Comparing health policy agendas across eleven high income countries: Islands of difference in a sea of similarity

Tenbensel, Tim; Eagle, Samantha; Ashton, Toni

doi:10.1016/j.healthpol.2012.04.011

Cited by 22 publications

(16 citation statements)

References 29 publications

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“…The opposite is true for conservative governments that aim to achieve equity in a merit-based social system with benefits being compensated by the individual and not the state. Previous research has shown that a region's political configuration is correlated to healthcare system policy priorities [ 118 - 120 ]. Secondly, the value systems of health care professionals towards patients will determine the health status of the individual.…”

Section: Third Layer - General Conditions That Influence Both the Biomentioning

confidence: 99%

Defining periodontal health

Mariotti

Hefti

2015

BMC Oral Health

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Assessment of the periodontium has relied exclusively on a variety of physical measurements (e.g., attachment level, probing depth, bone loss, mobility, recession, degree of inflammation, etc.) in relation to various case definitions of periodontal disease. Periodontal health was often an afterthought and was simply defined as the absence of the signs and symptoms of a periodontal disease. Accordingly, these strict and sometimes disparate definitions of periodontal disease have resulted in an idealistic requirement of a pristine periodontium for periodontal health, which makes us all diseased in one way or another. Furthermore, the consequence of not having a realistic definition of health has resulted in potentially questionable recommendations. The aim of this manuscript was to assess the biological, environmental, sociological, economic, educational and psychological relationships that are germane to constructing a paradigm that defines periodontal health using a modified wellness model. The paradigm includes four cardinal characteristics, i.e., 1) a functional dentition, 2) the painless function of a dentition, 3) the stability of the periodontal attachment apparatus, and 4) the psychological and social well-being of the individual. Finally, strategies and policies that advocate periodontal health were appraised.I'm not sick but I'm not well,and it's a sin to live so well.Flagpole Sitta, Harvey Danger

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Section: Third Layer - General Conditions That Influence Both the Biomentioning

confidence: 99%

Defining periodontal health

Mariotti

Hefti

2015

BMC Oral Health

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“…screening) or healthcare needs. Since inequalities need to be identified before they can be addressed, such analyses also inform the health equity agenda promoted in many countries 7 and, increasingly, in individual cities. 8 One approach in investigating the geographical distribution of cancer within countries has been to describe variations in rates between those resident in urban and rural areas.…”

Section: Introductionmentioning

confidence: 99%

Risk of Several Cancers is Higher in Urban Areas after Adjusting for Socioeconomic Status. Results from a Two-Country Population-Based Study of 18 Common Cancers

et al. 2014

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Some studies suggest that there are urban-rural variations in cancer incidence but whether these simply reflect urban-rural socioeconomic variation is unclear. We investigated whether there were urban-rural variations in the incidence of 18 cancers, after adjusting for socioeconomic status. Cancers diagnosed between 1995 and 2007 were extracted from the population-based National Cancer Registry Ireland and Northern Ireland Cancer Registry and categorised by urban-rural status, based on population density of area of residence at diagnosis (rural <1 person per hectare, intermediate 1-15 people per hectare, urban >15 people per hectare). Relative risks (RR) were calculated by negative binomial regression, adjusting for age, country and three area-based markers of socioeconomic status. Risks were significantly higher in both sexes in urban than rural residents with head and neck (males RR urban vs. rural = 1.53, 95 % CI 1.42-1.64; females RR = 1.29, 95 % CI 1.15-1.45), esophageal (males 1.21, 1.11-1.31; females 1.21, 1.08-1.35), stomach (males 1.36, 1.27-1.46; females 1.19, 1.08-1.30), colorectal (males 1.14, 1.09-1.18; females 1.04, 1.00-1.09), lung (males 1.54, 1.47-1.61; females 1.74, 1.65-1.84), non-melanoma skin (males 1.13, 1.10-1.17; females 1.23, 1.19-1.27) and bladder (males 1.30, 1.21-1.39; females 1.31, 1.17-1.46) cancers. Risks of breast, cervical, kidney and brain cancer were significantly higher in females in urban areas. Prostate cancer risk was higher in rural areas (0.94, 0.90-0.97). Other cancers showed no significant urban-rural differences. After adjusting for socioeconomic variation, urban-rural differences were evident for 12 of 18 cancers. Variations in healthcare utilization and known risk factors likely explain some of the observed associations. Explanations for others are unclear and, in the interests of equity, warrant further investigation.

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“…In 2013, total health expenditure was 10.3% of GDP. The institutional arrangements that underpin New Zealand’s health system are not dissimilar to those of other government-funded jurisdictions [16,17], although being a small country with a centralised political system means that change can be rapid [18]. The public sector dominates hospital care which is provided via 20 District Health Boards.…”

Section: Introductionmentioning

confidence: 99%

Measuring progress with clinical governance development in New Zealand: perceptions of senior doctors in 2010 and 2012

Gauld

Horsburgh

2014

BMC Health Serv Res

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BackgroundClinical governance has become a core component of health policy and services management in many countries in recent years. Yet tools for measuring its development are limited. We therefore created the Clinical Governance Development Index (CGDI), aimed to measure implementation of expressed government policy in New Zealand.MethodsWe developed a survey which was distributed in 2010 and again in 2012 to senior doctors employed in public hospitals. Responses to six survey items were weighted and combined to form the CGDI. Final scores for each of New Zealand’s District Health Boards (DHBs) were calculated to compare performances between them as well as over time between the two surveys.ResultsNew Zealand’s overall performance in developing clinical governance improved between the two studies from 46% in 2010 to 54% in 2012 with marked differences by DHB. Statistically significant shifts in performance were evident on all but one CGDI item.ConclusionsThe CGDI is a simple yet effective method which probes aspects of organisational commitment to clinical governance, respondent participation in organisational design, quality improvement, and teamwork. It could be adapted for use in other health systems.

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Comparing health policy agendas across eleven high income countries: Islands of difference in a sea of similarity

Cited by 22 publications

References 29 publications

Defining periodontal health

Defining periodontal health

Risk of Several Cancers is Higher in Urban Areas after Adjusting for Socioeconomic Status. Results from a Two-Country Population-Based Study of 18 Common Cancers

Measuring progress with clinical governance development in New Zealand: perceptions of senior doctors in 2010 and 2012

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