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

Success and failure in establishing national physician databases: a comparison between Canada and Israel. 建立国家医生数据库的成功与失败：加拿大与以色列之间的比较。

IF 3 3区医学

Health Economics Policy and Law Pub Date : 2025-01-01 Epub Date: 2025-01-27 DOI: 10.1017/S1744133124000318

Baruch Levi, Nadav Davidovitch, Sara Allin

{"title":"Success and failure in establishing national physician databases: a comparison between Canada and Israel.","authors":"Baruch Levi, Nadav Davidovitch, Sara Allin","doi":"10.1017/S1744133124000318","DOIUrl":"10.1017/S1744133124000318","url":null,"abstract":"Physician databases constitute an essential component of health workforce planning. However, while some countries have established functioning national physician databases, others have failed to do so. We compared the healthcare systems of two technologically and economically developed countries, Canada and Israel, which represent cases of respective success and failure in establishing physician databases. A comparative analysis was conducted using a historical-institutionalist approach to examine contemporary health policy outcomes. White papers, studies on healthcare human resources, and reports by professional committees were examined to explore the aims, interests, positions, and actions of stakeholders. In Canada, state-medical profession cooperation, deep-rooted in a longstanding regulatory bargain between the two parties, has facilitated the creation and management of physician databases, albeit limited and in need of urgent improvement, on national and jurisdictional levels. The lack of such regulatory arrangement coupled with enduring conflicted relations between stakeholders due to particular historical developments have hindered the development of an Israeli equivalent database so far. Finally, health policy outcomes may be explained against the backdrop of broader political, governance, and organisational contexts. How medical organisations respond to governmental healthcare initiatives is heavily influenced by their institutional position vis-à-vis the state, shaped by historical processes and regulatory arrangements.","PeriodicalId":46836,"journal":{"name":"Health Economics Policy and Law","volume":" ","pages":"47-63"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143047514","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

Précis of Open and Inclusive: Fair Processes for Financing Universal Health Coverage. 开放和包容的实践：全民健康覆盖筹资的公平进程。

IF 3 3区医学

Health Economics Policy and Law Pub Date : 2025-01-01 Epub Date: 2025-01-07 DOI: 10.1017/S1744133124000331

Alex Voorhoeve, Elina Dale, Unni Gopinathan

{"title":"Précis of Open and Inclusive: Fair Processes for Financing Universal Health Coverage.","authors":"Alex Voorhoeve, Elina Dale, Unni Gopinathan","doi":"10.1017/S1744133124000331","DOIUrl":"https://doi.org/10.1017/S1744133124000331","url":null,"abstract":"We summarise key messages from the World Bank Report Open and Inclusive: Fair Processes for Financing Universal Health Coverage. A central lesson of the Report is that in decision-making on the path to Universal Health Coverage (UHC), procedural fairness matters alongside substantive fairness. Decision systems should be assessed using a complete conception of procedural fairness that embodies core commitments to impartial and equal consideration of interests and perspectives. These commitments demand that comprehensive information is gathered and disclosed and that justifications for policies are publicly debated; that participation in decision-making is enabled; and that these characteristics of the decision system are institutionalised rather than up to the good will of decision-makers. Procedural fairness can improve equity in outcomes, raise legitimacy and trust, and can help make reforms last. While improving procedural fairness can be costly and there are barriers to achieving it, the range of instruments that countries at varying levels of income and institutional capacity have used with some success shows that, in many contexts, advances in procedural fairness in health financing are possible and worthwhile.","PeriodicalId":46836,"journal":{"name":"Health Economics Policy and Law","volume":"20 1","pages":"4-8"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144045838","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

Implications of the fair processes for financing UHC report for development assistance: reflections and an application of the decision-making principles to PEPFAR. 全民健康覆盖筹资公平程序对发展援助报告的影响：对PEPFAR决策原则的反思和应用。

IF 3 3区医学

Health Economics Policy and Law Pub Date : 2025-01-01 Epub Date: 2025-01-14 DOI: 10.1017/S1744133124000276

Sara Bennett, Maria W Merritt

{"title":"Implications of the fair processes for financing UHC report for development assistance: reflections and an application of the decision-making principles to PEPFAR.","authors":"Sara Bennett, Maria W Merritt","doi":"10.1017/S1744133124000276","DOIUrl":"10.1017/S1744133124000276","url":null,"abstract":"The framework presented in the World Bank report Open and Inclusive: Fair processes for Financing Universal Health Coverage effectively connects proposed decision-making principles with practical examples that country governments can use to pursue greater fairness. In this commentary, we consider the suggestion that international development partners might use the report's criteria to examine their own processes. We consider what the report's primary Fair Process principles - equality, impartiality and consistency - imply for development partners. Specifically, we address two questions in turn: (i) how relevant the Fair Processes report is to development assistance for health; (ii) if it is deemed relevant, what practical implications does the report have for how aid works? We address the second question by briefly applying the framework to a particular global health initiative, namely the United States President's Emergency Plan for AIDS Relief (PEPFAR). Our analysis suggests that development partners' additional sets of accountabilities, particularly linked to funding sources, may pose more fundamental challenges to impartiality than to equality and consistency in decision-making processes. A question inviting further examination, then, is how development partners can redesign their processes to optimise impartiality given institutional constraints that bind them independently of the populations they purport to serve.","PeriodicalId":46836,"journal":{"name":"Health Economics Policy and Law","volume":" ","pages":"26-33"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142979637","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

Response to critics of Open and Inclusive: Fair Processes for Financing Universal Health Coverage. 对批评《开放和包容：全民健康覆盖筹资的公平进程》的回应。

IF 3 3区医学

Health Economics Policy and Law Pub Date : 2025-01-01 Epub Date: 2025-01-13 DOI: 10.1017/S174413312400032X

Alex Voorhoeve, Elina Dale, Unni Gopinathan

{"title":"Response to critics of Open and Inclusive: Fair Processes for Financing Universal Health Coverage.","authors":"Alex Voorhoeve, Elina Dale, Unni Gopinathan","doi":"10.1017/S174413312400032X","DOIUrl":"10.1017/S174413312400032X","url":null,"abstract":"In response to our critics, we clarify and defend key ideas in the report Open and Inclusive: Fair Processes for Financing Universal Health Coverage. First, we argue that procedural fairness has greater value than Dan Hausman allows. Second, we argue that the Report aligns with John Kinuthia's view that a knowledgeable public and a capable civil society, alongside good facilitation, are important for effective public deliberation. Moreover, we agree with Kinuthia that the Report's framework for procedural fairness applies not merely within the health sector, but also to the wider budget process. Third, we argue that while Dheepa Rajan and Benjamin Rouffy-Ly are right that robust processes for equal participation are often central to a fair process, sometimes improvements in other aspects of procedural fairness, such as transparency, can take priority over strengthening participation. Fourth, while we welcome Sara Bennett and Maria Merritt's fascinating use of the Report's principles of procedural fairness to assess the US President's Emergency Plan for AIDS Relief, we argue that their application of the Report's principle of equality to development partners' decision-making requires further justification.","PeriodicalId":46836,"journal":{"name":"Health Economics Policy and Law","volume":" ","pages":"34-46"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972743","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

US public opinion about interior border checkpoints and health care access for undocumented immigrants. 美国公众对内部边境检查站和无证移民获得医疗保健的看法。

IF 3 3区医学

Health Economics Policy and Law Pub Date : 2024-12-12 DOI: 10.1017/S1744133124000252

Christine Crudo Blackburn, Simon F Haeder

{"title":"US public opinion about interior border checkpoints and health care access for undocumented immigrants.","authors":"Christine Crudo Blackburn, Simon F Haeder","doi":"10.1017/S1744133124000252","DOIUrl":"https://doi.org/10.1017/S1744133124000252","url":null,"abstract":"Legal status is an important social determinant of health. Immigration enforcement policies may be an important contributor to health disparities in the form of interior border checkpoints (IBCs). These checkpoints may prevent immigrants and their families from seeking needed medical care. Currently, we do not know how these barriers are perceived by the public. We administered a survey of 6,178 respondents from 13 November to 19 November of 2023 that contained a survey experiment to assess public attitudes on the issue. Respondents were generally not supportive of detaining individuals at IBCs or medical facilities for emergencies regardless of characteristics of the care-seeking individual. A majority was supportive of detention when medical treatment was complete. Respondents were generally more sympathetic towards children and pregnant women. Partisanship and sympathy expressed towards immigrants influenced attitudes towards detention. Findings based on race and ethnicity showed inconsistencies. A majority of Americans did not believe that IBCs should impede undocumented immigrants from accessing medical care, especially in emergency situations and for children and pregnant women. Our findings indicate that there is broad public support for expanding existing policies to allow for undocumented individuals to pass through IBCs to access medical care.","PeriodicalId":46836,"journal":{"name":"Health Economics Policy and Law","volume":" ","pages":"1-24"},"PeriodicalIF":3.0,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814561","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 impact of surprise billing laws on hospital-based physician prices and network participation. 意外计费法对医院医师价格和网络参与的影响。

IF 3 3区医学

Health Economics Policy and Law Pub Date : 2024-12-11 DOI: 10.1017/S1744133124000239

Christopher Garmon, Yiting Li, Sheldon M Retchin, Wendy Yi Xu

{"title":"The impact of surprise billing laws on hospital-based physician prices and network participation.","authors":"Christopher Garmon, Yiting Li, Sheldon M Retchin, Wendy Yi Xu","doi":"10.1017/S1744133124000239","DOIUrl":"https://doi.org/10.1017/S1744133124000239","url":null,"abstract":"Prior to the No Surprises Act (NSA), numerous states passed laws protecting patients from surprise medical bills from out-of-network (OON) hospital-based physicians supporting elective treatment in in-network hospitals. Even in non-emergency situations, patients have little ability to choose physicians such as anaesthesiologists, pathologists or radiologists. Using a comprehensive, multi-payer claims database, we estimated the effect of these laws on hospital-based physician reimbursement, charges, network participation and potential surprise billing episodes. Overall, the state laws were associated with a reduction in anaesthesiology prices and charges, but an increase in pathology and radiology prices. The price effects for each state exhibit substantial heterogeneity. California and New Jersey experienced increases in network participation by anaesthesiologists and pathologists and reductions in potential surprise billing episodes, but, overall, we find little evidence of changes in network participation across all of the states implementing surprise billing laws. Our results suggest that the effects of the NSA may vary across states.","PeriodicalId":46836,"journal":{"name":"Health Economics Policy and Law","volume":" ","pages":"1-39"},"PeriodicalIF":3.0,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142808207","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

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

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":" ","pages":"1-13"},"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

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 3 3区医学

Health Economics Policy and Law Pub Date : 2024-10-01 Epub 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

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 : 2024-10-01 Epub 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":"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":" ","pages":"498-516"},"PeriodicalIF":3.0,"publicationDate":"2024-10-01","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