Showing papers in "Health Policy in 1996"

TL;DR: The EuroQol instrument is intended to complement other forms of quality of life measures, and it has been purposefully developed to generate a cardinal index of health, thus giving it considerable potential for use in economic evaluation.

TL;DR: These findings suggest that the results of studies in which the value given to a health state is assumed to be linearly related to the time spent in that health state should be treated with caution and subjected to an appropriate range of values.

TL;DR: The paper attempts to locate the policy in the broader context of the package of health sector reform measures proposed at international level, and to identify the role it is intended to play in the achievement of the implicit objectives of that package.

TL;DR: The overall successful result, in terms of waiting lists and waiting times, seems to have been achieved mainly by increased production, improved administration of the waiting lists, and a change in attitudes toward waiting lists.

TL;DR: Socioeconomic differences in utilization were present for all services after the authors controlled for age, sex and marital status, and by controlling for health status, differences changed markedly for all health services analyzed.

TL;DR: If health sector reform is to be successful in low income countries, current enthusiasm for coordination needs to be harnessed, and a framework is developed by which to assess the variety of coordination mechanisms which are evolving at the county level.

TL;DR: It is concluded that further research is needed to study the process of informed consent in clinical trials, to obtain a better insight into the myth and reality ofinformed consent in daily practice.

TL;DR: It is concluded that regret is an important element in individual valuation and decision making in health care.

TL;DR: How supply has been addressed in Victoria by changing the financial incentives relating to waiting lists is described, and the success of this payment policy in reducing waiting lists to public hospitals is reported.

TL;DR: The relationship between willingness to pay for health changes, the human-capital approach, and the costs that should be included in a cost-benefit analysis of a health care programme are analysed.

TL;DR: No relationship is found between turnover rates and crude measures of patient service or staff morale measures, and the cost-effectiveness of a policy which uses across-the-board pay increases to reduce turnover is compared with one which targets pay rises to certain groups only.

TL;DR: It appears that a basic benefit package with high co-insurance would be affordable if funds could be mobilized from multiple sources, and that there are multiple potential funding sources for health care in rural areas, including households, village welfare funds, local enterprises, and the government.

TL;DR: The surgeon's perception of the additional benefits of an endoscopic technique and, to a lesser degree, of its technical aspects were the most important factors in deciding whether or not to adopt a procedure.

TL;DR: The current role of economic appraisal in health policy and medical practice is outlined, emphasizing the pharmaceutical sector where developments are most marked, and a number of recommendations are provided for economic appraisals to meet such requirements.

TL;DR: The results suggest that staff groups of different skill levels each have distinct labour markets, and this needs to be recognised in the future design of human resources management policies.

TL;DR: It is argued that the current incentives, in combination with criticism against county council activities in the early 1990's, account for the present inconsistencies as regards reforms, and that a weak form of separation between purchasers and providers will lead to distorted incentives, restricting innovative behaviour and structural change.

TL;DR: The costs, effects and cost-effectiveness of a new mobile maternal care service offered in The Gambia at a government-run health centre in Karantaba were compared with the usual pattern of maternal care offered (at Ngayen Sanjal).

TL;DR: Although most appropriateness ratings remained unchanged, there was significant movement from equivocal ratings to determinate ratings, and while individual members showed some degree of inconsistency in their scoring, the panel as a whole scored very consistently, showing that theappropriateness method is used logically and consistently by panellists.

TL;DR: A check-list is provided which should be applied by decision-makers when using constructing and describing RCTs to enhance the relevance of the results of economic evaluation in decision-making and improve the information basis for actual allocation decisions in health care.

TL;DR: ProMED proposes the establishment of a demonstration program by prioritizing a small number of strategically-located institutions in the developing world, mainly those least in need of upgrading, for development as sentinel centers for a functional, although limited, network with capabilities for monitoring both endemic and emerging diseases.

TL;DR: This article found that at least two thirds of the politicians who participated are prepared to accept a lower growth in per capita health in exchange for increased equity, while weak empirical support for the common health economic assumption that only total health benefit should guide the use of resources.

TL;DR: The results show that, while mammography screening does not 'save money' overall, the cost per year of life saved for a range of policies compares favourably with other New Zealand health services, and is comparable to the results from economic evaluations of mammography screenings overseas.

TL;DR: Despite the fact that the more successful programmes are heavily reliant on EBFs, there are strong indications that donors, particularly donor governments, are reluctant to maintain the current level of funding without major reforms in the leadership and management of the Organisation.

TL;DR: The development of understanding of the role of sleeping position in the aetiology of SIDS and the diffusion of this knowledge among and within industrialised countries is traced and the barriers to adoption of knowledge as well as the factors that promote it are explored.

TL;DR: The study revealed marked differences in rates across socioeconomic categories for several procedures, but for cataract operations and hip replacements due to arthrosis or deformity, the surgery rates favoured the better-off, despite low social status being considered a risk factor for these disorders.

TL;DR: The authors recommend that the government should play a major and active role in regulating and financing the RTHs and CMS, and government support to strengthen the R THs is essential for maintaining the deflected demand.

TL;DR: An inventory of the indicator 'health expectancy' (HE) has been carried out among policy makers, National Statistical Institutes and researchers in countries of the European Union, and attempts to place these within a provisional classification system of HE types.

TL;DR: A critical review of different systems of remunerations of pharmacists which exist in various countries, to what extent each system can contribute to public policy objectives and whether it may be time to shift the valuation of pharmaceutical services towards more safe and effective therapy instead of safe andeffective drugs.

TL;DR: It is proposed that global quality information about a hospital or other service as a whole is less useful and is best made on a specialty or treatment basis, especially where there are large unexplained variations.