Health Policy Open最新文献

筛选
英文 中文
Health-care policies during the COVID-19 pandemic in Mexico: A continuous case of heterogeneous, reactive, and unequal response 墨西哥新冠肺炎大流行期间的医疗保健政策:异质性、反应性和不平等反应的连续案例
Health Policy Open Pub Date : 2023-08-02 DOI: 10.1016/j.hpopen.2023.100100
Daniela Bautista-Reyes , Jimena Werner-Sunderland , Alondra Coral Aragón-Gama , José Roberto Cabral Duran , Karla Daniela Contreras Medina , Manuel Urbina-Fuentes , Elysse Bautista-González
{"title":"Health-care policies during the COVID-19 pandemic in Mexico: A continuous case of heterogeneous, reactive, and unequal response","authors":"Daniela Bautista-Reyes ,&nbsp;Jimena Werner-Sunderland ,&nbsp;Alondra Coral Aragón-Gama ,&nbsp;José Roberto Cabral Duran ,&nbsp;Karla Daniela Contreras Medina ,&nbsp;Manuel Urbina-Fuentes ,&nbsp;Elysse Bautista-González","doi":"10.1016/j.hpopen.2023.100100","DOIUrl":"10.1016/j.hpopen.2023.100100","url":null,"abstract":"<div><h3>Background</h3><p>The pandemic in Mexico underlined pre-existing health-care system inequalities. Within the first six months of the COVID-19 pandemic, 154 health policies across health institutions were found to be uncoordinated and heterogeneous, leading to health inequalities in access and potential health outcomes.</p></div><div><h3>Data &amp; methods</h3><p>Using a rapid qualitative research methodology, data was collected using purposive sampling of institutional policies published for public access on the official websites of the four public health institutions in Mexico from June 16th, 2020 to October 30th, 2021. This policy review used archival analysis to understand the differences in health-care policies during the COVID-19 pandemic in Mexico. These policies were classified under the RREAL framework and as a continuation of our first publication.</p></div><div><h3>Results</h3><p>During this study, categories of public health response and vaccination dominated the policies enacted. The SSA was the main author of publications. There seems to be a more unified policy response. However, health inequalities persist.</p></div><div><h3>Conclusions</h3><p>The Mexican government continued to be reactive to the increase in cases or the arrival of new variants, rather than preventative. Research and development of policies need to work together in soaring cases like COVID-19 to work more effectively against the economic and epidemiological burden of a pandemic. It is suggested that this “vaccination” should be included in the RREAL classification. Other sectors (i.e. the ministry of foreign affairs) should be considered relevant players in the future management of a pandemic.</p></div>","PeriodicalId":34527,"journal":{"name":"Health Policy Open","volume":"5 ","pages":"Article 100100"},"PeriodicalIF":0.0,"publicationDate":"2023-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/45/b9/main.PMC10471918.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10149309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Proposal for a national diagnostics action plan for the United States 美国国家诊断行动计划提案
Health Policy Open Pub Date : 2023-06-24 DOI: 10.1016/j.hpopen.2023.100099
Gigi Kwik Gronvall , Sujeet B. Rao , Susan Van Meter , Adam Borden , Tom Inglesby
{"title":"Proposal for a national diagnostics action plan for the United States","authors":"Gigi Kwik Gronvall ,&nbsp;Sujeet B. Rao ,&nbsp;Susan Van Meter ,&nbsp;Adam Borden ,&nbsp;Tom Inglesby","doi":"10.1016/j.hpopen.2023.100099","DOIUrl":"10.1016/j.hpopen.2023.100099","url":null,"abstract":"<div><p>Providing a definitive diagnostic test in a disease emergency is critical to limit pathogen spread, develop and deploy medical countermeasures, and mitigate the social and economic harms of a serious epidemic. While major accomplishments have accelerated test development, expanded laboratory testing capacity, and established widespread point-of-care testing, the United States does not have a plan to rapidly respond, to develop, manufacture, deploy, and sustain diagnostic testing at a national scale. To address this gap, we are proposing a <strong>National Diagnostics Action Plan</strong> that describes the steps that are urgently needed to prepare for future infectious disease emergencies, as well as the actions we must take at the first signs of such’ events. These recommendations require substantial collaboration between the US government (USG) and the private sector to solve a series of challenges now, as well as to prepare for the massive and rapid scale-up of laboratory and point-of-care test development and testing capacity in future emergencies. The recommendations include establishing pre-event contracts; ensuring rapid access to clinical samples; creating a permanent public–private testing coordinating body to allow for rapid information sharing and improved cooperation among the USG, test developers, and clinical laboratories; and accelerating testing rollout at the beginning of an event—and thus, the effective public health management of a disease crisis.</p></div>","PeriodicalId":34527,"journal":{"name":"Health Policy Open","volume":"5 ","pages":"Article 100099"},"PeriodicalIF":0.0,"publicationDate":"2023-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10336495/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9820458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
COVAX – Time to reconsider the strategy and its target COVAX——是时候重新考虑战略及其目标了
Health Policy Open Pub Date : 2023-04-13 DOI: 10.1016/j.hpopen.2023.100096
David Bell , Garrett W. Brown , Wellington A. Oyibo , Samiratou Ouédraogo , Blagovesta Tacheva , Elena Barbaud , Andreas Kalk , Valéry Ridde , Elisabeth Paul
{"title":"COVAX – Time to reconsider the strategy and its target","authors":"David Bell ,&nbsp;Garrett W. Brown ,&nbsp;Wellington A. Oyibo ,&nbsp;Samiratou Ouédraogo ,&nbsp;Blagovesta Tacheva ,&nbsp;Elena Barbaud ,&nbsp;Andreas Kalk ,&nbsp;Valéry Ridde ,&nbsp;Elisabeth Paul","doi":"10.1016/j.hpopen.2023.100096","DOIUrl":"10.1016/j.hpopen.2023.100096","url":null,"abstract":"<div><p>COVAX, the international initiative supporting COVID-19 vaccination campaigns globally, is budgeted to be the costliest public health initiative in low- and middle-income countries, with over 16 billion US dollars already committed. While some claim that the target of vaccinating 70% of people worldwide is justified on equity grounds, we argue that this rationale is wrong for two reasons. First, mass COVID-19 vaccination campaigns do not meet standard public health requirements for clear expected benefit, based on costs, disease burden and intervention effectiveness. Second, it constitutes a diversion of resources from more cost-effective and impactful public health programmes, thus reducing health equity. We conclude that the COVAX initiative warrants urgent review.</p></div>","PeriodicalId":34527,"journal":{"name":"Health Policy Open","volume":"4 ","pages":"Article 100096"},"PeriodicalIF":0.0,"publicationDate":"2023-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d2/b1/main.PMC10098302.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9709358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Whether or not to enroll, and stay enrolled? A Tanzanian cross-sectional study on voluntary health insurance 是否注册,并继续注册?坦桑尼亚关于自愿健康保险的横断面研究
Health Policy Open Pub Date : 2023-04-13 DOI: 10.1016/j.hpopen.2023.100097
Alphoncina Kagaigai , Amani Thomas Mori , Amani Anaeli , Sverre Grepperud
{"title":"Whether or not to enroll, and stay enrolled? A Tanzanian cross-sectional study on voluntary health insurance","authors":"Alphoncina Kagaigai ,&nbsp;Amani Thomas Mori ,&nbsp;Amani Anaeli ,&nbsp;Sverre Grepperud","doi":"10.1016/j.hpopen.2023.100097","DOIUrl":"10.1016/j.hpopen.2023.100097","url":null,"abstract":"<div><p>Lower-middle income countries (LMICs) have invested significant effort into expanding insurance coverage as a means of improving access to health care. However, it has proven challenging to fulfill these ambitions. This study investigates to what extent variables associated with the enrollment decision (stay never-insured or enroll) differ from variables associated with the dropout decision (stay insured or drop out). A cross-sectional survey that included 722 households from rural districts in Tanzania was conducted and multinomial logistic regressions were performed to determine the associations between independent variables and membership status (never-insured, dropouts, or currently insured). Both the decision to enrollment and the decision to drop out were significantly associated with the presence of chronic disease and perceptions about the quality of services provided, insurance scheme management, and traditional healers. The effect of other variables, such as age, gender and educational level of the household head, household income, and perceptions about premium affordability and benefit-premium ratios, varied across the two groups. To improve voluntary health insurance coverage, policymakers must simultaneously increase the enrollment rate among the never-insured and reduce the dropout rate among the insured. Our conclusions suggest that policies to increase insurance scheme enrollment rates should differ for the two uninsured groups.</p></div>","PeriodicalId":34527,"journal":{"name":"Health Policy Open","volume":"4 ","pages":"Article 100097"},"PeriodicalIF":0.0,"publicationDate":"2023-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/7e/11/main.PMC10297742.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9735931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
A SWOT analysis of the complex interdependencies of the Maltese reimbursement processes 马耳他报销流程复杂相互依存关系的SWOT分析
Health Policy Open Pub Date : 2023-04-10 DOI: 10.1016/j.hpopen.2023.100095
Katharina Abraham, Margreet Franken
{"title":"A SWOT analysis of the complex interdependencies of the Maltese reimbursement processes","authors":"Katharina Abraham,&nbsp;Margreet Franken","doi":"10.1016/j.hpopen.2023.100095","DOIUrl":"10.1016/j.hpopen.2023.100095","url":null,"abstract":"<div><h3>Background</h3><p>The processes that operationalize the evaluation framework for new medicines are implemented to reach the system objectives of public health, financial sustainability, and equitability. However, when the activities and procedures of these processes are misaligned, the objectives of the system may be at risk.</p></div><div><h3>Objectives</h3><p>To evaluate the supporting processes for introducing new medicines in public healthcare services in Malta.</p></div><div><h3>Methods</h3><p>We first reviewed literature on the Maltese reimbursement system and subsequently conducted semi-structured interviews based on the Hutton Framework. Interviewees included policy makers, committee members, procurement staff, medical specialists, pharmacists, and pharmaceutical industry representatives. After validation, we analysed the data with a Strengths, Weaknesses, Opportunities, and Threats (SWOT) analysis.</p></div><div><h3>Results</h3><p>Most medicines are assessed for introduction on the Government Formulary List. Exceptional requests fall outside this policy and pass through the Exceptional Medicinal Treatment route. Efficiency, quality, and transparency are major weaknesses across the supporting processes. Taking up responsibility, however, is considered the most important factor in reaching system objectives. Stakeholders tend to shift responsibilities to other processes, start/stop activities that impact the activities of subsequent processes whilst dismissing any contribution to the weaknesses of the system. Consequently, system objectives cannot be reached in an optimum manner.</p></div><div><h3>Conclusions</h3><p>The Maltese case showed that recommendations for introducing new medicines in the public healthcare setting are influenced beyond the choice of HTA tools and criteria. Earmarked budgets, political steering, delays, and uninformed applicants as well as HTA capacity are impeding on system goals of public health, equity, and sustainability.</p></div>","PeriodicalId":34527,"journal":{"name":"Health Policy Open","volume":"4 ","pages":"Article 100095"},"PeriodicalIF":0.0,"publicationDate":"2023-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10297753/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9735937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Proposing the “Value- and Evidence-Based decision making and Practice” (VEDMAP) framework for Priority-Setting and knowledge translation in low and Middle-Income Countries: A novel framework for Decision-Making in Low-and middle income countries like Malawi 提出“基于价值和证据的决策与实践”(VEDMAP)框架,用于中低收入国家的优先事项设定和知识翻译:马拉维等中低收入国家决策的新框架
Health Policy Open Pub Date : 2023-04-08 DOI: 10.1016/j.hpopen.2023.100094
Joseph Mfutso-Bengo , Nthanda Nkungula , Emmanuel Mnjowe , Wingston Ng'ambi , Faless Jeremiah , Florence Kasende- Chinguwo , Fanuel Meckson Bickton , Dominic Nkhoma , Jobiba Chinkhumba , Sebastian Mboma , Lucky Ngwira , Mercy Juma , Isabel Kazanga-Chiumia , Pakwanja Twea , Gerald Manthalu
{"title":"Proposing the “Value- and Evidence-Based decision making and Practice” (VEDMAP) framework for Priority-Setting and knowledge translation in low and Middle-Income Countries: A novel framework for Decision-Making in Low-and middle income countries like Malawi","authors":"Joseph Mfutso-Bengo ,&nbsp;Nthanda Nkungula ,&nbsp;Emmanuel Mnjowe ,&nbsp;Wingston Ng'ambi ,&nbsp;Faless Jeremiah ,&nbsp;Florence Kasende- Chinguwo ,&nbsp;Fanuel Meckson Bickton ,&nbsp;Dominic Nkhoma ,&nbsp;Jobiba Chinkhumba ,&nbsp;Sebastian Mboma ,&nbsp;Lucky Ngwira ,&nbsp;Mercy Juma ,&nbsp;Isabel Kazanga-Chiumia ,&nbsp;Pakwanja Twea ,&nbsp;Gerald Manthalu","doi":"10.1016/j.hpopen.2023.100094","DOIUrl":"10.1016/j.hpopen.2023.100094","url":null,"abstract":"<div><p>The existence and availability of evidence on its own does not guarantee that the evidence will be demanded and used by decision and policy makers. Decision and policy-makers, especially in low-income settings, often confront ethical dilemmas about determining the best available evidence and its utilization. This dilemma can be in the form of conflict of evidence, scientific and ethical equipoise and competing evidence or interests. Consequently, decisions are made based on convenience, personal preference, donor requirements, and political and social considerations which can result in wastage of resources and inefficiency. To mitigate these challenges, the use of “Value- and Evidence-Based Decision Making and Practice” (VEDMAP) framework is proposed. This framework was developed by Joseph Mfutso-Bengo in 2017 through a desk review. It was pretested through a scoping study under the <em>Thanzi la Onse</em> (TLO) Project which assessed the feasibility and acceptability of using the VEDMAP as a priority setting tool for Health Technology Assessment (HTA) in Malawi. The study used mixed methods whereby it conducted a desk review to map out and benchmark normative values of different countries in Africa and HTA; focus group discussion and key informant interviews to map out the actual (practised) values in Malawi. The results of this review confirmed that the use of VEDMAP framework was feasible and acceptable and can bring efficiency, traceability, transparency and integrity in decision- policy making process and implementation.</p></div>","PeriodicalId":34527,"journal":{"name":"Health Policy Open","volume":"4 ","pages":"Article 100094"},"PeriodicalIF":0.0,"publicationDate":"2023-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ec/f0/main.PMC10297823.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9735939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The impact of external reference pricing on pharmaceutical costs and market dynamics 外部参考定价对药品成本和市场动态的影响
Health Policy Open Pub Date : 2023-03-24 DOI: 10.1016/j.hpopen.2023.100093
Dominic Voehler , Benjamin C. Koethe , Patricia G. Synnott , Daniel A. Ollendorf
{"title":"The impact of external reference pricing on pharmaceutical costs and market dynamics","authors":"Dominic Voehler ,&nbsp;Benjamin C. Koethe ,&nbsp;Patricia G. Synnott ,&nbsp;Daniel A. Ollendorf","doi":"10.1016/j.hpopen.2023.100093","DOIUrl":"10.1016/j.hpopen.2023.100093","url":null,"abstract":"<div><p>Growth in the cost of prescription drugs in the US has generated significant interest in the use of external reference pricing (ERP) to tie prices paid for drugs to those in other countries. We used data from the Pricentric ONE™ database, an international drug pricing database, to examine product launch timing, launch price, and price changes from January 2010 – October 2021 in both ERP and non-ERP settings, with a focus on 100 high-priced drugs of interest to Medicare and Medicaid. We found that ERP policies were associated with a 73% reduction in the likelihood of drug launch within 9 months of regulatory approval relative to non-ERP settings. In addition, while ERP was associated with statistically significant reductions in annual drug price changes, such policies did not impact launch price. In addition, no single ERP feature (e.g., number of countries referenced, ERP calculation) was materially associated with the outcomes of interest. We conclude that ERP policies do not appear to impact drug launch price and may delay access to new therapies, raising questions about the utility of such policies in the US and potential consequences abroad.</p></div>","PeriodicalId":34527,"journal":{"name":"Health Policy Open","volume":"4 ","pages":"Article 100093"},"PeriodicalIF":0.0,"publicationDate":"2023-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/df/46/main.PMC10297733.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9735934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Towards a better understanding between non-Muslim primary care clinicians and Muslim patients: A literature review intended to reduce health care inequities in Muslim patients 更好地理解非穆斯林初级保健临床医生和穆斯林患者:旨在减少穆斯林患者医疗保健不平等的文献综述
Health Policy Open Pub Date : 2023-03-24 DOI: 10.1016/j.hpopen.2023.100092
Jeffrey K King , Alexander Kieu , Marwan El-Deyarbi , Noof Aljneibi , Saif Al-Shamsi , Muhammad Jawad Hashim , Linda Östlundh , Kate Ellen King , Renee Houjintang King , Moien AB Khan , Romona Devi Govender
{"title":"Towards a better understanding between non-Muslim primary care clinicians and Muslim patients: A literature review intended to reduce health care inequities in Muslim patients","authors":"Jeffrey K King ,&nbsp;Alexander Kieu ,&nbsp;Marwan El-Deyarbi ,&nbsp;Noof Aljneibi ,&nbsp;Saif Al-Shamsi ,&nbsp;Muhammad Jawad Hashim ,&nbsp;Linda Östlundh ,&nbsp;Kate Ellen King ,&nbsp;Renee Houjintang King ,&nbsp;Moien AB Khan ,&nbsp;Romona Devi Govender","doi":"10.1016/j.hpopen.2023.100092","DOIUrl":"10.1016/j.hpopen.2023.100092","url":null,"abstract":"<div><p>Although Muslims are a growing population within many non-Muslim countries, there are insufficient Muslim clinicians to care for them. Studies have shown that non-Muslim clinicians have limited knowledge and understanding of Islamic practices affecting health, which may lead to disparities in the quality of healthcare delivery and outcomes when caring for Muslim patients. Muslims come from many different cultures and ethnicities and have variations in their beliefs and practices. This literature review provides some insights which may strengthen therapeutic bonds between non-Muslim clinicians and their Muslim patients resulting in improved holistic, patient-centered care in the areas of cancer screening, mental health, nutrition, and pharmacotherapy. Additionally, this review informs clinicians about the Islamic perspective on childbirth, end of life issues, travel for Islamic pilgrimage, and fasting during the month of Ramadan. Literature was sourced by a comprehensive search in PubMed, Scopus, and CINAHL along with hand screening of citations. Title and abstract screening followed by full-text screening excluded studies including less than 30% Muslim participants, protocols, or reporting results deemed irrelevant to primary care. 115 papers were selected for inclusion in the literature review. These were grouped into the themes of general spirituality, which were discussed in the Introduction, and Islam and health, Social etiquette, Cancer screening, Diet, Medications and their alternatives, Ramadan, Hajj, Mental health, Organ donation and transplants, and End of life. Summarizing the findings of the review, we conclude that health inequities affecting Muslim patients can be addressed at least in part by improved cultural competency in non-Muslim clinicians, as well as further research into this area.</p></div>","PeriodicalId":34527,"journal":{"name":"Health Policy Open","volume":"4 ","pages":"Article 100092"},"PeriodicalIF":0.0,"publicationDate":"2023-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10297732/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9735933","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Policies and practices in Nigeria’s pharmaceutical sector: A mixed methods exploration of stakeholders’ perspectives on strategic reforms 尼日利亚制药行业的政策和实践:利益相关者对战略改革观点的混合方法探索
Health Policy Open Pub Date : 2023-03-24 DOI: 10.1016/j.hpopen.2023.100091
Obi Peter Adigwe
{"title":"Policies and practices in Nigeria’s pharmaceutical sector: A mixed methods exploration of stakeholders’ perspectives on strategic reforms","authors":"Obi Peter Adigwe","doi":"10.1016/j.hpopen.2023.100091","DOIUrl":"10.1016/j.hpopen.2023.100091","url":null,"abstract":"<div><h3>Background</h3><p>Policies and practices are key factors that determine development in any sector. In the Nigerian setting however, there is lack of evidence that the pharmaceutical sector is embedded with contextual policies and practices that can expedite development in the system. This inadvertently has an impact as regards access to medicines for the citizenry. This study therefore aimed at adopting a bottom-up approach in gathering insights into stakeholders’ perspectives on policies and practices in Nigeria’s pharmaceutical sector, and how they influence Medicines’ Security and consequent access to healthcare.</p></div><div><h3>Methods</h3><p>Data were collected using a self completion questionnaire which was administered to stakeholders present during an event held in Abuja, the capital of Nigeria, which focused on improving the Nigerian pharmaceutical sector. A total number of 82 questionnaires were administered to participants. Following retrieval of questionnaires, quantitative data were subjected to descriptive and inferential analyses, whilst textual data were analysed using thematic analysis approach.</p></div><div><h3>Results</h3><p>Of the 82 questionnaires administered, response rate was 92.68%. Two-thirds of the participants were males (69.7%). A quarter of the study participants were between the ages of 41 and 50 years, whilst those above 50 years represented the most populous proportion of the sample (38.2%). A considerable proportion (48%) of the study participants indicated that current policy ecosystem was hostile for pharmaceutical sector growth and development. Also, majority (97.3%) of the study participants indicated that increased investment in health research could stimulate the development of the pharmaceutical sector. Majority of the study participants indicated the need for collaboration between pharmaceutical companies, research institutes and the petrochemical industry.</p></div><div><h3>Conclusion</h3><p>This study consequently identified several critical factors that could stimulate development in the sector, including increased funding of research; stringent implementation of existing policies; and prioritisation of pharmaceutical sector by government and other key stakeholders.</p></div>","PeriodicalId":34527,"journal":{"name":"Health Policy Open","volume":"4 ","pages":"Article 100091"},"PeriodicalIF":0.0,"publicationDate":"2023-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10297794/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9735938","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
COVID-19, SDGs and public health systems: Linkages in Brazil 新冠肺炎、可持续发展目标和公共卫生系统:巴西的联系
Health Policy Open Pub Date : 2023-02-23 DOI: 10.1016/j.hpopen.2023.100090
Flavio Martins , Anna Lima , Loan Diep , Luciana Cezarino , Lara Liboni , Rita Tostes , Priti Parikh
{"title":"COVID-19, SDGs and public health systems: Linkages in Brazil","authors":"Flavio Martins ,&nbsp;Anna Lima ,&nbsp;Loan Diep ,&nbsp;Luciana Cezarino ,&nbsp;Lara Liboni ,&nbsp;Rita Tostes ,&nbsp;Priti Parikh","doi":"10.1016/j.hpopen.2023.100090","DOIUrl":"10.1016/j.hpopen.2023.100090","url":null,"abstract":"<div><h3>Background</h3><p>The global 2030 Agenda covers a range of interconnected issues which need interdisciplinary and holistic approaches to improve human well-being and protect the natural environment. The COVID-19 pandemic has brought to light critical inequities in society and policy gaps in health services. As highlighted through analyses of the interlinkages among the Sustainable Development Goals (SDGs), connections between human health and well-being and the environment, can help support new policy needs in addressing systemic health crises, including widespread pandemics.</p></div><div><h3>Method</h3><p>We identify links between the COVID-19 crisis and multiple SDGs in the context of Brazil based on a review of the current literature in the health sector.</p><p>Findings: We identify synergistic connections between 88 out of 169 SDG targets and COVID-19, notably around themes such as City Environment, Contextual Policies and the value created by improved Information and Technology. Using the context of the Brazilian National Health Service (SUS) highlights recurrent interconnections from the focal point of target 3.8. This includes topics such as challenges for universal healthcare coverage, budget allocation, and universalisation.</p></div><div><h3>Conclusions</h3><p>The framework developed for supporting policy-making decisions and the design of toolkits for dealing with future health-related emergency scenarios offers a practical solution in the health sector. It is worth noting that progress and action on public health systems and policies must go hand in hand with addressing existing socio-economic vulnerabilities in society. This is vital for tackling future pandemics and simultaneously addressing the SDGs.</p></div>","PeriodicalId":34527,"journal":{"name":"Health Policy Open","volume":"4 ","pages":"Article 100090"},"PeriodicalIF":0.0,"publicationDate":"2023-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a2/27/main.PMC9946878.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9705838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信