Health Economics Policy and Law最新文献_第9页

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":null,"pages":null},"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

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":null,"pages":null},"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":null,"pages":null},"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

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":null,"pages":null},"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

How to fairly allocate scarce medical resources? Controversial preferences of healthcare professionals with different personal characteristics. 如何公平分配稀缺的医疗资源?具有不同个人特征的医疗保健专业人员有争议的偏好。

IF 1.7 3区医学

Health Economics Policy and Law Pub Date : 2022-10-01 Epub Date: 2021-06-10 DOI: 10.1017/S1744133121000190

Micaela Pinho, Alexandra Araújo

{"title":"How to fairly allocate scarce medical resources? Controversial preferences of healthcare professionals with different personal characteristics.","authors":"Micaela Pinho, Alexandra Araújo","doi":"10.1017/S1744133121000190","DOIUrl":"https://doi.org/10.1017/S1744133121000190","url":null,"abstract":"The scarcity of medical resources is widely recognized, and therefore priority setting is inevitable. This study examines whether Portuguese healthcare professionals (physicians vs nurses): (i) share the moral guidance proposed by ethicists and (ii) attitudes toward prioritization criteria vary among individual and professional characteristics. A sample of 254 healthcare professionals were confronted with hypothetical prioritization scenarios involving two patients distinguished by personal or health characteristics. Descriptive statistics and parametric analyses were performed to evaluate and compare the adherence of both groups of healthcare professionals regarding 10 rationing criteria: waiting time, treatment prognosis measured in life expectancy and quality of life, severity of health conditions measured in pain and immediate risk of dying, age discrimination measured in favoring the young over older and favoring the youngest over the young, merit evaluated positively or negatively, and parenthood. The findings show a slight adherence to the criteria. Waiting time and patient pain were the conditions considered fairer by respondents in contrast with the ethicists normative. Preferences for distributive justice vary by professional group and among participants with different political orientations, rationing experience, years of experience, and level of satisfaction with the NHS. Decision-makers should consider the opinion of ethicists, but also those of healthcare professionals to legitimize explicit guidelines.","PeriodicalId":46836,"journal":{"name":"Health Economics Policy and Law","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/S1744133121000190","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39078661","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

Does voluntary health insurance reduce the use of and the willingness to finance public health care in Sweden? 在瑞典，自愿医疗保险是否减少了公共医疗保健的使用和资助意愿?

IF 1.7 3区医学

Health Economics Policy and Law Pub Date : 2022-10-01 Epub Date: 2021-03-23 DOI: 10.1017/S1744133121000086

Linn Kullberg, Paula Blomqvist, Ulrika Winblad

{"title":"Does voluntary health insurance reduce the use of and the willingness to finance public health care in Sweden?","authors":"Linn Kullberg, Paula Blomqvist, Ulrika Winblad","doi":"10.1017/S1744133121000086","DOIUrl":"https://doi.org/10.1017/S1744133121000086","url":null,"abstract":"Voluntary private health insurance (VHI) has generally been of limited importance in national health service-type health care systems, especially in the Nordic countries. During the last decades however, an increase in VHI uptake has taken place in the region. Critics of this development argue that voluntary health insurance can undermine support for public health care, while proponents contend that increased private funding for health services could relieve strained public health care systems. Using data from Sweden, this study investigates empirically how voluntary health insurance affects the public health care system. The results of the study indicate that the public Swedish health care system is fairly resilient to the impact of voluntary health insurance with regards to support for the tax-based funding. No difference between insurance holders and non-holders was found in willingness to finance public health care through taxes. A slight unburdening effect on public health care use was observed as VHI holders appeared to use public health care to a lesser extent than those without an insurance. However, a majority of the insurance holders continued to use the public health care system, indicating only a modest substitution effect.","PeriodicalId":46836,"journal":{"name":"Health Economics Policy and Law","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/S1744133121000086","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25505504","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: 2

Impact on the NHS and health of the UK's trade and cooperation relationship with the EU, and beyond. 对英国国民医疗服务体系和英国与欧盟及其他地区的贸易和合作关系的影响。

IF 1.7 3区医学

Health Economics Policy and Law Pub Date : 2022-10-01 Epub Date: 2022-06-28 DOI: 10.1017/S1744133122000044

Nick Fahy, Tamara Hervey, Mark Dayan, Mark Flear, Michael J Galsworthy, Scott Greer, Holly Jarman, Martha McCarey, Martin McKee, Matthew Wood

{"title":"Impact on the NHS and health of the UK's trade and cooperation relationship with the EU, and beyond.","authors":"Nick Fahy, Tamara Hervey, Mark Dayan, Mark Flear, Michael J Galsworthy, Scott Greer, Holly Jarman, Martha McCarey, Martin McKee, Matthew Wood","doi":"10.1017/S1744133122000044","DOIUrl":"https://doi.org/10.1017/S1744133122000044","url":null,"abstract":"The UK's relationship with the European Union (EU) is now embodied in two principal legal instruments: the EU-UK Trade and Cooperation Agreement, which formally entered into force on 1 May 2021; and the Withdrawal Agreement, with its Protocol on Ireland/Northern Ireland, which continues to apply. Using a 'building blocks' framework for analysis of national health systems derived from the World Health Organisation, this article examines the likely impacts in the UK of this legal settlement on the National Health Service (NHS), health and social care. Specifically, we determine the extent to which the trade, cooperation and regulatory aspects of those legal measures support positive impacts for the NHS and social care. We show that, as there is clear support for positive health and care outcomes in only one of the 17 NHS 'building blocks', unless mitigating action is taken, the likely outcomes will be detrimental. However, as the legal settlement gives the UK a great deal of regulatory freedom, especially in Great Britain, we argue that it is crucial to track the effects of proposed new health and social care-related policy choices in the months and years ahead.","PeriodicalId":46836,"journal":{"name":"Health Economics Policy and Law","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40401808","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