Recent Evidence on the Changing Mix of Providers of Healthcare in England

2015 ◽  
pp. 1383-1397
Author(s):  
Greenwell Matchaya ◽  
Pauline Allen ◽  
Simon Turner ◽  
Will Bartlett ◽  
Virginie Perotin ◽  
...  
Keyword(s):  
Health Care ◽  
Health Policy ◽  
Coalition Government ◽  
Local Health ◽  
Policy Makers ◽  
Using Data

English health policy has promoted the diversity of providers of health care to NHS patients in recent years. Little research has been done to map the extent of actual and possible supply. Using data from four local health economies England the authors found that there was a low supply of such organisations, but that it is growing. Despite the greater emphasis placed by policy makers and researchers on non-profits, there were substantially more for-profits. This suggests they should be subject to further scrutiny, as the pressure to increase diversity of supply increases under the Coalition government.

Recent Evidence on the Changing Mix of Providers of Healthcare in England

2013 ◽  
Vol 3 (2) ◽  
pp. 18-34 ◽  
Author(s):  
Greenwell Matchaya ◽  
Pauline Allen ◽  
Simon Turner ◽  
Will Bartlett ◽  
Virginie Perotin ◽  
...  
Keyword(s):  
Health Care ◽  
Health Policy ◽  
Coalition Government ◽  
Local Health ◽  
Policy Makers ◽  
Using Data

English health policy has promoted the diversity of providers of health care to NHS patients in recent years. Little research has been done to map the extent of actual and possible supply. Using data from four local health economies England the authors found that there was a low supply of such organisations, but that it is growing. Despite the greater emphasis placed by policy makers and researchers on non-profits, there were substantially more for-profits. This suggests they should be subject to further scrutiny, as the pressure to increase diversity of supply increases under the Coalition government.

The personal experience of cancer

2007 ◽  
pp. 79-98
Keyword(s):  
Health Care ◽  
Health Policy ◽  
Health Services ◽  
Health Care Professionals ◽  
Service User ◽  
Fear Of Recurrence ◽  
Local Health ◽  
Government Health ◽  
The Uk ◽  
Living With Cancer

Introduction 80 The cancer journey 82 Calendars 84 Diagnosis 86 Reactions to diagnosis and treatment 88 Living with cancer 90 Fear of recurrence 92 Recurrence and facing death 94 Survivorship 96 Government health policy in the UK aims to put the patient, or service user, at the heart of local health services. For this to happen, health care professionals must gain an appreciation of what it is like to be a person with cancer, or a carer of someone with cancer. It is hard to know or understand the experience of another person, but there are various ways that we can gain insights into their experience. This section reviews ways of understanding the experience of cancer, and then goes on to look at different aspects of that experience for individuals, using the words of people with cancer....

Improving Quality as a Solution to the Health Care Cost Problem? Health Policy Experts and the Promotion of a Controversial Idea

2020 ◽  
Vol 45 (6) ◽  
pp. 1083-1106
Author(s):  
Ulrike Lepont
Keyword(s):  
Health Care ◽  
Health Policy ◽  
Health Care Cost ◽  
Political Support ◽  
The Political ◽  
Policy Makers ◽  
Political Dimension ◽  
Delivery Of Care ◽  
Presidential Candidates ◽  
Congressional Budget Office

Abstract Context: In the late 2000s, the contention that quality improvements achieved by reforms in the delivery of care would slow the growth of costs throughout the US health care system became the predominant strategy for cost containment in the discourses and programs of all the 2008 presidential candidates. The question that this paper addresses is why, despite all of the critiques of this idea (especially those of the Congressional Budget Office), what the author terms the quality solution has remained credible enough to be a possible argument in policy makers' discourses and programs. To answer this question, the article explores the role of health policy experts—who are expected to provide credibility and legitimacy to proposals defended by policy makers—in supporting and diffusing this quality solution. Methods: The empirical research combines written sources with evidence from 78 interviews. Findings: This article highlights the political factors that explain the rise and growing prominence of the quality solution in the community of policy analysts: the political support for delivery reform–oriented research since the 1980s and also the importance of political calculations for prominent health policy experts. Conclusions: This policy history contributes to works that underscore the political dimension of policy analysis.

scholarly journals Application Of Input-Output Analysis In The Health Care

2014 ◽  
Vol 17 (4) ◽  
pp. 87-104 ◽  
Author(s):  
Maciej Jewczak ◽  
Jadwiga Suchecka
Keyword(s):  
Health Care ◽  
Health Policy ◽  
Health Care System ◽  
Health Programs ◽  
Input Output ◽  
Output Analysis ◽  
Policy Makers ◽  
Input Output Analysis ◽  
Use Of Models ◽  
Care System

Usage of the economic analysis in the study of the performance of health care system does not surprise anyone nowadays. Trends that are drawn over the years fluctuate from the technology assessment of health programs – in terms of efficiency, costs or utility for patients, through methods to establishing copayment for health services and the demand for medical services. Much of the interest is devoted to analysis of the shape of the health care system: the amount of contributions to the National Health Fund, the managing the system, both at the micro and macro level, or restructuring. Any method that allows to show dependencies, identify weaknesses/strengths of the health care system is appreciated by health policy makers. The aim of this article is an attempt of the use of models of input-output type in the analysis of the performance of the health care sector in Poland. The construction of input-output model is based on the observed data for the specified, variously defined area – it may concern: country, region, municipality, etc., hence with the appropriate designed database, it may be possible to examine the flow of health benefits – for example, expressed in zlotys. Part of the article is dedicated to theoretical aspects of the input-output models and the problems this usage can cause.

scholarly journals Using data on population health literacy as a basis for evidence-informed health policy

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
D Dietscher
Keyword(s):  
Health Care ◽  
Health Policy ◽  
Data Analysis ◽  
Health Literacy ◽  
National Health ◽  
Comparative Data ◽  
Reform Process ◽  
Time Data ◽  
Low Levels ◽  
Using Data

Abstract An increasing body of evidence suggests that health literacy (HL) is relevant for health-related decisions in relation to treatment, prevention, and health promotion and, consequently, for health and health care outcomes. At the same time, data illustrate that huge proportions of populations in many countries are concerned by low levels of HL. The improvement of HL should therefore be an issue of concern for health policy. In the sense of “what doesn’t get measured doesn’t get done”, internationally comparative data on HL - like those provided by HLS-EU (2011) - can provide important guidance for health policy and administration on where best to intervene. Austria is one of the eight countries that participated in HLS-EU. According to the data analysis, the percentage of the Austrian population affected by low levels of HL came second-to-last in the survey. This was a wake-up call for Austrian health policy, and numerous activities were initiated as a result.· In 2012, Austria launched a national health target on improving population HL. Since 2013, specific objectives to improve HL have been integrated into the ongoing national health care reform process. In 2015, a national HL alliance was launched to coordinated activities. Today, the alliance has 5 defined program lines that are in huge parts inspired by the analysis of HLS-EU data, and Austria will participate in the next European HL survey starting in Autumn 2019 to get new data. The examples of other countries - including those represented in the workshop - confirm the importance of internationally comparative data to trigger national attention and to start coordinated action on HL. According to the Austrian experiences so far, data analysis can support evidence-informed action in defined fields of activity. To remain active in a continuous and systematic way requires national capacity-building as well as the identification of and collaboration with stakeholders across sectors.

scholarly journals IMPACT: A Generic Tool for Modelling and Simulating Public Health Policy

2011 ◽  
Vol 50 (05) ◽  
pp. 454-463 ◽  
Author(s):  
E. Carruthers ◽  
P. Couch ◽  
N. Green ◽  
M. O’Flaherty ◽  
M. Sperrin ◽  
...  
Keyword(s):  
Public Health ◽  
Health Policy ◽  
Empirical Data ◽  
Health Care Policy ◽  
Method Development ◽  
Local Health ◽  
Policy Makers ◽  
Simulation Engine ◽  
Wide Range ◽  
Public Health Practitioners

SummaryBackground: Populations are under-served by local health policies and management of resources. This partly reflects a lack of realistically complex models to enable appraisal of a wide range of potential options. Rising computing power coupled with advances in machine learning and healthcare information now enables such models to be constructed and executed. However, such models are not generally accessible to public health practitioners who often lack the requisite technical knowledge or skills.Objectives: To design and develop a system for creating, executing and analysing the results of simulated public health and health-care policy interventions, in ways that are accessible and usable by modellers and policy-makers.Methods: The system requirements were captured and analysed in parallel with the statistical method development for the simulation engine. From the resulting software requirement specification the system architecture was designed, implemented and tested. A model for Coronary Heart Disease (CHD) was created and validated against empirical data.Results: The system was successfully used to create and validate the CHD model. The initial validation results show concordance between the simulation results and the empirical data.Conclusions: We have demonstrated the ability to connect health policy-modellers and policy-makers in a unified system, thereby making population health models easier to share, maintain, reuse and deploy.

Introducing critical Tiriti policy analysis through a retrospective review of the New Zealand Primary Health Care Strategy

Ethnicities ◽  
2020 ◽  
Vol 20 (3) ◽  
pp. 434-456 ◽  
Author(s):  
Heather Came ◽  
D O’Sullivan ◽  
T McCreanor
Keyword(s):  
Health Care ◽  
Health Policy ◽  
Primary Health Care ◽  
New Zealand ◽  
Policy Analysis ◽  
Policy Development ◽  
Policy Makers ◽  
Aotearoa New Zealand ◽  
Primary Health ◽  
Maori Health

Background Te Tiriti o Waitangi was negotiated between the British Crown and Indigenous Māori leaders of Aotearoa New Zealand in 1840. Māori understood the agreement as an affirmation of political authority and a guarantee of British protection of their lands and resources. The Crown understood it as a cession of sovereignty. The tension remains, though legal and political developments in the last 35 years, have established that the agreement places a mandatory obligation on the Crown to protect and promote Māori health. It also requires that Māori may exercise rangatiratanga, or responsibility and authority, in relation to health policy development and implementation. Methods Te Tiriti is, then, an instrument against which health policy is justly and efficaciously evaluated. This paper introduces critical Tiriti analysis as such an evaluative method. Critical Tiriti analysis involves reviewing policy documents against the Preamble and the Articles of te Tiriti o Waitangi. The review process has five defined phases: (i) orientation; (ii) close reading; (iii) determination; (iv) strengthening practice and (v) Māori final word. Results We present a working example of critical Tiriti analysis using the New Zealand Government’s Primary Health Care Strategy published in 2001. This policy analysis found poor alignment with te Tiriti overall and the indicators of its implementation that we propose. Conclusion This paper provides direction to policy makers wanting to improve Māori health outcomes and ensure Māori engagement, leadership and substantive authority in the policy process. It offers an approach to analysing policy that is simple to use and, inherently, a tool for advancing social justice.

scholarly journals Szisztematikus irodalmi áttekintések módszertana és jelentősége. Segítség a diagnosztikus és terápiás döntésekhez

2015 ◽  
Vol 156 (38) ◽  
pp. 1523-1531
Author(s):  
Viktória Kamarási ◽  
Gábor Mogyorósy
Keyword(s):  
Health Care ◽  
Health Policy ◽  
Systematic Reviews ◽  
Research Question ◽  
Professional Literature ◽  
Policy Makers ◽  
Scientific Methods ◽  
Therapeutic Decisions ◽  
Specific Research Question ◽  
Made In

There is no proven effective treatment for many diseases today that proves to be one of the greatest problems of health care. Therefore, different therapeutic decisions are made in connection with the same disease by hospitals. There is a growing need for reviews which summarize the information collected from professional literature with scientific methods. The aim of the authors was to show the limitations of conventional narrative reviews, and to present the method and importance of systematic reviews to Hungarian professionals. Systematic reviews are transparent studies which are based on a predetermined protocol and collate all empirical evidence to answer a specific research question, and consequently provide more reliable results. They use explicit and systematic methods to minimize bias, and provide evidence for clinicians and policy makers to help them make diagnostic and therapeutic decisions which are essential in several fields of the health care system and health policy, too. Orv. Hetil., 2015, 156(38), 1523–1531.

Is Reasonable Access What We Want? Implications of, and Challenges to, Current Canadian Policy on Equity in Health Care

1993 ◽  
Vol 23 (4) ◽  
pp. 629-653 ◽  
Author(s):  
Stephen Birch ◽  
Julia Abelson
Keyword(s):  
Health Care ◽  
Health Policy ◽  
Health Care Services ◽  
Health Care Systems ◽  
Future Health ◽  
Policy Makers ◽  
Equity In Health ◽  
Equity Principle ◽  
Canadian Health ◽  
Equity In Health Care

Considerations of equity in the context of health care systems are often related closely to the presence or level of prices incurred by users of health care services. Some politicians and commentators have suggested that the removal of user charges under the Canadian health care system has led to equal access to care. But it is not clear that the equity principle inferred from these claims corresponds to the equity goals of current Canadian health policy. In this article the authors identify the precise equity principle that lies behind current health policy in Canada and consider the extent to which that principle is reflected in the performance of the system. They then consider other approaches to equity in health care in the context of the stated objectives of Canadian health policy and identify the implications of pursuing reasonable access in future health policy. The authors suggest that the implications of the current equity goals have not been recognized by policy makers, and if they were to be recognized it is not clear that they would be acceptable to Canadian populations and/or policy makers. Moreover, some of the implications would appear to be incompatible with other stated objectives of public policy.

scholarly journals Psychosocial Healthcare Centres (CAPS) in Brazilian Mental Health Policy, 2008-2017

2020 ◽  
Author(s):  
Rafael da Silva Barbosa ◽  
Maria Lucia Teixeira Garcia ◽  
Gary C Spolander ◽  
Edineia Figueira dos Anjos Oliveira
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Policy ◽  
Mental Health Care ◽  
Mental Health Policy ◽  
Secondary Data ◽  
Community Services ◽  
Health Coverage ◽  
Ministry Of Health ◽  
Using Data

Abstract Psychosocial Healthcare Centres have been promoted by Brazilian mental health policy along with a guaranteed financing from the Ministry of Health. This paper used Strata 2014 data to analyse the extent of Psychosocial Healthcare Centres care capacity available for user as the central driver of mental health care in Brazil. Retrospective, descriptive study with secondary data analysis of services was undertaken using data from Brazilian federal government databases. Brazil does not have 100% mental health care coverage and our analysis, using the Brazilian Health Ministry criteria, identified only 36% (842) municipalities have been adequately resourced. Our analysis identified that while the number of CAPS units increased around 100%, due to increased extra-hospital and community services in the period, effective cover reduced due to budget cuts and increases as a result of rights to access. The Ministry of Health identified coverage in the ratio of 1 CAPS / 100 thousand inhabitants, although CAPS availability is not the only parameter for assessing mental health coverage. Within municipalities, the mental health network is not synonymous with CAPS nor its quality. We believe that the priority given to investing in CAPS, without guaranteeing resources for other mental health intervention, may negate the efforts of building of a network of new de-institutionalising services which replaced traditional models.

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