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 Resjournal_title
BMC health services researchauthors
Oremus M,Tarride JE,Clayton N,Raina Pdoi
10.1186/1472-6963-9-246subject
Has Abstractpub_date
2009-12-29 00:00:00pages
246issn
1472-6963pii
1472-6963-9-246journal_volume
9pub_type
杂志文章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
更新日期:2013-02-07 00:00:00
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
更新日期:2019-11-06 00:00:00
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
更新日期:2014-11-21 00:00:00
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
更新日期:2007-08-31 00:00:00
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
更新日期:2015-06-05 00:00:00
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
更新日期:2020-10-07 00:00:00
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
更新日期:2012-02-01 00:00:00
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
更新日期:2019-06-26 00:00:00
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
更新日期:2002-06-25 00:00:00
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
更新日期:2010-05-30 00:00:00
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
更新日期:2020-05-26 00:00:00
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
更新日期:2020-09-15 00:00:00
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
更新日期:2011-10-07 00:00:00
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
更新日期:2008-07-08 00:00:00
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
更新日期:2020-02-24 00:00:00
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
更新日期:2017-10-02 00:00:00
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
更新日期:2014-08-06 00:00:00
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
更新日期:2012-03-09 00:00:00
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
更新日期:2012-09-15 00:00:00
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
更新日期:2016-11-15 00:00:00
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
更新日期:2020-04-15 00:00:00
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
更新日期:2019-06-19 00:00:00
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
更新日期:2012-03-21 00:00:00
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
更新日期:2013-03-28 00:00:00
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
更新日期:2020-06-26 00:00:00
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
更新日期:2015-09-14 00:00:00
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
更新日期:2006-08-07 00:00:00
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
更新日期:2016-07-07 00:00:00
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
更新日期:2020-03-12 00:00:00
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
更新日期:2009-11-04 00:00:00