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Translations of health sector SWAps-A comparative study of health sector development cooperation in Uganda, Zambia and Bangladesh

Introduction: Sector-wide approach, or SWAp, is an increasingly popular approach to development cooperation for many bilateral and multilateral development agencies. While much has been published about the SWAp model itself, there is still limited research conducted on how it is applied in practice. This study aims at showing how the SWAp is translated as it is adopted in different local settings

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I den offentlege debatten om høgare utdanning er undervisarane påfallande fråverande. Dei sterkaste stemmene tilhøyrar politikarane, studentane, institusjonsleiarane og pedagogane. Når undervisarane melder seg på er det oftast i ein klagesong over høgt arbeidspress, krevjande studentar og mangel på tid og ressursar til forsking. Kvifor oppfattar brorparten av undervisarar i høgare utdanning undervI den offentlege debatten om høgare utdanning er undervisarane påfallande fråverande. Dei sterkaste stemmene tilhøyrar politikarane, studentane, institusjonsleiarane og pedagogane. Når undervisarane melder seg på er det oftast i ein klagesong over høgt arbeidspress, krevjande studentar og mangel på tid og ressursar til forsking. Kvifor oppfattar brorparten av undervisarar i høgare utdanning underv

Comparator Report on Patient Access to Cancer Medicines in Europe Revisited - A UK Perspective

IHE has published a new comparator report on the cost of cancer and access to cancer medicines. The report is a condensed version of the previously published report, Comparator report on patient access to cancer medicines in Europe revisited (IHE Report 2016:4) and focusing on the UK.The report reveals similar trends in the UK as in the rest of Europe: incidence of cancer is increasing, as is mort

The Effect of Working Hours on Health

Does working time causally affect workers' health? We study this question in the context of a French reform which reduced the standard workweek from 39 to 35 hours, at constant earnings. Our empirical analysis exploits variation in the adoption of this shorter workweek across employers, which is mainly driven by institutional features of the reform and thus exogenous to workers' health. Difference

Income-related mortality inequality and macroeconomic conditions

This study examines the relationship between income-related health inequality (IRHI) and macroeconomic conditions. We complement an income group-based analysis of the impact of macroeconomic conditions on mortality by incorporating an analysis of the concentration index as a comprehensive measure of overall IRHI. Using a recentered influence function regression approach, we estimate the impact of

Quality of life of older persons in nursing homes after the implementation of a knowledge-based palliative care intervention

Background: The goals of palliative care are to relieve suffering and promote quality of life. Palliative care for older persons has been less prioritised than palliative care for younger people with cancer, which may lead to unnecessary suffering and decreased quality of life at the final stage of life.Aim: To evaluate whether a palliative care intervention had any influence on the perceived qual

Can selective serotonin inhibitor drugs in elderly patients in nursing homes be reduced?

OBJECTIVE: To investigate whether treatment with selective serotonin reuptake inhibitors (SSRIs) could be withdrawn for elderly residents who had been on treatment for at least one year and to evaluate a method for systematic drug review. DESIGN: Open, prospective, interventional study. SETTING: Four counties in Sweden. SUBJECTS: Elderly residents at 19 nursing homes, with ongoing treatment with S

Age diffusion never stops? Carotid endarterectomy among the elderly

In view of the rising proportion of elderly in the population, diffusion of medical technologies to the elderly is a particularly interesting phenomenon, with respect to both quality of life and health care costs. Using data on all carotid endarterectomies (CEAs) performed in Sweden, we explore the pattern of age diffusion 1982-1999. The overall rates of CEA are considerably lower in Sweden than i

Reflective and collaborative skills enhances Ambulance nurses’ competence – A study based on qualitative analysis of professional experiences

Background: The Swedish ambulance health care services are changing and developing, with the ambulance nurse playing a central role in the development of practice. The competence required by ambulance nurses in the profession remains undefined and provides a challenge. The need for a clear and updateddescription of ambulance nurses’ competence, including the perspective of professional experiences

Regional Differences in the Prescription of Biologics for Psoriasis in Sweden : A Register-Based Study of 4168 Patients

Background: Observational studies suggest an inequitable prescription of biologics in psoriasis care, which may be attributed to geographical differences in treatment access. Sweden regularly ranks high in international comparisons of equitable healthcare, and is, in connection with established national registries, an ideal country to investigate potential inequitable access. Objective: The aim wa

Health care utilisation among older persons with intellectual disability and dementia : a registry study

BACKGROUND: Both persons with intellectual disability (ID) and persons with dementia have high disease burdens, and consequently also high health care needs. As life expectancy increases for persons with ID, the group of persons with the dual diagnosis of ID and dementia will become larger.METHOD: Through national registries, we identified 7936 persons who had received support directed to persons

Politics, law and a lack of sperm : Single women and fertility treatment in the Swedish health system

In 2016 Swedish law was amended to allow single women to access fertility treatment with donor sperm. In this paper, based on interviews, document analysis and autoethnographic insights, I examine the implementation of this law using human rights approaches, specifically the availability, accessibility, acceptability, and quality framework (AAAQ Framework). While the law extended the scope of repr

Process orientation and management control in health care organizations

The public sector in Sweden has been an early adopter of public management reforms and the health care sector has been in the forefront of the development. In recent years, process orientation has been one key component in this endeavour. Studies in two health care organizations show that an increased focus on horizontal processes leads to changes in the management control system. However, it also

The economic burden of inappropriate drug prescribing, lack of adherence and compliance, adverse drug events in older people : A systematic review

Adverse drug events (ADEs) are an increasingly relevant issue for healthcare systems as they are associated with poorer health outcomes and avoidable misuse of resources. The rates of ADEs are higher in the elderly population, as many older patients have comorbidities, multiple drug prescriptions and deteriorated physical and cognitive functioning. The occurrence of ADEs can lead to a perceived la