International Journal of Health Policy and Management最新文献_第7页

Long-term Care Insurance and Health and Perceived Satisfaction of Older Chinese: Comparisons Between Urban/Rural Areas, Chronic Conditions, and Their Intersectionality 中国老年人的长期护理保险与健康和感知满意度：城乡地区、慢性病及其交叉性比较

IF 3.5 3区医学

International Journal of Health Policy and Management Pub Date : 2023-12-11 DOI: 10.34172/ijhpm.2023.7938

Yinkai Zhang, Yu-Chih Chen, Julia Shu-Huah Wang

{"title":"Long-term Care Insurance and Health and Perceived Satisfaction of Older Chinese: Comparisons Between Urban/Rural Areas, Chronic Conditions, and Their Intersectionality","authors":"Yinkai Zhang, Yu-Chih Chen, Julia Shu-Huah Wang","doi":"10.34172/ijhpm.2023.7938","DOIUrl":"https://doi.org/10.34172/ijhpm.2023.7938","url":null,"abstract":"Background: Evidence of the impact of long-term care insurance (LTCI) on health and well-being has predominantly come from developed countries. China officially launched its city-level LTCI policy in 2016. Recent evidence in China has shown that having an LTCI program contributes to positive health. However, it is unclear whether such positive policy effects were attributed to policy announcement or implementation effects, and whether the policy effects vary by locality, chronic conditions, and their intersectionality. This study examines whether there are longitudinal health benefits for older Chinese who are participating in LTCI, particularly considering their city location (urban/rural), whether they have chronic conditions, and the intersectionality. Methods: Following the Andersen Behavioral Model, health and satisfaction outcomes of 9253 adults aged 60+ years were extracted from the 2015 and 2018 waves of the China Health and Retirement Longitudinal Study (CHARLS). Individual data were linked to census socioeconomic data with city-level characteristics and LTCI policy variable. Multilevel lagged regression models investigated the impact of LTCI policy on health and satisfaction with health services, after controlling for baseline individual- and city-level covariates. Results: Of 125 cities in the dataset, 21 (16.8%) had adopted LTCI. These city inhabitants had significantly better self-rated health and higher satisfaction relative to cities without LTCI policies when environmental- and personal-level characteristics were modeled. Health benefits of LTCI were stronger after policy announcement and were particularly observed among rural older adults and those with chronic conditions. Results also suggest that LTCI’s positive effects on satisfaction spill over to middle-aged adults. Conclusion: Expanding coverage and eligibility to LTCI for all older Chinese could improve health and well-being.","PeriodicalId":14135,"journal":{"name":"International Journal of Health Policy and Management","volume":"8 2","pages":""},"PeriodicalIF":3.5,"publicationDate":"2023-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139183953","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Delivery and Prioritization of Surgical Care in Canada During COVID-19: An Environmental Scan COVID-19 期间加拿大外科护理的提供和优先顺序：环境扫描

IF 3.5 3区医学

International Journal of Health Policy and Management Pub Date : 2023-12-10 DOI: 10.34172/ijhpm.2023.8007

Seremi Ibadin, Mary Brindle, Tracy Wasylak, Jill Robert, Stacey Litvinchuk, K. Sauro

{"title":"Delivery and Prioritization of Surgical Care in Canada During COVID-19: An Environmental Scan","authors":"Seremi Ibadin, Mary Brindle, Tracy Wasylak, Jill Robert, Stacey Litvinchuk, K. Sauro","doi":"10.34172/ijhpm.2023.8007","DOIUrl":"https://doi.org/10.34172/ijhpm.2023.8007","url":null,"abstract":"Background: During COVID-19 healthcare systems had to make concessions to make room for the surge of COVID-19 patients requiring hospital and intensive care. Postponing surgeries was a common strategy; however, it is unclear how surgical care was delivered during this time of constraint. The objective of this study was to understand how surgical care was delivered and prioritized during the COVID-19 pandemic response. Methods: This was an environmental scan following the Canadian Agency for Drugs and Technologies in Health methodology. This study was conducted in Canada; a universal, publicly funded healthcare system. Evidence sources on policies pertaining to the provision of surgical care between January 2020 and October 2022 were obtained from ministries of health, health services agencies and publicly funded hospitals across all 10 provinces and three territories. We synthesized the evidence sources using framework analysis. Results: We identified 205 evidence sources that described six themes about the provision of surgical care during the COVID-19 pandemic: the cycle of postponement and resumption; guidelines for triaging and prioritizing surgical cases; Infection Prevention and Control (IPAC), and safety measures for surgical care during COVID-19, patient-centred care, and looking forward (recovery planning, leadership, and decision-making). Conclusion: This study provides a comprehensive understanding of how surgical care was disrupted and innovated during COVID-19 which can inform future strategies for providing effective and efficient surgical care during times of healthcare constraint.","PeriodicalId":14135,"journal":{"name":"International Journal of Health Policy and Management","volume":"28 5","pages":""},"PeriodicalIF":3.5,"publicationDate":"2023-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139184442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Introducing Critical Accounting for Governance as a Tool in Exploring the Commercial Determinants of Health 在探索健康的商业决定因素时引入治理关键会计这一工具

IF 3.5 3区医学

International Journal of Health Policy and Management Pub Date : 2023-12-06 DOI: 10.34172/ijhpm.2023.8128

Lorna A. Stevenson, N. Maani, J. Olsen

引用次数: 0

New Zealand Pae Ora Healthcare Reforms 2022: Viable by Design? A Qualitative Study Using the Viable System Model 新西兰 2022 年 Pae Ora 医疗改革：设计是否可行？使用可行系统模型的定性研究

IF 3.5 3区医学

International Journal of Health Policy and Management Pub Date : 2023-12-06 DOI: 10.34172/ijhpm.2023.7906

Adeel Akmal, Nataliya Podgorodnichenko, Robin Gauld, Tim Stokes

{"title":"New Zealand Pae Ora Healthcare Reforms 2022: Viable by Design? A Qualitative Study Using the Viable System Model","authors":"Adeel Akmal, Nataliya Podgorodnichenko, Robin Gauld, Tim Stokes","doi":"10.34172/ijhpm.2023.7906","DOIUrl":"https://doi.org/10.34172/ijhpm.2023.7906","url":null,"abstract":"Background: The New Zealand (NZ) Pae Ora (Healthy Futures) health reforms came into effect in July 2022 with the establishment of Health New Zealand (HNZ) (Te Whatu Ora) and the Māori Health Authority (MHA) (Te Aka Whai Ora) – the organisations charged for healthcare provision and delivery. Given these changes represent major health system reform, we aimed to conduct an early evaluation of the design of the reforms to determine if they can deliver a viable and sustainable NZ health system going forward. Methods: The evaluation was informed by Beer’s viable system model (VSM). A qualitative exploratory design with semi-structured interviews and documents analysis using thematic analysis was used. We conducted 28 interviews with senior healthcare managers and reviewed over 300 official documents and news analyses. Results: The VSM posits that for a system to be viable, all its five sub-systems (operations; co-ordination; operational control; development and governance) need to be strong. Our analysis suggests that the health reforms, despite their strengths, do not satisfy this requirement. The reforms do appreciate the complexity of the healthcare environment: multiple stakeholders, social inequalities, interdependencies. However, our analysis suggests a severe lack of detail regarding the implementation and operationalisation of the reforms. Furthermore, resourcing and coordination within the reformed system is also unclear. Conclusion: The health system reforms may not lead to a viable future NZ health system. Poor communication of the reform implementation and operationalisation will likely result in system failure and inhibit the ability of frontline health organisations to deliver care.","PeriodicalId":14135,"journal":{"name":"International Journal of Health Policy and Management","volume":"17 3","pages":""},"PeriodicalIF":3.5,"publicationDate":"2023-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139185980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Doing Health Policy Analysis: The Enduring Relevance of Simple Models Comment on "Modelling the Health Policy Process: One Size Fits All or Horses for Courses" 进行卫生政策分析：简单模型的持久意义》评论："卫生政策过程建模：是 "一刀切 "还是 "照葫芦画瓢"

IF 3.5 3区医学

International Journal of Health Policy and Management Pub Date : 2023-12-04 DOI: 10.34172/ijhpm.2023.8223

Lucy Gilson, G. Walt

引用次数: 0

Costing Interventions for Developing an Essential Package of Health Services: Application of a Rapid Method and Results From Pakistan 计算干预措施的成本以制定基本的一揽子医疗服务：巴基斯坦快速方法的应用和结果

IF 3.5 3区医学

International Journal of Health Policy and Management Pub Date : 2023-11-27 DOI: 10.34172/ijhpm.2023.8006

Wajeeha Raza, Wahaj Zulfiqar, M. Shah, M. Huda, Syeda Shehirbano Akhtar, Urooj Aqeel, Saira Kanwal, Muhammad Khalid, Raza Zaidi, Maarten Jansen, N. Kitson, Leon Bijlmakers, S. Siddiqi, A. Alwan, Anna Vassall, S. Torres-Rueda

{"title":"Costing Interventions for Developing an Essential Package of Health Services: Application of a Rapid Method and Results From Pakistan","authors":"Wajeeha Raza, Wahaj Zulfiqar, M. Shah, M. Huda, Syeda Shehirbano Akhtar, Urooj Aqeel, Saira Kanwal, Muhammad Khalid, Raza Zaidi, Maarten Jansen, N. Kitson, Leon Bijlmakers, S. Siddiqi, A. Alwan, Anna Vassall, S. Torres-Rueda","doi":"10.34172/ijhpm.2023.8006","DOIUrl":"https://doi.org/10.34172/ijhpm.2023.8006","url":null,"abstract":"Background: The Federal Ministry of National Health Services, Regulations and Coordination (MNHSR&C) in Pakistan has committed to progress towards Universal Health Coverage (UHC) by 2030 by providing an essential package for health services (EPHS). Starting in 2019, the Disease Control Priorities 3 (DCP3) evidence framework was used to guide the development of Pakistan’s EPHS. In this paper, we describe the methods and results of a rapid costing approach used to inform the EPHS design process. Methods: A total of 167 unit costs were calculated through a context-specific, normative, ingredients-based, bottom-up economic costing approach. Costs were constructed by determining resource use from descriptions provided by MNHSR&C and validated by technical experts. Price data from publicly available sources were used. Deterministic univariate sensitivity analyses were carried out. Results: Unit costs ranged from 2019 US$ 0.27 to 2019 US$ 1,478. Interventions in the cancer package of services had the highest average cost (2019 US$ 837) while interventions in the environmental package of services had the lowest (2019 US$ 0.68). Cost drivers varied by platform; the two largest drivers were drug regimens and surgery-related costs. Sensitivity analyses suggest our results are not sensitive to changes in staff salary but are sensitive to changes in medicine pricing. Conclusion: We estimated a large number of context-specific unit costs, over a six-month period, demonstrating a rapid costing method suitable for EPHS design.","PeriodicalId":14135,"journal":{"name":"International Journal of Health Policy and Management","volume":"32 1","pages":""},"PeriodicalIF":3.5,"publicationDate":"2023-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139229832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Negotiating Medical Insurance Drug Prices: The Role in Reducing Costs of Orphan Drugs for Rare Diseases 谈判医疗保险药品价格：降低罕见病 "孤儿药 "成本的作用

IF 3.5 3区医学

International Journal of Health Policy and Management Pub Date : 2023-11-13 DOI: 10.34172/ijhpm.2023.8195

Jinmiao Lu, Xiaohua Ying, Zhiping Li

引用次数: 0

Transforming Capitalism, From Top Down to Bottom Up; A Response to the Recent Commentarie 改革资本主义，从自上而下到自下而上；对近期评论的回应

IF 3.5 3区医学

International Journal of Health Policy and Management Pub Date : 2023-11-12 DOI: 10.34172/ijhpm.2023.8338

Ronald Labonté

引用次数: 0

Developing a Research Agenda for HiAP Implementation; A Response to the Recent Commentaries 制定实施 HiAP 的研究议程；对近期评论的回应

IF 3.5 3区医学

International Journal of Health Policy and Management Pub Date : 2023-11-08 DOI: 10.34172/ijhpm.2023.8326

Maria Guglielmin, K. Shankardass, Patricia O’Campo, Ahmed M Bayoumi, L. Kokkinen, Carles Muntaner

引用次数: 0

How to Build Healthy Societies: A Thematic Analysis of Relevant Conceptual Frameworks 如何建设健康社会：相关概念框架的专题分析

IF 3.5 3区医学

International Journal of Health Policy and Management Pub Date : 2023-11-07 DOI: 10.34172/ijhpm.2023.7451

Devaki Nambiar, Amy Bestman, Siddharth Srivastava, R. Marten, Sonam Yangchen, Kent Buse

{"title":"How to Build Healthy Societies: A Thematic Analysis of Relevant Conceptual Frameworks","authors":"Devaki Nambiar, Amy Bestman, Siddharth Srivastava, R. Marten, Sonam Yangchen, Kent Buse","doi":"10.34172/ijhpm.2023.7451","DOIUrl":"https://doi.org/10.34172/ijhpm.2023.7451","url":null,"abstract":"Background: As the Sustainable Development Goals deadline of 2030 draws near, greater attention is being given to health beyond the health sector, in other words, to the creation of healthy societies. However, action and reform in this area has not kept pace, in part due to a focus on narrower interventions and the lack of upstream action on health inequity. With an aim to guide action and political engagement for reform, we conducted a thematic analysis of concepts seeking to arrive at healthy societies. Methods: This paper drew on a qualitative thematic analysis of a purposive sample of 68 documents including political declarations, reports, peer reviewed literature and guidance published since 1974. Three independent reviewers extracted data to identify, discuss and critique public policy levers and ‘enablers’ of healthy societies, the \"how.\" Results: The first lever concerned regulatory and fiscal measures. The second was intersectoral action. The final lever a shift in the global consensus around what signifies societal transformation and outcomes. The three enablers covered political leadership and accountability, popular mobilization and the generation and use of knowledge. Conclusion: Documents focused largely on technical rather than political solutions. Even as the importance of political leadership was recognized, analysis of power was limited. Rights-based approaches were generally neglected as was assessing what worked or did not work to pull the levers or invest in the enablers. Frameworks typically failed to acknowledge or challenge prevailing ideologies, and did not seek to identify ways to hold or governments or corporations accountable for failures. Finally, ideas and approaches seem to recur again over the decades, without adding further nuance or analysis. This suggests a need for more upstream, critical and radical approaches to achieve healthy societies.","PeriodicalId":14135,"journal":{"name":"International Journal of Health Policy and Management","volume":"21 1","pages":""},"PeriodicalIF":3.5,"publicationDate":"2023-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139284215","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0