Health systems and reform最新文献_第7页

Institutionalizing Health Technology Assessment in South Africa-An Opportunity in National Health Insurance. 南非卫生技术评估制度化--全国医疗保险的机遇。

Health systems and reform Pub Date : 2023-12-31 Epub Date: 2024-05-07 DOI: 10.1080/23288604.2024.2327098

Janine Jugathpal, Andrew Parrish, Khadija Jamaloodien, Mark Blecher, Jonatan Daven

{"title":"Institutionalizing Health Technology Assessment in South Africa-An Opportunity in National Health Insurance.","authors":"Janine Jugathpal, Andrew Parrish, Khadija Jamaloodien, Mark Blecher, Jonatan Daven","doi":"10.1080/23288604.2024.2327098","DOIUrl":"10.1080/23288604.2024.2327098","url":null,"abstract":"While South Africa has some experience in various forms of health technology assessment (HTA), it is currently fragmented across numerous players. Additionally, there is a lack of systematic and consistently applied HTA processes that inform priority-setting and budget allocations. To address this, the country is journeying toward more institutionalized use of HTA. This will begin with the establishment of a Ministerial Advisory Committee on HTA for National Health Insurance (NHI) and will gradually embed HTA processes in decision-making. The goal is to create an independent HTA agency. Although these reforms will be intrinsically linked to the wider health financing reforms envisaged under NHI, such as formulating the benefits package, they will also assist in strengthening South Africa's health system. As a country facing a highly constrained fiscal environment, with limited space for additional funding for the health sector, evidence-based priority-setting will be critical to ensure that value for money is achieved in the government's investments in health care services in NHI.","PeriodicalId":73218,"journal":{"name":"Health systems and reform","volume":"9 3","pages":"2327098"},"PeriodicalIF":0.0,"publicationDate":"2023-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140878093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Organizational Formation for Priority Setting: Historical Perspectives and Thematic Analysis of India's Health Technology Assessment Agency. 确定优先事项的组织形式：印度卫生技术评估机构的历史视角和专题分析。

Health systems and reform Pub Date : 2023-12-31 Epub Date: 2024-05-07 DOI: 10.1080/23288604.2024.2327414

Victoria Y Fan, Abha Mehndiratta, Jubilee Ahazie, Javier Guzman, Shankar Prinja, T Sundararaman, Soumya Swaminathan

{"title":"Organizational Formation for Priority Setting: Historical Perspectives and Thematic Analysis of India's Health Technology Assessment Agency.","authors":"Victoria Y Fan, Abha Mehndiratta, Jubilee Ahazie, Javier Guzman, Shankar Prinja, T Sundararaman, Soumya Swaminathan","doi":"10.1080/23288604.2024.2327414","DOIUrl":"10.1080/23288604.2024.2327414","url":null,"abstract":"Countries pursuing universal health coverage must set priorities to determine which benefits to add to a national health program, but the roles that organizations play are less understood. This article investigates the case of the formation of an organization with a mandate for choice of technology for public health interventions and priorities, the Health Technology Assessment India. First, we narrate a chronology of agenda setting and adoption of national policy for organizational formation drawing on historical documentation, publicly available literature, and lived experiences from coauthors. Next, we conduct a thematic analysis that examines windows of opportunity, enabling factors, barriers and conditions, roles of stakeholders, messaging and framing, and specific administrative and bureaucratic tools that facilitated organization formation. This case study shows that organizational formation relied on the identification of multiple champions with sufficient seniority and political authority across a wide group of organizations, forming a coalition of broad base support, who were keen to advance health technology assessment policy development and organizational placement or formation. The champions in turn could use their roles for policy decisions that used private and public events to raise priority and commitment to the decisions, carefully considered organizational placement and formation, and developed the network of organizations for the generation of technical evidence and capacity building for health technology assessment, strengthened by international networks and organizations with financing, expertise, and policymaker relationships.","PeriodicalId":73218,"journal":{"name":"Health systems and reform","volume":"9 3","pages":"2327414"},"PeriodicalIF":0.0,"publicationDate":"2023-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140878096","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Establishing a Health Technology Assessment Evidence Ecosystem in India's Pradhan Mantri Jan Arogya Yojana. 在印度 Pradhan Mantri Jan Arogya Yojana 计划中建立卫生技术评估证据生态系统。

Health systems and reform Pub Date : 2023-12-31 Epub Date: 2024-05-07 DOI: 10.1080/23288604.2024.2327097

Shankar Prinja, Yashika Chugh, Nidhi Gupta, Vipul Aggarwal

{"title":"Establishing a Health Technology Assessment Evidence Ecosystem in India's Pradhan Mantri Jan Arogya Yojana.","authors":"Shankar Prinja, Yashika Chugh, Nidhi Gupta, Vipul Aggarwal","doi":"10.1080/23288604.2024.2327097","DOIUrl":"10.1080/23288604.2024.2327097","url":null,"abstract":"The introduction of the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB PM-JAY) scheme in India was a significant step toward universal health coverage. The PM-JAY scheme has made notable progress since its inception, including increasing the number of people covered and expanding the range of services provided under the health benefit package (HBP). The creation of the Health Financing and Technology Assessment (HeFTA) unit within the National Health Authority (NHA) further enhanced evidence-based decision-making processes. We outline the journey of HeFTA and highlight significant cost savings to the PM-JAY as a result of health technology assessment (HTA). Our paper also discusses the application of HTA evidence for decisions related to inclusions or exclusions in HBP, framing standard treatment guidelines as well as other policies. We recommend that future financing reforms for strategic purchasing should strengthen strategic purchasing arrangements and adopt value-based pricing (VBP). Integrating HTA and VBP is a progressive approach toward health care financing reforms for large government-funded schemes like the PM-JAY.","PeriodicalId":73218,"journal":{"name":"Health systems and reform","volume":"9 3","pages":"2327097"},"PeriodicalIF":0.0,"publicationDate":"2023-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140878087","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Rethinking Japan's Health System Sustainability Under the Planetary Health Framework. 在全球健康框架下重新思考日本卫生系统的可持续性。

Health systems and reform Pub Date : 2023-12-31 Epub Date: 2023-11-21 DOI: 10.1080/23288604.2023.2268360

Akira Shimabukuro, Kenta Minamitani, Joji Sugawara

引用次数: 0

Health Technology Assessment in Taiwan: Reflections of the Last Twenty Years. 台湾的卫生技术评估：过去二十年的反思》。

Health systems and reform Pub Date : 2023-12-31 Epub Date: 2024-05-07 DOI: 10.1080/23288604.2024.2330348

Shih-Chung Chen

引用次数: 0

Hospital Resilience in Three COVID-19 Referral Hospitals in Brazil. 巴西三家COVID-19转诊医院的医院复原力

Health systems and reform Pub Date : 2023-06-15 DOI: 10.1080/23288604.2023.2205726

Karla Myrelle Paz de Sousa, Sydia Rosana de Araújo Oliveira, Betise Mery Alencar Sousa Macau Furtado, Ana Lucia Ribeiro de Vasconcelos, Stéphanie Gomes de Medeiros, Gisele Cazarin, Aletheia Soares Sampaio, Valéry Ridde

{"title":"Hospital Resilience in Three COVID-19 Referral Hospitals in Brazil.","authors":"Karla Myrelle Paz de Sousa, Sydia Rosana de Araújo Oliveira, Betise Mery Alencar Sousa Macau Furtado, Ana Lucia Ribeiro de Vasconcelos, Stéphanie Gomes de Medeiros, Gisele Cazarin, Aletheia Soares Sampaio, Valéry Ridde","doi":"10.1080/23288604.2023.2205726","DOIUrl":"https://doi.org/10.1080/23288604.2023.2205726","url":null,"abstract":"Health crises, such as the COVID-19 pandemic, challenge health systems in demonstrating resilience-the ability to cope with change, manage challenges, and adapt in order to retain their effectiveness. Understanding how such challenges affect and produce reactions in those involved in this response is extremely important. This study evaluated resilience in three referral hospitals in the city of Recife, Pernambuco, Brazil-one public, one private, and one philanthropic hospital-by examining the coping activities adopted by the nursing staff working on the COVID-19 frontline. A multiple case study was carried out, using a qualitative approach, triangulating data from direct observations, document analysis, and interviews with 21 nursing professionals working in management and care provision. Data were collected from April to October 2020. The interviews were transcribed and analyzed based on the resilience categories defined by Blanchet (2017): absorption capacity, adaptive capacity, and transformative capacity. Four themes were considered relevant to the objectives of this study: institutional support, access to personal protective equipment (PPE), work relationships, and fear and mental health. Adaptive capacity was demonstrated concerning the four themes analyzed, absorption capacity was demonstrated in two themes, and no transformative capacity was identified. The study highlighted that the health crisis was challenging for all the hospitals studied, regardless of their legal-administrative status. No differences were observed among them in terms of resilience.","PeriodicalId":73218,"journal":{"name":"Health systems and reform","volume":"9 2","pages":"2205726"},"PeriodicalIF":0.0,"publicationDate":"2023-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9744072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Hospital Resilience to the COVID-19 Pandemic in Five Countries: A Multiple Case Study. 五国医院应对COVID-19大流行的韧性:多案例研究

Health systems and reform Pub Date : 2023-06-15 DOI: 10.1080/23288604.2023.2242112

Valéry Ridde, Lola Traverson, Kate Zinszer

{"title":"Hospital Resilience to the COVID-19 Pandemic in Five Countries: A Multiple Case Study.","authors":"Valéry Ridde, Lola Traverson, Kate Zinszer","doi":"10.1080/23288604.2023.2242112","DOIUrl":"https://doi.org/10.1080/23288604.2023.2242112","url":null,"abstract":"Since the beginning of the pandemic, hospitals have been central to the COVID-19 response, often experiencing severe financial, material, and human constraints. In this special issue, we present some of the findings of the HoSPiCOVID research project. One of its main objectives was to compare hospital responses to the first and second waves of the COVID-19 pandemic in Brazil, Canada, France, Japan, and Mali. Studying and comparing how nine different hospitals coped with the pandemic in terms of preparedness and response allowed us to: 1) identify strengths and weaknesses of their responses, including challenges for hospital professionals; and 2) produce lessons learned, using a systematic approach to reflect and analyze their potential of resilience to the crisis. In the five countries, research teams conducted in-depth qualitative studies focused on nine large hospitals, using observation sessions, semistructured interviews with hospital professionals, and lessons learned workshops. The empirical work was supported by an original analytical framework on hospital resilience and a heuristic tool focused on configurations. The studies demonstrate that the hospitals were able to absorb and/or adapt to the crisis by deploying different coping mechanisms, which often required extensive involvement of hospital professionals. More extended study periods would be needed to assess the sustainability of these coping mechanisms and discern whether they have transformative potential. These international comparisons of hospital resilience, based on studies of contrasting contexts and epidemiological situations, allowed researchers to identify lessons learned to support hospital decision-makers in thinking more deeply about managing future health crises.","PeriodicalId":73218,"journal":{"name":"Health systems and reform","volume":"9 2","pages":"2242112"},"PeriodicalIF":0.0,"publicationDate":"2023-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10311448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Potential Strengths and Weaknesses in Hospital Resilience in the Context of the COVID-19 Pandemic in Brazil: A Case Study. COVID-19大流行背景下巴西医院复原力的潜在优势和劣势:案例研究

Health systems and reform Pub Date : 2023-06-15 DOI: 10.1080/23288604.2023.2177242

Sydia Rosana de Araújo Oliveira, Gisele Cazarin, Aletheia Soares Sampaio, Ana Lúcia Ribeiro de Vasconcelos, Betise Furtado, Stéphanie Gomes de Medeiros, Amanda Correia Paes Zacarias, Andréa Carla Reis Andrade, Karla Myrelle Paz de Sousa, Kate Zinszer, Valéry Ridde

{"title":"Potential Strengths and Weaknesses in Hospital Resilience in the Context of the COVID-19 Pandemic in Brazil: A Case Study.","authors":"Sydia Rosana de Araújo Oliveira, Gisele Cazarin, Aletheia Soares Sampaio, Ana Lúcia Ribeiro de Vasconcelos, Betise Furtado, Stéphanie Gomes de Medeiros, Amanda Correia Paes Zacarias, Andréa Carla Reis Andrade, Karla Myrelle Paz de Sousa, Kate Zinszer, Valéry Ridde","doi":"10.1080/23288604.2023.2177242","DOIUrl":"https://doi.org/10.1080/23288604.2023.2177242","url":null,"abstract":"The analysis of hospital resilience is essential in understanding how health services prepared for and responded to sudden shocks and unexpected challenges in the COVID-19 health crisis. This study aimed to analyze the resilience of a referral hospital in the state of Pernambuco, Brazil, in the context of the COVID-19 pandemic. The main theoretical approach based on resilience is the system's capacity to maintain essential functions and to absorb, adapt, and transform in the face of unprecedented or unexpected changes. A single case study approach was used to identify the strengths and weaknesses of this response capacity. Data triangulation was employed. Data were collected from April (beginning of case discharges) to October 2020 (decrease in the moving average of cases in 2020). A content analysis was then conducted. Data were analyzed in relation to context, effects, strategies, and impacts in facing the disruptions caused by the pandemic. The results indicated the occurrence of four configurations mostly favorable to hospital resilience during the study period. Among the main strengths were: injection of financial resources; implementation of new hospital protocols; formation of a support network; equipping and continuing education of professionals; and proactive leadership. Weaknesses found in the analysis included: initial insufficiency of personal protective equipment and confirmatory tests; difficulties in restructuring work schedules; increasing illness among professionals; stress generated by constant changes and work overload; sense of discrimination for being a health professional; lack of knowledge about the clinical management of the disease; and the reduction of non-COVID assistance services.","PeriodicalId":73218,"journal":{"name":"Health systems and reform","volume":"9 2","pages":"2177242"},"PeriodicalIF":0.0,"publicationDate":"2023-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9294408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Attributes and Organizational Factors that Enabled Innovation in Health Care Service Delivery during the COVID-19 Pandemic - Case Studies from Brazil, Canada and Japan. 在COVID-19大流行期间实现医疗保健服务提供创新的属性和组织因素——来自巴西、加拿大和日本的案例研究。

Health systems and reform Pub Date : 2023-06-15 DOI: 10.1080/23288604.2023.2176022

Ayako Honda, Sydia Rosana de Araujo Oliveira, Valéry Ridde, Kate Zinszer, Lara Gautier

{"title":"Attributes and Organizational Factors that Enabled Innovation in Health Care Service Delivery during the COVID-19 Pandemic - Case Studies from Brazil, Canada and Japan.","authors":"Ayako Honda, Sydia Rosana de Araujo Oliveira, Valéry Ridde, Kate Zinszer, Lara Gautier","doi":"10.1080/23288604.2023.2176022","DOIUrl":"https://doi.org/10.1080/23288604.2023.2176022","url":null,"abstract":"Innovation by health service organizations can enable adaptation to and transformation of challenges caused by health shocks. Drawing on results from case studies in Brazil, Canada, and Japan, this study looked at innovations the study hospitals introduced in response to challenges caused by COVID-19 to identify: 1) attributes of the innovations that make them conducive to adoption; and 2) organizational factors that facilitate the creation and implementation of innovative health care approaches during health system shocks. Qualitative information was gathered using key informant interviews, participatory observations at the study hospitals and a review of relevant documentation. A thematic approach was used for analysis, and a cross-country comparison framework was prepared to synthesize findings from the case studies in the three countries. In response to the disruptions caused by COVID-19, the study hospitals undertook innovative changes in services, processes, organizational structures, and operational policy. The driving force behind the innovations was the need and urgency generated by the unprecedented nature of the pandemic. With COVID-19, if an innovation met the perceived needs of hospitals and provided an operational advantage, some level of complexity in the implementation appeared to be acceptable. The study findings suggest that for hospitals to create and implement innovations in response to health shocks, they need to: have adaptive and flexible organizational structures; build and maintain functioning communication systems; have committed leadership; ensure all staff share an understanding of hospital organizational and professional missions; and establish social networks that facilitate the creation and implementation of new ideas.","PeriodicalId":73218,"journal":{"name":"Health systems and reform","volume":"9 2","pages":"2176022"},"PeriodicalIF":0.0,"publicationDate":"2023-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9282390","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Hospital Governance During the COVID-19 Pandemic: A Multiple-Country Case Study. COVID-19 大流行期间的医院管理：多国案例研究。

Health systems and reform Pub Date : 2023-06-15 DOI: 10.1080/23288604.2023.2173551

Lara Gautier, Shinichiro Noda, Fanny Chabrol, Pierre-Marie David, Arnaud Duhoux, Renyou Hou, Sydia Rosana de Araújo Oliveira, Lola Traverson, Kate Zinszer, Valéry Ridde

{"title":"Hospital Governance During the COVID-19 Pandemic: A Multiple-Country Case Study.","authors":"Lara Gautier, Shinichiro Noda, Fanny Chabrol, Pierre-Marie David, Arnaud Duhoux, Renyou Hou, Sydia Rosana de Araújo Oliveira, Lola Traverson, Kate Zinszer, Valéry Ridde","doi":"10.1080/23288604.2023.2173551","DOIUrl":"10.1080/23288604.2023.2173551","url":null,"abstract":"In response to the disruptions caused by COVID-19, hospitals around the world proactively or reactively developed and/or re-organized their governance structures to manage the COVID-19 response. Hospitals' governance played a crucial role in their ability to reorganize and respond to the pressing needs of their staff. We discuss and compare six hospital cases from four countries on different continents: Brazil, Canada, France, and Japan. Our study examined how governance strategies (e.g., special task forces, communications management tools, etc.) were perceived by hospital staff. Key findings from a total of 177 qualitative interviews with diverse hospital stakeholders were analyzed using three categories drawn from the European Observatory on Health Systems and Policies framework on health systems resilience during the COVID-19 pandemic: 1) delivering a clear and timely COVID-19 response strategy; 2) coordinating effectively within (horizontally) and across (vertically) levels of decision-making; and 3) communicating clearly and transparently with the hospital's diverse stakeholders. Our study gleaned rich accounts for these three categories, highlighting significant variations across settings. These variations were primarily determined by the hospitals' environment prior to the COVID-19 crisis, namely whether there already existed a culture of managerial openness (including spaces for social interactions among hospital staff) and whether preparedness planning and training had been routinely integrated into their activities.","PeriodicalId":73218,"journal":{"name":"Health systems and reform","volume":"9 2","pages":"2173551"},"PeriodicalIF":0.0,"publicationDate":"2023-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9667919","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0