Support for a tax increase to provide unrestricted access to an Alzheimer's disease medication: a survey of the general public in Canada.

Abstract:

BACKGROUND:Public drug insurance plans provide limited reimbursement for Alzheimer's disease (AD) medications in many jurisdictions, including Canada and the United Kingdom. This study was conducted to assess Canadians' level of support for an increase in annual personal income taxes to fund a public program of unrestricted access to AD medications. METHODS:A telephone survey was administered to a national sample of 500 adult Canadians. The survey contained four scenarios describing a hypothetical, new AD medication. Descriptions varied across scenarios: the medication was alternatively described as being capable of treating the symptoms of cognitive decline or of halting the progression of cognitive decline, with either no probability of adverse effects or a 30% probability of primarily gastrointestinal adverse effects. After each scenario, participants were asked whether they would support a tax increase to provide unrestricted access to the drug. Participants who responded affirmatively were asked whether they would pay an additional $75, $150, or $225 per annum in taxes. Multivariable logistic regression analysis was conducted to examine the determinants of support for a tax increase. RESULTS:Eighty percent of participants supported a tax increase for at least one scenario. Support was highest (67%) for the most favourable scenario (halt progression - no adverse effects) and lowest (49%) for the least favourable scenario (symptom treatment - 30% chance of adverse effects). The odds of supporting a tax increase under at least one scenario were approximately 55% less for participants who attached higher ratings to their health state under the assumption that they had moderate AD and almost five times greater if participants thought family members or friends would somewhat or strongly approve of their decision to support a tax increase. A majority of participants would pay an additional $150 per annum in taxes, regardless of scenario. Less than 50% would pay $225. CONCLUSIONS:Four out of five persons in a sample of adult Canadians reported they would support a tax increase to fund unrestricted access to a hypothetical, new AD medication. These results signal a willingness to pay for at least some relaxation of reimbursement restrictions on AD medications.

journal_name

BMC Health Serv Res

authors

Oremus M,Tarride JE,Clayton N,Raina P

doi

10.1186/1472-6963-9-246

subject

Has Abstract

pub_date

2009-12-29 00:00:00

pages

246

issn

1472-6963

pii

1472-6963-9-246

journal_volume

9

pub_type

杂志文章
  • Training health care professionals in root cause analysis: a cross-sectional study of post-training experiences, benefits and attitudes.

    abstract:BACKGROUND:Root cause analysis (RCA) originated in the manufacturing engineering sector but has been adapted for routine use in healthcare to investigate patient safety incidents and facilitate organizational learning. Despite the limitations of the RCA evidence base, healthcare authorities and decision makers in NHS S...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-13-50

    authors: Bowie P,Skinner J,de Wet C

    更新日期:2013-02-07 00:00:00

  • Prescribing patterns of encounters in fourteen general practice clinics in rural Beijing: a cross-sectional study.

    abstract:BACKGROUND:General practice clinics are the main primary care institutions providing ambulatory care in the rural areas of Beijing, rational use of medicines is crucial for the rural primary care system. This study investigated the prescribing patterns of general practice clinics in rural Beijing to provide a baseline ...

    journal_title:BMC health services research

    pub_type: 杂志文章,多中心研究

    doi:10.1186/s12913-019-4656-2

    authors: Jin G,Chen C,Liu Y,Zhao Y,Chen L,Du J,Lu X,Chen J

    更新日期:2019-11-06 00:00:00

  • Health state descriptions to elicit stroke values: do they reflect patient experience of stroke?

    abstract:BACKGROUND:To explore whether stroke health state descriptions used in preference elicitation studies reflect patients' experiences by comparing published descriptions with qualitative studies exploring patients' lived experience. METHODS:Two literature reviews were conducted: on stroke health state descriptions used ...

    journal_title:BMC health services research

    pub_type: 杂志文章,评审

    doi:10.1186/s12913-014-0573-6

    authors: Gray J,Lie ML,Murtagh MJ,Ford GA,McMeekin P,Thomson RG

    更新日期:2014-11-21 00:00:00

  • Effect of a restrictive transfusion strategy on transfusion-attributable severe acute complications and costs in the US ICUs: a model simulation.

    abstract:BACKGROUND:Nearly half of all patients in the Intensive Care Unit (ICU) receive red blood cell (pRBC) transfusions (TFs), despite their associated complications. Restrictive transfusion strategy (Hemoglobin [Hb] < 7 g/dL) has been shown to reduce TF exposure. We estimated the potential annual reduction in transfusion-a...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-7-138

    authors: Zilberberg MD,Shorr AF

    更新日期:2007-08-31 00:00:00

  • Effect of distance to health facility on the maintenance of INR therapeutic ranges in rheumatic heart disease patients from Cape Town: no evidence for an association.

    abstract:BACKGROUND:Lack of adherence to international normalised ratio (INR) monitoring in rheumatic heart disease (RHD) patients is a contributor to cardio-embolic complications. This population-based observational study investigated whether the distance between home and an INR clinic affects the maintenance of therapeutic IN...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-015-0890-4

    authors: Barth DD,Zühlke LJ,Joachim A,Hoegger T,Mayosi BM,Engel ME

    更新日期:2015-06-05 00:00:00

  • Developing and implementing a novel mentorship model (4+ 1) for maternal, newborn and child health in Rwanda.

    abstract:BACKGROUND:There are a number of factors that may contribute to high mortality and morbidity of women and newborns in low-income countries. These include a shortage of competent health care providers (HCP) and a lack of sufficient continuous professional development (CPD) opportunities. Strengthening the skills and bui...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-020-05789-z

    authors: Ngabonzima A,Kenyon C,Hategeka C,Utuza AJ,Banguti PR,Luginaah I,F Cechetto D

    更新日期:2020-10-07 00:00:00

  • Effectiveness of a multidisciplinary care program on recovery and return to work of patients after gynaecological surgery; design of a randomized controlled trial.

    abstract:BACKGROUND:Return to work after gynaecological surgery takes much longer than expected, irrespective of the level of invasiveness. In order to empower patients in recovery and return to work, a multidisciplinary care program consisting of an e-health intervention and integrated care management including participatory w...

    journal_title:BMC health services research

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/1472-6963-12-29

    authors: Vonk Noordegraaf A,Huirne JA,Brölmann HA,Emanuel MH,van Kesteren PJ,Kleiverda G,Lips JP,Mozes A,Thurkow AL,van Mechelen W,Anema JR

    更新日期:2012-02-01 00:00:00

  • The quality of maternal-fetal and newborn care services in Jordan: a qualitative focus group study.

    abstract:BACKGROUND:The antenatal, intrapartum, and postnatal periods are considered high-risk periods for the health of mothers and their newborns. Although the current utilization rate of some maternal and child care services in Jordan is encouraging, detailed information about the quality of these services is limited. Theref...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-019-4232-9

    authors: Alyahya MS,Khader YS,Batieha A,Asad M

    更新日期:2019-06-26 00:00:00

  • A comparison of hospital readmission rates between two general physicians with different outpatient review practices.

    abstract:BACKGROUND:There has been a relentless increase in emergency medical admissions in the UK over recent years. Many of these patients suffer with chronic conditions requiring continuing medical attention. We wished to determine whether conventional outpatient clinic follow up after discharge has any impact on the rate of...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-2-12

    authors: Rayner HC,Temple RM,Marshall T,Clarke D

    更新日期:2002-06-25 00:00:00

  • Measuring access to medicines: a review of quantitative methods used in household surveys.

    abstract:BACKGROUND:Medicine access is an important goal of medicine policy; however the evaluation of medicine access is a subject under conceptual and methodological development. The aim of this study was to describe quantitative methodologies to measure medicine access on household level, access expressed as paid or unpaid m...

    journal_title:BMC health services research

    pub_type: 杂志文章,评审

    doi:10.1186/1472-6963-10-146

    authors: Paniz VM,Fassa AG,Maia MF,Domingues MR,Bertoldi AD

    更新日期:2010-05-30 00:00:00

  • The translation and psychometric assessment of the perception of empowerment in midwifery scale: the Persian version.

    abstract:BACKGROUND:A major part of midwifery care involves the empowerment of women and their families for the control of factors affecting their health. To this end, midwives should experience their own empowerment first. The present study was conducted to translate and determine the psychometric properties of the Perception ...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-020-05326-y

    authors: Hajiesmaello M,Kariman N,Sharif Nia H,Ozgoli G,Hajian S,Bazzazian S,Mokhtarian-Gilani T

    更新日期:2020-05-26 00:00:00

  • Advertising in health and medicine: using mass media to communicate with patients.

    abstract:BACKGROUND:Advertising-a marketing communications method involving the paid use of mass media to deliver messages to desired audiences-represents one of the most common and effective avenues for engaging current and prospective patients. Although late to proliferate in the health services industry due to tradition, the...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-020-05599-3

    authors: Elrod JK,Fortenberry JL Jr

    更新日期:2020-09-15 00:00:00

  • Can vouchers make a difference to the use of private primary care services by older people? Experience from the healthcare reform programme in Hong Kong.

    abstract:BACKGROUND:As part of its ongoing healthcare reform, the Hong Kong Government introduced a voucher scheme, intended for encouraging older patients to use primary healthcare services in the private sector, thereby, reducing burden on the overwhelmed public sector. The voucher program is also considered one of the strate...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-11-255

    authors: Yam CH,Liu S,Huang OH,Yeoh EK,Griffiths SM

    更新日期:2011-10-07 00:00:00

  • Measuring physiotherapy performance in patients with osteoarthritis of the knee: a prospective study.

    abstract:BACKGROUND:Patients with knee osteoarthritis [OA] are commonly treated by physiotherapists in primary care. Measuring physiotherapy performance is important before developing strategies to improve quality. The purpose of this study was to measure physiotherapy performance in patients with knee OA by comparing clinical ...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-8-145

    authors: Jamtvedt G,Dahm KT,Holm I,Flottorp S

    更新日期:2008-07-08 00:00:00

  • Influences of health facility type for delivery and experience of cesarean section on maternal and newborn postnatal care between birth and facility discharge in Malawi.

    abstract:BACKGROUND:A number of studies in the past have looked at determinants of postnatal care. However, many of them do not distinguish between postnatal care (PNC) before discharge and after discharge for women delivering at health facilities. Conceptually and practically, factors associated with PNC before discharge and a...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-020-4958-4

    authors: Kim ET,Singh K,Speizer IS,Lemani C

    更新日期:2020-02-24 00:00:00

  • The quality of medical death certification of cause of death in hospitals in rural Bangladesh: impact of introducing the International Form of Medical Certificate of Cause of Death.

    abstract:BACKGROUND:Accurate and timely data on cause of death are critically important for guiding health programs and policies. Deaths certified by doctors are implicitly considered to be reliable and accurate, yet the quality of information provided in the international Medical Certificate of Cause of Death (MCCD) usually va...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-017-2628-y

    authors: Hazard RH,Chowdhury HR,Adair T,Ansar A,Quaiyum Rahman AM,Alam S,Alam N,Rampatige R,Streatfield PK,Riley ID,Lopez AD

    更新日期:2017-10-02 00:00:00

  • Effect of telehealth on glycaemic control: analysis of patients with type 2 diabetes in the Whole Systems Demonstrator cluster randomised trial.

    abstract:BACKGROUND:The Whole Systems Demonstrator was a large, pragmatic, cluster randomised trial that compared telehealth with usual care among 3,230 patients with long-term conditions in three areas of England. Telehealth involved the regular transmission of physiological information such as blood glucose to health professi...

    journal_title:BMC health services research

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/1472-6963-14-334

    authors: Steventon A,Bardsley M,Doll H,Tuckey E,Newman SP

    更新日期:2014-08-06 00:00:00

  • The effects of oral clefts on hospital use throughout the lifespan.

    abstract:BACKGROUND:Oral clefts are one of the most common birth defects worldwide. They require multiple healthcare interventions and add significant burden on the health and quality of life of affected individuals. However, not much is known about the long term effects of oral clefts on health and healthcare use of affected i...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-12-58

    authors: Wehby GL,Pedersen DA,Murray JC,Christensen K

    更新日期:2012-03-09 00:00:00

  • Addressing maternal healthcare through demand side financial incentives: experience of Janani Suraksha Yojana program in India.

    abstract:BACKGROUND:Demand side financing (DSF) is a widely employed strategy to enhance utilization of healthcare. The impact of DSF on health care seeking in general and that of maternal care in particular is already known. Yet, its effect on financial access to care, out-of-pocket spending (OOPS) and provider motivations is ...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-12-319

    authors: Gopalan SS,Durairaj V

    更新日期:2012-09-15 00:00:00

  • How can health systems research reach the worst-off? A conceptual exploration.

    abstract:BACKGROUND:Health systems research is increasingly being conducted in low and middle-income countries (LMICs). Such research should aim to reduce health disparities between and within countries as a matter of global justice. For such research to do so, ethical guidance that is consistent with egalitarian theories of so...

    journal_title:BMC health services research

    pub_type: 杂志文章,评审

    doi:10.1186/s12913-016-1868-6

    authors: Pratt B,Hyder AA

    更新日期:2016-11-15 00:00:00

  • Access to appropriate health care for non-English speaking migrant families with a newborn/young child: a systematic scoping literature review.

    abstract:BACKGROUND:Recently arrived culturally and linguistically diverse migrant mothers in Western Industrialised Nations are less likely to access health care and are more likely to report negative healthcare experiences than more established migrant or non-migrant populations. This is particularly an issue in Australia whe...

    journal_title:BMC health services research

    pub_type: 杂志文章,评审

    doi:10.1186/s12913-020-05157-x

    authors: Dougherty L,Lloyd J,Harris E,Caffrey P,Harris M

    更新日期:2020-04-15 00:00:00

  • Human health benefit and burden of the schizophrenia health care pathway in Belgium: paliperidone palmitate long-acting injections.

    abstract:BACKGROUND:Environmental impact assessments of pharmaceuticals typically consider only a part of the pharmaceutical supply chain, e.g. tablet formulation. While the environmental impact can be expressed in environmental Human Health burden due to resource use and emissions, the Human Health benefit of the pharmaceutica...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-019-4247-2

    authors: Debaveye S,De Smedt D,Heirman B,Kavanagh S,Dewulf J

    更新日期:2019-06-19 00:00:00

  • The National Adult Inpatient Survey conducted in the English National Health Service from 2002 to 2009: how have the data been used and what do we know as a result?

    abstract:BACKGROUND:When it was initiated in 2001, England's national patient survey programme was one of the first in the world and has now been widely emulated in other healthcare systems. The aim of the survey programme was to make the National Health Service (NHS) more "patient centred" and more responsive to patient feedba...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-12-71

    authors: DeCourcy A,West E,Barron D

    更新日期:2012-03-21 00:00:00

  • A systematic review of the care coordination measurement landscape.

    abstract:BACKGROUND:Care coordination has increasingly been recognized as an important aspect of high-quality health care delivery. Robust measures of coordination processes will be essential tools to evaluate, guide and support efforts to understand and improve coordination, yet little agreement exists among stakeholders about...

    journal_title:BMC health services research

    pub_type: 杂志文章,评审

    doi:10.1186/1472-6963-13-119

    authors: Schultz EM,Pineda N,Lonhart J,Davies SM,McDonald KM

    更新日期:2013-03-28 00:00:00

  • The Greek versions of the TeamSTEPPS teamwork perceptions questionnaire and Minnesota satisfaction questionnaire "short form".

    abstract:BACKGROUND:Teamwork and job satisfaction are important among the multidisciplinary team who care patients with chronic illnesses such as heart failure (HF) patients. TeamSTEPPS teamwork perceptions questionnaire (T-TPQ) and Minnesota Satisfaction Questionnaire "short form" (MSQ-short) are both self-report questionnaire...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-020-05451-8

    authors: Lakatamitou I,Lambrinou E,Kyriakou M,Paikousis L,Middleton N

    更新日期:2020-06-26 00:00:00

  • The effect of performance-based financing on illness, care-seeking and treatment among children: an impact evaluation in Rwanda.

    abstract:BACKGROUND:Performance-based financing (PBF) strategies are promoted as a supply-side, results-based financing mechanism to improve primary health care. This study estimated the effects of Rwanda's PBF program on less-incentivized child health services and examined the differential program impact by household poverty. ...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-015-1033-7

    authors: Skiles MP,Curtis SL,Basinga P,Angeles G,Thirumurthy H

    更新日期:2015-09-14 00:00:00

  • Mapping oral health related quality of life to generic health state values.

    abstract:BACKGROUND:A summary utility index is useful for deriving quality-adjusted life years (QALY) for cost analyses or disability weights for burden of disease studies. However, many quality of life instruments provide descriptive profiles rather than a single utility index. Transforming quality of life instruments to a uti...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-6-96

    authors: Brennan DS,Spencer AJ

    更新日期:2006-08-07 00:00:00

  • The dominance of the private sector in the provision of emergency obstetric care: studies from Gujarat, India.

    abstract:BACKGROUND:India has experienced a steep rise in institutional childbirth. The relative contributions of public and private sector facilities to emergency obstetric care (EmOC) has not been studied in this setting. This paper aims to study in three districts of Gujarat state, India:(a) the availability of EmOC faciliti...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-016-1473-8

    authors: Salazar M,Vora K,De Costa A

    更新日期:2016-07-07 00:00:00

  • Trends of ambulatory oral anticoagulant prescription in five major cities of China, 2012-2017.

    abstract:BACKGROUND:The introduction of non-VKA oral anticoagulants (NOACs) has changed the landscape of preventing thromboembolism events in many countries. However, the prescription trends of oral anticoagulant (OAC) in China are still unclear, which were evaluated in this study through data extracted and summarized from 5 ma...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-020-5072-3

    authors: Yu Z,Yu L,Shan C

    更新日期:2020-03-12 00:00:00

  • The impact of statins on health services utilization and mortality in older adults discharged from hospital with ischemic heart disease: a cohort study.

    abstract:BACKGROUND:Cardiovascular disease (CVD) carries a high burden of morbidity and mortality and is associated with significant utilization of health care resources, especially in the elderly. Numerous randomized trials have established the efficacy of cholesterol reduction with statin medications in decreasing mortality i...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-9-198

    authors: Cooke CA,Kirkland SA,Sketris IS,Cox J

    更新日期:2009-11-04 00:00:00