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Evaluating the effects, implementation experience and political economy of primary healthcare facility autonomy reforms within counties in Kenya: a mixed methods study protocol.
BMJ Public Health
July 2024
Health Economics Research Unit, KEMRI-Wellcome Trust Research Programme, Kilifi, Kenya.
Introduction: There is a growing emphasis on improving primary health care services and granting frontline service providers more decision-making autonomy. In October 2023, Kenya enacted legislation mandating nationwide facility autonomy. There is limited understanding of the effects of health facility autonomy on primary health care (PHC) facilities performance.
View Article and Find Full Text PDFHealthcare-seeking delays and associated factors among immigrant patients with acute ischaemic stroke in Shenzhen: a retrospective observational study.
BMJ Open
January 2025
Department of Neurology, The People's Hospital of Longhua, Shenzhen, Guangdong, China.
Objective: To examine healthcare-seeking delays among immigrant patients with acute ischaemic stroke (AIS), identifying key factors contributing to these delays and proposing evidence-based interventions for policy formulation and research.
Design: A retrospective observational study analysing healthcare-seeking behaviours and delay times among immigrant patients with AIS treated at the Department of Neurology, Longhua District People's Hospital, Shenzhen, from December 2021 to October 2023. The study included 1356 patients with AIS, all part of the immigrant population as defined by Shenzhen Statistical Yearbook criteria.
Hunger Strikes After Restricted Housing Reform.
J Am Acad Psychiatry Law
January 2025
Dr. Tamburello is Associate Director of Psychiatry and Dr. Reeves is Director of Psychiatry, University Correctional Health Care, Trenton, NJ. Dr. Tamburello is a Clinical Professor of Psychiatry and Dr. Reeves is a Clinical Professor of Psychiatry, Rutgers Robert Wood Johnson Medical School, Piscataway, NJ. Dr. Edelman is a staff psychologist, Garden State Youth Correctional Facility, University Correctional Health Care, Yardville, NJ.
Hunger strikes are a common occurrence in carceral settings accompanied by serious health risks and intensive health care utilization. A 2017 study on hunger strikes within the New Jersey Department of Corrections found these events most often occurred in a disciplinary setting. We undertook this study after a new state law, the Isolated Confinement Restriction Act (ICRA), improved conditions of confinement in part by reducing the utilization, nature, and duration of disciplinary housing.
View Article and Find Full Text PDFThe pre- legal framework: a dissecting study of the evolution of abortion laws and their socio-legal implications.
Eur J Contracept Reprod Health Care
January 2025
College of Law, Prince Sultan University, Riyadh, Saudi Arabia.
Introduction: The historical evolution of abortion laws in the United States reflects significant shifts in societal attitudes and legal frameworks, particularly concerning reproductive rights and maternal consent. Prior to , abortion was largely criminalised, but gradual changes in public opinion and legislation paved the way for liberalised abortion laws.
Objective: This study aims to examine the legal and societal developments shaping abortion laws in the United States from the early 19th century to the pre- era, focusing on the interplay between public opinion and legislative milestones.
Reform of economic evaluation of medicines in Spain: proposals from the Advisory Committee for Pharmaceutical Financing.
Gac Sanit
January 2025
Pharmacy Service, Clínica Universidad de Navarra, Pamplona, Spain; Advisory Committee on the Financing of Pharmaceutical (CAPF), Spain.
This paper describes the reforms recommended by the Advisory Committee on the Financing of Pharmaceuticals (CAPF) for the National Health System (NHS) of Spain from 2019 to 2024 for the drug pricing and reimbursement process, to integrate economic evaluations and improve efficiency and sustainability. The CAPF has proposed a three-phase reform of the economic evaluation (EE) and budget impact analysis (BIA) processes. The first phase involves the mandatory submission of EE and BIA by applicants for new drugs.
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