Contents

Contents tagged: decision-making

Jan. 14, 2020 Africa Publication

Determinants of enrollment decision in the community-based health insurance, North West Ethiopia: a case-control study

Health security is increasingly being recognized as an integral part of poverty reduction effort. Many lower and middle-income countries (LMICs) have not been able to fulfill equitable healthcare needs of their citizens.
The aim of this study was to identify the determinants for enrollment decision in the community-based health insurance program among informal economic sector-engaged societies, North West Ethiopia.

Dec. 19, 2019 Global News

Consultation on the Handbook on Social Participation for UHC for civil society

UHC2030, WHO and the UHC Partnership have launched a consultation for civil society to provide substantial feedback on the contents of the Handbook on Social Participation for UHC. The ‘Handbook on Social Participation for UHC’ will provide specific best practice guidance to policymakers on how to effectively and meaningfully engage with populations, civil society and communities for policy- and decision-making.

The Handbook is in an advanced stage of development and your views would be useful to shape the final document. Currently, you can comment on the overview of five of the chapters through a survey until February 2020.

See more information about the handbook and an overview presentation.

Oct. 30, 2019 Europe Publication

Evaluation of integrated care services in Catalonia: population-based and service-based real-life deployment protocols.

Comprehensive assessment of integrated care deployment constitutes a major challenge to ensure quality, sustainability and transferability of both healthcare policies and services in the transition toward a coordinated service delivery scenario. To this end, the manuscript articulates four different protocols aiming at assessing large-scale implementation of integrated care, which are being developed within the umbrella of the regional project Nextcare (2016-2019), undertaken to foster innovation in technologically-supported services for chronic multimorbid patients in Catalonia (ES) (7.5 M inhabitants). Whereas one of the assessment protocols is designed to evaluate population-based deployment of care coordination at regional level during the period 2011-2017, the other three are service-based protocols addressing: i) Home hospitalization; ii) Prehabilitation for major surgery; and, iii) Community-based interventions for frail elderly chronic patients. All three services have demonstrated efficacy and potential for health value generation.

April 28, 2019 Europe Event

Multi-Criteria Decision Analysis of Integrated Care Webinar – SELFIE Project

Professionals are increasingly keen to assess the effects of integrated care initiatives and payers and policy makers are keen to ensure that they allocate scarce resources only to services that have proven value for money. When evaluating the added value of complex interventions such as integrated care initiatives, we need to adopt a broad, inclusive method of evaluation and a holistic, person-centered understanding of ‘value’. This is possible with Multi-Criteria Decision Analysis (MCDA). MCDA is a method to improve transparency of decision-making that makes the impact that multiple criteria have on a decision, and their relative importance explicit. It is particularly suited for interventions where multiple, sometimes conflicting, criteria play a role, and the viewpoints of multiple stakeholders about the importance of decision-criteria need to be taken into account. In this webinar prof.dr. Maureen Rutten-van Mölken of the Erasmus School of Health Policy and Management of the Erasmus ...

Jan. 15, 2018 Europe Publication

How to assess and prepare health systems in low- and middle-income countries for integration of services—a systematic review

Despite growing support for integration of frontline services, a lack of information about the pre-conditions necessary to integrate such services hampers the ability of policy makers and implementers to assess how feasible or worthwhile integration may be, especially in low- and middle- income countries (LMICs). This article adopted a modified systematic review with aspects of realist review, including quantitative and qualitative studies that incorporated assessment of health system preparedness for capacity to implement integrated services. 

Nov. 29, 2017 Europe Publication

Making it Easier: A Health Literacy Action Plan for Scotland

Making it Easier- a health literacy plan for Scotland 2017-25, builds on the current learning about health literacy and aims to remove and prevent barriers. Health literacy is the degree to ehich individuals have the capacity to obtain, process and understand basic health information and services needed to make appropiate health decisions

The new guidance aims to improve design and delivery of services founded on the following themes: 

- equal access

- shared decision-making

- people supported to live and die well on their own terms with the health conditions they have

Nov. 27, 2017 Americas Publication

Derivation and validation of the Personal Support Algorithm: an evidence-based framework to inform allocation of personal support services in home and community care

Personal support services enable many individuals to stay in their homes, but there are no standard ways to classify need for functional support in home and community care settings. The goal of this proyect was to develop and evidence-based clinical tool to inform service planning while allowing for flexibility in care coordinator judgment in response to patient and family circumstances. 

May 24, 2016 Global Publication

Briefing note: Policy dialogue: What it is and how it can contribute to evidence-informed decision-making

This briefing note brings together knowledge generated through the EU-Luxembourg-WHO Universal Health Coverage Partnership, which currently supports policy dialogue processes in 28 countries.

Good governance for health (part of Strategy 3 of the Framework on Integrated People-Centred Health Services) involves broad, continuous and consultative policy dialogue on crucial health sector issues amongst and between all relevant social, technical and political stakeholders. Yet there exists little guidance and analysis on what actually constitutes policy dialogue, how it can contribute to better policies, and what countries can concretely do to better engage in participatory dialogue processes. This Briefing note is a first attempt at making sense of the policy dialogue literature and experiences in using it in health and in low- and middle-income countries. It further examines the following questions:

- What is poilcy dialogue?

- How can the policy dialogue contribute to improving a policy and decision making process?

- What are the possible ...

Feb. 10, 2016 Africa Publication

Modernization and development: impact on health care decision-making in Uganda

Uganda has faced numerous challenges over the past 50 years from overcoming political conflict and civil unrest, to rapid population growth, to combating the HIV epidemic and ever-growing health needs. Women in Uganda have had a major role to play in the health of families and communities. The researchers' purpose in this study, undertaken in rural Uganda, was to

  • a) identify a people-centered definition of development,
  • b) compare it to the process of modernization, and
  • c) investigate how these processes have changed the role women play in decision-making, in areas directly and indirectly related to their health and that of their families.

Twenty-two men and women participated in focus group discussion and completed questionnaires. Based on our analysis of discussions it appears that both modernization and development have impacted health positively and negatively. Key themes distilled from interviews included that modernization has led to the breakdown of families; increased maternal ...