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Pesquisa : N03.219.483 [Categoria DeCS]
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[PMID]:28453714
[Au] Autor:Lorenzetti LMJ; Leatherman S; Flax VL
[Ad] Endereço:Department of Health Policy & Management, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, NC, USA.
[Ti] Título:Evaluating the effect of integrated microfinance and health interventions: an updated review of the evidence.
[So] Source:Health Policy Plan;32(5):732-756, 2017 Jun 01.
[Is] ISSN:1460-2237
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Background: Solutions delivered within firm sectoral boundaries are inadequate in achieving income security and better health for poor populations. Integrated microfinance and health interventions leverage networks of women to promote financial inclusion, build livelihoods, and safeguard against high cost illnesses. Our understanding of the effect of integrated interventions has been limited by variability in intervention, outcome, design, and methodological rigour. This systematic review synthesises the literature through 2015 to understand the effect of integrated microfinance and health programs. Methods: We searched PubMed, Scopus, Embase, EconLit, and Global Health databases and sourced bibliographies, identifying 964 articles exclusive of duplicates. Title, abstract, and full text review yielded 35 articles. Articles evaluated the effect of intentionally integrated microfinance and health programs on client outcomes. We rated the quality of evidence for each article. Results: Most interventions combined microfinance with health education, which demonstrated positive effects on health knowledge and behaviours, though not health status. Among programs that integrated microfinance with other health components ( i.e. health micro-insurance, linkages to health providers, and access to health products), results were generally positive but mixed due to the smaller number and quality of studies. Interventions combining multiple health components in a given study demonstrated positive effects, though it was unclear which component was driving the effect. Most articles (57%) were moderate in quality. Discussion: Integrated microfinance and health education programs were effective, though longer intervention periods are necessary to measure more complex pathways to health status. The effect of microfinance combined with other health components was less clear. Stronger randomized research designs with multiple study arms are required to improve evidence and disentangle the effects of multiple component microfinance and health interventions. Few studies attempted to understand changes in economic outcomes, limiting our understanding of the relationship between health and income effects.
[Mh] Termos MeSH primário: Apoio Financeiro
Promoção da Saúde/métodos
Pobreza
[Mh] Termos MeSH secundário: Redes Comunitárias/economia
Conhecimentos, Atitudes e Prática em Saúde
Acesso aos Serviços de Saúde/economia
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1711
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE
[do] DOI:10.1093/heapol/czw170


  2 / 3396 MEDLINE  
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[PMID]:29395039
[Au] Autor:Levêque D
[Ad] Endereço:Hôpital Hautepierre, pharmacie, avenue Molière, 67000 Strasbourg, France. Electronic address: dominique.leveque@chru-strasbourg.fr.
[Ti] Título:[Funding of anticancer drugs in France].
[Ti] Título:Modalités de financement des médicaments anticancéreux en France..
[So] Source:Bull Cancer;105(2):200-203, 2018 Feb.
[Is] ISSN:1769-6917
[Cp] País de publicação:France
[La] Idioma:fre
[Ab] Resumo:This short review presents the modalities of funding of anticancer agents administrated in hospitals in France.
[Mh] Termos MeSH primário: Antineoplásicos/economia
Custos de Medicamentos
Apoio Financeiro
[Mh] Termos MeSH secundário: França
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Nm] Nome de substância:
0 (Antineoplastic Agents)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180228
[Lr] Data última revisão:
180228
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180204
[St] Status:MEDLINE


  3 / 3396 MEDLINE  
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[PMID]:29192316
[Au] Autor:Nuzzo JB; Cicero AJ; Inglesby TV
[Ad] Endereço:Center for Health Security, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
[Ti] Título:The Importance of Continued US Investment to Sustain Momentum Toward Global Health Security.
[So] Source:JAMA;318(24):2423-2424, 2017 Dec 26.
[Is] ISSN:1538-3598
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Surtos de Doenças/prevenção & controle
Apoio Financeiro
Saúde Global/economia
Medidas de Segurança/organização & administração
[Mh] Termos MeSH secundário: Controle de Doenças Transmissíveis/organização & administração
Seres Humanos
Cooperação Internacional
Desenvolvimento de Programas
Estados Unidos
Organização Mundial da Saúde
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180108
[Lr] Data última revisão:
180108
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171202
[St] Status:MEDLINE
[do] DOI:10.1001/jama.2017.17188


  4 / 3396 MEDLINE  
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[PMID]:29233165
[Au] Autor:Warren A; Cordon R; Told M; de Savigny D; Kickbusch I; Tanner M
[Ad] Endereço:Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute, Socinstrasse 57, 4002, Basel, Switzerland. ashley.warren@swisstph.ch.
[Ti] Título:The Global Fund's paradigm of oversight, monitoring, and results in Mozambique.
[So] Source:Global Health;13(1):89, 2017 Dec 12.
[Is] ISSN:1744-8603
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The Global Fund is one of the largest actors in global health. In 2015 the Global Fund was credited with disbursing close to 10 % of all development assistance for health. In 2011 it began a reform process in response to internal reviews following allegations of recipients' misuse of funds. Reforms have focused on grant application processes thus far while the core structures and paradigm have remained intact. We report results of discussions with key stakeholders on the Global Fund, its paradigm of oversight, monitoring, and results in Mozambique. METHODS: We conducted 38 semi-structured in-depth interviews in Maputo, Mozambique and members of the Global Fund Board and Secretariat in Switzerland. In-country stakeholders were representatives from Global Fund country structures (eg. Principle Recipient), the Ministry of Health, health or development attachés bilateral and multilateral agencies, consultants, and the NGO coordinating body. Thematic coding revealed concerns about the combination of weak country oversight with stringent and cumbersome requirements for monitoring and evaluation linked to performance-based financing. RESULTS: Analysis revealed that despite the changes associated with the New Funding Model, respondents in both Maputo and Geneva firmly believe challenges remain in Global Fund's structure and paradigm. The lack of a country office has many negative downstream effects including reliance on in-country partners and ineffective coordination. Due to weak managerial and absorptive capacity, more oversight is required than is afforded by country team visits. In-country partners provide much needed support for Global Fund recipients, but roles, responsibilities, and accountability must be clearly defined for a successful long-term partnership. Furthermore, decision-makers in Geneva recognize in-country coordination as vital to successful implementation, and partners welcome increased Global Fund engagement. CONCLUSIONS: To date, there are no institutional requirements for formalized coordination, and the Global Fund has no consistent representation in Mozambique's in-country coordination groups. The Global Fund should adapt grant implementation and monitoring procedures to the specific local realities that would be illuminated by more formalized coordination.
[Mh] Termos MeSH primário: Apoio Financeiro
Saúde Global/economia
[Mh] Termos MeSH secundário: Seres Humanos
Moçambique
Avaliação de Programas e Projetos de Saúde
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180102
[Lr] Data última revisão:
180102
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171214
[St] Status:MEDLINE
[do] DOI:10.1186/s12992-017-0308-7


  5 / 3396 MEDLINE  
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[PMID]:29216877
[Au] Autor:Seppey M; Ridde V; Touré L; Coulibaly A
[Ad] Endereço:Université de Montréal, École de santé publique (ESPUM), P.O. Box 6128, Succursale Centre-Ville, Montréal, Québec, H3C 3J7, Canada. Math.seppey@gmail.com.
[Ti] Título:Donor-funded project's sustainability assessment: a qualitative case study of a results-based financing pilot in Koulikoro region, Mali.
[So] Source:Global Health;13(1):86, 2017 Dec 08.
[Is] ISSN:1744-8603
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Results-based financing (RBF) is emerging as a new alternative to finance health systems in many African countries. In Mali, a pilot project was conducted to improve demand and supply of health services through financing performance in targeted services. No study has explored the sustainability process of such a project in Africa. This study's objectives were to understand the project's sustainability process and to assess its level of sustainability. METHODS: Sustainability was examined through its different determinants, phases, levels and contexts. These were explored using qualitative interviews to discern, via critical events, stakeholders' ideas regarding the project's sustainability. Data collection sites were chosen with the participation of different stakeholders, based on a variety of criteria (rural/urban settings, level of participation, RBF participants still present, etc.). Forty-nine stakeholders were then interviewed in six community health centres and two referral health centres (from 11/12/15 to 08/03/16), including health practitioners, administrators, and those involved in implementing and conceptualizing the program (government and NGOs). A theme analysis was done with the software © QDA Miner according to the study's conceptual framework. RESULTS: The results of this project show a weak level of sustainability due to many factors. While some gains could be sustained (ex.: investments in long-term resources, high compatibility of values and codes, adapted design to the implementations contexts, etc.) other intended benefits could not (ex.: end of investments, lack of shared cultural artefacts around RBF, loss of different tasks and procedures, need of more ownership of the project by the local stakeholders). A lack of sustainability planning was observed, and few critical events were associated to phases of sustainability. CONCLUSIONS: While this RBF project aimed at increasing health agents' motivation through different mechanisms (supervision, investments, incentives, etc.), these results raise questions on what types of motivation could be more stable and what could be the place of local stakeholders in the project; all this with the aim of more sustained and efficient results.
[Mh] Termos MeSH primário: Apoio Financeiro
Serviços de Saúde/economia
Projetos Piloto
[Mh] Termos MeSH secundário: Seres Humanos
Mali
Estudos de Casos Organizacionais
Avaliação de Programas e Projetos de Saúde
Pesquisa Qualitativa
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180102
[Lr] Data última revisão:
180102
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171209
[St] Status:MEDLINE
[do] DOI:10.1186/s12992-017-0307-8


  6 / 3396 MEDLINE  
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[PMID]:29280372
[Ti] Título:The International Health Regulations (IHR) ­ 10 years of global public health security.
[Ti] Título:Le Règlement sanitaire international (RSI) ­ 10 ans de sécurité sanitaire mondiale..
[So] Source:Wkly Epidemiol Rec;92(51-52):781-3, 2017 Dec 22.
[Is] ISSN:0049-8114
[Cp] País de publicação:Switzerland
[La] Idioma:eng; fre
[Mh] Termos MeSH primário: Saúde Global
Cooperação Internacional/legislação & jurisprudência
Direito Internacional
Organização Mundial da Saúde
[Mh] Termos MeSH secundário: Apoio Financeiro
Negociação
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171228
[Lr] Data última revisão:
171228
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171228
[St] Status:MEDLINE


  7 / 3396 MEDLINE  
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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


  8 / 3396 MEDLINE  
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[PMID]:29061854
[Au] Autor:Cobey KD; Fergusson D; Moher D
[Ad] Endereço:Centre for Journalology, Clinical Epidemiology Program (Cobey, Fergusson, Moher), Ottawa Methods Centre, Ottawa Hospital Research Institute; School of Epidemiology, Public Health, and Preventative Medicine (Cobey, Fergusson, Moher), Faculty of Medicine, University of Ottawa, Ottawa, Ont.; Department of Psychology (Cobey), University of Stirling, Stirling, UK kcobey@ohri.ca.
[Ti] Título:Canadian funders and institutions are lagging on reporting results of clinical trials.
[So] Source:CMAJ;189(42):E1302-E1303, 2017 10 23.
[Is] ISSN:1488-2329
[Cp] País de publicação:Canada
[La] Idioma:eng
[Mh] Termos MeSH primário: Ensaios Clínicos como Assunto
Revelação/normas
[Mh] Termos MeSH secundário: Canadá
Auditoria Clínica
Apoio Financeiro
Seres Humanos
Pesquisadores
Apoio ao Desenvolvimento de Recursos Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171101
[Lr] Data última revisão:
171101
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171025
[St] Status:MEDLINE
[do] DOI:10.1503/cmaj.170840


  9 / 3396 MEDLINE  
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[PMID]:29016631
[Au] Autor:Kwon S; Solomon GEA; Youtie J; Porter AL
[Ad] Endereço:School of Public Policy, Georgia Institute of Technology, Atlanta, Georgia, United States of America.
[Ti] Título:A measure of knowledge flow between specific fields: Implications of interdisciplinarity for impact and funding.
[So] Source:PLoS One;12(10):e0185583, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Encouraging knowledge flow between mutually relevant disciplines is a worthy aim of research policy makers. Yet, it is less clear what types of research promote cross-disciplinary knowledge flow and whether such research generates particularly influential knowledge. Empirical questions remain as to how to identify knowledge-flow mediating research and how to provide support for this research. This study contributes to addressing these gaps by proposing a new way to identify knowledge-flow mediating research at the individual research article level, instead of at more aggregated levels. We identify journal articles that link two mutually relevant disciplines in three ways-aggregating, bridging, and diffusing. We then examine the likelihood that these papers receive subsequent citations or have funding acknowledgments. Our case study of cognitive science and educational research knowledge flow suggests that articles that aggregate knowledge from multiple disciplines are cited significantly more often than are those whose references are drawn primarily from a single discipline. Interestingly, the articles that meet the criteria for being considered knowledge-flow mediators are less likely to reflect funding, based on reported acknowledgements, than were those that did not meet these criteria. Based on these findings, we draw implications for research policymakers.
[Mh] Termos MeSH primário: Estudos Interdisciplinares
Conhecimento
Aprendizagem
Pesquisa
[Mh] Termos MeSH secundário: Ciência Cognitiva/tendências
Apoio Financeiro
Seres Humanos
Fator de Impacto de Revistas
Revisão da Pesquisa por Pares
[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:171011
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0185583


  10 / 3396 MEDLINE  
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[PMID]:28985847
[Au] Autor:Cherla DV; Olavarria OA; Holihan JL; Viso CP; Hannon C; Kao LS; Ko TC; Liang MK
[Ad] Endereço:Department of Surgery, Lyndon Baines Johnson Hospital, University of Texas, Houston, Texas. Electronic address: deepa.cherla@uth.tmc.edu.
[Ti] Título:Discordance of conflict of interest self-disclosure and the Centers of Medicare and Medicaid Services.
[So] Source:J Surg Res;218:18-22, 2017 Oct.
[Is] ISSN:1095-8673
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The Open Payments Database (OPD) discloses financial transactions between manufacturers and physicians. The concordance of OPD versus self-reported conflicts of interest (COI) is unknown. MATERIALS AND METHODS: Our objectives were to compare (1) industry and self-disclosed COI in clinical literature, (2) payments within each disclosure level, and (3) industry- and self-disclosed COI and payments by specialty. This was an observational study. PubMed was searched for clinical studies accepted for publication from January 2014 to June 2016. Author and OPD-disclosed COIs were compared. Articles and authors were divided into full disclosure, incomplete industry disclosure, incomplete self-disclosure, and no COI. Primary outcome (differences in reported COI per article) was assessed using McNemar's test. Payment differences were compared using Kruskal-Wallis test. RESULTS: OPD- and self-disclosed COI differed (65.0% discordance rate by article, P < 0.001). Percentages of authors within each disclosure category differed between specialties (P < 0.001). Hematology articles exhibited the highest discordance rate (79.0%) and received the highest median payment for incomplete self-disclosure ($30,812). CONCLUSIONS: Significant discordance exists between self- and OPD-reported COI. Additional research is needed to determine reasons for these differences.
[Mh] Termos MeSH primário: Centers for Medicare and Medicaid Services (U.S.)
Conflito de Interesses/economia
Bases de Dados Factuais
Revelação/estatística & dados numéricos
Apoio Financeiro
Médicos
Autorrelato/utilização
[Mh] Termos MeSH secundário: Conflito de Interesses/legislação & jurisprudência
Revelação/legislação & jurisprudência
Indústria Farmacêutica/economia
Indústria Farmacêutica/legislação & jurisprudência
Apoio Financeiro/ética
Seres Humanos
Médicos/economia
Médicos/ética
Médicos/legislação & jurisprudência
Médicos/estatística & dados numéricos
Estados Unidos
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171102
[Lr] Data última revisão:
171102
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171008
[St] Status:MEDLINE



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