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Promoção da saúde : a construção social de um conceito em perspectiva comparada
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Year: 2010 Publisher: SciELO Books - Editora FIOCRUZ

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Public health


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Utvärdering med lärande ansats av pandemiplaneringinklusive vaccinationsprogram i Västra Götalandsregionen
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Year: 2010 Publisher: Sweden : Nordic School of Public Health NHV Göteborg, Sweden,

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Pandemiplaneringen inklusive vaccinationsprogrammet för att möta den nya influ-ensan var unikt till sin omfattning genom att den avsåg hela befolkningen. Något sådant har inte tidigare genomförts i Sverige. Det ger möjlighet att lära för framti-den. Hälso- och sjukvårdsutskottet i Västra Götalandsregionen (VGR) har beställt en utvärdering. En viktig tanke bakom denna utvärdering var att genomföra data-insamlingen medan vaccinationsprogrammet fortfarande var i färskt minne och således dokumentera viktiga skeenden i nära anslutning till att de ägt rum. Den huvudsakliga datainsamlingen skedde under januari 2010. Pandemiorganisationen i sin helhet har vaccinerat drygt 923 000 individer i Västra Götaland. Totalt har mer än 1 080 000 doser registrerats i journalsystemet Svevac. Sjukhusen har vaccinerat cirka 5 procent, primärvården 55 procent, kommunerna 30 procent (skolhälsovården står för 22 procent), företagshälsovården 7 procent samt övriga 3 procent. Antalet personer med rätt att registrera vaccinationer i Svevac har beräknats till 12 000 personer, de flesta av dem är vaccinatörer. Totala antalet vaccinatörer har beräknats till mellan 10 000 - 12 000. De kommer från drygt 600 enheter (Svevac 28 maj 2010). Utvärderingen har två fokusar - organisering samt epidemiologiskt utfall. Det för-sta handlar om hur den samlade pandemiorganisationen i VGR förbereder sig för att möta den nya influensan inklusive genomförandet av vaccinationsprogrammet. Den andra handlar om att försöka beräkna samhällsnyttan av vaccinationen. Här redovisas den första delen av uppdraget. Den andra redovisas separat. Uppdraget är forskarstyrt och har genomförts av Nordic Centre for Health and Social Assess-ment vid Nordiska högskolan för folkhälsovetenskap i Göteborg. Föreliggande rap-port bygger på en dokumentstudie (cirka 800 sidor planer, riktlinjer, rekommenda-tioner samt minnesanteckningar från möten). Vidare har information hämtats från vetenskaplig litteratur, informationsbroschyrer, artiklar.

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Public health


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Paying Primary Health Care Centers for Performance in Rwanda
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Year: 2010 Publisher: Washington, D.C. : World Bank,

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Paying for performance (P4P) provides financial incentives for providers to increase the use and quality of care. P4P can affect health care by providing incentives for providers to put more effort into specific activities, and by increasing the amount of resources available to finance the delivery of services. This paper evaluates the impact of P4P on the use and quality of prenatal, institutional delivery, and child preventive care using data produced from a prospective quasi-experimental evaluation nested into the national rollout of P4P in Rwanda. Treatment facilities were enrolled in the P4P scheme in 2006 and comparison facilities were enrolled two years later. The incentive effect is isolated from the resource effect by increasing comparison facilities' input-based budgets by the average P4P payments to the treatment facilities. The data were collected from 166 facilities and a random sample of 2158 households. P4P had a large and significant positive impact on institutional deliveries and preventive care visits by young children, and improved quality of prenatal care. The authors find no effect on the number of prenatal care visits or on immunization rates. P4P had the greatest effect on those services that had the highest payment rates and needed the lowest provider effort. P4P financial performance incentives can improve both the use of and the quality of health services. Because the analysis isolates the incentive effect from the resource effect in P4P, the results indicate that an equal amount of financial resources without the incentives would not have achieved the same gain in outcomes.

Keywords

Public health.


Book
Promoção da saúde : a construção social de um conceito em perspectiva comparada
Author:
Year: 2010 Publisher: SciELO Books - Editora FIOCRUZ

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Abstract

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Public health


Book
Paying Primary Health Care Centers for Performance in Rwanda
Author:
Year: 2010 Publisher: Washington, D.C. : World Bank,

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Abstract

Paying for performance (P4P) provides financial incentives for providers to increase the use and quality of care. P4P can affect health care by providing incentives for providers to put more effort into specific activities, and by increasing the amount of resources available to finance the delivery of services. This paper evaluates the impact of P4P on the use and quality of prenatal, institutional delivery, and child preventive care using data produced from a prospective quasi-experimental evaluation nested into the national rollout of P4P in Rwanda. Treatment facilities were enrolled in the P4P scheme in 2006 and comparison facilities were enrolled two years later. The incentive effect is isolated from the resource effect by increasing comparison facilities' input-based budgets by the average P4P payments to the treatment facilities. The data were collected from 166 facilities and a random sample of 2158 households. P4P had a large and significant positive impact on institutional deliveries and preventive care visits by young children, and improved quality of prenatal care. The authors find no effect on the number of prenatal care visits or on immunization rates. P4P had the greatest effect on those services that had the highest payment rates and needed the lowest provider effort. P4P financial performance incentives can improve both the use of and the quality of health services. Because the analysis isolates the incentive effect from the resource effect in P4P, the results indicate that an equal amount of financial resources without the incentives would not have achieved the same gain in outcomes.

Keywords

Public health.


Book
Promoção da saúde : a construção social de um conceito em perspectiva comparada
Author:
Year: 2010 Publisher: SciELO Books - Editora FIOCRUZ

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Public health ethics
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ISBN: 9780745633022 9780745633039 0745633021 074563303X Year: 2010 Publisher: Cambridge, UK: Polity press,

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Le système de santé : assurances, médecine, soins et prévention
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ISBN: 9782880748739 2880748739 Year: 2010 Publisher: Lausanne : Presses polytechniques et universitaires romandes,

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La question de la santé, en Suisse, concerne chacun de ses habitants: l'assurance-maladie est obligatoire. Mais quel enchevêtrement de législations fédérales et cantonales! Quel labyrinthe dans les structures hospitalières! Les responsables des finances publiques y perdent leur latin. Face à des covªts qui explosent, ils peinent à distinguer la voie du bien commun. La population est directement affectée dans sa vie privée. Ponctionnée par impôts et cotisations, elle voit s'affronter, derrière le jeu des partis, les intérêts conflictuels des cliniques, des caisses-maladie, du corps médical, des administrations, de l'industrie pharmaceutique et des multiples professionnels des soins ou de la prévention. Ce livre innove par son exposé clair et synthétique de l'ensemble de ce système. Il intègre économie, éthique, progrès techniques, rôle des médecins et justice sociale. Il se montre vigoureux dans son propos central, dégageant les problèmes majeurs qu'il faut absolument résoudre. Il pointe sur les choix. Il en appelle à une politique de la santé digne de ce nom.


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The public health system in England
Authors: --- ---
ISBN: 1447303970 1282637339 9786612637339 1847424643 Year: 2010 Publisher: Bristol ; Portland, OR : Policy Press,

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This timely and wide-ranging book offers an accessible assessment of challenges confronting a public health system, which will appeal to public health professionals and students.


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Patent rights in pharmaceuticals in developing countries : major challenges for the future
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ISBN: 1282908510 9786612908514 1849808953 Year: 2010 Publisher: Cheltenham : Edward Elgar,

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India's 2005 adoption of a TRIPS-consistent patent regime will reveal whether Indian generic pharmaceuticals companies will continue to supply essential drugs for developing nations such as Thailand, who are reliant on India for the supply of cheap medicines. Patent Rights in Pharmaceuticals in Developing Countries investigates the public policy and public health implications of pharmaceutical patenting in countries such as India and Thailand. The book engages with a broad range of new case studies, providing a detailed examination of options for the resolution of access-to-medicine issues at

Keywords

Drugs --- Public health laws

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