Health Policy Open最新文献_第8页

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 低收入和高收入群体在退休前年龄和退休年龄方面自我报告健康状况的差异。一项基于欧洲社会调查的队列研究

Health Policy Open Pub Date : 2022-12-01 DOI: 10.1016/j.hpopen.2022.100070

Jürgen Bauknecht , Sebastian Merkel

引用次数: 1

Households’ basic needs satisfaction during the Coronavirus disease 19 (COVID-19) pandemic in Burkina Faso 布基纳法索2019冠状病毒病(COVID-19)大流行期间家庭基本需求的满足

Health Policy Open Pub Date : 2022-12-01 DOI: 10.1016/j.hpopen.2021.100060

Ousmane Traoré , Omer S. Combary , Yasmina d.D. Zina

{"title":"Households’ basic needs satisfaction during the Coronavirus disease 19 (COVID-19) pandemic in Burkina Faso","authors":"Ousmane Traoré , Omer S. Combary , 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}

引用次数: 5

The role of national hospital associations in health system governance before and during the COVID-19 pandemic: Findings from an exploratory online survey 在COVID-19大流行之前和期间，国家医院协会在卫生系统治理中的作用:一项探索性在线调查的结果

Health Policy Open Pub Date : 2022-12-01 DOI: 10.1016/j.hpopen.2022.100077

Bruno Meessen , Sara Perazzi

{"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 , 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}

引用次数: 1

Breathing fresh air into the debate: Ventilators and the United States' intellectual property problem 为辩论带来新鲜空气:呼吸机与美国知识产权问题

Health Policy Open Pub Date : 2022-12-01 DOI: 10.1016/j.hpopen.2022.100069

Theora W. Tiffney , Robert Cook-Deegan , Heather M. Ross

{"title":"Breathing fresh air into the debate: Ventilators and the United States' intellectual property problem","authors":"Theora W. Tiffney , Robert Cook-Deegan , 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}

引用次数: 0

Erratum regarding previously published articles 关于以前发表的文章的勘误

Health Policy Open Pub Date : 2022-12-01 DOI: 10.1016/j.hpopen.2022.100079

引用次数: 0

Erratum regarding previously published articles 关于以前发表的文章的勘误

Health Policy Open Pub Date : 2022-12-01 DOI: 10.1016/j.hpopen.2022.100080

引用次数: 0

A time-varying vulnerability index for COVID-19 in New Mexico, USA using generalized propensity scores 基于广义倾向评分的美国新墨西哥州COVID-19时变脆弱性指数

Health Policy Open Pub Date : 2021-12-01 DOI: 10.1016/j.hpopen.2021.100052

Morgan E. Gorris , Courtney D. Shelley , Sara Y. Del Valle , Carrie A. Manore

{"title":"A time-varying vulnerability index for COVID-19 in New Mexico, USA using generalized propensity scores","authors":"Morgan E. Gorris , Courtney D. Shelley , Sara Y. Del Valle , 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}

引用次数: 4

The importance of combining open-ended and closed-ended questions when conducting patient satisfaction surveys in hospitals 在医院开展患者满意度调查时，开放式和封闭式问题相结合的重要性

Health Policy Open Pub Date : 2021-12-01 DOI: 10.1016/j.hpopen.2021.100033

Keren Semyonov-Tal , Noah Lewin-Epstein

{"title":"The importance of combining open-ended and closed-ended questions when conducting patient satisfaction surveys in hospitals","authors":"Keren Semyonov-Tal , Noah Lewin-Epstein","doi":"10.1016/j.hpopen.2021.100033","DOIUrl":"10.1016/j.hpopen.2021.100033","url":null,"abstract":"<div><h3>Background</h3><p>Using data obtained from the National Satisfaction Survey in General Hospitals, 2014, the present study examines patients’ satisfaction with medical care and hospitalization conditions in the public hospitals in Israel. Using the framework of ‘voice’ expression the study examines the added-value of analyzing verbal responses to gage patient satisfaction.</p></div><div><h3>Methods</h3><p>The analysis utilizes a series of closed-ended questions to construct indexes of patients’ satisfaction with medical doctors, nursing staff, and hospitalization conditions for a sample of 11,098 patients who were hospitalized in the 25 public hospitals. In addition, a content analysis was applied to the verbal responses (open ended question) to create categories of complaints. Using logistic regression models, we analyzed the social and demographic correlates of high satisfaction, and estimated the relationship between verbal complaints and satisfaction scores.</p></div><div><h3>Results</h3><p>Analysis of the satisfaction measures shows very high levels of patient satisfaction coupled with low variance. Yet, detailed analysis of responses to an open-ended question reveals considerably more critical assessments of the hospitalization experience.</p></div><div><h3>Conclusion</h3><p>The findings illustrate the limitations of closed-ended satisfaction items as the sole instrument for assessing the quality of medical care and underscore the value of the use of mixed methods as a more nuanced approach.</p></div>","PeriodicalId":34527,"journal":{"name":"Health Policy Open","volume":"2 ","pages":"Article 100033"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hpopen.2021.100033","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9735889","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: 11

Utilization and cost sharing for preventive cancer screenings 预防癌症筛查的利用和费用分摊

Health Policy Open Pub Date : 2021-12-01 DOI: 10.1016/j.hpopen.2021.100044

Nicholas Jennings, David O. Garcia, Howard Eng, Elizabeth Calhoun

{"title":"Utilization and cost sharing for preventive cancer screenings","authors":"Nicholas Jennings, David O. Garcia, Howard Eng, Elizabeth Calhoun","doi":"10.1016/j.hpopen.2021.100044","DOIUrl":"10.1016/j.hpopen.2021.100044","url":null,"abstract":"<div><h3>Objective</h3><p>The Patient Protection and Affordable Care Act (ACA) eliminated cost sharing for certain preventive cancer screenings beginning in September 2010. This paper examines the policy change’s impact on three preventive screenings, mammography, colonoscopy, and cervical screening, among commercially insured individuals.</p></div><div><h3>Methods</h3><p>A retrospective longitudinal quasi-experimental design was utilized. Individuals in grandfathered plans were used as a comparison group because grandfathered plans are not subject to the preventive cost sharing benefit changes of the ACA. A multivariate logistic regression model matched individuals in treatment and comparison groups via propensity scoring. Monthly prevalence rates over the study period (2007–2014) were calculated as well as prevalence rates for the proportion of procedures with greater than 0 cost sharing. An interrupted time series regression analysis was conducted with the primary outcome variable the rate of preventive service utilization per person per month.</p></div><div><h3>Results</h3><p>The overall trend in utilization of preventive mammography and cervical cancer screening slightly decreased as a result of the ACA cost sharing benefit policy change. There was a non-significant decrease for colonoscopy utilization as a result of the ACA policy change.</p></div><div><h3>Conclusion</h3><p>The ACA’s cost benefit policy change is not having the desired impact of increasing preventive screening utilization. Further research is needed to determine whether providing educational materials covering the cost sharing benefit at policy enrollment might increase procedure uptake.</p></div>","PeriodicalId":34527,"journal":{"name":"Health Policy Open","volume":"2 ","pages":"Article 100044"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hpopen.2021.100044","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9735891","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

Health-care guidelines and policies during the COVID-19 pandemic in Mexico: A case of health-inequalities 墨西哥2019冠状病毒病大流行期间的卫生保健准则和政策:一个卫生不平等的案例

Health Policy Open Pub Date : 2021-12-01 DOI: 10.1016/j.hpopen.2020.100025

Elysse Bautista-González , Jimena Werner-Sunderland , Paulina Pérez-Duarte Mendiola , Cesar Jeronimo Esquinca-Enríquez-de-la-Fuente , Daniela Bautista-Reyes , Maria Fernanda Maciel-Gutiérrez , Inkel Murguía-Arechiga , Cecilia Vindrola-Padros , Manuel Urbina-Fuentes

{"title":"Health-care guidelines and policies during the COVID-19 pandemic in Mexico: A case of health-inequalities","authors":"Elysse Bautista-González , Jimena Werner-Sunderland , Paulina Pérez-Duarte Mendiola , Cesar Jeronimo Esquinca-Enríquez-de-la-Fuente , Daniela Bautista-Reyes , Maria Fernanda Maciel-Gutiérrez , Inkel Murguía-Arechiga , Cecilia Vindrola-Padros , Manuel Urbina-Fuentes","doi":"10.1016/j.hpopen.2020.100025","DOIUrl":"10.1016/j.hpopen.2020.100025","url":null,"abstract":"<div><h3>Background</h3><p>Heterogeneous government responses have been reported in reaction to COVID-19. The aim of this study is to generate an exploratory review of healthcare policies published during COVID-19 by health-care institutions in Mexico. Analyzing policies within different health sub-systems becomes imperative in the Mexican case due to the longstanding fragmentation of the health-care system and health inequalities.</p></div><div><h3>Data and Methods</h3><p>Policies purposely included in the analysis were published by four public health institutions (IMSS, ISSSTE, SSA and PEMEX) during the COVID-19 epidemic in Mexico (from February 29th to June 15th, 2020) on official institutional websites. Researchers reviewed each document and classified them into seven policy categories set by the Rapid Research Evaluation and Appraisal Lab (RREAL): public health response, health-care delivery, human resources, health-system infrastructure and supplies, clinical response, health-care management, and epidemiological surveillance.</p></div><div><h3>Results</h3><p>Policy types varied by health institution. The largest number of policies were aimed at public health responses followed by health-care delivery and human resources. Policies were mainly published during the community transmission phase.</p></div><div><h3>Conclusions</h3><p>The pandemic exposed underlying health-care system inequalities and a reactive rather than prepared response to the outbreak. Additionally, this study outlines potential policy gaps and delays in the response that could be avoided in the future.</p></div>","PeriodicalId":34527,"journal":{"name":"Health Policy Open","volume":"2 ","pages":"Article 100025"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hpopen.2020.100025","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10057167","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: 17