International Journal of Health Services最新文献_第9页

The Antimicrobial Resistance Crisis: How Neoliberalism Helps Microbes Dodge Our Drugs. 抗菌素耐药性危机:新自由主义如何帮助微生物躲避我们的药物。

IF 3.4 4区医学

International Journal of Health Services Pub Date : 2021-10-01 Epub Date: 2020-08-16 DOI: 10.1177/0020731420949823

Ilinca A Dutescu

{"title":"The Antimicrobial Resistance Crisis: How Neoliberalism Helps Microbes Dodge Our Drugs.","authors":"Ilinca A Dutescu","doi":"10.1177/0020731420949823","DOIUrl":"https://doi.org/10.1177/0020731420949823","url":null,"abstract":"The urgent public health threat of antimicrobial resistance (AMR) has received much attention from the world's most important health agencies and national governmental organizations. However, despite large investments being allocated to strategizing national and international plans for addressing this public health problem, the incidence of untreatable, antimicrobial-resistant diseases continues to rise in many nations. To avoid returning to a society in which common infections once again become deadly, one must consider the often-ignored root causes driving inappropriate behaviors relating to antimicrobial use, such as the history of antimicrobial drug development, the effects of commodifying health-related services, and the rise in social inequalities. By employing the lens of political economy to analyze the phenomenon of AMR on national and international scales, it is found that the acceptance of neoliberalism as a governing ideology by authorities is hindering our ability to globally combat AMR through the depoliticization of issues that require political intervention to stimulate change. Differences in level of AMR and approaches to pharmaceutical governance between social democratic and liberal welfare states provide validity to this hypothesis.","PeriodicalId":54959,"journal":{"name":"International Journal of Health Services","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0020731420949823","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38277007","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

Outcomes for Implemented Macroeconomic Policy Responses and Multilateral Collaboration Strategies for Economic Recovery After a Crisis: A Rapid Scoping Review. 危机后经济复苏的宏观经济政策应对和多边合作战略的实施成果:快速范围审查。

IF 3.4 4区医学

International Journal of Health Services Pub Date : 2021-07-01 Epub Date: 2021-04-05 DOI: 10.1177/00207314211007100

Mark Embrett, Iwona A Bielska, Derek R Manis, Rhiannon Cooper, Gina Agarwal, Robert Nartowski, Emily Moore, Elena Lopatina, Aislinn Conway, Kathryn Clark

{"title":"Outcomes for Implemented Macroeconomic Policy Responses and Multilateral Collaboration Strategies for Economic Recovery After a Crisis: A Rapid Scoping Review.","authors":"Mark Embrett, Iwona A Bielska, Derek R Manis, Rhiannon Cooper, Gina Agarwal, Robert Nartowski, Emily Moore, Elena Lopatina, Aislinn Conway, Kathryn Clark","doi":"10.1177/00207314211007100","DOIUrl":"https://doi.org/10.1177/00207314211007100","url":null,"abstract":"To promote postpandemic recovery, many countries have adopted economic packages that include fiscal, monetary, and financial policy measures; however, the effects of these policies may not be known for several years or more. There is an opportunity for decision makers to learn from past policies that facilitated recovery from other disease outbreaks, crises, and natural disasters that have had a devastating effect on economies around the world. To support the development of the United Nations Research Roadmap for COVID-19 Recovery, this review examined and synthesized peer-reviewed studies and gray literature that focused on macroeconomic policy responses and multilateral coalition strategies from past pandemics and crises to provide a map of the existing evidence. We conducted a systematic search of academic and gray literature databases. After screening, we found 22 records that were eligible for this review. The evidence found demonstrates that macroeconomic and multilateral coalition strategies have various impacts on a diverse set of countries and populations. Although the studies were heterogeneous in nature, most did find positive results for macroeconomic intervention policies that addressed investments to strengthen health and social protection systems, specifically cash and unconventional/nonstandard monetary measures, in-kind transfers, social security financing, and measures geared toward certain population groups.","PeriodicalId":54959,"journal":{"name":"International Journal of Health Services","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/00207314211007100","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25577088","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: 5

COVID-19: A Comprehensive Review of Epidemiology and Public Health System Response in Nordic Region. COVID-19:北欧地区流行病学和公共卫生系统应对的综合综述。

IF 3.4 4区医学

International Journal of Health Services Pub Date : 2021-07-01 Epub Date: 2021-03-03 DOI: 10.1177/0020731421994840

Mehak Nanda, Rajesh Sharma

{"title":"COVID-19: A Comprehensive Review of Epidemiology and Public Health System Response in Nordic Region.","authors":"Mehak Nanda, Rajesh Sharma","doi":"10.1177/0020731421994840","DOIUrl":"https://doi.org/10.1177/0020731421994840","url":null,"abstract":"This paper investigates the epidemiology and public health response of novel coronavirus infection (COVID-19) in the Nordic region. The data on cases and deaths due to COVID-19 were drawn from the European Centre for Disease Prevention and Control. The data on age- and sex-wise cases, deaths and intensive care unit (ICU) admissions, and public health interventions in the Nordic region through November 10, 2020, were obtained from respective countries' health ministries. Sweden accounted for 60.59% of cases (162 240 of 267 768 cases) and 81% of deaths (6057 of 7477 cases) in the Nordic region. The incidence rate for the Nordic region was 989.59 per 100 000, varying from 327.30 per 100 000 in Finland to 1616.51 per 100 000 in Sweden, and the mortality rate for the region was 27.63 per 100 000, ranging from 5.3 per 100 000 in Norway to 60.35 per 100 000 in Sweden. The case-fatality ratio of the Nordic region was 2.79%. Females were more susceptible to COVID-19 infection than males (52.30% vs 47.66%), while males had a greater proportion of deaths (54.7%) and ICU need (71.99%) than females. It is imperative to continue with social distancing, mandatory masks, testing, prohibition of mass gatherings, isolation of confirmed cases, and preventing the importation of cases from other countries to avoid the further resurgence of cases.","PeriodicalId":54959,"journal":{"name":"International Journal of Health Services","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0020731421994840","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25424265","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: 12

Taking Care of Business: Privileging Private Sector Hospitals During the COVID Crisis. 照顾业务:在COVID危机期间给予私营医院特权。

IF 3.4 4区医学

International Journal of Health Services Pub Date : 2021-07-01 Epub Date: 2021-04-29 DOI: 10.1177/00207314211012147

Stewart D Player

{"title":"Taking Care of Business: Privileging Private Sector Hospitals During the COVID Crisis.","authors":"Stewart D Player","doi":"10.1177/00207314211012147","DOIUrl":"https://doi.org/10.1177/00207314211012147","url":null,"abstract":"In the early days of the COVID crisis, many commentators argued that it presented opportunities for progressive change, notably toward redress of structural inequalities in health. As with the financial slump of 2008, however, such notions have proved almost ridiculously optimistic as it has been capital, through its near symbiosis with the state, that has been best able to respond, with the English government-the devolved nations adopted a markedly different approach-taking every opportunity to ensure the pandemic has proved a bonanza for private-sector healthcare interests. However, this has not just been about individual contracts in, for example, test and trace, vaccination, or personal protective equipment; the crisis has been used to both rescue the private acute market following 2 years of contracted revenues and to provide enormous stimulus for its future growth. This has required the support of several organizations acting in concert, including the NHS Confederation and the Royal Colleges. While the pandemic has served to illuminate such relationships, the author also argues that the oft-recurring governmental praise of the NHS needs to be matched by genuine investment in public hospitals.","PeriodicalId":54959,"journal":{"name":"International Journal of Health Services","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/00207314211012147","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38919907","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

Drug Promotion in India Since 2000: Problems Remain. 2000年以来印度的药物推广:问题依然存在。

IF 3.4 4区医学

International Journal of Health Services Pub Date : 2021-07-01 Epub Date: 2020-06-13 DOI: 10.1177/0020731420932109

Joel Lexchin

引用次数: 5

Mortality at For-Profit Versus Not-For-Profit Hemodialysis Centers: A Systematic Review and Meta-analysis. 营利性与非营利性血液透析中心的死亡率:一项系统回顾和荟萃分析。

IF 3.4 4区医学

International Journal of Health Services Pub Date : 2021-07-01 Epub Date: 2020-12-15 DOI: 10.1177/0020731420980682

Samuel Dickman, Reza Mirza, Maryam Kandi, Michael A Incze, Lorin Dodbiba, Raad Yameen, Arnav Agarwal, Ying Zhang, Rakhshan Kamran, Rachel Couban, Gordon Guyatt, Steven Hanna

{"title":"Mortality at For-Profit Versus Not-For-Profit Hemodialysis Centers: A Systematic Review and Meta-analysis.","authors":"Samuel Dickman, Reza Mirza, Maryam Kandi, Michael A Incze, Lorin Dodbiba, Raad Yameen, Arnav Agarwal, Ying Zhang, Rakhshan Kamran, Rachel Couban, Gordon Guyatt, Steven Hanna","doi":"10.1177/0020731420980682","DOIUrl":"https://doi.org/10.1177/0020731420980682","url":null,"abstract":"We conducted a systematic review and meta-analysis to assess differences in risk-adjusted mortality rates between for-profit (FP) and not-for-profit (NFP) hemodialysis facilities. We searched 10 databases for studies published between January 2001 to December 2019 that compared mortality at private hemodialysis facilities. We included observational studies directly comparing adjusted mortality rates between FP and NFP private hemodialysis providers in any language or country. We excluded evaluations of dialysis facilities that changed their profit status, studies with overlapping data, and studies that failed to adjust for patient age and some measure of clinical severity. Pairs of reviewers independently screened all titles and abstracts and the full text of potentially eligible studies, abstracted data, and assessed risk of bias, resolving disagreement by discussion. We included nine observational studies of hemodialysis facilities representing 1,163,144 patient-years. In pooled random-effects meta-analysis, the odds ratio of mortality in FP relative to NFP facilities was 1.07 (95% CI 1.04-1.11). Patients at FP hemodialysis facilities have 7 percent greater odds of death annually than patients with similar risk profiles at NFP facilities. Approximately 3,800 excess deaths might be averted annually if U.S. FP hemodialysis operators matched NFP mortality rates.","PeriodicalId":54959,"journal":{"name":"International Journal of Health Services","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0020731420980682","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38717221","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: 7

Social Cohesion and Community Resilience During COVID-19 and Pandemics: A Rapid Scoping Review to Inform the United Nations Research Roadmap for COVID-19 Recovery. COVID-19 和大流行期间的社会凝聚力和社区复原力：为联合国 COVID-19 恢复研究路线图提供信息的快速范围审查。

IF 3.4 4区医学

International Journal of Health Services Pub Date : 2021-07-01 Epub Date: 2021-04-08 DOI: 10.1177/0020731421997092

Rae L Jewett, Sarah M Mah, Nicholas Howell, Mandi M Larsen

{"title":"Social Cohesion and Community Resilience During COVID-19 and Pandemics: A Rapid Scoping Review to Inform the United Nations Research Roadmap for COVID-19 Recovery.","authors":"Rae L Jewett, Sarah M Mah, Nicholas Howell, Mandi M Larsen","doi":"10.1177/0020731421997092","DOIUrl":"10.1177/0020731421997092","url":null,"abstract":"Shock events uncover deficits in social cohesion and exacerbate existing social inequalities at the household, community, local, regional, and national levels. National and regional government recovery planning requires careful stakeholder engagement that centers on marginalized people, particularly women and marginalized community leaders. The aim of this rapid scoping review was to inform the United Nations Research Roadmap for the COVID-19 Recovery, based on Pillar 5 of the United Nations Framework for the Immediate Socioeconomic Response to COVID-19: Social Cohesion and Community Resilience. We present a summary of key concepts across the literature that helped situate this review. The results include a description of the state of the science and a review of themes identified as being crucial to sustainable and equitable recovery planning by the United Nations. The role of social cohesion during a disaster, particularly its importance for upstream planning and relationship building before a disaster occurs, is not well understood and is a promising area of future research. Understanding the applicability of social cohesion measurement methodologies and outcomes across different communities and geographies, as well as the development of new and relevant instruments and techniques, is urgently needed in the context of the global COVID-19 pandemic.","PeriodicalId":54959,"journal":{"name":"International Journal of Health Services","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8204038/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25570637","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

Common Pharmaceutical Price and Cost Controls in the United Kingdom, France, and Germany: Lessons for the United States. 英国、法国和德国共同药品价格和成本控制:给美国的教训。

IF 3.4 4区医学

International Journal of Health Services Pub Date : 2021-07-01 Epub Date: 2021-03-09 DOI: 10.1177/0020731421996168

Marc A Rodwin

{"title":"Common Pharmaceutical Price and Cost Controls in the United Kingdom, France, and Germany: Lessons for the United States.","authors":"Marc A Rodwin","doi":"10.1177/0020731421996168","DOIUrl":"https://doi.org/10.1177/0020731421996168","url":null,"abstract":"To identify pharmaceutical spending-control options for the United States, we analyzed the policies of the United Kingdom, France, and Germany, which encourage drugmakers to undertake innovations that improve health while controlling spending. Their main strategies today include: using legislation to set default rules that increase the insurer's bargaining position, employing health technology assessment that measures cost-effectiveness or comparative effectiveness and caps the purchase or reimbursement price, setting a single maximum price for similar drugs (reference group pricing), capping prices near prices in other European countries (external reference pricing), prohibiting price increases, contracting to obtain discounts as sales volume rises, procuring drugs through competitive bids, and requiring manufacturers to pay rebates when spending exceeds a global budget. Each strategy addresses a distinct cause of high spending and supports overall goals. Most recent US reform proposals recommend incremental changes that would not address the major sources of high and increasing pharmaceutical prices. However, some US reform proposals resemble certain European strategies and could bring more significant change. US policymakers should consider adopting each of the strategies employed in these countries.","PeriodicalId":54959,"journal":{"name":"International Journal of Health Services","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0020731421996168","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25451852","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: 6

Perceived Discrimination and Increased Odds of Unmet Medical Needs Among US Children. 在美国儿童中，感知到的歧视和未满足医疗需求的几率增加。

IF 3.4 4区医学

International Journal of Health Services Pub Date : 2021-07-01 Epub Date: 2021-03-12 DOI: 10.1177/0020731421997087

Sze Yan Liu, Roman Pabayo, Peter Muennig

{"title":"Perceived Discrimination and Increased Odds of Unmet Medical Needs Among US Children.","authors":"Sze Yan Liu, Roman Pabayo, Peter Muennig","doi":"10.1177/0020731421997087","DOIUrl":"https://doi.org/10.1177/0020731421997087","url":null,"abstract":"Our study examines the association between perceived discrimination due to race and unmet medical needs among a nationally representative sample of children in the United States. We used data from the 2016-2017 National Survey of Children's Health, a population-based cross-sectional survey of randomly selected parents or guardians in the United States. We compared results from the coarsened exact matching (CEM) method and survey-weighted logistic regression to assess the robustness of the results. Using self-reported measures from caregivers, we find that ∼2.7% of US children have experienced racial discrimination with prevalence varying significantly by race. While <1% of non-Hispanic whites have experienced some measure of racism, this increases to 8.8% among non-Hispanic blacks. Perceived discrimination was associated with significantly greater odds of unmet medical needs in the adjusted, survey-weighted multivariate-adjusted model (adjusted odds ratio [OR] = 2.4 and 95% confidence interval [CI] = 1.2, 4.9) as well as in the CEM-model estimate (OR = 2.8 and 95% CI = 1.8, 4.0). Children who have experienced perceived discrimination had higher odds of unmet medical needs. Awareness of discrimination among children may help inform future intervention development that addresses unmet medical needs during childhood.","PeriodicalId":54959,"journal":{"name":"International Journal of Health Services","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0020731421997087","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25468269","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: 4

Access to Controlled Medicines in Low-Income Countries: Listening to Stakeholders in the Field. 低收入国家获得管制药物:听取实地利益攸关方的意见。

IF 3.4 4区医学

International Journal of Health Services Pub Date : 2021-07-01 Epub Date: 2020-02-25 DOI: 10.1177/0020731420906748

Agnes Vitry, Gilles Forte, Jason White

{"title":"Access to Controlled Medicines in Low-Income Countries: Listening to Stakeholders in the Field.","authors":"Agnes Vitry, Gilles Forte, Jason White","doi":"10.1177/0020731420906748","DOIUrl":"https://doi.org/10.1177/0020731420906748","url":null,"abstract":"Little is known on current practices and challenges associated with the legal trade of medicines controlled under international conventions in low-income countries. This qualitative survey involved semi-structured interviews of stakeholders engaged in the trade of controlled medicines at a global level or at a country level in 3 African countries (Uganda, Kenya, Democratic Republic of the Congo). Nine interviews were conducted, including 3 international wholesalers, 2 relief organizations, 2 procurement officers, and 2 regulatory officers. Additionally, 4 other participants provided written information. All participants consistently reported that the current process of procuring controlled medicines in compliance with international conventions was long and complex given the number of administrative steps required for obtaining export and import authorizations, which are mandatory for both narcotic and psychotropic medicines. It may be difficult or impossible to obtain import authorizations from some health authorities in low-income countries because of long delays, mistakes in forms, absence or shortage of staff, or when annual national estimates are exceeded. The complexities of the trade of controlled medicines directly contribute to the lack of access to essential controlled medicines, both narcotics and psychotropics, in low-income countries.","PeriodicalId":54959,"journal":{"name":"International Journal of Health Services","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0020731420906748","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37676216","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