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[PMID]:29368471
[Au] Autor:Bonasso FS
[Ti] Título:The scope, purpose, and reasoning behind Senate Bill 602.
[So] Source:W V Med J;112(5):8-10, 2016 Sep-Oct.
[Is] ISSN:0043-3284
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Orçamentos/legislação & jurisprudência
Financiamento Governamental/legislação & jurisprudência
Legislação como Assunto
Política
[Mh] Termos MeSH secundário: Administração Financeira/legislação & jurisprudência
Programas Governamentais/legislação & jurisprudência
Alocação de Recursos para a Atenção à Saúde/legislação & jurisprudência
Seres Humanos
Seguro Saúde/legislação & jurisprudência
Estados Unidos
West Virginia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180126
[St] Status:MEDLINE


  2 / 15869 MEDLINE  
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[PMID]:29323641
[Au] Autor:Devi S
[Ti] Título:Syria: 7 years into a civil war.
[So] Source:Lancet;391(10115):15-16, 2018 01 06.
[Is] ISSN:1474-547X
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Acesso aos Serviços de Saúde
Guerra
[Mh] Termos MeSH secundário: Administração Financeira
Instalações de Saúde/economia
Instalações de Saúde/provisão & distribuição
Seres Humanos
Socorro em Desastres
Síria
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180212
[Lr] Data última revisão:
180212
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180112
[St] Status:MEDLINE


  3 / 15869 MEDLINE  
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[PMID]:29232096
[Au] Autor:Scharf K
[Ti] Título:Meet IDA's New Treasurer: Dr. Tom Blake.
[So] Source:J Indiana Dent Assoc;95(3):36-7, 2016.
[Is] ISSN:0019-6568
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Pessoal Administrativo
Administração Financeira
Sociedades Odontológicas/história
[Mh] Termos MeSH secundário: História do Século XXI
Seres Humanos
Indiana
[Pt] Tipo de publicação:BIOGRAPHY; HISTORICAL ARTICLE; JOURNAL ARTICLE
[Ps] Nome de pessoa como assunto:Blake T
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180115
[Lr] Data última revisão:
180115
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:171213
[St] Status:MEDLINE


  4 / 15869 MEDLINE  
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[PMID]:28747196
[Au] Autor:Doherty T; Besada D; Goga A; Daviaud E; Rohde S; Raphaely N
[Ad] Endereço:Health Systems Research Unit, South African Medical Research Council, Cape Town, South Africa. Tanya.doherty@mrc.ac.za.
[Ti] Título:"If donors woke up tomorrow and said we can't fund you, what would we do?" A health system dynamics analysis of implementation of PMTCT option B+ in Uganda.
[So] Source:Global Health;13(1):51, 2017 Jul 26.
[Is] ISSN:1744-8603
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: In October 2012 Uganda extended its prevention of mother to child HIV transmission (PMTCT) policy to Option B+, providing lifelong antiretroviral treatment for HIV positive pregnant and breastfeeding women. The rapid changes and adoptions of new PMTCT policies have not been accompanied by health systems research to explore health system preparedness to implement such programmes. The implementation of Option B+ provides many lessons which can inform the shift to 'Universal Test and Treat', a policy which many sub-Saharan African countries are preparing to adopt, despite fragile health systems. METHODS: This qualitative study of PMTCT Option B+ implementation in Uganda three years following the policy adoption, uses the health system dynamics framework to explore the impacts of this programme on ten elements of the health system. Qualitative data were gathered through rapid appraisal during in-country field work. Key informant interviews and focus group discussions (FGDs) were undertaken with the Ministry of Health, implementing partners, multilateral agencies, district management teams, facility-based health workers and community cadres. A total of 82 individual interviews and 16 focus group discussions were completed. We conducted a simple manifest analysis, using the ten elements of a health system for grouping data into categories and themes. RESULTS: Of the ten elements in the health system dynamics framework, context and resources (finances, infrastructure & supplies, and human resources) were the most influential in the implementation of Option B+ in Uganda. Support from international actors and implementing partners attempted to strengthen resources at district level, but had unintended consequences of creating dependence and uncertainty regarding sustainability. CONCLUSIONS: The health system dynamics framework offers a novel approach to analysis of the effects of implementation of a new policy on critical elements of the health system. Its emphasis on relationships between system elements, population and context is helpful in unpacking impacts of and reactions to pressures on the system, which adds value beyond some previous frameworks.
[Mh] Termos MeSH primário: Infecções por HIV/prevenção & controle
Política de Saúde
Transmissão Vertical de Doença Infecciosa/prevenção & controle
[Mh] Termos MeSH secundário: África do Norte
Feminino
Administração Financeira
Infecções por HIV/tratamento farmacológico
Infecções por HIV/transmissão
Seres Humanos
Gravidez
Análise de Sistemas
Uganda
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171214
[Lr] Data última revisão:
171214
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170728
[St] Status:MEDLINE
[do] DOI:10.1186/s12992-017-0272-2


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[PMID]:29176420
[Au] Autor:Silvestre J; Abbatematteo JM; Chang B; Serletti JM
[Ad] Endereço:Philadelphia, Pa. From the Perelman School of Medicine at the University of Pennsylvania.
[Ti] Título:Trends and Predictors of National Institutes of Health Funding to Plastic Surgery Residency Programs.
[So] Source:Plast Reconstr Surg;140(6):1301-1311, 2017 Dec.
[Is] ISSN:1529-4242
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Recent studies have demonstrated low levels of National Institutes of Health funding for surgical research. The authors compared the funding in plastic surgery with the funding for other surgical specialties. METHODS: A query of National Institutes of Health grants awarded to departments of surgical specialties was performed using the National Institutes of Health RePORTER database (2008 to 2016). Trends in funding were compared by specialty and adjusted for the number of active physicians in each specialty. Plastic surgery residency program characteristics were correlated with funding procurement. RESULTS: Eight hundred eighty-nine faculty at 94 plastic surgery residency programs were queried. Forty-eight investigators (5.4 percent) at 23 programs (24.4 percent) had National Institutes of Health funding. From 2008 to 2016, a total of $84,142,138 was awarded through 81 grants. Funding supported translational (44.6 percent), clinical (26.4 percent), basic science (27.2 percent), and educational (1.7 percent) research. In 2016, plastic surgery received the least amount of National Institutes of Health funding per active physician ($1,530) relative to orthopedic surgery ($3124), obstetrics and gynecology ($3885), urology ($5943), otolaryngology ($9999), general surgery ($11,649), ophthalmology ($11,933), and neurologic surgery ($20,874). Plastic surgery residency program characteristics associated with National Institutes of Health funding were high ranking and had more than 10 clinical faculty (p < 0.05). CONCLUSIONS: Plastic surgery receives the least National Institutes of Health funding among the surgical specialties. Departments and divisions of plastic surgery should support investigators applying for research grants to increase future National Institutes of Health funding.
[Mh] Termos MeSH primário: Internato e Residência/economia
Cirurgia Plástica/educação
[Mh] Termos MeSH secundário: Administração Financeira/tendências
Apoio Financeiro
Seres Humanos
National Institutes of Health (U.S.)
Cirurgia Plástica/economia
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171204
[Lr] Data última revisão:
171204
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171128
[St] Status:MEDLINE
[do] DOI:10.1097/PRS.0000000000003866


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[PMID]:28450314
[Au] Autor:Kmietowicz Z
[Ad] Endereço:The BMJ.
[Ti] Título:Better Care Fund no more than a "ruse" to cover up funding pressures, say MPs.
[So] Source:BMJ;357:j2086, 2017 04 27.
[Is] ISSN:1756-1833
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Orçamentos/métodos
Administração Financeira/legislação & jurisprudência
Acesso aos Serviços de Saúde/economia
[Mh] Termos MeSH secundário: Saúde Global/economia
Acesso aos Serviços de Saúde/legislação & jurisprudência
Financiamento da Assistência à Saúde
Seres Humanos
Alocação de Recursos/economia
[Pt] Tipo de publicação:NEWS
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171128
[Lr] Data última revisão:
171128
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE
[do] DOI:10.1136/bmj.j2086


  7 / 15869 MEDLINE  
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[PMID]:29045494
[Au] Autor:Zivic N; Andjelkovic I; Özden T; Dekic M; Castronova E
[Ad] Endereço:Nordeus LLC, Bulevar Mihajla Pupina 165v, Belgrade, Serbia.
[Ti] Título:Results of a massive experiment on virtual currency endowments and money demand.
[So] Source:PLoS One;12(10):e0186407, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:We use a 575,000-subject, 28-day experiment to investigate monetary policy in a virtual setting. The experiment tests the effect of virtual currency endowments on player retention and virtual currency demand. An increase in endowments of a virtual currency should lower the demand for the currency in the short run. However, in the long run, we would expect money demand to rise in response to inflation in the virtual world. We test for this behavior in a virtual field experiment in the football management game Top11. 575,000 players were selected at random and allocated to different "shards" or versions of the world. The shards differed only in terms of the initial money endowment offered to new players. Money demand was observed for 28 days as players used real money to purchase additional virtual currency. The results indicate that player money purchases were significantly higher in the shards where higher endowments were given. This suggests that a positive change in the money supply in a virtual context leads to inflation and increased money demand, and does so much more quickly than in real-world economies. Differences between virtual and real currency behavior will become more interesting as virtual currency becomes a bigger part of the real economy.
[Mh] Termos MeSH primário: Comportamento
Administração Financeira/economia
Interface Usuário-Computador
[Mh] Termos MeSH secundário: Seres Humanos
Inflação
Internet/economia
Pesquisa/economia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171031
[Lr] Data última revisão:
171031
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171019
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0186407


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[PMID]:28953731
[Au] Autor:Pourtaheri N; Kearney A; Wan DC; Lakin G
[Ad] Endereço:Cleveland, Ohio; and Palo Alto, Calif. From Case Western Reserve University School of Medicine and the Stanford University Medical Center.
[Ti] Título:Impact of a Cleft and Craniofacial Center on an Academic Health System.
[So] Source:Plast Reconstr Surg;140(4):587e-597e, 2017 Oct.
[Is] ISSN:1529-4242
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The contributions of all physician specialties and ancillary services involved in cleft and craniofacial center care must be evaluated to fairly assess the financial impact of a cleft and craniofacial center. The authors hypothesized that the cleft and craniofacial center generates profitable downstream productivity for the academic health system. METHODS: This was a retrospective cohort study of all patients who presented to a cleft and craniofacial center in the first quarter of 2011. Analysis included all health system encounters for each patient over a 2-year period using the electronic medical record and health system financial database. RESULTS: Sixty-two patients were seen (mean age, 11.4 years; 38 boys and 24 girls; 18 new and 44 established patients). Over 2 years, there were 618 health system encounters (599 outpatient and 19 inpatient encounters), 68 hospital days, and 110 procedures. The most common physician specialty was plastic surgery [312 encounters (50.5 percent)] and the most common ancillary service was speech therapy [256 encounters (41.4 percent)]. The overall reimbursement rate was 39.9 percent, with a majority payor-mix of government payors (62.1 percent). The total profit margin percentage from all encounters was 13.7 percent, which was greater for managed care compared with government payor (38.9 percent versus -10.8 percent; p = 0.022), inpatient compared to outpatient (24.5 percent versus -2.8 percent; p < 0.001), and plastic surgery compared to other specialty encounters (19.7 percent versus 8.7 percent; p = 0.003). CONCLUSIONS: The cleft and craniofacial center generated profitable downstream productivity for the academic health system with referrals to 39 different physician and nonphysician specialties. Health system providers and the business team should align to analyze the center, enhance patient outcomes, and improve specialty care access for patients.
[Mh] Termos MeSH primário: Centros Médicos Acadêmicos/economia
Fenda Labial/cirurgia
Fissura Palatina/cirurgia
Administração Financeira/métodos
Procedimentos Cirúrgicos Reconstrutivos/economia
Cirurgia Plástica/economia
[Mh] Termos MeSH secundário: Adolescente
Criança
Pré-Escolar
Feminino
Seguimentos
Seres Humanos
Masculino
Estudos Retrospectivos
Estados Unidos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171012
[Lr] Data última revisão:
171012
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170928
[St] Status:MEDLINE
[do] DOI:10.1097/PRS.0000000000003822


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[PMID]:28841650
[Au] Autor:Lu Y; Jones DJ; Sharara N; Kaltenbach T; Laine L; McQuaid K; Soetikno R; Subramanian V; Barkun A
[Ad] Endereço:Division of Gastroenterology, McGill University Health Center, Montreal, Quebec, Canada.
[Ti] Título:Transparency ethics in practice: Revisiting financial conflicts of interest disclosure forms in clinical practice guidelines.
[So] Source:PLoS One;12(8):e0182856, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Authors of clinical practice guidelines (CPGs) disclose financial conflicts of interest (FCOIs) to promote transparency ethics. Typically, they do so on standard declaration forms containing generic open-ended questions on FCOIs. Yet, the literature is scant on the format and effect of alternative disclosure forms. Does supplementing a standard form with subsequent detailed disclosure forms tailored to the context of the CPG improve the yield or accuracy of FCOIs declarations? METHODS: For an international CPG in gastroenterology on the endoscopic surveillance for colorectal neoplasia in inflammatory bowel disease, we compared the use of a standard FCOIs disclosure form with a contextual FCOIs disclosure form that detailed commercial relations related to the CPG topic. This included manufacturers of endoscopes, endoscopy equipment and accessories. Participants completed the generic form early, and the supplementary contextual form six months later. We then compared the FCOI disclosures obtained. FINDINGS: 26 participants provided FCOIs disclosures using both disclosure forms. We found discrepancies regarding (1) the disclosure of FCOIs (presence/absence), and (2) the listing of financial entities. While the number of participants who disclosed a FCOI remained the same (30.8%) using the two forms, disclosures were not from the same individuals: two additional participants disclosed a FCOI, whereas two participants withdrew previous disclosures. Among those who reported a FCOI in either form, we noted inconsistencies in disclosures for 70% of the participants. This included changes in FCOIs disclosure status or modifications of "their commercial relations". DISCUSSION: Accurate reporting of FCOIs advances the transparency and ethical integrity of CPGs. Our experience suggests that a contextual FCOIs disclosure form tailored to content of the CPG with narrow, detailed questions provides supplementary, more complete FCOIs declarations than generic forms alone. The finding raises challenges on how forms are best written and formatted, optimally timed, and more effectively processed with sensitivity to professional behaviour, so as to heighten transparency.
[Mh] Termos MeSH primário: Conflito de Interesses
Ética Profissional
Administração Financeira
Guias de Prática Clínica como Assunto
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171023
[Lr] Data última revisão:
171023
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170826
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0182856


  10 / 15869 MEDLINE  
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[PMID]:28783734
[Au] Autor:Glimcher PW; Tymula A
[Ad] Endereço:Institute for the Study of Decision Making, New York University, New York, United States of America.
[Ti] Título:Let the sunshine in? The effects of luminance on economic preferences, choice consistency and dominance violations.
[So] Source:PLoS One;12(8):e0181112, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Weather, in particular the intensity and duration of sunshine (luminance), has been shown to significantly affect financial markets. Yet, because of the complexity of market interactions we do not know how human behavior is affected by luminance in a way that could inform theoretical choice models. In this paper, we use data from a field study using an incentive-compatible, decision task conducted daily over a period of two years and from the US Earth System Research Laboratory luminance sensor to investigate the impact of luminance on risk preferences, ambiguity preferences, choice consistency and dominance violations. We find that luminance levels affect all of these. Age and gender influence the strength of some of these effects.
[Mh] Termos MeSH primário: Comportamento de Escolha/efeitos da radiação
Administração Financeira
Luz Solar
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Feminino
Seres Humanos
Masculino
Meia-Idade
Motivação
Assunção de Riscos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171006
[Lr] Data última revisão:
171006
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170808
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0181112



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