Health Economics Policy and Law最新文献

Private equity involvement in primary care: the case of Ireland. 私人股本参与初级保健：爱尔兰的案例。

IF 3 3区医学

Health Economics Policy and Law Pub Date : 2024-11-07 DOI: 10.1017/S1744133124000203

Julien Mercille

引用次数: 0

Procedural fairness to recalibrate the power imbalance in health decision-making: comment on the report: 'Open and inclusive: Fair processes for financing universal health coverage'. 以程序公平重新调整卫生决策中的权力失衡：对报告的评论：开放和包容：为全民医保筹资的公平程序 "的评论。

IF 3 3区医学

Health Economics Policy and Law Pub Date : 2024-10-21 DOI: 10.1017/S1744133124000197

Dheepa Rajan, Benjamin Rouffy-Ly

{"title":"Procedural fairness to recalibrate the power imbalance in health decision-making: comment on the report: 'Open and inclusive: Fair processes for financing universal health coverage'.","authors":"Dheepa Rajan, Benjamin Rouffy-Ly","doi":"10.1017/S1744133124000197","DOIUrl":"https://doi.org/10.1017/S1744133124000197","url":null,"abstract":"The policy-making process for health financing in most places lacks equity, failing to adequately consider the voices of ordinary citizens, residents, and especially those facing significant disadvantage. Procedural fairness is about addressing this imbalance, which requires a recalibration of power dynamics, ensuring that decision-making incorporates a more diverse range of perspectives. In this comment, we highlight the important contributions made by the report 'Open and inclusive: Fair processes for financing universal health coverage' in furthering the understanding and importance of procedural fairness in health financing decision-making especially as it relates to the three sub-functions of financing - revenue raising, pooling, and purchasing. We also argue for the importance of conceptual clarity - especially as to the added value of procedural fairness vis-à-vis accountability - and critically review the proposed framework for procedural fairness, emphasising the role of voice as the linchpin to advancing equity in influence.","PeriodicalId":46836,"journal":{"name":"Health Economics Policy and Law","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477492","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

Navigating conflicting expectations in addressing healthcare scarcity: a q-methodology study on the Dutch National Health Care Institute. 在解决医疗保健稀缺问题时驾驭相互冲突的期望：对荷兰国家医疗保健研究所的 Q 方法研究。

IF 3 3区医学

Health Economics Policy and Law Pub Date : 2024-10-10 DOI: 10.1017/S1744133124000136

Jolien van de Sande, Bert de Graaff, Diana Delnoij, Antoinette de Bont

{"title":"Navigating conflicting expectations in addressing healthcare scarcity: a q-methodology study on the Dutch National Health Care Institute.","authors":"Jolien van de Sande, Bert de Graaff, Diana Delnoij, Antoinette de Bont","doi":"10.1017/S1744133124000136","DOIUrl":"https://doi.org/10.1017/S1744133124000136","url":null,"abstract":"In many European countries, semi-autonomous agencies have been created in health policy to safeguard general public interests. In executing their tasks, these agencies need to deal with conflicting expectations. Particularly avoiding the risk of regulatory capture and aligning with parent ministries are frequently studied challenges, even more so when complex issues such as scarcity are at stake. In this paper, we use q-methodology to provide a thorough overview of the debate regarding the role of an important agency in the Dutch healthcare system; the National Health Care Institute (Zorginstituut Nederland). We conducted 41 q-interviews with agency employees, evaluators, regulatees, ministry employees, health policy experts, members of its advisory committees, and peer agencies. We identify three viewpoints on what the agency should focus on. These are on societally relevant issues, strict package management, and efficient organisation of care. In doing so, our study shows how agencies are pulled in different directions by conflicting expectations. We show that this can be problematic because it complicates a clear role of the agency that allows addressing such issues. We thereby contribute to theories on agencies' complex relations with their external environment such as regulatory capture, tripartism, reflexive regulation, legal boundaries, and stewardship theory.","PeriodicalId":46836,"journal":{"name":"Health Economics Policy and Law","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394185","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

Including carer health-related quality of life in NICE health technology assessments in the United Kingdom. 将护理人员与健康相关的生活质量纳入英国 NICE 健康技术评估。

IF 3 3区医学

Health Economics Policy and Law Pub Date : 2024-10-08 DOI: 10.1017/S1744133124000124

Tim A Kanters, Valérie van Hezik-Wester, Andy Boateng, Holly Cranmer, Ingelin Kvamme, Irene Santi, Hareth Al-Janabi, Job van Exel

{"title":"Including carer health-related quality of life in NICE health technology assessments in the United Kingdom.","authors":"Tim A Kanters, Valérie van Hezik-Wester, Andy Boateng, Holly Cranmer, Ingelin Kvamme, Irene Santi, Hareth Al-Janabi, Job van Exel","doi":"10.1017/S1744133124000124","DOIUrl":"https://doi.org/10.1017/S1744133124000124","url":null,"abstract":"The impact of health technologies may extend beyond the patient and affect the health of people in their network, like their informal carers. The National Institute for Health and Care Excellence (NICE) methods guide explicitly allows the inclusion of health-related quality of life (HRQoL) effects on carers in economic evaluations when these effects are substantial, but the proportion of NICE appraisals that includes carer HRQoL remains small. This paper discusses when inclusion of carer HRQoL is justified, how inclusion can be substantiated, and how carer HRQoL can be measured and included in health economic models. Inclusion of HRQoL in economic evaluations can best be substantiated by data collected in (carers for) patients eligible for receiving the intervention. To facilitate combining patient and carer utilities on the benefit side of economic evaluations, using EQ-5D to measure impacts on carers seems the most successful strategy in the UK context. Alternatives to primary data collection of EQ-5D include vignette studies, using existing values, and mapping algorithms. Carer HRQoL was most often incorporated in economic models in NICE appraisals by employing (dis)utilities as a function of the patient's health state or disease severity. For consistency and comparability, economic evaluations including carer HRQoL should present analyses with and without carer HRQoL.","PeriodicalId":46836,"journal":{"name":"Health Economics Policy and Law","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394184","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

The inefficient effects of non-clinical factors on health care costs. 非临床因素对医疗成本的低效影响。

IF 3 3区医学

Health Economics Policy and Law Pub Date : 2024-09-24 DOI: 10.1017/S174413312400015X

Shawn McFarland, Jonathan Miller

引用次数: 0

Why did England change its law on deceased organ donation in 2019? The dynamic interplay between evidence and values. 英格兰为何在 2019 年修改了有关死者器官捐献的法律？证据与价值观之间的动态相互作用。

IF 3 3区医学

Health Economics Policy and Law Pub Date : 2024-09-12 DOI: 10.1017/S1744133124000112

Lorraine Williams, Jennifer Bostock, Jane Noyes, Leah McLaughlin, Stephen O'Neill, Mustafa Al-Haboubi, Paul Boadu, Nicholas Mays

{"title":"Why did England change its law on deceased organ donation in 2019? The dynamic interplay between evidence and values.","authors":"Lorraine Williams, Jennifer Bostock, Jane Noyes, Leah McLaughlin, Stephen O'Neill, Mustafa Al-Haboubi, Paul Boadu, Nicholas Mays","doi":"10.1017/S1744133124000112","DOIUrl":"https://doi.org/10.1017/S1744133124000112","url":null,"abstract":"In the three years since the law on adult deceased organ donation consent in England changed to include an opt-out system, there has been no discernible change to donation rates. The lack of a positive impact on donation rates was predicted by many of those who took part in debates before and during the passage of the Bill through Parliament. This invites the question as to why England moved to an opt-out system for organ donation despite equivocal evidence of likely benefit and opposition from expert health professional organisations. To address this question qualitative analyses of Parliamentary debates on organ donation was undertaken. This revealed a shift from a dominant position, which gave primacy to the evidence of likely effects, towards a more normative position where a deemed consent option was viewed as the 'correct thing to do' and the limited and conflicting evidence viewed in a positive light. By 2017, following Wales's move to an opt-out system, together with continued lobbying for similar changes for England by professional and patient groups, alongside sustained public popularity for organ donation, the balance of opinion had shifted towards a system where deemed consent would become the default position for most English adults.","PeriodicalId":46836,"journal":{"name":"Health Economics Policy and Law","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298487","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

An examination of health care efficiency in Canada: a two-stage semi-parametric approach. 加拿大医疗保健效率研究：两阶段半参数法。

IF 1.7 3区医学

Health Economics Policy and Law Pub Date : 2024-06-03 DOI: 10.1017/S1744133124000100

Barry Watson, Gholam R Amin

{"title":"An examination of health care efficiency in Canada: a two-stage semi-parametric approach.","authors":"Barry Watson, Gholam R Amin","doi":"10.1017/S1744133124000100","DOIUrl":"https://doi.org/10.1017/S1744133124000100","url":null,"abstract":"Using data envelopment analysis, we examine the efficiency of Canada's universal health care system by considering a set of labour (physicians) and capital (beds) inputs, which produce a level of care (measured in terms of health quality and quantity) in a given region. Data from 2013-2015 were collected from the Canadian Institute for Health Information regarding inputs and from the Canadian Community Health Survey and Statistics Canada regarding our output variables, health utility (quality) and life expectancy (quantity). We posit that variation in efficiency scores across Canada is the result of regional heterogeneity regarding socioeconomic and demographic disparities. Regressing efficiency scores on such covariates suggests that regional unemployment and an older population are quite impactful and associated with less efficient health care production. Moreover, regional variation indicates the Atlantic provinces (Newfoundland, Prince Edward Island, Nova Scotia, New Brunswick) are quite inefficient, have poorer economic prospects, and tend to have an older population than the rest of Canada. Oaxaca-Blinder decompositions suggest that the latter two factors explain about one-third of this efficiency gap. Based on our two-stage semi-parametric analysis, we recommend Canada adjust their transfer payments to reflect these disparities, thereby potentially reducing inequality in regional efficiency.","PeriodicalId":46836,"journal":{"name":"Health Economics Policy and Law","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141200980","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

Pandemic preparedness and response: a new mechanism for expanding access to essential countermeasures. 大流行病的准备和应对：扩大获得基本应对措施的新机制。

IF 1.7 3区医学

Health Economics Policy and Law Pub Date : 2024-05-31 DOI: 10.1017/S1744133124000094

Nicole Hassoun, Kaushik Basu, Lawrence Gostin

{"title":"Pandemic preparedness and response: a new mechanism for expanding access to essential countermeasures.","authors":"Nicole Hassoun, Kaushik Basu, Lawrence Gostin","doi":"10.1017/S1744133124000094","DOIUrl":"https://doi.org/10.1017/S1744133124000094","url":null,"abstract":"As the world comes together through the WHO design and consultation process on a new medical counter-measures platform, we propose an enhanced APT-A (Access to Pandemic Tools Accelerator) that builds on the previous architecture but includes two new pillars - one for economic assistance and another to combat structural inequalities for future pandemic preparedness and response. As part of the APT-A, and in light of the Independent Panel on Pandemic Preparation & Response's call for an enhanced end-to-end platform for access to essential health technologies, we propose a new mechanism that we call the Pandemic Open Technology Access Accelerator (POTAX) that can be implemented through the medical countermeasures platform and the pandemic accord currently under negotiation through the World Health Assembly and supported by the High-Level Meeting review on Pandemic Prevention, Preparedness, and Response at the United Nations. This mechanism will provide (1) conditional financing for new vaccines and other essential health technologies requiring companies to vest licenses in POTAX and pool intellectual property and other data necessary to allow equitable access to the resulting technologies. It will also (2) support collective procurement as well as measures to ensure equitable distribution and uptake of these technologies.","PeriodicalId":46836,"journal":{"name":"Health Economics Policy and Law","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141180898","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

From speculative to real: community attitudes towards government COVID-19 vaccine mandates in Western Australia from May 2021 to April 2022. 从推测到现实：2021 年 5 月至 2022 年 4 月西澳大利亚州社区对政府 COVID-19 疫苗任务的态度。

IF 1.7 3区医学

Health Economics Policy and Law Pub Date : 2024-05-20 DOI: 10.1017/S1744133124000069

Katie Attwell, Leah Roberts, Marco Rizzi

{"title":"From speculative to real: community attitudes towards government COVID-19 vaccine mandates in Western Australia from May 2021 to April 2022.","authors":"Katie Attwell, Leah Roberts, Marco Rizzi","doi":"10.1017/S1744133124000069","DOIUrl":"https://doi.org/10.1017/S1744133124000069","url":null,"abstract":"Many governments employed mandates for COVID-19 vaccines, imposing consequences upon unvaccinated people. Attitudes towards these policies have generally been positive, but little is known about how discourses around them changed as the characteristics of the disease and the vaccinations evolved. Western Australia (WA) employed sweeping COVID-19 vaccine mandates for employment and public spaces whilst the state was closed off from the rest of the country and world, and mostly with no COVID-19 in the community. This article analyses WA public attitudes during the mandate policy lifecycle from speculative to real. Qualitative interview data from 151 adults were analysed in NVivo 20 via a novel chronological analysis anchored in key policy phases: no vaccine mandates, key worker vaccine mandates, vaccine mandates covering 75% of the workforce and public space mandates. Participants justified mandates as essential for border reopening and, less frequently, for goals such as protecting the health system. However, public discourse focusing on 'getting coverage rates up' may prove counter-productive for building support for vaccination; governments should reinforce end goals in public messaging (reducing suffering and saving lives) because such messaging is likely to be more meaningful to vaccination behaviour in the longer term.","PeriodicalId":46836,"journal":{"name":"Health Economics Policy and Law","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141065789","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

Genomics and insurance in the United Kingdom: increasing complexity and emerging challenges. 英国的基因组学与保险：日益复杂和新出现的挑战。

IF 1.7 3区医学

Health Economics Policy and Law Pub Date : 2024-05-16 DOI: 10.1017/S1744133124000070

Padraig Dixon, Rachel H Horton, William G Newman, John H McDermott, Anneke Lucassen

引用次数: 0