Abstract
Noncommunicable diseases (NCDs) are the major global causes of morbidity and mortality. In Mongolia, a number of health policy documents have been developed targeting the prevention and control of noncommunicable diseases. This paper aimed to evaluate the extent to which NCD-related policies introduced in Mongolia align with the World Health Organisation 2008-2013 Action Plan for the Global Strategy for the Prevention and Control of NCDs (Action Plan). We conducted a qualitative review of policy documents introduced by the Government of Mongolia from 2000 to 2013. A literature review, internet–based search, and expert consultation identified the policy documents. Information was extracted from the documents using a matrix, mapping each document against the six objectives of the Action Plan and five dimensions: data source, aim and objectives of document, coverage of conditions, coverage of risk factors and implementation plan. 40 NCD-related policies were identified. Prevention and control of the common NCDs and their major risk factors as described by WHO were widely addressed as were the objectives of the Action Plan. It appears that each objective of the WHO 2008-2013 NCD Action Plan was well addressed. Many documents included explicit implementation or monitoring frameworks. Areas less well or/and not addressed were chronic respiratory disease, physical activity guidelines and dietary standards. The Mongolian Government response to the emerging burden of NCDs is a population-based public health approach which includes a national multisectoral framework and integration of NCD prevention and control policies into national health policies. Our findings suggested gaps in addressing chronic respiratory disease, physical activity guidelines, specific food policy actions restricting sales advertising of food products, and a lack of funding specifically supporting NCD research. Future research should explore the effectiveness of national NCD policies and the extent to which the policies are implemented in practice.
Highlights
This paper aimed to evaluate the extent to which Noncommunicable diseases (NCDs)-related policies introduced in Mongolia align with the World Health Organisation 2008-2013 Action Plan for the Global Strategy for the Prevention and Control of NCDs (Action Plan)
Multivariate analysis reveals that 65-79 years of age (OR: 3.4), living in urban areas (OR: 1.58), being consulted for chronic problems (OR: 2.25) and preventive services (OR: 4.40), being seen by surgical specialty physicians (OR: 1.52), and had private insurance (OR: 1.40) increased the likelihood of the visit resulting in a Prostate Specific Antigen (PSA) test
Contrary to expected standard of practice of primary care physician (PCP) visits influencing PSA testing, our study showed that visiting with a surgeon increased the likelihood of PSA testing
Summary
The aim of the present study is to evaluate the prevalence of several mental health diagnoses and utilization of anti-psychotic medications among the children (< 18 years) enrolled in the Mississippi Medicaid. Methods: A retrospective analysis was conducted using Mississippi Medicaid administrative claims data for the period July 2013 to June 2014. Since most mental health diagnoses are of a chronic nature, diagnosis were assessed using claims for the period January 2012 to June 2014 in order to be as complete as possible. Treatments and costs estimates were based on the one year observation period. Access to care was measured as the proportion of care received from MDs incounty, in adjacent counties, and in other counties. All measures were computed for each county. Results: 387,838 children were identified in the observation period.
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