𝔖 Bobbio Scriptorium
✦   LIBER   ✦

Addressing the phenomenon of bypassing in Albania: the impact of a primary health care strengthening intervention

✍ Scribed by David R. Hotchkiss; Linda Piccinino; Altin Malaj; Andrés A. Berruti; Sujata Bose

Publisher
John Wiley and Sons
Year
2007
Tongue
English
Weight
397 KB
Volume
22
Category
Article
ISSN
0749-6753

No coin nor oath required. For personal study only.

✦ Synopsis

Abstract

The purpose of this study is to assess the impact of a primary health care strengthening intervention on bypassing behavior in Albania, a middle‐income country that has experienced substantial structural changes that affect PHC and where bypassing among health care clients is common. The intervention aimed to improve the quality of health care in low‐level facilities through improved availability and use of health information, the adoption of clinical practice guidelines, and provider training. The study employs a quasi‐experimental research design to evaluate the impact of the intervention on health care utilization. The survey findings suggest that the pilot areas outperformed the control areas with respect to a number of key population‐based indicators of health care utilization. For example, in the 2‐year period between December 2002 and December 2004, bypassing for treatment of simple acute health problems during the month prior to the survey decreased by 47%, and the percentage of chronically ill health care clients who utilized PHC facilities for treatment in the month prior to the survey increased by 29%. These differences, which are statistically significant at the 10% level or better, suggest that the improved performance in the pilot areas is attributable to the intervention. Copyright © 2007 John Wiley & Sons, Ltd.

📜 SIMILAR VOLUMES

The impact of integrating the eliminatio
The impact of integrating the elimination programme for lymphatic filariasis into primary health care in the Dominican Republic
✍ Margaret C. Baker; Deborah A. McFarland; Manuel Gonzales; Mary Janet Diaz; David 📂 Article 📅 2007 🏛 John Wiley and Sons 🌐 English ⚖ 203 KB

## Abstract Integration of disease‐specific programmes into existing health care delivery systems is a challenge for many countries, made more salient as the scope and scale of disease‐specific programmes increases. This paper reports on the programmatic outcomes of 2 years of integrating the lymph

The impact of a diagnosis of fibromyalgi
The impact of a diagnosis of fibromyalgia on health care resource use by primary care patients in the UK: An observational study based on clinical practice
✍ Gwenda Hughes; Carlos Martinez; Eric Myon; Charles Taïeb; Simon Wessely 📂 Article 📅 2005 🏛 John Wiley and Sons 🌐 English ⚖ 100 KB 👁 3 views

## Abstract ## Objective To investigate the impact of a diagnosis of fibromyalgia (FM) in clinical practice on health care resource use in the UK. ## Methods Rates of visits, prescriptions, referral, and diagnostic testing were estimated in patients who had been diagnosed as having FM between 19

The importance of age in allocating heal
The importance of age in allocating health care resources: does intervention-type matter?
✍ Mira Johri; Laura J. Damschroder; Brian J. Zikmund-Fisher; Peter A. Ubel 📂 Article 📅 2005 🏛 John Wiley and Sons 🌐 English ⚖ 139 KB 👁 1 views

## Background: Recent proposals to reform cost-effectiveness analysis (cea) by weighting health benefits [(quality-adjusted life-years) qalys] by recipients' age are based on studies examining age-related preferences in life-saving contexts. we investigated whether the perceived importance of age i

The impact of rural mutual health care o
The impact of rural mutual health care on health status: evaluation of a social experiment in rural China
✍ Hong Wang; Winnie Yip; Licheng Zhang; William C. Hsiao 📂 Article 📅 2009 🏛 John Wiley and Sons 🌐 English ⚖ 149 KB 👁 1 views

## Abstract Despite widespread efforts to expand health insurance in developing countries, there is scant evidence as to whether doing so actually improves people's health. This paper aims to fill this gap by evaluating the impact of Rural Mutual Health Care (RMHC), a community‐based health insuran

The importance of organizational culture
The importance of organizational culture on development activities in a primary health care organization
✍ Juha Kinnunen 📂 Article 📅 1990 🏛 John Wiley and Sons 🌐 English ⚖ 366 KB 👁 1 views

The aim of this article is to examine, by means of an empirical study, the: a) relationship between formal and cultural structures; b) similarities and differences between professional subcultures (medical, nursing and managerial); and, c) the effects of the social assumptions of the work teams on d

Assessing the impact of high deductible
Assessing the impact of high deductible health plans on health-care utilization and cost: a changes-in-changes approach
✍ Bijan J. Borah; Marguerite E. Burns; Nilay D. Shah 📂 Article 📅 2011 🏛 John Wiley and Sons 🌐 English ⚖ 195 KB 👁 2 views

High deductible health plans (HDHPs) have become an increasingly common form of benefit design used by employers to manage health-care costs. Numerous studies have evaluated the uptake and impact of HDHPs on health-care utilization. Most studies have employed the standard difference-in-differences (