BOOKS OF THE MONTH
Day R.A., Gastel B.
Westport : Greenwood Press : 2006 : 11-302 p.
This book includes all the information and advice needed to write and publish a scientific paper. This expanded edition contains new information on electronic manuscript preparation and the use of computers to create effective tabulation. This text refers to an out of print or unavailable edition of this title.
Tompa E., Culyer A.J., Dolinschi R.
Oxford : Oxford University Press : 2008 : 295 p.
Undertaking economic evaluations of workplace-based occupational health and safety interventions can be difficult, reflected by the significant lack of literature, evidence and guidance on the subject. Particular difficulties include: complex labour legislation; differences in the perception of health risks associated with work experiences amongst workplace parties and policy makers; the burden of costs and consequences being borne by different stakeholders in the system; conflicting incentives and priorities between the multiple stakeholders; lack of consensus about what ought to count as a benefit or cost of intervening or not intervening; multiple providers of indemnity and medical care coverage; and industry-specific human resources practices making it difficult to identify all work-related illnesses and injuries. In addition, most health economics methods books are designed for use in a clinical setting, which cannot be adapted for the workplace setting. In the face of such barriers, it is not surprising that few studies of occupational health and safety interventions contain an economic evaluation. This book aims to lay the foundations for a systematic methodology of economic evaluation of workplace interventions, by identifying the main barriers to research of high quality and practical relevance, and proposing a research strategy to remedy these weaknesses. Context chapters provide a wealth of background material ranging from a presentation of the broad conceptualization of work and health, to suggestions for strategies in confronting the dearth of data often experienced by occupational health and safety researchers. They take into account the varying institutional and regulatory approaches in different international jurisdictions. Specific topic chapters delve into the principles and application of economic evaluation methods relevant to this setting: study design, type of analysis, costs, consequences, uncertainty, and equity are all covered, providing guidance on analytical and decision making challenges. The concluding chapter synthesizes the summaries, conclusions, challenges and recommendations from across the book, presenting these in a reference case (Résumé de l'éditeur).
Gusmano M.K., Rodwin V.G., Weisz D.
Baltimore : The Johns Hopkins University Press : 2010 : 179 p.
New York. London. Paris. Although these cities have similar sociodemographic characteristics, including income inequalities and ethnic diversity, they have vastly different health systems and services. This book compares the three and considers lessons that can be applied to current and future debates about urban health care. Highlighting the importance of a national policy for city health systems, the authors use well-established indicators and comparable data sources to shed light on urban health policy and practice. Their detailed comparison of the three city health systems and the national policy regimes in which they function provides information about access to health care in the developed world's largest cities. The authors first review the current literature on comparative analysis of health systems and offer a brief overview of the public health infrastructure in each city. Later chapters illustrate how timely and appropriate disease prevention, primary care, and specialty health care services can help cities control such problems as premature mortality and heart disease. In providing empirical comparisons of access to care in these three health systems, the authors refute inaccurate claims about health care outside of the United States (Résumé de l'éditeur).
SITE OF THE MONTH
Patient centered medical home resource center
Other websites :
Audibert M., Combes Motel P., Drabo A.
Clermont-Ferrand : CERDI : 2010/12 : 34 p.
Relationships between health and economic prosperity or economic growth are difficult to assess. The direction of the causality is often questioned and the subject of a vigorous debate. For some authors, diseases or poor health had contributed to poor growth performances especially in low-income countries. For other authors, the effect of health on growth is relatively small, even if one considers that investments which could improve health should be done. It is argued in this paper that commonly used health indicators in macroeconomic studies (e. g. life expectancy, infant mortality or prevalence rates for specific diseases such as malaria or HIV/AIDS) imperfectly represent the global health status of population. Health is rather a complex notion and includes several dimensions which concern fatal (deaths) and non-fatal issues (prevalence and severity of cases) of illness. The reported effects of health on economic growth vary accordingly with health indicators and countries included in the analyses. The purpose of the paper is to assess the effect of a global health indicator on growth, the so-called disability-adjusted life year (DALY) that was proposed by the World Bank and the WHO in 1993. Growth convergence equations are run on 159 countries over the 1999-2004's period, where the potential endogeneity of the health indicator is dealt for. The negative effect of poor health on economic growth is not rejected thus reinforcing the importance of achieving MDGs.
Berlin : DIW : 2011/01 : 32 p.
Using SOEP panel data and difference-in-differences methods, this study is the first to empirically evaluate the effectiveness of four different health care cost containment measures within an integrated framework. The four measures investigated were introduced in Germany in 1997 to reduce moral hazard and public health expenditures in the market for convalescent care. Doubling the daily copayments was clearly the most effective cost containment measure, resulting in a reduction in demand of about 20 percent. Indirect measures such as allowing employers to cut statutory sick pay or paid vacation during health spa stays did not significantly reduce demand.
Gay J.G., Paris V., Devaux M.
Paris : OCDE : 2011/01 : 36 p.
Cette étude évalue dans quelle mesure l’indicateur de « mortalité évitable grâce au système de soins » peut être utilisé comme indicateur de résultat du système de soins. Elle présente les estimations de cette mortalité évitable par les soins pour 31 pays de l’OCDE et pour la période 1997-2007. Elle mesure la sensibilité de l’indicateur à la liste de causes de décès considérées comme évitables par les soins en comparant les résultats obtenus à partir de deux listes alternatives. Puis, elle présente les avantages de cet indicateur sur les indicateurs de mortalité générale, ainsi que ses limites.
Comité Permanent des Hôpitaux de la Communauté Européenne. (H.O.P.E.). Louvain. BEL
Louvain : HOPE : 2010 : 53 p.
The present report has the specific objective of presenting the content and findings of the HOPE Agora 2010. It is covering the presentation of the two days discussion and is also integrating information from the most relevant international sources, in particular the WHO publications on the issue of chronic diseases. Chapter 1 gives a brief introduction and a general overview of the issue of chronic diseases. Chapter 2 illustrates the main initiative and innovations countries are putting in place to overcome this issue. Chapter 3 reports the content of the presentations held by each team during the last day event of the Exchange programme.
Glazier R.H., Gozdyra P., Yeritsyan M.
Toronto : ICES : 2011/01 : 26 p.
Quel est l’accès géographique aux soins en voiture dans les régions rurales et du Nord de l’Ontario? L’étude a ciblé des fournisseurs de soins primaires, des services des urgences, des hôpitaux avec des lits de soins obstétriques et des hôpitaux offrant des services très spécialisés. Des temps de parcours de 30, 60 et 240 minutes en voiture, selon les limites de vitesse prescrites, ont été calculés vers ces établissements à partir de collectivités ontariennes comptant 30 000 résidents et moins. Les résultats montrent que les soins primaires et les soins d’urgence sont très accessibles aux collectivités ontariennes de 30 000 personnes et moins. Les résultats de cette étude fourniront aux décideurs des renseignements utiles sur l’accès aux soins et pourront être utilisés par le gouvernement pour appuyer les futures décisions relatives aux politiques.
Copenhague : OMS - Bureau régionale de l'Europe : 2010/09 : 34 p.
Although health has improved for many people, there are major inequalities in health - within and between countries - across the WHO European Region. Evidence shows that these inequalities should be mostly avoidable and has significant human and economic costs. Unless action is taken, the gap between and within countries will increase. The WHO Regional Office for Europe commissioned a regional review of the health divide and inequalities in health from July 2010 to 2012 in order to inform the new health policy for the Region. The first phase of the review is assessing levels of inequalities in health across the European Region and identifying the barriers to and opportunities for reducing these. The final report on this phase will be completed in December 2010. An interim report, for which this is the summary, has been prepared for discussion in September 2010. The interim report also describes the subsequent stages and content of the rest of the review.
Rochester : Social Science Research Network : 2011/01 : 24 p.
Whether or not health inequalities are unjust, as well as how to address them, depends on how they are caused. I review a range of health inequalities, between men and women, between aristocrats and commoners, between blacks and whites, and between rich and poor within and between countries. I tentatively identify pathways of causality in each case, and make judgments about whether or not each inequality is unjust. Health inequalities that come from medical innovation are among the most benign. I emphasize the importance of early life inequalities, and of trying to moderate the link between parental and child circumstances. I argue that racial inequalities in health in the US are unjust and add to injustices in other domains. The vast inequalities in health between rich and poor countries are arguably neither just nor unjust, nor are they easily addressable. I argue that there are grounds to be concerned about the rapid expansion in inequality at the very top of the income distribution in the US; this is not only an injustice in itself, but it poses a risk of spawning other injustices, in education, in health, and in governance.
Londres : King's Fund Institute : 2010 : 28 p.
Ce document analyse les données sur des interventions qui ont pour but d’éviter les admissions à l'hôpital en urgence ou les admissions non planifiées. L’auteur tente de répondre aux questions suivantes : Quels moyens fonctionnent bien pour réduire les admissions évitables ? Qui est à risque et comment identifier ces personnes ? Quelles admissions sont évitables ? Quelles sont les interventions qui agissent pour éviter efficacement les hospitalisations dans les soins de santé primaires, les services sociaux, les soins d’urgence et les sorties d’hôpital ?
United States General Accounting Office. (G.A.O.). Washington WA. USA
Washington : GAO : 2010 : 48 p.
This briefing focuses on the oversight of long term care hospital (LTCHs) and how it differs from the oversight at other types of hospitals and nursing homes.
Rochester : Social Science Research Network : 2011/01 : 16 p. + annexes
This paper investigates the impact of the introduction of new orphan drugs on premature mortality from rare diseases using longitudinal, disease-level data obtained from a number of major databases. The analysis is performed using data from two countries: the U.S. (during the period 1999-2006) and France (during the period 2000- 2007). For both countries, we estimate models using two alternative definitions of premature mortality, several alternative criteria for inclusion in the set of rare diseases, and several values of the potential lag between new drug approvals and premature mortality reduction. Both the U.S. and French estimates indicate that, overall, premature mortality from rare diseases is unrelated to the cumulative number of drugs approved 0-2 years earlier, but is significantly inversely related to the cumulative number of drugs approved 3-4 years earlier. This delay is not surprising, since most patients probably don’t have access to a drug until several years after it has been launched. Although the estimates for the two countries are qualitatively similar, the estimated magnitudes of the U.S. coefficients are about four times as large as the magnitudes of the French coefficients. This may be partly due to greater errors in measuring dates of drug introduction in France. Our estimates indicate that, in the U.S., potential years of life lost to rare diseases before age 65 (PYLL65) declined at an average annual rate of 3.3%, and that, in the absence of lagged new drug approvals, PYLL65 would have increased at a rate of 0.9%. Since the U.S. population age 0-64 was increasing at the rate of 1.0% per year, this means that PYLL65 per person under 65 would have remained approximately constant. The reduction in the U.S. growth rate of PYLL65 attributable to lagged new drug approvals was 4.2%. In France, PYLL65 declined at an average annual rate of 1.8%. The estimates imply that, in the absence of lagged new drug approvals, it would have declined at a rate of 0.6%. The reduction in the French growth rate of PYLL65 attributable to lagged new drug approvals was 1.1%.
Agence Européenne du Médicament. (A.E.M.). Londres. GBR, European Medicines Agency (E.M.A.). London. GBR
London : European Medicines Agency: 2010 : 37 p.
Regulation (EC) No 1901/2006 of the European Parliament and of the Council on medicinal products for paediatric use (hereafter referred as the “Paediatric Regulation”) aims to facilitate the development and accessibility of medicinal products for the paediatric population and to ensure that medicinal products used to treat children are subject to high quality research and are appropriately authorized for use in the paediatric population. One of the legal requirements of the Paediatric Regulation is the collection of available data on all existing uses of medicinal products in the paediatric population. In accordance with art. 42 of the Regulation, the PDCO provided on 26 October 2007 a guideline on the content and format of the data which had to be collected by the 27 EU Member States1. The 3 EEA states which are not EU Member States(Iceland, Norway and Liechtenstein) were also invited to provide data. The guideline emphasized the need to collect data on all existing uses of medicinal products in the paediatric population (use of authorised medicinal products within the terms of the marketing authorisation, use of authorised medicinal products outside the terms of the marketing authorization and of the summary of the product characteristics-so-called off-label use- and use of unauthorized medicinal products) for the purpose of establishing the unmet needs at the EU level. It was mentioned that the off-label use and the unauthorised use of medicinal products was of paramount interest for identifying the paediatric needs. For communicating the data to the European Medicines Agency, a structured electronic format with a single table should have been used (tiré de l'introduction).
Health care system
Fomundam S., Herrmann J.
College Park : Institute for Systems Research: 2007 : 22 p.
This paper surveys the contributions and applications of queuing theory in the field of healthcare. The paper summarizes a range of queuing theory results in the following areas: waiting time and utilization analysis, system design, and appointment systems. The paper also considers results for systems at different scales, including individual departments (or units), healthcare facilities, and regional healthcare systems. The goal is to provide sufficient information to analysts who are interested in using queuing theory to model a healthcare process and want to locate the details of relevant models.
Santa Monica : Rand corporation : 2011 : 48 p.
There is growing interest in the systematic assessment and international benchmarking of quality of care provided in different healthcare systems, and major work is under way to support this process through the development and validation of quality indicators that can be used internationally. Recognising that cross-national data comparison remains a challenge, there is now a considerable body of data that allow for comparisons of healthcare quality in selected areas of care. The report includes a description of existing indicators that could be used to compare healthcare quality in different countries, along with a discussion of specific problems in making comparisons at this level of detail. This is illustrated with case studies of two measures widely used for international comparisons: avoidable mortality and cancer survival. These show both the potential power of cross-national comparisons and some of the difficulties in drawing valid interpretations from the data. The report focuses on the three quality domains identified as important by the NHS Next Stage Review High Quality Care for All, namely effectiveness of care, patient safety and patient experience. It is however important to recognise that access is an important additional component of quality which may be a key determinant of differences in outcome between different countries. Thus comparing quality across countries is only a first step to then assess the causes underlying those differences and determining what actions may be appropriate to take to improve health outcomes.
Ageing and retirement
Milligan K.S., Wise D.A.
Cambridge : NBER : 2011/01 : 47 p.
This is the introduction and summary to the fifth phase of an ongoing project on Social Security Programs and Retirement Around the World. The first phase described the retirement incentives inherent in plan provisions and documented the strong relationship across countries between social security incentives to retire and the proportion of older persons out of the labor force. The second phase documented the large effects that changing plan provisions would have on the labor force participation of older workers. The third phase demonstrated the consequent fiscal implications that extending labor force participation would have on net program costs—reducing government social security benefit payments and increasing government tax revenues. The fourth phase presented analyses of the relationship between the labor force participation of older persons and the labor force participation of younger persons in twelve countries. We found no evidence that increasing the employment of older persons will reduce the employment opportunities of youth and no evidence that increasing the employment of older persons will increase the unemployment of youth. This phase is intended to set the stage for and inform future more formal analysis of disability insurance programs, with this key question: Given health status, to what extent are the differences in LFP across countries determined by the provisions of disability insurance programs? Here we first consider changes in mortality over time and in particular the relationship between mortality and labor force participation, thinking of mortality as one indicator of health that is comparable across countries and over time in the same country. We then consider how mortality is related to other indicators of health status, in particular self-assessed health and then how trends in DI participation are related to changes in health. Finally we consider the effect on disability insurance participation of “natural experiments” in which the disability insurance reforms were not prompted by changes in health status or by changes in the employment circumstances of older workers. We find that these “exogenous”.
March 1st, 2011