BACKGROUND Out-of-pocket (OOP) payment on healthcare is dominant mode of financing in developing countries. In Pakistan it is 67% of total expenditure on healthcare. Analysis of determinants of OOP health expenditure is a key aspect of equity in healthcare financing. It helps to formulate an effective health policy. Evidence on OOP in Pakistan is sparse. This paper attempts to fill this researc...

BACKGROUND The Swedish government has increasingly begun to rely on so called informative governance when regulating healthcare. The question this article sets out to answer is: considered to be "the backbone" of the Swedish state's strategy for informative governance in healthcare, what kind of regulatory arrangement is the evidence-based National Guidelines? Together with national medical reg...

WHY HEALTHCARE REFORM IS REAL Heal thcare reform is being driven by four economic and social forces, the most potent of which is the rapidly rising cost of healthcare. At current rates of growth, it is predicted that in six years the annual healthcare costs for a family of four will be $30,000—more than the family will spend on food, housing, transportat ion, and clothing combined. These costs ...

For healthcare professionals, breaking bad news is considered to be difficult and complex. Trial error, as well observing seniors, are popular approaches used by practitioners improve their skills. These channels of practice not optimal, they can have negative consequences for the quality delivery overall healthcare. Communication training inclusion models in curriculum among efforts made busin...

McDonough’s perspective on healthcare reform in the US provides a clear, coherent analysis of the mix of access and delivery reforms in the Affordable Care Act (ACA) aka Obamacare. As noted by McDonough, this major reform bill is designed to expand access for health coverage that includes both prevention and treatment benefits among uninsured Americans. Additionally, this legislation includes s...

Health and care workers in England may be required to vaccinated against covid-19 flu before they can work directly with patients. The Department of Social Care has launched a six week consultation1 asking staff, healthcare providers, patients share their views on whether unless exempt, should vaccinated. The BMA warned, however, that making vaccination compulsory is complex raises many ethic...

Background This article conducts a comparative national and subnational government analysis of the political, economic, and ideational constructivist contextual factors facilitating the adoption of obesity and diabetes policy.   Methods We adopt a nested analytical approach to policy analysis, which combines cross-national statistical analysis with subnational case study comparisons to examine...