Protection Policy

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Tora Skodvin - One of the best experts on this subject based on the ideXlab platform.

Simon Shackley - One of the best experts on this subject based on the ideXlab platform.

Kim D. Reynolds - One of the best experts on this subject based on the ideXlab platform.

  • A survey of sun Protection Policy and education in secondary schools.
    Journal of the American Academy of Dermatology, 2006
    Co-Authors: David B. Buller, Mary Klein Buller, Kim D. Reynolds
    Abstract:

    Background The Centers for Disease Control and Prevention (CDC) issued recommendations for school programs to reduce skin cancer. Objective Personnel at US secondary schools were surveyed to describe sun Protection Policy and education before the CDC recommendations. Methods School principals or other personnel at 484 secondary schools in 27 cities responded to a telephone survey in January and February 2002 (response rate=31%). Results A sun Protection Policy was reported at 10% of the schools, but sun Protection education occurred at nearly all schools (96%). Policies were more prevalent in regions with high ultraviolet radiation ( P Limitations Self-report measures, nonresponse, and new schools not in the sampling frame. Conclusion Sun Protection was a low Policy priority for US schools. Sun safety education was prevalent, but written materials were used infrequently. A substantial proportion of school personnel were receptive to the CDC's advice.

Miqdad Asaria - One of the best experts on this subject based on the ideXlab platform.

  • Analysis of multi drug resistant tuberculosis (MDR-TB) financial Protection Policy: MDR-TB health insurance schemes, in Chhattisgarh state, India
    Health Economics Review, 2018
    Co-Authors: Debashish Kundu, Nandini Sharma, Sarabjit Chadha, Samia Laokri, George Awungafac, Lai Jiang, Miqdad Asaria
    Abstract:

    Introduction There are significant financial barriers to access treatment for multi drug resistant tuberculosis (MDR-TB) in India. To address these challenges, Chhattisgarh state in India has established a MDR-TB financial Protection Policy by creating MDR-TB benefit packages as part of the universal health insurance scheme that the state has rolled out in their effort towards attaining Universal Health Coverage for all its residents. In these schemes the state purchases health insurance against set packages of services from third party health insurance agencies on behalf of all its residents. Provider payment reform by strategic purchasing through output based payments (lump sum fee is reimbursed as per the MDR-TB benefit package rates) to the providers – both public and private health facilities empanelled under the insurance scheme was the key intervention. Aim To understand the implementation gap between Policy and practice of the benefit packages with respect to equity in utilization of package claims by the poor patients in public and private sector. Methods Data from primary health insurance claims from January 2013 to December 2015, were analysed using an extension of ‘Kingdon’s multiple streams for Policy implementation framework’ to explain the implementation gap between Policy and practice of the MDR-TB benefit packages. Results The total number of claims for MDR-TB benefit packages increased over the study period mainly from poor patients treated in public facilities, particularly for the pre-treatment evaluation and hospital stay packages. Variations and inequities in utilizing the packages were observed between poor and non-poor beneficiaries in public and private sector. Private providers participation in the new MDR-TB financial Protection mechanism through the universal health insurance scheme was observed to be much lower than might be expected given their share of healthcare provision overall in India. Conclusion Our findings suggest that there may be an implementation gap due to weak coupling between the problem and the Policy streams, reflecting weak coordination between state nodal agency and the state TB department. There is a pressing need to build strong institutional capacity of the public and private sector for improving service delivery to MDR-TB patients through this new health insurance mechanism.

  • analysis of multi drug resistant tuberculosis mdr tb financial Protection Policy mdr tb health insurance schemes in chhattisgarh state india
    Health Economics Review, 2018
    Co-Authors: Debashish Kundu, Nandini Sharma, Samia Laokri, George Awungafac, Lai Jiang, Sarabjit Singh Chadha, Miqdad Asaria
    Abstract:

    There are significant financial barriers to access treatment for multi drug resistant tuberculosis (MDR-TB) in India. To address these challenges, Chhattisgarh state in India has established a MDR-TB financial Protection Policy by creating MDR-TB benefit packages as part of the universal health insurance scheme that the state has rolled out in their effort towards attaining Universal Health Coverage for all its residents. In these schemes the state purchases health insurance against set packages of services from third party health insurance agencies on behalf of all its residents. Provider payment reform by strategic purchasing through output based payments (lump sum fee is reimbursed as per the MDR-TB benefit package rates) to the providers – both public and private health facilities empanelled under the insurance scheme was the key intervention. To understand the implementation gap between Policy and practice of the benefit packages with respect to equity in utilization of package claims by the poor patients in public and private sector. Data from primary health insurance claims from January 2013 to December 2015, were analysed using an extension of ‘Kingdon’s multiple streams for Policy implementation framework’ to explain the implementation gap between Policy and practice of the MDR-TB benefit packages. The total number of claims for MDR-TB benefit packages increased over the study period mainly from poor patients treated in public facilities, particularly for the pre-treatment evaluation and hospital stay packages. Variations and inequities in utilizing the packages were observed between poor and non-poor beneficiaries in public and private sector. Private providers participation in the new MDR-TB financial Protection mechanism through the universal health insurance scheme was observed to be much lower than might be expected given their share of healthcare provision overall in India. Our findings suggest that there may be an implementation gap due to weak coupling between the problem and the Policy streams, reflecting weak coordination between state nodal agency and the state TB department. There is a pressing need to build strong institutional capacity of the public and private sector for improving service delivery to MDR-TB patients through this new health insurance mechanism.

David B. Buller - One of the best experts on this subject based on the ideXlab platform.

  • A survey of sun Protection Policy and education in secondary schools.
    Journal of the American Academy of Dermatology, 2006
    Co-Authors: David B. Buller, Mary Klein Buller, Kim D. Reynolds
    Abstract:

    Background The Centers for Disease Control and Prevention (CDC) issued recommendations for school programs to reduce skin cancer. Objective Personnel at US secondary schools were surveyed to describe sun Protection Policy and education before the CDC recommendations. Methods School principals or other personnel at 484 secondary schools in 27 cities responded to a telephone survey in January and February 2002 (response rate=31%). Results A sun Protection Policy was reported at 10% of the schools, but sun Protection education occurred at nearly all schools (96%). Policies were more prevalent in regions with high ultraviolet radiation ( P Limitations Self-report measures, nonresponse, and new schools not in the sampling frame. Conclusion Sun Protection was a low Policy priority for US schools. Sun safety education was prevalent, but written materials were used infrequently. A substantial proportion of school personnel were receptive to the CDC's advice.