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https://read.qxmd.com/read/30760100/international-trade-and-health-care-in-brazil-an-unpredicted-tale-threatening-health-care-entitlement
#1
Milton Santos, Jonathan Filippon, Áquilas Mendes, Elias Kondilis
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...
February 14, 2019: International Journal of Health Services: Planning, Administration, Evaluation
https://read.qxmd.com/read/30753219/the-availability-prices-and-affordability-of-essential-medicines-in-malawi-a-cross-sectional-study
#2
Felix Khuluza, Christine Haefele-Abah
INTRODUCTION: The Malawian government recently introduced cost-covering consultation fees for self-referral patients in tertiary public hospitals. Previously, patients received medicines free of charge in government-owned health facilities, but must pay elsewhere. Before the government implements a payment policy in other areas of health care, it is important to investigate the prices, affordability and availability of essential medicines in Malawi. METHODS: Data on availability and prices of 50 essential medicines were collected in 44 health facilities in two major cities and two districts...
2019: PloS One
https://read.qxmd.com/read/30748115/integrating-nutrition-services-into-health-care-systems-platforms-where-are-we-and-where-do-we-go-from-here
#3
Rafael Pérez-Escamilla, Cyril Engmann
Integrating maternal-child nutrition into health care services is a desirable but complex task that requires implementation research studies. This special supplement, entitled "How to Strengthen Nutrition into the Health Platform: Programmatic Evidence and Experience from Low- and Middle-Income Countries" presents a collection of mixed-methods research and case studies mostly conducted in sub-Saharan Africa that help us gain a better understanding of the barriers and facilitators for this integration to happen...
January 2019: Maternal & Child Nutrition
https://read.qxmd.com/read/30746672/financing-health-care-in-tunisia-current-state-of-health-care-expenditure-and-socialization-prospects-on-the-road-to-universal-health-coverage
#4
Ahmed Ben Abdelaziz, Sina Haj Amor, Ines Ayadi, Mohamed Khelil, Chokri Zoghlami, Sami Ben Abdelfattah
CONTEXT: As part of its strategy of Universal Health Coverage (UHC), Tunisia has calculated, after its revolution, its Health Accounts (HA), in a standardized and interdepartmental way. OBJECTIVES: Describe the current structure of care financing in Tunisia, through the HA reports, from 2012 to 2014, and assess its compliance with the principles of socialization of health insurance. METHODS: Crude data on health care expenditures were collected by a multi-departmental group that is responsible for calculating health accounts, using a methodology developed by WHO...
October 2018: La Tunisie Médicale
https://read.qxmd.com/read/30746664/tunisian-documentation-of-%C3%A2-public-health%C3%A2-in-post-revolution-with-a-taste-of-freedom-for-a-fair-participatory-and-efficient-national-health-system
#5
Ahmed Ben Abdelaziz, Asma Ben Abdelaziz, Chokri Zoghlami, Mohamed Khelil, Tarek Barhoumi, Sami Ben Abdelfattah, Kamel Ben Salem
CONTEXT: Following the Tunisian revolution of 2010/2011, a new Public Health literature emerged, by the ministerial departments as well as the civil society, which was marked by the transparency and the comprehensiveness of the approach. OBJECTIVE: To identify the key ideas of the new Tunisian Public Health discourse, reconciling the principles of a globalizing paradigm with the health problems of a country in transition. METHODS: During this qualitative research, a selected series of three Tunisian reports of Public Health, published in the first quinquennium of the revolution, was read by an independent team of experts in Public Health, not having contributed to their elaboration, to identify the consensual foundations of the new Public Health discourse...
October 2018: La Tunisie Médicale
https://read.qxmd.com/read/30740223/challenges-and-opportunities-towards-the-road-of-universal-health-coverage-uhc-in-nepal-a-systematic-review
#6
REVIEW
Chhabi Lal Ranabhat, Chun-Bae Kim, Ajanta Singh, Devaraj Acharya, Krishna Pathak, Basundhara Sharma, Shiva Raj Mishra
Background: Universal health coverage (UHC) assures all types of health service and protects all citizens financially in any conditions due to illness. Globally, the UN sustainable development goal (SDG) provides high priority for UHC as a health related goal. The National health system of Nepal has prioritized in similar way. The aim of this study is to explore the challenges and opportunities on the road to UHC in Nepal. Method: We used varieties of search terminologies with popular search engines like PubMed, Google, Google Scholar, etc...
2019: Archives of Public Health, Archives Belges de Santé Publique
https://read.qxmd.com/read/30739922/factors-affecting-enrolment-in-the-community-based-health-insurance-scheme-of-chandranigahapur-hospital-of-rautahat-district
#7
Nilaramba Adhikari, Rajendra Raj Wagle, Dilli Raman Adhikari, Puspa Thapa, Muna Adhikari
BACKGROUND: Low income countries face considerable challenges in financing health care for their populations. As its consequences, poor people don't have access to desired health services, drugs and medicine.To address the financial barriers to health services, Government of Nepal introduced Community Based Health Insurance scheme at selected health facilities. However, enrolment in the schemeis very low. This study aims to identify the associated factors affecting enrolment in the insurance scheme...
January 28, 2019: Journal of Nepal Health Research Council
https://read.qxmd.com/read/30739480/sentiment-of-media-coverage-and-reputation-of-the-pharmaceutical-industry
#8
Valentina Pampulevski, Jessica R Giaquinto, Mark Rametta, Michael Toscani, Joseph Barone, Juan C Nadal
BACKGROUND: Patients and health care professionals receive information about pharmaceutical companies through various sources, including but not limited to print media, social media, and electronic media. The objective of this research was to benchmark the sentiment of electronic newspaper media coverage between 2014 and 2016 and investigate the potential relationship to the public perception of the select pharmaceutical companies. METHODS: Reputation Institute's RepTrak System report was used for selection of 5 highly rated pharmaceutical companies (A-E)...
February 10, 2019: Therapeutic Innovation & Regulatory Science
https://read.qxmd.com/read/30738821/interdisciplinary-teams-and-home-based-medical-care-secondary-analysis-of-a-national-survey
#9
Kathryn Huber, Kanan Patel, Sarah Garrigues, Bruce Leff, Christine Ritchie
OBJECTIVES: The objective of this study was to describe the use of interdisciplinary teams (IDTs) in home-based medical care practices. DESIGN: We performed a secondary data analysis using results from the 2013 National Home-Based Primary Care and Palliative Care Network survey of home-based medical care (HBMC) practices. SETTING AND PARTICIPANTS: Two hundred forty-six unique HBMC practices were included in this study. METHODS: Descriptive statistics and frequency distributions were generated on the sample characteristics, practice IDT configurations, and routine use of IDT meetings...
February 6, 2019: Journal of the American Medical Directors Association
https://read.qxmd.com/read/30736666/global-perspective-of-paediatric-surgery-in-low-and-middle-income-countries
#10
Saqib Hamid Qazi, Sohail Asghar Dogar, Samie Asghar Dogar, Tamara Fitzgerald, Ayesha Saleem, Jai K Das
There is huge burden of paediatric surgical diseases in low and middle income countries. Issues behind such a scenario include lack of trained paediatric surgeons, higher mortality due to infections, and poor postoperative care. The possible solution is improvement in the existing structure, which is government hospitals, because they are the most prevalent form of healthcare delivery in such countries. Proper coding system, research and identification of paediatric bellwether procedures can improve the existing health system...
February 2019: JPMA. the Journal of the Pakistan Medical Association
https://read.qxmd.com/read/30734069/-simulation-training-as-part-of-clinical-risk-management-a-health-economic-view
#11
T Speer, T Mühlbradt, C Fastner, O Schöffski, S Schröder
Working in anesthesiology is characterized by a complex environment in which effective teamwork with different disciplines as well as other professions (e. g. nursing staff and surgical assistants) is crucial. Clinical risk management includes all steps to prevent incidents and patient harm. An example for this is simulation training based on crisis resource management (CRM). This training course focuses on teaching non-medical skills using simulation manikins in order to enable employees to maintain patient safety under the adverse, ever-changing and unfamiliar conditions of a medical emergency...
February 7, 2019: Der Anaesthesist
https://read.qxmd.com/read/30734000/-how-does-rbf-strengthen-strategic-purchasing-of-health-care-comparing-the-experience-of-uganda-zimbabwe-and-the-democratic-republic-of-the-congo
#12
Sophie Witter, Maria Paola Bertone, Justine Namakula, Pamela Chandiwana, Yotamu Chirwa, Aloysius Ssennyonjo, Freddie Ssengooba
Background: Results-Based Financing (RBF) has proliferated in health sectors of low and middle income countries, especially fragile and conflict-affected ones, and has been presented as a way of reforming and strengthening strategic purchasing. However, few studies have empirically examined how RBF impacts on health care purchasing in these settings. This article examines the effects of several RBF programmes on health care purchasing functions in three fragile and post-conflict settings: Uganda, Zimbabwe and the Democratic Republic of Congo (DRC) over the past decade...
2019: Global Health Research and Policy
https://read.qxmd.com/read/30732616/addressing-the-affordability-of-cancer-drugs-using-deliberative-public-engagement-to-inform-health-policy
#13
Colene Bentley, Stuart Peacock, Julia Abelson, Michael M Burgess, Olivier Demers-Payette, Holly Longstaff, Laura Tripp, John N Lavis, Michael G Wilson
BACKGROUND: Health system expenditure on cancer drugs is rising rapidly in many OECD countries given the costly new treatments and increased rates of use due to a growing and ageing population. These factors put considerable strain on the sustainability of health systems worldwide, sparking public debate among clinicians, pharmaceutical companies, policy-makers and citizens on issues of affordability and equity. We engaged Canadians through a series of deliberative public engagement events to determine their priorities for making cancer drug funding decisions fair and sustainable in Canada's publicly financed health system...
February 7, 2019: Health Research Policy and Systems
https://read.qxmd.com/read/30724604/-health-policy-indicators-of-neuromusculosceletal-rehabilitation-in-hungary
#14
Imre Boncz, Dóra Endrei, Tímea Csákvári, István Ágoston, Péter Cserháti, Bálint Molics, Andor Sebestyén
INTRODUCTION: With the increasing number of the incidence of neuromusculoskeletal and brain circulation disorders, there is a higher demand for neuromusculoskeletal rehabilitation care. AIMS: The aim of our study is to analyse the performance indicators of neuromusculoskeletal rehabilitation care in Hungary financed by the statutory public health insurance system. METHODS: Data were derived from the financial database of the National Health Insurance Fund of Hungary...
February 2019: Orvosi Hetilap
https://read.qxmd.com/read/30724603/-performance-indicators-of-cardiac-rehabilitation-in-hungary
#15
Imre Boncz, Andor Sebestyén, Tímea Csákvári, István Ágoston, Eszter Szabados, Dóra Endrei
INTRODUCTION: With the improvement of the survival of acute cardiac events and the increasing age, there is a higher demand for cardiac rehabilitation care. AIM: The aim of our study is to analyse the performance indicators of cardiac inpatient rehabilitation care in Hungary financed by the statutory public health insurance system. DATA AND METHODS: Data were derived from the financial database of the National Health Insurance Fund of Hungary...
February 2019: Orvosi Hetilap
https://read.qxmd.com/read/30724601/-utilization-indicators-of-balneotherapy-in-hungary
#16
Veronika Varga, Imre Boncz, Andor Sebestyén, Dóra Endrei, István Ágoston, Iván Péter, Bálint Molics
INTRODUCTION: The role of spa therapy is well defined and its importance has significantly increased in the healthcare but the utilization indicators of the implemented treatments are less known. AIM: The objective of our study was to analyze the utilization and the social insurance indicators of the healthcare publicly financed by health insurance in spa institutions. DATA AND METHODS: The data used for the analysis were derived from the funding database of the National Health Insurance Fund of Hungary...
February 2019: Orvosi Hetilap
https://read.qxmd.com/read/30724600/-social-services-in-the-social-security-system-of-family-support
#17
Ivett Szombati
INTRODUCTION AND AIM: In my study, analysing the data available from the change of the regime to the present day, from among the social services, I examine the changes of the financial support relating to children and its parts which are currently financed from the budget of the National Health Insurance Fund of Hungary, with special emphasis on the Child Care Benefit and the Child Care Allowance and their modifications. DATA AND METHODS: Within the framework of our research, we analyze - through data from the National Health Insurance Fund of Hungary, the Hungarian Central Statistical Office, the Organisation for Economic Co-operation and Development (OECD) and the Hungarian State Treasury as well as on the basis of literature review - the social financial support and its changes, within the family policy system...
February 2019: Orvosi Hetilap
https://read.qxmd.com/read/30699156/quality-of-family-planning-services-in-mexico-the-perspective-of-demand
#18
Pilar Torres-Pereda, Ileana B Heredia-Pi, Midiam Ibáñez-Cuevas, Leticia Ávila-Burgos
INTRODUCTION: Family planning (FP) is one of the key services provided by health care systems. Extending beyond matters of sexual and reproductive health, its area of influence impacts directly on the development of individuals and nations. After 60 years of intense FP activities in Mexico, and in light of recent restructuring of health service supply and financing, services need to be assessed from a user perspective. OBJECTIVE: Based on a comprehensive conceptual framework, this article assesses the quality of the FP services provided by the Mexican Ministry of Health (MoH)...
2019: PloS One
https://read.qxmd.com/read/30698092/modeling-episode-based-payments-for-cancer-using-commercial-claims-data
#19
Michael Polson, Todd Lord, Themmi Evangelatos, Anne Kangethe, Lindsay C Speicher, Servi Barrientos, Christopher Zacker
BACKGROUND: Innovative health care reimbursement models are gaining attention as a way to move away from a payment system that rewards quantity of service over quality of care. One such alternative payment model is episode-based payment, such as the Oncology Care Model (OCM) being piloted by the Center for Medicare & Medicaid Innovation. OBJECTIVE: To adapt the OCM methodology to a commercially insured population to understand the challenges and potential implications of implementing an episode-based payment model in a commercial health plan...
February 2019: Journal of Managed Care & Specialty Pharmacy
https://read.qxmd.com/read/30697032/global-perspective-of-paediatric-surgery-in-low-and-middle-income-countries
#20
Saqib Hamid Qazi, Sohail Asghar Dogar, Samie Asghar Dogar, Tamara Fitzgerald, Ayesha Saleem, Jai K Das
There is huge burden of paediatric surgical diseases in low and middle income countries. Issues behind such a scenario include lack of trained paediatric surgeons, higher mortality due to infections, and poor postoperative care. The possible solution is improvement in the existing structure, which is government hospitals, because they are the most prevalent form of healthcare delivery in such countries. Proper coding system, research and identification of paediatric bellwether procedures can improve the existing health system...
February 2019: JPMA. the Journal of the Pakistan Medical Association
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