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

Fellow travellers in transformative times: a reflection on 21 years membership of the European Health Policy Group. 变革时代的同行：对欧洲卫生政策小组21年成员身份的反思。

IF 1.7 3区医学

Health Economics Policy and Law Pub Date : 2023-10-01 DOI: 10.1017/S1744133123000154

Jan-Kees Helderman

引用次数: 0

'Nurses are seen as general cargo, not the smart TVs you ship carefully': the politics of nurse staffing in England, Spain, Sweden, and the Netherlands. “护士被视为普通货物，而不是你精心运送的智能电视”：英国、西班牙、瑞典和荷兰的护士人事政治。

IF 1.7 3区医学

Health Economics Policy and Law Pub Date : 2023-10-01 Epub Date: 2023-09-13 DOI: 10.1017/S1744133123000178

Iris Wallenburg, Rocco Friebel, Ulrika Winblad, Laia Maynou Pujolras, Roland Bal

{"title":"'Nurses are seen as general cargo, not the smart TVs you ship carefully': the politics of nurse staffing in England, Spain, Sweden, and the Netherlands.","authors":"Iris Wallenburg, Rocco Friebel, Ulrika Winblad, Laia Maynou Pujolras, Roland Bal","doi":"10.1017/S1744133123000178","DOIUrl":"10.1017/S1744133123000178","url":null,"abstract":"Nurse workforce shortages put healthcare systems under pressure, moving the nursing profession into the core of healthcare policymaking. In this paper, we shift the focus from workforce policy to workforce politics and highlight the political role of nurses in healthcare systems in England, Spain, Sweden, and the Netherlands. Using a comparative discursive institutionalist approach, we study how nurses are organised and represented in these four countries. We show how nurse politics plays out at the levels of representation, working conditions, career building, and by breaking with the public healthcare system. Although there are differences between the countries - with nurses in England and Spain under more pressure than in the Netherlands and Sweden - nurses are often not represented in policy discourses; not just because of institutional ignorance but also because of fragmentation of the profession itself. This institutional ignorance and lack of collective representation, we argue, requires attention to foster the role and position of nurses in contemporary healthcare systems.","PeriodicalId":46836,"journal":{"name":"Health Economics Policy and Law","volume":" ","pages":"411-425"},"PeriodicalIF":1.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10278643","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

Promoting the systematic use of real-world data and real-world evidence for digital health technologies across Europe: a consensus framework. 在整个欧洲促进数字健康技术对真实世界数据和真实世界证据的系统使用：一个共识框架。

IF 1.7 3区医学

Health Economics Policy and Law Pub Date : 2023-10-01 Epub Date: 2023-09-14 DOI: 10.1017/S1744133123000208

Divya Srivastava, Cornelia Henschke, Lotta Virtanen, Eno-Martin Lotman, Rocco Friebel, Vittoria Ardito, Francesco Petracca

{"title":"Promoting the systematic use of real-world data and real-world evidence for digital health technologies across Europe: a consensus framework.","authors":"Divya Srivastava, Cornelia Henschke, Lotta Virtanen, Eno-Martin Lotman, Rocco Friebel, Vittoria Ardito, Francesco Petracca","doi":"10.1017/S1744133123000208","DOIUrl":"10.1017/S1744133123000208","url":null,"abstract":"Despite the acceleration in the use of digital health technologies across different aspects of the healthcare system, the full potential of real-world data (RWD) and real-world evidence (RWE) arising from the technologies is not being utilised in decision-making. We examine current national efforts and future opportunities to systematically use RWD and RWE in decision-making in five countries (Estonia, Finland, Germany, Italy and the United Kingdom), and then develop a framework for promotion of the systematic use of RWD and RWE. A review assesses current national efforts, complemented with a three-round consensus-building exercise among an international group of experts (n1 = 44, n2 = 24, n3 = 24) to derive key principles. We find that Estonia and Finland have invested and developed digital health-related policies for several years; Germany and Italy are the more recent arrivals, while the United Kingdom falls somewhere in the middle. Opportunities to promote the systematic use of RWD and RWE were identified for each country. Eight building blocks principles were agreed through consensus, relating to policy scope, institutional role and data collection. Promoting post-market surveillance and digital health technology vigilance ought to rely on clarity in scope and data collection with consensus reached on eight principles to leverage RWD and RWE.","PeriodicalId":46836,"journal":{"name":"Health Economics Policy and Law","volume":" ","pages":"395-410"},"PeriodicalIF":1.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10222876","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

Integrated care in a Beveridge system: experiences from England and Denmark. 贝弗里奇系统中的综合护理：来自英格兰和丹麦的经验。

IF 1.7 3区医学

Health Economics Policy and Law Pub Date : 2023-10-01 Epub Date: 2023-10-13 DOI: 10.1017/S1744133123000166

Apostolos Tsiachristas, Karsten Vrangbæk, Pamela Gongora-Salazar, Søren Rud Kristensen

{"title":"Integrated care in a Beveridge system: experiences from England and Denmark.","authors":"Apostolos Tsiachristas, Karsten Vrangbæk, Pamela Gongora-Salazar, Søren Rud Kristensen","doi":"10.1017/S1744133123000166","DOIUrl":"10.1017/S1744133123000166","url":null,"abstract":"Health systems internationally face demands to deliver care that is better coordinated and integrated. The health system financing and delivery model may go some, but not all the way in explaining health system fragmentation. In this paper, we consider the road to care integration in two countries with Beveridge style health systems, England and Denmark, that are both ranked as highly Integrated systems in Toth's health integration index. We use the SELFIE framework to compare the policies and reforms that have affected care integration over the past 30 years in the two countries. The countries both started their reform path by reforming to introduce choice and competition, but did so in different ways that set them on different pathways. Nevertheless, after two decades, the countries ended the period with largely similar structures that emphasised the creation of a cross-sectoral governance structure. In the relatively centralised England, by introducing decentralised Integrated Care Systems, and in the relatively decentralised Denmark with a centralising element in the form of new Health Clusters.","PeriodicalId":46836,"journal":{"name":"Health Economics Policy and Law","volume":"18 4","pages":"345-361"},"PeriodicalIF":1.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41215882","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

Out with the old…. 和老人一起出去…。

IF 1.7 3区医学

Health Economics Policy and Law Pub Date : 2023-10-01 Epub Date: 2023-10-13 DOI: 10.1017/S1744133123000233

Adam Oliver

引用次数: 0

The Impact of the Crisis on Poverty and Socio-Economic Inequalities in Europe 危机对欧洲贫困和社会经济不平等的影响

IF 1.7 3区医学

Health Economics Policy and Law Pub Date : 2023-09-05 DOI: 10.22158/elp.v6n2p46

Nicola Acocella

{"title":"The Impact of the Crisis on Poverty and Socio-Economic Inequalities in Europe","authors":"Nicola Acocella","doi":"10.22158/elp.v6n2p46","DOIUrl":"https://doi.org/10.22158/elp.v6n2p46","url":null,"abstract":"We want to investigate the factors that have had an impact on poverty rates and inequalities in Europe and enquire about the possibility to reduce them in the future. Our enquiry is largely novel in the literature on the topic. The immediate causes of the increase in poverty rates and inequalities have certainly been the financial crisis, the pandemic and the increase in unemployment that derived from them in almost all European countries. In a nutshell, the underlying novel factors that we underline can be attributed to the EU institutions and policies, the ensuing asymmetries and the situation in “core” and “peripheral” countries, more specifically: 1) The “credit-led” strategy of growth pursued by peripheral countries. 2) The “export-led” strategy of growth pursued by core countries. These strategies implicated pernicious imbalances that reflected on poverty rates and inequalities. We find also that only the welfare state has succeeded in mitigating the negative impact on poverty and equity, but at the cost of further burdening public finances, especially in peripheral countries, casting a shadow on the ability to perform the same role in the future. In the future what is needed to avoid asymmetries and imbalances in the European Union is a common strategy of growth.","PeriodicalId":46836,"journal":{"name":"Health Economics Policy and Law","volume":"18 3 1","pages":""},"PeriodicalIF":1.7,"publicationDate":"2023-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90063565","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

Reconsideration on the Construction of Finance Discipline and the Cultivation of College Students’ Employability in Sichuan International Studies University 四川外国语学院金融学科建设与大学生就业能力培养的再思考

IF 1.7 3区医学

Health Economics Policy and Law Pub Date : 2023-08-23 DOI: 10.22158/elp.v6n2p35

Jingchen Xian, Xinpeng Xu

{"title":"Reconsideration on the Construction of Finance Discipline and the Cultivation of College Students’ Employability in Sichuan International Studies University","authors":"Jingchen Xian, Xinpeng Xu","doi":"10.22158/elp.v6n2p35","DOIUrl":"https://doi.org/10.22158/elp.v6n2p35","url":null,"abstract":"Based on the construction and talent cultivation of the finance discipline in industry characteristic universities, this article discusses the subject setting, professional course structure, and the model for cultivating college students’ employability to illustrate how universities with prominent industry characteristics carry out the construction of the finance discipline. It indicates that the full use of laboratories to support the construction of characteristic disciplines is the foundation, and emphasizes the internal logical connection between various courses as a clue analysis, From the simple quantity construction to the improvement of curriculum quality, from the construction of a single core curriculum to the construction of a multi curriculum system, from the internal logical extension of the core curriculum to the internal logical connection of related courses, sort out the connection, mutual support and strengthening between the Temporal logic and content order of related courses, optimize and integrate the curriculum system by using the internal logical connection of the curriculum group, In order to promote the transformation of teaching concepts and teaching methods, achieve the goal of high-quality construction of course groups, and propose corresponding future development ideas based on this.","PeriodicalId":46836,"journal":{"name":"Health Economics Policy and Law","volume":"23 1","pages":""},"PeriodicalIF":1.7,"publicationDate":"2023-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77852445","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

Is There a Policy That Reduces Mass Public Shooting Deaths? 有政策可以减少大规模公共枪击死亡吗?

IF 1.7 3区医学

Health Economics Policy and Law Pub Date : 2023-07-21 DOI: 10.22158/elp.v6n2p15

Carlisle E. Moody

引用次数: 0

The Effect of Digital Finance on Rural Revitalization 数字金融对乡村振兴的影响

IF 1.7 3区医学

Health Economics Policy and Law Pub Date : 2023-07-16 DOI: 10.22158/elp.v6n2p1

Jiatong Wang, Niancheng Tong

引用次数: 0

Exploring differences between public and private providers in primary care: findings from a large Swedish region. 探索初级保健的公立和私立提供者之间的差异:来自瑞典一个大地区的调查结果。

IF 1.7 3区医学

Health Economics Policy and Law Pub Date : 2023-07-01 DOI: 10.1017/S1744133122000251

Anna Häger Glenngård

{"title":"Exploring differences between public and private providers in primary care: findings from a large Swedish region.","authors":"Anna Häger Glenngård","doi":"10.1017/S1744133122000251","DOIUrl":"https://doi.org/10.1017/S1744133122000251","url":null,"abstract":"This study contributes to the sparse literature on differences between public and private primary care practices (PCCs). The purpose was to explore if differences in performance and characteristics between public and PCCs persist over time in a welfare market with patient choice and provider competition, where public and private providers operate under similar conditions. The analysis is based on data from a national patient survey and administrative registries in a large Swedish region, covering PCC observations in 2010 and 2019, i.e., the year after and 10 years after introducing choice and competition in the region. The findings suggest that differences across owner types tend to decrease over time in welfare markets. Differences in patients' experiences, PCC size, patient mix and the division of labour have decreased or disappeared between 2010 and 2019. There were small but significant differences in process measures of quality in 2019; public PCCs complied better with prescription guidelines. While the results demonstrate a convergence between public and private PCCs in regards to their characteristics and performance, differences in patients' experiences in regards to socioeconomic conditions persisted. Such unwarranted variation calls for continued attention from policy makers and further research about causes.","PeriodicalId":46836,"journal":{"name":"Health Economics Policy and Law","volume":"18 3","pages":"219-233"},"PeriodicalIF":1.7,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9606752","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