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Bringing healthcare to hard-hit areas in Bangladesh

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Inequality in access to care undermines cancer-control efforts in Latin America

Cancer is the second-biggest killer in Latin America, accounting for 19% of all deaths on average. The International Agency for Research on Cancer projects the number of cancer deaths in Latin America to more than double by 2035. New analysis by The Economist Intelligence Unit (EIU) shows that in recent years the region has made important steps forward, such as widespread human papillomavirus (HPV) vaccination, increasingly stringent anti-tobacco laws and growing access to cancer care for the previously uninsured. However, problems persist, especially the accelerating obesity epidemic, “medical apartheid” that is restricting poorer citizens to less well-resourced care, and a widespread lack of palliative care.

Living with HIV: Challenges in Spain's HIV management

Living with HIV: Challenges in Spain's HIV management

HIV management, has been written by The Economist Intelligence Unit (EIU) and is sponsored by Gilead Sciences. It is informed by the insights of a panel of experts on HIV in Spain and five in-depth interviews. The report’s aims: to assess the current knowledge and understanding of HIV/AIDS, of late diagnosis, of ageing and comorbidities in Spain and to identify any current gaps in the provision of healthcare services to patients in Spain. 

Living with HIV: Challenges in Spain's HIV management

However, for the first time, nearly half of HIV-infected people on Spain are over the age of 50; they are facing special challenges resulting from the accumulated toxicities of earlier treatment and from social difficulties and exclusion—primarily affecting those infected in the earliest wave of the epidemic. Spain’s populations most at-risk of contracting HIV are also changing, but practices to encourage early detection and testing are not being adjusted in a timely manner. 

 

To infinity and beyond—three things international donors should consider as health economic evaluation goes global

Imagine you have a budget of £150m (US$193m) to spend in a country where the prevalence of malaria and teenage pregnancy is high, as are the corresponding infant, child and maternal mortality rates. You have three options to spend your money: a programme to distribute bed nets, protecting children against malaria; a programme that expands access to family planning, offering protection to young women; or a salary reform initiative, enabling the Ministry of Health to hire enough staff. You haven’t got enough money to do it all and you need "quick and attributable wins" that avoid negative media on the wastage of money. What would you choose?

New EIU index highlights need for political and financial commitment to improving access to healthcare

The Global Access to Healthcare Index measures how healthcare systems across the world are working to solve the most pressing healthcare needs of their population. The top performers are the Netherlands (1st), France, Germany (tied for 2nd), Australia and the UK (tied for 4th), while the Democratic Republic of the Congo (59th) and Afghanistan (60th) are at the bottom of the index. Political will and a social compact are prerequisites for both extending access to healthcare and building sustainable health systems. Public investment underpins good access and demonstrates the commitment of governments to ensuring the health of their populations. The index shows that there is a strong correlation between human development (health, education and income) and access to healthcare.

Value-based healthcare in Taiwan: Towards a leadership role in Asia - Traditional Chinese

在臺灣,一種價值導向型的醫療策略正逐步引起重視。這是因為該地區的醫療體系面臨創新型治療方法所帶來的機遇和壓力,同時,慢性和傳染性疾病的負擔也在不斷加重。

二十多年的全民健康保險促進了臺灣醫療體系的發展,這有助於研究者獲取一套全面的數據。十多年來,醫療科技評估也在臺灣醫療系統的部分領域中得到了應用。 

然而,人們雖然一直努力將成本效益和對於「價值」更廣泛的計量方法納入到對新的醫療措施的分析和決策中,但迄今為止還沒有做出任何努力來促成對「價值」這一概念的共同理解,或是對醫療保健在這一方面的標準評估方法的接受。 

為了推動確立價值計量的有效方法,臺灣的任何舉措都需要著眼於對價值導向型醫療未來發展至關重要的幾個問題:國家醫療衛生決策機構如何解讀「價值」;參與決策過程的主要利益相關者有哪些,哪些人應該參與到相關決策中;以及在以價值為基礎的這一框架內,醫療保健的哪些方面可以被合理評估。此外,專家認為醫療體系將需要設法利用其醫療科技評估(health technology assessment, HTA)的能力來確定低價值領域,謹慎減少投資,以便為更具成本效益的支出釋放資源。這一過程將需要更多地整合使用HTA來完成包括醫療措施、設備、甚至整個照護路徑在內的多種評估工作。

Value-based healthcare in Taiwan: Towards a leadership role in Asia

Taiwan’s healthcare system benefits from more than 20 years of universal access to healthcare, which has helped to create a comprehensive set of data available to researchers. Health technology assessment has been in place in parts of the system for more than a decade.

Cancer control access and inequality in Latin America: A tale of light and shadow

     

Cancer control access and inequality in Latin America: A tale of light and shadow

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