Tag Archives: health policy

where you stand . . . depends on where you sit

17 May

Living with Open Hands

“Where you stand . . . depends on where you sit . . .” The viewpoints you are most likely to advance (your stance politically, your opinions) are decisively determined by the place you occupy economically, in your career, in your community, in your organization, in society. We must not ever presume to speak for others; especially those outside of our scope, like the poor, the battered and bruised, the broken hearted, the “least of these.” We must ‘live’ there . . . and listen.

Three years ago, I sat in a very different place in life with very different viewpoints.
An entrepreneur, a social entrepreneur at that, making enough money to actually pay the bills.
Two income family.
Home owner.
Living in a middle class neighborhood.
Going to a middle class church in a poor neighborhood. (Made me feel better about church)
Wondering why those people in that poor…

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Health insurance: a matter of life and death

7 May

Health insurance would be a matter of life and death suggests the study referenced below:

Benjamin D. Sommers, Sharon K. Long, Katherine Baicker; Changes in Mortality After Massachusetts Health Care ReformA Quasi-experimental StudyChanges in Mortality After Massachusetts Health Care Reform. Annals of Internal Medicine. 2014 May;160(9):585-593.

The results are widely reported in the media and blogosphere.

Drs. Sommers and Baicker work in the Department of Health Policy and Management, Harvard School of Public Health, Kresge Building, Room 406, 677 Huntington Avenue, Boston, MA 02115 and Dr. Long works at the Health Policy Center, Urban Institute, 2100 M Street NW, Washington, DC 20037.

Since the design is purely observational, results must not serve to inference nor be generalized nevertheless they go in the same direction as common sense, and logic: health insurance therefore care accessibility therefore life prolongation. But until now that chain of events had still to be observed at a large-scale (state-scale) and this is the merit of this study.

 

Changes in Mortality After Massachusetts Health Care ReformA Quasi-experimental Study

Benjamin D. Sommers, MD, PhD; Sharon K. Long, PhD; and Katherine Baicker, PhD
Ann Intern Med. 2014;160(9):585-593. doi:10.7326/M13-2275
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Health Policy Analysis Institutes: India, Thailand, and Vietnam Case Studies

11 Dec

Each country, especially the emerging ones, have to back their health policy on the evidence brought by the research focused on health systems in order to implement  sound, balanced health services for their citizens. Thailand Vietnam and India present in the video below their national institutes devoted to health systems research.

 

International Health Policy: Comparative Health Care Systems

10 Dec

How to explain the differences across North America and Western Europe regarding the policies of health coverage (mandatory in one hand, private initiative in the other hand)? The response has to be searched in the past history on both side of the Atlantic Ocean. Feudalism in Europe made government to be considered by people as a good thing which liberated them from oppression of the King and feudal lords while in North America, Government rules are associated in people’s mind with the oppression of the English government which imposed taxes before the independence. At least it is the theory exposed by Henry J. Kaiser Jr. Professor of Health and Research Policy Emeritus at Stanford.

Twelve health care systems comparison (including France)

23 Jun

A survey compared twelve health care systems (including France, United States, Germany, Brasil, China…). The methodology questionned 15,735 health care consumers on their experience with health system, satisfaction,  appreciation on wasteful and performance, quality of preventive services. Percentage of public investment, percapita expenditure and spending compared to  GDP are presented too. The french system is defined as: “a statutory national health insurance system with compulsory, universal coverage for all French residents. Coverage is provided through health insurance funds, and participants are determined primarily by their occupation. Thirty chronic conditions, including diabetes, are fully covered.”  All other systems of the remaining eleven Countries are described alike.
On the item of preventive services efficacy, Canada ranked at the first place and France is eleventh just before the last one which is Switzerland.

Quotation by courtesy of the authors:
Paul H. Keckley, PhD
Executive Director
Deloitte Center for Health Solutions
pkeckley@deloitte.com
Sheryl Coughlin, PhD, MHA
Head of Research
Deloitte Center for Health Solutions
Deloitte LLP
scoughlin@deloitte.com
Deloitte Center for Health Solutions
555 12th Street N.W.
Washington, DC 20004
Phone 202-220-2177
Fax 202-220-2178
Toll free 888-233-6169
Email healthsolutions@deloitte.com
Web http://www.deloitte.com/centerforhealthsolutions

News from the Schemes

25 Mar

Not so bad news from the schemes (agricultural, general and independent professionals) on a section of the ameli web site translated into english :

http://www.ameli.fr/l-assurance-maladie/connaitre-l-assurance-maladie/getting-informed-about-health-insurance/social-security/several-different-health-insurance-schemes.php

and to get informed about  health insurance in france (in english):

http://www.ameli.fr/l-assurance-maladie/connaitre-l-assurance-maladie/getting-informed-about-health-insurance/index.php

The equivalent of the HAS in the US

15 Feb

This is the website of the US agency of healthcare research and quality which publish on effectiveness of medical treatment and pharmaceutical therapy, clinical practice guidelines, technology assessments and scientific revues on evidence based practices:

http://www.ahrq.gov/clinic/

This website provide a good source to complete your reference list.

highway to health

2 Feb

The statutoy sheme (layer 1) and private insurances (layer 2) in France are compared to the Obama reform of the American health care system:

http://patrickmorvan.over-blog.com/article-36640966.html

CDC of Atlanta

13 Jan

Center for control desease at Atlanta

http://www.cdc.gov/nchs/nsfg.htm

the french health system

11 Jan

description of the health system in france with its three compulsory health care insurance schemes:

http://www.gipspsi.org/GIP_FR/actualites/livre_de_presentation_du_systeme_francais_de_sante

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