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Assessing the performance of non-specialised private hospitals in Malaysia - an upper-middle-income medical tourism destination country using the Pabón-Lasso model.
BMC Health Serv Res
November 2024
Department of Research and Innovation, University of Malaya Medical Centre, Kuala Lumpur, Malaysia.
Article Synopsis
- The study investigates the impact of privatization and medical tourism on the efficiency of private hospitals in Malaysia by analyzing inpatient utilization data from 2014 and 2018.
- Results indicate that larger hospitals, those with accreditation, and those involved in medical tourism demonstrate better performance, highlighting a scale effect related to hospital size.
- Despite larger hospitals generally being more efficient, smaller hospitals (Category 1) showed the highest percentage of efficiency, suggesting a need for strategic partnerships to enhance resource use and overall performance.
Implementation of the Medicinal Cannabis Scheme in New Zealand: six emerging trends.
N Z Med J
October 2024
Professor, SHORE & Whāriki Research Centre, College of Health, Massey University, Auckland, New Zealand.
Aim: To evaluate the implementation of the New Zealand Medicinal Cannabis Scheme (MCS), including how products, prices, prescribing and patient access have evolved since 2020.
Method: Analysis of administrative data obtained via Official Information Act (OIA) requests and publicly available information on products and prices.
Results: Six emerging trends were identified: 1) quarterly supply of medicinal cannabis products has increased fourteenfold since the implementation of the Scheme in 2020, 2) most products are now THC-dominant rather than CBD, 3) most products are in the form of dried cannabis flower rather than oral liquids/oils, 4) prices of products have declined to be comparable to the illegal market, 5) specialised private cannabis clinics have expanded patient access, and 6) inequities persist due to expense, and disproportionately affect Māori and those on lower incomes.
Reorienting health systems towards Primary Health Care in South Asia.
Lancet Reg Health Southeast Asia
September 2024
Global Business School for Health, University College London, London.
Unlabelled: This series, "Primary health care in South Asia", is an effort to provide region-specific, evidence-based insights for reorienting health systems towards PHC. Led by regional thinkers, this series draws lessons from five countries in South Asia: Bangladesh, India, Nepal, Pakistan, and Sri Lanka. This is the last paper in the series that outlines points for future action.
View Article and Find Full Text PDFThe role of syndromic knowledge in Ethiopian veterinarians' treatment of cattle.
Front Vet Sci
August 2024
Institute for Global Prosperity, University College London, London, United Kingdom.
Veterinarians play a significant role in the treatment and prevention of livestock diseases at the farm level, safeguarding public health and ensuring food safety. In sub-Saharan Africa, access to quality veterinary services is a major challenge for livestock farmers due to the low number of publicly employed veterinarians, underfunding and privatisation of veterinary services. Low investment in veterinary services and infrastructure, including a lack of laboratories for diagnosis, has made veterinarians rely on their experience and knowledge of cattle disease symptoms developed over years of practice to diagnose and treat cattle diseases.
View Article and Find Full Text PDFThe challenges of coeliac disease at work: A contestation of the politics of inclusion.
Sociol Health Illn
January 2025
Department of Government, University of Essex, Colchester, UK.
By focusing on the experiences of employees living with coeliac disease as evidenced in UK employment tribunal cases, this paper interrogates the way practices of exclusion are performed in legal and organisational contexts that purport to promote values of inclusion. In paying attention to how differences are constructed and negotiated, the paper unpacks the way organisational practices mobilise an array of workplace mechanisms to produce complex dynamics of exclusion. Applying Laclau and Mouffe's logics of equivalence and difference, we show how questionable impulses and practices emerge in a workplace environment characterised by unclarity and vagueness.
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