解剖学和形态学
麻醉学
听力与言语-语言病理学
行为科学
心脏和心血管系统
细胞和组织工程学
临床神经病学
危重症监护医学
牙科,口腔外科和医学
皮肤病学
急诊医学
内分泌学和新陈代谢
肠胃学和肝脏学
老人病学和老年医学
卫生保健科学和服务
血液学
免疫学
传染病
综合和补充性医学
医学伦理学
医学信息学
医学实验室技术
医学,全科和内科
医学,法律
医学,研究和试验
神经系统科学
护理
营养学和饮食学
产科医学和妇科医学
肿瘤学
眼科学
整形外科学
耳鼻喉科学
病理学
儿科学
周围血管疾病
药理学和药剂学
生理学
基本医疗保健
精神病学
公共、环境和职业卫生
放射学,核医学和医学成像
康复学
生殖生物学
呼吸系统
风湿病学
运动科学
外科学
毒理学
热带医学
泌尿学和肾脏学
病毒学
老年医学
健康政策和服务
心理学,临床
abstract::Increasingly, low- and middle-income countries are looking to community-based health insurance (CBHI) as a means of ensuring access to health care for the poor. However, little evidence exists about the determining factors that affect poor individuals' insurance decisions. This article reviews the economic and social ...
journal_title:Health policy and planning
pub_type: 杂志文章,评审
doi:10.1093/heapol/czh050
更新日期:2004-11-01 00:00:00
abstract:OBJECTIVE:This study compares household heads' willingness-to-pay (WTP) for community-based health insurance (CBI) for themselves with their WTP for other household members, in order to provide information for policy makers on setting the premium and choosing the enrollment unit. METHOD:A random sample of 698 heads of...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czh014
更新日期:2004-03-01 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
pub_type: 杂志文章
doi:10.1093/heapol/czh001
更新日期:2004-01-01 00:00:00
abstract:OBJECTIVE:To estimate and compare the cost-effectiveness of selected interventions to reduce mother-to-child transmission (MTCT) of HIV in Mexico. METHODS:A spreadsheet-based model was used to examine five scenarios, each estimated using both zidovudine (ZDV) and nevirapine (NVP). Scenarios differ according to coverag...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czg035
更新日期:2003-09-01 00:00:00
abstract:BACKGROUND:Between 25 and 44% of mother-to-child transmission (MTCT) of the human immunodeficiency virus (HIV) occurs through breastfeeding. As a result, feeding guidelines for infants of HIV-infected mothers are being formulated in many resource-poor countries. The impact of introducing these guidelines on mothers' ac...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czg020
更新日期:2003-06-01 00:00:00
abstract::Most government health facilities in Cambodia perform poorly, due to lack of funds, inadequate management and inefficient use of resources, but mostly due to poor motivation of staff. This paper describes contracting as a possible tool for Ministries of Health to improve health service delivery more rapidly than the m...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/18.1.74
更新日期:2003-03-01 00:00:00
abstract::The private sector plays a major role in the delivery of health care in South Africa. Over the past two decades, the quality and equity of such provision has been questioned internationally. A study was conducted in Gauteng Province to explore these issues, using care for sexually transmitted disease (STD) as a case s...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/17.suppl_1.40
更新日期:2002-12-01 00:00:00
abstract::The objective of this study was to assess the impact of National Health Insurance (NHI) on the utilization of neonatal care and childhood vaccination in Taiwan. Data are selected from two nationwide maternal and infant surveys undertaken in 1989 and 1996, which were funded by the Department of Health. The questionnair...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/17.4.384
更新日期:2002-12-01 00:00:00
abstract::In 1998 Bangladesh began a sector wide approach (SWAp) to the extension of health care to vulnerable groups in the country. The central feature of this approach is the funding of an essential service package (ESP) emphasizing maternal care, certain communicable diseases and child health. This study examines the way in...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/17.3.247
更新日期:2002-09-01 00:00:00
abstract::The scale and severity of the impact of the global HIV/AIDS pandemic on low-income countries, mainly those in sub-Saharan Africa, is almost unimaginable to people in high-income countries. There is a particularly pressing need to understand better how to ensure the translation into policy and practice of important res...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/17.2.196
更新日期:2002-06-01 00:00:00
abstract::Caesarean section rates have been increasing worldwide, raising the question of the appropriateness of the selection of cases for the procedure. This paper examines the levels and correlates of delivery-related complications and caesarean section deliveries in 18 selected states of India in terms of specific maternal ...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/17.1.90
更新日期:2002-03-01 00:00:00
abstract::It is widely accepted that substantial reductions in maternal mortality and severe morbidity are impossible to achieve without an effective referral system for complicated cases. Early detection and referral to higher levels of care might also substantially reduce neonatal deaths due to the complications of childbirth...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/16.4.353
更新日期:2001-12-01 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
pub_type: 杂志文章
doi:10.1093/heapol/16.suppl_2.52
更新日期:2001-12-01 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
pub_type: 杂志文章
doi:10.1093/heapol/16.3.292
更新日期:2001-09-01 00:00:00
abstract::This paper discusses some conceptual underpinnings of research on gender and quality of health services and demonstrates the importance of training health professionals about how gender influences the health-illness-care process in men and women. It addresses the need to provide opportunities for health providers to u...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/16.suppl_1.7
更新日期:2001-09-01 00:00:00
abstract::This paper explores changes to budget allocations for health during the decentralization process in UGANDA: When the districts were given the authority to allot their own budgets, allocations for health were reduced considerably. The rationale for this by district leaders is investigated and analyzed. Their criteria f...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/16.2.187
更新日期:2001-06-01 00:00:00
abstract::In Vietnam, as in many other countries, tuberculosis (TB) control has long been organized exclusively within the public health-care system. However, recently the private health-care sector has become more important and private health-care providers currently have a role in TB care delivery in Vietnam. Through a retros...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/16.1.47
更新日期:2001-03-01 00:00:00
abstract::This paper reports an empirical investigation into the pattern of private health insurance coverage in South Africa before and after deregulation of the health insurance industry. More specifically, we sought to measure trends in risk-pooling over the period 1985-95, and to assess the impact of risk pooling on the cos...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/15.4.378
更新日期:2000-12-01 00:00:00
abstract::The burden of disease due to injuries has elicited virtually no public health response in the countries of central and eastern Europe, even though injuries have long been a much greater problem in the east of Europe than in the west, with children especially affected. This paper seeks to identify factors that have inh...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/15.3.263
更新日期:2000-09-01 00:00:00
abstract::This paper provides guidance on how to do a stakeholder analysis, whether the aim is to conduct a policy analysis, predict policy development, implement a specific policy or project, or obtain an organizational advantage in one's dealings with other stakeholders. Using lessons learned from an analysis of alcohol polic...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/15.3.338
更新日期:2000-09-01 00:00:00
abstract::The collection of accurate maternal outcome data enables causes of morbidity and mortality to be identified, which in turn permits interventions to be targeted appropriately. It also allows estimates to be made about the importance of various indicators in predicting birth outcome. These indicators can then be compare...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/15.2.170
更新日期:2000-06-01 00:00:00
abstract::A decade after the first International Conference on Safe Motherhood, maternal mortality remains very high in most West African countries, even in capital cities. The detection of high risk pregnancies, known as the risk approach, during antenatal consultations has been the basis of most maternal and child health prog...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/15.1.11
更新日期:2000-03-01 00:00:00
abstract::This study compares the quality of services provided by public and private hospitals in Bangladesh. The premise of the paper was that the quality of hospital services would be contingent on the incentive structure under which these institutions operate. Since private hospitals are not subsidized and depend on income f...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/15.1.95
更新日期:2000-03-01 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
pub_type: 杂志文章
doi:10.1093/heapol/14.4.342
更新日期:1999-12-01 00:00:00
abstract::The end of the Cold War brought with it opportunities to resolve a number of conflicts around the world, including those in Angola, Cambodia, El Salvador and Mozambique. International political efforts to negotiate peace in these countries were accompanied by significant aid programmes ostensibly designed to redress t...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/14.3.229
更新日期:1999-09-01 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
pub_type: 杂志文章
doi:10.1093/heapol/14.2.174
更新日期:1999-06-01 00:00:00
abstract::Many countries in sub-Saharan Africa face the problem of organizing health service delivery in a manner that provides adequate quality and coverage of health care to their populations against a background of economic recession and limited resources. In response to these challenges, different governments, including tha...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/14.1.59
更新日期:1999-03-01 00:00:00
abstract::It has been argued that targeting delivery of anthelmintics to school-children by taking advantage of the existing education infrastructure and administrative system can be one of the most cost-effective approaches in minimizing the intensity of infections with both schistosomiasis and major intestinal nematodes in ma...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/13.4.384
更新日期:1998-12-01 00:00:00
abstract::This study examines the factors that influence patient choice of medical provider in the three-tier health care system in rural China: village health posts, township health centres, and county (and higher level) hospitals. The model is estimated using a multinomial logit approach applied to a sample of 1877 cases of o...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/13.3.311
更新日期:1998-09-01 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
pub_type: 杂志文章
doi:10.1093/heapol/13.2.121
更新日期:1998-06-01 00:00:00
abstract::At the start of the United Nations International Drinking Water Supply and Sanitation Decade in the 1980s, guinea worm disease was targeted as the major indicator of the success of the Decade's efforts to promote safe water. By the late 1980s, most of the guinea worm endemic countries in Africa and South Asia had esta...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/12.4.354
更新日期:1997-12-01 00:00:00
abstract::In most settings, a 'public' health service refers to a service which belongs to the state. The term 'private' is used when health care is delivered by individuals and/or institutions not administered by the state. In this paper it is argued that such a distinction, which is based on the institutional or administrativ...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/12.3.193
更新日期:1997-09-01 00:00:00
abstract::Given the demonstrated efficacy of vitamin A supplements in reducing childhood mortality, health officials now have to decide whether it would be efficient to target the supplements to high risk children. Decisions about targeting are complex because they depend on a number of factors; the degree of clustering of prev...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/12.1.29
更新日期:1997-03-01 00:00:00
abstract::In many developing countries people are expected to contribute to the cost of health care from their own pockets. As a result, people's ability to pay (ATP) for health care, or the affordability of health care, has become a critical policy issue in developing countries, and a particularly urgent issue where households...
journal_title:Health policy and planning
pub_type: 杂志文章,评审
doi:10.1093/heapol/11.3.219
更新日期:1996-09-01 00:00:00
abstract::Generic prescribing and generic substitution are mechanisms for reducing the cost of drugs. The purpose of this study was to assess the extent to which generic prescribing by private medical practitioners and generic substitution by private pharmacists is practised in South Africa and to estimate the potential savings...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/11.2.198
更新日期:1996-06-01 00:00:00
abstract::The 1993 World Development Report is proving to be an influential document for the development of the health sector policies in developing countries. One important aspect of the Report concerns its proposals for Disability Adjusted Life Years as a measure of health change and hence effectiveness of interventions. This...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/11.2.179
更新日期:1996-06-01 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
pub_type: 杂志文章
doi:10.1093/heapol/11.1.84
更新日期:1996-03-01 00:00:00
abstract::The private sector is the predominant provider of health care in Brazil, particularly for inpatient services, and financing is a mix of public (through a prospective reimbursement system) and private. Roughly a quarter of the population has private insurance coverage, reflecting rapid growth in the past decade fuelled...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/10.4.362
更新日期:1995-12-01 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
pub_type: 杂志文章
doi:10.1093/heapol/10.3.213
更新日期:1995-09-01 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
pub_type: 杂志文章
doi:10.1093/heapol/10.3.319
更新日期:1995-09-01 00:00:00