International Journal of Health Services最新文献_第3页

Covid-19 Outbreak in Brazil: Health, Social, Political, and Economic Implications. 巴西Covid-19疫情:健康、社会、政治和经济影响

IF 3.4 4区医学

International Journal of Health Services Pub Date : 2022-10-01 Epub Date: 2022-09-04 DOI: 10.1177/00207314221122658

Michele Kremer Sott, Mariluza Sott Bender, Kamila da Silva Baum

{"title":"Covid-19 Outbreak in Brazil: Health, Social, Political, and Economic Implications.","authors":"Michele Kremer Sott, Mariluza Sott Bender, Kamila da Silva Baum","doi":"10.1177/00207314221122658","DOIUrl":"https://doi.org/10.1177/00207314221122658","url":null,"abstract":"COVID-19 outbreak quickly spread to all corners of the globe. In Brazil, the outbreak was particularly frightening because it worsened existing health, political, economic, and social problems. The results already observed show the contagion ripple-spreading process across the country, causing the death of thousands of people each day and counting, added to a very serious wave of unemployment, scientific denial, and social precariousness. Based on this, this study reviews recent research that looked at the role of the government, the Brazilian health system, and the main economic and social impacts fostered by the pandemic. We perform a scoping review according to the PRISMA-ScR to structure the qualitative synthesis of the 67 associated documents. The results reinforce the negative effects of the country's mismanagement and its consequent impacts on the Brazilian economy and society. The battleground against COVID-19 has fueled political tensions, shaken the health system, and unleashed social despair tinged with thousands of deaths. Finally, in the present scoping review, we discuss concerns about the impacts of the COVID-19 outbreak in Brazil and what the world hopes the country has learned from the current crisis.","PeriodicalId":54959,"journal":{"name":"International Journal of Health Services","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9445630/pdf/10.1177_00207314221122658.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40348303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 17

The Role of Government-run Insurance in Primary Health Care Utilization: A Cross-Sectional Study in Papua Region, Indonesia, in 2018. 政府运营的保险在初级医疗保健使用中的作用：2018年印度尼西亚巴布亚地区横断面研究》。

IF 3.4 4区医学

International Journal of Health Services Pub Date : 2022-09-25 DOI: 10.1177/00207314221129055

Agung Dwi Laksono, Wahyu Pudji Nugraheni, Mara Ipa, Nikmatur Rohmah, Ratna Dwi Wulandari

{"title":"The Role of Government-run Insurance in Primary Health Care Utilization: A Cross-Sectional Study in Papua Region, Indonesia, in 2018.","authors":"Agung Dwi Laksono, Wahyu Pudji Nugraheni, Mara Ipa, Nikmatur Rohmah, Ratna Dwi Wulandari","doi":"10.1177/00207314221129055","DOIUrl":"10.1177/00207314221129055","url":null,"abstract":"Health development in the Papua region often lags behind other areas of Indonesia. The study aims to analyze the role of government-run insurance in primary health care utilization in the Papua region, Indonesia. The study examined 17,879 Papuan. The study used primary health care utilization as an outcome variable and health insurance ownership as an exposure variable. The study also employed nine control variables: province, residence, age, gender, marital status, education, employment, wealth, and travel time to primary health care. The research employed data using binary logistic regression in the final analysis. The results show that Papuans with government-run insurance were three times more likely to utilize primary health care than uninsured Papuans (AOR 3.081; 95% CI 3.026-3.137). Meanwhile, Papuan with private-run insurance were 0.133 times less likely to utilize primary health care than uninsured Papuans (AOR 0.133; 95% CI 0.109-0.164). Moreover, Papuans who have two types of health insurances (government-run and private-run) were 1.5 times more likely to utilize the primary health care than uninsured Papuan (AOR 1.513; 95% CI 1.393-1.644). The study concluded that government-run insurance increases the chance of primary health care utilization in the Papua region, Indonesia. Government-run insurance has the most prominent role compared to other health insurance categories.","PeriodicalId":54959,"journal":{"name":"International Journal of Health Services","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2022-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33494039","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Arms, Conventional Wisdom, and Public Health Prevention. 武器、传统智慧和公共卫生预防。

IF 3.4 4区医学

International Journal of Health Services Pub Date : 2022-09-19 DOI: 10.1177/00207314221125057

Joan Benach, Carles Muntaner

引用次数: 0

Integrating Social, Political and Commercial Determinants of Health Frameworks to Advance Public Health in the twenty-first Century. 整合健康的社会、政治和商业决定因素框架，促进 21 世纪的公共卫生。

IF 3.4 4区医学

International Journal of Health Services Pub Date : 2022-09-15 DOI: 10.1177/00207314221125151

Nicholas Freudenberg

引用次数: 0

Does Democracy Matter for Public Health? 民主对公共卫生重要吗？

IF 3.4 4区医学

International Journal of Health Services Pub Date : 2022-09-15 DOI: 10.1177/00207314221126110

Sanghoon Lee

引用次数: 0

The Present and Future of eHealth in Spain From a Health Management Perspective. 从健康管理的角度看西班牙电子健康的现在和未来。

IF 3.4 4区医学

International Journal of Health Services Pub Date : 2022-07-01 Epub Date: 2020-04-01 DOI: 10.1177/0020731420914836

Andrés Cernadas Ramos, Bran Barral Buceta, Ángela Fernández da Silva, Ramón Bouzas-Lorenzo, Ana Garaikoetxea Iturriria

{"title":"The Present and Future of eHealth in Spain From a Health Management Perspective.","authors":"Andrés Cernadas Ramos, Bran Barral Buceta, Ángela Fernández da Silva, Ramón Bouzas-Lorenzo, Ana Garaikoetxea Iturriria","doi":"10.1177/0020731420914836","DOIUrl":"https://doi.org/10.1177/0020731420914836","url":null,"abstract":"eHealth has grown significantly over the last decade. The aim of this study was to determine the level of use of information and communication technologies for health care in Spain and identify the main barriers to development. We used a qualitative study based on data obtained from 8 Spanish autonomous communities through semi-structured, in-depth interviews with key informants in eHealth management and planning. Programs present varying degrees of implementation. Services such as electronic prescriptions, digital medical records, and appointment requests via the Internet are advanced and widespread; others, such as digital imaging, are advanced but not fully deployed; and some, such as telecare programs, are experimental. The study also revealed diverse levels of interoperability and barriers to the expansion of these technologies, which can be classified into 4 fields: technological, organizational, human, and economic. eHealth might evolve more slowly in the coming years. Unless the payoff is clearly seen, major budget cuts in the current economic climate will prevent the implementation of new projects. Programs that help reduce health spending are more likely to be implemented, to the detriment of projects involving simple techniques or even clear health care improvements.","PeriodicalId":54959,"journal":{"name":"International Journal of Health Services","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0020731420914836","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37794355","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

A Proposal to Increase Value and Equity in the Development and Distribution of New Pharmaceuticals. 增加新药开发和销售的价值和公平性的建议

IF 3.4 4区医学

International Journal of Health Services Pub Date : 2022-07-01 Epub Date: 2022-05-12 DOI: 10.1177/00207314221100647

Paul Sorum, Christopher Stein, Danielle Wales, David Pratt

引用次数: 0

Discontinuation of Health Interventions Among Brazilian Older Adults During the Covid-19 Pandemic: REMOBILIZE Study. 在2019冠状病毒病大流行期间，巴西老年人停止健康干预措施:REMOBILIZE研究

IF 3.4 4区医学

International Journal of Health Services Pub Date : 2022-07-01 DOI: 10.1177/00207314221092354

Juleimar Soares Coelho de Amorim, Giulianna Ornellas, Peter Lloyd-Sherlock, Daniele Sirineu Pereira, Alexandre da Silva, Etienne Duim, Camila Astolphi Lima, Monica Rodrigues Perracini

{"title":"Discontinuation of Health Interventions Among Brazilian Older Adults During the Covid-19 Pandemic: REMOBILIZE Study.","authors":"Juleimar Soares Coelho de Amorim, Giulianna Ornellas, Peter Lloyd-Sherlock, Daniele Sirineu Pereira, Alexandre da Silva, Etienne Duim, Camila Astolphi Lima, Monica Rodrigues Perracini","doi":"10.1177/00207314221092354","DOIUrl":"https://doi.org/10.1177/00207314221092354","url":null,"abstract":"The objective of this study was to analyze changes in access to health interventions during the pandemic among Brazilian older adults and to investigate the factors associated with social and health inequalities. We conducted an online survey with Brazilian adults aged 60 + years between May and June 2020. A multidimensional questionnaire was used to investigate access to health interventions during the pandemic and associated factors. Of 1482 participants, 56.5% reported health care before the pandemic, and 36.4% discontinued it during the pandemic. The discontinuation rate was 64.4% (95% CI 61.1-67.6). Participants with higher educational level (nine or more years of education: OR 0.34; 95% CI 0.17-0.70) and higher income (eight or more times the minimum wage: OR 0.54; 95% CI 0.36-0.81) were associated with less probability of discontinuation. Presenting multimorbidity (OR: 1.42; 95% CI 1.06-1.90) and polypharmacy (OR: 0.61; 95% CI 0.46-0.81) were associated with discontinuity in health interventions. Our study showed that structural health inequities in access to health care shaped the rates of discontinuation in health care interventions during the COVID-19 pandemic. Strategic actions should be set up to actively monitor socially vulnerable older adults and strengthen community-based services to mitigate the discontinuation of health care interventions.","PeriodicalId":54959,"journal":{"name":"International Journal of Health Services","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9006088/pdf/10.1177_00207314221092354.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9999906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Impact of Job and Insurance Loss on Prescription Drug use: A Panel Data Approach to Quantifying the Health Consequences of Unemployment During the Covid-19 Pandemic. 失业和保险损失对处方药使用的影响:量化Covid-19大流行期间失业对健康的影响的小组数据方法。

IF 3.4 4区医学

International Journal of Health Services Pub Date : 2022-07-01 Epub Date: 2022-02-15 DOI: 10.1177/00207314221078749

Amanda Nguyen, Alexandra Guttentag, Diane Li, Jeroen van Meijgaard

{"title":"The Impact of Job and Insurance Loss on Prescription Drug use: A Panel Data Approach to Quantifying the Health Consequences of Unemployment During the Covid-19 Pandemic.","authors":"Amanda Nguyen, Alexandra Guttentag, Diane Li, Jeroen van Meijgaard","doi":"10.1177/00207314221078749","DOIUrl":"https://doi.org/10.1177/00207314221078749","url":null,"abstract":"Due to the nature of health insurance in the United States, health care utilization is often tied to economic conditions, at both the individual and aggregate levels. This article examines how loss of employment may reduce medication adherence through the subsequent loss of insurance and income. At the individual level, the loss of employer-sponsored insurance is shown to be associated with lower prescription drug use and higher out-of-pocket expenditures. The rapid increase in unemployment during the COVID-19 pandemic provides a natural experiment to estimate the causal relationship between unemployment and prescription drug use at the aggregate level. In total, the growth in unemployment during the pandemic resulted in a 2.6% reduction in medication adherence and 57.5 million fewer prescriptions filled in 2020, with prescriptions declining for many chronic conditions. Unemployment-related reductions in prescription fills and medication adherence were highest in states without expanded Medicaid eligibility, further underscoring the importance of social safety nets such as Medicaid during times of economic hardship.","PeriodicalId":54959,"journal":{"name":"International Journal of Health Services","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9204124/pdf/10.1177_00207314221078749.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39925330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Analysis of Regional Palliative Care Strategies: Do Health Policies Influence the Development of Assistance Coverage? 区域姑息治疗策略分析:卫生政策是否影响援助覆盖面的发展?

IF 3.4 4区医学

International Journal of Health Services Pub Date : 2022-07-01 Epub Date: 2020-02-23 DOI: 10.1177/0020731420905953

María Elena Sánchez-Gutiérrez, Álvaro Sanz Rubiales, Luis Alberto Flores Pérez, María Luisa Del-Valle Rivero, Rosa María Simó-Martínez

{"title":"Analysis of Regional Palliative Care Strategies: Do Health Policies Influence the Development of Assistance Coverage?","authors":"María Elena Sánchez-Gutiérrez, Álvaro Sanz Rubiales, Luis Alberto Flores Pérez, María Luisa Del-Valle Rivero, Rosa María Simó-Martínez","doi":"10.1177/0020731420905953","DOIUrl":"https://doi.org/10.1177/0020731420905953","url":null,"abstract":"In Spain, health competencies are decentralized, and each autonomous community implements its own plans. Our aim is to determine if the existence of regional palliative care plans implies an improvement in health care coverage. We reviewed regional palliative care plans published in Spain and analyzed the following variables: number and profile of palliative care resources, guidelines and objectives of implementation of resources of these plans, and compliance with European standards. The publication of regional plans is associated with an increase in specific resources in the following years. From 2004 to 2009, the implementation of plans in 6 autonomous communities was associated with an increase in palliative care resources compared to those without a strategy (odds ratio: 1.58, P = .02) or with a settled plan (odds ratio: 1.40, P = .07). The same phenomenon was observed between 2009 and 2015 in 4 autonomous communities and 2 autonomous cities compared with those without a strategy (odds ratio: 2.49, P = .001) and those that implemented a plan before 2009 (odds ratio: 2.62, P < .001). Updating and evaluating these regional plans are also associated with the growth of palliative care resources.","PeriodicalId":54959,"journal":{"name":"International Journal of Health Services","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0020731420905953","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37670187","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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