Quality of care and its impact on population health: A cross-sectional study from Macedonia

Peabody, John; Nordyke, Robert J.; Tozija, Fimka; Luck, Jeff; Muñoz, Jorge A.; Sunderland, Anne; DeSalvo, Karen B.; Ponce, Ninez A.; McCulloch, Charles E.

doi:10.1016/j.socscimed.2005.10.030

Cited by 24 publications

(16 citation statements)

References 24 publications

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“…They can only be useful to generate hypotheses that can be tested later by more comprehensive studies; otherwise they might not be effective at distinguishing whether a particular disease developed before or after the group was exposed to a potential hazard as they do not look at time trends. There are a number of examples of cross-sectional studies in the literature as they are relatively cheap to carry out [34][35][36][37] For the definition of the strength of the association between exposure to a potentially toxic substance and specific health effects in epidemiological studies, the ratio of the incidence of a disease in the exposed population to the incidence of the same disease in the non-exposed population is calculated; this is called "Relative Risk" (RR) or "Odd Risk" (OR). For instance, if the RR is 6, the risk is six times higher (or an increase of 500%) in the exposed population than that in the non-exposed population.…”

Section: Epidemiologic Studies Of Waste Treatment Methodsmentioning

confidence: 99%

Healthcare waste treatment technologies and health impacts of waste management

Ciplak¹

2016

Int. J. SDP

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Healthcare waste includes all types of waste generated from human and veterinary medical activities (public or private), and encompasses diagnosis, prevention and curative treatments, research, and laboratory activities. The risks associated with healthcare waste and its management have gained attention across the world over last decades, and this has resulted in the increased recognition of the need for proper healthcare waste management. One of the most important factors in any type of waste management is undoubtedly safety and hence the basic safety for waste treatment workers on the site has to be guaranteed first. However, some waste treatment technologies, such as landfills and incinerators, release toxic substances which could cause significant health effects. There are two purposes of this paper: (1) to review the technologies available for the treatment of healthcare wastes (HCW) by indicating the major merits and drawbacks of them, and (2) to highlight adverse health implications of these technologies reported in the epidemiology to provide data and information regarding excess health risk of these technologies for further studies. If there are not a significant number of health effect investigations specifically related to HCW treatment and disposal, municipal waste will be used as a surrogate for healthcare waste.

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Section: Epidemiologic Studies Of Waste Treatment Methodsmentioning

confidence: 99%

Healthcare waste treatment technologies and health impacts of waste management

Ciplak¹

2016

Int. J. SDP

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“…These findings could suggest that the magnitude of quality premiums is determined in part by the observability of quality aspects. If health outcomes were the dependent variable, we would expect the process indicators to be of greater magnitude [21]. In addition, another reason why premiums for TB-specific ability are modest is that the vignette scores considered in this paper may be an understated measure of physician practice.…”

Section: Enhancing the Private Provision Of Carementioning

confidence: 99%

Enhancing the private provision of care through premiums for ability: the case of tuberculosis care in the Philippines

Quimbo

2006

Health Econ.

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This paper examines how premiums for ability are set and how these can enhance the quality of care provided in private markets. The specific context for this study is the market for tuberculosis (TB) care in the Philippines. While the most cost- and clinically-effective treatment method known as TB Directly Observed Treatment Short Course (TB DOTS) is increasingly being provided by the public sector, few private doctors have adopted this protocol. As findings of multivariate regression analyses of private physicians' fees suggest, this low adoption rate can be partly explained by the modest premiums private doctors receive for using TB DOTS. While the public provision of TB DOTS should be pursued in earnest, this paper argues that the complementarity between public and private provision of TB DOTS should be strengthened, especially since Filipino TB patients seem to prefer private doctors. This goal can be achieved through user fees that (i) include a sufficiently large premium for physician ability and (ii) are paid through the social insurance system.

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“…There were numerous efforts aimed at raising standards and quality of care [18]. Even today, there are marked differences in the accessibility of the primary care facilities network throughout the country, with a certain neglect of rural and mountainous areas [19].…”

Section: Former Yugoslav Republic Of Macedoniamentioning

confidence: 99%

Resource allocation strategies in Southeastern European health policy

2012

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The past 23 years of post-socialist restructuring of health system funding and management patterns has brought many changes to small Balkan markets, putting them under increasing pressure to keep pace with advancing globalization. Socioeconomic inequalities in healthcare access are still growing across the region. This uneven development is marked by the substantial difficulties encountered by local governments in delivering medical services to broad sectors of the population. This paper presents the results of a systematic review of the following evidence: published reports on health system reforms in the region commissioned by WHO, IMF, World Bank, OECD, European Commission; all available published evidence on health economics, funding, reimbursement in world/local languages since 1989 indexed at Medline, Excerpta Medica and Google Scholar; in depth analysis of official website data on medical care financing related legislation among key public institutions such as national Ministries of health, Health Insurance Funds, Professional Associations were applicable, in local languages; correspondence with key opinion leaders in the field in their respective communities. Contributors were asked to answer a particular set of questions related to the issue, thus enlightening fresh legislative developments and hidden patterns of policy maker's behavior. Cost awareness is slowly expanding in regional management, academic and industrial establishment. The study provides an exact and comprehensive description of its current extent and legislative framework. Western Balkans policy makers would profit substantially from health-economics-based decision-making to cope with increasing difficulties in funding and delivering medical care in emerging markets with a rapidly growing demand for health services.

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Quality of care and its impact on population health: A cross-sectional study from Macedonia

Cited by 24 publications

References 24 publications

Healthcare waste treatment technologies and health impacts of waste management

Healthcare waste treatment technologies and health impacts of waste management

Enhancing the private provision of care through premiums for ability: the case of tuberculosis care in the Philippines

Resource allocation strategies in Southeastern European health policy

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