Basis For Health Services Research Articles

How Cultural Values transfer into the Basis for Health Services in the Industry Revolution Era: A Critical Perspective

Public health servicesneed serious attention in Indonesia. In fact, the number of health workers is sufficient enough and even excessive in certain areas. This situation is caused by lack of observing principles of the local and national cultural values in carrying out the public health services. We reviewed the published literature over the current satisfactory level of people with regard to thehealth services. Furthermore, we compared the results between residents of the suburb and urban areas regarding the national health services. This critical perspective offerred a concept of health services based on the cultural values with the belief that these values can influence the perceptions, attitudes, and behaviour of individuals, including health workers in rendering health services through health consultations. The purpose was to design a situated cultural learning, through which they can learn to respect and apply cultural values in implementing health services. To implement such cultural values, the concept of industrial revolution 4.0 and 5.0 is also needed, where individuals utilize and work together with machine learning technology or artificial intelligence.

Strengthening the scientific basis of health services: clinical research in Finland in 2002 and 2007

Strengthening the scientific basis of health services: clinical research in Finland in 2002 and 2007

Healthcare Costs Around the Time of Smoking Cessation

The Affordable Care Act mandates that new insurance plans cover smoking-cessation therapy without cost-sharing. Previous cost difference estimates, which show a spike around the time of cessation, suggest premiums might rise as a result of covering these services. The goal of the study was to test (1) whether individuals in an RCT of pharmacotherapy and counseling for smoking cessation differed in their healthcare costs around the cessation period, and (2) whether the healthcare costs of those in the trial who successfully quit were different from a matched sample of smokers in the community. Generalized linear regression models were used to analyze healthcare cost data on individuals enrolled in a comparative effectiveness trial of cessation therapies between October 2005 and May 2007 (1346 total participants; 1338 with requisite data for further analysis). Cost differences for the period preceding and subsequent to the cessation attempt were assessed by trial participants' 12-month sustained quit status. Healthcare cost differences between sustained quitters and a sample of community-dwelling smokers, matched to these quitters on the basis of health services use around the time trial participant enrolled and by demographics, were also examined. Data were analyzed in 2011. All three groups had a spike in cost associated with the index clinic visit. Regression results revealed little difference in healthcare costs by quit status for trial participants until the sixth quarter post-quit. By that quarter, continuous sustained quitters cost $541 (p<0.001) less than continuing smokers. Continuous sustained quitters cost less than their matched community- dwelling smokers in almost every quarter observed. The cost difference ranged from $270 (p=0.01) during the quarter of quit, to $490 (p<0.01) in the 6th quarter after quitting. The inclusion of smoking-cessation therapy does not appear to raise short-term healthcare costs. By the sixth quarter post-quit, sustained quitters were less costly than trial participants who continued smoking.

Green care governance: between market, policy and intersecting social worlds

Green care--the utilisation of farms as the basis for health services--is seen as a promising addition to other health services, and it is seen as a viable diversification strategy for many farm families. However, the number of such services is low both in Norway and in Europe in general. The development of green care seems to have stagnated. This paper seeks to analyze and discuss the case of Norwegian green care in order to reflect on the hindrances to the further development of a viable green care sector. The paper analyzes the green care market, green care policies and the interaction of social worlds that are necessary to make the green care sector function smoothly. The conclusion is that there is a sound basis for a green care market and that there are sufficient political support and political engagement for the development of green care in Norway. The problem with the green care sector is the interaction between the "social worlds" involved in the sector--the suppliers/farmers, the users, and the (public sector) buyers. It is argued that the development of a green care market is hampered by the lack of an institutional framework and a set of market devices capable of bringing key actors together. The paper presents an analysis of the Norwegian green care sector. It shows that there are substantial cross-national differences between health service systems, and therefore comparisons between nations are difficult. However, the principal challenges--diverse social groups, the lack of institutional frames, and immature markets--are shared. Therefore, the need for further research is evident and there are lessons to be learned from cross-national comparison and case studies. Within the green care research field, there have been few social science studies that address organisational issues and the governance of this new and emerging business. Theoretically oriented and analytical contributions on organisational aspects of green care services are therefore timely. This paper is such a contribution.

Book Review: Scientific Basis of Health Services

Book Review: Scientific Basis of Health Services

Second International Conference, Scientific Basis for Health Services and Fifth Annual Cochrane Colloquium, Amsterdam, The Netherlands, 5–12 October 1997

Second International Conference, Scientific Basis for Health Services and Fifth Annual Cochrane Colloquium, Amsterdam, The Netherlands, 5–12 October 1997

Book and Media Reviews

Book Reviewed in this article:The Genetics of Alcoholism HENRI BEGLEITER &amp; BENJAMIN KISSIN (Eds)Treating Adult Children of Alcoholics, a developmental perspective STEPHANIE BROWNHuman Genetics: problems and approaches, 3rd Edn F. VOGEL &amp; A. G. MOTULSKYLiver Transplantation: practice and management JAMES NEUBERGER &amp; MICHAEL R. LUCEY (Eds)Liver and Biliary Disease N. KAPLOWITZSource Book of Substance Abuse and Addiction LAWRENCE FRIEDMAN, NICHOLAS FLEMING, DAVID H. ROBERTS &amp; STEVEN E. HYMAN (Eds)The GABAA/Benzodiazepine Receptor as a Target for Psychoactive Drugs ADAM DOBLE &amp; IAN L. MARTINTranscription Factors J. LOCKER (Ed.)Planning for Medical Research: a practical guide to research methods DEREK LOWEScientific Basis of Health Ser vices M. PECKHAM &amp; RICHARD SMITH (Eds)Evolving the Mind on the Nature of Matter and the Origin of Consciousness A. G. CAIRNS‐SMITHA History of Clinical Psychiatry. The origin and history of psychiatric disorders G. BERRIOS &amp; R. PORTER (Eds)Software Review of Medical Informatics: the essentials F. T. de DombalStedman's Electronic Medical Dictionary, CD‐Rom v3.0

Scientific Basis of Health Services

Ed M Peckham, R Smith BMJ Publishing Group, £22.95, pp 186 ISBN 0 7279 1029 9 The glittering success of biomedical science, like that of an exceptionally talented elder sibling, outshines the efforts of younger brothers and sisters who carry out research in less prestigious areas—in public health, behavioural medicine, and health services research. Yet progress, often quietly impressive, also occurs within these areas. In October 1995 a conference—something of a celebration, in fact—on the scientific basis of health services was held in London with over 1000 delegates from 40 countries. This selection of papers …

Scientific Basis of Health Services

Scientific Basis of Health Services

Scientific basis of health services.

The Research and Development (R&D) programme in the National Health Service (NHS) is probably the first systematic attempt in any country to prioritize health care needs for R&D. The aims of the programme are described by its founding director, Sir Michael Peckham, in Research for health, and the essence of the enterprise is to identify pressing research questions requiring R&D solutions, rather than leaving the direction of research to investigators with vested interests. Although this needs-led approach to R&D funding is not without its critics, it is an essential component of an evidence-based medical culture which emphasizes the scientific basis of clinical practice. Indeed, the Scientific Basis of Health Services was the theme of a highprofile international conference held in London recently, which both affirmed the importance of developing a research base for the provision of health care and celebrated the considerable achievements of Peckham's NHS R&D programme. As well as emphasizing needs-led rather than investigator-led research, the R&D programme also underscores the importance of the sciences of implementation and evaluation. Applicants for funding in most of the initiatives in the programme have to consider not only the relevance of the research to the NHS, and the health gain that the results of research would bring, but also need to submit proposals relating to the dissemination and implementation of the research, and some thoughts about the way in which new research information can find its way into clinical practice. The mechanism for setting priorities for R&D in the NHS has recently been described. The Central Research and Development committee selects key topics, some of which are related to the health care priorities laid out in The health of the nation and expert advisory groups are set up to seek, through wide consultation, the most pressing research questions in the area of interest, and to advertise for and commission research into them. The priority topics so far identified include mental health, cardiovascular disease and stroke, maternal and child health, the primary:secondary care interface and physical and complex disabilities. In addition a health technology assessment programme continues to identify innovations in the delivery of health care,