Health Policy Open最新文献

{"title":"Quality disparity in terms of clients’ satisfaction with selected exempted health care services provided in Ethiopia: Meta-analysis","authors":"Wodaje Gietaneh ,&nbsp;Atsede Alle ,&nbsp;Muluneh Alene ,&nbsp;Moges Agazhe Assemie ,&nbsp;Muluye Molla Simieneh ,&nbsp;Molla Yigzaw Birhanu","doi":"10.1016/j.hpopen.2022.100068","DOIUrl":"https://doi.org/10.1016/j.hpopen.2022.100068","url":null,"abstract":"<div><h3>Introduction</h3><p>In Ethiopia; even though utilization of health care services has been improved after the introduction of user fee exemption, little is known about the quality of the services. There are fragmented studies on the output dimension of quality of health care services particularly on clients’ satisfaction. Therefore this study aims to assess overall quality (in terms of clients’ satisfaction) and its disparity among users of selected exempted health care services provided in Ethiopia.</p></div><div><h3>Methods</h3><p>The Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guideline was used to undertake this study. Both published and unpublished articles conducted in Ethiopia on the quality of health care services in terms of clients’ satisfaction dimensions were searched. A total of 750 articles were retrieved through international databases (Scopus, MEDLINE/PubMed, Science Direct, Google Scholar and Cochrane Library) and national digital library repositories (Addis Ababa University’s digital library repository); 703 of which were excluded while only 47 articles were included in the <em>meta</em>-analysis. The search for articles was conducted during the period 03 December 2019 to 28 January 2020. For methodological qualities of the included articles assessment, a modified version of the Newcastle-Ottawa Scale adapted for cross-sectional studies was used. R version 3.6.1 and stata version 14 soft wares were used for analysis. A random-effects model was used to calculate pooled estimates. The I2 tests were used to assess the heterogeneity of the studies.</p></div><div><h3>Results</h3><p>The pooled overall prevalence of included 47 studies revealed that clients’ satisfaction among users of selected exempted health care services in Ethiopia was 70% (95% CI: 64, 74%). In subgroup analysis; the lowest prevalence of clients’ satisfaction was observed among users of obstetrics maternal health care services with the prevalence of 65.04% (95% CI: 57.50, 72.58).</p></div><div><h3>Conclusion</h3><p>This study found that more than one-third of respondents; was not satisfied with exempted health care services. There is slight difference in satisfaction of clients across type of exempted health care services and regions. Policy and decision makers in Ethiopia shall design strategies to optimize quality of health care services besides exemption of its <span>costs.it</span><svg><path></path></svg> is also strongly recommend that a special emphasis shall be given to obstetric health care services provision. Moreover, concerned stakeholders’ (ministry of health, etc.) should strengthen compassionate respectful care provision in public health facilities; beside to removing user fees.</p></div>","PeriodicalId":34527,"journal":{"name":"Health Policy Open","volume":"3 ","pages":"Article 100068"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S259022962200003X/pdfft?md5=f2d45f937d0d3495a14f76df2c1d9e91&pid=1-s2.0-S259022962200003X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92031508","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}

{"title":"National Health Observatory: A tool to strengthen the health information system for evidence-based decision making and health policy formulation in Cameroon","authors":"Viviane Fossouo Ndoungue ,&nbsp;Christie Tiwoda ,&nbsp;Oumarou Gnigninanjouena ,&nbsp;Serge Bataliack ,&nbsp;Ebongué Mbondji ,&nbsp;Aline Labat","doi":"10.1016/j.hpopen.2022.100085","DOIUrl":"10.1016/j.hpopen.2022.100085","url":null,"abstract":"<div><p>Despite the consensus on the importance of evidence based health information for decision28 making and health policy formulation, quality information is not always available. This situation led the WHO in 2009 to recommend the establishment of an African Health Observatory and National Health Observatories. The WHO recommended 4 phases approach for the establishment of National Health Observatories was used in Cameroon: the preliminary phase, start-up, strengthening and full operation. Despite a non-optimal institutional positioning, the Cameroon’s Health Observatory is in the strengthening phase and contributes to evidence-based decision making in the health system. A strong political commitment is fundamental from the beginning of the project. The establishment of National Health Observatories calls for genuine national ownership, both of the process as a whole and of the tool itself. WHO should regularly assess the progress made in the establishment of National Health Observatories in different countries and provide feedback to them. A step-by-step approach, jointly validated by national stakeholders in a roll-out plan, would be more appropriate for the sustainability of the work of National Health Observatories.</p></div>","PeriodicalId":34527,"journal":{"name":"Health Policy Open","volume":"3 ","pages":"Article 100085"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9742855/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10833721","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}

{"title":"Examining priority setting in the national COVID-19 pandemic plans: A case study from countries in the WHO- South-East Asia Region (WHO-SEARO)","authors":"Claudia-Marcela Vélez ,&nbsp;Lydia Kapiriri ,&nbsp;Elysee Nouvet ,&nbsp;Susan Goold ,&nbsp;Bernardo Aguilera ,&nbsp;Iestyn Williams ,&nbsp;Marion Danis ,&nbsp;Beverley M. Essue","doi":"10.1016/j.hpopen.2022.100086","DOIUrl":"10.1016/j.hpopen.2022.100086","url":null,"abstract":"<div><h3>Background</h3><p>The World Health Organization- South-East Asia Region (WHO-SEARO) accounted for almost 17% of all the confirmed cases and deaths of COVID-19 worldwide. While the literature has documented a weak COVID-19 response in the WHO-SEARO, there has been no discussion of the degree to which this could have been influenced/ mitigated with the integration of priority setting (PS) in the region’s COVID-19 response. The purpose of this paper is to describe the degree to which the COVID-19 plans from a sample of WHO-SEARO countries included priority setting.</p></div><div><h3>Methods</h3><p>The study was based on an analysis of national COVID-19 pandemic response and preparedness planning documents from a sample of seven (of the eleven) countries in WHO-SEARO. We described the degree to which the documented priority setting processes adhered to twenty established quality indicators of effective PS and conducted a cross-country comparison.</p></div><div><h3>Results</h3><p>All of the reviewed plans described the required resources during the COVID-19 pandemic. Most, but not all of the plans demonstrated political will, and described stakeholder involvement. However, none of the plans presented a clear description of the PS process including a formal PS framework, and PS criteria. Overall, most of the plans included only a limited number of quality indicators for effective PS.</p></div><div><h3>Discussion and conclusion</h3><p>There was wide variation in the parameters of effective PS in the reviewed plans. However, there were no systematic variations between the parameters presented in the plans and the country’s economic, health system and pandemic and PS context and experiences. The political nature of the pandemic, and its high resource demands could have influenced the inclusion of the parameters that were apparent in all the plans. The finding that the plans did not include most of the evidence-based parameters of effective PS highlights the need for further research on how countries operationalize priority setting in their respective contexts as well as deeper understanding of the parameters that are deemed relevant. Further research should explore and describe the experiences of implementing defined priorities and the impact of this decision-making on the pandemic outcomes in each country.</p></div>","PeriodicalId":34527,"journal":{"name":"Health Policy Open","volume":"3 ","pages":"Article 100086"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/0e/ff/main.PMC9683850.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10492873","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}

{"title":"Differences in self-reported health between low- and high-income groups in pre-retirement age and retirement age. A cohort study based on the European Social Survey","authors":"Jürgen Bauknecht ,&nbsp;Sebastian Merkel","doi":"10.1016/j.hpopen.2022.100070","DOIUrl":"10.1016/j.hpopen.2022.100070","url":null,"abstract":"<div><p>Using data from the European Social Survey 1 (2002) and 9 (2018) we show the development of self-rated health of older persons in 17 countries. We find a considerable increase of older persons reporting good or very good health between 2002 and 2018; this increase is similar in all groups examined. Absolute differences between income groups remained vastly stable. Further, in 2018 the high-income tercile of those between 65 and 80 years still reported better health than the low-income tercile of those between 49 and 64 years. Overall, self-rated health seems to have improved in Europe but there are still signs of a considerable gap between low-income groups and high-income groups.</p></div>","PeriodicalId":34527,"journal":{"name":"Health Policy Open","volume":"3 ","pages":"Article 100070"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10297771/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9727502","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}

{"title":"Households’ basic needs satisfaction during the Coronavirus disease 19 (COVID-19) pandemic in Burkina Faso","authors":"Ousmane Traoré ,&nbsp;Omer S. Combary ,&nbsp;Yasmina d.D. Zina","doi":"10.1016/j.hpopen.2021.100060","DOIUrl":"10.1016/j.hpopen.2021.100060","url":null,"abstract":"<div><p>The Coronavirus disease 19 (COVID-19) pandemic has profoundly affected economic and health systems around the world. This paper aims to assess household access to basic foods and health care and food security attainment during the COVID-19 pandemic in Burkina Faso. We use the COVID-19 High-Frequency Phone Survey 2020 panel data supported by the World Bank and conducted by Institut National de la Statistique et de la Démographie (INSD). The pooled multinomial logistic, the panel logistic, and the panel ordered logistic regressions are used to analyse the access to basic foods, the access to health care and the food security of the households, respectively. The results show that during COVID-19, female-headed households, poor households and farm households remain the most vulnerable in terms of access to basic foods, health services and food insecurity. Furthermore, the results indicate that households living outside the capital, particularly in the other urbans, experience fewer difficulties obtaining basic foods than those residing in the capital and are also unlikely to experience food insecurity. For more effective policy responses to the COVID-19 or similar shocks, the interventions should focus on household socioeconomic conditions and distinguish between urban and rural areas.</p></div>","PeriodicalId":34527,"journal":{"name":"Health Policy Open","volume":"3 ","pages":"Article 100060"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e5/5e/main.PMC8639480.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9702265","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}

{"title":"The role of national hospital associations in health system governance before and during the COVID-19 pandemic: Findings from an exploratory online survey","authors":"Bruno Meessen ,&nbsp;Sara Perazzi","doi":"10.1016/j.hpopen.2022.100077","DOIUrl":"10.1016/j.hpopen.2022.100077","url":null,"abstract":"<div><h3>Objective</h3><p>Building on the premise that health authorities should govern their health systems in partnership with the full community of stakeholders, we document the contribution of national hospital associations to health policy processes, before and during the COVID-19 crisis.</p></div><div><h3>Methods</h3><p>This research followed a rapid cross-sectional comparative design. Data were collected through an online survey targeting hospital associations. Eighteen of them shared information on their institutional profile, their areas of activity, their position and participation as policy actors before and during the COVID-19 crisis, the barriers and enablers affecting their participation and the impact of the crisis on their own financial situation.</p></div><div><h3>Findings</h3><p>We have documented a spectrum of situations both for national policy platforms and hospital associations. In some countries, there is the ideal match of well-established associations and national participatory health policy platforms. In others, hospital associations have modest staffing and may struggle to get access to policy platforms of importance. Being a well-established and respected contributor seems to have been an enabling factor for the contribution of the hospital associations to the COVID-19 response. For most associations, the crisis has led to an increased effort to be present in the policy arena; an issue they follow closely is the negative impact of the lockdown on the hospitals’ revenue.</p></div><div><h3>Conclusion</h3><p>The growing pluralism characterizing our societies calls for the establishment of health policy platforms allowing for broader participation. Encouraging hospitals to set up their association for the latter to represent them in decision processes could be one of the components of the rebuilding of national health systems post pandemic.</p></div>","PeriodicalId":34527,"journal":{"name":"Health Policy Open","volume":"3 ","pages":"Article 100077"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9458550/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9703825","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}

{"title":"Breathing fresh air into the debate: Ventilators and the United States' intellectual property problem","authors":"Theora W. Tiffney ,&nbsp;Robert Cook-Deegan ,&nbsp;Heather M. Ross","doi":"10.1016/j.hpopen.2022.100069","DOIUrl":"10.1016/j.hpopen.2022.100069","url":null,"abstract":"<div><p>In 2006, the U.S. federal government launched a project to create a cheap, easily produced, and easy to use ventilator that could be stored for long periods of time for pandemic response. Despite successful funding and contracts with two separate medical device companies, not a single ventilator had been added to the stockpile by 2020. The company currently under federal contract for these ventilators is selling its product to private parties, rather than supplying it to the federal government. In the current crisis, government has instead turned to the Defense Production Act to supply ventilators.</p><p>Inaccessibility of medical equipment is a detriment to Americans’ health, particularly during a public health emergency like COVID-19. This persists despite the central role of the federal government in the funding of healthcare innovation. We place the shortage of ventilators in context of the ongoing debate about the federal government’s intellectual property powers, as well as the legal recourses available, then discuss why this situation is a strong argument for expanding compulsory licensing powers as a component of federal policy.</p></div>","PeriodicalId":34527,"journal":{"name":"Health Policy Open","volume":"3 ","pages":"Article 100069"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/07/4d/main.PMC10297820.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9739893","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}

{"title":"Erratum regarding previously published articles","authors":"","doi":"10.1016/j.hpopen.2022.100079","DOIUrl":"10.1016/j.hpopen.2022.100079","url":null,"abstract":"","PeriodicalId":34527,"journal":{"name":"Health Policy Open","volume":"3 ","pages":"Article 100079"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10297768/pdf/main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9739898","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}

{"title":"Erratum regarding previously published articles","authors":"","doi":"10.1016/j.hpopen.2022.100080","DOIUrl":"10.1016/j.hpopen.2022.100080","url":null,"abstract":"","PeriodicalId":34527,"journal":{"name":"Health Policy Open","volume":"3 ","pages":"Article 100080"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9635883/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40466029","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}

{"title":"A time-varying vulnerability index for COVID-19 in New Mexico, USA using generalized propensity scores","authors":"Morgan E. Gorris ,&nbsp;Courtney D. Shelley ,&nbsp;Sara Y. Del Valle ,&nbsp;Carrie A. Manore","doi":"10.1016/j.hpopen.2021.100052","DOIUrl":"10.1016/j.hpopen.2021.100052","url":null,"abstract":"<div><p>The coronavirus disease (COVID-19) pandemic has highlighted systemic inequities in the United States and resulted in a larger burden of negative social outcomes for marginalized communities. New Mexico, a state in the southwestern US, has a unique population with a large racial minority population and a high rate of poverty that may make communities more vulnerable to negative social outcomes from COVID-19. To identify which communities may be at the highest relative risk, we created a county-level vulnerability index. After the first COVID-19 case was reported in New Mexico on March 11, 2020, we fit a generalized propensity score model that incorporates sociodemographic factors to predict county-level viral exposure and thus, the generic risk to negative social outcomes such as unemployment or mental health impacts. We used four static sociodemographic covariates important for the state of New Mexico—population, poverty, household size, and minority population—and weekly cumulative case counts to iteratively run our model each week and normalize the exposure score to create a time-varying vulnerability index. We found the relative vulnerability between counties varied in the first eight weeks from the initial COVID-19 case before stabilizing. This framework for creating a location-specific vulnerability index in response to an ongoing disaster may be used as a quick, deployable metric to inform health policy decisions such as allocating state resources to the county level.</p></div>","PeriodicalId":34527,"journal":{"name":"Health Policy Open","volume":"2 ","pages":"Article 100052"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hpopen.2021.100052","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9700935","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}