Community orientation of general practitioners in 34 countries
Current changes in demography, epidemiology and ecology require general practitioners (GPs) to strengthen their community oriented approach. Community orientation of GPs and – broader – of primary care, means that care providers assume responsibility for the population in their practice area instead of only for those people that visit the practice. Community oriented service provision is sensitive to the health needs of the population [1]. This is facilitated by ins ight in population health issues, involvement of GPs in the community and involvement of the community in health related issues [2]. (Source: Health Policy)
Source: Health Policy - July 2, 2018 Category: Health Management Authors: Lisa Vermeulen, Willemijn Sch äfer, Danica Rotar Pavlic, Peter Groenewegen Source Type: research

Editorial Board
(Source: Health Policy)
Source: Health Policy - July 1, 2018 Category: Health Management Source Type: research

Understanding Factors That Influence the Demand for Dialysis among Elderly in a Multi-Ethnic Asian Society
For end-stage renal disease (ESRD) patients who are unlikely to receive a transplant, dialysis is typically first line treatment. This recommendation results because of the large literature showing the cost-effectiveness of dialysis for the majority of ESRD patients [1]. Patients can chose between haemodialysis (HD), which takes place in a dialysis centre, or peritoneal dialysis (PD), which can be performed at home but on a more frequent basis. (Source: Health Policy)
Source: Health Policy - June 26, 2018 Category: Health Management Authors: Eric Andrew Finkelstein, Semra Ozdemir, Chetna Malhotra, Tazeen H. Jafar, Lina Choong Hui Lin, Sheryl Gan Shien Wen Source Type: research

Health expenditure data for policy: Health accounts, national accounts or both?
One of the key questions of policy makers in the healthcare system is: “How much do we spend on health?” [1] Several subjects for analysis can be derived from this central question, e.g. financial access to care, resource allocation, national planning, budgeting, and monitoring [2]. Policy interests are broad and include health and social services. To analyze these subjects, several financial and statistical frameworks are used, such as the government budget, National Accounts and Health Accounts. (Source: Health Policy)
Source: Health Policy - June 19, 2018 Category: Health Management Authors: Cornelis van Mosseveld, Vincent van Polanen Petel, Patricia Hern ández-Peña, Piet Verbiest Source Type: research

Little to lose and no other options: Ethical issues in efforts to facilitate expanded access to investigational drugs
When patients who are suffering from a serious or life-threatening illness have exhausted standard treatment options and cannot enroll in a clinical trial, they may be eligible for expanded access to unapproved, investigational drugs. These patients do not have the time to wait for marketing authorization of the drug, and may not meet inclusion criteria of available clinical trials (if there are any). Expanded access programs are intended for terminally or seriously ill patients for whom investigational drugs often represent one last chance at therapeutic benefit or survival. (Source: Health Policy)
Source: Health Policy - June 16, 2018 Category: Health Management Authors: Eline M. Bunnik, Nikkie Aarts, Suzanne van de Vathorst Source Type: research

The Application of Triple Aim Framework In The Context Of Primary Healthcare: A Systematic Literature Review
Modern healthcare organisations are increasingly looking for innovative ways to redesign complex and dated systems in order to achieve effective, efficient and sustainable healthcare delivery [1 –3]. There is a pressing need to balance rising costs of medical care with public expectations for delivery of high-quality care. In 2008, the Institute for Healthcare Improvement (IHI) introduced the Triple Aim framework, with the primary goal of “improving the experience of care; improving the health of population; and reducing per capita costs” [4], p. (Source: Health Policy)
Source: Health Policy - June 16, 2018 Category: Health Management Authors: M. Obucina, N. Harris, J.A. Fitzgerald, A. Chai, K. Radford, A. Ross, L. Carr, N. Vecchio Source Type: research

The Diabetes Self-management educational programs and their integration in the usual care: a systematic literature review
One of the public health challenges worldwide is diabetes mellitus (DM). It is the fifth leading cause of death in high-income countries, and rapidly becoming an epidemic in low and middle-income countries. The global number of adult people suffering from diabetes in 2014 was estimated at 422 million, and this number is expected to rise to 592 million by 2035, while 175 million people remain undiagnosed [1]. Diabetes care is expensive and the condition can lead to serious complications such as kidney failure, myocardial infarction, stroke, blindness and limb amputation [2]. (Source: Health Policy)
Source: Health Policy - June 13, 2018 Category: Health Management Authors: Emmanuel Kumah, Giulia Sciolli, Maria Laura Toraldo, Anna Maria Murante Source Type: research

Taking the measure of the profession: physician associations in the measurement age
Many countries invest substantial efforts in improving the performance of their healthcare systems while trying at the same time to curb escalating health expenditures. These efforts are manifested in a variety of professional, organizational and administrative activities regarded as quality improvement initiatives. (Source: Health Policy)
Source: Health Policy - June 8, 2018 Category: Health Management Authors: Baruch Levi, Amos Zehavi, David Chinitz Source Type: research

The impact of electronic health record systems on clinical documentation times: a systematic review
(Source: Health Policy)
Source: Health Policy - June 5, 2018 Category: Health Management Authors: Lisa Ann Baumann, Jannah Baker, Adam G. Elshaug Source Type: research

The strongly decentralized Swiss health system achieves good results: Past research has addressed persisting challenges – but more is encouraged
In this issue, we publish two articles on Switzerland [1,2], and we take the opportunity to look back at nine further papers on Swiss health care reforms, processes, and outcomes published since 2014 [3 –11]. Switzerland is a fascinating small country (population 8.4 million) – not only because of its wealth (GDP per capita of US$ PPP 65 096) [12], its beautiful Alpine landscape, its four official languages (German, French, Italian and Romansh), its exceptionally high degree of decentralization (with 26 cantons and 2352 municipalities), its unique consensus-oriented political system with frequent referenda, and because...
Source: Health Policy - June 1, 2018 Category: Health Management Authors: Wilm Quentin, Reinhard Busse Tags: Guest Editorial Source Type: research

Editorial Board
(Source: Health Policy)
Source: Health Policy - June 1, 2018 Category: Health Management Source Type: research

The methodological quality of nurse-sensitive indicators in Dutch hospitals: a descriptive exploratory research study
(Source: Health Policy)
Source: Health Policy - June 1, 2018 Category: Health Management Authors: R.A.M.M. Kieft, D. Stalpers, A.P.M. Jansen, A.L. Francke, D.M.J. Delnoij Source Type: research

Public support for tobacco control policies: the role of the protection of children against tobacco
(Source: Health Policy)
Source: Health Policy - May 26, 2018 Category: Health Management Authors: Thomas G. Kuijpers, Marc C. Willemsen, Anton E Kunst Source Type: research

Changing the neurology policy landscape in the United States: Misconceptions and facts about epilepsy
(Source: Health Policy)
Source: Health Policy - May 26, 2018 Category: Health Management Authors: David C. Grabowski, Jesse Fishman, Imane Wild, Bruce Lavin Source Type: research

Continuity of care and its effect on readmissions for COPD patients: A comparative study of Norway and Germany
(Source: Health Policy)
Source: Health Policy - May 26, 2018 Category: Health Management Authors: Jayson O. Swanson, Verena Vogt, Leonie Sundmacher, Terje P. Hagen, Tron Anders Moger Source Type: research