Effect of a prospective payment method for health facilities on direct medical expenditures in a low-resource setting: a paired pre-post study.

abstract：Background:This study describes the post-diagnosis care-seeking costs incurred by people living with TB and/or HIV and their households, in order to identify the potential benefits of integrated care. Methods:We conducted a cross-sectional study with 454 participants with TB or HIV or both in public primary health car...

journal_title：Health policy and planning

authors： Mudzengi D,Sweeney S,Hippner P,Kufa T,Fielding K,Grant AD,Churchyard G,Vassall A

更新日期：2017-11-01 00:00:00

abstract：:Protecting households from high out-of-pocket (OOP) payments for health care is an important health system goal. High OOP payments can push households into poverty and make them vulnerable to catastrophic health expenditures. This study, based in India, aims to: (a) estimate OOP payments for health and related impover...

journal_title：Health policy and planning

authors： Shahrawat R,Rao KD

更新日期：2012-05-01 00:00:00

abstract：:BACKGROUND A recent situational analysis suggests that post-apartheid South Africa has made some gains with respect to the decentralization and integration of mental health into primary health care. However, service gaps within and between provinces remain, with rural areas particularly underserved. Aim This study aim...

journal_title：Health policy and planning

authors： Petersen I,Lund C,Bhana A,Flisher AJ,Mental Health and Poverty Research Programme Consortium.

更新日期：2012-01-01 00:00:00

abstract：Background:The efficacy of low- and middle-income countries’ (LMIC) national drug policies in managing antiretroviral (ARV) pharmaceutical prices is not well understood. Though ARV drug prices have been declining in LMIC over the past decade, little research has been done on the role of their national drug policies. Th...

journal_title：Health policy and planning

authors： Liu Y,Galárraga O

更新日期：2017-03-01 00:00:00

abstract：BACKGROUND:The Iranian health system, under the banner of family physician (FP) programme, has undergone substantial reforms to change utilization of health services, improve quality of care and enhance affordability. The national implementation of FP initiated in 2005 in parallel with rural health insurance (RHI) in r...

journal_title：Health policy and planning

authors： Takian A,Rashidian A,Doshmangir L

更新日期：2015-12-01 00:00:00

abstract：:The financial remuneration of health workers (HWs) is a key concern to address human resources for health challenges. In low-income settings, the exploration of the sources of income available to HWs, their determinants and the livelihoods strategies that those remunerations entail are essential to gain a better under...

journal_title：Health policy and planning

authors： Bertone MP,Lurton G,Mutombo PB

更新日期：2016-11-01 00:00:00

abstract：:Similar to many other countries, Chile is facing the challenges of rapid ageing and the increase in long-term care (LTC) needs for this population. Implementation of LTC systems has been the response to these challenges in other countries, however, Chile still lacks a strategy for addressing LTC needs. This article ad...

journal_title：Health policy and planning

authors： Villalobos Dintrans P

更新日期：2018-11-01 00:00:00

abstract：:National Health Accounts (NHA) are an important tool to demonstrate how a country's health resources are spent, on what services, and who pays for them. NHA are used by policy-makers for monitoring health expenditure patterns; policy instruments to re-orientate the pattern can then be further introduced. The National ...

journal_title：Health policy and planning

authors： Tangcharoensathien V,Laixuthai A,Vasavit J,Tantigate NA,Prajuabmoh-Ruffolo W,Vimolkit D,Lertiendumrong J

更新日期：1999-12-01 00:00:00

abstract：:Reproduction is a dual commitment, but so often in much of the world, it is seen as wholly the woman's responsibility. She bears the burden not only of pregnancy and childbirth but also the threats from excessive child bearing, some responsibility for contraception, infertility investigation and often undiagnosed sexu...

journal_title：Health policy and planning

authors： Mbizvo MT,Bassett MT

更新日期：1996-03-01 00:00:00

abstract：:In 1991, Zimbabwe introduced cost recovery measures as part of its programme of economic reforms, following a course taken by many developing countries. The system of user fees in public health care, aimed to 'protect and support the vulnerable groups' by exemption or incremental fees based on 4 income brackets. Drugs...

journal_title：Health policy and planning

authors： Chisadza E,Maponga CC,Nazerali H

更新日期：1995-09-01 00:00:00

abstract：:For many years, Pakistan has had a wide network of Basic Health Units spread across the country, but their utilization by the population in rural and peri-urban areas has remained low. As of 2004, in an attempt to improve the utilization and performance of these public primary healthcare facilities, the government has...

journal_title：Health policy and planning

authors： Malik MA,Van de Poel E,Van Doorslaer E

更新日期：2017-09-01 00:00:00

abstract：:There is some evidence that female sex workers (FSWs) receive greater earnings for providing unprotected sex. In 2003, the landscape of the fight against HIV/AIDS dramatically changed in India with the introduction of Avahan, the largest HIV prevention programme implemented globally. Using a unique, cross-sectional bi...

journal_title：Health policy and planning

authors： Quaife M,Lépine A,Deering K,Terris-Prestholt F,Beattie T,Isac S,Paranjape RS,Vickerman P

更新日期：2019-12-01 00:00:00

abstract：:The decision-making process to introduce new vaccines into national immunization programmes is often complex, involving many stakeholders who provide technical information, mobilize finance, implement programmes and garner political support. Stakeholders may have different levels of interest, knowledge and motivations...

journal_title：Health policy and planning

authors： Wonodi CB,Privor-Dumm L,Aina M,Pate AM,Reis R,Gadhoke P,Levine OS

更新日期：2012-05-01 00:00:00

abstract：:Integrated Management of Childhood Illness (IMCI) has been adopted by over 80 countries as a strategy for reducing child mortality and improving child health and development. It includes complementary interventions designed to address the major causes of child mortality at community, health facility, and health system...

journal_title：Health policy and planning

authors： Armstrong Schellenberg J,Bryce J,de Savigny D,Lambrechts T,Mbuya C,Mgalula L,Wilczynska K,Tanzania IMCI Multi-Country Evaluation Health Facility Survey Study Group.

更新日期：2004-01-01 00:00:00

abstract：:There is increasing interest in the prospects for managed market reforms in developing countries, stimulated by current reforms and policy debates in developed countries, and by perceptions of widespread public sector inefficiency in many countries. This review examines the prospects for such reforms in a developing c...

journal_title：Health policy and planning

authors： Broomberg J

更新日期：1994-09-01 00:00:00

abstract：:Providing quality emergency obstetric care (EmOC) reduces the risk of maternal and newborn mortality and morbidity. There is evidence that over 50% of maternal health programmes that result in improving access to EmOC and reduce maternal mortality have an EmOC training component. The objective was to review the eviden...

journal_title：Health policy and planning

authors： Ameh CA,Mdegela M,White S,van den Broek N

更新日期：2019-05-01 00:00:00

abstract：:Ensuring financial access to health services is a critical challenge for poor countries if they are to reach the health Millennium Development Goals (MDGs). This article examines the case of Rwanda, a country which has championed innovative health care financing policies. Between 2000 and 2007, Rwanda has improved fin...

journal_title：Health policy and planning

authors： Sekabaraga C,Diop F,Soucat A

更新日期：2011-11-01 00:00:00

abstract：:It is generally assumed by the donor community that the targeted funding of global, regional or cross-border surveillance programmes is an efficient way to support resource-poor countries in developing their own national public health surveillance infrastructure, to encourage national authorities to share outbreak int...

journal_title：Health policy and planning

authors： Calain P

更新日期：2007-01-01 00:00:00

abstract：BACKGROUND:In Nepal, women residing in rural areas tend to bypass local birth centres and deliver at urban hospitals, despite the availability of obstetric care in these centres. This study investigated the incidence of bypassing, characteristics of bypassers and their reasons for bypassing the birth centres. METHODS:...

journal_title：Health policy and planning

authors： Karkee R,Lee AH,Binns CW

更新日期：2015-02-01 00:00:00

abstract：:Subsequent to recommendations from the 1994 United Nations International Conference on Population and Development, and given recent findings outlining the links between control of sexually transmitted infections (STIs) and a reduction in HIV incidence, many countries are now seeking to establish STI control programmes...

journal_title：Health policy and planning

authors： Hawkes S

更新日期：1998-06-01 00:00:00

abstract：:This article assesses whether social franchising of tuberculosis (TB) services in Myanmar has succeeded in providing quality treatment while ensuring equity in access and financial protection for poor patients. Newly diagnosed TB patients receiving treatment from private general practitioners (GPs) belonging to the fr...

journal_title：Health policy and planning

authors： Lönnroth K,Aung T,Maung W,Kluge H,Uplekar M

更新日期：2007-05-01 00:00:00

abstract：:Hypertension and diabetes are highly prevalent in China and pose significant health and economic burdens, but large gaps in care remain for people with such conditions. In this article, drawing on administrative insurance claim data from China's Urban Employee Basic Medical Insurance (UEBMI), we use an interrupted tim...

journal_title：Health policy and planning

authors： Shen M,He W,Yeoh EK,Wu Y

更新日期：2020-10-01 00:00:00

abstract：:Three broad strategies for health financing reform include: 1) cost recovery through user fees to expand access and improve quality of health services along with means testing to increase equity; 2) reallocation of existing resources to improve efficiency and access; and 3) assessment of the efficiency and quality of ...

journal_title：Health policy and planning

authors： Leighton C

更新日期：1995-09-01 00:00:00

abstract：:The challenge of achieving community participation as a component of health sector reform is especially great in low- and middle-income countries where there is limited experience of community participation in social policy making. This paper concentrates on the social representations of different actors at different ...

journal_title：Health policy and planning

authors： Mosquera M,Zapata Y,Lee K,Arango C,Varela A

更新日期：2001-12-01 00:00:00

abstract：:Unlike any other disease so far, the 'exceptional' nature of HIV/AIDS has prompted debate about the necessity, but also the challenges, of regulating practitioner-patient communication around HIV testing. In India, the National AIDS Control Organization (NACO) has adopted the guidelines of the World Health Organizatio...

journal_title：Health policy and planning

authors： Datye V,Kielmann K,Sheikh K,Deshmukh D,Deshpande S,Porter J,Rangan S

更新日期：2006-09-01 00:00:00

abstract：:This article aims to describe the inappropriate use of medicines in the Brazilian urban population and to identify associated factors. We conducted a data analysis of a household survey carried out in Brazil in 2013-14. The sampling plan was done by clusters with representativeness of the urban population and large re...

journal_title：Health policy and planning

authors： Luiza VL,Mendes LVP,Tavares NUL,Bertoldi AD,Fontanella AT,Oliveira MA,Campos MR,PNAUM Group .

更新日期：2019-12-01 00:00:00

abstract：:Decentralization of the health care system in China has led to an increasing need for income generation at all operational levels, both for curative services and for public health programmes. In general, people have accepted the costs of curative services, although the impact of charges on health-seeking behaviour has...

journal_title：Health policy and planning

authors： Yu D,Manderson L,Yuan L,Wei W,He H,Chen Y

更新日期：2001-09-01 00:00:00

abstract：:The question of why some immunization programmes in sub-Saharan Africa are more successful than others is an intriguing one, but not one that is frequently raised or investigated. Borrowing techniques from both performance benchmarking and positive deviance inquiry, we explored this question in six countries. We first...

journal_title：Health policy and planning

authors： Naimoli JF,Challa S,Schneidman M,Kostermans K

更新日期：2008-11-01 00:00:00

abstract：BACKGROUND:Several countries in sub-Saharan Africa have recently adopted policies that remove user fees for facility-based delivery services. There is little rigorous evidence of the impact of these policies on utilization of delivery services and no evaluations have examined effects on neonatal mortality rates (NMR). ...

journal_title：Health policy and planning

authors： McKinnon B,Harper S,Kaufman JS,Bergevin Y

更新日期：2015-05-01 00:00:00

abstract：:The persistently low quality and inadequacy of health services provided in public facilities has made the private sector an unavoidable choice for consumers of health care in Nigeria. Ineffective state regulation, however, has meant little control over the clinical activities of private sector providers while the pric...

journal_title：Health policy and planning

authors： Ogunbekun I,Ogunbekun A,Orobaton N

更新日期：1999-06-01 00:00:00