The experience of purchaser-provider split in the implementation of family physician and rural health insurance in Iran: an institutional approach
Conclusions The implementation of FP and RHI in Iran demonstrated the mixed effects of PPS on health system performance. Our research revealed that PPS did not succeed in changing the status quo, became a reason for fighting, misunderstanding, lack of co-operation and failure of the fragile partnership between the purchaser and provider. We advocate careful contextual preparation prior to large-scale application of PPS during nationwide implementation of FP in Iran as well as other settings. (Source: Health Policy and Planning)
Source: Health Policy and Planning - October 29, 2015 Category: Health Management Authors: Takian, A., Rashidian, A., Doshmangir, L. Tags: Original articles Source Type: research
Performance-based financing in the context of selective free health-care: an evaluation of its effects on the use of primary health-care services in Burundi using routine data
Discussion The dataset does not include indicators of the quality of care and does not allow to assess whether changes associated with PBF are resource-driven or due to the incentive mechanism itself. The results are largely consistent with other impact evaluations conducted in Burundi and Rwanda. The fact that PBF is mostly associated with positive changes in the use of services that became free suggests an important interaction effect between the two strategies. A possible explanation is that the removal of user fees increases accessibility to health care and acts on the demand side while PBF gives medical staffs incenti...
Source: Health Policy and Planning - October 29, 2015 Category: Health Management Authors: Falisse, J.-B., Ndayishimiye, J., Kamenyero, V., Bossuyt, M. Tags: Original articles Source Type: research
Societal determination of usefulness and utilization wishes of community health services: a population-based survey in Wuhan city, China
Conclusion The aim of CHS to see ‘minor illnesses treated in the community and serious illness treated in hospital’ is not being fully realized. The key to increasing the use of CHS may be to enhance the quality of services and health staff. A policy pathway of targeting older residents and those with higher education levels as the priority population, and using these groups to encourage the rest of the community to seek minor services at CHS, may be an effective and sustainable development mechanism. (Source: Health Policy and Planning)
Source: Health Policy and Planning - October 29, 2015 Category: Health Management Authors: Zhang, P., Zhao, L., Liang, J., Qiao, Y., He, Q., Zhang, L., Wang, F., Liang, Y. Tags: Original articles Source Type: research
Assessing the pro-poor effect of different contracting schemes for health services on health facilities in rural Afghanistan
Conclusions CO-1 arrangement which allows contractors to decide on how funds are allocated within a fixed lump sum with non-negotiable deliverables, and actively managed through an independent government agency, is effective in improving equity of health services provision. (Source: Health Policy and Planning)
Source: Health Policy and Planning - October 29, 2015 Category: Health Management Authors: Alonge, O., Gupta, S., Engineer, C., Salehi, A. S., Peters, D. H. Tags: Original articles Source Type: research
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Source: Health Policy and Planning - October 29, 2015 Category: Health Management Tags: Spanish Abstracts Source Type: research
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Source: Health Policy and Planning - October 29, 2015 Category: Health Management Tags: French Abstracts Source Type: research
本期摘要
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Source: Health Policy and Planning - October 29, 2015 Category: Health Management Tags: Chinese Abstracts Source Type: research
Which intervention design factors influence performance of community health workers in low- and middle-income countries? A systematic review
Community health workers (CHWs) are increasingly recognized as an integral component of the health workforce needed to achieve public health goals in low- and middle-income countries (LMICs). Many factors influence CHW performance. A systematic review was conducted to identify intervention design related factors influencing performance of CHWs. We systematically searched six databases for quantitative and qualitative studies that included CHWs working in promotional, preventive or curative primary health services in LMICs. One hundred and forty studies met the inclusion criteria, were quality assessed and double read to ex...
Source: Health Policy and Planning - October 7, 2015 Category: Health Management Authors: Kok, M. C., Dieleman, M., Taegtmeyer, M., Broerse, J. E., Kane, S. S., Ormel, H., Tijm, M. M., de Koning, K. A. Tags: Reviews Source Type: research
The double burden of malnutrition in SE Asia and the Pacific: priorities, policies and politics
This article reviews the trends and their consequences and for nine countries in these two regions it reviews the drivers of the problem and attempts to manage it. The article concludes with an analysis of the political challenges and opportunities presented by the double burden and some suggestions for a leadership agenda within the region to address it. (Source: Health Policy and Planning)
Source: Health Policy and Planning - October 7, 2015 Category: Health Management Authors: Haddad, L., Cameron, L., Barnett, I. Tags: Reviews Source Type: research
Effect of a maternal and child health handbook on maternal knowledge and behaviour: a community-based controlled trial in rural Cambodia
The objectives of this study were to evaluate the impact of the MCH handbook on maternal knowledge and behaviour as measured by antenatal care (ANC) attendance, delivery with skilled birth attendants (SBAs) and delivery at a health facility. The Cambodian version of the MCH handbook was developed and introduced in two health centres, and two other health centres served as controls. Pre-intervention and post-intervention surveys were conducted with 320 women from the intervention areas and 320 women from the control areas who had given birth within 1 year before the survey. We evaluated the impact of the handbook by using d...
Source: Health Policy and Planning - October 7, 2015 Category: Health Management Authors: Yanagisawa, S., Soyano, A., Igarashi, H., Ura, M., Nakamura, Y. Tags: Original articles Source Type: research
Economic burden of chronic conditions among households in Myanmar: the case of angina and asthma
Conclusions Myanmar is expanding public spending on health and has recently launched an innovative programme for supporting hospital-based care for poor households. Our findings suggest the need for interventions to address OOP expenses associated with outpatient care (including drugs) for chronic conditions in Myanmar’s population. (Source: Health Policy and Planning)
Source: Health Policy and Planning - October 7, 2015 Category: Health Management Authors: Htet, S., Alam, K., Mahal, A. Tags: Original articles Source Type: research
Equity in the national rollout of public AIDS treatment in South Africa 2004-08
This study examines factors that may influence public service provision in developing countries by analysing the 2004–08 implementation of government-provided AIDS treatment in South Africa, the largest programme of its kind in the world. Despite assurances from the National Department of Health, some have raised concerns about whether the rollout was in fact conducted equitably. This study addresses these concerns. This is the first study to assemble high-quality national data on a broad set of census main place (CMP) characteristics that the public health, economic and political science literature have found influe...
Source: Health Policy and Planning - October 7, 2015 Category: Health Management Authors: McLaren, Z. M. Tags: Original articles Source Type: research
Achieving universal health coverage goals in Thailand: the vital role of strategic purchasing
Strategic purchasing is one of the key policy instruments to achieve the universal health coverage (UHC) goals of improved and equitable access and financial risk protection. Given favourable outcomes of Universal Coverage Scheme (UCS), this study synthesized strategic purchasing experiences in the National Health Security Office (NHSO) responsible for the UCS in contributing to achieving UHC goals. The UCS applied the purchaser–provider split concept where NHSO, as a purchaser, is in a good position to enforce accountability by public and private providers to the UCS beneficiaries, through active purchasing. A compr...
Source: Health Policy and Planning - October 7, 2015 Category: Health Management Authors: Tangcharoensathien, V., Limwattananon, S., Patcharanarumol, W., Thammatacharee, J., Jongudomsuk, P., Sirilak, S. Tags: Original articles Source Type: research
Assessing the impact of budget controls on the prescribing behaviours of physicians treating dialysis-dependent patients
Conclusions As ODGB was implemented, HH patients received fewer antihypertensive drugs during their dialysis visit. In addition, there was an increase in the number of non-dialysis outpatient visits by HH patients as well as increased payment in the drugs associated with their non-dialysis outpatient visits compared with the control group. (Source: Health Policy and Planning)
Source: Health Policy and Planning - October 7, 2015 Category: Health Management Authors: Chang, R.-E., Tsai, Y.-H., Myrtle, R. C. Tags: Original articles Source Type: research
Mind the gap: knowledge and practice of providers treating uncomplicated malaria at public and mission health facilities, pharmacies and drug stores in Cameroon and Nigeria
Conclusions Public health interventions to improve the treatment of uncomplicated malaria should strive to change what providers prefer, rather than focus on what they know. Interventions to improve adherence to malaria treatment guidelines should emphasize that ACT is the recommended antimalarial, and it should be used for all patients with uncomplicated malaria. Interventions should also be tailored to the local setting, as there were differences between the two countries in providers’ choice of antimalarial, and who or what influenced their practice. (Source: Health Policy and Planning)
Source: Health Policy and Planning - October 7, 2015 Category: Health Management Authors: Mangham-Jefferies, L., Hanson, K., Mbacham, W., Onwujekwe, O., Wiseman, V. Tags: Original articles Source Type: research
