Handbook of Health Research Methods: Investigation, by Ann Bowling, Shah Ebrahim

By Ann Bowling, Shah Ebrahim

This publication of edited chapters is helping researchers from medical and nonclinical disciplines plan, perform, and research learn, and assessment the standard of study reports. the point of interest of the publication is a multidisciplinary method of study tools which are appropriate to researchers from diversified disciplines operating aspect by means of aspect within the research of inhabitants well-being, the overview of well-being care, and health and wellbeing care delivery.

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Extra info for Handbook of Health Research Methods: Investigation, Measurement and Analysis

Example text

The report played an important role in stimulating a wide-ranging debate on health system performance, and the various criticisms that it engendered helped bring to light the methodological challenges inherent in conducting and interpreting international comparisons, which are discussed below. Yet another approach has evolved from epidemiology, involving analysis of data on mortality at a population level that are routinely available in many countries. It is based on the concept that certain deaths should not occur in the presence of timely and effective medical care (Nolte and McKee 2004).

In part reflecting the availability of data but also the political concern about health care spending, much work that has been undertaken subsequently was mainly from a health economics perspective, looking mostly at health care expenditure and its determinants (Kanavos and Mossialos 1990). The most prominent examples include the work by the OECD since the 1980s in an effort to provide an empirical basis for a comparative understanding of the differences and similarities between OECD countries’ health systems (OECD 1985; Schieber 1987).

Defining primary care as ‘that level of a health service system that provides entry into the system . . provides person-focused care over time, provides care for all but very uncommon or unusual conditions, and coordinates or integrates care provided elsewhere or by others’, one study looked specifically at the relationship between primary care and health outcomes in 18 OECD countries for the period 1970–98 (Macinko et al. 2003). The strength of primary care (PC) was measured using a ten-component scale reflecting structural characteristics, for example financing, resource allocation and accessibility, and specific practice features of PC, such as gatekeeper function, comprehensiveness and coordination.

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