Review
Health Care Sciences & Services
Costase Ndayishimiye, Marzena Tambor, Katarzyna Dubas-Jakobczyk
Summary: This study aimed to identify, systematize, and map the existing literature on the factors that influence health-care provider payment reforms. The study included 51 publications and found that the factors influencing payment reforms are often contextual and interrelated, encompassing various perspectives. When planning reforms, potential barriers should be anticipated and appropriate interventions should be devised.
RISK MANAGEMENT AND HEALTHCARE POLICY
(2023)
Article
Cardiac & Cardiovascular Systems
Sukruth A. Shashikumar, Jie Zheng, E. John Orav, Arnold M. Epstein, Karen E. Joynt Maddox
Summary: Participation in BPCM-A was not associated with spending reductions, changes in care utilization, or quality improvements for the cardiovascular medical events or procedures offered in the model.
Review
Health Care Sciences & Services
Shangzhi Xiong, Chang Cai, Wei Jiang, Pengpeng Ye, Yanqiuzi Ma, Hueiming Liu, Bingqin Li, Xinyi Zhang, Ting Wei, Hongru Sun, Thomas Hone, David Peiris, Limin Mao, Maoyi Tian
Summary: This study reviews China's national policies on non-communicable disease (NCD) prevention and control at the primary health care (PHC) level since the health system reform in 2009. Policy documents from official websites were analyzed, and fourteen major policy initiatives were identified, including health insurance schemes and public health services. While certain areas have strong policy support, there are gaps compared to WHO recommendations, such as limited emphasis on multi-sectoral collaboration and quality-oriented PHC services evaluations. China has demonstrated its commitment to strengthening the PHC system for NCD prevention and control, and future policies should promote collaboration, community engagement, and improved evaluation mechanisms.
LANCET REGIONAL HEALTH-WESTERN PACIFIC
(2023)
Article
Public, Environmental & Occupational Health
Hui Sang, Claudia Gonzalez-Vallejo, Jing Zhao, Rui Long
Summary: In urban China, the utilization rate of community health centers (CHCs) remains low despite their potential benefits. A study in Shanghai found that while low cost did not strongly influence the choice of CHCs, factors such as older age, perceived susceptibility to common diseases, and benefits of individualized care greatly increased the likelihood of using primary care services. Conversely, perceived low competencies of medical personnel and outdated medical facilities had significant negative relationships with the intention of choosing CHCs.
HEALTH & SOCIAL CARE IN THE COMMUNITY
(2021)
Article
Public, Environmental & Occupational Health
Huihui Huangfu, Zhifan Zhang, Qinwen Yu, Qingyu Zhou, Peiwu Shi, Qunhong Shen, Zhaoyang Zhang, Zheng Chen, Chuan Pu, Lingzhong Xu, Zhi Hu, Anning Ma, Zhaohui Gong, Tianqiang Xu, Panshi Wang, Hua Wang, Chao Hao, Chengyue Li, Mo Hao
Summary: This study evaluates the impact of the 2009 healthcare reform in China on the enabling environment for children's health. The results show that the reform has a positive impact, particularly on human resources and service provision for children. Efforts should be made to improve the clarity of accountability mechanisms in the health-related sectors.
JOURNAL OF GLOBAL HEALTH
(2022)
Article
Health Care Sciences & Services
Daniel Simonet
Summary: France underwent NPM health reforms focusing on cost containment, centralizing health policy decisions, and rejecting public-private partnerships. These reforms led to public discontent and eventually triggered the Yellow Vest movement.
RISK MANAGEMENT AND HEALTHCARE POLICY
(2021)
Article
Public, Environmental & Occupational Health
Xinzhu Qi, Tieying Feng, Renyi Deng
Summary: This study examines the association between the digital health care service reform (DHSR) and health inequity (HI) for older individuals. Using data from a national survey in China, the study finds that DHSR has a significant effect in reducing HI among older adults, particularly for males and in the western and central regions.
FRONTIERS IN PUBLIC HEALTH
(2023)
Article
Health Care Sciences & Services
Kathryn E. Gunter, Jacob P. Tanumihardjo, Yolanda O'Neal, Monica E. Peek, Marshall H. Chin
Summary: Social factors impact the health outcomes of patients with diabetes, and there is interest in these areas from health systems, researchers, and policymakers. To improve population health and outcomes, organizations are integrating medical and social care, working with community partners, and seeking sustainable financing. This article summarizes promising examples and future opportunities for integrated medical and social care across three themes: primary care transformation, addressing individual social needs and structural changes, and payment reform. Achieving equitable health outcomes through integrated care requires a significant shift in healthcare financing and delivery.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2023)
Article
Geriatrics & Gerontology
Ming-Jui Yeh
Summary: This paper compares the historical development trajectories and identifies factors of solidarity-based long-term care (LTC) systems in East Asia countries. It finds that healthcare is considered a universal value, while LTC is closer to an entitlement of citizens. The costs involved in collective service provision are not distributed evenly in both health and LTC sectors.
ARCHIVES OF GERONTOLOGY AND GERIATRICS
(2022)
Article
Public, Environmental & Occupational Health
Nimalan Arinaminpathy, Arindam Nandi, Shibu Vijayan, Nita Jha, Sreenivas A. Nair, Sameer Kumta, Puneet Dewan, Kiran Rade, Bhavin Vadera, Raghuram Rao, Kuldeep S. Sachdeva
Summary: The PPIA initiative to engage with private sector in tuberculosis control in India shows cost-effective ways to reduce TB burden, with different cost-effectiveness outcomes based on local settings such as drug resistance patterns.
Article
Health Care Sciences & Services
Richard A. Hirth, Betsy Q. Cliff, Jeffrey T. Kullgren, John Z. Ayanian
Summary: This study examined the cost-sharing imposed by the Healthy Michigan Plan in comparison with other Medicaid expansion states under the Affordable Care Act. Results showed that over half of enrollees faced cost-sharing obligations, with a higher likelihood of payment among those with incomes above 100% of the Federal Poverty Level.
Article
Medicine, General & Internal
Kevin Duan, Francisco Rodriguez Garza, Hugo Flores, Daniel Palazuelos, Jimena Maza, Luis Alberto Martinez-Juarez, Patrick F. Elliott, Elena Moreno Lazaro, Natan Enriquez Rios, Gustavo Nigenda, Lindsay Palazuelos, Ryan K. McBain
Summary: CESPEC is a cost-effective community-based model of diabetes care for patients in rural Mexico, providing more health-adjusted years at a lower cost compared to usual care.
Review
Radiology, Nuclear Medicine & Medical Imaging
Richard E. Heller, Gelareh Sadigh, Vijay M. Rao, Yoshimi Anzai, Andrew K. Moriarity
Summary: Fundamental reform of the U.S. health care system is needed due to rising costs, reimbursement issues, and lack of price transparency, with radiology playing a key role. Despite being a minor contributor to overall health care expenditures, medical imaging has a significant impact on patient care. The radiology community must work together to reinforce the value of medical imaging and reduce unnecessary utilization of low-value care.
AMERICAN JOURNAL OF ROENTGENOLOGY
(2022)
Article
Medicine, General & Internal
Leslie Curry, Adeola Ayedun, Emily Cherlin, Beck Taylor, Sophie Castle-Clarke, Erika Linnander
Summary: This study investigates the effectiveness of integrating health and social care during the COVID-19 pandemic and how to overcome past barriers to integration. The results highlight the importance of leadership in large-scale system change efforts and provide insights into addressing aversion to clinical/safety risk, fostering distributed leadership, and developing shared organizational practices for data sharing and service delivery.
Article
Public, Environmental & Occupational Health
Byunggeor Moon
Summary: This paper analyzes community-based integrated care programs and estimates future costs based on consumer-oriented integrated care data in Korea. The findings provide policy implications for business operation and sustainable financial management.
FRONTIERS IN PUBLIC HEALTH
(2022)