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  Subjects -> HEALTH AND SAFETY (Total: 1424 journals)
    - CIVIL DEFENSE (23 journals)
    - DRUG ABUSE AND ALCOHOLISM (87 journals)
    - HEALTH AND SAFETY (626 journals)
    - HEALTH FACILITIES AND ADMINISTRATION (387 journals)
    - OCCUPATIONAL HEALTH AND SAFETY (107 journals)
    - PHYSICAL FITNESS AND HYGIENE (112 journals)
    - WOMEN'S HEALTH (82 journals)

HEALTH AND SAFETY (626 journals)                  1 2 3 4 | Last

Showing 1 - 200 of 203 Journals sorted alphabetically
16 de Abril     Open Access  
A Life in the Day     Hybrid Journal   (Followers: 12)
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: 24)
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: 15)
American Journal of Health Education     Hybrid Journal   (Followers: 32)
American Journal of Health Promotion     Hybrid Journal   (Followers: 30)
American Journal of Health Sciences     Open Access   (Followers: 8)
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: 241)
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  
Annals of Global Health     Open Access   (Followers: 10)
Annals of Health Law     Open Access   (Followers: 3)
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: 9)
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: 7)
BMC Pregnancy and Childbirth     Open Access   (Followers: 22)
BMJ Simulation & Technology Enhanced Learning     Hybrid Journal   (Followers: 10)
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: 18)
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: 22)
Cannabis and Cannabinoid Research     Hybrid Journal   (Followers: 1)
Carta Comunitaria     Open Access  
Case Reports in Women's Health     Open Access   (Followers: 3)
Case Studies in Fire Safety     Open Access   (Followers: 15)
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: 10)
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  
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: 9)
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: 1)
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, 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: 3)
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)
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: 5)
Hacia la Promoción de la Salud     Open Access  
Hastane Öncesi Dergisi     Open Access  
Hastings Center Report     Hybrid Journal   (Followers: 3)
HEADline     Hybrid Journal  
Health & Place     Hybrid Journal   (Followers: 15)
Health & Justice     Open Access   (Followers: 5)
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: 57)
Health Behavior and Policy Review     Full-text available via subscription   (Followers: 3)
Health Care Analysis     Hybrid Journal   (Followers: 15)
Health Equity     Open Access  
Health Inform     Full-text available via subscription  
Health Information Management Journal     Hybrid Journal   (Followers: 23)
Health Issues     Full-text available via subscription   (Followers: 2)
Health Notions     Open Access  
Health Policy     Hybrid Journal   (Followers: 43)
Health Policy and Technology     Hybrid Journal   (Followers: 4)
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: 53)
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: 14)
Health SA Gesondheid     Open Access   (Followers: 2)
Health Science Reports     Open Access  
Health Sciences and Disease     Open Access   (Followers: 2)
Health Security     Hybrid Journal  
Health Services Insights     Open Access   (Followers: 1)
Health Systems     Hybrid Journal   (Followers: 4)
Health Voices     Full-text available via subscription  
Health, Culture and Society     Open Access   (Followers: 12)
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: 8)
Healthcare Technology Letters     Open Access  
Healthy Aging Research     Open Access  
HERD : Health Environments Research & Design Journal     Full-text available via subscription  
Highland Medical Research Journal     Full-text available via subscription  

        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: 4  
 
  Hybrid Journal Hybrid journal (It can contain Open Access articles)
ISSN (Print) 2211-8837
Published by Elsevier Homepage  [3184 journals]
  • 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
           endarterectomy
    • 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.
       
  • How can we make better decisions about the development and implementation
           of health technologies'
    • Abstract: Publication date: March 2019Source: Health Policy and Technology, Volume 8, Issue 1Author(s): W. Ken Redekop
       
  • European Cooperation on Healthcare
    • Abstract: Publication date: March 2019Source: Health Policy and Technology, Volume 8, Issue 1Author(s): Donald RJ Singer, Lytske Bakker, Ken Redekop
       
  • Editorial Board/Aims and Scope
    • Abstract: Publication date: March 2019Source: Health Policy and Technology, Volume 8, Issue 1Author(s):
       
  • Rouhani-Care and the Joint Comprehensive Plan of Action: A Nightmare
           Scenario
    • Abstract: Publication date: Available online 27 February 2019Source: Health Policy and TechnologyAuthor(s): Mojtaba Nouhi, Alireza Olyaeemanesh, Ehsan Teymourzadeh, Mohammadkarim Bahadori, Seyyed Mostafa Hakimzadeh, Mansoor Babaei
       
  • ANALYTIC HIERARCHY PROCESS FOR HOSPITAL SITE SELECTION
    • Abstract: Publication date: Available online 23 February 2019Source: Health Policy and TechnologyAuthor(s): TEZCAN ŞAHİN, SAFFET OCAK, MEHMET TOPABSTRACTAim: This study investigated a decision support model for site selection to establish a new hospital based on the analytic hierarchy process (AHP). The main purpose of this study was to select the best site for a hospital using this process in Muğla, Turkey.Method: AHP was employed as the methodological tool for the selection of the site. The study was based on 6 criteria and 19 sub-criteria. All districts in the province of Muğla were evaluated as alternatives. These districts include: Bodrum, Dalaman, Datça, Fethiye, Kavaklıdere, Koyceğiz, Marmaris, Menteşe, Milas, Seydikemer, Ula, and Yatağan. The alternatives were ranked using a 1-9 Saaty scale. The analysis of the hierarchy model was conducted by using the Super Decisions 2.2.6 software program.Results: Results show that demand is the most important factor in determining the appropriate hospital site, followed by accessibility, competitors, government, related industry and environmental conditions. According to the results, Bodrum was chosen to be the best site to establish a new hospital.Conclusion: Due to limited resources in developing countries such as Turkey, it is critical that decisions are made as a result of scientific research. In this context, investors need to take into account some factors in line with this aim. The proposed evaluation criteria provide a reference for hospital administrators and investors in the selection of hospital sites using AHP.
       
  • Enzymatic replacement therapy for lysosomal storage disorders: drug
           evaluations review in Spain.
    • Abstract: Publication date: Available online 15 February 2019Source: Health Policy and TechnologyAuthor(s): Darbà Josep, Ascanio MeritxellABSTRACTIntroduction: In the European Union companies only need to demonstrate that the risk-benefit balance of the new drug is favourable to obtain the authorization to sell new drugs. Hence a comparison with available treatments, a cost-effectiveness analysis and the place in the therapy of the new drug are not required. Therefore, it is necessary to carry out these analyses in an additional study. In Spain there is no national government agency, which conducts a centralized evaluation and makes decisions on funding and are the Pharmacy and Therapeutics committees that take mandatory decisions for the entire region.Objectives: To identify all drug assessments and health technology assessment reports of the enzymatic replacement treatments for the four LSD considered in this study, including Mucopolysaccharidosis (MPS), Gaucher, Fabry and Pompe disease at the national, regional and hospital level; and to summarize the efficacy in terms of outcome measures, adverse events, economic impact and final recommendations and indicate potential improvements.Methods: 19 reviews at the regional and hospital level and one therapeutic positioning report at national level for MPS were considered for this.Results: In general, the drugs evaluated in LSD have proved to be effective in the most frequent clinical forms of disease. However, there are clinical phenotypes that still do not have available an effective treatment.Conclusions: It is expected that new therapies, such as intrathecal therapies or gene therapy could be evaluated in the different types of LSD demonstrating positive effects, especially in the previous phenotypes.
       
  • Gender Differences in Heart Diseases: Evidence from Turkey
    • Abstract: Publication date: Available online 13 February 2019Source: Health Policy and TechnologyAuthor(s): Tekin Kose ObjectivesThis study examines gender differences in heart disease experiences of individuals in Turkey by employing individual level data from a nationally representative survey.MethodsBy using Turkish Health Survey, this study constructs a binary indicator for heart disease experiences of individuals, which accounts for heart problems such as myocardial infarction, coronary heart disease and angina pectoris. Binary logistic regression models are estimated for quantification of associations between prevalence of heart diseases, gender and other risk factors.ResultsEmpirical results imply that females are significantly less likely to experience heart diseases in Turkey. Age and hypertension issues are directly correlated with heart problems for both males and females. Perceived health status is negatively associated with probability of experiencing heart diseases for both males and females in Turkey. Having diabetes is a positive significant predictor of heart disease experiences for Turkish females. Females with higher household income level are less likely to have heart diseases. Finally, education level and lifestyle indicators such as smoking, physical activity, fruit, vegetable and alcohol consumption display mixed results.ConclusionsThis study suggests that there are gender differences in prevalence and risk factors of heart diseases in Turkey. Complementing the earlier literature, findings of this study imply that gender specific health interventions would be effective in coping with heart related diseases.
       
  • Equity and efficiency priorities within the Spanish health system: A
           discrete choice experiment eliciting stakeholders preferences
    • Abstract: Publication date: Available online 6 February 2019Source: Health Policy and TechnologyAuthor(s): Emmanouil Mentzakis, Manuel García-Goñi, Francesco Paolucci, Ana Rita Sequeira BackgroundThe trade-off between efficiency and equity has been largely studied in the health economics literature and for countries with different types of health systems. Even if efficiency and equity are desired, it is not always feasible to attain both simultaneously. In Spain, the National Health System has historically been recognized for its universal access and free of charge provision, with good health outcomes. However, the recent increase in health expenditures together with the economic cycle has turned the orientation of health policy implementation towards efficiency, threatening universality and equity in the access to healthcare.MethodsA Discrete Choice Experiment was carried out to weigh priorities of policy-makers from different regions in Spain. A total of 69 valid questionnaires were collected and the preferences towards equity and/or efficiency criteria were evaluated. Composite League Tables (CLTs) were used to rank hypothetical health interventions based on their attributes.ResultsThe Spanish health policy-makers, managers and other stakeholder displayed a stronger preference for severity of disease, high individual benefits, a large number of beneficiaries and proven cost-effectiveness criteria in decision making. The priority interventions targeted severe mental disorders, i.e. major depressive disorders and suicides (or suicidal attempts), especially for young and middle age categories across the three regions under study.ConclusionIn times of economic crisis, health policy-makers, managers and other stakeholder value, in moderation, efficiency over equity. The impact of austerity measures on populations’ socio-economic wellbeing seems correlated with the preference for mental health interventions.
       
  • Cost-utility analysis of cariprazine compared to risperidone among
           patients with negative symptoms of schizophrenia
    • Abstract: Publication date: Available online 31 January 2019Source: Health Policy and TechnologyAuthor(s): Bertalan Németh, Rita Bendes, Balázs Nagy, Árpád Götze, Kristóf Kóczián, Margit Horváth, Izabella Deák, Bernadett Tóth, Zoltán Kaló ObjectivesThe aim was to assess the cost-effectiveness of cariprazine compared to second-generation antipsychotics in the treatment of schizophrenia for patients with negative symptoms in Hungary.MethodsTo assess the cost-effectiveness of cariprazine, a deterministic 8-health state Markov cohort model was built. The analysis was performed from a third-party payer perspective. Data were gathered from relevant sources of the scientific literature and public databases. Unit costs were based on tariffs of the National Health Insurance Fund Management. Key assumptions on treatment pathways and resource utilization were supported by experts to reflect clinical practice. These assumptions include the option of therapy switching, and selection of a 2-year time horizon. Deterministic and probabilistic sensitivity analyses were also conducted, together with scenario analyses.ResultsThe use of cariprazine resulted in 1.45 Quality-Adjusted Life Years (QALY) per patient, and a total cost of 3,340 Euros per patient over a time horizon of two years. The use of risperidone resulted in 1.40 QALY/patient, and a total cost of 1,896 Euros per patient. The incremental cost-effectiveness ratio (ICER) of the comparison between cariprazine and risperidone is therefore 28,897 Euros/QALY. The sensitivity analyses and the scenario analysis confirmed the robustness of the base-case results.ConclusionsCariprazine compared to risperidone in the treatment of schizophrenia for patients with negative symptoms provides additional health gain at acceptable costs according to the willingness to pay threshold in Hungary. The findings of the analysis were proven to be robust in the scenario analyses and sensitivity analyses.
       
  • The role of social media in preventing and managing non-communicable
           diseases in low-and-middle income countries: Hope or Hype'
    • Abstract: Publication date: Available online 24 January 2019Source: Health Policy and TechnologyAuthor(s): Sheikh Mohammad Shariful Islam, Reshman Tabassum, Yong Liu, Shiqun Chen, Julie Redfern, Sun-Young Kim, Kylie Ball, Ralph Maddison, Clara K Chow Non-communicable diseases (NCDs) pose major challenges for health systems in low-and-middle income countries (LMICs). Social media maybe a low-cost, powerful tool to support NCDs prevention and management in LMICs through its ability to reach a large population. However, data on the role of social media for NCD prevention and management in LMICs is scares. This commentary paper explores the role of social media for prevention and management of NCDs and discusses how these may particularly have a role in supporting people in LMICs. We conducted a literature search using PubMed and Google Scholar to identify peer-reviewed articles using social media for NCDs in LMICs. Technology based interventions are increasingly being examined as a means to address healthcare gaps, especially in LMICs. The potential role of social media in NCD prevention and management includes patient health education and information sharing, psychological support, self-management, public health campaigns and health professional's capacity building. Nevertheless, there is little direct data on utilizing social media for NCD prevention and management in LMICs and thus a systematic review was not possible. However, social media may also have risks and challenges, such as conveying incorrect information, lack of data confidentiality, monitoring, and regulation, commercial interests, equity of access, and lack of standards. Regulatory guidelines and standards need to be developed and adhered to help avoid adverse consequences. Further research on effectiveness of social media for NCDs using robust methodologies in different population groups for short/long term impacts in LMICs is recommended.
       
  • Bringing Big Data Analytics Closer to Practice: a Methodological
           Explanation and Demonstration of Classification Algorithms
    • Abstract: Publication date: Available online 6 January 2019Source: Health Policy and TechnologyAuthor(s): Ofir Ben-Assuli, Tsipi Heart, Nir Shlomo, Robert Klempfner BackgroundBig data analytics are becoming more prevalent due to the recent availability of health data. Yet in spite of evidence supporting the potential contribution of big data analytics to health policy makers and care providers, these tools are still too complex to be routinely used. Further, access to comprehensive datasets required for more accurate results is complex and costly. Consequently, big data analytics are mostly used by researchers and experts who are far removed from actual clinical practice. Hence, policy makers should allocate resources to encourage studies that clarify and simplify big data analytics so it can be used by non-experts (e.g. clinicians, practitioners and decision-makers who may not have advanced computer skills). It is also important to fund data collection and integration from various health IT, a pre-condition for any big data analytics project.ObjectivesTo methodologically clarify the rationale and logic behind several analytics algorithms to help non-expert users employ big data analytics by understanding how to implement relatively easy to use platforms as Azure ML.MethodsWe demonstrate the predictive power of four known algorithms and compare their accuracy in predicting early mortality of Congestive Heart Failure (CHF) patients.ResultsThe results of our models outperform those reported in the literature, attesting to the strength of some of the models, and the utility of comprehensive data.ConclusionsThe results support our call to policy makers to allocate resources to establishing comprehensive, integrated health IT systems, and to projects aimed at simplifying ML analytics.
       
  • Policy review: Implication of tax on sugar-sweetened beverages for
           reducing obesity and improving heart health
    • Abstract: Publication date: Available online 5 January 2019Source: Health Policy and TechnologyAuthor(s): Hyunbong Park, Soyoung Yu ObjectivesThis review aimed to review global consumption of sugar sweetened beverages and the extent to which this relates to the risks of obesity and cardiovascular disease. This review also aimed to assess evidence on the effectiveness of soda taxes in reducing the consumption of sugar sweetened beverages.MethodsA literature review was performed on international rates of sugar sweetened beverage (SSB) consumption and associations between this and the risk of cardiovascular disease. An evaluation was also performed of evidence for operational results of these policies in several countries.ResultsThe studies reviewed confirmed a consistent association between sugar sweetened beverage consumption and risk of cardiovascular disease and yet sugar sweetened beverage consumption has increased significantly worldwide. Review of published evidence suggests that taxing sugar sweetened beverages is an effective policy for reducing their consumption.ConclusionBased on the available evidence, an SSB tax is an effective policy in several countries. To expand and strengthen taxation policy for health-related indicators/outcomes, well-managed experimental studies of actual SSB taxation policies should be conducted and the tax system should be applied to each country considering the circumstances and with a package of effective interventions.
       
  • The Cost-Effectiveness of EndoPredict to Inform Adjuvant Chemotherapy
           Decisions in Early Breast Cancer
    • Abstract: Publication date: Available online 24 December 2018Source: Health Policy and TechnologyAuthor(s): Sebastian Hinde, Chloi Theriou, Shirley May, Lucy Matthews, Amy Arbon, Lesley Fallowfield, David Bloomfield BackgroundAdjuvant chemotherapy in breast cancer patients post resection has been estimated to reduce mortality rates by up to 30%. However, the heterogeneous nature of the disease and patients implies that not all patients should receive the treatment. Many existing prognostic tools, may not definitively estimate the most effective treatment strategy, resulting in an indeterminate risk classification. In such cases gene expression profiling tests can aid the treatment decision.MethodsThis study evaluated the cost-effectiveness of EndoPredict in patients with indeterminate risk classification. A mathematical model was constructed to determine how the change in treatment decisions impacted the long term health of the population, and the future cost implications to the NHS.ResultsEndoPredict was found to lead to 36.9% of patients having a change in treatment decision. As a result its use was found to result in an increase in population health but also in total costs, resulting in an incremental cost-effectiveness ratio of £26,836 per quality adjusted life year. This was subject to significant parametric and structural uncertainty.ConclusionWhile EndoPredict was found to be more expensive overall, its ability to affect a more optimal allocation of chemotherapy, resulted in long term health gains, however, they were insufficient to justify the high cost of EndoPredict.
       
 
 
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