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  Subjects -> HEALTH AND SAFETY (Total: 1424 journals)
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HEALTH AND SAFETY (641 journals)                  1 2 3 4 | Last

Showing 1 - 200 of 203 Journals sorted alphabetically
16 de Abril     Open Access  
Acta Informatica Medica     Open Access   (Followers: 1)
Acta Scientiarum. Health Sciences     Open Access   (Followers: 1)
Adultspan Journal     Hybrid Journal   (Followers: 1)
Advances in Child Development and Behavior     Full-text available via subscription   (Followers: 10)
Advances in Public Health     Open Access   (Followers: 25)
African Health Sciences     Open Access   (Followers: 3)
African Journal for Physical, Health Education, Recreation and Dance     Full-text available via subscription   (Followers: 7)
African Journal of Health Professions Education     Open Access   (Followers: 6)
Afrimedic Journal     Open Access   (Followers: 2)
Ageing & Society     Hybrid Journal   (Followers: 43)
Air Quality, Atmosphere & Health     Hybrid Journal   (Followers: 4)
AJOB Primary Research     Partially Free   (Followers: 3)
American Journal of Family Therapy     Hybrid Journal   (Followers: 11)
American Journal of Health Economics     Full-text available via subscription   (Followers: 16)
American Journal of Health Education     Hybrid Journal   (Followers: 32)
American Journal of Health Promotion     Hybrid Journal   (Followers: 31)
American Journal of Health Sciences     Open Access   (Followers: 9)
American Journal of Health Studies     Full-text available via subscription   (Followers: 12)
American Journal of Preventive Medicine     Hybrid Journal   (Followers: 28)
American Journal of Public Health     Full-text available via subscription   (Followers: 245)
American Journal of Public Health Research     Open Access   (Followers: 28)
American Medical Writers Association Journal     Full-text available via subscription   (Followers: 5)
Analytic Methods in Accident Research     Hybrid Journal   (Followers: 5)
Annales des Sciences de la Santé     Open Access  
Annali dell'Istituto Superiore di Sanità     Open Access  
Annals of Global Health     Open Access   (Followers: 10)
Annals of Health Law     Open Access   (Followers: 4)
Annals of Tropical Medicine and Public Health     Open Access   (Followers: 13)
Applied Biosafety     Hybrid Journal  
Applied Research In Health And Social Sciences: Interface And Interaction     Open Access   (Followers: 3)
Apuntes Universitarios     Open Access   (Followers: 1)
Archive of Community Health     Open Access   (Followers: 1)
Archives of Medicine and Health Sciences     Open Access   (Followers: 3)
Arquivos de Ciências da Saúde     Open Access  
Asia Pacific Journal of Counselling and Psychotherapy     Hybrid Journal   (Followers: 10)
Asia Pacific Journal of Health Management     Full-text available via subscription   (Followers: 4)
Asia-Pacific Journal of Public Health     Hybrid Journal   (Followers: 9)
Asian Journal of Gambling Issues and Public Health     Open Access   (Followers: 4)
Atención Primaria     Open Access   (Followers: 1)
Australasian Journal of Paramedicine     Open Access   (Followers: 3)
Australian Advanced Aesthetics     Full-text available via subscription   (Followers: 4)
Australian Family Physician     Full-text available via subscription   (Followers: 3)
Australian Indigenous HealthBulletin     Free   (Followers: 7)
Autism & Developmental Language Impairments     Open Access   (Followers: 10)
Behavioral Healthcare     Full-text available via subscription   (Followers: 7)
Bijzijn     Hybrid Journal   (Followers: 1)
Bijzijn XL     Hybrid Journal  
Biomedical Safety & Standards     Full-text available via subscription   (Followers: 8)
Birat Journal of Health Sciences     Open Access  
BLDE University Journal of Health Sciences     Open Access  
BMC Oral Health     Open Access   (Followers: 8)
BMC Pregnancy and Childbirth     Open Access   (Followers: 22)
BMJ Simulation & Technology Enhanced Learning     Hybrid Journal   (Followers: 9)
Boletin Médico de Postgrado     Open Access  
Brazilian Journal of Medicine and Human Health     Open Access  
Buletin Penelitian Kesehatan     Open Access   (Followers: 2)
Buletin Penelitian Sistem Kesehatan     Open Access  
Bulletin of the World Health Organization     Open Access   (Followers: 19)
Cadernos de Educação, Saúde e Fisioterapia     Open Access   (Followers: 1)
Cadernos Saúde Coletiva     Open Access   (Followers: 1)
Cambridge Quarterly of Healthcare Ethics     Hybrid Journal   (Followers: 11)
Canadian Family Physician     Partially Free   (Followers: 13)
Canadian Journal of Community Mental Health     Full-text available via subscription   (Followers: 11)
Canadian Journal of Human Sexuality     Hybrid Journal   (Followers: 2)
Canadian Journal of Public Health     Hybrid Journal   (Followers: 23)
Cannabis and Cannabinoid Research     Hybrid Journal   (Followers: 1)
Carta Comunitaria     Open Access  
Case Reports in Women's Health     Open Access   (Followers: 4)
Case Studies in Fire Safety     Open Access   (Followers: 23)
Central Asian Journal of Global Health     Open Access   (Followers: 2)
CES Medicina     Open Access  
Child Abuse Research in South Africa     Full-text available via subscription   (Followers: 1)
Child's Nervous System     Hybrid Journal  
Childhood Obesity and Nutrition     Open Access   (Followers: 11)
Children     Open Access   (Followers: 2)
CHRISMED Journal of Health and Research     Open Access   (Followers: 2)
Christian Journal for Global Health     Open Access  
Ciência & Saúde Coletiva     Open Access   (Followers: 2)
Ciencia e Innovación en Salud     Open Access  
Ciencia y Cuidado     Open Access   (Followers: 1)
Ciencia y Salud Virtual     Open Access  
Ciencia, Tecnología y Salud     Open Access   (Followers: 2)
Clinical and Experimental Health Sciences     Open Access   (Followers: 1)
ClinicoEconomics and Outcomes Research     Open Access   (Followers: 2)
Clocks & Sleep     Open Access   (Followers: 1)
CME     Hybrid Journal   (Followers: 2)
CoDAS     Open Access  
Community Health     Open Access   (Followers: 3)
Conflict and Health     Open Access   (Followers: 7)
Contraception and Reproductive Medicine     Open Access   (Followers: 1)
Cuadernos de la Escuela de Salud Pública     Open Access  
Curare     Open Access  
Current Opinion in Behavioral Sciences     Hybrid Journal   (Followers: 10)
Day Surgery Australia     Full-text available via subscription   (Followers: 2)
Digital Health     Open Access   (Followers: 4)
Disaster Medicine and Public Health Preparedness     Hybrid Journal   (Followers: 13)
Diversity of Research in Health Journal     Open Access  
Dramatherapy     Hybrid Journal   (Followers: 2)
Drogues, santé et société     Open Access   (Followers: 2)
Duazary     Open Access   (Followers: 1)
Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi / Journal of Duzce University Health Sciences Institute     Open Access  
Early Childhood Research Quarterly     Hybrid Journal   (Followers: 21)
East African Journal of Public Health     Full-text available via subscription   (Followers: 4)
Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity     Hybrid Journal   (Followers: 22)
EcoHealth     Hybrid Journal   (Followers: 4)
Education for Health     Open Access   (Followers: 6)
electronic Journal of Health Informatics     Open Access   (Followers: 6)
ElectronicHealthcare     Full-text available via subscription   (Followers: 3)
Elsevier Ergonomics Book Series     Full-text available via subscription   (Followers: 5)
Emergency Services SA     Full-text available via subscription   (Followers: 2)
Ensaios e Ciência: Ciências Biológicas, Agrárias e da Saúde     Open Access  
Environmental Disease     Open Access   (Followers: 3)
Environmental Sciences Europe     Open Access   (Followers: 1)
Epidemics     Open Access   (Followers: 5)
Epidemiologic Perspectives & Innovations     Open Access   (Followers: 5)
Epidemiology, Biostatistics and Public Health     Open Access   (Followers: 19)
Ethics & Human Research     Hybrid Journal   (Followers: 3)
Ethics, Medicine and Public Health     Full-text available via subscription   (Followers: 6)
Ethiopian Journal of Health Development     Open Access   (Followers: 7)
Ethiopian Journal of Health Sciences     Open Access   (Followers: 8)
Ethnicity & Health     Hybrid Journal   (Followers: 13)
Eurasian Journal of Health Technology Assessment     Open Access  
European Journal of Investigation in Health, Psychology and Education     Open Access   (Followers: 4)
European Medical, Health and Pharmaceutical Journal     Open Access   (Followers: 1)
Evaluation & the Health Professions     Hybrid Journal   (Followers: 10)
Evidence-based Medicine & Public Health     Open Access   (Followers: 8)
Evidência - Ciência e Biotecnologia - Interdisciplinar     Open Access  
Expressa Extensão     Open Access  
Face à face     Open Access   (Followers: 1)
Families, Systems, & Health     Full-text available via subscription   (Followers: 9)
Family & Community Health     Hybrid Journal   (Followers: 13)
Family Medicine and Community Health     Open Access   (Followers: 9)
Family Relations     Partially Free   (Followers: 13)
Fatigue : Biomedicine, Health & Behavior     Hybrid Journal   (Followers: 2)
Finnish Journal of eHealth and eWelfare : Finjehew     Open Access  
Food and Public Health     Open Access   (Followers: 16)
Food Quality and Safety     Open Access   (Followers: 1)
Frontiers in Public Health     Open Access   (Followers: 7)
Gaceta Sanitaria     Open Access   (Followers: 3)
Galen Medical Journal     Open Access   (Followers: 1)
Ganesha Journal     Open Access  
Gazi Sağlık Bilimleri Dergisi     Open Access  
Geospatial Health     Open Access  
Gesundheitsökonomie & Qualitätsmanagement     Hybrid Journal   (Followers: 9)
Giornale Italiano di Health Technology Assessment     Full-text available via subscription  
Global Challenges     Open Access  
Global Health : Science and Practice     Open Access   (Followers: 7)
Global Health Promotion     Hybrid Journal   (Followers: 15)
Global Journal of Health Science     Open Access   (Followers: 10)
Global Journal of Public Health     Open Access   (Followers: 13)
Global Medical & Health Communication     Open Access   (Followers: 2)
Global Mental Health     Open Access   (Followers: 8)
Global Reproductive Health     Open Access  
Global Security : Health, Science and Policy     Open Access   (Followers: 1)
Globalization and Health     Open Access   (Followers: 6)
Hacia la Promoción de la Salud     Open Access  
Hastane Öncesi Dergisi     Open Access  
Hastings Center Report     Hybrid Journal   (Followers: 4)
HCU Journal     Open Access  
HEADline     Hybrid Journal  
Health & Place     Hybrid Journal   (Followers: 15)
Health & Justice     Open Access   (Followers: 6)
Health : An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine     Hybrid Journal   (Followers: 10)
Health and Human Rights     Free   (Followers: 10)
Health and Social Care Chaplaincy     Hybrid Journal   (Followers: 9)
Health and Social Work     Hybrid Journal   (Followers: 58)
Health Behavior and Policy Review     Full-text available via subscription   (Followers: 3)
Health Care Analysis     Hybrid Journal   (Followers: 16)
Health Equity     Open Access  
Health Inform     Full-text available via subscription  
Health Information Management Journal     Hybrid Journal   (Followers: 24)
Health Issues     Full-text available via subscription   (Followers: 2)
Health Notions     Open Access  
Health Policy     Hybrid Journal   (Followers: 45)
Health Policy and Technology     Hybrid Journal   (Followers: 5)
Health Professional Student Journal     Open Access   (Followers: 4)
Health Promotion International     Hybrid Journal   (Followers: 22)
Health Promotion Journal of Australia : Official Journal of Australian Association of Health Promotion Professionals     Full-text available via subscription   (Followers: 8)
Health Promotion Practice     Hybrid Journal   (Followers: 16)
Health Prospect     Open Access   (Followers: 1)
Health Psychology     Full-text available via subscription   (Followers: 52)
Health Psychology Bulletin     Open Access   (Followers: 1)
Health Psychology Research     Open Access   (Followers: 20)
Health Psychology Review     Hybrid Journal   (Followers: 42)
Health Renaissance     Open Access  
Health Research Policy and Systems     Open Access   (Followers: 15)
Health SA Gesondheid     Open Access   (Followers: 2)
Health Science Reports     Open Access   (Followers: 1)
Health Sciences and Disease     Open Access   (Followers: 2)
Health Security     Hybrid Journal  
Health Services Insights     Open Access   (Followers: 1)
Health Systems     Hybrid Journal   (Followers: 5)
Health Voices     Full-text available via subscription  
Health, Culture and Society     Open Access   (Followers: 13)
Health, Risk & Society     Hybrid Journal   (Followers: 14)
Healthcare     Open Access   (Followers: 3)
Healthcare in Low-resource Settings     Open Access   (Followers: 1)
Healthcare Quarterly     Full-text available via subscription   (Followers: 9)
Healthcare Technology Letters     Open Access  

        1 2 3 4 | Last

Similar Journals
Journal Cover
Health Policy and Technology
Journal Prestige (SJR): 0.322
Citation Impact (citeScore): 1
Number of Followers: 5  
  Hybrid Journal Hybrid journal (It can contain Open Access articles)
ISSN (Print) 2211-8837
Published by Elsevier Homepage  [3184 journals]
  • European cooperation on healthcare: report on the FPM-HPT conference at
           Erasmus University in Rotterdam
    • Abstract: Publication date: September 2019Source: Health Policy and Technology, Volume 8, Issue 3Author(s): Donald R.J. Singer, Lytske J. Bakker, W. Ken Redekop
  • In this issue: improving health outcomes and reducing health inequalities
    • Abstract: Publication date: September 2019Source: Health Policy and Technology, Volume 8, Issue 3Author(s): W. Ken Redekop
  • Trust for online social media direct-to-consumer prescription medication
    • Abstract: Publication date: Available online 4 September 2019Source: Health Policy and TechnologyAuthor(s): Joshua Fogel, Mohamed Adnan ObjectivesWe are not aware of research on the association of social factors with trust for online social media direct-to-consumer prescription medication advertisements (DTCA). We study the association of race/ethnicity and social factors with online social media DTCA trust.MethodsParticipants (n = 665) were asked no/yes questions about their exposure to online social media DTCA advertisements from any of the following online social media platforms of Facebook, Google+, Instagram, LinkedIn, Pinterest, Snapchat, Twitter, Tumblr, and YouTube. Multivariate linear regression analyses were performed for trust and included predictors of race/ethnicity and social factors.ResultsAsian/Asian American race/ethnicity (B = 6.71, SE = 1.63, p < 0.001), prescription medication use (B = 3.87, SE = 1.49, p = 0.01), and bonding social capital (B = 0.31, SE = 0.05, p < 0.001) were each positively associated with increased trust in online social media DTCA. Age and tie strength were each not associated with trust in online social media DTCA.ConclusionsWe recommend that pharmaceutical marketers revise their current marketing policy and allocate in their budgets funding for online social media DTCA that are tailored to Asians/Asian Americans and include topics relating to bonding social capital. Pharmaceutical marketers may also want to employ easily accessible approaches for sharing online social media DTCA so that those with strong bonding social capital can connect with each other.
  • What stroke image do we want' European survey on acute stroke imaging
           and revascularisation treatment
    • Abstract: Publication date: Available online 10 August 2019Source: Health Policy and TechnologyAuthor(s): Anne-Claire Peultier, Ken Redekop, Diederik W.J. Dippel, Daniel Bereczki, Salim Si-Mohamed, Philippe C. Douek, Johan L. Severens IntroductionThe evolution of stroke treatment has been geared toward thrombolysis and thrombectomy, which requires quick imaging assessment. Various imaging and treatment options are available and current evidence suggests European differences in stroke care. We aimed to describe the patterns of stroke imaging and acute revascularisation therapy and examine variations across countries.MethodsA web-based clinician survey was developed and circulated to clinicians through email distribution lists and websites of European professional societies. Statistical analyses were performed.ResultsWe received responses from Sweden (21), the UK (16), Hungary (15), Germany (12) and Europe (47). Large variations are observed in revascularisation treatment: German respondents report that 81% of their ischaemic stroke patients diagnosed with a large vessel occlusion within 4.5 hours receive intravenous thrombolysis and thrombectomy, compared to 12% reported by the UK-respondents. For patients diagnosed with an extensive ischaemic stroke within 2 hours from onset, 75% of UK-respondents state thrombectomy as their preferred revascularisation treatment, but only 13% report to use it. Computed Tomography (CT) is reported as the most widely used first imaging test (for 81% to 93% of patients across geographic areas), while Magnetic Resonance Imaging (MRI) is a distant second.ConclusionThe diagnostic workup and, to a greater extent, the revascularisation treatments of typical stroke patients vary considerably across European countries. This study reinforces the need to compare the quality of stroke care in terms of process and outcomes between countries. Research is also needed to investigate the cost-effectiveness of second-line imaging strategies in acute stroke care.
  • Does X(a) mark the spot' An indirect mixed treatment comparison of Xa
           inhibitors compared to warfarin for patients with Atrial Fibrillation
    • Abstract: Publication date: Available online 9 August 2019Source: Health Policy and TechnologyAuthor(s): Panagiotis Petrou The study sets out to compare the safety and efficacy of oral Non-vitamin K antagonists and warfarin in patients with Atrial fibrillation.BackgroundPatients with atrial fibrillation carry a higher than normal risk for stroke, thus making them dependent on long-term anticoagulation treatment. While warfarin is considered to be the gold standard, several of its attributes, hinder adherence of patients to the therapeutic regimen. A new therapeutic category, the oral Non-vitamin K antagonist oral anticoagulants, aims to provide better and safer care to patients presenting with atrial fibrillation.MethodAn indirect mixed treatment comparison using data from published randomised controlled trials.ResultsLooking at the primary efficacy endpoint of stroke or systematic embolism, apixaban, rivaroxaban and dabigatran, seem superior to warfarin, while a trend exists for edoxaban [OR: 0.84 (95% CI 0.74-1.02)]. At the primary safety endpoint of major bleeding, apixaban and edoxaban appear superior to warfarin. Warfarin proved to be safer regarding gastrointestinal bleeding, compared to rivaroxaban, dabigatran and edoxaban. At the secondary efficacy endpoints of hemorrhagic and intracranial stroke, all Non-vitamin K antagonists appear to be superior to warfarin.ConclusionsThe Non-vitamin K antagonist oral anticoagulants constitute a new and promising category in the field of atrial fibrillation, even in the context of uncertainty, which an indirect comparison yields.
  • Modeling manpower requirement for a changing population health needs: The
           case of ophthalmic nurseVictors and allied health ophthalmic professionals
    • Abstract: Publication date: Available online 9 August 2019Source: Health Policy and TechnologyAuthor(s): John P. Ansah, Victoria Koh, Dirk De Korne, Thiyagarajan Jayabaskar, David B. Matchar, Desmond Quek BackgroundPrevalence of chronic eye conditions has been shown to increase with age. As the global population continues to age rapidly, the demand for eye care services is expected to increase significantly in the near future, requiring effective health workforce planning in order to provide for the needs of the population. The aim of this paper is to synthesize data from a variety of sources to develop a simulation model based on the systems modelling methodology of system dynamics that links population health needs to workforce requirements to generate evidence-based projections for ophthalmic nurses, and allied health ophthalmic professionals in Singapore.MethodsA system dynamics simulation model was developed with active engagement of key stakeholders—such as ophthalmologists, senior nurses, healthcare planners and managers, and senior technicians—to verify model structure and assumptions. The model project the future requirement of ophthalmic nurses, technicians and patient service assistants.ResultsThe number of Singaporeans with eye diseases is projected to more than double by 2040. As a result, the demand for eye care services and eye care workforce is expected to increase significantly under all the plausible scenarios. The increase in eye disease burden is due mainly to population aging—given that the prevalence of eye disease increases with age.ConclusionThis research provides a future demand outlook for ophthalmic nurses, technicians and patient service assistants in Singapore and has implications for recruitment and training of ophthalmic nurses and allied health professionals in Singapore.
  • A checklist for healthcare organisations undergoing transformational
           change associated with large-scale Health Information Systems
    • Abstract: Publication date: Available online 9 August 2019Source: Health Policy and TechnologyAuthor(s): Judith Sligo, Vaughan Roberts, Robin Gauld, Luis Villa, Sarah Thirlwall Objectives: Healthcare organisations are increasingly required to undertake transformational change in response to epidemiological and demographic changes, and rapid healthcare technological advances. However, transformational change is notoriously complex and challenging. This article presents a checklist that identifies key components of successful transformational change for organisations planning change.Methods: The checklist was developed after an extensive review of the literature and from the learnings of a realist evaluation of a transformational change process in a New Zealand Healthcare organisation. The article describes the items in the checklist and provides justification from the literature and evaluation.Results: A theoretical framework for the evaluation provided the structure for developing the checklist around four domains: organisational structures, resourcing, workforce, and information technology. These components are foundational: experiences of other organisations show that if these items are not in place or addressed, transformation will not occur.Conclusions: The checklist provides healthcare policy-makers and organisations with a template which can identify each of the components of a complex system. The checklist is created to adapt as organisational transformation evolves so is an advancement in both the use of checklists and in successful implementation of transformational change.
  • Effective policies for eliminating nursing workforce shortages: A
           systematic review
    • Abstract: Publication date: Available online 8 August 2019Source: Health Policy and TechnologyAuthor(s): Hyunbong Park, Soyoung Yu Objectives: Applied policy options were reviewed for evidence of their effectiveness in reducing nursing shortages.Background: The stable supply and qualitative maintenance of a healthy nursing workforce significantly impact patients’ outcomes; therefore, providing adequate nursing is a major global issue in terms of health policies.Methods: We conducted a systematic review of relevant studies to identify evidence of the effectiveness of applied policy options in managing shortages of nurses via four electronic databases. The data collection period was January 23–31, 2019.Results: After screening 2,151 initial candidate studies, 12 articles were included, 10 quantitative and 2 qualitative. Various policies had been implemented worldwide to combat nursing shortages, classified as new payment agreements, emergency hiring plans, RN residency programs, special contracting systems, rural allowance policies, and recruiting and guaranteeing incentives for nursing graduates and full-time government employment. Each study reviewed the implementation of policies tailored to the health-care environment of one country and reported successful results regarding nursing staff supply.Conclusions: Through the current review, the authors seek to promote policies using a multi-dimensional approach of cooperation between the government and health institutions, systematic information collection on health-care personnel, and government investment in crucial private programs during times of need.
  • Electronic Health Record use-diffusion patterns and eSharing of health
           information among US office-based physician practices
    • Abstract: Publication date: Available online 5 August 2019Source: Health Policy and TechnologyAuthor(s): Bola Ekezue, Jennifer Bushelle-Edghil, Burcu Adivar, Su Dong, Lee Brown BackgroundThe use of some computerized capabilities (CCs) that support eligibility for meaningful use incentive has lagged despite an increase in Electronic Health Record adoption.PurposeThis study described the use-pattern of CC among office-based physician practices by applying the Use-Diffusion model (UD); to identify CCs that support the Stage 1 core objectives for meaningful use, and to predict their effect on eSharing of health information.MethodsData from the United States 2013 National Ambulatory Medical Care Survey was used, and four use-patterns based on the variety and frequency of CC use were identified. Logistic regression was used to assess factors related to the use of a low variety of CC, and factors predictive of eSharing of health information.ResultsThe unweighted sample of 2444 physician practices reported at least one computerized capability. The weighted proportion of each UD group was 53%, 20%, 15% and 12% representing the intense, non-specialized, specialized, and limited groups respectively. Only 5.3% in the specialized and 8.9% in the limited UD groups reported the ability to provide electronic access to patients in 2013. Provision of email/internet patient consult and having an increasing number of CCs were predictive of eSharing of health information.ConclusionsThe use-diffusion model can describe office-based physician practices’ use-pattern of EHR capabilities, and the characteristics that differentiate the groups. Solo and specialty practices may lag in their readiness to meet the Stage 1 meaningful use objectives, both in the variety of capabilities and the frequency of use to qualify for incentive payments.
  • Patterns and trends in outpatient diagnostic imaging studies of the
           Brazilian public healthcare system, 2002-2014
    • Abstract: Publication date: Available online 18 July 2019Source: Health Policy and TechnologyAuthor(s): Ana C.M. Dovales, Richard W. Harbron, Andressa A. de Souza, Luiz A.R. da Rosa, Amy Berrington de González, Mark S. Pearce, Lene H.S. Veiga ObjectivesTo evaluate the patterns and trends of diagnostic imaging examinations among outpatients of the Brazilian public healthcare system (SUS) from 2002 to 2014.MethodsWe collected the annual number of diagnostic imaging procedures among SUS outpatients and the number of diagnostic imaging machines (in use in Brazil and available to SUS) from an online database managed by SUS. Usage rates of procedures among SUS-dependent population were estimated using demographic data and the proportion of the population not covered by private health insurance.ResultsDiagnostic imaging usage increased dramatically in SUS-Brazil over the study period, mainly for computed tomography (CT) and magnetic resonance imaging (MRI), which increased 12% and 19% per year, respectively. Usage rates for radiography, ultrasound, CT, MRI, nuclear medicine and fluoroscopy in 2014 were: 367, 103, 24, 6, 3 and 2 procedures per thousand SUS-dependent population, respectively. Increased usage rates were accompanied by increased availability of machines in SUS and/or increased number of procedures per machine.ConclusionsThe use of diagnostic imaging in SUS-Brazil greatly increased since 2002, but was still much lower than in developed countries, mainly for advanced imaging modalities. Nevertheless, the steep growth in CT use in Brazil raises concerns regarding its potential radiation-related risks, mainly among children.
  • Good Practices Systematization for Medical Equipment Development and
           Certification Process: a Brazilian case study
    • Abstract: Publication date: Available online 16 July 2019Source: Health Policy and TechnologyAuthor(s): Kelly C. Lobato, Ana Paula Almeida, Rodrigo M. Almeida, Janaína M. Costa, Carlos H. Mello
  • Survey on the willingness to pay for tele-health consultation
    • Abstract: Publication date: Available online 15 July 2019Source: Health Policy and TechnologyAuthor(s): Teppei Suzuki, Tamotsu Abe, Shintaro Tsuji, Tomoko Shimoda, Sadako Yoshimura, Katsuhiko Ogasawara BackgroundWe previously conducted a survey on users of tele-health consultations system to investigate their willingness to pay (WTP). To assess the economic value of the tele-health system, we need to investigate the demand and value of the tele-health in another way. Therefore, the purpose of this study is to submit basic information to create a sustainable business model and to investigate the economic value of the tele-health consultation system.MethodsThe 480 respondents were instructed to assume an environment where a tele-health consultation system is implemented in a region with no prior experience with such a service. This study adopted a Contingent Valuation Method to measure the demand and value of tele-health. A WTP fee for using the tele-health consultation system for 10 minutes was calculated using a Double-Bounded Dichotomous Choice and a Random Utility Logit Model.ResultsThe median and average amount of the WTP fee for using the tele-health consultation system for 10 minutes was ¥ 367 (US$ 3.30) and ¥ 495 (US$ 4.40) respectively. Further analysis indicates that the WTP fee tends to be higher when a certain factor is present, namely, intention to use the service.ConclusionTo gather basic information concerning the economic value of the tele-health consultation system, we clarified the appropriate WTP fee and the factors leading to a higher WTP fee. In future research, we will conduct follow-up research and consider adding more information concerning the advantages and limitations of implementing remote health consulting to build a clearer scenario.
  • The Need to Address Legal Ambiguity on Conceiving Saviour Siblings in
    • Abstract: Publication date: Available online 9 July 2019Source: Health Policy and TechnologyAuthor(s): Chee Ying Kuek, Sharon Kaur Gurmukh Singh, Pek San Tay Conceiving a saviour sibling can be a vital treatment option for a child suffering from a haematological condition. However, the legality of this option may be called into question in countries where there is no clear law or policy regarding the use of preimplantation genetic diagnosis with HLA typing (PGD-HLA typing) or HLA typing alone for this purpose. In Malaysia for instance, there is no legislative framework governing the use of assisted reproductive technology and the only guidance appears to be provided by guidelines issued by the Malaysian Medical Council. In the absence of clear direction, broad guidelines or policy positions taken by such statutory bodies may heavily influence the practice or roll out of certain technologically advanced therapeutic interventions.Previous literature has construed this Guideline narrowly as prohibiting this practice. This paper argues that the narrow and traditional interpretation method used in previous literature is wanting and suggests a more meaningful approach to the interpretation of the Guideline and advocates that this interpretative method should be applied in similar instances involving technologically advanced treatment modalities in other similar situations. Such guidance documents should be interpreted in a manner which takes into account the nature of the technology, its implications and intended use.
  • Social media use is associated with sleep duration and disturbance among
           adolescents in Bangladesh
    • Abstract: Publication date: Available online 6 June 2019Source: Health Policy and TechnologyAuthor(s): Asaduzzaman Khan, Riaz Uddin, Sheikh Mohammed Shariful Islam
  • Assessing Awareness and Use of Mobile Phone Technology for Health and
           Wellness: Insights from India
    • Abstract: Publication date: Available online 30 May 2019Source: Health Policy and TechnologyAuthor(s): Rajesh R. Pai, Sreejith Alathur PurposeThe purpose of this study is to determine the awareness and use of mobile phones and applications for health service delivery among technical students, working staff, medical students, and health professionals of India.Design/methodology/approachA cross-sectional study was conducted with a sample size of 386 students, working staff, and health professionals of engineering and medicine using structured questionnaires and the data were analyzed.FindingsMost of the responses are female (50.25%) of age 18-25 (48.44%). However, respondents have used mobile phones for managing menstrual cycles and chronic/lifestyle diseases. Moreover, the degree of awareness and familiarity about the term “mobile health” was found to be more among technical students and working staff (55.17%) than medical students and health professionals (44.82%). Statistical results also revealed that awareness about the use of mobile phone for health-related components was found to be significant except for health awareness and education, and medication adherence and refilling. Further, about mobile health applications use, there exists a significant association between the study groups for the self-management applications of cancer, cholesterol, heart diseases, and stroke.ConclusionThe study recommends to improve peoples’ awareness and familiarity about the use of mobile phone for managing health and service delivery. This can be achieved with the help of health professionals as most of the people prefer personal visits than through mobile interventions. Moreover, peoples’ socio-demographic factors, perception about the device, and health information also play an important role in using mobile health applications for health service delivery.
  • Smartphone as an Intervention to Intention-Behavior of Patient Care
    • Abstract: Publication date: Available online 24 May 2019Source: Health Policy and TechnologyAuthor(s): Neelam Nakra, Mithilesh Pandey PurposeSmartphone intervention can be critical for healthcare professionals who often experience human life at risk. This study attempts to assist healthcare professionals to better understand the intervention role of smartphones in intention-behavior of patient care.Research Design/MethodologyExploratory in nature, this study uses various literatures and articles published in journals and magazines as well as primary data collected using a qualitative approach. Purposive sampling made it possible to conduct in-depth interviews with healthcare professionals, namely, doctors, nurses, and ward boys from hospitals and clinics of the Punjab region of India. The study uses a data saturation method to realize the adequacy of the sample size, and a grounded theory approach to analyze the interviews.FindingsThis study found a gap between intentions and behavior in patient care among healthcare professionals. A smartphone intervenes in the intention-behavior relationship of patient care in three modes, namely propinquity, applications, and communication. The smartphone propinquity pertains to the physical proximity of the healthcare professionals to the smartphone; the applications refer to those installed in the smartphone; and communication indicates calling and e-communications made using the smartphone.Practical ImplicationsThis study will assist hospital management, governments, and other organizations in drafting a suitable policy for the use of smartphones by healthcare professionals. The manufacturers and software developers of smartphones can deliver devices and software that meet the needs of healthcare professionals for patient care. This study will help healthcare professionals to better understand the usage and effects of smartphones with respect to patients, and to decrease the gap between intention and behavior to improve patient care.OriginalityThis study is unique in that there have been no comprehensive studies of smartphone intervention with respect to its influences on intention-behavior in patient care.
  • Modelling uncertainty in survival and cost-effectiveness is vital in the
           era of gene therapies: the case of axicabtagene ciloleucel
    • Abstract: Publication date: Available online 21 May 2019Source: Health Policy and TechnologyAuthor(s): Adam JN Raymakers, Dean A Regier, Stuart J Peacock
  • United States Regulatory Approval of Medical Devices and Software
           Applications Enhanced by Artificial Intelligence
    • Abstract: Publication date: Available online 18 May 2019Source: Health Policy and TechnologyAuthor(s): Kurt A. Yaeger, Michael Martini, Gal Yaniv, Eric K. Oermann, Anthony B. Costa In the United States, regulatory oversight of medical devices has evolved with the changing technology. With the introduction into routine clinical practice software applications and computer-based devices, the U.S. Food and Drug Administration (FDA) has further defined categories of risk and intended use to better uphold patient safety, while encouraging innovation in medical technology. However, as new software technologies such as artificial intelligence (AI) are developed, refined, and introduced into the healthcare sector, there will be a need for regulatory bodies to rapidly respond. In the current review, we discuss the evolution of US FDA oversight of medical devices, initially of hardware, and the present stance on medical software applications, including devices augmented with artificial intelligence.
  • IInformation and Communication Technology usage in post-conflict maternal
           healthcare: Northern Uganda Referral Hospital Perspective
    • Abstract: Publication date: Available online 17 May 2019Source: Health Policy and TechnologyAuthor(s): Jackson Abandu, Florence N. Kivunike, Patrick Okot, Joyce Lamunu ObjectiveThe main objective of this study was to assess Information and Communication Technology (ICT) usage in post-conflict maternal healthcare. This adds to the knowledge base as well as boosts the need to prioritize, empower and create awareness among ICT benefactors.MethodsA descriptive survey design was applied to quantify and explain the findings that were obtained from Gulu Referral hospital. A set of structured questionnaires were distributed to the participants during the phase of data collection. Regression analysis was performed to assess the relational impact of the identified factors on the use of ICT with the help of Statistical Package for Social Sciences.ResultsAlthough regression has shown usefulness, ease of use, trust and awareness as the key factors that promote ICT usage in the services of maternal healthcare, a number of deterrents were identified. The deterrents include: limitation of strong ICT infrastructure, skills and knowledge.ConclusionWe recommend management and Government improve ICT infrastructure and offer user training to impart knowledge and skills that are needed for handling sensitive or private health data. Adequate funding is also needed to strengthen ICT infrastructure. Due to the complex or dynamic nature of the society and advance in ICT more promoting and deterring factors should be explored in future.
  • Creating Online Personal Medical Accounts: Recent Experience in Two
           Developed Countries
    • Abstract: Publication date: Available online 16 May 2019Source: Health Policy and TechnologyAuthor(s): Ming-Jui Yeh, Richard B. Saltman BackgroundOnline personal medical accounts are increasingly viewed as a useful mechanism to both inform and educate patients and citizens about their individual health condition. A number of countries have announced major national projects to put this type of information system in place.MethodsThis article adopts a comparative health systems approach to examine the experience of two smaller developed countries – Taiwan and Estonia – that now have universal national medical account systems in current service. The comparison focuses on the structural similarities and differences of both core characteristics of these two health systems and of their specific personal medical account arrangements.ResultsWhile Taiwan has multiple separated systems with voluntary options for patients, Estonia has a single integrated one which is mandatory for all citizens. Further, the Estonian system is more advanced in providing the ability to book or cancel medical appointments. Both systems directly control patients for system management purposes, allow patients access to prior medical records, and reorient the focus of health management from curative toward preventive care. A centralized and technically competent government agency and the political willingness of citizens to grant information-gathering powers to it appear to be essential elements in the successful implementation of these systems. Concerns about individual privacy protection and citizens’ ability to decide whether to participate are also discussed.ConclusionA number of core issues regarding the technical introduction and political acceptability of personal medical accounts remain unresolved, and that going forward they will continue to occupy considerable attention.
  • Cost-effectiveness of novel imaging tests to select patients for carotid
    • Abstract: Publication date: Available online 15 May 2019Source: Health Policy and TechnologyAuthor(s): Leander R. Buisman, Adriana J. Rijnsburger, Aad van der Lugt, Paul J. Nederkoorn, Peter J. Koudstaal, William K. Redekop ObjectiveWe estimated the cost-effectiveness of novel imaging tests to select patients for carotid endarterectomy (CEA) in patients with significant carotid stenosis using a computer model and explored the minimum prognostic performance that a new confirmatory test must have in order to be cost-effective versus the guideline-based strategy.MethodsThe guidelines recommend initial duplex ultrasonography (DUS) followed by a confirmatory test if DUS shows 30-69% stenosis; a positive CT-angiography(CTA) is an indication for CEA. In an alternative strategy, we replaced CTA with CE-DUS, and in another strategy we replaced it by a hypothetical imaging test and estimated the minimum prognostic performance that the test must have in order to be cost-effective versus the guideline-based strategy. We assessed the potential cost-effectiveness in four age- and sex-specific subpopulations.ResultsFor 60-year-old men, a perfect confirmatory test (100% sensitivity and specificity) improves health (0.066 quality-adjusted life years) and reduces costs (€110/$146) versus the guideline-based strategy. Potential health gain is smaller for 80-year-old men, while no health gain is expected for women. Assuming 100% sensitivity, a test must have a specificity of at least 66% for 60-year-old men and 87% for 80-year-old men to be cost-effective. Similarly, assuming 100% specificity, a test must have a sensitivity of at least 58% for 60-year-old men and 66% for 80-year-old men.ConclusionsInformation from new imaging technologies may improve stroke risk prediction and thereby improve decisions about which patients should undergo CEA. However, their cost-effectiveness strongly depends on the current test strategy and choice of patient subpopulation.
  • Evaluation of the Effectiveness of the Notification Process in the Area of
           Health Products
    • Abstract: Publication date: Available online 2 May 2019Source: Health Policy and TechnologyAuthor(s): Luciana Ferreira Mattos Colli, Luiz Cláudio Rodrigues Pereira da Silva, Valeria Pereira de Sousa, Marcelo de Padula, Lucio Mendes Cabral In Brazil, health products are subject to health technology and are marketed only after they are registered by regulated companies. It is important to monitor the performance of these products in the market during the post-marketing phase, in an effort to prevent, intervene, and act in response to complaints and adverse events.Objectives: Evaluate and perform a functional benchmarking to identify best practices in health technology monitoring of health product companies, and determine critical points regarding the execution of health technology assessment programs.Methods: The sampling of the target population was non-probabilistic and the investigation was conducted with the collection of different kinds of information related to technical complaint (TC) and adverse event (AE) procedures performed by companies that register health products.Results: A pilot study was performed. After the preparation of a questionnaire, it was applied in a functional benchmarking in 22 medium/large companies that follow-up with consumers of health products.Conclusions: The questionnaire developed throughout the study proved to be a useful tool for the diagnosis of the degree of implementation of health products monitoring procedures. Company “A” appeared to be meeting what Brazilian legislation requires as a standard procedure for health technology monitoring.
  • Worldwide Implementation of Telemedicine Programs in Association with
           Research Performance and Health Policy
    • Abstract: Publication date: Available online 18 April 2019Source: Health Policy and TechnologyAuthor(s): Anna A Avanesova, Tatyana A. Shamliyan
  • Artificial Intelligence in Medicine: What is It Doing for Us Today'
    • Abstract: Publication date: Available online 29 March 2019Source: Health Policy and TechnologyAuthor(s): Aliza Becker With its origins in the mid- to late-1900s, today, artificial intelligence (AI) is used in a wide range of medical fields for varying purposes. This review first covers the early work regarding AI in medicine, then aims to elucidate some of the most current applications of machine learning in medicine according to the following four specific categories: (1) its use in assessing the risk of disease onset and in estimating treatment success; (2) its use in managing or alleviating complications; (3) its role in ongoing patient care; and (4) its use in ongoing pathology and treatment efficacy research. Lastly, this paper clarifies some of the potential drawbacks, concerns, and uncertainties surrounding the use of AI in medicine and briefly discusses some of the efforts being made to prepare the health care industry for the implementation of AI.
  • Planning and positioning mHealth interventions in developing countries
    • Abstract: Publication date: Available online 23 March 2019Source: Health Policy and TechnologyAuthor(s): Dr. Emmanuel Eze, Dr. Rob Gleasure, Dr. Ciara Heavin ObjectiveThe objective of this paper is to develop a framework for the planning and positioning of mHealth interventions in developing countries.MethodThe description of the framework uses an illustrative case from Enugu State, Nigeria. Planning and positioning for this case involved a number of interventions including workshops, training sessions, and other attempts to socialise mHealth tools and canvass for local and regional support.ResultsThe planning and positioning differentiates between interventions at two levels. First, we differentiate between interventions targeting traits and states, the latter being situation-specific. Second, we differentiate between individual and social interventions, the latter being resilient to personnel change. This creates a simple 2*2 matrix to lay out the portfolio of interventions in an mHealth project.ConclusionThe framework offers support to governments, decision makers, and developers as they design an assemblage of mHealth interventions. This added clarity means the framework also helps to analyse ‘as is’ structures and behaviours. The framework further provides support for reflecting on projects, as interdependent goals in different quadrants can be assessed against specific interventions.
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