ScienceDirect Publication: Health Policy
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Determinants of suicides in Denmark: Evidence from time series data
27 Jul 2010 at 1:46pm
Publication year: 2010
Source: Health Policy, In Press, Corrected Proof, Available online 27 July 2010
Antonio R., Andrés , Ferda, Halicioglu
This research examines empirically the determinants of suicides in Denmark over the period 1970?2006. To our knowledge, there exist no previous study that estimates a dynamic econometric model of suicides on the basis of time series data and cointegration framework at disaggregate level. Our results indicate that suicide is associated with a range of socio-economic factors but the strength of the association can differ by gender. In particular, we find that a rise in real per capita income and fertility rate decreases suicides for males and females. Divorce is positively associated with suicides and this effect seems to be stronger...
Advance directives for euthanasia in dementia: Do law-based opportunities lea...
27 Jul 2010 at 1:46pm
Publication year: 2010
Source: Health Policy, In Press, Corrected Proof, Available online 27 July 2010
Marike E., de Boer , Rose-Marie, Dröes , Cees, Jonker , Jan A., Eefsting , Cees M.P.M., Hertogh
 Objective: To obtain insight into current practices regarding compliance with advance directives for euthanasia (ADEs) in cases of incompetent patients with dementia in Dutch nursing homes, in light of the legal possibility offered by the new euthanasia law to perform euthanasia in these cases. Methods: A written questionnaire was completed by 434 elderly care physicians (ECPs). Findings: Over the years 2005?2006, many ECPs took care of patients with dementia and an ADE, actual life termination of these patients took place very rarely and never in incompetent patients. ECPs reported practical difficulties in determining the ?unbearableness? of the suffering and choosing the right moment of carrying...
Editorial Board
25 Jul 2010 at 1:42pm
Publication year: 2010
Source: Health Policy, Volume 97, Issue 1, September 2010, Page ii
[No author name available]
Contents
25 Jul 2010 at 1:42pm
Publication year: 2010
Source: Health Policy, Volume 97, Issue 1, September 2010, Page CO4
[No author name available]
Risk equalisation and voluntary health insurance markets: The case of Ireland?
24 Jul 2010 at 1:51pm
Publication year: 2010
Source: Health Policy, In Press, Corrected Proof, Available online 24 July 2010
John, Armstrong
Ireland has a system of private health insurance (PHI) which acts as a voluntary alternative to the benefits provided under the Irish public health system. As part of this, community rating has long been a cornerstone of the Irish private health insurance market with the objective to make PHI affordable to everyone regardless of their risk profile. Until the mid-1990s one insurer had a legal monopoly. However, in 1996, following the Third Non-Life Insurance Directive, the market was opened up to competition and a number of regulations were introduced to support community rating. This includes the introduction of a risk...
Risk equalisation in voluntary health insurance markets: A three country comp...
24 Jul 2010 at 1:51pm
Publication year: 2010
Source: Health Policy, In Press, Corrected Proof, Available online 24 July 2010
John, Armstrong , Francesco, Paolucci , Heather, McLeod , Wynand P.M.M., van de Ven
The paper summarises the conclusions for health policy from the experience of three countries who have introduced risk equalisation subsidies, in their voluntary health insurance (VHI) markets. The countries chosen are Australia, Ireland and South Africa. All of these countries have developed VHI markets and have progressed towards introducing risk equalisation. The objective of such subsidies is primarily to make VHI affordable while encouraging efficiency in health care production.The paper presents a conceptual framework to understand and compare risk equalisation subsidies in VHI markets. The paper outlines how such subsidies are organised in each of the countries and identifies problems...
Risk equalisation in voluntary health insurance markets?
24 Jul 2010 at 1:51pm
Publication year: 2010
Source: Health Policy, In Press, Corrected Proof, Available online 23 July 2010
John, Armstrong , Francesco, Paolucci , Wynand P.M.M., van de Ven
A randomized experiment of issue framing and voter support of tax increases f...
24 Jul 2010 at 1:51pm
Publication year: 2010
Source: Health Policy, In Press, Corrected Proof, Available online 23 July 2010
Hector P., Rodriguez , Miriam J., Laugesen , Carolyn A., Watts
 Objective: To assess the effect of issue framing on voter support of tax increases for health insurance expansion. Methods: During October 2008, a random sample of registered voters (n=1203) were randomized to a control and two different ?framing? groups prior to being asked about their support for tax increases. The ?framing? groups listened to one of two statements: one emphasized the externalities or negative effects of the uninsured on the insured, and the other raised racial and ethnic disparities in health insurance coverage as a problem. All groups were asked the same questions: would they support tax increases to provide adequate and reliable...
Determinants of the use of different types of health care provider in urban C...
21 Jul 2010 at 1:47pm
Publication year: 2010
Source: Health Policy, In Press, Corrected Proof, Available online 21 July 2010
Dongfu, Qian , Henry, Lucas , Jiaying, Chen , Ling, Xu , Yaoguang, Zhang
With the reform of urban health delivery systems in China, concern has been growing about the effect of these changes on health care demand and utilization at basic-level health institutions, especially Community Health Services Centers (CHC). Using data from the fourth China National Health Services Survey (NHSS) that was conducted in 2008, the authors conducted a tracer illness study of urban people with acute upper respiratory tract infections (URTI) to examine the factors that affect their use of different outpatient health care providers. The study addresses the observed demand for both public and private providers and is believed to be...
Specialty choice and physicians? career paths in Japan: An analysis of Nation...
21 Jul 2010 at 1:47pm
Publication year: 2010
Source: Health Policy, In Press, Corrected Proof, Available online 21 July 2010
Soichi, Koike , Shinya, Matsumoto , Tomoko, Kodama , Hiroo, Ide , Hideo, Yasunaga , ...
 Objectives: To investigate trends of specialty distribution and physicians? career paths in Japan, and to discuss potential policy implications. Methods: Distribution of main area of practice, relation between board-certified specialists and reported main area of practice, and migration of main area of practice by career stage were analyzed in data from the National Physician Survey, collected between 1996 and 2006. Results: The percentages of physicians involved in internal medicine, surgery, neurosurgery, pediatrics, ophthalmology, obstetrics and gynecology and otorhinolaryngology decreased from 1996 to 2006. Overall, the numbers reported for the main area of practice matched the number of board-certified specialists. Among physicians who began their careers...
Hospital competition and patient-perceived quality of care: Evidence from a s...
21 Jul 2010 at 1:47pm
Publication year: 2010
Source: Health Policy, In Press, Corrected Proof, Available online 21 July 2010
Chi-Chen, Chen , Shou-Hsia, Cheng
 Objectives: To examine the effects of market competition on patient-perceived quality of care under a single-payer system in Taiwan. Methods: Data came from two nationwide surveys conducted on discharged patients and National Health Insurance (NHI) hospital claim datasets in 2002 and 2004. Competition was measured by the Herfindahl?Hirschman Index (HHI). Quality of care was measured by patient-rated hospital performance including interpersonal skills and clinical competence domains. We used the instrumental variable approach to address the endogeneity between competition and patient-perceived quality of care. Results: The results showed that HHI was significantly associated with a decrease in the perceived interpersonal skills (coefficient of ?0.460; p
Guiding the process of health technology disinvestment
19 Jul 2010 at 1:57pm
Publication year: 2010
Source: Health Policy, In Press, Corrected Proof, Available online 17 July 2010
Nora, Ibargoyen-Roteta , Iñaki, Gutiérrez-Ibarluzea , José, Asua
 Objectives: To develop a guideline for health technology disinvestment. Methods: The Nominal Group Technique was used to determine relevant aspects of disinvestment decision-making. Ideas reaching consensus and previous Spanish guidelines on the acquisition of new health technologies (GANT) and new genetic tests (GEN) structures were used to develop the domains and contents of GuNFT (Guideline for Not Funding Health Technologies). The draft was peer reviewed by local and international experts and their suggestions were incorporated to the first GuNFT version. Results: Thirty-five ideas reached consensus. The most relevant ones referred to the reasons for disinvesting in a technology and the key aspects that would facilitate...
Risk equalisation and voluntary health insurance markets: The case of Australia
17 Jul 2010 at 1:42pm
Publication year: 2010
Source: Health Policy, In Press, Corrected Proof, Available online 16 July 2010
Luke B., Connelly , Francesco, Paolucci , James R.G., Butler , Paul, Collins
In April 2007, Australia introduced a risk equalisation (RE) scheme (de facto a claims equalisation scheme), which replaced an extant reinsurance scheme that had operated since 1976. This scheme is one of a number of policy measures that the Australian Government has instituted to support the voluntary private health insurance (PHI) market which is subject to mandatory community rating and the attendant problem of selection. The latter has been a persistent concern in the Australian PHI market since the introduction of Australia's universal, compulsory national health insurance scheme Medicare. This paper presents a brief overview of Australia's health care financing...
Evaluating health systems? preparedness for emerging infectious diseases: A n...
17 Jul 2010 at 1:42pm
Publication year: 2010
Source: Health Policy, In Press, Corrected Proof, Available online 16 July 2010
Ralf, Krumkamp , Sandra, Mounier-Jack , Amena, Ahmad , Ralf, Reintjes , Richard, Coker
In this article we present a novel conceptual framework for systematically assessing the national health system capacity to respond to pandemic influenza. This framework helps to determine how health systems and pandemic programmes interact, whether, where and which weak points exist, and how and where pandemic response health programmes can be improved effectively. This new conceptual framework draws upon two existing approaches for assessment and evaluation, the Systemic Rapid Assessment Toolkit (SYSRA) and the Hazard Analysis of Critical Control Points (HACCP). SYSRA is a systematic approach to analyse the interplay between communicable disease programmes and the broader health systems context...
Manifestations of tuberculosis stigma within the healthcare system: The case ...
15 Jul 2010 at 1:55pm
Publication year: 2010
Source: Health Policy, In Press, Corrected Proof, Available online 15 July 2010
Emmanuel Atsu, Dodor , Shona J., Kelly
 Objectives: To explore the manifestations of tuberculosis (TB) stigma within the healthcare system. Method: Twenty-one individual interviews (16 females and 5 males) and six focus groups (1 with health managers, 1 with staff providing services for TB patients, and 4 with general staff) were conducted among healthcare workers (HCWs) and the generated data analysed using grounded theory principles and procedures. Results: TB stigma manifests in three broad and inter-related ways within the healthcare system: behaviour towards TB patients; attitudes towards TB work; and administrative procedures and policies of healthcare mangers. Healthcare workers expressed fear of infection when interacting with TB patients; a fear which intensifies...

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