Development of a multi stakeholder partnership to improve access to and delivery of neurosurgical services in Ontario

Health Policy ◽  
2017 ◽  
Vol 121 (2) ◽  
pp. 207-214 ◽  
Author(s):  
Sunjay Sharma ◽  
Des Bohn ◽  
Iphigenia Mikroyiannakis ◽  
Joslyn Trowbridge ◽  
Donna Thompson ◽  
...  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Nicholas. R Latimer ◽  
Daniel Pollard ◽  
Adrian Towse ◽  
Chris Henshall ◽  
Lloyd Sansom ◽  
...  

Abstract Background It is increasingly common for two or more treatments for cancer to be combined as a single regimen. Determining value and appropriate payment for such regimens can be challenging. This study discusses these challenges, and possible solutions. Methods Stakeholders from around the world attended a 2-day workshop, supported by a background paper. This study captures key outcomes from the discussion, but is not a consensus statement. Results Workshop attendees agreed that combining on-patent treatments can result in affordability and value for money challenges that delay or deny patient access to clinically effective treatments in many health systems. Options for addressing these challenges include: (i) Increasing the value of combination therapies through improved clinical development; (ii) Willingness to pay more for combinations than for single drugs offering similar benefit, or; (iii) Aligning the cost of constituent therapies with their value within a regimen. Workshop attendees felt that (i) and (iii) merited further discussion, whereas (ii) was unlikely to be justifiable. Views differed on the feasibility of (i). Key to (iii) would be systems allowing different prices to apply to different uses of a drug. Conclusions Common ground was identified on immediate actions to improve access to combination regimens. These include an exploration of the legal challenges associated with price negotiations, and ensuring that pricing systems can support implementation of negotiated prices for specific uses. Improvements to clinical development and trial design should be pursued in the medium and longer term.


Author(s):  
Pauline A. Mashima

Important initiatives in health care include (a) improving access to services for disadvantaged populations, (b) providing equal access for individuals with limited or non-English proficiency, and (c) ensuring cultural competence of health-care providers to facilitate effective services for individuals from diverse racial and ethnic backgrounds (U.S. Department of Health and Human Services, Office of Minority Health, 2001). This article provides a brief overview of the use of technology by speech-language pathologists and audiologists to extend their services to underserved populations who live in remote geographic areas, or when cultural and linguistic differences impact service delivery.


2017 ◽  
Vol 14 (2) ◽  
pp. 18-25
Author(s):  
Hardy Gundlach

Als internetspezifische Ziele der Netzregulierung beschreibt der Beitrag den Regulierungsansatz der Internet Governance und das Ziel der Netzneutralität. Angesichts der internationalen Uneinigkeit über die Ziele und Zuständigkeiten einer transnationalen Regulierung des Internets erfasst der Begriff Internet Governance eine Vielzahl an Verfahrensweisen, die anstreben, Regulierungsprobleme des Internets auf einer transnationalen Ebene zu bewältigen. Der Multi-Stakeholder-Ansatz spielt dabei eine herausgehobene Rolle. Netzneutralität ist ein spezifisches Ziel zur Organisation des Datentransfers auf der sog. „letzten Meile“, wobei an diesem lokalen Punkt der Zugang zum globalen Internet stattfindet.


2016 ◽  
Author(s):  
Sara R. Collins Collins ◽  
Sophie Beutel Beutel ◽  
Munira Gunja Gunja

2020 ◽  
Vol 35 ◽  
Author(s):  
Arina Alexandra Muresan

The Second High-Level United Nations (UN) Conference on South-South Cooperation (also known as BAPA+40), held in Buenos Aires, Argentina, from 20 to 22 March 2019, promised to reinvigorate efforts to further achieve and implement South-South cooperation (SSC). Forty years on, the Global South is shaping its image as a solutions provider. Immense strides have been made in improving access to allow a multitude of state and non-state actors to cooperate, while broadening and deepening modes of cooperation and facilitating the exchange of knowledge and transfer of technology, thus moving beyond the simplistic view that developing countries require aid to function and move forward. However, noting these symbolic strides, the Global South should move forward by building understanding of monitoring and evaluation (M&E) frameworks; integrating multi-stakeholder models; improving the visibility of peace and security in South-South programming; and building effective communications systems.


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