2,135 results match your criteria International Journal of Health Services [Journal]


International Trade and Health Care in Brazil: An Unpredicted Tale Threatening Health Care Entitlement?

Int J Health Serv 2019 Feb 14:20731419828295. Epub 2019 Feb 14.

2 Queen Mary University of London, London, England.

The General Agreement on Trade in Services (GATS), established in 1994, has been a key element of market liberalization of health care services. Brazil had the provision of health care services partially protected from international competition until 2015, when a constitutional change opened the national health care market to international provision. We performed a retrospective and prospective policy analysis based on a systematic policy document review, general literature review, and secondary data analysis mapping, describing and analyzing the international trade agreements signed by Brazil with the World Trade Organization (WTO) and the available legislation relevant to health care services. Read More

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http://dx.doi.org/10.1177/0020731419828295DOI Listing
February 2019

Financial Crisis in Portugal: Effects in the Health Care Sector.

Int J Health Serv 2019 Jan 24:20731418822227. Epub 2019 Jan 24.

3 Escola Nacional de Saúde Pública, Universidade Nova de Lisboa, Lisbon, Portugal.

Portugal has faced an economic and financial crisis that began circa FY2009 and whose effects are still ongoing. In FY2011, the Portuguese state and the European triumvirate - composed of the European Commission, the International Monetary Fund, and the European Central Bank - signed the Memoranda of Understanding. This troika agreement aimed to improve the operational efficiency of public services. Read More

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http://dx.doi.org/10.1177/0020731418822227DOI Listing
January 2019

Pharmaceutical Industry Funding of Health Consumer Groups in Australia: A Cross-sectional Analysis.

Int J Health Serv 2019 Jan 15:20731418823376. Epub 2019 Jan 15.

1 Charles Perkins Centre and School of Pharmacy, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.

Relationships between consumer organizations and pharmaceutical manufacturers are the focus of transparency efforts in some jurisdictions, including Australia. This study describes the frequency and nature of industry sponsorship of Australian health consumer organizations and examines the link between sponsorship of the most highly funded organizations and manufacturers' requests for public reimbursement of products for related health conditions. We downloaded 130 transparency reports covering the period January 2013 to December 2016 from the website of Medicines Australia and carried out a descriptive analysis. Read More

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http://dx.doi.org/10.1177/0020731418823376DOI Listing
January 2019

What Is Happening in Sweden?

Authors:
Bo Burström

Int J Health Serv 2019 Jan 14:20731418822236. Epub 2019 Jan 14.

1 Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden.

Election to the parliament was held in Sweden on 9 September 2018. None of the traditional political blocks obtained a majority of the vote. The nationalist Sweden Democrats party increased their share of the vote from 13% in 2014 elections to 17% of the vote in 2018. Read More

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http://dx.doi.org/10.1177/0020731418822236DOI Listing
January 2019

Does the Patent Linkage System Prolong Effective Market Exclusivity? Recent Evidence From the Korea-U.S. Free Trade Agreement in Korea.

Int J Health Serv 2019 Jan 9:20731418822237. Epub 2019 Jan 9.

2 Institute of Health and Environment, Seoul National University, Seoul, South Korea.

This study evaluated the effect of the patent linkage system, fully introduced by the Korea-U.S. Free Trade Agreement in 2015, on patent challenges and the effective market exclusivity of new medicines in Korea. Read More

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http://dx.doi.org/10.1177/0020731418822237DOI Listing
January 2019

Revisiting the Income Inequality Hypothesis With 292 OECD Regional Units.

Authors:
Ki-Tae Kim

Int J Health Serv 2019 Jan 7:20731418814105. Epub 2019 Jan 7.

1 Department of Social Welfare, Soongsil University, Seoul, Republic of Korea.

The income inequality hypothesis on the relationship between income inequality and population health has been debated for decades Disagreement exists on the hypothesis because empirical findings have reached inconsistent conclusions. At the cross-national level, the limited number of industrialized nations has created a chronic small-N problem for statistical analyses of the hypothesis. The OECD regional database containing statistics of hundreds of regional units can provide a breakthrough and is used for the first time for multiple regression in this article. Read More

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http://dx.doi.org/10.1177/0020731418814105DOI Listing
January 2019

Health Canada's Use of its Notice of Compliance With Conditions Drug Approval Policy: A Retrospective Cohort Analysis.

Authors:
Joel Lexchin

Int J Health Serv 2018 Dec 26:20731418821007. Epub 2018 Dec 26.

1 School of Health Policy and Management, York University, Toronto, Ontario, Canada.

Health Canada has developed its Notice of Compliance with conditions (NOC/c) policy to get promising new drugs for serious diseases to market faster than would be possible through its standard approval process. Companies can receive an NOC/c for a new drug or a new indication based on incomplete evidence in return for agreeing to conduct post-market studies. This paper investigates the additional therapeutic gain from drugs approved under this policy, the percent of drugs that have fulfilled their conditions, and the length of time for fulfillment. Read More

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http://dx.doi.org/10.1177/0020731418821007DOI Listing
December 2018

Reducing Health Inequalities: Comparison of Survival After Acute Myocardial Infarction According to Health Provider in Chile.

Int J Health Serv 2019 Jan 14;49(1):127-141. Epub 2018 Nov 14.

3 School of Medicine, University of Chile, Santiago, Chile.

Health inequalities are marked in Chile. To address this situation, a health reform was implemented in 2005 that guarantees acute myocardial infarction (AMI) health care for the entire population. We evaluated if the health reform changed AMI early and long-term survival rates by hospital provider (public/private) using a longitudinal population-based study of patients ≥15 years with a first AMI in Chile between 2002 and 2011. Read More

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http://dx.doi.org/10.1177/0020731418809851DOI Listing
January 2019
1 Read

The Uneven Foci of Work Disability Research Across Cause-based and Comprehensive Social Security Systems.

Int J Health Serv 2018 Nov 14:20731418809857. Epub 2018 Nov 14.

2 Department of Medical and Health Sciences, Linkoping University, Linkoping, Sweden.

This scoping review identified what kinds of work disability policy issues are critiqued in articles published in countries with cause-based versus comprehensive welfare systems. Drawing on a review of work disability policy research, we identified 74 English-language, peer-reviewed articles that focused on program adequacy and design. Articles on cause-based systems dwelled on system fairness and policies of proof of entitlement, while those on comprehensive systems focused more on system design complexities relating to worker inclusion and scope of medical certificates. Read More

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http://dx.doi.org/10.1177/0020731418809857DOI Listing
November 2018
13 Reads

Health Services Access Inequalities Between Native and Immigrant in a Southern European Region.

Int J Health Serv 2018 Nov 2:20731418809858. Epub 2018 Nov 2.

2 OPIK-Research Group for Social Determinants of Health and Demographic Change, University of the Basque Country (UPV/EHU), Leioa, Spain.

With the economic crisis in Spain, austerity measures were applied. However, it is unknown how these measures have affected the pattern of use of health services for the immigrant population. Thus, the objective of this study was to examine the inequalities in access to different levels of health care services according to place of birth. Read More

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http://dx.doi.org/10.1177/0020731418809858DOI Listing
November 2018
2 Reads

Creating Partnerships to Achieve Health Care Reform: Moving Beyond a Politics of Scale?

Int J Health Serv 2018 Oct 18:20731418807094. Epub 2018 Oct 18.

4 School of Nursing, University of Northern British Columbia, Prince George, British Columbia, Canada.

This article critically exams efforts to achieve primary health care reform using a consultative and relationship-building approach. The study is set in a predominantly rural region of British Columbia, Canada, and concerns the efforts of a regional health authority to engage actively with community members to develop more integrated and patient-centered primary health care delivery. We examine points of tension between providers and administrators engaged in the reform process and show how these are often expressed discursively as a binary opposition involving central and local interests. Read More

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http://dx.doi.org/10.1177/0020731418807094DOI Listing
October 2018

Hard Currency, Solidarity, and Soft Power: The Motives, Implications, and Lessons of Cuban Health Internationalism.

Int J Health Serv 2018 Oct 11:20731418805378. Epub 2018 Oct 11.

2 Department of Politics and Public Administration, University of Hong Kong, Hong Kong.

This article explores Cuba's health assistance and support for other countries. It explores the rationale and motivations for Cuba's internationalism in health. It then details the various aspects of its health interventions, including emergency relief, strengthening of health systems, treatment programs, training of health professionals, engagement in multilateral cooperation, and biotechnology. Read More

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http://dx.doi.org/10.1177/0020731418805378DOI Listing
October 2018
1 Read

How Much Time Before Attempting Compulsory Licensing of Pharmaceuticals? A Non-parametric Event History Model With P-splines.

Authors:
Kyung-Bok Son

Int J Health Serv 2018 Oct 11:20731418805921. Epub 2018 Oct 11.

1 College of Pharmacy, Ewha Womans University, Seoul, South Korea.

Compulsory licensing (CL), provided by the Agreement on Trade-Related Aspects of Intellectual Property Rights, enables countries, including high-income countries, to ensure the protection of public health in the context of stringent intellectual property regimes. This study investigated associations between the time to attempted CL and a series of factors at the drug and country level. We used a dataset of all attempted CL that occurred from 1995 to 2014, calculated the duration as the difference in years between the year of global marketing of a certain drug and the year of attempted CL in a certain country, and applied a nonparametric event history model. Read More

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http://journals.sagepub.com/doi/10.1177/0020731418805921
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http://dx.doi.org/10.1177/0020731418805921DOI Listing
October 2018
1 Read

Cuba's Strategy Toward Universal Health.

Authors:
Pol De Vos

Int J Health Serv 2018 Oct 6:20731418804406. Epub 2018 Oct 6.

1 Institute for Global Health and Development, Queen Margaret University, Musselburgh, UK.

After 40 years of the Alma Ata Declaration on primary health care, the Pan American Journal of Public Health published an actualized overview of Cuban policies on health and well-being. It describes the longstanding and successful experience of this socialist country, developed in adverse and complex circumstances. The Cuban case remains one of the leading examples of a comprehensive governmental approach toward population health and well-being. Read More

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http://dx.doi.org/10.1177/0020731418804406DOI Listing
October 2018
1 Read

Home Care in Ontario: Perspectives on Equity.

Authors:
Alla Yakerson

Int J Health Serv 2018 Oct 3:20731418804403. Epub 2018 Oct 3.

1 Faculty of Health, York University, Toronto, Ontario, Canada.

Home care is an integral aspect of the Canadian health care system. Services provided to individuals allow them to live with independence and dignity within the comfort of their own residences. This article examines the historical evolution of Ontario's home care reform and the current challenges faced by staff members, patients, and their caregivers in reference to health equity. Read More

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http://journals.sagepub.com/doi/10.1177/0020731418804403
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http://dx.doi.org/10.1177/0020731418804403DOI Listing
October 2018
2 Reads

Neoliberalism and Accountability Failure in the Delivery of Services Affecting the Health of the Public.

Int J Health Serv 2018 10;48(4):641-662

3 Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada.

Since the 1980s, the emergence of neoliberalism as a dominant government paradigm has led to increasing instances of accountability failure, resulting in significant injuries or death. Employing a grounded theory approach, accountability failure is defined and explored through analysis of 18 public inquiries and reports in the United Kingdom and Canada. The analysis reveals that the combination of a neoliberal policy paradigm and flawed regulation, governance, culture, and performance management inevitably led to accountability failure. Read More

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http://dx.doi.org/10.1177/0020731418793106DOI Listing
October 2018

Digital Platforms, Gig Economy, Precarious Employment, and the Invisible Hand of Social Class.

Authors:
Carles Muntaner

Int J Health Serv 2018 10;48(4):597-600

1 Bloomberg Faculty of Nursing and Dalla Lana School of Public Health, University of Toronto, Ontario, Canada.

Digital platform capitalism, as exemplified by companies like Uber or Lyft has the potential to transform employment and working conditions for an increasing segment of the worforce. Most digital economy workers are exposed to the health damaging precarious employment conditions characteristic of the contemporary working class in high income countries. Just as with Guy Standing or Mike Savage's "precariat" it might appear that digital platform workers are a new social class or that they do not belong to any social class. Read More

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http://dx.doi.org/10.1177/0020731418801413DOI Listing
October 2018

Cora Du Bois' Brief Stint With the World Health Organization (1950-1951): Right Time, Wrong Place.

Authors:
Socrates Litsios

Int J Health Serv 2018 10;48(4):716-734

1 Retired WHO Senior Scientist, Baulmes, Switzerland.

Brock Chisholm, director-general of the World Health Organization (WHO) in the early 1950s, was heard to say that "one cultural anthropologist [Cora Du Bois] was worth one hundred malaria teams." Paul Russell, the leading malariologist at the time, responded (privately in his diary) that Chisholm's remark was the sort that "one might expect from a psychiatrist planning a world health program." George Foster reported that Du Bois "was completely disgusted with" her stay at WHO. Read More

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http://dx.doi.org/10.1177/0020731418801321DOI Listing
October 2018

More Reform of the English National Health Service: From Competition Back to Planning?

Authors:
Richard Q Lewis

Int J Health Serv 2019 Jan 6;49(1):5-16. Epub 2018 Sep 6.

1 Ernst & Young LLP, London, UK.

The period of sustained financial austerity since 2009 has led to a shift in competition policy within the English National Health Service. Policymakers have directed their attention away from the preexisting priority to support quicker access to routine and planned hospital care and have focused instead on improving emergency, cancer, and general practitioner services. This has prompted the development of a new policy framework and, in particular, a desire to create collaborative health systems focused on specific populations. Read More

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http://dx.doi.org/10.1177/0020731418797977DOI Listing
January 2019
9 Reads

Governmental Illegitimacy and Incompetency in Canada and Other Liberal Nations: Implications for Health.

Int J Health Serv 2018 Aug 31:20731418795136. Epub 2018 Aug 31.

1 York University, School of Health Policy and Management, Toronto, Ontario, Canada.

The welfare state literature on developing nations is concerned with how governmental illegitimacy and incompetency are the sources of inequality, exploitation, exclusion, and domination of significant proportions of their citizenry. These dimensions clearly contribute to the problematic health outcomes in these nations. In contrast, developed nations are assumed to grapple with less contentious issues of stratification, decommodification, and the relative role of the state, market, and family in providing economic and social security, also important pathways to health. Read More

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http://dx.doi.org/10.1177/0020731418795136DOI Listing

"As Natural as the Air Around Us": On the Origin and Development of the Concept of Structural Violence in Health Research.

Int J Health Serv 2018 10 9;48(4):749-759. Epub 2018 Aug 9.

2 Department of Internal Medicine and Center for Community Health Equity, Rush University Medical Center, Chicago, USA.

This article examines the concept of "structural violence." Originating in the work of Johan Galtung in 1969 and popularized by Paul Farmer, structural violence is increasingly invoked in health literature. It is a complex concept - rich in its explanatory potential but vague in its operational definition and arguably limited in its theoretical precision. Read More

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http://dx.doi.org/10.1177/0020731418792825DOI Listing
October 2018

Medical Expenditures on and by Immigrant Populations in the United States: A Systematic Review.

Int J Health Serv 2018 10 8;48(4):601-621. Epub 2018 Aug 8.

5 Department of Psychiatry, Cambridge Health Alliance, Cambridge, Massachusetts, USA.

In health care policy debates, discussion centers around the often-misperceived costs of providing medical care to immigrants. This review seeks to compare health care expenditures of U.S. Read More

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http://dx.doi.org/10.1177/0020731418791963DOI Listing
October 2018
17 Reads

Intellectual Property Protection and Drug Plan Coverage: Evidence From Ontario.

Int J Health Serv 2018 10 24;48(4):702-715. Epub 2018 Jul 24.

3 WHO Collaborating Centre for Governance, Transparency & Accountability in the Pharmaceutical Sector, University of Toronto, Toronto, Ontario, Canada.

Canada has strengthened intellectual property (IP) protections for pharmaceutical drugs several times over the last 3 decades. This study investigates whether the IP changes had an effect on the market exclusivity time of brand products on the Ontario Drug Benefit (ODB) formulary. We constructed a database that included the first brand approval date for drugs launched between 1974 and 2012, the first ODB listing date of the brand drug, and the first ODB listing date of the generic form of the drug. Read More

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http://dx.doi.org/10.1177/0020731418789610DOI Listing
October 2018
14 Reads

Why Is the U.S. Preterm Birth Rate So Much Higher Than the Rates in Canada, Great Britain, and Western Europe?

Int J Health Serv 2018 10 11;48(4):622-640. Epub 2018 Jul 11.

1 School of Public Health, University of Alabama at Birmingham, Birmingham, Alabama, USA.

The portion of newborns delivered before term is considerably higher in the United States than in other developed countries. We compare the array of risk exposures and protective factors common to women across national settings, using national, regional, and international databases, review articles, and research reports. We find that U. Read More

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http://dx.doi.org/10.1177/0020731418786360DOI Listing
October 2018
4 Reads

How Does Stronger Protection of Intellectual Property Rights Affect National Pharmaceutical Expenditure? An Analysis of OECD Countries.

Int J Health Serv 2018 10 6;48(4):685-701. Epub 2018 Jul 6.

2 Department of Health Policy and Management, School of Public Health, Seoul National University, Seoul, Republic of Korea.

Intellectual property rights (IPR) protection for pharmaceuticals has been comprehensive and strict since the establishment of the World Trade Organization in 1995 and the subsequent implementation of the TRIPS Agreement. This study investigated the relationship between the level of IPR and national pharmaceutical expenditure using panel data of 22 OECD countries from 1970 to 2009. The patent index was used to measure the level of national protection for IPR along with other covariates: GDP per capita, the percentage of population aged over 65, number of doctors, proportion of public financing among total pharmaceutical expenditure, under-5 mortality, price index, and period indicators. Read More

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http://dx.doi.org/10.1177/0020731418786095DOI Listing
October 2018
2 Reads
0.990 Impact Factor

Barriers to Health Care Services Among Palestinian Women Denied Family Unification in Israel.

Int J Health Serv 2018 10 28;48(4):776-797. Epub 2018 Jun 28.

2 Department of Education, Tel-Hai College, Galilee, Israel.

Family unification received public and political attention following recent global immigration crises, though less within health research. In Israel, under the Family Reunification Order, about 20,000 Palestinian women from the Occupied Palestinian Territories are denied residency and the right to universal health care services (HSC) after marrying Palestinian citizens and moving to Israel. To better understand the relationship between lacking residency and barriers to accessing HCS, we conducted in-depth interviews with 21 Palestinian women (ages 22-59) denied family unification. Read More

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http://dx.doi.org/10.1177/0020731418783912DOI Listing
October 2018
1 Read

Performance-based Financing in Africa: Time to Test Measures for Equity.

Int J Health Serv 2018 07 22;48(3):549-561. Epub 2018 Jun 22.

4 Université de Liège, Faculty of Social Sciences, Liège, Belgium.

Over the past 15 years, hundreds of millions of dollars have been invested in reforms founded on performance-based financing (PBF) in low- and middle-income countries. While evidence on its effectiveness and efficiency is still controversial, there appears to be an emerging consensus that equity has not been adequately considered. In this article, we show how PBF-type interventions in Africa have not sufficiently taken into account equity of access to care for the worst-off and their financial protection. Read More

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http://dx.doi.org/10.1177/0020731418779508DOI Listing
July 2018
1 Read

Applying the Human Rights Framework Is Not "a" Development Alternative; It Is "the" Road to an Alternative Development Process (People's Health Movement Latin America).

Authors:
Claudio Schuftan

Int J Health Serv 2018 07 21;48(3):562-567. Epub 2018 Jun 21.

1 People's Health Movement, Ho Chi Minh City, Vietnam.

Historically, political elites adopted the idea of human rights if, and only if, it could foster their interests. Today, it is thus public interest civil society organizations, and not states, that are left to contribute most to the protection of and the struggle for human rights. Despite human rights being enshrined in constitutions, nowadays they can primarily be effectively claimed by those with access to the courts and by the press, i. Read More

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http://dx.doi.org/10.1177/0020731418783515DOI Listing
July 2018
2 Reads

How Single-payer Stacks Up: Evaluating Different Models of Universal Health Coverage on Cost, Access, and Quality.

Int J Health Serv 2018 07 21;48(3):568-585. Epub 2018 Jun 21.

1 Department of Public Administration and Policy, University at Albany, Albany, New York, USA.

Described as "universal prepayment," the national health insurance (or single-payer) model of universal health coverage is increasingly promoted by international actors as a means of raising revenue for health care and improving social risk protection in low- and middle-income countries. Likewise, in the United States, the recent failed efforts to repeal and replace the Affordable Care Act have renewed debate about where to go next with health reform and arguably opened the door for a single-payer, Medicare-for-All plan, an alternative once considered politically infeasible. Policy debates about single-payer or national health insurance in the United States and abroad have relied heavily on Canada's system as an ideal-typical single-payer system but have not systematically examined health system performance indicators across different universal coverage models. Read More

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http://dx.doi.org/10.1177/0020731418779377DOI Listing
July 2018
7 Reads

The Definition of Health: Towards New Perspectives.

Authors:
Fabio Leonardi

Int J Health Serv 2018 10 14;48(4):735-748. Epub 2018 Jun 14.

1 Terapie Innovative Brevi (T.I.B), Clinical and Reasearch Centre, Leghorn, Italy.

The definition of health is not just a theoretical issue, because it has many implications for practice, policy, and health services. The current definition of health, formulated by the WHO, is no longer adequate for dealing with the new challenges in health care systems. Despite many attempts to replace it, no alternative definition has reached a wide level of consensus. Read More

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http://dx.doi.org/10.1177/0020731418782653DOI Listing
October 2018

Social and Economic Policies Matter for Health Equity: Conclusions of the SOPHIE Project.

Int J Health Serv 2018 Jan 1:20731418779954. Epub 2018 Jan 1.

2 CIBER Epidemiology and Public Health, Barceloa, Catalonia, Spain.

Since 2011, the SOPHIE project has accumulated evidence regarding the influence of social and economic policies on population health levels, as well as on health inequalities according to socioeconomic position, gender, and immigrant status. Through comparative analyses and evaluation case studies across Europe, SOPHIE has shown how these health inequalities vary according to contexts in macroeconomics, social protection, labor market, built environment, housing, gender equity, and immigrant integration and may be reduced by equity-oriented policies in these fields. These studies can help public health and social justice advocates to build a strong case for fairer social and economic policies that will lead to the reduction of health inequalities that most governments have included among their policy goals. Read More

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http://dx.doi.org/10.1177/0020731418779954DOI Listing
January 2018

Jock McCulloch (1945-2018): A Tribute.

Int J Health Serv 2018 07 12;48(3):586-591. Epub 2018 Jun 12.

2 Garrett Park, Maryland, USA.

Jock William McCulloch, who died at Melbourne, Australia, in January 2018, was one of the foremost historians of occupational health of his generation. This tribute reviews his career and oeuvre, which was tragically ended by his death from mesothelioma. Read More

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http://journals.sagepub.com/doi/10.1177/0020731418780607
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http://dx.doi.org/10.1177/0020731418780607DOI Listing
July 2018
11 Reads

The Influence of Individuals' Vulnerabilities and Their Interactions on the Assessment of a Primary Care Experience.

Int J Health Serv 2018 10 28;48(4):798-819. Epub 2018 May 28.

4 National Institute of Public Health of Quebec and Department of Social and Preventive Medicine, University of Laval, Quebec, Canada.

This study examines the relationship between the vulnerabilities of individuals and their assessments of their primary care experiences in the setting of a universal care system. It focuses on 2 specific objectives: (1) evaluating the influence of each of the 5 vulnerabilities on the assessment of the care experience; (2) evaluating the influence of the interactions between the different types of vulnerabilities on the assessment of the care experience. The study identifies the primary care experience of 9,206 people. Read More

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http://dx.doi.org/10.1177/0020731418768186DOI Listing
October 2018

Embodied Neoliberalism: Epidemiology and the Lived Experience of Consumer Debt.

Int J Health Serv 2018 07 14;48(3):495-511. Epub 2018 May 14.

1 Department of Anthropology, University of Massachusetts, Boston, Massachusetts, USA.

A growing set of epidemiological data links personal financial debt to negative mental and physical health outcomes. These findings point to debt as a potentially significant socioeconomic determinant of population health, especially given rising rates of household and consumer debt in industrialized nations. However, the political and economic contexts in which rising consumer debt is embedded and the ways in which it is experienced in everyday life are underexplored in this epidemiological literature. Read More

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http://dx.doi.org/10.1177/0020731418776580DOI Listing
July 2018
6 Reads

Multi-Sectoral Approach to Noncommunicable Disease Prevention Policy in Sub-Saharan Africa: A Conceptual Framework for Analysis.

Int J Health Serv 2018 Jan 1:20731418774203. Epub 2018 Jan 1.

1 School of Health Systems and Public Health, Faculty of Heath Sciences, University of Pretoria, Pretoria, South Africa.

Conceptual frameworks for health policy analysis guide investigations into interactions between institutions, interests, and ideas to identify how to improve policy decisions and outcomes. This review assessed constructs from current frameworks and theories of health policy analysis to (1) develop a preliminary synthesis of findings from selected frameworks and theories; (2) analyze relationships between elements of those frameworks and theories to construct an overarching framework for health policy analysis; and then, (3) apply that overarching framework to analyze tobacco control policies in Togo and in South Africa. This Comprehensive Framework for Multi-Sectoral Approach to Health Policy Analysis has 4 main constructs: context, content, stakeholders, and strategies. Read More

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http://dx.doi.org/10.1177/0020731418774203DOI Listing
January 2018

Political Economy of Infant Mortality Rate: Role of Democracy Versus Good Governance.

Authors:
Dina Y Rosenberg

Int J Health Serv 2018 07 7;48(3):435-460. Epub 2018 May 7.

1 National Research University Higher School of Economics, Faculty of Social Sciences, School of Political Science, Moscow, Russia.

Despite numerous studies on whether democracy reduces the infant mortality rate (IMR), the empirical results remain mixed at best. In this article, I perform several theoretical and empirical exercises that help explain why and under what conditions we should expect politics to matter most for a decrease in IMR. First, I capitalize on the epidemiological view that IMR - the most commonly used indicator of health in social sciences - is better suited to reflect public health micromanagement than overall social development. Read More

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http://dx.doi.org/10.1177/0020731418774226DOI Listing

Can Short-term Economic Policies Hurt the Health of the Poor? Demonetization in India.

Int J Health Serv 2018 07 25;48(3):482-494. Epub 2018 Apr 25.

2 Development Studies, Institute of Development Studies Kolkata, Salt Lake, Kolkata, India.

In November 2016, the Government of India (GOI) demonetized the commonly used Rs500 and Rs1,000 denominations. This was a short-term economic policy, known as notebandi, implemented as a means to address black money, counterfeit currencies, and terrorist activities. Notebandi was unrolled in a chaotic, confusing, and complex manner, leaving many people with limited access to cash in their daily activities. Read More

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http://dx.doi.org/10.1177/0020731418772465DOI Listing

Needs in Service Provision for Oral Health Care in Older People: A Comparison Between Greater Manchester (United Kingdom) and Utrecht (the Netherlands).

Int J Health Serv 2018 10 23;48(4):663-684. Epub 2018 Apr 23.

4 North Wales Organisation for Randomised Trials in Health (Clinical Trials Unit), Bango University, Gwynedd, UK.

Retaining natural teeth for longer, together with increasing care dependency in the elderly, has the potential to hamper adequate oral self-care and service provision. The aim of this qualitative study was to compare and contrast views from a multi-stakeholder perspective on the future priorities for oral health care services of older people in the United Kingdom and the Netherlands. A participatory setting partnership was undertaken with 4 key stakeholder groups in the United Kingdom and the Netherlands. Read More

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http://dx.doi.org/10.1177/0020731418770956DOI Listing
October 2018
1 Read

The Brazilian Public Health in Contemporary Capitalism.

Int J Health Serv 2018 10 31;48(4):760-775. Epub 2018 Mar 31.

2 School of Public Health and Management and Health Department, São Paulo, Brazil.

This article examines some political and economic facts that led to an intensification of austerity measures by the Brazilian government, including ones against the Unified Health System (SUS) and its progressive dismantling. In a country where fundamental human rights were never fully respected, nowadays social and labor rights are under severe attacks. The deepening of the capital crisis and the rise of interest-bearing capital dominance have been causing unemployment, social insecurity growth, and resulting public fund appropriation by the private capital. Read More

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http://dx.doi.org/10.1177/0020731418767556DOI Listing
October 2018
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Patterns of Health Care Utilization for Noncommunicable Diseases in a Transitional European Country: Results From the National Health Survey.

Int J Health Serv 2018 Jan 1:20731418762717. Epub 2018 Jan 1.

5 Institute of Epidemiology, Faculty of Medicine, University of Belgrade, Serbia.

This study aimed to assess possible differences in health services utilization among people living with noncommunicable diseases (NCDs) in the Republic of Srpska (RS), Bosnia and Herzegovina, with special reference to NCD multimorbidity. In addition, the relationship between self-perceived health and health care utilization was assessed. Data were retrieved from the 2010 National Health Survey. Read More

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http://journals.sagepub.com/doi/10.1177/0020731418762717
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http://dx.doi.org/10.1177/0020731418762717DOI Listing
January 2018
9 Reads

The Price of Demanding Peace: The Case of Academics for Peace in Turkey.

Int J Health Serv 2018 04 29;48(2):371-377. Epub 2018 Mar 29.

1 Izmir Solidarity Academy, Izmir, Turkey.

Escalation of violence resulted with more violence in 2015 in Turkey. Two hundred and sixty-eight officially confirmed round-the-clock (all day long) and/or open-ended curfews in 11 cities and at least 47 districts of Turkey have occurred. 1,809,000 residents, and the fundamental rights of these people have been explicitly violated. Read More

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http://dx.doi.org/10.1177/0020731418756568DOI Listing
April 2018
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"With Great Power Comes Great Responsibility": Democracy, the Secretary of State for Health and Blame Shifting Within the English National Health Service.

Authors:
David I Benbow

Int J Health Serv 2018 07 29;48(3):461-481. Epub 2018 Mar 29.

1 Centre for Law, Ethics and Society, Claus Moser Research Centre, Keele University, Keele, Newcastle, UK.

The English National Health Service (NHS) has suffered from a democratic deficit since its inception. Democratic accountability was to be through ministers to Parliament, but ministerial control over and responsibility for the NHS were regarded as myths. Reorganizations and management and market reforms, in the neoliberal era, have centralized power within the NHS. Read More

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http://dx.doi.org/10.1177/0020731418766232DOI Listing
July 2018
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The Affordable Care Act and the Faltering Revolution in Behavioral Health Care.

Int J Health Serv 2018 04 29;48(2):223-246. Epub 2018 Mar 29.

1 Department of Political Science, Northeastern University, Boston, Massachusetts, USA.

Often described in such terms as a "revolution" and a "game-changer" for the behavioral health sector in the United States, the Affordable Care Act has helped to enhance coverage for mental health and substance use disorders while encouraging service system innovations at the organizational level. However, tens of millions of Americans still lack health insurance, insurance companies are resisting the implementation of parity coverage rules, and inequalities in the financing and organization of care continue to worsen in key respects. This article examines these difficulties and their political-economic nature, highlighting the need for a single-payer framework if the task of reform is to be fulfilled. Read More

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http://dx.doi.org/10.1177/0020731417753674DOI Listing
April 2018
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How Do Allied Health Professionals Define and Apply Equity When Making Resource Allocation Decisions?

Int J Health Serv 2018 04 26;48(2):349-364. Epub 2018 Mar 26.

1 Physiotherapy Department, Monash University, Frankston, Victoria, Australia.

An ethnographic study was conducted in 2 stages to understand how allied health professionals define and apply equity when making resource allocation decisions. Participants were allied health managers and clinicians from Victoria, Australia. Stage 1 included 4 semi-structured forums that incorporated real-life case studies, group discussions, and hypothetical scenarios. Read More

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http://dx.doi.org/10.1177/0020731418762721DOI Listing
April 2018
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The Ongoing U.S. Health Care Crisis: A Data Update.

Int J Health Serv 2018 04 22;48(2):209-222. Epub 2018 Mar 22.

3 Physicians for a National Health Program, Chicago, Illinois, USA.

While efforts to repeal the Affordable Care Act were narrowly defeated, grave problems in health care persist. Twenty-eight million remain uninsured, a number that is likely to increase. Millions more who have coverage cannot afford care because of high cost-sharing requirements. Read More

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http://dx.doi.org/10.1177/0020731418764073DOI Listing
April 2018
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Welfare State Replacements: Deinstitutionalization, Privatization and the Outsourcing to Immigrant Women Enterprise.

Int J Health Serv 2018 04 23;48(2):247-266. Epub 2018 Feb 23.

1 School of Public Health and Jonathan M. Nelson Center for Entrepreneurship, 6752 Brown University , Providence, Rhode Island, USA.

The U.S. government has a long tradition of providing direct care services to many of its most vulnerable citizens through market-based solutions and subsidized private entities. Read More

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http://dx.doi.org/10.1177/0020731418759876DOI Listing
April 2018
6 Reads

Call From Solidarity Academies.

Authors:

Int J Health Serv 2018 04 20;48(2):378-379. Epub 2018 Feb 20.

Coordination Committee of Solidarity Academies, Turkey.

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http://dx.doi.org/10.1177/0020731418758450DOI Listing
April 2018
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Health Care Public Sector Share and the U.S. Life Expectancy Lag: A Country-level Longitudinal Study.

Authors:
Megan M Reynolds

Int J Health Serv 2018 04 19;48(2):328-348. Epub 2018 Jan 19.

1 Department of Sociology, University of Utah, Salt Lake City, Utah, USA.

Growing research on the political economy of health has begun to emphasize sociopolitical influences on cross-national differences in population health above and beyond economic growth. While this research investigates the impact of overall public health spending as a share of GDP ("health care effort"), it has for the most part overlooked the distribution of health care spending across the public and private spheres ("public sector share"). I evaluate the relative contributions of health care effort, public sector share, and GDP to the large and growing disadvantage in U. Read More

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http://dx.doi.org/10.1177/0020731417753673DOI Listing
April 2018
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Wealth, Social Protection Programs, and Child Labor in Colombia: A Cross-sectional Study.

Int J Health Serv 2018 07 16;48(3):535-548. Epub 2018 Jan 16.

3 Inter American Development Bank, Bogota, Distrito Capital, Colombia.

This article has 3 main objectives: (1) to assess the prevalence of child labor in Colombia, (2) to identify factors associated with child labor, and (3) to determine whether social protection programs have an association with the prevalence of child labor in the country. Using a cross-sectional study with data from the Colombian Demographic and Health Survey 2010, a working child was defined as a child who worked during the week prior to the survey in an activity other than household chores. Through descriptive statistics, bivariate analysis, and multivariate regressions, it was found that child labor was associated with gender (boys were more likely to work), older age, ethnicity (children from indigenous communities were more likely to be workers), school dropout, disability (children with disabilities were less likely to be working), subsidized health social security system membership, and lower number of years of mother's schooling. Read More

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http://dx.doi.org/10.1177/0020731417747421DOI Listing
July 2018
4 Reads