Health Policy Open最新文献_第9页

Crippling SARS-CoV-2 vaccine supply crunch, vaccination target and scope in Bangladesh 孟加拉国严重的SARS-CoV-2疫苗供应紧张，疫苗接种目标和范围

Health Policy Open Pub Date : 2021-12-01 DOI: 10.1016/j.hpopen.2021.100054

Md. Samiul Islam , Sultana Parvin , Md Bahauddin Al Mamun

引用次数: 0

Commentary on “Drivers of health in sub-Saharan Africa”. A dynamic panel analysis 关于“撒哈拉以南非洲健康的驱动因素”的评论。动态面板分析

Health Policy Open Pub Date : 2021-12-01 DOI: 10.1016/j.hpopen.2021.100034

Mwoya Byaro

引用次数: 2

Non-communicable chronic diseases: Mortality of older adult citizens in Brazil and Italy before the Covid-19 pandemic 非传染性慢性病:Covid-19大流行前巴西和意大利老年公民的死亡率

Health Policy Open Pub Date : 2021-12-01 DOI: 10.1016/j.hpopen.2021.100041

Vicente Paulo Alves , Regina Célia de Oliveira , Dario Gregori

引用次数: 0

Long-term care (LTC) policy in Thailand on the homebound and bedridden elderly happiness 泰国长期照护(LTC)政策对居家与卧床老人幸福感的影响

Health Policy Open Pub Date : 2021-12-01 DOI: 10.1016/j.hpopen.2020.100026

Savinee Suriyanrattakorn , Chia-Lin Chang

引用次数: 10

Too stringent or too Lenient: Antecedents and consequences of perceived stringency of COVID-19 policies in the United States 过于严格或过于宽松:美国对COVID-19政策的严格程度的前因后果

Health Policy Open Pub Date : 2021-12-01 DOI: 10.1016/j.hpopen.2021.100047

Sanguk Lee, Tai-Quan Peng, Maria Knight Lapinski, Monique Mitchell Turner, Youjin Jang, Andrea Schaaf

{"title":"Too stringent or too Lenient: Antecedents and consequences of perceived stringency of COVID-19 policies in the United States","authors":"Sanguk Lee, Tai-Quan Peng, Maria Knight Lapinski, Monique Mitchell Turner, Youjin Jang, Andrea Schaaf","doi":"10.1016/j.hpopen.2021.100047","DOIUrl":"10.1016/j.hpopen.2021.100047","url":null,"abstract":"<div><p>In the United States, federal and local governments have attempted to contain the spread of Coronavirus Disease 2019 (COVID-19) by implementing a variety of policies such as stay-at-home orders and mask mandates. Perceptions can influence behaviors; therefore, it is important to understand how people perceive the stringency of COVID-19 policies, what factors shape perceived policy stringency, and whether and how policy perceptions impact the practice of prevention behaviors. With rolling-cross sectional survey data collected in the US from June to October 2020 and other external sources of data, the study examines the impact of objective risk of the pandemic, information seeking, and political ideology at the individual and the state levels on perceived policy stringency, and the impact of perceived policy stringency on prevention behaviors such as mask wearing and social distancing. The findings reveal that objective risk and political ideology are significantly associated with perceived policy stringency. The perceived policy stringency has negative associations with prevention behaviors. The findings provide important implications for the development process of compulsory public health policies during the pandemic.</p></div>","PeriodicalId":34527,"journal":{"name":"Health Policy Open","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hpopen.2021.100047","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39221844","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: 7

The role of document analysis in health policy analysis studies in low and middle-income countries: Lessons for HPA researchers from a qualitative systematic review 文件分析在低收入和中等收入国家卫生政策分析研究中的作用:定性系统评价给卫生政策研究人员的教训

Health Policy Open Pub Date : 2021-12-01 DOI: 10.1016/j.hpopen.2020.100024

Naomi Karen Kayesa, Maylene Shung-King

{"title":"The role of document analysis in health policy analysis studies in low and middle-income countries: Lessons for HPA researchers from a qualitative systematic review","authors":"Naomi Karen Kayesa, Maylene Shung-King","doi":"10.1016/j.hpopen.2020.100024","DOIUrl":"10.1016/j.hpopen.2020.100024","url":null,"abstract":"<div><h3>Introduction</h3><p>Document analysis is commonly used in health policy analysis (HPA) studies, but the purpose and rigour of application is unclear. This review explored the application and utility of document analysis in HPA studies conducted in low-and-middle income countries (LMICs), intending to derive lessons for strengthening this methodology.</p></div><div><h3>Methods</h3><p>Employing a qualitative systematic review approach, nine electronic databases were searched for LMIC HPA articles that employed document analysis. Articles were subjected to systematic retrieval, storage and quality-assessment. Thematic analysis was used in coding, extraction and analysis of data.</p></div><div><h3>Results</h3><p>Only 28 studies had sufficiently detailed document analyses and met the inclusion criteria. Document analyses were mainly complimentary to primary data collection forms. The majority, barring four studies, lacked clear purpose and utility in answering the research questions, and rigour in methodology and the reporting thereof. The approach to document analyses bore no relationship to the policy phase investigated. Challenges in accessing documents contributed to methodological difficulties.</p></div><div><h3>Conclusion</h3><p>Well-executed document analysis has potential to strengthen HPA studies. Health Policy researcher skill in applying this methodology needs strengthening and could be improved by: purposive alignment of the method to research questions; rigorously applying and reporting on search strategy with rigour; source, organize and store documents systematically; apply robust data coding and analysis; and clearly linking document contribution to study findings and conclusions.</p></div>","PeriodicalId":34527,"journal":{"name":"Health Policy Open","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hpopen.2020.100024","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9734395","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: 24

Risk-based contracting for high-need Medicaid beneficiaries: The Arkansas PASSE program 高需求医疗补助受益人的基于风险的合同:阿肯色州PASSE计划

Health Policy Open Pub Date : 2021-12-01 DOI: 10.1016/j.hpopen.2020.100023

Adrienne Nevola , Michael E. Morris , Carrie Colla , J.Mick Tilford

{"title":"Risk-based contracting for high-need Medicaid beneficiaries: The Arkansas PASSE program","authors":"Adrienne Nevola , Michael E. Morris , Carrie Colla , J.Mick Tilford","doi":"10.1016/j.hpopen.2020.100023","DOIUrl":"10.1016/j.hpopen.2020.100023","url":null,"abstract":"<div><p>The high cost of health care for people with behavioral health (BH) conditions or intellectual and developmental disabilities (IDD) in the United States led one state to implement the Provider-led Arkansas Shared Savings Entity (PASSE) program. PASSE is a managed care model that puts provider-led organizations at risk for the highest need people with BH conditions or IDD in Medicaid, a public health insurance program for low-income residents. Drawing on key informant interviews and payment models across the United States, we describe the PASSE program, how it compares with state Medicaid programs for similar populations, and prospects for the program. Key informants cited several PASSE features as promising mechanisms to improve beneficiary outcomes: expanded care coordination, service flexibility, incentives for community investments, accountability for cost and quality across physical health, behavioral health, and long-term care, quality target accountability, fostered competition, and provider ownership. Informants worry that PASSE features will be insufficient to catalyze changes in provider behavior. Efforts may be targeted to control costs primarily through service reductions with uncertain effects on quality of care. PASSE hinges on improved care coordination and increased efforts to address social determinants of health. Success or failure in these areas will likely determine whether PASSE leads to improved outcomes for two of the most costly and vulnerable populations.</p></div>","PeriodicalId":34527,"journal":{"name":"Health Policy Open","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hpopen.2020.100023","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9734401","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

Physician descriptions of the influence of pay for performance on medical decision-making 医生描述绩效薪酬对医疗决策的影响

Health Policy Open Pub Date : 2021-12-01 DOI: 10.1016/j.hpopen.2021.100036

Beth Jeanette Graefe , JoAnn Foley Markette

{"title":"Physician descriptions of the influence of pay for performance on medical decision-making","authors":"Beth Jeanette Graefe , JoAnn Foley Markette","doi":"10.1016/j.hpopen.2021.100036","DOIUrl":"10.1016/j.hpopen.2021.100036","url":null,"abstract":"<div><h3>Objectives</h3><p>To explore physician descriptions of the influence of pay for performance (P4P) programs on their medical decision-making for the delivery of health care through three antecedents of behavior intention—attitude toward program compliance, perceived behavioral control, and subjective norms.</p></div><div><h3>Study design/setting</h3><p>This study utilized a qualitative descriptive research methodology to capture physician descriptions through semi-structured interviews and a focus group. Primary data was collected from actively practicing physicians in the United States with P4P experience.</p></div><div><h3>Principal findings</h3><p>The findings imply that multiple factors influence physicians’ attitudes toward program compliance summarized by four primary themes: (a) program compliance and beliefs of physicians in delivering patient care, (b) design, control, and performance motivation, (c) physician performance measurements and the opinions of others, and (d) patient care and compensation program considerations.</p></div><div><h3>Conclusions</h3><p>The findings suggest that physician involvement in the design, implementation, communication, and on-going evaluation of P4P models influence physician behavior. The findings also suggest that physicians are motivated by the delivery of what they believe is good patient care more than by P4P financial incentives. Finally, the most influential voices for physician P4P compliance includes their physician peers and administrators. Outside of the larger societal benefit of P4P compliance, individual family, friends, policymakers, payors, and others have little to no influence on physician decision-making.</p></div>","PeriodicalId":34527,"journal":{"name":"Health Policy Open","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hpopen.2021.100036","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9735890","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

Women’s satisfaction with maternal care services in Georgia 格鲁吉亚妇女对产妇护理服务的满意度

Health Policy Open Pub Date : 2021-12-01 DOI: 10.1016/j.hpopen.2020.100028

Lela Sehngelia , Milena Pavlova , Wim Groot

{"title":"Women’s satisfaction with maternal care services in Georgia","authors":"Lela Sehngelia , Milena Pavlova , Wim Groot","doi":"10.1016/j.hpopen.2020.100028","DOIUrl":"10.1016/j.hpopen.2020.100028","url":null,"abstract":"<div><h3>Introduction</h3><p>Patient satisfaction is a key indicator of health care quality. We investigated women’s satisfaction with antenatal, natal and immediate postnatal care, as well as the association between women’s satisfaction with the care they received and background characteristics.</p></div><div><h3>Methods</h3><p>We conducted a survey in the capital and two regions of Georgia. 400 women, who gave birth to healthy babies during the preceding twelve months before the date of data collection, were the target population. Women’s opinion about the organization of maternal care (tangibility, availability, accessibility) and process characteristics (responsiveness, reliability, empathy, communication and courtesy) were measured. Women satisfaction with antenatal, natal and postnatal services was also measured.</p></div><div><h3>Results</h3><p>Women’s satisfaction with antenatal, natal, and immediate postnatal services was high. The respondents’ perception about the tangibility of maternity houses was quite positive, more than three quarters of the respondents agreed or strongly agreed with the statements that maternity houses/units were attractive and medical equipment was up to date. Regression analysis on satisfaction with antenatal, natal, and immediate postnatal showed that those who paid for services were less satisfied than those who did not pay. Women in urban areas were more satisfied with antenatal and natal services than in rural areas. High educated women were less satisfied than women with the lowest education level.</p></div><div><h3>Conclusions</h3><p>In general, women are satisfied with maternal care in Georgia. The high level of satisfaction can be due to the improvement in structural factors of maternal health care such as tangibility, availability, and accessibility.</p></div>","PeriodicalId":34527,"journal":{"name":"Health Policy Open","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hpopen.2020.100028","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10112950","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

Messenger effects in COVID-19 communication: Does the level of government matter? COVID-19传播中的信使效应:政府级别重要吗?

Health Policy Open Pub Date : 2021-12-01 DOI: 10.1016/j.hpopen.2020.100027

Nathen Favero , Sebastian Jilke , Julia A. Wolfson , Chengxin Xu , Matthew M. Young

引用次数: 8