Showing papers in "Health Policy in 2002"

TL;DR: The robustness of the findings in the light of the passage of 5-10 years, the addition of two more countries, and the findings of other research on the possible importance of other determinants of country health levels are determined.

TL;DR: The involvement of consumers in health research is now Department of Health policy within the UK, and the state of knowledge on this issue is critically reviewed, and a research agenda is mapped out with the aim of stimulating systematic, empirical inquiry into consumer involvement in healthResearch.

TL;DR: The study showed that the principle of comprehensive free coverage existing in Bulgaria until 1989 has been significantly eroded and Initiating a public debate on informal payments is important in a health care reform process that purports to increase accountability.

TL;DR: A typology to classify provider payment systems from an incentive point of view is developed and provides a useful framework for future research of health care payment systems.

TL;DR: Compared with the old insurance systems under LIS and GIS, the new system expands coverage to private sector employees and provides a more stable financing with its risk pool at the city level, and implementation of China's health insurance reform program is faced with several major challenges.

TL;DR: The study demonstrated that diagnoses such as chronic obstructive pulmonary disease and congestive heart failure were the major causes of hospital readmission rates and showed that (initial) hospital stays were generally longer for patients who were readmitted than for those who were not.

TL;DR: It was shown that dementia severity, behavioural disturbances and coping were associated with the amount of informal care, and some new perspectives on informal care giving for persons with dementia and support strategies in general are given.

TL;DR: In this article, the authors describe elements of fairness identified by decision-makers engaged in priority setting for new technologies in Canada (a primarily publicly funded system). According to these decision makers, accountability for reasonableness is acceptable and applicable.

TL;DR: There is a clear need for more and better research on the impact of noncompliance, on the cost-effectiveness of interventions and the potential of compliance-enhancing interventions to improve patient outcomes and/or reduce health-care costs.

TL;DR: Given the political and historical influence in the process of priority setting and resource allocation, an evidence-based approach, like PBMA which explicitly attempts to identify ways of maximising health benefit within a limited budget, should have merit in the new regional structure in Canada.

TL;DR: Studying a new sample of employees of a Dutch trade-firm who completed the questionnaire 'Ill and Recovered' upon return to work after absence due to illness, it was revealed that about 25% of the respondents experienced production losses before absence and about 20% ofThe respondents experience production losses after absence.

TL;DR: Results suggest a possible increase in inequalities in utilisation of health services, to the disadvantage of low income groups and further specific studies are warranted to monitor emerging inequalities in access to and utilisation in Sweden.

TL;DR: The 200 reform measures announced by the new Minister of Health and Welfare include changes aiming at: the decentralization of the ESY, the creation of a unified financing system for the social insurance funds, a new management structure in public hospitals, the organization of a Primary Health System in urban areas, and the strengthening of Public Health and Health Promotion.

TL;DR: The results suggest that the high costs in the last year of life does matter in projections of future health care costs and should be taken into account, and ageing per se seems to have considerable impact on futurehealth care costs.

TL;DR: In 1998, a research study was conducted to compare existing programs in the European Union providing both care to people with senile dementia of the Alzheimer type, and support to their informal caregiver as mentioned in this paper.

TL;DR: It is argued that the health sector in developing countries must be aware of and effectively address these 'new challenges' and revisit the classical model of demographic and epidemiological transition, which is in need of re-evaluation.

TL;DR: The present paper aims at giving a short overview of the organization and financing of the Danish health care system as of 1997-1998 when the SWOT panel evaluated the system.

TL;DR: The findings support the claim that the degree of actual changing depends strongly on economic incentives, especially with regard to the extent of financial risk sickness funds have to bear and to the degree premiums or contribution rates can differ.

TL;DR: It is suggested that the private health care sector needs both support and regulations to improve the quality and access to health care by the poor, and a need for developing risk-sharing schemes, and appropriate allocation of scarce public resources.

TL;DR: This paper tries to demonstrate how necessary care and individual responsibility criteria were presented in the Viagra discussion and indicates how these criteria can be operationalised in relation to the outcomes of a cost-effectiveness analysis.

TL;DR: This study addresses the pros and cons of DRG in hospital financing in the Finnish health care system and puts forward several solutions to avoid potential problems.

TL;DR: It is argued that these 'mediating bodies' are essential, but that their decision-making processes are necessarily opaque and should not be judged according to the criterion of transparency.

TL;DR: The alignment of incentives (to promote access and quality for those intended to be covered by the public budget) and the effective decentralisation of control over key resources--seem to us the key tools to address the stubborn problems of hospitals.

TL;DR: Data show that, while the AChE inhibitor adoption process has passed the early stages, various barriers slow down the final stages of AChe inhibitor adoption, and the drug budget in particular seems to inhibit the adoption of the innovation by the majority of general practitioners.

TL;DR: This paper explores the experiences of attempts to restructure hospital systems in countries of central and eastern Europe and the former Soviet Union and identifies a series of challenges that have often been addressed inadequately.

TL;DR: There was no evidence of bias against women or people in lower socioeconomic classes in this implicit queue management system, but patients' access to inpatient surgery was associated with malignancy, prognosis, sick leave status, physician experience, referral pattern and the major diagnosis category.

TL;DR: The results do suggest that future implementation of output-pricing based on the DRG case-mix measures is feasible for stroke patients only if it is enhanced with information on complications and the level of functioning.

TL;DR: Inpatient charge for cerebral infarction stroke was positively associated with being the insured, suggesting an overuse of health care resources in insured patients and limited use of resources by those who are not.

TL;DR: The results show that such trials comparing alternative adjuvant therapies for postmenopausal women with node positive early breast cancer would produce substantial net benefits, though the extent of the net benefits is clearly influenced by the assumed length of usefulness of the research.

TL;DR: Age-adjusted mortalities were inversely related with indicators of a larger floor space of dwellings per population, a larger proportion of parks, gardens, and green areas to total land area; a greater number of health professionals per population; and a greaterNumber of employees in retail business per population.