Policy, politics and public health

Greer, Scott L.; Bekker, Marleen; Leeuw, Evelyne de; Wismar, Matthias; Helderman, Jan-Kees; Ribeiro, Sofia; Stuckler, David

doi:10.1093/eurpub/ckx152

Cited by 82 publications

(73 citation statements)

References 15 publications

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“…The obtained results enable policymakers to compare their healthcare systems with those of similar countries. Although it is clear that government policy is mainly influenced by factors other than scientific research, the results of this analysis identify the key indicators of overall health and can help policymakers determine which country can be used as a reference point for their own health systems.…”

Section: Resultsmentioning

confidence: 99%

“…Every country implements a healthcare policy in accordance with its economic possibilities. Health systems often differ according to their funding models . Usually, health systems are funded according to one of these four basic models: The Beveridge model – The main characteristics of this model are that the health system is financed through taxation.…”

Section: Introductionmentioning

confidence: 99%

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Going beyond health efficiency: What really matters?

Radojičić

Jeremić

Savić

2019

Health Planning & Management

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Both citizens and policymakers demand the best possible results from a country's healthcare system. It is of utmost importance to accurately and objectively assess the efficiency of a healthcare system and to note the key indicators, where resources are lost, and possibilities for improvement. This paper evaluates the efficiency of health systems in 38 countries, mainly members of the Organization for Economic Co-operation and Development, using data envelopment analysis (DEA). In the first stage, bootstrapped Ivanovic distance is used to generate weights for the indicators, thus taking into consideration different country's goals, but not to the extent of reducing the possibility of comparison. The analysis shows that human resources are the most important health system resource and countries should pay special attention to developing and employing competent medical workers. The reorganization of human resources and the funds allocated to them could also increase efficiency. The second stage examines environmental indicators to find the causes of inefficiency. No proof is found that any one basic health system funding model produces better health outcomes than the others. Obesity is identified as a major issue. K E Y W O R D Sefficiency evaluation, data envelopment analysis, health systems,

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Going beyond health efficiency: What really matters?

Radojičić

Jeremić

Savić

2019

Health Planning & Management

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“…It is time to hone the political investment case for public health If we are to craft a convincing political case, the public health community must build on existing knowledge and expertise to develop a more sophisticated understanding of how the political system works (Greer et al 2017;Hoffman and Silverberg 2015). Three strategies can help make public health a political win for today's politicians.…”

Section: Four Reasons Why Public Health Is Tough Politicsmentioning

confidence: 99%

Building the political case for investing in public health and public health research

Hoffman

Creatore

Klassen

et al. 2019

Can J Public Health

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Governments around the world vastly underinvest in public health, despite ever growing evidence demonstrating its economic and social benefits. Challenges in securing greater public health investment largely stem from the necessity for governments to demonstrate visible impacts within an election cycle, whereas public health initiatives operate over the long term and generally involve prevention, statistical lives and underlying conditions. It is time for the public health community to rethink its strategies and craft political wins by building a political case for investing in public health-which extends far beyond mere economic and social arguments. These strategies need to make public health visible, account for the complexities of policymaking networks and adapt knowledge translation efforts to the appropriate policy instrument. RésuméPartout dans le monde, malgré une démonstration de mieux en mieux étayée des avantages économiques et sociaux que procurent les investissements en santé publique, les gouvernements négligent trop souvent ce secteur. Les difficultés à obtenir des investissements accrus tiennent en grande partie à la nécessité pour les gouvernements de démontrer des effets visibles à l'intérieur d'un cycle électoral, alors que les initiatives de santé publique fonctionnent sur le long terme et sont généralement affaire de prévention, de vies statistiques et de conditions sous-jacentes. Le temps est venu pour le milieu de la santé publique de repenser ses stratégies et de créer des victoires politiques en élaborant une argumentation en faveur de l'investissement en santé publiquequi va bien au-delà des simples considérations économiques et sociales. Ces stratégies doivent rendre la santé publique visible, tenir compte de la complexité des réseaux d'élaboration des politiques et adapter les efforts d'application des connaissances à l'instrument politique approprié.

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“…The journey toward this realization will require greater exposure to public health, social, and political sciences within medical education. More than ever before, medicine, science, and health (at all scales) are political discussions [5,[224][225][226][227]. However, in comparison to other professions and even the general population, US physicians show low levels of civic participation [228,229].…”

Section: Redefining the Narrativementioning

confidence: 99%

Narrative Medicine Meets Planetary Health: Mindsets Matter in the Anthropocene

Prescott

Logan²

2019

Challenges

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The emerging concept of planetary health—defined as the interdependent vitality of all natural and anthropogenic ecosystems (social, political, and otherwise)—emphasizes that the health of human civilization is intricately connected to the health of natural systems within the Earth’s biosphere. In the clinical setting, narrative medicine underscores the importance of absorbing, reflecting upon, and responding to the narratives—the stories—conveyed by patients. Education and interventions using the tenets of narrative medicine have demonstrated value to both patient and provider. Given the grand interconnected challenges of our time—compounded by misinformation and quasi-scientific narratives propagated by the ideology of neoliberalism—we argue that the principles and practice of narrative medicine can be applied on a larger scale, one with planetary health in mind. The role of beliefs, expectations, and agency—mindsets—in the link between narrative and planetary health are emphasized. We use a story of our own to demonstrate that the biological buffering capacity in response to a fast-food meal does not sit on a level socioeconomic playing field. Patient, community, and global health narratives are melding with powerful narratives set by commercial entities. The success of planetary health as a new concept will be strengthened by attention to the ways in which storytelling can influence positive change. No less important is an understanding of the ways in which stories contribute to what ails person, place, and planet.

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Policy, politics and public health

Cited by 82 publications

References 15 publications

Going beyond health efficiency: What really matters?

Going beyond health efficiency: What really matters?

Building the political case for investing in public health and public health research

Narrative Medicine Meets Planetary Health: Mindsets Matter in the Anthropocene

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