dyes Abstract: Introduction: A new reimbursement scheme (RS) for lipid modifying therapies (LMT) was implemented in Sweden in June 2009. Products on the market were continued, restricted or excluded in the new RS. The aim of this study was to compare utilization, costs and switching behavior in patients treated with LMT before and after the new RS.Materials and methods: This is a quasi-experimental study using data on dispensed LMT and costs from a database on dispensed individual prescriptions in Sweden. Segmented regression analyses were used to assess utilization and costs of LMT.Results: Number of patients treated with products with restricted reimbursement increased in level (P=0.0336) following the changes in the scheme, while decreased in level (P (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5499948 Thu, 24 Nov 2011 05:00:00 +0100 5499948 http://www.medworm.com/index.php?rid=5591122&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011002405%2Fabstract%3Frss%3Dyes Abstract: Nudging, or libertarian paternalism, is presented as a new and ethically justified way of improving people's health. It has proved influential and is currently taken up by the governments in the US, the UK and France. One may question the claim that the approach is new, in any case it has many similarities with the idea of “making healthy choices easier”. Whether the approach is better from an ethical perspective depends on the ethical principles one holds. From a paternalistic perspective there could be no objections, but from a libertarian, there are several. Contrary to what the authors state, libertarian paternalism is an oxymoron. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5591122 Wed, 23 Nov 2011 05:00:00 +0100 5591122 http://www.medworm.com/index.php?rid=5499938&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011002223%2Fabstract%3Frss%3Dyes Abstract: The Internet facilitates access to health information and can therefore support the effectiveness of healthcare provision and empower patients in healthcare decisions. In the field of pharmaceutical therapy the electronic provision of information can improve compliance and strengthen the general understanding of pharmaceutical risks and benefits. Current political developments in Europe encourage a stronger role of the pharmaceutical industry in this regard. In light of potential conflicts inherent to the private provision of information and given their public health mandate, regulatory bodies in the pharmaceutical sector may represent an important alternative source of information. The explorative analysis in this paper reviews the websites of European pharmaceutical regulatory ... Health Policy journals http://www.medworm.com/rss/comments.php?id=5499938 Mon, 21 Nov 2011 05:00:00 +0100 5499938 http://www.medworm.com/index.php?rid=5591120&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011002211%2Fabstract%3Frss%3Dyes Conclusions: The findings suggests that under the physician reimbursement system used in Family Health Networks in Ontario, physicians are under-compensated for the health care needs of low income patients and over-compensated for the needs of high income patients. Adjusting capitation rates for morbidity burden in addition to age and sex may reduce incentives to preferentially enrol patients with higher socioeconomic status. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5591120 Mon, 14 Nov 2011 05:00:00 +0100 5591120 http://www.medworm.com/index.php?rid=5499947&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011002247%2Fabstract%3Frss%3Dyes Conclusions: The prospects of patients receiving TNFalpha inhibitor treatment depend on the country where they are living. In case uniformity of management and treatment would be considered to provide health benefits, the extent and the causes of variation should feature prominently on future public health agendas. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5499947 Mon, 14 Nov 2011 05:00:00 +0100 5499947 http://www.medworm.com/index.php?rid=5394727&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011002387%2Fabstract%3Frss%3Dyes (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5394727 Fri, 11 Nov 2011 04:05:11 +0100 5394727 http://www.medworm.com/index.php?rid=5591121&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS016885101100220X%2Fabstract%3Frss%3Dyes Conclusions: The relevance of social determinants of health is confirmed, and hence the need for wide-scoped public policies to reduce health inequalities. At equal levels of need, rich and poor elderly people are not treated equally. As much as appropriateness of care provided is unknown, we cannot conclude that inequity in GP services really favours the lower income individuals in terms of health gains. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5591121 Wed, 09 Nov 2011 05:00:00 +0100 5591121 http://www.medworm.com/index.php?rid=5394711&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011002004%2Fabstract%3Frss%3Dyes Conclusions: Italian Regions are moving towards a common vaccination strategy concerning pneumococcal and meningococcal C vaccine. The debate on a common varicella and rotavirus vaccination strategy is still on-going. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5394711 Fri, 28 Oct 2011 04:00:00 +0100 5394711 http://www.medworm.com/index.php?rid=5394715&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011002016%2Fabstract%3Frss%3Dyes Abstract: In the very recent past, the Lombardy health care system – established in 1997 on the quasi market model – has caught the interest of researchers and politicians in different OECD countries. Its merits, compared to other Italian regional systems, are the control of health care spending and the balanced budget, in a frame of good quality of services and patient choice.From the theoretical point of view, an appealing aspect of the Lombardy model is its gradual shift from a quasi market (QM) to a “quasi administered” system, which maintains all the typical features of the QM orientation – separation between purchasers and providers, the co-presence of public, not for profit and public providers, and patient free choice – but has deliberately sacrificed competition in ord... Health Policy journals http://www.medworm.com/rss/comments.php?id=5394715 Wed, 26 Oct 2011 04:00:00 +0100 5394715 http://www.medworm.com/index.php?rid=5499949&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011001977%2Fabstract%3Frss%3Dyes Abstract: This paper tries to unravel the following question: why do we sometimes obtain results that are worse than expected despite having used technologies that are provenly efficacious or effective and having eliminated major groups of causes leading to poor performance? Inductive analysis and synthesis based on nine areas of health service research show that to effectively adopt some health technologies, it is not enough to simply choose an efficacious or effective change strategy. It sometimes becomes necessary to change the behavior of the health workers that will use it, and to modify certain environmental elements. Technology's effectiveness also depends on intervening simultaneously at various levels. Using a mix of evidence-based change (multifaceted) strategies is often mandato... Health Policy journals http://www.medworm.com/rss/comments.php?id=5499949 Mon, 24 Oct 2011 04:00:00 +0100 5499949 http://www.medworm.com/index.php?rid=5499945&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011001990%2Fabstract%3Frss%3Dyes Conclusions: More information should be given to patients preferably by doctors and pharmacists. Prescription should be encouraged and experience promoted. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5499945 Mon, 24 Oct 2011 04:00:00 +0100 5499945 http://www.medworm.com/index.php?rid=5394719&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011001801%2Fabstract%3Frss%3Dyes Conclusion: Utilisation rates as a statistical indicator are not sufficient to assess the success or failure of user fee policies in improving health outcomes. Qualitative insight into local health care practices is required to understand how (removal of) user fees affect both individuals and communities. Further research in remaining barriers to access, frivolous use, treatment and adherence to medical advice is required. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5394719 Mon, 24 Oct 2011 04:00:00 +0100 5394719 http://www.medworm.com/index.php?rid=5394709&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011001989%2Fabstract%3Frss%3Dyes Conclusion: DDP seems favouring a more equitable access to dental care, mitigating under-caring of the poorest. This point is to be added in the debate about density of healthcare suppliers. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5394709 Mon, 24 Oct 2011 04:00:00 +0100 5394709 http://www.medworm.com/index.php?rid=5394706&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011001965%2Fabstract%3Frss%3Dyes Conclusions: The main challenges for a formal HiAP strategy are to (a) cover the determinants of health inequalities in a balanced way linked to concrete objectives and visible results, (b) enhance high level agreement and coordinated mechanisms from the government in general and the ministry of Health in particular. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5394706 Mon, 24 Oct 2011 04:00:00 +0100 5394706 http://www.medworm.com/index.php?rid=5499944&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011001953%2Fabstract%3Frss%3Dyes Conclusions: EPR is a widely used pricing policy in Europe and is still actively used as well as adjusted by national authorities. However, we still see room for improvement by implementing more detailed legislations in terms of the revision of prices and by identifying alternative countries in case a product is not on the market. We also see the need for formal information sharing (e.g. congresses dedicated to pricing strategies and systems) with other public pricing authorities to learn about the different EPR methodologies as well as the national experiences. These congresses might also give room to better understand national pricing methods including discussions on possible limitations of these pricing methods. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5499944 Thu, 20 Oct 2011 04:00:00 +0100 5499944 http://www.medworm.com/index.php?rid=5329173&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011002181%2Fabstract%3Frss%3Dyes (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5329173 Wed, 19 Oct 2011 13:47:58 +0100 5329173 http://www.medworm.com/index.php?rid=5329157&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS016885101100203X%2Fabstract%3Frss%3Dyes In this issue, the first and foremost focus is on primary care. This group of articles is devoted to Barbara Starfield, Professor of Health Policy and Management, who died on the evening of Friday, June 10, 2011 from an apparent heart attack while swimming. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5329157 Wed, 19 Oct 2011 13:47:58 +0100 5329157 http://www.medworm.com/index.php?rid=5329156&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011002144%2Fabstract%3Frss%3Dyes (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5329156 Wed, 19 Oct 2011 13:47:58 +0100 5329156 http://www.medworm.com/index.php?rid=5394724&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011001941%2Fabstract%3Frss%3Dyes This study uses district-level data from India to investigate how an index of maternal health care is impacted by the rate of poverty, and a development index based on the performance in electrification, sanitation and safe drinking water. The initial results from a linear regression model show that maternal health care improves by 0.617 percentage point for every 1 percentage point increase in development intervention but by only 0.078 percentage point for every 1 percentage point decline in poverty rate. After checking for possible simultaneity problem between maternal health care index (MHCI) and poverty rate, it is revealed that the low negative relationship between poverty and MHCI at the initial stage does not hold any more while the district development index continues to show the c... Health Policy journals http://www.medworm.com/rss/comments.php?id=5394724 Wed, 19 Oct 2011 04:00:00 +0100 5394724 http://www.medworm.com/index.php?rid=5394720&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011001928%2Fabstract%3Frss%3Dyes Conclusion: First, no significant difference is detected between sensitivity of outpatient services and sensitivity of inpatient services, responding to own-price change. Second, inpatient services are substitutes to outpatient services. Third, the growth of inpatient services is faster than the growth in outpatient services in response to income growth. The major findings from this paper suggest refining insurance policy in rural China. First, from a cost-effectiveness perspective, changing outpatient price is at least as effective as changing inpatient price to adjust demand of health care. Second, the current national guideline of healthcare reform to increase the reimbursement rate for inpatient services will crowd out outpatient services; however, we have no evidence about the change ... Health Policy journals http://www.medworm.com/rss/comments.php?id=5394720 Wed, 19 Oct 2011 04:00:00 +0100 5394720 http://www.medworm.com/index.php?rid=5499942&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011001904%2Fabstract%3Frss%3Dyes Conclusions: The policies under consideration appear to contain costs not by the intended mechanisms, such as substituting generics for brand name products, but by reducing patients’ access to costly therapies regardless of clinical necessity. Thus, concerns were raised about potentially compromising overall health and loss of equity in pharmaceutical utilisation. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5499942 Mon, 17 Oct 2011 04:00:00 +0100 5499942 http://www.medworm.com/index.php?rid=5499941&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS016885101100193X%2Fabstract%3Frss%3Dyes Conclusions: The South Korean PLS has stabilized during the 2years after its introduction. The recommended submissions were qualified in all decision-making criteria used. Among the various decision criteria, clinical benefit and cost-effectiveness were the main drivers of reimbursement decisions. In addition, there is a certain degree of consistency between the reimbursement decisions of HIRA and other countries. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5499941 Mon, 17 Oct 2011 04:00:00 +0100 5499941 http://www.medworm.com/index.php?rid=5329171&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011001631%2Fabstract%3Frss%3Dyes In reviewing Health Policy I was quite surprised when I came across the title of a new article, Power of the process: evaluating the impact of the framework convention on tobacco control, which is strikingly similar to the title of a paper I delivered at a plenary session of the 11th World Conference on Tobacco or Health over a decade ago, The WHO Framework Convention on Tobacco Control: The Power of the Process . In the new Health Policy article, the authors performed an interesting empirical analysis adding further support to the concept that an international negotiation process itself may alter behavior of nations prior to the actual adoption and entry into force of a legal instrument. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5329171 Mon, 10 Oct 2011 04:00:00 +0100 5329171 http://www.medworm.com/index.php?rid=5499939&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011001874%2Fabstract%3Frss%3Dyes Conclusions: Universal income-based catastrophic coverage appears to be emerging as an implicit national standard for provincial pharmacare. However, due to the variation and high level of patient cost-sharing required under these programs, convergence on this model does not equate to substantial progress towards expanding coverage or reducing interprovincial disparities. Leverage of federal spending power to promote standards for public drug coverage is necessary to uniformly protect Canadians against high drug costs. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5499939 Fri, 07 Oct 2011 04:00:00 +0100 5499939 http://www.medworm.com/index.php?rid=5329166&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011001813%2Fabstract%3Frss%3Dyes Conclusions: The diamond model is a useful tool for initial prioritization of health issues by considering two dimensions of criteria at the same time using existing data. Furthermore, by using the diamond shape to graphically present the prioritized results, the diamond model efficiently conveys prioritization information to the general public and stakeholders during policy debates. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5329166 Mon, 03 Oct 2011 04:00:00 +0100 5329166 http://www.medworm.com/index.php?rid=5329165&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011001618%2Fabstract%3Frss%3Dyes Conclusion: An increase in physician density tended to be associated with a small reduction in some ACD rates. We suggest that better accessibility or quality of care might have linked increased physician density with improved health outcomes. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5329165 Mon, 03 Oct 2011 04:00:00 +0100 5329165 http://www.medworm.com/index.php?rid=5329158&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011001916%2Fabstract%3Frss%3Dyes Abstract: Multimorbidity is increasing in frequency. It can be quantitatively measured and is a major correlate of high use of health services resources of all types, especially over time. The ACG System for characterizing multimorbidity is the only widely used method that is based on combinations of different TYPES of diagnoses over time, rather than the presence or absence of particular conditions or numbers of conditions. It incorporates administrative data (as from claims forms or medical records) on all types of encounters and is not limited to diagnoses captured during hospitalizations or other places of encounter. It can be employed in any one or combination of analytic models, and can incorporate medication use if desired. It is being used in clinical care, management of health ser... Health Policy journals http://www.medworm.com/rss/comments.php?id=5329158 Mon, 03 Oct 2011 04:00:00 +0100 5329158 http://www.medworm.com/index.php?rid=5394713&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011001898%2Fabstract%3Frss%3Dyes Conclusions: Challenges in the implementation of stewardship relate to: limitations to the role of health ministries; and to governance, operational and change implementation issues. The framework proposed seems flexible enough to help assess the health system stewardship function; however it should be further tested in practice. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5394713 Fri, 30 Sep 2011 04:00:00 +0100 5394713 http://www.medworm.com/index.php?rid=5591116&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011001837%2Fabstract%3Frss%3Dyes Conclusions: A claims indicator has the potential to be applied as a quality indicator. It should be complemented, however, with other indicators or actions to improve its acceptability by health professionals and to mitigate its possible undesirable effects. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5591116 Wed, 28 Sep 2011 04:00:00 +0100 5591116 http://www.medworm.com/index.php?rid=5394716&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011001850%2Fabstract%3Frss%3Dyes Conclusions: The contents of national and local public-health policies differ, and municipalities that have implemented their own local health policies do not seem to regard the SNPHP as justifiable or adoptable. If the SNPHP overall aim regarding equal health is to be achieved homogeneously in Swedish municipalities, its contents and purpose need clearer management and negotiation, so that implementation of the national policy locally is understandable and motivated. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5394716 Wed, 28 Sep 2011 04:00:00 +0100 5394716 http://www.medworm.com/index.php?rid=5329172&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011001849%2Fabstract%3Frss%3Dyes Dr. Braillon and Dr. Dubois rightly suggest that the FCTC is far from a perfect solution to the global epidemic of tobacco-related disease and death. As the authors illustrate in the case of France, implementation of the FCTC is challenging and slow in many countries throughout the world. Our published research looked specifically at policy adoption during the FCTC negotiations. Our conclusion that the process was effective reflected our finding that there was an increase and improvement in the type of policies adopted during this period. Policies have continued to be adopted since the FCTC's entry into force; for example, the number of countries with comprehensive smokefree laws has risen from 5 to 60 since 2005 and the number of countries with picture warnings now stands at 39 . Still, t... Health Policy journals http://www.medworm.com/rss/comments.php?id=5329172 Wed, 28 Sep 2011 04:00:00 +0100 5329172 http://www.medworm.com/index.php?rid=5329168&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011001825%2Fabstract%3Frss%3Dyes Conclusion: In spite of declining smoking-prevalence rates during the last 30 years, smoking-attributable deaths increased between 2001 and 2007. The number of life years lost per death decreased somewhat, indicating that the age distribution of those dying shifted further towards older age. Simulations indicate that smoking-cessation among young smokers yields considerable more benefits each year than smoking-cessation among older smokers. The health benefits that accrued in 2007, as a result of declining smoking prevalence since 1980, correspond to more than the total cost of smoking in that year. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5329168 Wed, 28 Sep 2011 04:00:00 +0100 5329168 http://www.medworm.com/index.php?rid=5329159&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011001862%2Fabstract%3Frss%3Dyes Conclusions: These models must be considered in the current capitation system for pharmaceutical budgeting in a primary care setting established at regional level, as is the case in the Valencian Autonomous Community. The use of diagnostics and information regarding hospital encounters appears to be a complementary option for refining models of capitation of pharmaceutical and total health expenditure. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5329159 Wed, 28 Sep 2011 04:00:00 +0100 5329159 http://www.medworm.com/index.php?rid=5231459&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011001758%2Fabstract%3Frss%3Dyes (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5231459 Mon, 19 Sep 2011 17:15:55 +0100 5231459 http://www.medworm.com/index.php?rid=5394718&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011001783%2Fabstract%3Frss%3Dyes Conclusions: Our empirical results show that differences between urbanization levels are a major contributory factor associated with the probability and frequency of outpatient utilization in Taiwan. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5394718 Mon, 19 Sep 2011 04:00:00 +0100 5394718 http://www.medworm.com/index.php?rid=5394717&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011001795%2Fabstract%3Frss%3Dyes Abstract: Fully implemented in Thailand in 2002, the Universal Health Care Coverage (UC) Program aimed to provide cheap access to health care services, for 30 baht (less than 1 U.S. dollar) per visit, to all uninsured Thais. In this paper, we studied the impact of the UC in Thailand on the demand for health care services using hospital level data. We found that the UC program was successful in increasing outpatient demand for health care, particularly the demand from the elderly and the poor. However, outpatient demand for health care dramatically increased during the first year of the program and faded away quickly in subsequent years. In contrast to outpatient demand, the number of inpatient visits and the number of days for which the inpatients were admitted at hospitals declined after ... Health Policy journals http://www.medworm.com/rss/comments.php?id=5394717 Mon, 19 Sep 2011 04:00:00 +0100 5394717 http://www.medworm.com/index.php?rid=5394707&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011001588%2Fabstract%3Frss%3Dyes Conclusions: National funds can be a useful lever for change, if appropriately conceived, designed and implemented. However, in the context of competing healthcare and other policy priorities, ‘good practice’ is often difficult to achieve, and somewhat simplistic incentives are often subverted locally, diluting the original purpose of the initiative. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5394707 Mon, 19 Sep 2011 04:00:00 +0100 5394707 http://www.medworm.com/index.php?rid=5329170&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS016885101100162X%2Fabstract%3Frss%3Dyes The WHO's Framework Convention on Tobacco Control (FCTC) is an international treaty designed to respond to the tobacco pandemic. It specifies the measures that governments should implement (e.g. advertising bans, taxation, smoke-free policy, health promotion, and cessation support). Wipfli and Huang evaluated the FCTC as “effective, even when the outcomes are unclear from the start” . (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5329170 Mon, 19 Sep 2011 04:00:00 +0100 5329170 http://www.medworm.com/index.php?rid=5329164&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS016885101100159X%2Fabstract%3Frss%3Dyes Conclusions: Amenable mortality continues to fall across high-income nations although the USA is lagging increasingly behind other high income countries. Despite its many limitations, amenable mortality remains a useful indicator to monitor progress of nations. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5329164 Wed, 14 Sep 2011 04:00:00 +0100 5329164 http://www.medworm.com/index.php?rid=5394705&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011001606%2Fabstract%3Frss%3Dyes Abstract: Objective: To compare the direct cost of care for Canadian and non-Canadian born HIV patients accessing initial HIV care.Methods: Drug, inpatient, and outpatient costs were collected for patients initiating HIV care at the Southern Alberta Clinic between 1/1/2000 and 3/31/2008 and followed until 3/31/2009. Demographic/clinical characteristics were obtained at initial visit. Country of birth determined Canadian (CBP) vs. foreign born (FBP) patients. Costs are mean cost per patient per month (PPPM) in 2009 Cdn$.Results: Of 281 patients, 103 were FBP. 86% were born in sub-Saharan Africa. FBP were more likely to be female (87% vs. 50%), younger (median 33 vs. 38 years), and heterosexual (93 vs. 35%)(all p (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5394705 Wed, 07 Sep 2011 04:00:00 +0100 5394705 http://www.medworm.com/index.php?rid=5231450&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011001540%2Fabstract%3Frss%3Dyes Discussion and conclusion: Seven explanatory factors are explored to explain the variations: health financing system aspects, administrative activities undertaken, insurance design aspects, context factors, reporting format, accounting methods, and management and administrative efficiency measures. More detailed reporting of administrative costs would enhance comparability and provide benchmarks. Improved administrative efficiency could free resources to expand coverage. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5231450 Wed, 31 Aug 2011 04:00:00 +0100 5231450 http://www.medworm.com/index.php?rid=5394704&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011001564%2Fabstract%3Frss%3Dyes Conclusions: Public health officials should ensure that contact tracing practices and policies accurately reflect the current regulations without compromising their patients’ confidentiality. It is recommended that each province/territory would benefit from standardized contact tracing regulations which are imbedded in communicable disease legislation. Regulations with provisions for informed consent, confidentiality, multiple counselling sessions, clear procedures in duty to warn cases, and domestic violence screening would be considered best practice. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5394704 Fri, 26 Aug 2011 04:00:00 +0100 5394704 http://www.medworm.com/index.php?rid=5394712&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011001497%2Fabstract%3Frss%3Dyes Conclusion: The essential work of reducing risk of pandemic influenza with Aboriginal and Torres Strait Islander communities is not straightforward, but this project has highlighted a number of useful pathways to continue to journey along with communities. A number of strategies to reduce the spread of pandemic influenza in Aboriginal and Torres Strait Islander communities were identified. These strategies would make a good starting point for conversations with communities and health services. In Aboriginal and Torres Strait Islander communities the environment, community structures and traditions vary. Respectful engagement with communities is needed to develop effective policy. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5394712 Thu, 25 Aug 2011 04:00:00 +0100 5394712 http://www.medworm.com/index.php?rid=5231446&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011001527%2Fabstract%3Frss%3Dyes Conclusion: From the available evidence, it was not possible to determine an explicit age or cycle rank that could be used to formulate defensible policy responsive to identified differential effectiveness. Stakeholder interpretation of this evidence-base may assist in developing policy that can incorporate uncertainty and reflect social values. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5231446 Thu, 25 Aug 2011 04:00:00 +0100 5231446 http://www.medworm.com/index.php?rid=5591114&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011001552%2Fabstract%3Frss%3Dyes This study investigates whether inclusion of patient profiles impacts on the inferences drawn from measuring performance using patient level data. Performance is in this setting defined by resources used in treating patients in a given diagnose related group where use of resources is approximated by length of stay (LOS). The analysis is based on Danish registry data from 2006. Patient data include registry data on income, employment status and information on whether the patient receives benefits or lives alone. Considerable variation in the socio-demographic characteristics of patients across Danish hospitals was observed, and some patient characteristics were shown to drive the need for longer hospital stays beyond what is captured in DRG scores. Ranking of hospitals based on observed ver... Health Policy journals http://www.medworm.com/rss/comments.php?id=5591114 Thu, 18 Aug 2011 04:00:00 +0100 5591114 http://www.medworm.com/index.php?rid=5591118&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011001515%2Fabstract%3Frss%3Dyes Conclusions: Clinicians’ experience of moving between sectors reveals mixed experiences. Although some improvements might legitimise the growing role of the independent sector, there remain doubts about the commercialisation of services, the motives of managers and the impact of clinical roles and capabilities. With policies looking to expand the mixed economy of public healthcare services, the study suggests clinicians will not automatically embrace a move between sectors. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5591118 Fri, 12 Aug 2011 04:00:00 +0100 5591118 http://www.medworm.com/index.php?rid=5231451&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011001539%2Fabstract%3Frss%3Dyes Abstract: This paper uses medical care costs of joiners in their first year and of leavers in their last year prior the move, relative to the age–sex groups’ means, to examine the mechanisms behind the switching decisions. Since under the Israeli National Health Insurance Scheme no premiums are paid by the enrollees directly to the sickness funds, the paper focuses on the distinction between demand-side-adverse-selection type and supply-side-risk-selection type of reasons for switching. The latter is particularly important because of the incomplete Israeli age-based risk-adjustment scheme. The findings indicate that leavers are less costly than average, and thus their leaving cannot be attributed to dumping or restricted care. Joiners are more costly than average in younger ages and le... Health Policy journals http://www.medworm.com/rss/comments.php?id=5231451 Fri, 12 Aug 2011 04:00:00 +0100 5231451 http://www.medworm.com/index.php?rid=5231445&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011001503%2Fabstract%3Frss%3Dyes Conclusions: Optometry practices provide an effective way of identifying people who would benefit from further investigation for diabetes. Effectiveness could be improved further by improving cooperation and communication between optometrists and medical practitioners. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5231445 Thu, 11 Aug 2011 04:00:00 +0100 5231445 http://www.medworm.com/index.php?rid=5231444&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS016885101100114X%2Fabstract%3Frss%3Dyes Conclusion: The findings suggest that pharmacist performance may be affected by multiple factors, including personal characteristics such as age, gender, ethnicity, place of primary qualification, factors associated with the workplace and mental and physical health problems. The evidence is not unequivocal and gaps in the literature exist, suggesting that pharmacist performance is an under-researched area. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5231444 Thu, 11 Aug 2011 04:00:00 +0100 5231444 http://www.medworm.com/index.php?rid=5394721&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011001382%2Fabstract%3Frss%3Dyes Conclusion: On the basis of the study it is concluded that implementation of psychosocial health policies in HK schools is poor and there appears to be a gap among stakeholder communication. Also, the content of these policies needs to be clarified so that it can be more conducive to implementation in practice. The improvement of OSH climate and social capital could foster a more effective implementation of OSH policies. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5394721 Wed, 10 Aug 2011 04:00:00 +0100 5394721 http://www.medworm.com/index.php?rid=5329169&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011001345%2Fabstract%3Frss%3Dyes Conclusions: Within Aboriginal organisations, it is not sufficient to focus on the outcomes of policy development. Rather, due attention must be paid to the process employed in development of policy, particularly when that policy is directly related to an emotionally and communally weighted topic such as smoking. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5329169 Wed, 10 Aug 2011 04:00:00 +0100 5329169 http://www.medworm.com/index.php?rid=5394710&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011001333%2Fabstract%3Frss%3Dyes Conclusions: There is a need for sustainability of financial resources, public health workforce and infrastructures to ensure that the services and programmes for the surveillance and control of the spread of communicable disease are maintained and developed. There is also a need to explore and foster better linkage in data on socioeconomic circumstances and communicable disease outcomes. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5394710 Fri, 05 Aug 2011 04:00:00 +0100 5394710 http://www.medworm.com/index.php?rid=5394708&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011001370%2Fabstract%3Frss%3Dyes Abstract: The persistence of socioeconomic inequalities in health is a major policy concern in England, which was addressed by the new labour government in 1997 which prioritised curtailing health inequalities as a policy goal. This paper addresses two related questions: first, it empirically examines the dynamic patterns of socioeconomic inequalities in health in England from 1997 to 2007 by estimating concentration indices over three measures of health, namely self-reported health, long standing illness and health limitations, calculated across different years of the Health Survey for England. Second, using regression based decomposition analysis, we explore whether specifically prioritised areas (spearhead local authority areas in the bottom fifth nationally on health indicators) exhibi... Health Policy journals http://www.medworm.com/rss/comments.php?id=5394708 Fri, 05 Aug 2011 04:00:00 +0100 5394708 http://www.medworm.com/index.php?rid=5231456&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011001357%2Fabstract%3Frss%3Dyes Conclusions: The results suggest that relying on private insurance companies to deliver public programs in middle-income settings may impact provider responsiveness and indicate the need for continuous monitoring and regulation. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5231456 Fri, 05 Aug 2011 04:00:00 +0100 5231456 http://www.medworm.com/index.php?rid=5084551&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011001485%2Fabstract%3Frss%3Dyes (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5084551 Tue, 02 Aug 2011 02:29:08 +0100 5084551 http://www.medworm.com/index.php?rid=5084540&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851010002599%2Fabstract%3Frss%3Dyes Conclusion: Critical self-evaluation, implementation of performance measurement and rigorous external research will prove essential in identifying strengths and weaknesses of past reforms and learning for the future. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5084540 Tue, 02 Aug 2011 02:28:55 +0100 5084540 http://www.medworm.com/index.php?rid=5084537&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011001448%2Fabstract%3Frss%3Dyes (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5084537 Tue, 02 Aug 2011 02:28:51 +0100 5084537 http://www.medworm.com/index.php?rid=5231442&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011001369%2Fabstract%3Frss%3Dyes Conclusions: Further removals from the list of reimbursable drugs should take into account the possibility of negative impact on public health and potential savings. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5231442 Mon, 01 Aug 2011 04:00:00 +0100 5231442 http://www.medworm.com/index.php?rid=5394703&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011001229%2Fabstract%3Frss%3Dyes Conclusions: In most EU/EEA countries, policies are integrating HIV testing in health care settings, through voluntary and targeted testing strategies. Current HIV testing policies exhibited a high level of exceptionalism with varying degrees of normalization. Further research should compare HIV testing policies with practices. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5394703 Thu, 28 Jul 2011 04:00:00 +0100 5394703 http://www.medworm.com/index.php?rid=5394723&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011001151%2Fabstract%3Frss%3Dyes Abstract: Objective: Despite an extensive tiered public healthcare system, India has one of the most privatized healthcare systems in world. There is no evidence suggesting that this privatization at anytime has been deliberate. So what has contributed to the private healthcare sector becoming so dominant in the setting?Methods: We explore possible reasons for the rapid expansion of the private sector through in depth interviews with policy makers in the public and private sectors in Madhya Pradesh province, Central India. Interviews were analyzed using qualitative content analysis.Results and conclusions: Public and private sector respondents concurred that the expansion of private sector had occurred by default; a passive privatization resulting from an underfunded and underperforming pu... Health Policy journals http://www.medworm.com/rss/comments.php?id=5394723 Mon, 25 Jul 2011 04:00:00 +0100 5394723 http://www.medworm.com/index.php?rid=5591115&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011001205%2Fabstract%3Frss%3Dyes Conclusion: We find comparably high adverse events rates for surgical patients in Australian hospitals, possibly because our data allow identification of a larger number of adverse events than data used in previous studies. There are marked variations in adverse event rates across hospitals in Victoria, even after risk adjusting. We discuss how policy makers could improve quality of care in Australian hospitals. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5591115 Fri, 22 Jul 2011 04:00:00 +0100 5591115 http://www.medworm.com/index.php?rid=5394722&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011001199%2Fabstract%3Frss%3Dyes Conclusions: The key recommendations from this paper are for more evidence to be collected at the country and international level, and for countries to consider trade in health services from a bi-lateral rather than multi-lateral perspective. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5394722 Mon, 18 Jul 2011 04:00:00 +0100 5394722 http://www.medworm.com/index.php?rid=5231455&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011001163%2Fabstract%3Frss%3Dyes Abstract: The government of Georgia launched a Medical Insurance Program, a targeted health insurance program, in June 2006 to provide health insurance to the poor. Using administrative data from June 2006 to December 2006, this paper estimates the initial impact of the Medical Insurance Program relative to an untargeted health insurance program and assesses whether the benefits have reached the poorest among those eligible. The paper presents two main findings: first, the Medical Insurance Program has significantly increased beneficiaries’ utilization of public health insurance for acute surgeries and inpatient services; and second, the benefits have reached the poorest among the beneficiaries. However, the findings are only applicable to the first six months of implementation and more ... Health Policy journals http://www.medworm.com/rss/comments.php?id=5231455 Mon, 18 Jul 2011 04:00:00 +0100 5231455 http://www.medworm.com/index.php?rid=5231437&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011001217%2Fabstract%3Frss%3Dyes Conclusion: While national priorities determine the context for implementation the shape of the process is influenced by the interactions between doctors and managers, which influence the way they respond to external policy initiatives such as NICE guidelines. NICE and other national health policy-makers need to recognise that the introduction of planned change ‘initiatives’ in clinical practice are subject to social and political influences at the micro level as well as the macro level. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5231437 Mon, 18 Jul 2011 04:00:00 +0100 5231437 http://www.medworm.com/index.php?rid=5084541&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011001187%2Fabstract%3Frss%3Dyes Abstract: A chronic disease/risk factor prevention framework with three policy environments – communications, physical and economic – was used to organize population level interventions that address the “over consumption of dietary salt”, a key risk factor for cardiovascular diseases. The framework was then used to map the population based strategies to reduce dietary salt consumption being applied in three countries in the Americas – Argentina, Canada and Chile – each with a history of multi-sector approaches to deal with the risk factors for chronic disease, offering a north versus south perspective.Results show that in all three countries policy instruments are concentrated in the communications environment, e.g. media and education campaigns and/or regulations for standardi... Health Policy journals http://www.medworm.com/rss/comments.php?id=5084541 Sun, 17 Jul 2011 23:00:00 +0100 5084541 http://www.medworm.com/index.php?rid=5231439&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011001126%2Fabstract%3Frss%3Dyes Conclusions: STA submissions could be improved if attention were paid to transparency in the reporting, conduct and justification of review and modelling processes and analyses, as well as greater robustness in the choice of data and closer adherence to the scope or decision problem. Where this adherence is not possible, more detailed justification of the choice of evidence or data is required. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5231439 Fri, 15 Jul 2011 04:00:00 +0100 5231439 http://www.medworm.com/index.php?rid=5084543&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011001138%2Fabstract%3Frss%3Dyes Conclusions: Results suggest that prominent health warnings with graphic pictures will reduce demand for cigarettes. Regulators should not only consider this type of warning label, but also plain packaging policies for tobacco products. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5084543 Thu, 14 Jul 2011 23:00:00 +0100 5084543 http://www.medworm.com/index.php?rid=5084542&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011001175%2Fabstract%3Frss%3Dyes Conclusions: This is the first time alcohol control policies have been compiled and described for the Canadian north. The dataset records the collective energies being put into community problem solving and provides a means to interpret the prevalence of health and social problems linked to alcohol use in these communities over time. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5084542 Thu, 14 Jul 2011 23:00:00 +0100 5084542 http://www.medworm.com/index.php?rid=5016142&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011001291%2Fabstract%3Frss%3Dyes (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5016142 Tue, 12 Jul 2011 18:55:49 +0100 5016142 http://www.medworm.com/index.php?rid=5394714&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011001102%2Fabstract%3Frss%3Dyes Conclusions: The scorecard offers a useful method for combining a range of data to give an overall picture of health system performance, highlighting strengths, weaknesses and areas for improvement. This initial study provides a baseline for assessing New Zealand's performance over time and, where data permit, a template for other countries to follow. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5394714 Mon, 04 Jul 2011 04:00:00 +0100 5394714 http://www.medworm.com/index.php?rid=5231443&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011001114%2Fabstract%3Frss%3Dyes Highlights: ► We propose a new prize (reward) system for drug innovation. ► It pays a price based on the value of health benefits accrued over time. ► Thus, it rewards the innovator for the social value of drug innovation. ► It reduces incentives to promote drug overuse and decreases related marketing costs.Abstract: We propose a new prize (reward) system for drug innovation which pays a price based on the value of health benefits accrued over time. Willingness to pay for a unit of health benefit is determined based on the cost-effectiveness ratio of palliative/nursing care. We solve the problem of limited information on the value of health benefits by mathematically relating reward size to the uncertainty of information including information on potential drug overuse. The proposed... Health Policy journals http://www.medworm.com/rss/comments.php?id=5231443 Mon, 04 Jul 2011 04:00:00 +0100 5231443 http://www.medworm.com/index.php?rid=5591113&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011001096%2Fabstract%3Frss%3Dyes Conclusions: We argue that the differences in reconfiguration implementation between the three cases reflected the nature of the proposed changes and local politics, rather than the strength of the ‘evidence’ for change. National policy has tended to over-emphasise the importance of consultation using ‘evidence’ and underplays these influencing factors. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5591113 Thu, 30 Jun 2011 04:00:00 +0100 5591113 http://www.medworm.com/index.php?rid=5329162&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011001084%2Fabstract%3Frss%3Dyes This study focus to what extent individuals feel they have exercised a choice of provider, why they exercise choice and where they search for information, based on a population survey in three Swedish counties. The design of the study enabled for studying behaviour with respect to differences in time since introduction of the reform and differences in number of alternative providers and establishments of new providers in connection with the reform. About 60% of the population in the three counties felt that they had made a choice of provider in connection with or after the introduction of a reform focusing on choice and privatisation. Establishments of new providers and having enough information increased the likelihood whereas preferences for direct access to a specialist decreased the li... Health Policy journals http://www.medworm.com/rss/comments.php?id=5329162 Mon, 27 Jun 2011 04:00:00 +0100 5329162 http://www.medworm.com/index.php?rid=5016137&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011000868%2Fabstract%3Frss%3Dyes Conclusions: This study provides evidence that consumers in South Korea generally have positive attitudes toward DTCA. However, most of the respondents wanted a prior examination system of DTCA content to ensure that the information conveyed to them via DTCA was trustworthy. Policy-makers should be cautious and well-prepared if they decide to introduce DTCA in Korea. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5016137 Sun, 26 Jun 2011 23:00:00 +0100 5016137 http://www.medworm.com/index.php?rid=5084544&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011001072%2Fabstract%3Frss%3Dyes Conclusions: There is potential to further prevent secondhand smoke exposure if such measures are expanded to indoor environments and integrated into broader policies. For policy-makers and advocates, the Japanese experience provides information on an additional tobacco control intervention as well as clues in the process of design, implementation and enforcement of such municipal measures. A more comprehensive and health-driven approach is required to effectively address the harm of secondhand smoke in Japan. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5084544 Sun, 19 Jun 2011 23:00:00 +0100 5084544 http://www.medworm.com/index.php?rid=5231447&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011001035%2Fabstract%3Frss%3Dyes Conclusion: There is evidence of quality benefits for patients, clinicians and health administrators associated with new Perioperative Systems. Despite this, these systems are yet to be fully developed in many jurisdictions. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5231447 Thu, 16 Jun 2011 04:00:00 +0100 5231447 http://www.medworm.com/index.php?rid=5016139&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011001023%2Fabstract%3Frss%3Dyes This study investigates the influence of information and public versus private provision on preferences for introducing screening (i.e. PSA-test) for prostate cancer in Denmark. The aim is to disclose if preferences (measured as willingness-to-pay) are influenced by whether the service is provided by the private or public health care sector, and the extent to which negative information on the PSA-test influences the perceptions of the screening programme. It is also investigated whether the impact of information differs dependent on public–private provision. A random sample of the Danish male population (all between 50 and 70 years of age) were invited to fill out a web-based questionnaire. It was found that two thirds of the respondents were willing to participate and willing to pay for... Health Policy journals http://www.medworm.com/rss/comments.php?id=5016139 Wed, 15 Jun 2011 23:00:00 +0100 5016139 http://www.medworm.com/index.php?rid=5016136&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011001047%2Fabstract%3Frss%3Dyes Conclusions: A shift from GP led to community pharmacy led patient self care of minor ailments has been a focus of many UK health policy documents. The existing burden of minor ailments on GP services requires sustained emphasis on community pharmacy, as well as research to reduce gaps between current policy and practice. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5016136 Wed, 15 Jun 2011 23:00:00 +0100 5016136 http://www.medworm.com/index.php?rid=5016135&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011001059%2Fabstract%3Frss%3Dyes Conclusions: In patients on waiting lists and post-surgery for hip and knee replacement, satisfaction with waiting times is related to fulfillment of expectations about waiting, as well as a perception of fairness. Measures to modify expectations and increase perceived fairness, such as informing patients of a realistic WT and communication during the waiting period, may increase satisfaction with WTs. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5016135 Wed, 15 Jun 2011 23:00:00 +0100 5016135 http://www.medworm.com/index.php?rid=5084546&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011001011%2Fabstract%3Frss%3Dyes Conclusions: Lyme disease patients frequently endure extensive delays in obtaining an initial diagnosis, have poor access to healthcare and suffer a severe burden of illness. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5084546 Tue, 14 Jun 2011 23:00:00 +0100 5084546 http://www.medworm.com/index.php?rid=5084545&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011001060%2Fabstract%3Frss%3Dyes Conclusions: Ethnic minorities at risk of vitamin D deficiency are constructed very differently in Danish policies current as of April 2009. A more precise definition of ethnic minorities in policies and research may be helpful in seeking to identify which ethnic minorities are and are not at risk of vitamin D deficiency. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5084545 Tue, 14 Jun 2011 23:00:00 +0100 5084545 http://www.medworm.com/index.php?rid=5394726&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS016885101100087X%2Fabstract%3Frss%3Dyes Conclusions: This is among the first attempts made in the East Mediterranean Region to adapt the BSC approach and translate the experience of its development to addresses local needs and contextual reality. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5394726 Thu, 09 Jun 2011 04:00:00 +0100 5394726 http://www.medworm.com/index.php?rid=4900218&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011000972%2Fabstract%3Frss%3Dyes (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=4900218 Mon, 06 Jun 2011 16:43:36 +0100 4900218 http://www.medworm.com/index.php?rid=5231440&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011000820%2Fabstract%3Frss%3Dyes Conclusions: Most of AHTAPol's recommendations have a positive outcome for the drug being appraised. The study revealed room for further enhancement of HTA impact. Three key areas that need future attention were identified: consistency, credibility; and pragmatism. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5231440 Mon, 06 Jun 2011 04:00:00 +0100 5231440 http://www.medworm.com/index.php?rid=5231436&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011000832%2Fabstract%3Frss%3Dyes Conclusions: The issues raised in this paper should assist researchers in developing and conducting systematic reviews with the involvement of the public. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5231436 Mon, 06 Jun 2011 04:00:00 +0100 5231436 http://www.medworm.com/index.php?rid=5016133&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011000856%2Fabstract%3Frss%3Dyes This article discusses informal caregiving by middle aged and older persons in the Netherlands and other European countries, with particular emphasis on the role played by motives. The data are drawn from SHARE. Our results show that in the Netherlands, it is mainly feelings of being needed and obligation that increase the chance of informal care being given. Deriving pleasure from an activity, by contrast, reduces the likelihood. In Southern Europe, where the responsibility for providing care lies with the family, we found that, contrary to expectations, older carers do not more often feel obliged. They less often report that they feel needed or see being socially active as a way of contributing to society. Our simulations suggest that if the socially active Dutch had the same motives as ... Health Policy journals http://www.medworm.com/rss/comments.php?id=5016133 Sun, 05 Jun 2011 23:00:00 +0100 5016133 http://www.medworm.com/index.php?rid=5231449&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011000844%2Fabstract%3Frss%3Dyes Abstract: Background: Medicare established the Physicians Quality Reporting Initiative (PQRI, recently renamed the Physicians Quality Reporting System) to increase reporting of quality metrics and promote healthcare quality.Objective: To identify characteristics of PQRI participants and examine their beliefs about its impact.Design: National survey of 4934 U.S. physicians, conducted June through October 2009.Setting: All practice settings.Participants: Randomly selected physicians categorized as primary care, medical specialists, surgeons, other specialists.Measurements: Beliefs about impact of PQRI reporting on quality.Results: The response rate was 49.8%. There were no significant differences between respondents and non-respondents by age, gender, specialty, and region. Thirty-eight perc... Health Policy journals http://www.medworm.com/rss/comments.php?id=5231449 Tue, 31 May 2011 04:00:00 +0100 5231449 http://www.medworm.com/index.php?rid=5231441&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011000698%2Fabstract%3Frss%3Dyes Conclusions: MSAC's decision making process is perceived as fair but with room for improvement. Its role in the uptake and diffusion of new medical technologies in Australia is limited. MSAC does not act as a barrier to significant market penetration of new procedures and medical technologies. However reimbursement is a trigger for increased use. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5231441 Wed, 25 May 2011 04:00:00 +0100 5231441 http://www.medworm.com/index.php?rid=4838291&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011000790%2Fabstract%3Frss%3Dyes (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=4838291 Thu, 19 May 2011 18:18:02 +0100 4838291 http://www.medworm.com/index.php?rid=4838286&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851010002587%2Fabstract%3Frss%3Dyes Conclusions: The effective CE framework overlaps with PE frameworks with two caveats. First, applications of PE evaluation frameworks to the LHINs may yield incomplete results given that partnerships with service providers and organizations are integral to CE strategies. Second, “organizational capacity,” largely not captured within existing frameworks, must be integrated as a feature given that emerging research identifies its importance to the successful implementation of engagement strategies. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=4838286 Thu, 19 May 2011 18:18:02 +0100 4838286 http://www.medworm.com/index.php?rid=4838279&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011000753%2Fabstract%3Frss%3Dyes (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=4838279 Thu, 19 May 2011 18:18:00 +0100 4838279 http://www.medworm.com/index.php?rid=5231458&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011000637%2Fabstract%3Frss%3Dyes Conclusions: The empirical results reconfirm the assertion that women's status within the household is closely linked to reproductive health care utilisation in developing countries. Policymakers therefore need not only to implement not only direct health interventions but also to focus on broader social policies which address women's empowerment. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5231458 Thu, 19 May 2011 04:00:00 +0100 5231458 http://www.medworm.com/index.php?rid=4900207&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011000522%2Fabstract%3Frss%3Dyes Conclusion: Although it is widely believed that disease management programs reduce healthcare expenditures, the present study shows that evidence for this claim is still inconclusive. Nevertheless disease management programs are increasingly implemented in healthcare systems worldwide. To support well-considered decision-making in this field, well-designed economic evaluations should be stimulated. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=4900207 Wed, 18 May 2011 23:00:00 +0100 4900207 http://www.medworm.com/index.php?rid=5231457&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011000510%2Fabstract%3Frss%3Dyes Conclusions: Purchasing premiums for the poor under these conditions is more costly than direct reimbursement to the provider for the same level of service delivery. Negative cross-subsidization is a serious risk that must be managed appropriately and the benefits of a larger risk pool (cross-subsidization of the poor) are not evident. Benefits from combined coverage may accrue in the longer term with an expanded base of voluntary payers or when those with subsidized premiums are lifted out of poverty. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5231457 Mon, 09 May 2011 04:00:00 +0100 5231457 http://www.medworm.com/index.php?rid=5084550&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011000686%2Fabstract%3Frss%3Dyes Conclusions: The findings suggest that prevention amongst the elderly should not be solely based on information needs, but also on observed lifestyle and health. Implications for the use of different approaches of prevention and behavioural models underlying interventions are discussed. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5084550 Thu, 05 May 2011 23:00:00 +0100 5084550 http://www.medworm.com/index.php?rid=5231452&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011000479%2Fabstract%3Frss%3Dyes Conclusion: Successful policy implementation of user fees requires social consensus on the policy objectives, also there should be real improvements in health care provision noticeable for consumers, to assure the fees acceptance. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5231452 Tue, 03 May 2011 04:00:00 +0100 5231452 http://www.medworm.com/index.php?rid=5016140&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011000480%2Fabstract%3Frss%3Dyes Conclusions: The development of the structured scheme for analysis of coverage decisions allows validation of official statements on decision processes and collection of larger data sets for empirical analysis. However, the semi-structured phone interviews were time-consuming for collecting information on a larger number of decisions. Further validation of the structured scheme and development of a research tool for large-scale empirical studies is still needed. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5016140 Thu, 28 Apr 2011 23:00:00 +0100 5016140 http://www.medworm.com/index.php?rid=4900212&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011000492%2Fabstract%3Frss%3Dyes Conclusions: In an entire national population, individuals with multiple medication accounted for four fifths of the total acquisition cost of dispensed drugs. Actions to reduce the number of prescription drugs for the group of patients with a number of different drugs may also result in a substantial reduction of the total acquisition cost. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=4900212 Sun, 24 Apr 2011 23:00:00 +0100 4900212 http://www.medworm.com/index.php?rid=4900211&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011000509%2Fabstract%3Frss%3Dyes Conclusions: Tendering programs can achieve savings in the short term. There are however some problems allied with the policy and the effects in the long term are still unclear. It can be concluded that the policy can work, but the features of the programs have to be well-thought-out. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=4900211 Thu, 21 Apr 2011 23:00:00 +0100 4900211 http://www.medworm.com/index.php?rid=4730942&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011000625%2Fabstract%3Frss%3Dyes (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=4730942 Wed, 20 Apr 2011 11:44:52 +0100 4730942 http://www.medworm.com/index.php?rid=5231448&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011000443%2Fabstract%3Frss%3Dyes Abstract: The field of critical care has changed markedly in recent years to accommodate a growing population of chronically critically ill patients. New administrative structures have evolved to include divisions, departments, and sections devoted exclusively to the practice of critical care medicine. On an individual level, the ability to manage complex multisystem critical illnesses and to introduce invasive monitoring devices defines the intensivist. On a systems level, critical care services managed by an intensivist-led multidisciplinary team are now recognized by their ability to efficiently utilize hospital resources and improve patient outcomes. Due to the numerous cost and quality issues related to the delivery of critical care medicine, intensive care unit physician staffing (IP... Health Policy journals http://www.medworm.com/rss/comments.php?id=5231448 Fri, 25 Mar 2011 04:00:00 +0100 5231448 http://www.medworm.com/index.php?rid=4730940&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011000261%2Fabstract%3Frss%3Dyes General practices increasingly comprise more General Practitioners (GPs) per practice than ever before. Additionally, GPs are located more often with clinicians of other disciplines. Gaal et al.’s findings that where there are more than two GPs, there is better safety management are probably not that surprising . It makes sense that larger numbers of staff mean tasks can be better shared. Kohn et al. identified that small staff size in health care organisations amongst other factors may contribute to a lack of attention to safety. They argued that people make fewer errors when they work in teams . (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=4730940 Thu, 24 Mar 2011 00:00:00 +0100 4730940 http://www.medworm.com/index.php?rid=4730941&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011000431%2Fabstract%3Frss%3Dyes We concur with most statements in the letter by this author. Patient safety is also at stake in the primary care setting. In particular, we agree that the presence of clinical leaders who promote patient safety in their own practice is essential. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=4730941 Wed, 23 Mar 2011 00:00:00 +0100 4730941 http://www.medworm.com/index.php?rid=5016138&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS016885101100025X%2Fabstract%3Frss%3Dyes Conclusions: In opportunistic programmes, differences in participation across socio-economic groups are evident in respect of both breast and cervical cancer screening. These differences may have implications for treatment and outcomes across socio-economic groups. Such differences were not evident in population-based programmes. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5016138 Mon, 21 Mar 2011 00:00:00 +0100 5016138 http://www.medworm.com/index.php?rid=4589275&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011000418%2Fabstract%3Frss%3Dyes (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=4589275 Tue, 15 Mar 2011 20:41:01 +0100 4589275 http://www.medworm.com/index.php?rid=4589274&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS016885101100042X%2Fabstract%3Frss%3Dyes (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=4589274 Tue, 15 Mar 2011 20:41:01 +0100 4589274 http://www.medworm.com/index.php?rid=4589270&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851010002502%2Fabstract%3Frss%3Dyes Abstract: This paper explores how pressures for an increased decentralization of taxing powers to sub-national governments may affect the degree of income redistribution across regional territories accomplished by the Italian NHS. In Italy, political responsibilities for health care are decentralized to regional governments, but the central government retains a critical role in ensuring all citizens uniform access to health services. To this end the central government runs an expenditure needs equalizing system to top up regional governments own resources. However, this system is currently put under question by strong political pressures calling for a weakening of central government involvement. Applying a well developed econometric approach we find that the NHS currently reduces interregi... Health Policy journals http://www.medworm.com/rss/comments.php?id=4589270 Tue, 15 Mar 2011 20:41:00 +0100 4589270 http://www.medworm.com/index.php?rid=4589262&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011000273%2Fabstract%3Frss%3Dyes According to its long-standing mission statement, “Health Policy is intended to be a vehicle for the exploration and discussion of health policy issues and is aimed in particular at enhancing communication between health policy researchers, legislators, decision-makers, and professionals concerned with developing, implementing, and analyzing health policy. [It] encourages the submission of original, empirically based, comparative and/or global studies. To achieve the journal's objectives, authors are encouraged to write in a non-technical style, which is understandable to health policy practitioners and specialists from other disciplines.” (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=4589262 Tue, 15 Mar 2011 20:40:59 +0100 4589262 http://www.medworm.com/index.php?rid=4469596&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011000248%2Fabstract%3Frss%3Dyes (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=4469596 Sat, 12 Feb 2011 22:57:03 +0100 4469596 http://www.medworm.com/index.php?rid=5329163&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851010003696%2Fabstract%3Frss%3Dyes Conclusions: Each form of social capital likely operates through different mechanisms and impact differs by community size. Stronger CSC likely obviates some physician visits in larger communities that involve counseling/caring services while some forms of ISC may act similarly in smaller communities. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5329163 Thu, 27 Jan 2011 05:00:00 +0100 5329163 http://www.medworm.com/index.php?rid=4900214&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851010003672%2Fabstract%3Frss%3Dyes Conclusion: Health authorities need to have good communication with media. The incident has proven that the lack of this communication is harmful both for the health authorities and for the population. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=4900214 Thu, 27 Jan 2011 00:00:00 +0100 4900214 http://www.medworm.com/index.php?rid=4730937&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011000029%2Fabstract%3Frss%3Dyes Abstract: Background: Prisoners and injecting drug users are at constant risk of hepatitis B virus (HBV) infection and the classic 6-months HBV vaccination might not provide immunization rapidly enough. In this randomized clinical trial we investigated the efficacy of an accelerated vaccination protocol vs. classic schedule among prisoners in Iran.Methods: 180 prisoners were randomized into 2 vaccination groups; group A underwent accelerated vaccination at 0, 1, 4 and 8 weeks and group C were vaccinated at 0, 1 and 6 months. Antibody against Hepatitis-B surface-antigen (anti-HBs) was assessed at baseline, one, two, six and eight months after the first vaccine dose using immunoenzymatic assays. Seroprotection was defined as anti-HBs titer of 10IU/L or more. Anti-HBc and HBsAg were measured ... Health Policy journals http://www.medworm.com/rss/comments.php?id=4730937 Thu, 27 Jan 2011 00:00:00 +0100 4730937 http://www.medworm.com/index.php?rid=4589263&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851010003659%2Fabstract%3Frss%3Dyes Conclusions: Despite three decades of research in this area, no published estimate of the cost of developing a drug can be considered a gold standard. Studies on this topic should be subjected to reasonable audit and disclosure of – at the very least – the drugs which authors purport to provide development cost estimates for. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=4589263 Mon, 24 Jan 2011 00:00:00 +0100 4589263 http://www.medworm.com/index.php?rid=4900216&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851010003684%2Fabstract%3Frss%3Dyes Conclusions: The increase in income inequality in B.C. following the policy change was an unintended consequence of the move to income-based pharmacare. This finding is worth consideration as countries and jurisdictions weigh pharmaceutical policy alternatives. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=4900216 Fri, 21 Jan 2011 00:00:00 +0100 4900216 http://www.medworm.com/index.php?rid=4369504&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851011000121%2Fabstract%3Frss%3Dyes (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=4369504 Wed, 19 Jan 2011 21:45:21 +0100 4369504 http://www.medworm.com/index.php?rid=4469592&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851010003660%2Fabstract%3Frss%3Dyes Conclusion: Time for massive action, first by the government, and then by the oral health professionals and the public and all stake-holders to ensure that the dream of Alma-Ata does not remain an illusion in Nigeria's oral health care sector. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=4469592 Wed, 12 Jan 2011 00:00:00 +0100 4469592 http://www.medworm.com/index.php?rid=5231453&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851010003647%2Fabstract%3Frss%3Dyes This article discusses the financial reforms in the Bulgarian public health care sector. Since 1998, when the Bulgarian parliament passed the Health Insurance Act, compulsory contributions for social health insurance have become the main source of health care financing. They replaced the previous tax-based health care funding mechanism. This article reviews empirical evidence and macro indicators to analyse to what extent the expectations of this reform are achieved. Two groups of sources are reviewed: (1) publications prior to the implementation of the social health insurance in Bulgaria that discuss its potential impact; (2) publications after the insurance implementation, that investigate the actual impact of this reform. The results suggest that social health insurance in Bulgaria brou... Health Policy journals http://www.medworm.com/rss/comments.php?id=5231453 Mon, 10 Jan 2011 05:00:00 +0100 5231453 http://www.medworm.com/index.php?rid=4730921&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851010003611%2Fabstract%3Frss%3Dyes This article reports on a comparative analysis to assess and explain the strengths and weaknesses of policy processes based on 9 case-studies of maternal health in Vietnam, India and China.Policy processes are often slow, inadequately coordinated and opaque to outsiders. Use of evidence is variable and, in particular, could be more actively used to assess different policy options. Whilst an increasing range of actors are involved, there is scope for further opening up of the policy processes. This is likely, if appropriately managed with due regard to issues such as accountability of advocacy organisations, to lead to stronger policy development and greater subsequent ownership; it may however be a more messy process to co-ordinate. Coordination is critical where policy issues span convent... Health Policy journals http://www.medworm.com/rss/comments.php?id=4730921 Mon, 03 Jan 2011 00:00:00 +0100 4730921 http://www.medworm.com/index.php?rid=4730916&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS016885101000360X%2Fabstract%3Frss%3Dyes Conclusion: Decisive interventions addressing the specific needs of disabled, pregnant, immigrant, ethnic minority and older women are needed in order to achieve a broader equity approach in VAW legislation. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=4730916 Mon, 03 Jan 2011 00:00:00 +0100 4730916 http://www.medworm.com/index.php?rid=4730917&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851010003258%2Fabstract%3Frss%3Dyes Conclusions: There is a paucity of published evidence on the impact of insurance system strategies on improving the use of medicines in LMIC. The existing evidence is questionable since the majority of the published studies utilize weak study designs. This review highlights the need for well-designed studies to build an evidence base on the impact of medicines management strategies deployed by LMIC insurance programs. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=4730917 Mon, 27 Dec 2010 00:00:00 +0100 4730917 http://www.medworm.com/index.php?rid=4589269&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851010003593%2Fabstract%3Frss%3Dyes The objective of this study was to examine the effectiveness of this Dutch policy measure, which was implemented in 2001.We carried out a statistical analysis and interpretation of trends in Dutch hospital admission rates.We observed a significant turn in the development of in-patient admission rates after the abolition of budget caps in 2001: decreasing admission rates turned into an internationally exceptional increase of more than 3% per year. Day care admissions had already been rising explosively for two decades, but the pace increased after 2001.The increase in the number of admissions includes a broad range of patient categories that were not in the first place associated with long waiting times. The growth was attributable for a large part to admissions for observation of the patie... Health Policy journals http://www.medworm.com/rss/comments.php?id=4589269 Mon, 27 Dec 2010 00:00:00 +0100 4589269 http://www.medworm.com/index.php?rid=5394725&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851010003441%2Fabstract%3Frss%3Dyes This study's conclusions, based on a synthesis of the research, suggest that despite its well earned reputation as a generally progressive welfare state, Denmark tends to trail well behind its European neighbors when it comes to end-of-life care. Understanding the cultural forces that underlie this reality may help Danish health care professionals and policy makers overcome the barriers that stand in the way of providing state-of-the-art medical care to patients who suffer at the end of life. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5394725 Fri, 24 Dec 2010 05:00:00 +0100 5394725 http://www.medworm.com/index.php?rid=4730938&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851010003581%2Fabstract%3Frss%3Dyes This study evaluates the serological immunity of tetanus and the related factors, in a farmer population.Methods: This cross-sectional study was carried out in a village located in the western part of Turkey. Volunteer farmers over the age of 50 were included in the study. The study group was determined by the systematic sampling method. IgG class tetanus antibody was measured in sera of each participant. A structured questionnaire evaluating the demographic characteristics was completed by the investigators.Results: A total of 293 participants (55.3% female, 44.7% male) were recruited from March 2010 to June 2010. A serum protective tetanus antitoxin level (>0.1IU/ml) was detected in 99 out of 293 (33.9%) of participants. According to univariate analysis; advancing age, female gender, low... Health Policy journals http://www.medworm.com/rss/comments.php?id=4730938 Fri, 24 Dec 2010 00:00:00 +0100 4730938 http://www.medworm.com/index.php?rid=5016141&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851010002952%2Fabstract%3Frss%3Dyes This study analyzes peoples’ social preferences for individual responsibility to health-risk behaviour in health care using the contingent valuation method adopting a societal perspective. We measure peoples’ willingness to pay for inclusion of a treatment in basic health insurance of a hypothetical lifestyle dependent (smoking) and lifestyle independent (chronic) health problem. Our hypothesis is that peoples’ willingness to pay for the independent and the dependent health problems are similar. As a methodological challenge, this study also analyzes the extent to which people consider their personal situation when answering contingent valuation questions adopting a societal perspective.513 Dutch inhabitants responded to the questionnaire. They were asked to state their maximum willi... Health Policy journals http://www.medworm.com/rss/comments.php?id=5016141 Mon, 20 Dec 2010 00:00:00 +0100 5016141 http://www.medworm.com/index.php?rid=4730934&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851010003404%2Fabstract%3Frss%3Dyes Conclusions: As a result of those findings, policy makers should consider different sets of policy instruments when attempting to expand health service's usage in urban and rural areas of Indonesia. To increase access in urban areas, we recommend expansion of health insurance coverage in order to lower out-of-pocket medical expenditures. As for rural areas, expansion of medical infrastructures to reduce commuting distance and costs will be needed to increase utilization. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=4730934 Mon, 20 Dec 2010 00:00:00 +0100 4730934 http://www.medworm.com/index.php?rid=4730920&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS016885101000343X%2Fabstract%3Frss%3Dyes Conclusions: High levels of catastrophic health spending and poverty co-exist with significant economic inequality and poverty in Guatemala. With health system features and a large informal sector similar to many other developing countries, recent international experience can provide useful lessons to help Guatemala devise innovative financing and payment mechanisms to address these concerns. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=4730920 Mon, 20 Dec 2010 00:00:00 +0100 4730920 http://www.medworm.com/index.php?rid=4469584&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851010003416%2Fabstract%3Frss%3Dyes We describe the structure of medicine benefits and data routinely available for decision-making in 33 health insurance programs in Ghana, Kenya, Nigeria, Tanzania and Uganda.Most programs surveyed were private, for profit schemes covering voluntary enrollees, mostly in urban areas. Almost all provide both inpatient and outpatient medicine benefits, with members sharing the cost of medicines in all programs. Some programs use strategies that are common in high-income countries to manage the medicine benefits, such as formularies, generics policies, reimbursement limits, or price negotiation. Basic data to monitor performance in delivering medicine benefits are available in most programs, but key data elements and the resources needed to generate useful management information from the availa... Health Policy journals http://www.medworm.com/rss/comments.php?id=4469584 Fri, 17 Dec 2010 00:00:00 +0100 4469584 http://www.medworm.com/index.php?rid=4257362&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS016885101000357X%2Fabstract%3Frss%3Dyes (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=4257362 Tue, 14 Dec 2010 18:15:16 +0100 4257362 http://www.medworm.com/index.php?rid=4257350&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851010003520%2Fabstract%3Frss%3Dyes (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=4257350 Tue, 14 Dec 2010 18:15:13 +0100 4257350 http://www.medworm.com/index.php?rid=4730925&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851010003428%2Fabstract%3Frss%3Dyes Conclusions: Only 50% of the patients with DN received the recommended treatment with ACEIs or ARBs. This shortfall provides an opportunity for quality-improvement interventions that could provide beneficial clinical outcomes for these high-risk patients. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=4730925 Mon, 13 Dec 2010 00:00:00 +0100 4730925 http://www.medworm.com/index.php?rid=4730931&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851010003350%2Fabstract%3Frss%3Dyes Conclusions: To achieve a safer road environment, more emphasis is required on population approaches that reduce risk among the whole population, with a balance between population and high-risk-individual approaches. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=4730931 Thu, 09 Dec 2010 00:00:00 +0100 4730931 http://www.medworm.com/index.php?rid=4730922&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851010003374%2Fabstract%3Frss%3Dyes Abstract: Primary health care, once the cornerstone of China's health system, has been neglected in the country's market-oriented system. Recent primary care reform was designed to improve access, quality and efficiency of health service use, but the results are unclear. The government is dramatically increasing funding for community health services, but there is concern about maximizing the impact of this investment. This paper draws on policy analysis, literature review, and a secondary analysis of two case studies and two surveys to review the structure of community health services and public reaction to them. Our results suggest that despite several years of primary care reform, current performance remains poor. The capacity of providers is low, services are not felt to be affordable, ... Health Policy journals http://www.medworm.com/rss/comments.php?id=4730922 Thu, 09 Dec 2010 00:00:00 +0100 4730922 http://www.medworm.com/index.php?rid=5591119&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851010003386%2Fabstract%3Frss%3Dyes Conclusion: Practice variations were seen despite case mix adjustment, similar resource and environmental constraints. The existence of within centre variations may have implications on service delivery and planning. Research is needed to both identify the existence, and explain the determinants of “an even smaller area variation”. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5591119 Mon, 06 Dec 2010 05:00:00 +0100 5591119 http://www.medworm.com/index.php?rid=4730932&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851010003234%2Fabstract%3Frss%3Dyes Conclusions: A NHI system with a progressive NHI scheme is proposed to be implemented to raise health funding whilst preserving the equity in health care financing. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=4730932 Mon, 06 Dec 2010 00:00:00 +0100 4730932 http://www.medworm.com/index.php?rid=4469595&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851010003398%2Fabstract%3Frss%3Dyes Abstract: Objective: To examine the level of awareness of youths to voluntary counseling and testing and willingness to pay for this service, and to explore reasons for underutilization of this service.Methods: A cross sectional study was carried out among undergraduate students of two tertiary institutions in Enugu Nigeria using pre-tested interviewer administered questionnaire. Information was collected from 250 respondents per institution. Analysis was done using SPSS computer software package.Results: Most of the respondents (64%) have heard about VCT and 70.6% of the students obtained their information from the mass media (P (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=4469595 Mon, 06 Dec 2010 00:00:00 +0100 4469595 http://www.medworm.com/index.php?rid=4469590&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851010003362%2Fabstract%3Frss%3Dyes Conclusion: Identification and prioritization of systematic reviews relevant to health care in Nigeria will improve the opportunity to deliver evidence-based and equitable health care to the people. These topics are likely to be also important for health care decision in other resource-poor settings. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=4469590 Mon, 06 Dec 2010 00:00:00 +0100 4469590 http://www.medworm.com/index.php?rid=5016132&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851010003325%2Fabstract%3Frss%3Dyes Conclusions: In their efforts to secure improvement in a neglected field UK policymakers have unleashed a torrent of top-down actions. Attention needs to be paid to constructing strong, system-wide, partnerships and to examining the cumulative impact of policy actions. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5016132 Thu, 02 Dec 2010 00:00:00 +0100 5016132 http://www.medworm.com/index.php?rid=4900210&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851010003246%2Fabstract%3Frss%3Dyes Conclusions: Referral to multidisciplinary care for patients with long term conditions was appropriately linked to the complexity, duration and impact of these conditions. The lack of association between the intervention and the frequency of referral suggests that factors other than knowledge and communication such as the accessibility of the allied health services may have been more important in determining referral. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=4900210 Thu, 02 Dec 2010 00:00:00 +0100 4900210 http://www.medworm.com/index.php?rid=4730918&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851010003283%2Fabstract%3Frss%3Dyes Conclusion: Patient satisfaction could prove a useful right to health indicator. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=4730918 Thu, 02 Dec 2010 00:00:00 +0100 4730918 http://www.medworm.com/index.php?rid=5329167&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS016885101000326X%2Fabstract%3Frss%3Dyes Conclusions: The results indicate that after the reform of the Greek national healthcare system in 2000–2002, the absence of a unified healthcare policy was accompanied with misallocation of healthcare resources among the Greek prefectures creating socioeconomic health inequalities. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=5329167 Mon, 29 Nov 2010 05:00:00 +0100 5329167 http://www.medworm.com/index.php?rid=4730926&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.healthpolicyjrnl.com%2Farticle%2FPIIS0168851010002277%2Fabstract%3Frss%3Dyes Abstract: An ideal resource allocation in health care should ensure most people to access equal health care services while needed. Not only social welfare economists but also health policy makers concern with rational distribution of health care resources.Taiwan implemented a National Health Insurance (NHI) program in 1995, to reduce financial barriers for all residents with a universal health care system. Horizontal equity, an explicit goal of the NHI system, is to guarantee equal opportunity of access to health care. Accordingly, this study, utilizing cross-sectional data, proposes a multi-criteria decision-making approach with grey incidence analysis to measure horizontal equity of health care resource allocation of the NHI in Taiwan.From the findings of this empirical study, most resou... Health Policy journals http://www.medworm.com/rss/comments.php?id=4730926 Mon, 29 Nov 2010 00:00:00 +0100 4730926