Health Economics Policy and Law最新文献_第10页

Structuring complexity? A systemic perspective on the implementation of a disease management programme for type II diabetes care in Denmark. 结构复杂性?对丹麦II型糖尿病护理疾病管理方案实施的系统看法。

IF 1.7 3区医学

Health Economics Policy and Law Pub Date : 2023-01-01 DOI: 10.1017/S1744133121000311

Karsten Vrangbæk

{"title":"Structuring complexity? A systemic perspective on the implementation of a disease management programme for type II diabetes care in Denmark.","authors":"Karsten Vrangbæk","doi":"10.1017/S1744133121000311","DOIUrl":"https://doi.org/10.1017/S1744133121000311","url":null,"abstract":"Chronic diseases are major causes of death and reduction in the quality of life worldwide, and their prevalence is expected to rise due to changing demographics. Disease management programmes (DMPs) have been presented as a policy response to challenges of care coordination for such chronic diseases. This paper investigates the implementation of DMPs in a National Health Care system in the Nordic region using type II diabetes as an example. DMPs are detailed descriptions of the sequence and responsibilities for diagnostic, treatment, rehabilitation and prevention procedures. The paper applies a systemic implementation perspective to provide detailed analysis of implementation progress, issues and concerns. The implementation analysis shows that the framework of DMP has facilitated the development of new practices and attention to the roles that each of the stakeholders are playing within the service delivery. Many new initiatives contribute to improved coordination and overall management of the Type 2 diabetes (T2DB) population. Yet, there are also several cross-cutting challenges that are affecting the implementation process.","PeriodicalId":46836,"journal":{"name":"Health Economics Policy and Law","volume":"18 1","pages":"49-65"},"PeriodicalIF":1.7,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10609132","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: 3

Learning lessons from the COVID-19 pandemic. 从COVID-19大流行中吸取教训。

IF 1.7 3区医学

Health Economics Policy and Law Pub Date : 2023-01-01 DOI: 10.1017/S1744133122000160

Martin Powell

{"title":"Learning lessons from the COVID-19 pandemic.","authors":"Martin Powell","doi":"10.1017/S1744133122000160","DOIUrl":"https://doi.org/10.1017/S1744133122000160","url":null,"abstract":"This study examines the literature on learning lessons from the coronavirus disease 2019 (COVID-19) pandemic to make a conceptual and empirical contribution. The conceptual contribution suggests a simplified policy transfer framework for learning lessons from the proliferation of approaches involving an expanding and confusing mix of hypotheses, questions, criteria, domains, constructs, factors and criteria. This is then used to review the literature of lessons from COVID-19. This fuses the three reasons for transfer failure and the context-mechanism- outcome configuration of realist approaches to suggest three simple criteria of informed transfer (outcomes); complete transfer (mechanisms); and appropriate transfer (context). The empirical contribution suggests that it is difficult to learn lessons from the existing literature. The conceptual framework suggests that lessons about successful transfer involve a clear idea of policy success, understanding how the policy instrument or mechanism links with success in the original context, and how 'fungible' it is to the new context. Put another way, the 'COVID lessons industry' may itself need to learn that lessons about policy transfer should be informed, complete and appropriate.","PeriodicalId":46836,"journal":{"name":"Health Economics Policy and Law","volume":"18 1","pages":"88-103"},"PeriodicalIF":1.7,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9178074","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: 3

Accelerating integration of social needs into mainstream healthcare to achieve health equity in the COVID-19 era. 加快将社会需求融入主流医疗保健，实现COVID-19时代的卫生公平。

IF 1.7 3区医学

Health Economics Policy and Law Pub Date : 2023-01-01 DOI: 10.1017/S1744133122000172

Aparna Kulkarni, Melissa Davey-Rothwell, Elias Mossialos

引用次数: 3

Strengthening health system governance in Germany: looking back, planning ahead. 加强德国卫生系统治理:回顾过去，规划未来。

IF 1.7 3区医学

Health Economics Policy and Law Pub Date : 2023-01-01 DOI: 10.1017/S1744133122000123

Tugce Schmitt, Alexander Haarmann, Mujaheed Shaikh

{"title":"Strengthening health system governance in Germany: looking back, planning ahead.","authors":"Tugce Schmitt, Alexander Haarmann, Mujaheed Shaikh","doi":"10.1017/S1744133122000123","DOIUrl":"https://doi.org/10.1017/S1744133122000123","url":null,"abstract":"Health system governance has been receiving increasing attention in health system research since the 1980s. The contemporary challenges that the German health system is faced with are often closely linked to governance issues. Although Germany has the highest health expenditure as a share of Gross Domestic Product (GDP) in the European Union (EU), the spending on healthcare is out of proportion to the health outcomes of the population. The reason for this lies mainly in the complexity of the German health system which is hard to steer due to several administrative levels in the country and numerous policy actors to whom the decision-making power on healthcare provision is delegated. In this paper, we present the results of focus group discussions on governance and build upon the insights gained through the Neustart project of the Robert Bosch Foundation. Based on an internationally recognised health governance framework from the World Health Organization (WHO), experts who work in, on or for the German health system addressed health governance challenges. They provided evidence-based recommendations for the new legislative period (2021-2025) on transparency, accountability, participation, integrity and capacity of the German health system.","PeriodicalId":46836,"journal":{"name":"Health Economics Policy and Law","volume":"18 1","pages":"14-31"},"PeriodicalIF":1.7,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10606440","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: 3

Just a question of time? Explaining non-take-up of a public health insurance program designed for undocumented immigrants living in France. 只是时间问题?解释为居住在法国的无证移民设计的公共健康保险方案不被接受的原因。

IF 1.7 3区医学

Health Economics Policy and Law Pub Date : 2023-01-01 DOI: 10.1017/S1744133122000159

P Dourgnon, F Jusot, A Marsaudon, J Sarhiri, J Wittwer

{"title":"Just a question of time? Explaining non-take-up of a public health insurance program designed for undocumented immigrants living in France.","authors":"P Dourgnon, F Jusot, A Marsaudon, J Sarhiri, J Wittwer","doi":"10.1017/S1744133122000159","DOIUrl":"https://doi.org/10.1017/S1744133122000159","url":null,"abstract":"State Medical Aid is a public health insurance program that allows undocumented immigrants with low financial resources to access health care services for free. However, the low take-up rate of this program might threaten its efficiency. The purpose of this study is therefore to provide the determinants of such a low take-up rate. To this end, we rely on the Premier Pas survey. This is an original representative sample of undocumented immigrants attending places of assistance to vulnerable populations in France. Determinants of State Medical Aid take-up are analyzed through probit and Cox modeling. The results show that only 51% of those who are eligible for the State Medical Aid program are actually covered, and this proportion is higher among women than among men. The length of stay in France is the most important determinant of take-up. It is worth noting that State Medical Aid take-up is not associated with chronic diseases or functional limitations and is negatively associated with poor mental health. There is, therefore, mixed evidence of health selection into the program. Informational barriers and vulnerabilities experienced by undocumented immigrants are likely to explain this low take-up.","PeriodicalId":46836,"journal":{"name":"Health Economics Policy and Law","volume":"18 1","pages":"32-48"},"PeriodicalIF":1.7,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10609587","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: 1

Any lessons to learn? Pathways and impasses towards health system resilience in post-pandemic times. 有什么值得学习的吗?大流行后时期卫生系统恢复力的途径和障碍。

IF 1.7 3区医学

Health Economics Policy and Law Pub Date : 2023-01-01 DOI: 10.1017/S1744133122000238

Benjamin Ewert, Iris Wallenburg, Ulrika Winblad, Roland Bal

{"title":"Any lessons to learn? Pathways and impasses towards health system resilience in post-pandemic times.","authors":"Benjamin Ewert, Iris Wallenburg, Ulrika Winblad, Roland Bal","doi":"10.1017/S1744133122000238","DOIUrl":"https://doi.org/10.1017/S1744133122000238","url":null,"abstract":"The COVID-19 pandemic has been an ultimate challenge for health systems as a whole rather than just single sectors (e.g. hospital care). Particularly, interface management between health system sectors and cooperation among stakeholders turned out to be crucial for an adequate crisis response. Dealing with such interfaces, it is argued in the literature, demands from health care systems to become resilient. One way to analyse this is to focus on the ways in which bottlenecks in health systems are dealt with during the pandemic. This paper investigates six bottlenecks, including overburdened public health agencies, neglected nursing homes and insufficient testing capacities that have been encountered in the health systems of Germany, Sweden and the Netherlands during the pandemic. Based on empirical findings we identify and critically discuss preliminary lessons in terms of health system resilience, an increasingly popular theoretical concept that frames crises as an opportunity for health system renewal. We argue that in practice health system resilience is hindered by path dependencies of national health systems and, owed to the crisis, interim policies that lack ambition for broader reforms.","PeriodicalId":46836,"journal":{"name":"Health Economics Policy and Law","volume":"18 1","pages":"66-81"},"PeriodicalIF":1.7,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9178138","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: 5

An Analysis of the Status of China’s Digital Economy and Infrastructure 中国数字经济与基础设施现状分析

IF 1.7 3区医学

Health Economics Policy and Law Pub Date : 2022-12-13 DOI: 10.22158/elp.v5n2p69

Li Chunzhi

引用次数: 1

Border Measures of Trademark Enforcement in Pakistan: A Comparative Analysis with Malaysia and USA 巴基斯坦商标执法的边境措施:与马来西亚和美国的比较分析

IF 1.7 3区医学

Health Economics Policy and Law Pub Date : 2022-12-06 DOI: 10.22158/elp.v5n2p55

Sohaib Mukhtar, Zinatul Ashiqin Zainol, Sufian Jusoh

{"title":"Border Measures of Trademark Enforcement in Pakistan: A Comparative Analysis with Malaysia and USA","authors":"Sohaib Mukhtar, Zinatul Ashiqin Zainol, Sufian Jusoh","doi":"10.22158/elp.v5n2p55","DOIUrl":"https://doi.org/10.22158/elp.v5n2p55","url":null,"abstract":"Border measures of trademark enforcement is an administrative method required to be implemented through executive and administrative customs authority of Pakistan, Malaysia and United States of America (USA). Border measures of trademark enforcement runs under Customs Act 1969 and Trade Marks Ordinance 2001 in Pakistan, under Customs Act 1967 and Trade Descriptions Act 2011 in Malaysia and under Tariff Act 1930 and Lanham Trademark Act 1946 in USA. Trademark is name, mark, smell, sign, or a sound distinguishes services and goods of one undertaking from services and goods or other undertakings, it is required to be non-descriptive, distinctive and losses its distinctiveness when registered owner of trademark does not take prompt and speedy action against its infringement. The registered owner of trademark may avail administrative, civil, criminal procedures, provisional and border measure for protection of his registered trademark. Border measure is required to be adopted by registered trademark owner when there is likelihood of exportation and importation of suspected infringed goods which contains suspected identical infringed trademark. This article is qualitative method of research as it focusses on comparative analysis of border measures of trademark enforcement in Pakistan, Malaysia and USA. The purpose of border measure is to prevent importation and exportation of infringed goods through administrative customs authority on its own or on application and complaint of registered trademark owner. After comparative analysis of border measure of trademark enforcement in Pakistan, Malaysia and USA, it is found that the owner of registered trademark should be required to furnish his details and details of his registered trademark and prescribed goods or services before administrative customs authority immediately after registration, thereupon the customs authority would promptly act on importation and exportation of counterfeiting trademark goods.","PeriodicalId":46836,"journal":{"name":"Health Economics Policy and Law","volume":"21 1","pages":""},"PeriodicalIF":1.7,"publicationDate":"2022-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72577247","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

Research on the Path of Digital Economy Promoting Export Trade under the Background of High-quality Development 高质量发展背景下数字经济促进出口贸易的路径研究

IF 1.7 3区医学

Health Economics Policy and Law Pub Date : 2022-11-19 DOI: 10.22158/elp.v5n2p17

Jing Dong, Xinpeng Xu

引用次数: 0

Research on the Current Situation and Countermeasures of Digital Economy 数字经济的现状与对策研究

IF 1.7 3区医学

Health Economics Policy and Law Pub Date : 2022-11-14 DOI: 10.22158/elp.v5n2p11

Gao Fuxia

引用次数: 0