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Giedrius Vanagas
This presentation was given at the 'Beyond Scaling Up: Pathways to Universal Access' workshop which was held at the Institute of Development Studies, Brighton on the 24-25 May, 2010. This event was co-sponsored by the Future Health Systems Research Programme Consortium and the STEPS Centre. Bloom provided an introduction to the event.
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Giedrius Vanagas
This presentation was given at the 'Beyond Scaling Up: Pathways to Universal Access' workshop which was held at the Institute of Development Studies, Brighton on the 24-25 May, 2010. This event was co-sponsored by the Future Health Systems Research Programme Consortium and the STEPS Centre. Bloom provided an introduction to the event.
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IDS
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Presentation on the literature review of interventions to improve health care...
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'Meeting the Challenge of Long Term Conditions: Does the new NHS promote or hinder cooperation and integration?' - Professor David Hunter (Professor of Health Policy and Management at Durham University) from the Cumbria Neuroscience Conference
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This presentation by David Peters of the Future Health Systems Consortium was given at the Global Symposium on Health Systems Research in November 2010.
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Background: Conceptual and theoretical links between politics and public health are longstanding. Internationally comparative systematic review evidence has shown links between four key political exposures – the welfare state, political tradition, democracy and globalisation – on population health outcomes. However, the pathways through which these influences may operate have not been systematically appraised. Therefore, focusing on child and maternal health outcomes, we present a realist re-analysis of the dataset from a recent systematic review. Methods: The database from a recent systematic review on the political determinants of health was used as the data source for this realist review. Included studies from the systematic review were re-evaluated and those relating to child and/or maternal health outcomes were included in the realist synthesis. Initial programme theories were generated through realist engagement with the prior systematic review. These programme theories were adjudicated and refined through detailed engagement with the evidence base using a realist re-synthesis involving two independent reviewers. The revised theories that best corresponded to the evidence base formed the final programme theories. Results: Out of the 176 included studies from the systematic review, a total of 67 included child and/or maternal health outcomes and were included in the realist re-analysis. Sixty-three of these studies were ecological and data were collected between 1950 and 2014. Six initial programme theories were generated. Following theory adjudication, three theories in revised form were supported and formed the final programme theories. These related to a more generous welfare state leading to better child and maternal health especially in developed countries through progressive social welfare policies, left-of-centre political tradition leading to lower child mortality and low birth weight especially in developed countries through greater focus on welfare measures, and increased globalisation leading to greater child and infant mortality and youth smoking rates in LMECs through greater influence of multinational corporations and neoliberal trade organisations. Conclusion: We present a realist re-analysis of a large systematically identified body of evidence on how four key political exposures – the welfare state, democracy, political tradition and globalisation – relate to child and maternal health outcomes. Three final programme theories were supported. Keywords: Child health, Maternal health, Health policy, International health, Politics, Realist synthesis
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Araz Taeihagh
This presentation was given at the 'Beyond Scaling Up: Pathways to Universal Access' workshop which was held at the Institute of Development Studies, Brighton on the 24-25 May, 2010. This event was co-sponsored by the Future Health Systems Research Programme Consortium and the STEPS Centre. Peters presented on change in complex health systems.
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Background: Conceptual and theoretical links between politics and public health are longstanding. Internationally comparative systematic review evidence has shown links between four key political exposures – the welfare state, political tradition, democracy and globalisation – on population health outcomes. However, the pathways through which these influences may operate have not been systematically appraised. Therefore, focusing on child and maternal health outcomes, we present a realist re-analysis of the dataset from a recent systematic review. Methods: The database from a recent systematic review on the political determinants of health was used as the data source for this realist review. Included studies from the systematic review were re-evaluated and those relating to child and/or maternal health outcomes were included in the realist synthesis. Initial programme theories were generated through realist engagement with the prior systematic review. These programme theories were adjudicated and refined through detailed engagement with the evidence base using a realist re-synthesis involving two independent reviewers. The revised theories that best corresponded to the evidence base formed the final programme theories. Results: Out of the 176 included studies from the systematic review, a total of 67 included child and/or maternal health outcomes and were included in the realist re-analysis. Sixty-three of these studies were ecological and data were collected between 1950 and 2014. Six initial programme theories were generated. Following theory adjudication, three theories in revised form were supported and formed the final programme theories. These related to a more generous welfare state leading to better child and maternal health especially in developed countries through progressive social welfare policies, left-of-centre political tradition leading to lower child mortality and low birth weight especially in developed countries through greater focus on welfare measures, and increased globalisation leading to greater child and infant mortality and youth smoking rates in LMECs through greater influence of multinational corporations and neoliberal trade organisations. Conclusion: We present a realist re-analysis of a large systematically identified body of evidence on how four key political exposures – the welfare state, democracy, political tradition and globalisation – relate to child and maternal health outcomes. Three final programme theories were supported. Keywords: Child health, Maternal health, Health policy, International health, Politics, Realist synthesis
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Social values international programme: integrating research and policy to ensure fair allocation of health care resources . HTAi Conference 2012 Panel Session Joint chairs Professor Peter Littlejohns and Professor Albert Weale
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86 J Public Health Management Practice, 1999, 5(5), 86–97 © 1999 Aspen Publishers, Inc. HE MANY accomplishments of modern public health can be lauded, including the 30-year gain in life expectancy in the United States during this century. Much of Evidence-Based Decision Making in Public Health Ross C. Brownson, James G. Gurney, and Garland H. Land Ross C. Brownson, PhD, is Professor of Epidemiology and Chair of the Department of Community Health at the Saint Louis University School of Public Health and directs the Prevention Research Center at Saint Louis University, in St. Louis, Missouri. James G. Gurney, PhD, is an Assistant Professor in Pediatrics and an Adjunct Assistant Professor in Epidemiology at the University of Minnesota, Minneapolis, Minnesota. Garland H. Land, MPH, is the Director of the Center for Health Information Management and Epidemiology of the Missouri Department of Health, Jefferson City, Missouri. The authors are grateful for the contributions from the other mem- bers of the Work Team on Evidence-Based Decision Making in Public Health: H. Denny Donnell, Michael Kramer, Wayne Schramm, Eduardo Simoes, Joseph Stockbauer, and Mark Van Tuinen. This project was supported in part by the Centers for Dis- ease Control and Prevention (CDC) cooperative agreement #U82/ CCU712891, awarded to the Missouri Department of Health, and CDC cooperative agreement #U48/CCU710806, awarded to the Saint Louis University School of Public Health. As noted in this article, a course entitled Evidence-Based Decision Making in Public Health is taught for public health practitioners in Missouri. Copies of the syllabus and readings for the course are available from Dr. Brownson ([email protected]). Information on other information system strategies that are being implemented within the Missouri Department of Health is available from Mr. Land. A stronger focus on evidence-based decision making in day-to-day public health practice is needed. This article describes the rationale for this need, including (1) the inter-relationships between evidence-based medicine and evidence-based public health (EBPH); (2) commonly used analytic tools and processes; (3) keys to when public health action is warranted; (4) a strategic, six-step approach to more analytic decision making; and (5) summary barriers and opportunities for widespread implementation of EBPH. The approach outlined is being tested through a series of courses for mid-level managers in the Missouri Department of Health—initial results from a pilot test are encouraging. It is hoped that the greater use of an evidence-based framework in public health will lead to more effective programs. Key words: data, decision making, epidemiology, public health practice, surveillance T this increase can be attributed to the provision of safe water and food, sewage treatment and disposal, to- bacco use prevention, injury prevention, control of infectious diseases through immunization,.
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The research on “Maximizing Positive Synergies” project (MPS) engaged an ad hoc alliance of researchers from many countries and disciplines grouped in 3 consortia: Academic; Civil society; and Implementers. Led by the GHD Project, the academic consortium comprised 15 of the world’s leading universities and institutions spanning all 6 of the WHO’s global regions. More than 75 individual researchers have contributed, and the consortium has generated case study evidence from more than 20 countries.
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