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. Sun, 21 Mar 2010 16:47:37 +0100 http://www.medworm.com/index.php?rid=3330383&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851010000722%2Fabstract%3Frss%3Dyes (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=3330383 Thu, 04 Mar 2010 17:23:42 +0100 3330383 http://www.medworm.com/index.php?rid=3330370&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851010000680%2Fabstract%3Frss%3Dyes (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=3330370 Thu, 04 Mar 2010 17:23:39 +0100 3330370 http://www.medworm.com/index.php?rid=3265913&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851010000436%2Fabstract%3Frss%3Dyes (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=3265913 Fri, 12 Feb 2010 15:49:55 +0100 3265913 http://www.medworm.com/index.php?rid=3330382&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851010000217%2Fabstract%3Frss%3Dyes (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=3330382 Mon, 01 Feb 2010 00:00:00 +0100 3330382 http://www.medworm.com/index.php?rid=3181611&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851010000187%2Fabstract%3Frss%3Dyes (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=3181611 Mon, 18 Jan 2010 15:48:24 +0100 3181611 http://www.medworm.com/index.php?rid=3330379&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009002887%2Fabstract%3Frss%3Dyes Conclusion: Under current circumstances, MMT services are financially sustainable to the hospital. MMT services are subsidized by the central government, and this is warranted considering the important role of the program in HIV/AIDS among IDUs. Still, the present user fee seems a barrier to utilization, and a higher level of subsidy might be justified to reduce the cost to the patient. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=3330379 Thu, 10 Dec 2009 00:00:00 +0100 3330379 http://www.medworm.com/index.php?rid=3330378&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009002905%2Fabstract%3Frss%3Dyes Conclusion: Urban and rural mothers differed in their responses to childhood fevers. Training drug vendors and caretakers are important measures to improve malaria control. Health facilities with good quality services and readily available drugs should be provided. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=3330378 Wed, 09 Dec 2009 00:00:00 +0100 3330378 http://www.medworm.com/index.php?rid=3330381&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009002917%2Fabstract%3Frss%3Dyes Abstract: The case argued in this article is that the last two decades have been characterised by distinct waves of healthcare reforms. The first, in the early 1990s, aimed to introduce more patients’ choice and greater competition between the components of the healthcare system. The second, from 1995 to 2000, had the opposite aim of introducing greater integration and regulation. From 2000 onwards, the policy issue more in vogue has been the strengthening of patients’ rights.Looking for the motives behind these reform strategies, this article aims to show how the ideological leaning of the governments in power affects the content of reform initiatives.The analysis presents evidence drawn from six OECD countries: France, Germany, the Netherlands, New Zealand, Sweden and UK. (Source: He... Health Policy journals http://www.medworm.com/rss/comments.php?id=3330381 Mon, 07 Dec 2009 00:00:00 +0100 3330381 http://www.medworm.com/index.php?rid=3330380&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009002899%2Fabstract%3Frss%3Dyes Conclusions: In light of these findings, three general recommendations were made to improve the quality of training among mental health service providers in China. First, increased input from professional organizations of various disciplines involving mental health service provision is needed to guide training and shape policy. Second, universities and colleges should have a more vital role in developing accredited professional training programs. Finally, on-the-job supervision and continuing education should be mandated within discipline-specific training programs. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=3330380 Mon, 07 Dec 2009 00:00:00 +0100 3330380 http://www.medworm.com/index.php?rid=3330376&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009002942%2Fabstract%3Frss%3Dyes This article examines three issues: (1) the use, over time, of facemasks in a public setting to prevent the spread of a respiratory disease for which the mortality rate is unknown; (2) the difference between the responses of male and female subjects in a public setting to unknown risks; and (3) the effectiveness of mandatory and voluntary public health measures in a public health emergency. The use of facemasks to prevent the spread of respiratory diseases in a public setting is controversial. At the height of the influenza epidemic in Mexico City in the spring of 2009, the federal government of Mexico recommended that passengers on public transport use facemasks to prevent contagion. The Mexico City government made the use of facemasks mandatory for bus and taxi drivers, but enforcement p... Health Policy journals http://www.medworm.com/rss/comments.php?id=3330376 Mon, 07 Dec 2009 00:00:00 +0100 3330376 http://www.medworm.com/index.php?rid=3330372&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009002929%2Fabstract%3Frss%3Dyes Conclusions: The issues raised here should assist researchers in developing research proposals with members of the public. Substantive and methodological directions for further research on the impact of public involvement in research design are set out. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=3330372 Mon, 07 Dec 2009 00:00:00 +0100 3330372 http://www.medworm.com/index.php?rid=3058940&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009003200%2Fabstract%3Frss%3Dyes (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=3058940 Sat, 05 Dec 2009 15:32:14 +0100 3058940 http://www.medworm.com/index.php?rid=3058938&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009002279%2Fabstract%3Frss%3Dyes Conclusions: Smoking may not cause increases in lifetime medical expenditures because smokers had lower lifetime medical expenditures than non-smokers. However, it was clear that smokers, especially survivors, often had higher annual medical expenditures than non-smokers. The importance of tobacco control is still relevant. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=3058938 Sat, 05 Dec 2009 15:32:14 +0100 3058938 http://www.medworm.com/index.php?rid=3058928&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009003169%2Fabstract%3Frss%3Dyes (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=3058928 Sat, 05 Dec 2009 15:32:13 +0100 3058928 http://www.medworm.com/index.php?rid=3330377&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009002668%2Fabstract%3Frss%3Dyes We examined the factors influencing tuberculosis (TB) health education delivery by rural doctors in Shandong, China.Methods: Thirty-six townships were selected using stratified-cluster sampling in Shandong. A self-reported questionnaire was administered to rural doctors during October and November, 2007. We used univariate tests and logistic regression to detect differences between rural doctors who self-reported health education delivery and the other.Results: Eighty-three percent of 1824 participants reported that they had delivered TB health education. The univariate analyses showed health education delivery was significantly associated with age, education, specialty, technical title, tuberculosis training, whether the knowledge acquired in the training met their needs, willingness to r... Health Policy journals http://www.medworm.com/rss/comments.php?id=3330377 Mon, 30 Nov 2009 00:00:00 +0100 3330377 http://www.medworm.com/index.php?rid=3330371&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009002930%2Fabstract%3Frss%3Dyes Conclusions: Professional organisations need to formulate a clear strategy for developing and gaining remuneration for pharmaceutical professional services. This implies that pharmacists not only demonstrate the value of services, but also assure their quality. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=3330371 Mon, 30 Nov 2009 00:00:00 +0100 3330371 http://www.medworm.com/index.php?rid=3265912&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009002863%2Fabstract%3Frss%3Dyes Conclusions: Users of primary care have a clear perception of the economic value of care received from the family physician, even in a framework of providing services financed by taxes and without cost at the moment of use. This value increases in subjects with higher incomes, with greater need for care, or more satisfied. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=3265912 Mon, 30 Nov 2009 00:00:00 +0100 3265912 http://www.medworm.com/index.php?rid=3330375&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009002656%2Fabstract%3Frss%3Dyes Conclusion: Designing effective fraud and abuse control programs can improve the efficiency of providing services to patients. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=3330375 Thu, 26 Nov 2009 00:00:00 +0100 3330375 http://www.medworm.com/index.php?rid=3330374&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009002851%2Fabstract%3Frss%3Dyes Conclusions: When non-smokers are asked directly, extrinsic reasons (restrictions, smoking bans) do not seem to be relevant for them. Reasons concerning health, good physical shape, and beauty should be a central argument in the medical practise with young smokers. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=3330374 Mon, 23 Nov 2009 00:00:00 +0100 3330374 http://www.medworm.com/index.php?rid=3330373&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS016885100900284X%2Fabstract%3Frss%3Dyes Conclusions: Our findings suggest that employment-based benefits coverage lead to the greatest degree of moral hazard in Hong Kong. Future studies should focus on confirming these observational findings using a randomized design. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=3330373 Fri, 20 Nov 2009 00:00:00 +0100 3330373 http://www.medworm.com/index.php?rid=3265911&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS016885100900267X%2Fabstract%3Frss%3Dyes Conclusion: The study suggests that the relative ambiguity of, and continuity between, the legal and underground kidney transplant systems be carefully addressed prior to enacting more specific reforms. The study also calls attention to the unintended consequences of various reform efforts, which are often neglected in formulating health policy and evaluating its costs and benefits. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=3265911 Fri, 20 Nov 2009 00:00:00 +0100 3265911 http://www.medworm.com/index.php?rid=3265910&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009002607%2Fabstract%3Frss%3Dyes Conclusions: This comparative exercise provides an overview of the CME policies adopted by six EU countries to regulate both demand and supply. The substantial variability in the organization and accreditation of schemes indicates that much could be done to improve effectiveness. Although further analysis is needed to assess the results of these policies in practice, lessons drawn from this study may help clarify the weaknesses and strengths of single domestic policies in the perspective of pan-European CME harmonization. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=3265910 Fri, 13 Nov 2009 00:00:00 +0100 3265910 http://www.medworm.com/index.php?rid=3265909&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009002632%2Fabstract%3Frss%3Dyes Conclusions: Higher level policy interventions may be limited in their effectiveness if they are undermined by a lack of attention to lower level factors that may compromise their successful implementation. The critical role of school meal providers and school cooks needs to be recognised and strategic partnerships developed to minimise tensions between improved nutritional standards and school meal uptake. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=3265909 Mon, 09 Nov 2009 00:00:00 +0100 3265909 http://www.medworm.com/index.php?rid=2966135&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009002814%2Fabstract%3Frss%3Dyes (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=2966135 Fri, 06 Nov 2009 15:34:59 +0100 2966135 http://www.medworm.com/index.php?rid=3265908&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009002590%2Fabstract%3Frss%3Dyes Conclusions: It is recommended that more health care institutions pay attention to the dissemination of their policy statements and practice guidelines to relevant parties. This will only lead to improvement in medical practice if this is accompanied by efforts to also stimulate the use of guidelines in practice. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=3265908 Wed, 04 Nov 2009 00:00:00 +0100 3265908 http://www.medworm.com/index.php?rid=3265904&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009002644%2Fabstract%3Frss%3Dyes This article discusses the development of Heath Technology Assessment methods and HTA institutions, in regards to meeting the information needs of all levels and fields of health policy-making. On the one hand, HTA needs to expand and develop its methods. Although health products and health care services have been its preponderant focus to date, HTA should develop to increase its focus on the “technologies applied to health care” (i.e. the regulatory and policy measures for managing and organizing health care systems) and on policies in non-health care sectors. Such a knowledge synthesis for health policy should not necessarily be called HTA or conducted by narrowly defined HTA agencies. However, the trends observed in several European HTA agencies indicate the recognition of these dev... Health Policy journals http://www.medworm.com/rss/comments.php?id=3265904 Wed, 04 Nov 2009 00:00:00 +0100 3265904 http://www.medworm.com/index.php?rid=3265907&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009002577%2Fabstract%3Frss%3Dyes Conclusions: Reimbursement restrictions had a positive impact on enhancing the efficiency of antihypertensive prescribing. Resources released can be used to improve care in the future. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=3265907 Fri, 30 Oct 2009 00:00:00 +0100 3265907 http://www.medworm.com/index.php?rid=3265903&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009002589%2Fabstract%3Frss%3Dyes Conclusions: There are only some studies available with high quality evidence on interventions to improve team effectiveness. These studies show that team training can improve the effectiveness of multidisciplinary teams in acute (hospital) care. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=3265903 Tue, 27 Oct 2009 00:00:00 +0100 3265903 http://www.medworm.com/index.php?rid=3265905&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009002449%2Fabstract%3Frss%3Dyes Conclusions: The new estimate of the association between physician supply and lower mortality suggests continuing efforts to assess the need for policies and incentives to induce physician labor supply in underserved states. Strategies and policies to reduce health disparities should address social, economic and individual risk factors. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=3265905 Mon, 26 Oct 2009 00:00:00 +0100 3265905 http://www.medworm.com/index.php?rid=3181610&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS016885100900236X%2Fabstract%3Frss%3Dyes Conclusion: Legislators, decision-makers, and health policymakers should be aware that several health problems are associated with early retirement due to ill-health among men and women aged 45–64 years. Interventions to prevent or treat these health problems would not only bring immediate health gains to the individuals themselves but would increase their ability to participate in the workforce and/or be otherwise productive in society. Interventions would need to be tailored for men and women separately, given the gender differences in disease profiles and social roles. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=3181610 Mon, 26 Oct 2009 00:00:00 +0100 3181610 http://www.medworm.com/index.php?rid=3181609&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009002450%2Fabstract%3Frss%3Dyes Conclusion: The utilization of preventive care services can help to promote healthier lifestyles, provide early detection of illnesses, and reduce the need for subsequent inpatient care services amongst individuals. We suggest that effective outreach strategies to promote the utilization of preventive care services are essential. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=3181609 Fri, 23 Oct 2009 00:00:00 +0100 3181609 http://www.medworm.com/index.php?rid=3181608&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009002401%2Fabstract%3Frss%3Dyes Abstract: We find four key lessons that health policymakers and practitioners should be aware of: the potential of services liberalization to incur high transition and transaction costs; the difficulty of reconciling economic and social policy goals and the subsequent high likelihood of backlash; the tendency of rule-based systems to promote policy spillover; and the importance (and difficulty) of early monitoring in order to avoid unwanted policy outcomes. We conclude that continued awareness of new policy developments, coordination of expertise on health and trade and preemptive regulation are vital in order to deal with the expansion of crossborder trade in health services. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=3181608 Fri, 23 Oct 2009 00:00:00 +0100 3181608 http://www.medworm.com/index.php?rid=3265906&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009002425%2Fabstract%3Frss%3Dyes Conclusion: Mental health research capacity is scarce and unequally distributed in LAMIC. Global agencies for health research as well as LAMIC with higher concentrations of researchers and scientific output should play a more decisive role in strengthening the capacity of other LAMIC enhancing South–South partnerships and networks. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=3265906 Thu, 22 Oct 2009 00:00:00 +0100 3265906 http://www.medworm.com/index.php?rid=3181607&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009002462%2Fabstract%3Frss%3Dyes Abstract: Activity-based funding involves remunerating healthcare providers a fixed price per patient in each payment category. However, no categorisation system can account perfectly for differences in patient complexity. Differences may be systematic if providers routinely attract high-risk patients or engage in patient selection. Such differences may be evident in the English National Health Service (NHS) following the introduction of treatment centres that concentrate on providing a small number of high-volume procedures. We analyse data for more than 3.3 million patients to assess whether the complexity of those treated in hospitals and treatment centres differs within twenty-nine payment categories, defined by Healthcare Resource Groups (HRGs). We find that patients treated in hospit... Health Policy journals http://www.medworm.com/rss/comments.php?id=3181607 Mon, 19 Oct 2009 00:00:00 +0100 3181607 http://www.medworm.com/index.php?rid=3181606&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009002437%2Fabstract%3Frss%3Dyes Conclusion: The geographic inequities in malaria treatment are skewed against the rural people. Everybody is seeking care from the private sector for treatment of malaria but the rural dwellers are using mostly the informal healthcare providers. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=3181606 Mon, 19 Oct 2009 00:00:00 +0100 3181606 http://www.medworm.com/index.php?rid=3181605&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009002383%2Fabstract%3Frss%3Dyes Conclusion: This study concludes that the goal conflict between the agents and the principal certainly exist. The principal tries hard to control the expenditure escalation and keep the financial balance, but the agents have to subsist within limited healthcare resources. Therefore, the agency cost would definitely occur due to the conflicts between both parties. According to the results of the research, some suggestions and related management concepts were proposed at the end of the paper. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=3181605 Fri, 16 Oct 2009 00:00:00 +0100 3181605 http://www.medworm.com/index.php?rid=3058939&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009002413%2Fabstract%3Frss%3Dyes The publisher regrets that the Acknowledgement section was omitted from the above published article. The Acknowledgement section appears below. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=3058939 Thu, 15 Oct 2009 00:00:00 +0100 3058939 http://www.medworm.com/index.php?rid=3181604&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009002346%2Fabstract%3Frss%3Dyes Conclusion: Notwithstanding disappointing short terms results, the new scheme may however lead up to reinforced managed care reforms. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=3181604 Mon, 12 Oct 2009 00:00:00 +0100 3181604 http://www.medworm.com/index.php?rid=3181600&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009002395%2Fabstract%3Frss%3Dyes Conclusions: To date, the promise and hype of PM has outpaced its evidentiary support. In order to achieve favorable coverage and reimbursement and to support premium prices for PM, manufacturers will need to bring better clinical evidence to the marketplace and better establish the value of their products. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=3181600 Fri, 09 Oct 2009 00:00:00 +0100 3181600 http://www.medworm.com/index.php?rid=2861623&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009002620%2Fabstract%3Frss%3Dyes (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=2861623 Mon, 05 Oct 2009 18:15:34 +0100 2861623 http://www.medworm.com/index.php?rid=2861613&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009002528%2Fabstract%3Frss%3Dyes (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=2861613 Mon, 05 Oct 2009 18:15:33 +0100 2861613 http://www.medworm.com/index.php?rid=3181602&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009002358%2Fabstract%3Frss%3Dyes Conclusions: Outsourcing of PHC services may improve employee health and thus effectiveness of health care if a new service provider emphasizes employee health more than a previous one and is more flexible to improve the quality of the psychosocial work environment. However, change itself may be stressful, and frequent changes of service providers should be avoided. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=3181602 Mon, 05 Oct 2009 00:00:00 +0100 3181602 http://www.medworm.com/index.php?rid=3181603&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009002371%2Fabstract%3Frss%3Dyes Conclusions: Our results suggest that policies targeting geropsychiatric patients diagnosed with schizophrenia, enrolled in National Medical Care Aid programs, and admitted to psychiatric hospitals could reduce LOS. Additionally, the impact of the patient composition of a medical institution on LOS needs to be closely investigated. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=3181603 Mon, 28 Sep 2009 00:00:00 +0100 3181603 http://www.medworm.com/index.php?rid=3181601&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009002334%2Fabstract%3Frss%3Dyes Conclusion: Housing tenure was a strong predictor of smoking in South Korea and its significance was very pronounced in non-married individuals. Housing policies to encourage homeownership could be effective in reducing smoking in countries such as China, India, and Vietnam where house ownership is regarded as the ultimate financial safeguard, there are numerous, and traditional attitudes toward marriage are undergoing transition. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=3181601 Thu, 24 Sep 2009 00:00:00 +0100 3181601 http://www.medworm.com/index.php?rid=3058929&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009002322%2Fabstract%3Frss%3Dyes Conclusions: The combination of interventions that avert the greatest number of maternal deaths should be prioritized and expanded to cover the greatest number of women at risk. Those which save the most number of lives in each model are ‘fpsa, anc-miso’ and ‘fpsa, sepsis, safe delivery’ for LOW; ‘fpsa, anc-miso’ and ‘fpsa, sepsis, safe delivery’ for MED; and ‘fpsa, anc-miso, sepsis, eclampsia treatment, safe delivery’ for HIGH settings. Safe motherhood interventions save a significant number of newborn lives. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=3058929 Wed, 23 Sep 2009 00:00:00 +0100 3058929 http://www.medworm.com/index.php?rid=3058937&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009002309%2Fabstract%3Frss%3Dyes Conclusions: Policies making provision for health care services to the uninsured are likely to be more effective when they take into account the context or composition of each specific local health care system as well as the financial and non-financial spillovers that these uninsurance-related contexts generate. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=3058937 Fri, 18 Sep 2009 00:00:00 +0100 3058937 http://www.medworm.com/index.php?rid=3058936&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009002310%2Fabstract%3Frss%3Dyes Conclusions: Malaysian community pharmacists are generally in favour of generic substitution policy implementation. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=3058936 Thu, 17 Sep 2009 00:00:00 +0100 3058936 http://www.medworm.com/index.php?rid=3058935&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009002292%2Fabstract%3Frss%3Dyes Conclusions: Health education to raise DSB awareness is necessary, especially for female's age 18–34 years. Implementing a proper referral system with efficient data exchange, setting up control parameters in the IC cards, and strengthening the integrated care plan could reduce the unnecessary waste of the healthcare resources. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=3058935 Thu, 17 Sep 2009 00:00:00 +0100 3058935 http://www.medworm.com/index.php?rid=3058934&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009002280%2Fabstract%3Frss%3Dyes Abstract: The purpose of this paper is to: (1) collect relevant data and estimate Japanese international financial assistance for HIV/AIDS control; (2) discuss the difficulties in collecting relevant data and the limitations of the collected data; and (3) conduct a comparative analysis on the estimated data with OECD and Kaiser Family Foundation aggregate data. The point is that we have comprehensively collected and estimated the data on Japanese international expenditures for HIV/AIDS control while there is no reliable data that is totally managed and published. In addition, we discuss the difficulties and limitations of data collection: unpublished data; insufficient data; inseparable data; problems of exchange rates; gaps between disbursement and commitment; and difference in year perio... Health Policy journals http://www.medworm.com/rss/comments.php?id=3058934 Mon, 14 Sep 2009 00:00:00 +0100 3058934 http://www.medworm.com/index.php?rid=3058933&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009002097%2Fabstract%3Frss%3Dyes This study therefore investigates whether the association between population health (Infant Mortality Rates and Life Expectancy at birth) and welfare state regimes is still valid when the welfare states of East Asia are added into the analysis. It also examines whether population health is worse in the East Asian welfare states. Infant Mortality Rates and Life Expectancy at birth as well as GDP per capita and social and health expenditures as a percentage of GDP were examined in 30 welfare states, categorised into six different regimes (Scandinavian, Anglo-Saxon, Bismarckian, Southern, Eastern European and East Asian). ANOVA analysis showed significant differences by welfare state regime in the magnitude of IMR, LE, SE, HE and GDP per capita. However, when controlling for GDP per capita in... Health Policy journals http://www.medworm.com/rss/comments.php?id=3058933 Mon, 14 Sep 2009 00:00:00 +0100 3058933 http://www.medworm.com/index.php?rid=3058932&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS016885100900205X%2Fabstract%3Frss%3Dyes Conclusion: Within this article, we were able to calculate environmental health costs for Germany based on available, easy to access data and deduce implications for environmental policy decision-making. However, there are restrictions in data quality, as the aetiology of some diseases with respect to environmental impacts is not very well documented and data has not been collected particularly for Germany. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=3058932 Thu, 10 Sep 2009 00:00:00 +0100 3058932 http://www.medworm.com/index.php?rid=3058931&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009002127%2Fabstract%3Frss%3Dyes Conclusions: Results indicate that more people in Turkey benefited from risk pooling/health insurance by 2006 and were, therefore, on average, better protected from catastrophic medical expenses, than in many other countries with comparable income levels at that time. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=3058931 Mon, 07 Sep 2009 00:00:00 +0100 3058931 http://www.medworm.com/index.php?rid=3058930&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009002085%2Fabstract%3Frss%3Dyes Abstract: Health inequality is a problem with great political importance all over the world. Urban–rural inequality in health has attracted great attentions in recent years in China, but very few researches have been undertaken into regional discrepancies in health. This research aims at measuring the degree of regional health inequality in China and identifying its determinants. Indicators for health, socioeconomic status, health resources and health services delivery were selected through Delphi consultations from 18 experts. With cross-sectional data from 31 provinces, composite health indexes were generated. The regional inequality in health was described by Lorenz curve and measured by Gini coefficient. The determinants of health inequality were identified through canonical correlat... Health Policy journals http://www.medworm.com/rss/comments.php?id=3058930 Mon, 07 Sep 2009 00:00:00 +0100 3058930 http://www.medworm.com/index.php?rid=2966132&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009002103%2Fabstract%3Frss%3Dyes Conclusions: All strategies increased TB case finding, although attribution is tentative because of the study design. Neither collaboration among private practitioners nor among hospitals is clearly preferred based on cost-effectiveness. For hospitals, this study suggests that having hospitals refer patients to health centres is preferable over hospitals administering treatment. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=2966132 Thu, 03 Sep 2009 00:00:00 +0100 2966132 http://www.medworm.com/index.php?rid=2966131&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009002061%2Fabstract%3Frss%3Dyes Conclusions: There is strong benefit in researchers and policy officers collaborating to develop optimal formats for presenting scientific evidence to inform policy decisions. Such a process can reduce concerns of researchers that evidence is not incorporated into policy decisions. They also meet policy officers’ needs for evidence to be provided in a way that can directly inform their decision-making processes. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=2966131 Tue, 01 Sep 2009 00:00:00 +0100 2966131 http://www.medworm.com/index.php?rid=2966117&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009002073%2Fabstract%3Frss%3Dyes This article argues that the unintended consequences of devolved Health Visiting policy has resulted in 3 recent community nursing and health-visiting reviews in Scotland and England which have made divergent policy recommendations about the role of the Health Visitor in tackling health inequalities. The recommendations outlined in the Scottish review in particular threatened to jeopardise the very future provision of a UK wide Health Visiting service. If Health Visiting is to survive as a UK wide entity, a radical independent rethink as to its future direction and its public health role is urgently required. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=2966117 Tue, 01 Sep 2009 00:00:00 +0100 2966117 http://www.medworm.com/index.php?rid=2747309&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009002243%2Fabstract%3Frss%3Dyes (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=2747309 Mon, 31 Aug 2009 13:20:40 +0100 2747309 http://www.medworm.com/index.php?rid=2966115&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009002115%2Fabstract%3Frss%3Dyes Conclusions: The use of severity as a priority setting criterion is supported by a large number of empirical studies of popular preferences. Further work is needed, however, to accurately estimate the strength of this support. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=2966115 Fri, 28 Aug 2009 00:00:00 +0100 2966115 http://www.medworm.com/index.php?rid=2966130&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009002012%2Fabstract%3Frss%3Dyes Abstract: The greatest risk factor for lung cancer is smoking, the second largest factor being raised radon levels at home. Initiatives to stop smoking and reduce domestic radon levels have met with some success, but in both cases a significant proportion of those affected have not taken action.The two risk factors combine, so that those who smoke and live in a house with high radon levels are at higher risk than if exposed to only one of the two threats. There is the potential for combined public health campaigns to better target those affected.Using postal questionnaires, we collected demographic information of those in Northamptonshire, UK, a radon Affected Area, who participated in Smoking Cessation Programmes, and compared these to a recent study by our group of those who had taken ac... Health Policy journals http://www.medworm.com/rss/comments.php?id=2966130 Thu, 27 Aug 2009 00:00:00 +0100 2966130 http://www.medworm.com/index.php?rid=2966116&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009002048%2Fabstract%3Frss%3Dyes Conclusion: Although the existing empirical literature offers few insights on how to respond to these challenges, expert opinion suggests a number of ways forward. Much of what is suggested here has not yet been applied in practice, and there is an urgent need both for pilot studies and more methodological research. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=2966116 Wed, 26 Aug 2009 00:00:00 +0100 2966116 http://www.medworm.com/index.php?rid=2966129&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009001766%2Fabstract%3Frss%3Dyes Abstract: Hospitals develop nurse schedules that cover a period of 4–6 weeks and are posted several weeks in advance. Once posted, changes to the schedule require voluntary participation by the nurses, making it difficult for hospitals to respond to changes in nursing needs and availability of nurses. At the same time, nursing needs’ forecasts developed several weeks in advance are often wrong. In each hospital setting, there may exist several promising strategies to enhance scheduling flexibility and reduce the mismatch between the nursing needs and the availability of nurses. However, methodologies to evaluate such strategies, before testing them in expensive pilot implementation, do not exist. We demonstrate how such evaluations can be carried out using historical data. Furthermore,... Health Policy journals http://www.medworm.com/rss/comments.php?id=2966129 Fri, 21 Aug 2009 00:00:00 +0100 2966129 http://www.medworm.com/index.php?rid=2966128&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009001833%2Fabstract%3Frss%3Dyes The objectives of this study were (1) identifying the patterns of post-stroke care, (2) determining the care-provider and patient characteristics associated with optimal management of post-stroke care and (3) estimating the potential influence of various facilitated care policies on outcomes.Methodology: The 3946 subjects included in the study were admitted to one of Quebec's acute-care hospitals with confirmed diagnosis of stroke and subsequently discharged to their home. The records related to fee-for-service billings of this sample were obtained for the 3 months following discharge and used to define the care-provider path for each stroke survivor. These paths were analyzed and the potential impact of various facilitated care interventions was estimated via a Markov model.Results: The r... Health Policy journals http://www.medworm.com/rss/comments.php?id=2966128 Thu, 20 Aug 2009 00:00:00 +0100 2966128 http://www.medworm.com/index.php?rid=2966134&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009001778%2Fabstract%3Frss%3Dyes Subsequent analyses following the publication of Smith et al. (2008), News on tobacco and public attitudes toward smokefree air policies in the United States have revealed that the description provided of the data in this paper was inaccurate. The error in Smith et al. (2008) merits a correction to the description of the data, but does not change either the results presented or the conclusions drawn from them. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=2966134 Wed, 19 Aug 2009 00:00:00 +0100 2966134 http://www.medworm.com/index.php?rid=2966127&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009001390%2Fabstract%3Frss%3Dyes Conclusions: Never married and the divorced have significantly higher age-adjusted odds ratios of poor self-rated health than the married/cohabitating group. Economic problems but not trust seem to affect the association between marital status and poor self-rated health. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=2966127 Wed, 19 Aug 2009 00:00:00 +0100 2966127 http://www.medworm.com/index.php?rid=2966126&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009001821%2Fabstract%3Frss%3Dyes Abstract: This paper compares the process and results of the reform which confined doctors to prescribing and pharmacists to dispensing in both Korea and Japan from comparative and politico-economic perspectives. At the present time, several years since the reforms were implemented, a ‘compulsory separation’ is being established in Korea. The claims containing antibiotics against the total claims from the doctor's clinic dropped from 55.7% in 2000 to 29.6%, and the number of drugs per claim from 5.9 in 2000 to 4.2 in 2008. Japan selected an ‘arbitrary separation’. Efforts to raise the rate of the ‘separation’ have increased the rate from 1% in 1974 to 57.2% in 2007, but nearly half of medical prescriptions are still being dispensed by doctors.Disparity in the two countries has ... Health Policy journals http://www.medworm.com/rss/comments.php?id=2966126 Mon, 17 Aug 2009 00:00:00 +0100 2966126 http://www.medworm.com/index.php?rid=2966125&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009001468%2Fabstract%3Frss%3Dyes Conclusions: Available literature indicates an absence of clear provision, policy and research on baby abandonment. Based on current understanding of maternal and child mental health issues likely to be involved in abandonment, existing UK strategy could be easily adapted to avoid the ‘learning from scratch’ approach. National policies on recording and handling of baby abandonments are urgently needed, and future efforts should be concentrated on establishing clear data collection frameworks to inform understanding, guide competent practice and enable successfully targeted interventions. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=2966125 Mon, 17 Aug 2009 00:00:00 +0100 2966125 http://www.medworm.com/index.php?rid=2966124&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009001791%2Fabstract%3Frss%3Dyes Conclusions: There is a need for detailed audits of cesarean section deliveries, nationally and at the facility level, in order to avoid unnecessary interventions in the context of high fertility, rising poverty and fragmented health services. Variations by governorate should be studied further for focused interventions. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=2966124 Wed, 12 Aug 2009 00:00:00 +0100 2966124 http://www.medworm.com/index.php?rid=2966123&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009001808%2Fabstract%3Frss%3Dyes Conclusion: Discrete-event simulation is a valuable tool in the policymakers armentarium. It can be used effectively to analyze and understand complex healthcare systems and policy problems such as population screening. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=2966123 Wed, 12 Aug 2009 00:00:00 +0100 2966123 http://www.medworm.com/index.php?rid=2966133&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS016885100900181X%2Fabstract%3Frss%3Dyes If prioritisation in healthcare is required, Werntof and Edberg sadly observed that politicians will be afraid of displeasing voters, while physicians will be afraid of making medically incorrect decisions . They proposed that the citizens must take part in the debate. The facts are clear, but their proposal is far from enough. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=2966133 Mon, 10 Aug 2009 00:00:00 +0100 2966133 http://www.medworm.com/index.php?rid=2966122&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS016885100900178X%2Fabstract%3Frss%3Dyes Conclusions: Disabled older adults staying at home were more likely to use ER compared to institutionalized individuals. More research is needed to identify the unmet healthcare needs and the quality of home care that may explain the high ER utilization rate. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=2966122 Mon, 10 Aug 2009 00:00:00 +0100 2966122 http://www.medworm.com/index.php?rid=2966121&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009001754%2Fabstract%3Frss%3Dyes Conclusion: Policy makers should facilitate hospitals: (a) to develop a multi-disciplinary and evidence based practice for technology selection, (b) to assess and manage uncertainty, and (c) to build a reporting system regarding technology performance in order to build fair practices for technology selection and support continuous learning. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=2966121 Mon, 03 Aug 2009 00:00:00 +0100 2966121 http://www.medworm.com/index.php?rid=2652768&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009001973%2Fabstract%3Frss%3Dyes (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=2652768 Thu, 30 Jul 2009 12:06:36 +0100 2652768 http://www.medworm.com/index.php?rid=2652752&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009001936%2Fabstract%3Frss%3Dyes (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=2652752 Thu, 30 Jul 2009 12:06:35 +0100 2652752 http://www.medworm.com/index.php?rid=2861622&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009001742%2Fabstract%3Frss%3Dyes Abstract: Although hospitals vary in terms of their governance structures, little research has focused on the effectiveness of these governance mechanisms through the study of executive contracting. Using a sample of 80 non-for-profit private hospitals in the Netherlands, I investigate whether differences in governance structures of hospitals are informative for explaining the variations in chief executive pay. After controlling for important economic determinants of CEO compensation in hospitals (i.e., type and size of the hospital, CEO type and job complexity, market conditions and performance attributes), the results suggest that CEOs on average earn more (1) when the hospital's supervisory board members receive more remuneration (a higher absolute as well as an excessive remuneration) ... Health Policy journals http://www.medworm.com/rss/comments.php?id=2861622 Wed, 29 Jul 2009 23:00:00 +0100 2861622 http://www.medworm.com/index.php?rid=2624843&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009001717%2Fabstract%3Frss%3Dyes (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=2624843 Wed, 22 Jul 2009 11:58:24 +0100 2624843 http://www.medworm.com/index.php?rid=2966120&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009001602%2Fabstract%3Frss%3Dyes Conclusion: The successful implementation of a mix of governance modes in New Zealand 2001–2004 was characterised by clear government policy, flexibility of approach and the appearance of an unintended network. In New Zealand there is less tendency than in some other some other small countries/jurisdictions towards centralisation, with local elections and community engagement policies providing an element of local participation, and accountability to the centre enhanced through political rather than bureaucratic mechanisms. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=2966120 Tue, 21 Jul 2009 00:00:00 +0100 2966120 http://www.medworm.com/index.php?rid=2966119&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009001614%2Fabstract%3Frss%3Dyes Conclusion: Our findings indicate a significant inequality of access to health care services among urban seniors in northwestern China. More appropriate health care policies should be developed to achieve the goal of greater equality of access to health care services for all. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=2966119 Tue, 21 Jul 2009 00:00:00 +0100 2966119 http://www.medworm.com/index.php?rid=2966118&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009001432%2Fabstract%3Frss%3Dyes Conclusions: Our results shed light on one of the most challenging issues that health policy makers are currently faced with, namely the threat of a bird flu pandemic. Drug delivery is a critical component of pandemic influenza preparedness. Furthermore, the congruence of our results with the agency and demand theories provides an important test of the validity of using WTP based on CV methods. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=2966118 Wed, 15 Jul 2009 00:00:00 +0100 2966118 http://www.medworm.com/index.php?rid=2861621&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009001444%2Fabstract%3Frss%3Dyes This article develops a framework to compare migrant health policies, focusing on England, Italy, the Netherlands and Sweden. The first issue addressed in the framework is data collection. All four countries collect migrant health data, but many methodological limitations remain. The second issue is targeting of population groups. Countries typically focus either on first generation immigrants or on ethnic minorities, but not both, despite the often divergent needs of the two groups. Another issue is whether specific diseases should take priority in migrant health policy. While communicable diseases, sexual and reproductive health and mental health have been targeted, there may be a lack of attention paid to lifestyle related risk factors and preventive care. Fourthly, decisions about the ... Health Policy journals http://www.medworm.com/rss/comments.php?id=2861621 Tue, 07 Jul 2009 23:00:00 +0100 2861621 http://www.medworm.com/index.php?rid=2861620&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009001456%2Fabstract%3Frss%3Dyes Abstract: Competing models of cultural integration present significant challenges and opportunities in the provision of public services to multi-ethnic, multi-cultural populations. In some countries, the mental health needs of refugees, voluntary migrants and ethnic minority groups are met by dedicated mental health services separate from generic services. For other countries, such developments present challenges in terms of integration objectives and public service provision in accordance with national policy. Nonetheless, given our profound, enduring attachments to culture, it appears reasonable that host societies should, at least in part, co-operate with refugees, voluntary migrants and/or ethnic minority groups in re-shaping elements of public services to optimize their appropriatenes... Health Policy journals http://www.medworm.com/rss/comments.php?id=2861620 Sun, 28 Jun 2009 23:00:00 +0100 2861620 http://www.medworm.com/index.php?rid=2861619&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009000979%2Fabstract%3Frss%3Dyes Conclusions: Overall density of qualified providers was low. Qualified physicians tended to be more densely situated in the relatively more urban districts. Access to healthcare providers for scheduled castes and tribes is different. More targeted approaches are necessary for improving access for scheduled castes. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=2861619 Thu, 25 Jun 2009 23:00:00 +0100 2861619 http://www.medworm.com/index.php?rid=2500937&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009001572%2Fabstract%3Frss%3Dyes (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=2500937 Thu, 25 Jun 2009 08:40:41 +0100 2500937 http://www.medworm.com/index.php?rid=2861618&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009001420%2Fabstract%3Frss%3Dyes Conclusions: Data-production became almost an end in itself, threatening to undermine the objectives it sought to pursue. Nonetheless, extended deadlines entailed by ministerial intervention were appropriated as a resource by local actors, leading to ARH decisions which deviated from the official efficiency model, but resulted in increased effectiveness, taking fuller account of local conditions. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=2861618 Tue, 23 Jun 2009 23:00:00 +0100 2861618 http://www.medworm.com/index.php?rid=2861617&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009001377%2Fabstract%3Frss%3Dyes This study analyses how various attributes of obstetric care, socio-economic characteristics and attitudes influence the decisions that these women make with regard to obstetric care. The method of discrete-choice experiment was applied in the process of data collection and analysis. The data were collected among low-risk nulliparous pregnant women. The analysis suggests that there are strong preferences among some Dutch women for a home birth. Nevertheless, the absence of a medical pain-relief treatment during home birth, might provide incentives for some women to opt for a birth in a hospital, especially at the end of their pregnancy. If the attractiveness of home birth should be preserved in the Netherlands, specific attention should be paid on the approach to pain during a home birth. ... Health Policy journals http://www.medworm.com/rss/comments.php?id=2861617 Thu, 18 Jun 2009 23:00:00 +0100 2861617 http://www.medworm.com/index.php?rid=2861616&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009001407%2Fabstract%3Frss%3Dyes Conclusions: Healthcare providers should consider offering TCM and western medicine for morbidities requiring rehabilitative services. In a more global healthcare marketplace, the convergence of these two treatment modalities can lead to higher patient satisfaction and more cost-effective treatments. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=2861616 Wed, 17 Jun 2009 23:00:00 +0100 2861616 http://www.medworm.com/index.php?rid=2861615&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009001419%2Fabstract%3Frss%3Dyes Conclusions: The recent political measures go into the right direction in order to further improve health care of severely ill and dying people in Germany. However, the effects on the health care system and on the routine delivery of care are uncertain. It is important to further develop palliative care on a broad societal, political and scientific base. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=2861615 Wed, 17 Jun 2009 23:00:00 +0100 2861615 http://www.medworm.com/index.php?rid=2861614&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009001353%2Fabstract%3Frss%3Dyes Conclusions: Financial barriers to needed primary care exist for a substantial subgroup of people in New Zealand. A key policy lever is lowering cost barriers to make primary health care in general and dental care in particular more accessible. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=2861614 Tue, 16 Jun 2009 23:00:00 +0100 2861614 http://www.medworm.com/index.php?rid=2747308&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009001304%2Fabstract%3Frss%3Dyes Abstract: Although cost-containment policies in Europe are focusing increasingly on medical devices, the impact of these policies has yet to be fully investigated, particularly in cross-country settings. This paper analyses coverage, procurement, and reimbursement of three inpatient medical devices (coronary stent, knee endoprosthesis and implantable cardioverter defibrillator) in the Italian and Spanish healthcare systems. The research was carried out by reviewing published and grey literature, as well as national and regional legislation; in addition, 19 experts from hospitals and the industry were interviewed.In both countries, there has been a shift in political power from the national to the regional level. At the same time, the content of public coverage has become more explicit. A m... Health Policy journals http://www.medworm.com/rss/comments.php?id=2747308 Sun, 14 Jun 2009 23:00:00 +0100 2747308 http://www.medworm.com/index.php?rid=2747306&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009001316%2Fabstract%3Frss%3Dyes Abstract: Healthcare managers are continuously urged to provide better patient services at a lower cost. To cope with these cost pressures, healthcare management needs to improve its understanding of the relevant cost drivers. Through a case study, we show how to perform a time-driven activity-based costing of five outpatient clinic's departments and provide evidence of the benefits of such an analysis. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=2747306 Mon, 08 Jun 2009 23:00:00 +0100 2747306 http://www.medworm.com/index.php?rid=2747305&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009001328%2Fabstract%3Frss%3Dyes Abstract: In this paper we compare the experiences of seven industrialized countries in considering approval and introduction of the world's first cervical cancer-preventing vaccine. Based on case studies, articles from public agencies, professional journals and newspapers we analyse the public debate about the vaccine, examine positions of stakeholder groups and their influence on the course and outcome of this policy process. The analysis shows that the countries considered here approved the vaccine and established related immunization programs exceptionally quickly even though there still exist many uncertainties as to the vaccine's long-term effectiveness, cost-effectiveness and safety. Some countries even bypassed established decision-making processes. The voice of special interest gr... Health Policy journals http://www.medworm.com/rss/comments.php?id=2747305 Mon, 08 Jun 2009 23:00:00 +0100 2747305 http://www.medworm.com/index.php?rid=2747304&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS016885100900102X%2Fabstract%3Frss%3Dyes Conclusions: Currently the price setting behavior of providers lacks transparency. Protective regulation could be refined by taking into account the longer length of stay of vulnerable groups. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=2747304 Mon, 08 Jun 2009 23:00:00 +0100 2747304 http://www.medworm.com/index.php?rid=2747307&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009001389%2Fabstract%3Frss%3Dyes Abstract: Objectives: China's government has decided to increase government funding by 1–1.5% of the Gross Domestic Products in the health care sector. However, it is still a question how to turn the new funding into efficient health care.Methods: To help to answer this question we analyze three prototype models of organizing the health care system that may be relevant for China, namely the “Government provision model”, the “regulated market with non-competing third-party purchasers”, and the “regulated market with competing third-party purchasers”. The pre- and post-reform English health care system and the present Dutch health care system are used as examples of the three models. During the last 20 years these countries had, just as China, major health care reforms from a n... Health Policy journals http://www.medworm.com/rss/comments.php?id=2747307 Sun, 07 Jun 2009 23:00:00 +0100 2747307 http://www.medworm.com/index.php?rid=2747283&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS016885100900133X%2Fabstract%3Frss%3Dyes Conclusions: Despite the internationally recognized health policy flexibility and innovation demonstrated in Cambodia, policy response still lags well behind the reality of social transition. In order to minimize the delay between transition and response, new policy making tactics are required in order to provide more flexible and timely responses to the ongoing social transition and its impacts on population health needs in the lowest socio-economic quintiles. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=2747283 Sun, 07 Jun 2009 23:00:00 +0100 2747283 http://www.medworm.com/index.php?rid=2747303&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009001018%2Fabstract%3Frss%3Dyes Abstract: Innovative health technologies are often the focus of attention. However, in the allocation of public resources for improving health, the focus should be on the health needs of the population. It is the need that should be analyzed first, and decision makers should then evaluate the full range of interventions available, whether new or old, to meet this need. This is in contrast to analyzing the technology first and then characterizing the need it meets, which is the current practice in reimbursement decision-making in several countries. The identified health need should define national health goals, and these goals should be proactively assimilated into the reimbursement decision-making process. Differential reimbursement rates could reflect the relative contribution of the tech... Health Policy journals http://www.medworm.com/rss/comments.php?id=2747303 Sun, 31 May 2009 23:00:00 +0100 2747303 http://www.medworm.com/index.php?rid=2747302&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009001365%2Fabstract%3Frss%3Dyes Conclusions: This study do not answer the question about how to make prioritisation in health care but the result highlights the different ways that the decision makers view the subject and thereby elicit that publicly elected politicians and physicians perhaps not always work with the same goal ahead. There are needs for more research but also more media focus on the subject so the citizens will be aware and take part in the debate. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=2747302 Sun, 31 May 2009 23:00:00 +0100 2747302 http://www.medworm.com/index.php?rid=2747301&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009001341%2Fabstract%3Frss%3Dyes Conclusions: Although health insurance has the potential of increasing access and reducing the financial burden of health care utilization, Vietnam's experience clearly suggests that these benefits may not be fully realized as long as the quality of care remains low and the high opportunity costs of accessing insurance benefits deter the insured from accessing benefits. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=2747301 Sun, 31 May 2009 23:00:00 +0100 2747301 http://www.medworm.com/index.php?rid=2747300&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009001031%2Fabstract%3Frss%3Dyes Conclusions: It is important to discuss the appropriate sharing of roles, responsibilities, and cooperation among medical facilities in line with the observed changes of career paths and physician distributions (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=2747300 Thu, 28 May 2009 23:00:00 +0100 2747300 http://www.medworm.com/index.php?rid=2747299&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009001006%2Fabstract%3Frss%3Dyes Conclusions: The cost of FDG-PET is mainly influenced by the cost of the radiopharmaceutical. Therefore, the latter rather than the operational time should be reduced in order to improve its cost-effectiveness. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=2747299 Thu, 14 May 2009 23:00:00 +0100 2747299 http://www.medworm.com/index.php?rid=2747298&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009000992%2Fabstract%3Frss%3Dyes Conclusions: Even in the short time period covered, our analysis shows that health care needs by age are changing over time in Canada. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=2747298 Wed, 13 May 2009 23:00:00 +0100 2747298 http://www.medworm.com/index.php?rid=2401985&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009001171%2Fabstract%3Frss%3Dyes (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=2401985 Mon, 11 May 2009 01:08:42 +0100 2401985 http://www.medworm.com/index.php?rid=2401984&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009001134%2Fabstract%3Frss%3Dyes (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=2401984 Mon, 11 May 2009 01:08:42 +0100 2401984 http://www.medworm.com/index.php?rid=2747297&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009000980%2Fabstract%3Frss%3Dyes This article explores the policies pursued by European countries to find the right balance between improving access to new medical devices and restricting market forces to contain costs and ensure affordability. We outline the medical device policies of the four European countries with the largest expenditures on devices: Germany, France, Italy, and the UK. Subsequently, we discuss how these policies attempt to balance technological adoption and affordability by illustrating two case studies from Italy and Germany. We find that reference prices, if defined as maximum reimbursement levels, can help to achieve balance, because they are supposed to contain costs effectively, but do not necessarily act as a hurdle for the adoption of innovations. We also find that policy tools that encourage t... Health Policy journals http://www.medworm.com/rss/comments.php?id=2747297 Sun, 03 May 2009 23:00:00 +0100 2747297 http://www.medworm.com/index.php?rid=2747296&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009000827%2Fabstract%3Frss%3Dyes Conclusions: This paper provides a snapshot of the main policy issues, as identified by key informants, facing chronic disease management in rural and remote Indigenous communities in Australia. It has the potential to contribute to new national policy directions in Indigenous health. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=2747296 Sun, 03 May 2009 23:00:00 +0100 2747296 http://www.medworm.com/index.php?rid=2747295&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009000839%2Fabstract%3Frss%3Dyes Conclusions: There is a need for more attention to the implementation of policies for language barriers in both Ireland and England, further research about the normalization processes associated with these consultations and knowledge transfer networks to facilitate on-going dialogue between all key stakeholders with an emphasis on supporting service users’ involvement and participation. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=2747295 Tue, 28 Apr 2009 23:00:00 +0100 2747295 http://www.medworm.com/index.php?rid=2747294&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009000797%2Fabstract%3Frss%3Dyes Conclusions: The workplace-smoking ban was effective in reducing ETS exposure among employees. However, after the ban still 52.2% of non-smoking workers reported to be exposed. We did not find the expected stronger effect among employees who were at higher risk. Both before and after implementation of the ban, males and lower educated employees were about two times more likely to be exposed to ETS. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=2747294 Sun, 26 Apr 2009 23:00:00 +0100 2747294 http://www.medworm.com/index.php?rid=2747293&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009000785%2Fabstract%3Frss%3Dyes Abstract: Internet and e-commerce have profoundly changed society, the economy, and the world of health care. The web offers opportunities to improve health, but it may also represent a big health hazard since it is a basically unregulated market with very low consumer protection. In this paper we analyze marketing and pricing strategies of online pharmacies (OPs). Our analysis shows that OPs use strategies that would be more suitable for a commodity market than for drugs. These strategies differentiate according to variety (brand or generic), quality, quantity, and target group. OPs are well aware that the vacuum in the legislation allows them to reach a target of consumers that pharmacies cannot normally reach, such as those who would like to use the drug without consulting a physician (... Health Policy journals http://www.medworm.com/rss/comments.php?id=2747293 Sun, 26 Apr 2009 23:00:00 +0100 2747293 http://www.medworm.com/index.php?rid=2747292&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009000803%2Fabstract%3Frss%3Dyes Conclusions: Our results indicate that the influence of socioeconomic factors may be overstated failing to control for access to specialised care. Still, a socioeconomic gradient was observed in GPs’ referral pattern to different sorts of health care after adjusting for access. The association between socioeconomic status and referral pattern can both be rooted in morbidity variation and to the ability of persons with high socioeconomic status to influence general practitioners’ (GPs’) decision making. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=2747292 Sun, 26 Apr 2009 23:00:00 +0100 2747292 http://www.medworm.com/index.php?rid=2747291&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009000815%2Fabstract%3Frss%3Dyes Conclusions: High drop-out rates endanger the sustainability of CBI not only because they reduce the size of the insurance pool, but also because they bear a negative impact on further enrolment and drop-out. The drop-out rate in the scheme of the Nouna Health District, Burkina Faso, is very high. The reasons for drop-out may be related to affordability, health-needs and health demand, quality of care, household head and household characteristics. This study represents a valuable attempt towards further increasing the sustainability of CBI schemes, by understanding not what motivates people to first enrol in CBI, but what motivates them to renew membership year after year. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=2747291 Sun, 26 Apr 2009 23:00:00 +0100 2747291 http://www.medworm.com/index.php?rid=2352591&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009000931%2Fabstract%3Frss%3Dyes (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=2352591 Wed, 22 Apr 2009 00:53:51 +0100 2352591 http://www.medworm.com/index.php?rid=2352589&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009000943%2Fabstract%3Frss%3Dyes (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=2352589 Wed, 22 Apr 2009 00:53:49 +0100 2352589 http://www.medworm.com/index.php?rid=2352587&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851008002364%2Fabstract%3Frss%3Dyes Conclusion: It is important to say that equal opportunity as well as opportunities for skills development and training should be universal within the NHS as this could improve the inequitable treatment that is apparent throughout the UK. There is a need for NHS trust hospitals in the UK to review their equal opportunity and skills development and training policies in the light of these findings. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=2352587 Wed, 22 Apr 2009 00:53:47 +0100 2352587 http://www.medworm.com/index.php?rid=2352585&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851008002133%2Fabstract%3Frss%3Dyes Conclusions: Research evaluating different DVT service models usually reports on clinical efficacy in centres of excellence. Results show prompt diagnosis is valued by patients and may improve efficacy by reducing unnecessary anticoagulation. However, patients value ‘process’ measures such as continuity of care also. To ensure optimal provision, clinical benefit measurement ought to be augmented with information on patients’ preferences. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=2352585 Wed, 22 Apr 2009 00:53:39 +0100 2352585 http://www.medworm.com/index.php?rid=2352584&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851008002339%2Fabstract%3Frss%3Dyes Abstract: In many European countries, since the World War II, there has been a trend towards decentralization of health policy to lower levels of governments, while more recently there have been re-centralization processes. Whether re-centralization will be the new paradigm of European health policy or not is difficult to say. In the Italian National Health Service (SSN) decentralization raised two related questions that might be interesting for the international debate on decentralization in health care: (a) what sort of regulatory framework and institutional balances are required to govern decentralization in health care in a heterogeneous country under tough budget constraints? (b) how can it be ensured that the most advanced parts of the country remain committed to solidarity, supporti... Health Policy journals http://www.medworm.com/rss/comments.php?id=2352584 Wed, 22 Apr 2009 00:53:27 +0100 2352584 http://www.medworm.com/index.php?rid=2352583&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851008002170%2Fabstract%3Frss%3Dyes Conclusions: The impact of changes to immigration policies is evident five years after implementation. Immigrant medical screening identifies increasing numbers of immigrants diagnosed with HIV. Immigrants require engagement in health care to achieve the full benefits of HIV management. Developed countries with increasing immigrant populations should be aware of how policy changes affect HIV prevalence rates, modes diagnosis and presentation, future clinical demands, and health care utilization. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=2352583 Wed, 22 Apr 2009 00:53:25 +0100 2352583 http://www.medworm.com/index.php?rid=2352581&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851008002327%2Fabstract%3Frss%3Dyes Conclusions: This study highlights a series of tensions extant between policy vision and implementation of the AP role in practice. Introduction of new healthcare roles requires compromise and negotiation, to shape and define what social space incumbents of these and existing roles will occupy. However the way in which new roles are defined will determine how they become embraced and embedded within future healthcare services. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=2352581 Wed, 22 Apr 2009 00:53:14 +0100 2352581 http://www.medworm.com/index.php?rid=2352579&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851008002200%2Fabstract%3Frss%3Dyes Conclusion: The direct pricing strategy, i.e. the international reference pricing, was considered to be the most successful method. In contrast, due to the unpredictability of the market situation, the resulting effects of the indirect methods, i.e. reference-based pricing, generic substitution, and index pricing, were more limited. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=2352579 Wed, 22 Apr 2009 00:53:02 +0100 2352579 http://www.medworm.com/index.php?rid=2352578&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851008002182%2Fabstract%3Frss%3Dyes Conclusions: If mortality rates continue to fall, lower survivor costs and higher decedent costs will lower future growth in health expenditures due to aging. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=2352578 Wed, 22 Apr 2009 00:52:52 +0100 2352578 http://www.medworm.com/index.php?rid=2352577&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851008002297%2Fabstract%3Frss%3Dyes Conclusions: Slovenia’s privatisation in health care is focused on primary health care and on health expenditures. Controversies over its extent kept privatisation contained and controlled. Today’s share of private provision of health services remains at the conservative end of the European Union. Private expenditures for health services increased considerably, while privatisation of health infrastructure and management has so far been limited. Concerns about the future course of privatisation relate to the issues of equity, fairness and solidarity. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=2352577 Wed, 22 Apr 2009 00:52:39 +0100 2352577 http://www.medworm.com/index.php?rid=2352576&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851008002303%2Fabstract%3Frss%3Dyes Conclusions: The law was significant step in activities related to reporting systems and activities for increasing awareness among service providers. Further policy should address how to establish intervention teams and multi-agency networks, how to carry out home visits to investigate reports, and how to approach cases resistant to outside support. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=2352576 Wed, 22 Apr 2009 00:52:24 +0100 2352576 http://www.medworm.com/index.php?rid=2352575&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851008001577%2Fabstract%3Frss%3Dyes Abstract: Although maternal health outcomes have improved considerably in Nepal, continued low levels of skilled attendance and unequal access to safe emergency obstetric care continues to be central policy concern. The financial costs of delivery exacerbated are thought to continue to represent a major barrier to care to accessing services. Policy interest in this area moved swiftly. Skilled birth attendance came under the spotlight in 2001 while research on costs was commissioned in 2003. The resulting conclusions suggested substantial costs particularly on the demand side in the form of transport costs. After the research was completed the Government moved quickly to develop policy on financial barriers to skilled attendance leading to the Maternity Incentive Scheme that was implemented... Health Policy journals http://www.medworm.com/rss/comments.php?id=2352575 Wed, 22 Apr 2009 00:52:05 +0100 2352575 http://www.medworm.com/index.php?rid=2352574&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851008002236%2Fabstract%3Frss%3Dyes Conclusions: For policy leaders, the seven-nation survey suggests that health systems that promote information system infrastructure are better able to address coordination and safety issues, particularly for patients with multiple chronic conditions, as well as to maintain primary care physician workforce satisfaction. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=2352574 Wed, 22 Apr 2009 00:51:55 +0100 2352574 http://www.medworm.com/index.php?rid=2352573&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851008002261%2Fabstract%3Frss%3Dyes Abstract: Already overwhelmed by the burden of communicable diseases, the health systems in South Asia face six global and regional transformational trends, which pose opportunities, challenges and threats. These six trends discussed in the paper are: (i) economic growth and globalization; (ii) technological changes; (iii) labor market changes; (iv) private sector growth; (v) demographic changes; and (vi) epidemiological changes. These trends have created dual challenges for the health systems in South Asia: (i) to achieve the Millennium Development Goals (MDGs) relating to child and maternal health, and communicable diseases and (ii) to deal with the emerging challenges posed by the six transformational trends.The paper suggests and proposes the use of the transformational trends framewor... Health Policy journals http://www.medworm.com/rss/comments.php?id=2352573 Wed, 22 Apr 2009 00:51:43 +0100 2352573 http://www.medworm.com/index.php?rid=2352572&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851008002285%2Fabstract%3Frss%3Dyes Conclusion: Subsidized ART programme lowers the cost of ARV drugs but other major costs are still incurred, which make the overall cost of accessing and consuming ART treatment to be excessive and catastrophic. The costs of laboratory tests and other drugs should be subsidized and there should also be targeting of ART programme to ensure that more rural dwellers and the most-poor people have increased benefit incidence. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=2352572 Wed, 22 Apr 2009 00:51:37 +0100 2352572 http://www.medworm.com/index.php?rid=2352571&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851008002194%2Fabstract%3Frss%3Dyes Conclusions: The overall effect of CBI on health care utilization is significant and positive but the benefit of CBI is not equally enjoyed by all socioeconomic groups. The policy implications are: (a) there is a need to subsidize the premium to favor the enrolment of the very poor; and (b) various measures need to be placed in order to maximize the population’s capacity to enjoy the benefits of insurance once insured. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=2352571 Wed, 22 Apr 2009 00:51:36 +0100 2352571 http://www.medworm.com/index.php?rid=2352570&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851008002273%2Fabstract%3Frss%3Dyes Conclusions: Strategies to address health system and TB programme issues should be implemented before or alongside financial incentives. Operational details and tools for any intervention should be developed, field-tested and revised prior to wide-scale use. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=2352570 Wed, 22 Apr 2009 00:51:35 +0100 2352570 http://www.medworm.com/index.php?rid=2352569&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851008002145%2Fabstract%3Frss%3Dyes Conclusions: At least three-fourths of the U.S. women of reproductive age were at risk for poor health of their own and their offspring. Social intermediation and health policy changes are needed to increase the benefits of available health and social sector interventions to women and thereby to their offspring. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=2352569 Wed, 22 Apr 2009 00:51:31 +0100 2352569 http://www.medworm.com/index.php?rid=2352568&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851008002212%2Fabstract%3Frss%3Dyes Abstract: Separation between operational responsibilities and those of oversight is an important point of discussion in governance. Novel to the literature, this paper not only offers direct evidence on the degree of separation, but also shows its relationship with size (ceteris paribus efficiency prescribes that large organizations implement more separation) and ownership characteristics of non-profit institutions. Using a sample of Belgian (Flemish) nursing homes, we find that in private nursing homes this separation increases with size while this is not the case in public homes. We document that this lack in flexibility in governance practices explains the micro-monitoring in public institutions. We formulate policy implications and suggest solutions to create more flexibility and likel... Health Policy journals http://www.medworm.com/rss/comments.php?id=2352568 Wed, 22 Apr 2009 00:51:31 +0100 2352568 http://www.medworm.com/index.php?rid=2352567&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851008002248%2Fabstract%3Frss%3Dyes Conclusions: Transparent procedures like the Dutch may better facilitate societal control. Informing physicians about the law and the due care requirements for euthanasia, and systematic feedback about their medical actions are both pivotal to achieving efficient societal control and engendering the level of care needed when performing such far-reaching medical acts. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=2352567 Wed, 22 Apr 2009 00:51:27 +0100 2352567 http://www.medworm.com/index.php?rid=2352566&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS016885100800211X%2Fabstract%3Frss%3Dyes Conclusions: In our study quality by QMSDS is weakly related; however, certification is not significantly related to patient safety. We conclude that separate patient safety policies seem worthwhile to be created for the hospital sector in addition to the ongoing quality improvement efforts in Hungary. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=2352566 Wed, 22 Apr 2009 00:51:26 +0100 2352566 http://www.medworm.com/index.php?rid=2352565&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851008002169%2Fabstract%3Frss%3Dyes Abstract: Objective: To discover which changes should be implemented in the system of head nursing management in Slovenian healthcare institutions and social welfare institutions.Methods: The questionnaire was distributed to 155 head nurses of Slovenian hospitals, primary healthcare centres and social welfare institutions. The Burke–Litwin organizational change model has been used to look at which changes have to be implemented in the management system of head nurses.Results: In hospitals head nurses have greater independent competence for planning professional training of nursing employees (p (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=2352565 Wed, 22 Apr 2009 00:51:25 +0100 2352565 http://www.medworm.com/index.php?rid=2352564&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851008002108%2Fabstract%3Frss%3Dyes Conclusion: Comparison of the two cases shows that current trends in the evolution of accreditation threaten the very purpose of the accreditation process. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=2352564 Wed, 22 Apr 2009 00:51:24 +0100 2352564 http://www.medworm.com/index.php?rid=2352563&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851008002091%2Fabstract%3Frss%3Dyes Abstract: Three differences related to the organization of maternal care services are notable when comparing the cases of Chile and Colombia. The first is the role of geographic (territorial) planning of service availability; second the existence of personnel trained specifically to provide labor and delivery care; and, finally, the level of comprehensiveness of strategies for service delivery. The reduction in maternal mortality is seen as the effect of operationalizing these strategies, among others in both countries. These strategies are compared over a period spanning the pre-reform stage, reform and the following years. The lessons learned from both countries are applicable to effective policy making in other countries from the region. The state is the driver and modulator for these c... Health Policy journals http://www.medworm.com/rss/comments.php?id=2352563 Wed, 22 Apr 2009 00:51:23 +0100 2352563 http://www.medworm.com/index.php?rid=2352562&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851008002121%2Fabstract%3Frss%3Dyes Conclusions: Although it has been recognised that incentive-based remuneration schemes can have an impact on GP behaviour, there is still weak empirical evidence on the extent to which such programs influence healthcare outcomes. Our results support the hypothesis that financial transfers may contribute to improve quality of care, even when they are not based on the ex-post verification of performances. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=2352562 Wed, 22 Apr 2009 00:51:18 +0100 2352562 http://www.medworm.com/index.php?rid=2352561&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851008002078%2Fabstract%3Frss%3Dyes Conclusions: TCM is still facing many challenges in playing critical roles in improving public health in China. These challenges can be explained from different perspectives. In addition to the unique characteristics of TCM, economic, cultural, and historical evolution in China may also be major determinants. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=2352561 Wed, 22 Apr 2009 00:51:17 +0100 2352561 http://www.medworm.com/index.php?rid=2352560&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851008002054%2Fabstract%3Frss%3Dyes Conclusions: JMU attained a high rate of obligation compliance. Familial background of entrants and primary care specialty of graduates may be key factors to the contract compliance. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=2352560 Wed, 22 Apr 2009 00:51:14 +0100 2352560 http://www.medworm.com/index.php?rid=2352559&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851008002340%2Fabstract%3Frss%3Dyes Conclusions: The conflicting findings among studies illustrate important ambivalence in physicians that has several implications for health policy. Moreover, this review highlights the importance to interpret survey findings in context of the results of all previous relevant studies. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=2352559 Wed, 22 Apr 2009 00:50:50 +0100 2352559 http://www.medworm.com/index.php?rid=2747290&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS016885100900075X%2Fabstract%3Frss%3Dyes Conclusion: Main persisting barriers in access to ART in Cameroon are rather due to insufficient access to HIV testing and difficulties in patients’ referral to ART delivery centers after HIV diagnosis, since the overwhelming majority of eligible patients already seeking HIV care had effective access. However, health systems strengthening (HSS) is still needed to overcome some remaining barriers in access to ART and to guarantee its long-term sustainability. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=2747290 Wed, 15 Apr 2009 23:00:00 +0100 2747290 http://www.medworm.com/index.php?rid=2747289&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009000773%2Fabstract%3Frss%3Dyes Conclusions: In the present study, it appears that hospitals attempted to increase per-case expense claims to protect their reimbursement from possible discounts under a global budget cap. How Taiwanese hospitals respond to this challenge in the future deserves continued, long-term observation. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=2747289 Sun, 12 Apr 2009 23:00:00 +0100 2747289 http://www.medworm.com/index.php?rid=2747288&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009000761%2Fabstract%3Frss%3Dyes Conclusions: The RBI is a potentially pragmatic tool in British Columbia to help policy makers define the appropriate level of maternity service for a given rural population. The conceptual structure of the model has broad applicability to health service planning problems in other jurisdictions. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=2747288 Sun, 12 Apr 2009 23:00:00 +0100 2747288 http://www.medworm.com/index.php?rid=2747286&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009000517%2Fabstract%3Frss%3Dyes Abstract: Malaria and other vector-borne diseases represent a significant and growing burden in many tropical countries. Successfully addressing these threats will require policies that expand access to and use of existing control methods, such as insecticide-treated bed nets (ITNs) and artemesinin combination therapies (ACTs) for malaria, while weighing the costs and benefits of alternative approaches over time. This paper argues that decision analysis provides a valuable framework for formulating such policies and combating the emergence and re-emergence of malaria and other diseases. We outline five challenges that policy makers and practitioners face in the struggle against malaria, and demonstrate how decision analysis can help to address and overcome these challenges. A prototype dec... Health Policy journals http://www.medworm.com/rss/comments.php?id=2747286 Wed, 08 Apr 2009 23:00:00 +0100 2747286 http://www.medworm.com/index.php?rid=2747287&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009000748%2Fabstract%3Frss%3Dyes Conclusions: Our data support the conclusion that, in the case of GP collaboration initiatives, the social influence mechanism is more relevant than the social capital mechanism. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=2747287 Tue, 07 Apr 2009 23:00:00 +0100 2747287 http://www.medworm.com/index.php?rid=2320868&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19356821%26dopt%3DAbstract Authors: Kramer RA, Dickinson KL, Anderson RM, Fowler VG, Miranda ML, Mutero CM, Saterson KA, Wiener JB Malaria and other vector-borne diseases represent a significant and growing burden in many tropical countries. Successfully addressing these threats will require policies that expand access to and use of existing control methods, such as insecticide-treated bed nets (ITNs) and artemesinin combination therapies (ACTs) for malaria, while weighing the costs and benefits of alternative approaches over time. This paper argues that decision analysis provides a valuable framework for formulating such policies and combating the emergence and re-emergence of malaria and other diseases. We outline five challenges that policy makers and practitioners face in the struggle against malaria, and de... Health Policy journals http://www.medworm.com/rss/comments.php?id=2320868 Mon, 06 Apr 2009 04:00:00 +0100 2320868 http://www.medworm.com/index.php?rid=2320861&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19356822%26dopt%3DAbstract CONCLUSIONS: Our data support the conclusion that, in the case of GP collaboration initiatives, the social influence mechanism is more relevant than the social capital mechanism. PMID: 19356822 [PubMed - as supplied by publisher] (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=2320861 Mon, 06 Apr 2009 04:00:00 +0100 2320861 http://www.medworm.com/index.php?rid=2747285&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009000530%2Fabstract%3Frss%3Dyes Abstract: Ten years ago, Holm's highly influential paper “Goodbye to the simple solutions: the second phase of priority setting” was published [Holm S. Goodbye to the simple solutions: the second phase of priority setting in health care. British Medical Journal 1998;317:1000–7]. Whilst attending the 2nd International Conference on Priorities in Health Care in London, Holm argued that the search for a rational set of decision-making rules was no longer adequate. Instead, the priority setting process itself was now thought to be more complex. Ten years later, the Conference returns to the UK for the first time, and it is timely to describe some new tools intended to assist both researchers and decision-makers seeking to develop both rational and fair and legitimate priority setting pro... Health Policy journals http://www.medworm.com/rss/comments.php?id=2747285 Sun, 05 Apr 2009 23:00:00 +0100 2747285 http://www.medworm.com/index.php?rid=2747284&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009000736%2Fabstract%3Frss%3Dyes Conclusions: The study suggests that GS has promoted the sales of generic product companies in Finland. However, price competition caused by GS has generally decreased the proportion of profit from turnover in the original and generic product companies. The companies have also compensated for their decreased gross margin, which suggests that the profit in euros has not been sufficient to cover fixed costs in the companies. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=2747284 Sun, 05 Apr 2009 23:00:00 +0100 2747284 http://www.medworm.com/index.php?rid=2652767&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009000712%2Fabstract%3Frss%3Dyes The authors regret that the following errors occurred in the above published paper. In the Results section, in the second sentence of the first paragraph, the P values of χ2-test were given as 0.24 for geographic location and 0.94 for bed size, whereas they should have been 0.589 for geographic location and 0.006 for bed size. The corrected sentence thus reads as follows: (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=2652767 Sun, 05 Apr 2009 23:00:00 +0100 2652767 http://www.medworm.com/index.php?rid=2652766&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009000700%2Fabstract%3Frss%3Dyes The author regrets that in the above published article the following errors occurred. In , the data for the P-values of χ2-test were incorrect. The corrected table is reprinted below in its entirety. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=2652766 Sun, 05 Apr 2009 23:00:00 +0100 2652766 http://www.medworm.com/index.php?rid=2652765&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851009000542%2Fabstract%3Frss%3Dyes Abstract: Objectives: To determine how equitable enrolment and utilization of community-based health insurance is in two communities with varying levels of success in implementing the scheme.Methods: The study was undertaken in two communities in Anambra state, southeast Nigeria. Data was collected using a questionnaire that was administered to 971 respondents in two communities selected by simple random sampling. Data analysis examined socio-economic status (SES) differences in enrolment levels, utilization, willingness to renew registration and payments.Results: Enrolment level was 15.5% in the non-successful community and 48.4% in the successful community (p (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=2652765 Sun, 05 Apr 2009 23:00:00 +0100 2652765 http://www.medworm.com/index.php?rid=2652764&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fheap%2Farticle%2FPIIS0168851008002315%2Fabstract%3Frss%3Dyes Conclusion: Policy Navigators appear to be effective in improving access to care and their success underscores the importance of local-level strategies for improving enrollment. (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=2652764 Sun, 05 Apr 2009 23:00:00 +0100 2652764 http://www.medworm.com/index.php?rid=2320877&cid=s_35613_51_f&fid=35613&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19349090%26dopt%3DAbstract CONCLUSION: Policy Navigators appear to be effective in improving access to care and their success underscores the importance of local-level strategies for improving enrollment. PMID: 19349090 [PubMed - as supplied by publisher] (Source: Health Policy) Health Policy journals http://www.medworm.com/rss/comments.php?id=2320877 Sat, 04 Apr 2009 04:00:00 +0100 2320877