3,647 results match your criteria Health Policy [Journal]


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

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

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

Authors:
George W Leeson

Health Policy 2019 Feb 2. 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

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http://dx.doi.org/10.1016/j.healthpol.2019.01.013DOI Listing
February 2019

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

Health Policy 2019 Jan 30. 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

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http://dx.doi.org/10.1016/j.healthpol.2019.01.011DOI Listing
January 2019

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

Health Policy 2019 Feb 2. 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

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http://dx.doi.org/10.1016/j.healthpol.2019.01.012DOI Listing
February 2019

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

Health Policy 2019 Jan 24. 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

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http://dx.doi.org/10.1016/j.healthpol.2019.01.008DOI Listing
January 2019

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

Health Policy 2018 Oct 26. 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

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http://dx.doi.org/10.1016/j.healthpol.2018.10.013DOI Listing
October 2018

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

Health Policy 2019 Jan 11. 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

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http://dx.doi.org/10.1016/j.healthpol.2019.01.002DOI Listing
January 2019
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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 Jan 15. 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

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http://dx.doi.org/10.1016/j.healthpol.2019.01.005DOI Listing
January 2019
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Is there Europeanization of physical activity promotion? - A neofunctional approach.

Authors:
Carina Mnich

Health Policy 2019 Jan 14. 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

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http://dx.doi.org/10.1016/j.healthpol.2019.01.004DOI Listing
January 2019

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

Health Policy 2019 Jan 11. 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

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http://dx.doi.org/10.1016/j.healthpol.2019.01.001DOI Listing
January 2019

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

Health Policy 2018 Dec 31. 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

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http://dx.doi.org/10.1016/j.healthpol.2018.12.007DOI Listing
December 2018
1 Read

Low institutional trust in health insurers in Dutch health care.

Health Policy 2019 Jan 3. 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

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http://dx.doi.org/10.1016/j.healthpol.2018.12.008DOI Listing
January 2019

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 2018 Dec 28. 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

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http://dx.doi.org/10.1016/j.healthpol.2018.12.006DOI Listing
December 2018

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

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https://linkinghub.elsevier.com/retrieve/pii/S01688510183068
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http://dx.doi.org/10.1016/j.healthpol.2018.12.005DOI Listing
February 2019
12 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

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http://dx.doi.org/10.1016/j.healthpol.2018.12.003DOI Listing
February 2019
2 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

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

Learning from elsewhere: Integrated care development in Singapore.

Health Policy 2018 Dec 15. 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

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http://dx.doi.org/10.1016/j.healthpol.2018.12.004DOI Listing
December 2018
1 Read

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

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

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

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

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

Health Policy 2018 Nov 27. 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

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http://dx.doi.org/10.1016/j.healthpol.2018.11.009DOI Listing
November 2018
1 Read

"Stop talking around projects and talk about solutions": Positioning health within infrastructure policy to achieve the sustainable development goals.

Health Policy 2018 Nov 27. Epub 2018 Nov 27.

Centre for Health Research, Western Sydney University, School of Medicine, Australia.

Purpose And Setting: Infrastructure is a global multi-trillion dollar market presenting many opportunities and risks for sustainable development. This article aims to foster better conceptualisation of the connections and tensions between infrastructure policy and public health in the light of the Sustainable Development Goals, especially 'good health and wellbeing' (number 3) and 'industry, innovation and infrastructure' (number 9), based on findings from interviews with a purposive sample of senior practicing Australian infrastructure policy makers.

Principal Findings: We use an institutional framework to explore the ideas, actors, rules and mandates, and procedures underpinning the inclusion of health in infrastructure policy. Read More

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http://dx.doi.org/10.1016/j.healthpol.2018.11.013DOI Listing
November 2018

The challenge of democratic patient representation: Understanding the representation work of patient organizations through methodological triangulation.

Health Policy 2019 Jan 27;123(1):109-114. Epub 2018 Nov 27.

Erasmus School of Health Policy & Management, Erasmus University Rotterdam, Rotterdam, 3000, DR, the Netherlands. Electronic address:

Increasingly, patient organizations (POs) play a role in health policy making. Their involvement is expected to contribute to the democratization of decision making. It is therefore important to study this contribution. Read More

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http://dx.doi.org/10.1016/j.healthpol.2018.11.011DOI Listing
January 2019

Trust in times of health reform.

Health Policy 2018 Nov 30. Epub 2018 Nov 30.

NIVEL - Netherlands Institute for Health Services Research and Department of Health Services Research, Maastricht University, the Netherlands.

Trust is seen as an important condition for the smooth functioning of institutions, such as the health care system. In this article we describe the trust relationships between the three main actors in the Dutch health care system: patients/insured, healthcare providers and insurers. We used data from different surveys between 2006 and 2016. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S01688510183066
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http://dx.doi.org/10.1016/j.healthpol.2018.11.016DOI Listing
November 2018
6 Reads

Using a stated preference discrete choice experiment to assess societal value from the perspective of decision-makers in Europe. Does it work for rare diseases?

Health Policy 2019 Feb 29;123(2):152-158. Epub 2018 Nov 29.

University of Castilla-La Mancha, Faculty of Occupational Therapy, Speech Therapy and Nursing, Talavera de la Reina, Toledo, Spain.

Objectives: To pilot the feasibility of using a discrete choice experiment (DCE) design to investigate individual preferences from the decision-maker perspective regarding the use of public funding for orphan drugs and generate prior information for future experimental designs.

Methods: A DCE was used on a convenience sample of participants from five European countries (England, France, Germany, Italy and Spain), exploring their preferences in distinct healthcare scenarios involving orphan drugs. A preliminary review of the empirical literature on distributive preferences informed the selection of attributes and their levels in the design. Read More

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http://dx.doi.org/10.1016/j.healthpol.2018.11.015DOI Listing
February 2019

Framing health literacy: A comparative analysis of national action plans.

Health Policy 2019 Jan 27;123(1):11-20. Epub 2018 Nov 27.

Bielefeld University, Universitätsstraße 25, 33615, Bielefeld, Germany. Electronic address:

Population and individual deficits in health literacy, and their associated negative health outcomes, have received growing attention in the political arena in recent years. In order to respond to the problem, several governments have adopted national action plans, which outline strategies to improve health literacy. Drawing on the action plans of the USA, Australia, Scotland, and Wales and applying Entman's concept of framing, this paper analyses how health literacy debates are framed within the political arena as well as the factors that influence framing. Read More

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http://dx.doi.org/10.1016/j.healthpol.2018.11.012DOI Listing
January 2019
9 Reads

Emergency and urgent care systems in Australia, Denmark, England, France, Germany and the Netherlands - Analyzing organization, payment and reforms.

Health Policy 2019 Jan 10;123(1):1-10. Epub 2018 Nov 10.

Department of Health Care Management, Berlin Centre for Health Economics Research (BerlinHECOR), Technische Universität Berlin, Straße des 17.Juni 135, 10623, Berlin, Germany.

Introduction: Increasing numbers of hospital emergency department (ED) visits pose a challenge to health systems in many countries. This paper aims to examine emergency and urgent care systems, in six countries and to identify reform trends in response to current challenges.

Methods: Based on a literature review, six countries - Australia, Denmark, England, France, Germany and the Netherlands - were selected for analysis. Read More

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http://dx.doi.org/10.1016/j.healthpol.2018.11.001DOI Listing
January 2019

Easy cuts, easy rebound: Drug expenditures with massive price cuts in Korea.

Health Policy 2018 Nov 20. Epub 2018 Nov 20.

College of Nursing, Seoul National University, Seoul, Republic of Korea. Electronic address:

Backgrounds: Since 2012, the Korean government has introduced 46.5% price cut for off-patent medicines in order to reign everescalating drug expenditure. This study sought to appraise the impact of the price cut measure (in the context of Korean National Health Insurance system). Read More

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https://linkinghub.elsevier.com/retrieve/pii/S01688510183064
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http://dx.doi.org/10.1016/j.healthpol.2018.11.002DOI Listing
November 2018
8 Reads

Funding for public health in Europe in decline?

Authors:
Bernd Rechel

Health Policy 2019 Jan 27;123(1):21-26. Epub 2018 Nov 27.

European Observatory on Health Systems and Policies, London School of Hygiene & Tropical Medicine, 15-17 Tavistock Place, WC1H 9SH, London, United Kingdom. Electronic address:

Concerns have been raised in recent years in several European countries over cutbacks to funding for public health. This article explores how widespread the problem is, bringing together available information on funding for public health in Europe and the effects of the economic crisis. It is based on a review of academic and grey literature and of available databases, detailed case studies of nine European countries (England, France, Germany, Italy, the Netherlands, Slovenia, Sweden, Poland, and the Republic of Moldova) and in-depth interviews. Read More

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http://dx.doi.org/10.1016/j.healthpol.2018.11.014DOI Listing
January 2019

Lessons for 'large-scale' general practice provider organisations in England from other inter-organisational healthcare collaborations.

Health Policy 2019 Jan 10;123(1):51-61. Epub 2018 Nov 10.

Department of Health Services Research and Policy, London School of Hygiene and Tropical Medicine, 15-17 Tavistock Place, London, WC1H 9SH, UK; Nuffield Trust, 59 New Cavendish Street, London, W1G 7LP, UK.

Policymakers in England are increasingly encouraging the formation of 'large-scale' general practice provider collaborations with the expectation that this will help deliver better quality services and generate economies of scale. However, solid evidence that these expectations will be met is limited. This paper reviews evidence from other inter-organisational healthcare collaborations with similarities in their development or anticipated impact to identify lessons. Read More

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http://dx.doi.org/10.1016/j.healthpol.2018.10.017DOI Listing
January 2019
1 Read

The economic returns of ending the AIDS epidemic as a public health threat.

Health Policy 2019 Jan 22;123(1):104-108. Epub 2018 Nov 22.

Avenir Health, 655 Winding Brook Drive, Glastonbury, CT 06033, USA.

Background: In 2016, countries agreed on a Fast-Track strategy to "end the AIDS epidemic by 2030". The treatment and prevention components of the Fast-Track strategy aim to markedly reduce new HIV infections, AIDS-related deaths and HIV-related discrimination. This study assesses the economic returns of this ambitious strategy. Read More

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http://dx.doi.org/10.1016/j.healthpol.2018.11.007DOI Listing
January 2019
10 Reads

How health policy shapes healthcare sector productivity? Evidence from Italy and UK.

Health Policy 2019 Jan 2;123(1):27-36. Epub 2018 Nov 2.

Department of Health Policy, Room 3.03 Cowdray House, London School of Economics and Political Science, London, WC2A 2AE, UK. Electronic address:

The English (NHS) and the Italian (SSN) healthcare systems share many similar features: basic founding principles, financing, organization, management, and size. Yet the two systems have faced diverging policy objectives since 2000, which may have affected differently healthcare sector productivity in the two countries. In order to understand how different healthcare policies shape the productivity of the systems, we assess, using the same methodology, the productivity growth of the English and Italian healthcare systems over the period from 2004 to 2011. Read More

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http://dx.doi.org/10.1016/j.healthpol.2018.10.016DOI Listing
January 2019
11 Reads

The cyclicality of government health expenditure and its effects on population health.

Health Policy 2019 Jan 13;123(1):96-103. Epub 2018 Nov 13.

Department of Economics, Syracuse University, Syracuse, New York l3244, USA. Electronic address:

Scholars have raised concerns that cutbacks on government health expenditure (GHE) during recessions may jeopardise population health. The present research investigates the extent to which population health outcomes are affected by responses of GHE to business cycles, i.e. Read More

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http://dx.doi.org/10.1016/j.healthpol.2018.11.004DOI Listing
January 2019
1 Read

What is driving HTA decision-making? Evidence from cancer drug reimbursement decisions from 6 European countries.

Health Policy 2019 Feb 20;123(2):130-139. Epub 2018 Nov 20.

London School of Hygiene and Tropical Medicine, United Kingdom; CCBIO, University of Bergen, Norway.

Background: Decisions on the reimbursement of the same cancer drugs are different across European countries, but empirical work on the reasons behind these differences has been scarce. The main objective of this paper is to make a methodological contribution to existing research, specifically by outlining the systematic process of analysis to address such questions and determining the factors that might lead to different drug reimbursement decisions, and to explore its application in the field of oncology.

Methods: Reimbursement decisions on cancer drugs in six European countries (Belgium, England, Poland, Portugal, Scotland, and Sweden) between 2006 and 2014 were included in the study. Read More

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http://dx.doi.org/10.1016/j.healthpol.2018.11.003DOI Listing
February 2019

Transforming clients into experts-by-experience: A pilot in client participation in Dutch long-term elderly care homes inspectorate supervision.

Health Policy 2018 Nov 17. Epub 2018 Nov 17.

Erasmus School of Health Policy & Management, Erasmus University Rotterdam, P.O. Box 1738, 3000 DR Rotterdam, the Netherlands; Dutch Health and Youth Care Inspectorate, 3521 AZ Utrecht, the Netherlands.

As experts-by-experience, clients are thought to give specific input for and legitimacy to regulatory work. In this paper we track a 2017 pilot by the Dutch Health and Youth Care Inspectorate that aimed to use experiential knowledge in risk regulation through engaging with clients of long-term elderly care homes. Through an ethnographic inquiry we evaluate the design of this pilot. Read More

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http://dx.doi.org/10.1016/j.healthpol.2018.11.006DOI Listing
November 2018

Association between continuity of care and emergency department visits and hospitalization in senior adults with asthma-COPD overlap.

Health Policy 2019 Feb 15;123(2):222-228. Epub 2018 Nov 15.

Institute of Health and Welfare Policy, School of Medicine, National Yang-Ming University, Taipei, Taiwan. Electronic address:

Objective: To investigate associations between continuity of care (COC) and emergency department (ED) visits and hospitalization for chronic obstructive pulmonary disease (COPD) or asthma among elderly adults with asthma-COPD overlap (ACO).

Methods: A retrospective cohort study was performed using the Taiwan National Health Insurance research database. A total of 1141 ACO patients aged ≥65 years during 2005-2011 were observed and followed for 2 years. Read More

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http://dx.doi.org/10.1016/j.healthpol.2018.11.005DOI Listing
February 2019
8 Reads

Effective healthcare cost-containment policies: A systematic review.

Health Policy 2019 Jan 2;123(1):71-79. Epub 2018 Nov 2.

Scientific Institute for Quality of Healthcare, Radboud University Medical Center, Nijmegen, the Netherlands; Ministry of Health, Welfare and Sport, The Hague, the Netherlands.

Unsustainable growth in healthcare expenditure demands effective cost-containment policies. We review policy effectiveness using total payer expenditure as primary outcome measure. We included all OECD member states from 1970 onward. Read More

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http://dx.doi.org/10.1016/j.healthpol.2018.10.015DOI Listing
January 2019
1 Read

The Public Health Status and Foresight report 2014: Four normative perspectives on a healthier Netherlands in 2040.

Health Policy 2018 Oct 26. Epub 2018 Oct 26.

National Institute for Public Health and the Environment (RIVM), PO Box 1, 3720 BA Bilthoven, The Netherlands; Department of Public Health, City of Utrecht, Stadsplateau 1, 3521AZ Utrecht, The Netherlands.

Policy-oriented foresight reports aim to inform and advise decision-makers. In value-laden areas such as public health and healthcare, deliberative scenario methods are clearly needed. For the sixth Dutch Public Health Status and Forecasts-report (PHSF-2014), a new approach of co-creation was developed aiming to incorporate different societal norms and values in the description of possible future developments. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S01688510183063
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http://dx.doi.org/10.1016/j.healthpol.2018.10.014DOI Listing
October 2018
9 Reads

Income-based inequities in access to psychotherapy and other mental health services in Canada and Australia.

Health Policy 2019 Jan 16;123(1):45-50. Epub 2018 Oct 16.

School of Public Policy and Administration, Carleton University, Ottawa, Ontario, Canada.

This paper compares income-based inequities in access to psychotherapy and other mental health services in Canada and Australia, two federal parliamentary systems with sharply contrasting responses to high rates of unmet need. Income-based inequity is measured by need-standardized concentration indices, using comparable data from the Canadian Community Health Survey 2011-2012 and the Australian National Survey of Mental Health and Well-Being 2007. The results indicate that utilization of psychologist services is more concentrated at higher income levels (i. Read More

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http://dx.doi.org/10.1016/j.healthpol.2018.10.011DOI Listing
January 2019
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Hepatitis C infection and psychiatric burden in two imprisoned cohorts: Young offenders and opioid-maintained prisoners.

Health Policy 2018 Dec 11;122(12):1392-1402. Epub 2018 Oct 11.

University of Vienna, Department for Applied Psychology: Work, Education and Economy, Vienna, Austria.

Prisoners constitute a considerable gap in the hepatitis C virus (HCV) tested population. The present study examined HCV prevalence in imprisoned opioid-maintained patients (OMT-P) and adolescents and young adults (AYA, 14-26 years). In addition, HCV testing and treatment provision, knowledge of HCV status and psychiatric comorbidity were assessed. Read More

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http://dx.doi.org/10.1016/j.healthpol.2018.10.005DOI Listing
December 2018
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The 2015 long-term care reform in the Netherlands: Getting the financial incentives right?

Health Policy 2018 Oct 16. Epub 2018 Oct 16.

Erasmus University, Erasmus School of Health Policy and Management, P.O. Box 1738, 3000 DR, Rotterdam, the Netherlands.

In 2015 the system of long-term care (LTC) financing and provision in the Netherlands was profoundly reformed. The benefits covered by the former comprehensive public LTC insurance scheme were split up and allocated to three different financing regimes. The objectives of the reform were to improve the coordination between LTC, medical care and social care, and to reinforce incentives for an efficient provision of care by making risk-bearing health insurers and municipalities responsible for procurement. Read More

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http://dx.doi.org/10.1016/j.healthpol.2018.10.010DOI Listing
October 2018
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Barriers to accessing adequate maternal care in Latvia: A mixed-method study among women, providers and decision-makers.

Health Policy 2019 Jan 25;123(1):87-95. Epub 2018 Oct 25.

Department of Health Services Research, CAPHRI, Maastricht University, Medical Center, Faculty of Health, Medicine and Life Sciences, Duboisdomein 30, P.O. Box 616, Maastricht, 6200 MD, the Netherlands; Top Institute Evidence-Based Education Research (TIER), Maastricht University, Kapoenstraat 2, 6211 KH, Maastricht, the Netherlands. Electronic address:

Introduction: Latvia has a high maternal mortality ratio compared to other European countries, as well as major inequities in accessing adequate maternal care. Adequacy refers to the extent to which services are safe, effective, timely, efficient, equitable and people-centred. This study aims to explore stakeholder views on access to adequate maternal care in Latvia and the extent to which there was consensus. Read More

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http://dx.doi.org/10.1016/j.healthpol.2018.10.012DOI Listing
January 2019
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Competition in the off-patent medicine market in Spain: The national reference pricing system versus the regional system of tendering for outpatient prescription medicines in Andalusia.

Health Policy 2018 Dec 12;122(12):1310-1315. Epub 2018 Oct 12.

Andalusian School of Public Health, Instituto de Investigación Biosanitaria (ibs. Granada), Granada, Spain; CIBER de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain. Electronic address:

Spain has a reference price system (RPS) for off-patent medicines since 1997. In addition, from 2012, Andalusia is running a series of tenders for procuring off-patent medicines dispensed by community pharmacies, for those medicines included in the system of homogenous clusters within the national reference price system. Such tenders offer additional savings to the regional payer - in the form of rebates ("economic improvements") from companies winning the tender. Read More

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http://dx.doi.org/10.1016/j.healthpol.2018.10.008DOI Listing
December 2018
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Underuse of innovative medicines in Germany: A justification for government intervention?

Authors:
Afschin Gandjour

Health Policy 2018 Dec 13;122(12):1283-1286. Epub 2018 Sep 13.

Frankfurt School of Finance & Management, Adickesallee 32-34, 60322 Frankfurt am Main, Germany. Electronic address:

The German market for innovative medicines is characterized by simultaneous underuse and overuse. In order to address these deficits and improve decision making by physicians, the German parliament recently passed a law which mandates implementing reimbursement decisions on innovative medicines in the prescription software for physicians. This article discusses the political process leading to the law as well as its rationale in view of economic theory. Read More

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http://dx.doi.org/10.1016/j.healthpol.2018.08.009DOI Listing
December 2018
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Towards a sustainable EU health information system infrastructure: A consensus driven approach.

Health Policy 2018 Dec 16;122(12):1340-1347. Epub 2018 Oct 16.

Epidemiology and Public Health, Sciensano, Belgium; Department of Public Health, Ghent University, Belgium.

Background: Health information in the EU is characterised by diversity and fragmentation of health information infrastructures. A well-defined and sustainable EU health information system infrastructure is lacking. The potential of a European Research Infrastructure Consortium on Health Information for Research and Evidence-based Policy (HIREP-ERIC) to take up this role is investigated. Read More

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December 2018

Community action for health in socioeconomically deprived neighbourhoods in Barcelona: Evaluating its effects on health and social class health inequalities.

Health Policy 2018 Dec 12;122(12):1384-1391. Epub 2018 Oct 12.

Agència de Salut Pública de Barcelona, Spain; CIBER Epidemiología y Salud Pública, Spain; Institut d'Investigació Biomèdica Sant Pau (IIB Sant Pau), Spain; Departament de Ciències Experimentals i de la Salut, Universitat Pompeu Fabra, Spain.

Background: The aim of this study was to analyse trends in several health-related indicators in socioeconomically deprived neighbourhoods in Barcelona with strong community action for health (CA), and compare them to neighbourhoods without such community action. A secondary goal was to analyse trends in socioeconomic inequalities in health in both types of neighbourhood.

Methods: We performed a quasi-experimental pre-post study using data from the Barcelona Health Surveys of 2001 and 2011. Read More

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December 2018

The highly controversial payment reform of dentists in France: Seeking a new compromise after the 2017 strike.

Health Policy 2018 12 11;122(12):1273-1277. Epub 2018 Oct 11.

King's Health Economics, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK. Electronic address:

France possesses a mixed public-private oral health system with no out of pocket payments for most routine dental treatments. The "Convention" regulates tariffs between the elected dental trade unions, the National Health Insurance and Complimentary Health Insurers. It is periodically revised and negotiated by the three parties in order to introduce new procedures, improve the access to dental care of the population and to adjust procedure costs for inflation. Read More

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http://dx.doi.org/10.1016/j.healthpol.2018.10.001DOI Listing
December 2018
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Enabling health technology innovation in Canada: Barriers and facilitators in policy and regulatory processes.

Health Policy 2019 Feb 12;123(2):203-214. Epub 2018 Oct 12.

School of Public Health and Health Systems, University of Waterloo, Waterloo, Ontario, N2L 3G1, Canada. Electronic address:

Objectives: Health care innovation and technologies can improve patient outcomes, but policies and regulations established to protect the public interest may become barriers to improvement of health care delivery. We conducted a scoping review to identify policy and regulatory barriers to, and facilitators of, successful innovation and adoption of health technologies (excluding pharmaceutical and information technologies) in Canada.

Methods: The review followed Arksey and O'Malley's methodology to assess the breadth and depth of literature on this topic and drew upon published and grey literature from 2000-2016. Read More

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February 2019

The impact of public performance reporting on health plan selection and switching: A systematic review and meta-analysis.

Health Policy 2019 Jan 10;123(1):62-70. Epub 2018 Oct 10.

Centre for Health Policy, Melbourne School of Population and Global Health, The University of Melbourne, Australia.

The dissemination of public performance reporting (PPR) cards aims to increase utilisation of information on quality of care by consumers when making health plan choices. However, evaluations of PPR cards show that they have little impact on consumer choices. The aim of this study is to undertake a systematic review and meta-analysis of the impact of PPR cards in promoting health plan selection and switching between health plans by consumers. Read More

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http://dx.doi.org/10.1016/j.healthpol.2018.10.003DOI Listing
January 2019
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Using financial incentives to attract medical residents to the periphery: The Israeli experience.

Health Policy 2019 Jan 12;123(1):80-86. Epub 2018 Oct 12.

Myers-JDC-Brookdale Institute, Jerusalem, Israel.

Background: In 2011, Israel instituted financial incentives as part of a larger program to attract doctors to residency programs in peripheral hospitals.

Objective: To explore the impact of these incentives and related changes on the choices of locations for residency training in Israel.

Methods: We performed (A) an analysis of administrative data on the location of all new medical residencies in 2005-2014 (B) an internet/phone survey of residents who began specialty training in 2013-2014, with a response rate of 71%. Read More

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http://dx.doi.org/10.1016/j.healthpol.2018.10.006DOI Listing
January 2019
3 Reads