3,676 results match your criteria Health Policy [Journal]


Catastrophic risk associated with out-of-pocket payments for long term care in Spain.

Health Policy 2019 Apr 5. Epub 2019 Apr 5.

University of Granada, Campus de la Cartuja, 18071, Granada, Spain. Electronic address:

Objectives: This study analyses the financial burden associated with the introduction of copayment for long-term care (LTC) in Spain in 2012 for dependent individuals.

Material And Methods: We analyse and identify households for which the dependency-related out-of-pocket payment exceeds the defined catastrophic threshold (incidence), and the gap between the copayment and the threshold for the catastrophic copayment (intensity), for the full population sample and for subsamples based on the level of long-term care dependency and on regional characteristics (regional income and political ideology of party ruling the region).

Results: The results obtained show there is a higher risk of impoverishment due to copayment among relatively well-off dependents, although the financial burden falls more heavily on less well-off households. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S01688510193008
Publisher Site
http://dx.doi.org/10.1016/j.healthpol.2019.03.016DOI Listing
April 2019
1 Read

A discussion of the unresolved 2016/17 plans for regulating the Polish dietary supplements market.

Health Policy 2019 Apr 6. Epub 2019 Apr 6.

Maria Curie-Skłodowska University in Lublin, Poland.

The Polish dietary supplement market is growing steadily. However, even though these products may have an impact on health they are not as strongly regulated as pharmaceuticals. In 2016/17 the introduction of new regulations covering the marketing of dietary supplements in Poland was proposed. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.healthpol.2019.04.001DOI Listing

A review of attitudes towards the reuse of health data among people in the European Union: The primacy of purpose and the common good.

Health Policy 2019 Mar 21. Epub 2019 Mar 21.

Department of Public Health, University of Copenhagen, Øster Farigmagsgade 5, 1014 Copenhagen K, Denmark.

Health data are used for still more purposes, and policies are enacted to facilitate data reuse within the European Union. This literature synthesis explores attitudes among people living in the European Union towards the use of health data for purposes other than treatment. Our findings indicate that while a majority hold positive attitudes towards the use of health data for multiple purposes, the positive attitudes are typically conditional on the expectation that data will be used to further the common good. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S01688510193008
Publisher Site
http://dx.doi.org/10.1016/j.healthpol.2019.03.012DOI Listing
March 2019
1 Read

Implications of interprofessional primary care team characteristics for health services and patient health outcomes: A systematic review with narrative synthesis.

Health Policy 2019 Apr 1. Epub 2019 Apr 1.

Maritime SPOR Support Unit, Dalhousie University, Canada.

Interprofessional primary care (IPPC) teams are promoted as an alternative to single profession physician practices in primary care with focus on preventive care and chronic disease management. Characteristics of teams can have an impact on their performance. We synthesized quantitative, qualitative or mixed-methods evidence addressing the design of IPPC teams. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.healthpol.2019.03.015DOI Listing

Primary care reform in Manitoba, Canada, 2011-15: Balancing accountability and acceptability.

Health Policy 2019 Mar 27. Epub 2019 Mar 27.

George & Fay Yee Centre for Healthcare Innovation, Winnipeg Regional Health Authority, Canada.

Primary care reform cannot succeed without substantive change on the part of providers. In Canada, these are mostly fee-for-service physicians, who tend to regard themselves as independent professionals and not under managerial sway. Hence, policymakers must balance two conflicting imperatives: ensuring the acceptability of renewal efforts to these physicians while enforcing their accountability for defined actions or outcomes. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.healthpol.2019.03.014DOI Listing
March 2019
1 Read

Towards safe nurse staffing in England's National Health Service: Progress and pitfalls of policy evolution.

Health Policy 2019 Mar 19. Epub 2019 Mar 19.

University of Southampton, University Road, Southampton, SO17 1BJ, UK; Karolinska Insitutet, Stockholm, Sweden. Electronic address:

In 2013, a national inquiry into care failings at a large public hospital in England resulted in major healthcare reforms that included targeting policy aimed at ensuring the adequacy of nurse staffing levels on hospital wards within NHS England. This paper uses a review of publicly available documents to provide a contextual account of the evolution of nurse staffing policy development prior to and following the inquiry. We found that securing safe staffing policy has been impacted by caveats and competing policy, evidence gaps, lack of coordination, and the absence of readily implementable solutions. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.healthpol.2019.03.011DOI Listing
March 2019
1 Read

The 2017 reform of the hospital sector in Poland - The challenge of consistent design.

Health Policy 2019 Mar 26. Epub 2019 Mar 26.

Health Economics and Social Security Department, Institute of Public Health, Faculty of Health Sciences, Jagiellonian University Medical College, Krakow, Poland.

Beginning in October 2017 a system of basic hospital service provision, popularly called the 'hospitals network' was implemented in Poland. It covered 594 hospitals out of a total number of approx. 920 operating in 2017. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.healthpol.2019.03.013DOI Listing
March 2019
1 Read

Achieving the SDGs: Evaluating indicators to be used to benchmark and monitor progress towards creating healthy and sustainable cities.

Health Policy 2019 Mar 7. Epub 2019 Mar 7.

NHMRC Centre of Research Excellence in Healthy Liveable Communities, Melbourne, Australia; Healthy Liveable Cities Group, Centre for Urban Research, RMIT University, Melbourne, Australia.

In 2016, the World Health Organization declared that 'Health is one of the most effective markers of any city's successful sustainable development' (World Health Organisation, 2016). With estimates that around 6.7 billion people will live in cities by 2050, 21 century city planning decisions will play a critical role in achieving the United Nations (UN) Sustainable Development Goals (SDGs). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.healthpol.2019.03.001DOI Listing
March 2019
1 Read

Prevention of overweight and obesity undertaken by local government units in Poland.

Health Policy 2019 Mar 13. Epub 2019 Mar 13.

Department of Public Health, Medical University of Warsaw, Poland.

Background: Based on the estimates of World Health Organization (WHO), in European Union countries overweight or obesity affects more than 60% of men and over 50% of women. According to the nationwide European Health Interview Survey (EHIS) survey conducted in 2014, in Poland over 62% of men and nearly 46% of women carried excess weight in 2014.

Objective: The objective of the paper is to present health policy programmes aimed at prevention of overweight and obesity developed, implemented and funded by local government units (self-governments of voivodeships, counties, municipalities) in Poland in 2010-2016. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S01688510193005
Publisher Site
http://dx.doi.org/10.1016/j.healthpol.2019.03.006DOI Listing
March 2019
1 Read

What public health strategies work to reduce the tobacco demand among young people? An umbrella review of systematic reviews and meta-analyses.

Health Policy 2019 Mar 18. Epub 2019 Mar 18.

Department of Public Health and Infectious Diseases, Sapienza University of Rome, Italy.

Objective: To perform an umbrella review of systematic reviews and meta-analyses of health policy and health promotion strategies to reduce the tobacco demand in adolescents, youth and young adults.

Methods: Reviewers independently performed an electronic database search, reviewed titles and abstracts, assessed articles' eligibility for inclusion and quality, and extracted relevant data. Only systematic reviews and meta-analyses reporting data on tobacco policies and interventions focusing on individuals aged <25 years were included. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S01688510193004
Publisher Site
http://dx.doi.org/10.1016/j.healthpol.2019.02.009DOI Listing
March 2019
3 Reads

Convergence in Spanish Public health expenditure: Has the decentralization process generated disparities?

Health Policy 2019 Mar 18. Epub 2019 Mar 18.

Department of Economic Analysis, University of Zaragoza, Gran Vía 2, 50.005, Zaragoza, Spain. Electronic address:

This study examines the per capita public health expenditures among the Spanish regions. To that end, we employ the database elaborated by the BBVA Fundation and IVIE (2013) which covers the years 1991-2010. We first test for the null hypothesis of convergence by employing the methodology proposed in Phillips and Sul (2007) in order to determine whether the evolution of the public health expenditures has followed a similar path across the Spanish regions. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.healthpol.2019.03.003DOI Listing

Children's right to smoke-free air: Public support in Norway for banning smoking in vehicles with children present.

Health Policy 2019 Mar 13. Epub 2019 Mar 13.

Directorate of Immigration (UDI), PO Box 8108 Dep., N-0032 Oslo, Norway. Electronic address:

Background: Children have a statutory right to a smoke-free environment, and tobacco control advocates are now considering regulation of smoking behavior in the private sphere. The Norwegian Institute of Public Health has investigated the support for a ban on smoking in cars with children compared to other possible extensions of the tobacco act among the Norwegian public.

Material And Methods: A nationwide representative survey (CAWI) of 5543 participants was conducted in 2014-2015. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.healthpol.2019.03.004DOI Listing

New partnerships, new perspectives: The relevance of sexual and reproductive health and rights for sustainable development.

Health Policy 2019 Mar 16. Epub 2019 Mar 16.

Makerere University, Uganda.

In the light of the opportunities presented by the Sustainable Development Goals (SDGs) debate is being reignited to understand the connections between human population dynamics (including rapid population growth) and sustainable development. Sustainable development is seriously affected by human population dynamics yet programme planners too often fail to consider them in development programming, casting doubt on the sustainability of such programming. Some innovative initiatives are attempting to cross sector boundaries once again, such as the Population Health and Environment (PHE) programmes, which are integrated programmes encompassing family planning service provision with broader public health services and environmental conservation activities. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.healthpol.2019.03.010DOI Listing
March 2019
1 Read

Does size matter? The impact of caseload and expertise concentration on AMI 30-day mortality-A comparison across 10 OECD countries.

Health Policy 2019 Mar 15. Epub 2019 Mar 15.

Health Division, Directorate for Employment, Labour and Social Affairs, OECD, France. Electronic address:

Objective: To examine the variability of hospital performance within and across countries, using 30-day acute myocardial infarction (AMI) mortality, and to study the impact of hospital characteristics on performance.

Study Setting: Hospital-level adjusted risk standardized mortality rates (RSMR) and hospital characteristics were collected from 10 OECD and two collaborating countries including 1,163 hospitals.

Study Design: Associations between RSMR and hospital characteristics were studied using univariate and multivariate linear regressions. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.healthpol.2019.03.007DOI Listing
March 2019
1 Read

The 2018 establishment of a national expert panel for patients with serious life-threatening disease in Norway.

Health Policy 2019 Mar 7. Epub 2019 Mar 7.

Norwegian Institute for Public Health and Professor, University of Oslo, Member of the European Observatory's Health Systems Policy Monitor, vei 4 0373, Oslo, Norway. Electronic address:

The discussion on priority setting in Norwegian healthcare has resulted in several white papers and the establishment of a Council for priority setting from 2007-2017. In 2009 the Council discussed and proposed a system for renewed evaluation by an expert panel for cancer patients, as was in place in Denmark. However, the Directorate of Health found that patients already had the right of second opinion, and thus did not need a new expert panel like the one proposed. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.healthpol.2019.01.006DOI Listing

Geographic variation in inpatient costs for Acute Myocardial Infarction care: Insights from Italy.

Health Policy 2019 Mar 6. Epub 2019 Mar 6.

Institute of Management and Department EMbeDS, Scuola Superiore Sant'Anna, Piazza Martiri della Libertà 33, 56127 Pisa, Italy.

Geographic variations in healthcare expenditures have been widely reported within and between countries. Nevertheless, empirical evidence on the role of organizational factors and care systems in explaining these variations is still needed. This paper aims at assessing the regional differences in hospital spending for patients hospitalized for Acute Myocardial Infarction (AMI) in Tuscany and Lombardy regions (Italy), which rank high in terms of care quality and that have been, at least until 2016, characterized by quite different governance systems. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.healthpol.2019.01.010DOI Listing
March 2019
1 Read

Has the diffusion of primary care teams in France improved attraction and retention of general practitioners in rural areas?

Health Policy 2019 Mar 8. Epub 2019 Mar 8.

Paris-Ouest-Nanterre-La-Défense University, 200 avenue de la République, 92001 Nanterre Cedex, France. Electronic address:

Many countries, including France, are facing the old and persistent problem of geographical inequalities of their health human resources, in particular general practitioners (GPs). This situation leads, among other things, to underserved areas, which could result in a lower level of primary health care accessibility. Since the mid-2000s in France, several policies were implemented to provide financial as well as other incentives to support the development of multi-professional group practices, Primary Care Teams (PCTs), in order to attract and retain GPs in underserved areas. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.healthpol.2019.03.002DOI Listing

Diversity as salvation? - A comparison of the diversity rationale in the Swedish pharmacy ownership liberalization reform and the primary care choice reform.

Health Policy 2019 Mar 13. Epub 2019 Mar 13.

Department of Pharmacy, University of Copenhagen, Universitetsparken 2, 2100, Copenhagen, Denmark. Electronic address:

Widespread liberalizing reform of the Swedish community pharmacy and primary care sectors took place in 2009-2010, including opening the market to private providers. One important rationale for the reforms was to increase diversity in the health-care system by providing more choices for individuals. The aim of this study was to increase the understanding how policy makers understood and defined diversity as a concept, and as a rationale for the reforms. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.healthpol.2019.03.005DOI Listing

The role of governance in different types of interhospital collaborations: A systematic review.

Health Policy 2019 Mar 5. Epub 2019 Mar 5.

Strategic Policy Cell, Ghent University Hospital, De Pintelaan 185 9000 Ghent, Belgium; Department of Public Health, Faculty of Medicine and Health Science, Ghent University, De Pintelaan 185 9000 Ghent, Belgium. Electronic address:

Context: Financial challenges and the need for high-quality care have vastly increased the number of hospital collaborations in recent decades. The governance of these collaborations remains a challenge. The goal of this study is twofold: (1) to investigate the governance characteristics in an interhospital collaboration and (2) explore the impact on the performance of the interhospital collaboration. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.healthpol.2019.02.010DOI Listing

Barriers to health care access and service utilization of refugees in Austria: Evidence from a cross-sectional survey.

Health Policy 2019 Mar 6. Epub 2019 Mar 6.

Johannes Kepler University Linz, and Vienna Institute for International Economic Studies (wiiw), Rahlgasse 5, 1060 Vienna, Austria. Electronic address:

This paper provides evidence on (1) refugees' subjective well-being, (2) their access and barriers to health care utilization and (3) their perception of health care provision in Austria, one of the countries most heavily affected by the European 'refugee crisis.' It is based on primary data from the Refugee Health and Integration Survey (ReHIS), a cross-sectional survey of roughly five hundred Syrian, Iraqi and Afghan refugees. Results indicate that refugees' self-rated health falls below the resident population's, in particular for female and Afghan refugees. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.healthpol.2019.01.014DOI Listing

Mental health care utilisation and access among refugees and asylum seekers in Europe: A systematic review.

Health Policy 2019 Feb 22. Epub 2019 Feb 22.

London School of Hygiene and Tropical Medicine, Faculty of Public Health and Policy, Department of Health Services Research and Policy, 15-17 Tavistock Place, Kings Cross, London WC1H 9SH, United Kingdom.

Background: Refugees and asylum seekers often have increased mental health needs, yet may face barriers in accessing mental health and psychosocial support (MHPSS) services in destination countries. The aim of this systematic review is to examine evidence on MHPSS service utilisation and access among refugees and asylum seekers in European Union Single Market countries.

Methods: Four peer-reviewed and eight grey literature databases were searched for quantitative and qualitative literature from 2007 to 2017. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.healthpol.2019.02.007DOI Listing
February 2019
6 Reads

The Dutch health system in 2019: Many major reforms, but still work in progress.

Health Policy 2019 Mar;123(3):249-251

European Observatory on Health Systems and Policies, Berlin University of Technology, Berlin, Germany.

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S01688510193002
Publisher Site
http://dx.doi.org/10.1016/j.healthpol.2019.02.005DOI Listing
March 2019
8 Reads

Influence of strategic planning on product marketing and health service orientation of community pharmacies-A national survey in Finland.

Health Policy 2019 Feb 19. Epub 2019 Feb 19.

Clinical Pharmacy Group, Division of Pharmacology and Pharmacotherapy, Faculty of Pharmacy, University of Helsinki, Finland.

The aim of this study was to explore pharmacy owners' views on the strategic development of community pharmacies, particularly how strategic planning at the pharmacy level influences on product marketing and health service orientation of individual community pharmacies. The study was carried out as a national cross-sectional e-mail survey sent to all privately-owned Finnish community pharmacies (n = 581) in March 2013 (response rate 34%, n = 198). The pharmacy owners were asked about their strategy, product marketing and health services activities at the time of the survey and what they regarded as potential strategic developments by 2020. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.healthpol.2019.02.006DOI Listing
February 2019

Are Japanese people satisfied with their health care system and services? Empirical evidence from survey data.

Authors:
Masako Ii Bing Niu

Health Policy 2019 Apr 28;123(4):345-352. Epub 2018 Nov 28.

Osaka Prefecture University, Graduate School of Economics, 1-1, Gakuen-cho, Naka-ku, Sakai-shi, Osaka 599-8531, Japan. Electronic address:

Background: Japan's universal health care system provides many advantages for its users, including affordable health coverage with free and equal access to medical institutions. However, the Japanese population's satisfaction with the health care system is among the lowest internationally. This paper investigates the extent and determinants of satisfaction toward Japan's health care system and services, and compares the results with those of eleven other high-income countries. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.healthpol.2018.11.008DOI Listing

Predicting healthcare expenditure by multimorbidity groups.

Health Policy 2019 Apr 7;123(4):427-434. Epub 2019 Feb 7.

Centre of Economic Engineering, Research Unit for Health Care Economics and Management, Universitat Politècnica de València, Camino de Vera S/N, Valencia, Spain. Electronic address:

Objectives: This article has two main purposes. Firstly, to model the integrated healthcare expenditure for the entire population of a health district in Spain, according to multimorbidity, using Clinical Risk Groups (CRG). Secondly, to show how the predictive model is applied to the allocation of health budgets. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.healthpol.2019.02.002DOI Listing
April 2019
1 Read

Effect of a medical subsidy on health service utilization among schoolchildren: A community-based natural experiment in Japan.

Health Policy 2019 Apr 12;123(4):353-359. Epub 2019 Feb 12.

Department of Public Health, Graduate School of Medicine, The University of Tokyo, Japan.

Reducing out-of-pocket medical payments for children can reduce financial barriers to healthcare, but may increase health service expenditure. Efficient schemes of patient cost-sharing are needed to address this. We explored the impacts of a medical subsidy for children (MSC), which contained two schemes for cost-sharing of medical expenditure and health service utilization. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.healthpol.2019.02.003DOI Listing

An EU approach to health system performance assessment: Building trust and learning from each other.

Health Policy 2019 Apr 12;123(4):403-407. Epub 2019 Feb 12.

European Commission, Belgium.

EU countries have recently joined forces to carry out common work on health systems performance assessment (HSPA). After the signature of the Tallinn Charter in 2008, a small group of countries brought the issue of HSPA on the EU agenda; this led the European commission and member states to set up an expert group on HSPA in 2014. This group started by facilitating the exchange of best practices and lessons learnt, with an eye to avoiding duplications with activities of international organisations. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.healthpol.2019.02.004DOI Listing
April 2019
4 Reads

Determinants of the performance of traditional Chinese medicine clinics in Taiwan.

Health Policy 2019 Apr 29;123(4):379-387. Epub 2019 Jan 29.

Institute of Biomedical Engineering, National Taiwan University, Taiwan. Electronic address:

The study attempts to investigate the features and determinants of the performance of Taiwanese Traditional Chinese Medicine (TCM) Clinics with data for 4905 TCM clinics over the 1998 to 2012 period. The empirical results from the fixed effects model and the Hausman-Taylor Model with cluster-robust standard errors reveal several interesting findings. First, consumer characteristics such as the frequency of disabling injuries has positive impacts on the volume of medical services provided by TCM clinics. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S01688510193002
Publisher Site
http://dx.doi.org/10.1016/j.healthpol.2019.01.009DOI Listing
April 2019
8 Reads

Asbestos neglect: Why asbestos exposure deserves greater policy attention.

Health Policy 2019 Feb 7. Epub 2019 Feb 7.

Interface Demography, Sociology Department, Vrije Universiteit Brussel, Pleinlaan 2, 1050, Brussels, Belgium. Electronic address:

While many public health threats are now widely appreciated by the public, the risks from asbestos exposure remain poorly understood, even in high-risk groups. This article makes the case that asbestos exposure is an important, ongoing global health threat, and argues for greater policy efforts to raise awareness of this threat. It also proposes the extension of asbestos bans to developing countries and increased public subsidies for asbestos testing and abatement. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.healthpol.2019.02.001DOI Listing
February 2019
9 Reads

The ageing and de-institutionalisation of death-Evidence from England and Wales.

Authors:
George W Leeson

Health Policy 2019 Apr 2;123(4):435-439. Epub 2019 Feb 2.

Oxford Institute of Population Ageing, University of Oxford, United Kingdom; Kellogg College and Oxford Martin School, University of Oxford, United Kingdom. Electronic address:

Increasingly, age of death is postponed until very old age, and care of those who are dying is challenged by medical co-morbidities and the presence of dementia. Although most people would prefer to die at home, currently in England and Wales only about 20 per cent of those aged 65 years and over die at home, and this proportion falls to about 10 per cent among those aged over 85 years. To explore recent and likely future trends in age and place of death, mortality statistics from 2006 to 2013 were analysed and projected to 2050 using age- and gender-specific rates. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.healthpol.2019.01.013DOI Listing

A community pharmacist home visit project for high utilizers under a universal health system: A preliminary assessment.

Health Policy 2019 Apr 30;123(4):373-378. Epub 2019 Jan 30.

Institute of Health Policy and Management, College of Public Health, National Taiwan University, Taipei, Taiwan; Population Health Research Center, National Taiwan University, Taipei, Taiwan. Electronic address:

Due to the increasing prevalence of multimorbidity, the percentage of heavy users of health care services increased rapidly. To contain inappropriate outpatient visits and improve better medication management of high utilizers, the National Health Insurance Administration in Taiwan launched a community pharmacist home visit (CPHV) project for high utilizers in 2010. We employed a natural experimental design to evaluate the preliminary effects of the CPHV project. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.healthpol.2019.01.011DOI Listing
April 2019
1 Read

Public-private partnerships in the Spanish National Health System: The reversion of the Alzira model.

Health Policy 2019 Apr 2;123(4):408-411. Epub 2019 Feb 2.

Health Services and Policy Research Group, Institute for Health Sciences in Aragón, IACS, Aragon, Spain. Electronic address:

In the statutory Spanish National Health System (SNHS), the role of public provision is prominent. Nonetheless, since the inception of the SNHS, Regional Health Authorities have also purchased hospital care from private not-for-profit or for-profit providers, usually complementing public provision. Over the years, the autonomous community of Valencia has championed the use of Public Private Partnerships (PPP) in the form of administrative concessions (AC) awarded to private providers. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.healthpol.2019.01.012DOI Listing
April 2019
7 Reads

Health enhancing physical activity in all policies? Comparison of national public actors between France and Belgium.

Health Policy 2019 Mar 24;123(3):327-332. Epub 2019 Jan 24.

Université Côte d'Azur, LAMHESS, 06205 Nice, France.

Despite evidence on the benefits of health enhancing physical activity (HEPA), only few countries have developed "health in all policies" and specifically integrated HEPA policies. Paucity of studies have questioned the role of public national actors in PA policies enactment and delivery, the barriers and levers for adopting cross-sectoral HEPA. The present work seeks at comparing France and Belgium in regard to their competencies of ministries promoting HEPA, the presence of leadership and coordination in HEPA policies implementation, their key public legal entities working on HEPA. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.healthpol.2019.01.008DOI Listing
March 2019
3 Reads

Factors affecting participation in health checkups: Evidence from Japanese survey data.

Health Policy 2019 Apr 26;123(4):360-366. Epub 2018 Oct 26.

Research Institute for Economics and Business Administration, Kobe University, Japan.

Multiple factors influence individuals to get health checkups. This study investigates key determinants of the health checkup decision by using 2696 Japanese respondents' data from a questionnaire survey entitled "Preference Parameters Study" that was conducted in four countries by the Global Centers of Excellence program at Osaka University. In the Probit and OLS regressions, other than relevant personal attributes being identified, the hyperbolic discounter dummy and its interaction terms with respondents' health behaviors were also included as independent variables. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.healthpol.2018.10.013DOI Listing

Cure for increasing health care costs: The Bernhoven case as driver of new standards of appropriate care.

Health Policy 2019 Mar 11;123(3):306-311. Epub 2019 Jan 11.

PwC Strategy& (Formerly Booz&co), Thomas R. Malthusstraat 5, 1066 JR Amsterdam, the Netherlands; Radboud University Nijmegen Medical Center, Scientific Institute for Quality of Healthcare, P.O. Box 9101, 6500 HB Nijmegen, the Netherlands.

Containing costs is a major challenge in health care. Cost and quality are often seen as trade-offs, but high quality and low costs can go hand-in-hand as waste exists in unnecessary and unfounded care. In the Netherlands, two healthcare insurers and a hospital collaborate to improve quality of care and decrease healthcare costs. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.healthpol.2019.01.002DOI Listing
March 2019
1 Read

The evaluation of mental disorders research reported in British and Irish newspapers between 2002 and 2013, and a comparison with the relative disease burdens and with research outputs in the two countries.

Health Policy 2019 Apr 15;123(4):419-426. Epub 2019 Jan 15.

King's College London, Division of Cancer Studies, Research Oncology, Guy's Hospital, King's College London, Great Maze Pond, London, SE1 6RT, UK; King's College London, Institute of Psychiatry, Psychology & Neuroscience, Centre for Implementation Science, De Crespigny Park, Denmark Hill, London, SE5 8AF, UK. Electronic address:

Mental disorders are a major contributor to the disease burden in Europe. We studied how research on them was communicated to British and Irish newspaper readers through an analysis of stories in the Daily Mail (DML) and The Guardian (GDN) in the UK and the Irish Times (IET) in Ireland, in 2002-13, and whether the coverage reflected the relative burdens of mental disorders, or the amount of research, in the two countries. The cited papers were identified through the newspapers' archive or the Factiva database, and their details and those of the research they cited from the Web of Science, with 1,128 stories in total. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.healthpol.2019.01.005DOI Listing
April 2019
1 Read

Is there Europeanization of physical activity promotion? - A neofunctional approach.

Authors:
Carina Mnich

Health Policy 2019 Mar 14;123(3):317-326. Epub 2019 Jan 14.

University of Applied Sciences Regensburg, Faculty of Applied Social and Health Sciences, Seybothstraße 2, 93053, Regensburg, Germany. Electronic address:

Physical inactivity is a problem in Europe, contributing to various non-communicable diseases (NCDs). While health sciences offer data and models for preventing the development of NCDs through health promotion, they do not explain the dynamics between the different institutions and actors in the health field. Neofunctionalism refers to these different actors and suggests that their interaction leads to the construction of a supranational authority, allowing the actors to cooperate on common policies, rules and institutions, resulting in integration and Europeanization. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.healthpol.2019.01.004DOI Listing

Google Trends: Opportunities and limitations in health and health policy research.

Health Policy 2019 Mar 11;123(3):338-341. Epub 2019 Jan 11.

Università Bocconi, Via Sarfatti, 25, Milano, Italy.

Web search engines have become pervasive in recent years, obtaining information easily on a variety of topics, from customer services and goods to practical information. Beyond these search interests, however, there is growing interest in obtaining health advice or information online. As a result, health and health policy researchers are starting to take note of potential data sources for surveillance and research, such as Google Trends™, a publicly available repository of information on real-time user search patterns. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.healthpol.2019.01.001DOI Listing
March 2019
2 Reads

Reducing ear, nose and throat (ENT) waitlists: Implications of a referral audit.

Health Policy 2019 Mar 31;123(3):333-337. Epub 2018 Dec 31.

Medical Services, Torres and Cape York Hospital and Health Service, Australia; Institute of Health Innovation, Macquarie University, Australia.

Introduction: Many specialist waitlists in Australian hospitals are long. One reason anecdotally reported for this is poor alignment of referrals with current recommended guidelines. This paper reports the findings of an audit undertaken in 2017 for ear, nose and throat (ENT) surgeon referrals submitted by primary health centres within Cape York, Australia. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.healthpol.2018.12.007DOI Listing
March 2019
1 Read

Low institutional trust in health insurers in Dutch health care.

Health Policy 2019 Mar 3;123(3):288-292. Epub 2019 Jan 3.

Radboud University, Faculty of Medicine, Nijmegen, Netherlands.

A central element of the 2006 health insurance reform in the Netherlands is strategic purchasing by health insurers. After a brief elaboration of the concept of trust this article discusses the trust of insured in the new purchasing role of health insurers. There are various indications of a trust problem or credible commitment problem in Dutch health care. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.healthpol.2018.12.008DOI Listing
March 2019
2 Reads

A comparative analysis of treatment costs for home-based care and hospital-based care in enteral nutrition patients: A retrospective analysis of claims data.

Health Policy 2019 Apr 28;123(4):367-372. Epub 2018 Dec 28.

Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan. Electronic address:

Objective: To explore the differences in mean treatment costs between home-based care and hospital-based care in enteral nutrition patients in Japan.

Methods: Using claims data from September 2013 to August 2014, we analyzed patients with recorded reimbursements for enteral nutrition at home or in a hospital. Treatment costs were compared using a panel data analysis with an individual fixed effects model that adjusted for the number of comorbidities and fiscal year. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S01688510183068
Publisher Site
http://dx.doi.org/10.1016/j.healthpol.2018.12.006DOI Listing
April 2019
5 Reads

Health differentials between citizens and immigrants in Europe: A heterogeneous convergence.

Health Policy 2019 Feb 23;123(2):235-243. Epub 2018 Dec 23.

Aix-Marseille Univ, CNRS, EHESS, Centrale Marseille, AMSE, and IDEP, Marseille, France. Electronic address:

The literature on immigration and health has provided mixed evidence on the health differentials between immigrants and citizens, while a growing body of evidence alludes to the unhealthy assimilation of immigrants. Relying on five different health measures, the present paper investigates the heterogeneity in health patterns between immigrants and citizens, and also between immigrants depending on their country of origin. We use panel data on more than 100,000 older adults living in nineteen European countries. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S01688510183068
Publisher Site
http://dx.doi.org/10.1016/j.healthpol.2018.12.005DOI Listing
February 2019
22 Reads

Health related quality of life aspects not captured by EQ-5D-5L: Results from an international survey of patients.

Health Policy 2019 Feb 14;123(2):159-165. Epub 2018 Dec 14.

Department of Health Policy, Medical Technology Research Group, London School of Economics, Houghton Street, WC2A 2AE, England, United Kingdom. Electronic address:

Background: In this paper we discuss and present evidence on whether a generic Health Related Quality of Life (HRQoL) measurement tool, the EQ-5D-5L, captures the dimensions of quality of life (QoL) which patients consider significant.

Methods: An online survey, of individuals with a chronic condition, mainly breast cancer (BC), blood cancers (BLC), rheumatoid arthritis (RA), asthma, and rare diseases (RD) was conducted to collect data on HRQoL and important QoL aspects that respondents thought were not captured by the EQ-5D-5L. Patient organisations across 47 countries were invited to voluntarily share the survey tool with their membership network. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.healthpol.2018.12.003DOI Listing
February 2019
3 Reads

Coordinating primary care services: A case of policy layering.

Health Policy 2019 Feb 14;123(2):215-221. Epub 2018 Dec 14.

Institute of Health Policy, Management and Evaluation, University of Toronto, Canada; North American Observatory on Health Systems and Policies, Canada.

In this paper, we discuss the processes of policy layering as they relate to health care reform. We focus on efforts to achieve systems of coordinated primary care, and demonstrate that material change can be achieved through processes of incremental policy layering. Such processes also have a high potential for unintended consequences. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S01688510183067
Publisher Site
http://dx.doi.org/10.1016/j.healthpol.2018.12.002DOI Listing
February 2019
3 Reads

Learning from elsewhere: Integrated care development in Singapore.

Health Policy 2019 Apr 15;123(4):393-402. Epub 2018 Dec 15.

Centre for Research in Health and Social Care, School for Policy Studies, University of Bristol, UK. Electronic address:

The Singapore healthcare sector faces a myriad of challenges, including a rapidly ageing population, an increasing burden of chronic disease, and the rising cost of healthcare. The Ministry of Health has called for a restructuring and transformation of the current model of care to one that is more accessible, affordable and of higher quality, by the year 2020. In achieving quality health care, care integration through the Regional Health Systems (RHS) is seen as one approach to improving health and social outcomes, increasing healthcare utilisation and increasing satisfaction with healthcare providers. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.healthpol.2018.12.004DOI Listing
April 2019
2 Reads

Real-world cost-effectiveness of drug-eluting stents vs. bare-metal stents for coronary heart disease-A five-year follow-up study.

Health Policy 2019 Feb 28;123(2):229-234. Epub 2018 Nov 28.

Institute of Hospital and Health Care Administration, National Yang-Ming University, Taipei, Taiwan. Electronic address:

Objective: To evaluate the cost-effectiveness of using drugeluting stents (DES) compared to bare-metal stents (BMS) for coronary heart disease (CHD).

Data Sources/study Setting: Data were obtained from the National Health Insurance Longitudinal Health Insurance Database, which contains claims data for 1,000,000 beneficiaries. The data were randomly sampled from all beneficiaries. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.healthpol.2018.11.010DOI Listing
February 2019
1 Read

Threats to the value of Health Technology Assessment: Qualitative evidence from Canada and Poland.

Health Policy 2019 Feb 7;123(2):191-202. Epub 2018 Dec 7.

Department of Sociology and Social Anthropology, Dalhousie University, 6135 University Avenue, Halifax, Nova Scotia, B3H 4R2, Canada. Electronic address:

Background: Health Technology Assessment is used to support the process of drug appraisal and reimbursement decisions in a variety of health systems. Examples can be found in mature Western countries, such as Canada, and in emerging economies of Central and Eastern Europe, such as Poland. The value of HTA in the process is influenced by the evidence used and the stakeholders involved. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.healthpol.2018.12.001DOI Listing
February 2019
1 Read

A comparative performance analysis of a renowned public private partnership for health care provision in Spain between 2003 and 2015.

Health Policy 2019 Apr 27;123(4):412-418. Epub 2018 Nov 27.

Health Services and Policy Research Group, Institute for Health Sciences in Aragón, IACS, Aragon, Spain; REDISSEC-Research Network for Health Services on Chronic Patients, Avda. San Juan Bosco 13 (CIBA Building), 50009, Zaragoza, Spain. Electronic address:

Background: Recently, the once archetype of the public private partnership (PPP) in the Spanish National Health System (SNHS), namely the Alzira's Model, has come to an end. Advocates defended the superiority of PPPs over public-tenured provision, in terms of quality and technical efficiency. This paper profiles and compares Alzira's life-cycle performance with similar public-tenured providers. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.healthpol.2018.11.009DOI Listing
April 2019
8 Reads