scholarly journals Deploying an improvement strategy across a rapidly expanding health system: A framework for repeatability and cost-effectiveness

2020 ◽  
Vol 7 (1) ◽  
pp. 92-99
Author(s):  
Steve Meth ◽  
Jan Gnida ◽  
Karla Cardoza ◽  
Elizabeth Nikels
Keyword(s):  
Cost Effectiveness ◽  
Health System ◽  
Improvement Strategy ◽  
System A

Governance

2017 ◽  
Author(s):  
Joia S. Mukherjee
Keyword(s):  
Global Health ◽  
Health System ◽  
Global Governance ◽  
Health Sector ◽  
Nation State ◽  
System A ◽  
Health Strategy ◽  
External Forces ◽  
Globalized World ◽  
Global Governance For Health

This chapter focuses on governance, a key building block of a health system. A government is responsible for the health of its people. It sets the health strategy and oversees the implementation of health programs. External forces and actors influence the governance of the health sector. This chapter explores governance of health from the perspective of the nation-state coordinating its own health system (sometimes called governance for global health). The chapter examines the internal and external forces that influence national governance for global health. The chapter also looks beyond the level of the nation-state to explore the concept of global governance for health. In the interconnected and globalized world, global governance for health is needed to coordinate the geopolitical forces that impact health and its social determinants.

scholarly journals Strategies for reducing out of pocket payments in the health system: a scoping review

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Faride Sadat Jalali ◽  
Parisa Bikineh ◽  
Sajad Delavari
Keyword(s):  
Health System ◽  
Health Systems ◽  
Scoping Review ◽  
Health Financing ◽  
Developed Countries ◽  
Vulnerable Groups ◽  
System A ◽  
Out Of Pocket Payments ◽  
Review Study ◽  
Developing And Developed Countries

Abstract Background Direct out-of-pocket payments (OOP) are among the most important financing mechanisms in many health systems, especially in developing countries, adversely affecting equality and leading vulnerable groups to poverty. Therefore, this scoping review study was conducted to identify the strategies involving OOP reduction in health systems. Methods Articles published in English on strategies related to out-of-pocket payments were Searched and retrieved in the Web of Science, Scopus, PubMed, and Embase databases between January 2000 and November 2020, following PRISMA guidelines. As a result, 3710 papers were retrieved initially, and 40 were selected for full-text assessment. Results Out of 40 papers included, 22 (55%) and 18 (45%) of the study were conducted in developing and developed countries, respectively. The strategies were divided into four categories based on health system functions: health system stewardship, creating resources, health financing mechanisms, and delivering health services.As well, developing and developed countries applied different types of strategies to reduce OOP. Conclusion The present review identified some strategies that affect the OOP payments According to the health system functions framework. Considering the importance of stewardship, creating resources, the health financing mechanisms, and delivering health services in reducing OOP, this study could help policymakers make better decisions for reducing OOP expenditures.

scholarly journals Supportive-expressive dynamic psychotherapy in the community mental health system: A pilot effectiveness trial for the treatment of depression.

Psychotherapy ◽  
2012 ◽  
Vol 49 (3) ◽  
pp. 303-316 ◽  
Author(s):  
Mary Beth Connolly Gibbons ◽  
Sarah M. Thompson ◽  
Kelli Scott ◽  
Lindsay A. Schauble ◽  
Tessa Mooney ◽  
...  
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Health System ◽  
Mental Health System ◽  
Effectiveness Trial ◽  
Dynamic Psychotherapy ◽  
System A ◽  
Treatment Of Depression

scholarly journals How can we evaluate the cost-effectiveness of health system strengthening? A typology and illustrations

2019 ◽  
Vol 220 ◽  
pp. 141-149 ◽  
Author(s):  
K. Hauck ◽  
A. Morton ◽  
K. Chalkidou ◽  
Y-Ling Chi ◽  
A. Culyer ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Health System ◽  
Health System Strengthening ◽  
The Cost

Cost-Effectiveness of Paving Fabrics Used to Control Reflective Cracking

2000 ◽  
Vol 1730 (1) ◽  
pp. 139-149 ◽  
Author(s):  
William G. Buttlar ◽  
Diyar Bozkurt ◽  
Barry J. Dempsey
Keyword(s):  
Life Cycle ◽  
Cost Effectiveness ◽  
Department Of Transportation ◽  
Reflective Cracking ◽  
Crack Control ◽  
Condition Rating ◽  
System A ◽  
Rigid Pavements ◽  
The Cost ◽  
And Control

The Illinois Department of Transportation (IDOT) spends $2 million annually on reflective crack control treatments; however, the cost-effectiveness of these treatments had not been reliably determined. A recent study evaluated the cost-effectiveness of IDOT reflective crack control System A, which consists of a nonwoven polypropylene paving fabric, placed either in strips longitudinally over lane-widening joints or over the entire pavement (area treatment). The study was limited to projects constructed originally as rigid pavements and subsequently rehabilitated with one or more bituminous overlays. Performance of 52 projects across Illinois was assessed through crack mapping and from distress and serviceability data in IDOT’s condition rating survey database. Comparisons of measured reflective cracking in treated and control sections revealed that System A retarded longitudinal reflective widening crack development, but it did not significantly retard transverse reflective cracking, which agrees with earlier studies. However, both strip and area applications of these fabric treatments appeared to improve overall pavement serviceability, and they were estimated to increase rehabilitation life spans by 1.1 and 3.6 years, respectively. Reduction in life-cycle costs was estimated to be 4.4 and 6.2 percent when placed in medium and large quantities, respectively, and to be at a break-even level for small quantities. However, life-cycle benefits were found to be statistically insignificant. Limited permeability testing of field cores taken on severely distressed transverse joints suggested that waterproofing benefits could exist even after crack reflection. This was consistent with the observation that, although serviceability was generally improved with area treatment, crack reflection was not retarded relative to untreated areas.

scholarly journals Association between secure patient-clinician email and clinical services utilisation in a US integrated health system: a retrospective cohort study

BMJ Open ◽  
2015 ◽  
Vol 5 (11) ◽  
pp. e009557-e009557 ◽  
Author(s):  
D. Meng ◽  
T. E. Palen ◽  
J. Tsai ◽  
M. McLeod ◽  
T. Garrido ◽  
...  
Keyword(s):  
Cohort Study ◽  
Health System ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Clinical Services ◽  
System A ◽  
Integrated Health
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