Stephen Jan
Datos Biográficos
| ID | 3886434 |
|---|---|
| NOMBRE | Stephen Jan |
| NOMBRES | Stephen |
| APELLIDO | Jan |
| FIRMA | JAN S |
| AFILIACIONES | School of Public Health and Community Medicine, University of New South Wales, Samuels Bldg, Kensington Campus, New South Wales 2052, Australia, 2Department of Global Health and Development, London School of Hygiene and Tropical Medicine, London, UK, 3Centre for Health Information, Policy and Systems Research, Fiji National University, Suva, Fiji Islands, 4Faculty of Medicine and Health Sciences |
| VERIFICADO | No |
| TOTAL DE OBRAS | 54 |
| TOTAL DE CITAS | 41 |
| TOTAL COMO AUTOR | 54 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 1995 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 4 |
Ambient PM2.5, residential greenspace, and household healthcare expenditure in Shandong, China
BACKGROUND: Environmental factors such as air pollution and access to greenspace are increasingly recognised as important determinants of population health and healthcare expenditure. This study examined the relationship between ambient PM2.5, urban greenspace, and household healthcare expenditure in China, and assessed how healthcare expenditure was concentrated across these gradients of environmental exposure. METHODS: We conducted a cross-sect…
Understanding implementation, adoption, and acceptability of the WHO package of essential noncommunicable (PEN) disease interventions in Fiji
The Package of Essential Noncommunicable (PEN) disease interventions in response to the high prevalence of cardiovascular diseases and diabetes was implemented in Fiji commencing in 2012. This study aimed to understand implementation outcomes, and its contextual influences. Semi-structured interviews with health workers and patients across Fiji was conducted. Thematic analysis was mapped to the health system building blocks to understand PEN serv…
Residential greenspace and multiple chronic health conditions in China
Background: Multiple chronic conditions are imposing an increasing health and economic burden on the Chinese health system. While exposure to residential greenness has been shown to provide various health benefits, its relationship with multiple chronic conditions remains largely unexplored. This study aims to investigate this relationship using high-resolution satellite imagery and data from the 6th Health Services Survey (HSS) cohort in Shandon…
Willingness to pay for assisted reproductive technologies among individuals with infertility in China
Infertility, a widely prevalent condition globally, incurs high economic burdens. Assisted reproductive technologies (ARTs) are effective treatments, but public health financing in low- and middle-income countries (LMICs) rarely covers ART services. In China, where birth rates are declining, willingness to pay (WTP) can inform insurance reimbursement policies by reducing out-of-pocket expenses. However, there is no consensus on WTP thresholds for…
A Qualitative Study of Aboriginal Peoples' Health Care Experiences With Chronic Obstructive Pulmonary Disease
Aboriginal Australians experience a high prevalence of chronic obstructive pulmonary disease (COPD), with high rates of potentially preventable hospitalisations. However, little is known about Aboriginal peoples' experiences of living with COPD and how they navigate health care systems. This study used thematic analysis and Aboriginal methodology to explore Aboriginal peoples' lived experiences of COPD, their health care journey from receiving a …
The impact of a multi-faceted intervention on non-prescription dispensing of antibiotics by urban community pharmacies in Indonesia
Introduction Non-prescription antibiotic dispensing is prevalent among community pharmacies in several low- and middle-income countries. We evaluated the impact of a multi-faceted intervention to address this challenge in urban community pharmacies in Indonesia. Methods A pre-post quasi-experimental study was carried out in Semarang city from January to August 2022 to evaluate a 7-month long intervention comprising: (1) online educational session…
Uptake of mandated pregnancy warnings in the Australian alcoholic ready‐to‐drink beverage market
Implementation of a goal-directed Care Bundle for intracerebral hemorrhage
The third, stepped-wedge, cluster-randomized, Intensive Care Bundle with Blood Pressure Reduction in Acute Cerebral Hemorrhage Trial (INTERACT3), has shown that a goal-directed multi-faceted Care Bundle incorporating protocols for the management of physiological variables was safe and effective for improving functional recovery in a broad range of patients with acute intracerebral hemorrhage (ICH). The INTERACT3 Care Bundle included time- and tar…
Gender disparities in lost productivity resulting from non-communicable diseases in Mexico, 2005–2021
Background: Non-communicable diseases (NCDs) cause long-term impacts on health and can substantially affect people's ability to work. Little is known about how such impacts vary by gender, particularly in low- and middle-income countries (LMICs), where productivity losses may affect economic development. This study assessed the long-term productivity loss caused by major NCDs among adult women and men (20-76 years) in Mexico because of premature …
Influencing and implementing mandatory alcohol pregnancy warning labels in Australia and New Zealand
Alcohol labelling laws and policy are contentious and highly politicized. Very few countries have been able to implement health warnings on alcohol labels due to complex legal and governance systems and coordinated industry lobbying. In 2020, Australia and New Zealand implemented a mandatory and evidence-based legal standard for pregnancy warning labels on alcohol products. This article discusses some of the challenges faced in achieving policy c…
Burden of non-communicable diseases and behavioural risk factors in Mexico
Background: There is scarce gender-disaggregated evidence on the burden of disease (BD) worldwide and this is particularly prominent in low- and middle-income countries. The objective of this study is to compare the BD caused by non-communicable diseases (NCDs) and related risk factors by gender in Mexican adults. Methods: We retrieved disability-adjusted life years (DALYs) estimates for diabetes, cancers and neoplasms, chronic cardiovascular dis…
A codesigned integrated kidney and diabetes model of care improves patient activation among patients from culturally and linguistically diverse backgrounds
BACKGROUND: Little is known about the relationship between patients' cultural and linguistic backgrounds and patient activation, especially in people with diabetes and chronic kidney disease (CKD). We examined the association between culturally and linguistically diverse (CALD) background and patient activation and evaluated the impact of a codesigned integrated kidney and diabetes model of care on patient activation by CALD status in people with…
A mixed methods study of Aboriginal health workers’ and exercise physiologists’ experiences of co-designing chronic lung disease ‘yarning’ education resources
PROSPERO (registration number: CRD42019111405)
Evaluation of a state-wide intervention on salt intake in primary schoolchildren living in Victoria, Australia
Objective: In 2015, the Victorian Salt Reduction Partnership launched a 4-year multifaceted salt reduction intervention designed to reduce salt intake by 1 g/d in children and adults living in Victoria, Australia. Child-relevant intervention strategies included a consumer awareness campaign targeting parents and food industry engagement seeking to reduce salt levels in processed foods. This study aimed to assess trends in salt intake, dietary sou…
Priority setting for non-communicable disease prevention - Co-producing a regulatory agenda informing novel codes of practice in Australia
“We face the same risk as the other health workers”
In many countries, community pharmacies have played an important role during the COVID-19 pandemic, providing essential medicines and personal protective equipment (PPE), disseminating information on disease prevention and management, and referring clients to health facilities. In recognition of this, there are increasing calls for an improved understanding of the challenges and experiences faced by these providers during the COVID-19 pandemic, w…
A smoking quitline integrated with clinician counselling at outpatient health facilities in Vietnam
ACTRN12619000554167
Equity in healthcare financing following the introduction of the unified residents’ health insurance scheme in China
This study sought to explore whether there are significant disparities in the financing of healthcare between urban and rural populations following the introduction in 2016 of the Urban and Rural Resident Basic Medical Insurance (URRBMI) scheme in China. We used household survey data from Heilongjiang province to estimate separate concentration curves in the financing burden and the resultant Kakwani indices (KIs) for urban and rural populations.…
Standardised patient study to assess tuberculosis case detection within the private pharmacy sector in Vietnam
BACKGROUND: Of the estimated 10 million people affected by (TB) each year, one-third are never diagnosed. Delayed case detection within the private healthcare sector has been identified as a particular problem in some settings, leading to considerable morbidity, mortality and community transmission. Using unannounced standardised patient (SP) visits to the pharmacies, we aimed to evaluate the performance of private pharmacies in the detection and…
Cost-effectiveness of a mobile technology-enabled primary care intervention for cardiovascular disease risk management in rural Indonesia
Cardiovascular diseases (CVD) are the leading cause of death in Indonesia, and there are large disparities in access to recommended preventative treatments across the country, particularly in rural areas. Technology-enabled screening and management led by community health workers have been shown to be effective in better managing those at high risk of CVD in a rural Indonesian population; however, the economic impacts of implementing such an inte…
Smoking behaviour among adult patients presenting to health facilities in four provinces of Vietnam
Smoking is common among male patients presenting to healthcare facilities in Vietnam. Formal smoking cessation supports are generally not used or offered. This population is likely to benefit from routine smoking cessation interventions that are integrated within the routine healthcare delivery system
Community pharmacies, drug stores, and antibiotic dispensing in Indonesia
Inappropriate dispensing of antibiotics in community pharmacies and drug stores is the outcome of complex interactions between vendors and clients, shaped by wider and changing socio-economic processes. In Indonesia, as in many other LMICs with large and informal private sectors, concerted action should be taken to engage such providers in plans to reduce AMR. This would help avert unintended effects of market competition and adverse policy outco…
Using strategic price negotiations to contain costs and expand access to medicines in China
box As China moves toward achievement of universal health coverage, it is critical that measures are in place to contain expenditures on medicines. Between 2001 and 2016, such expenditure rose by 664%.1 Historically, perverse provider incentives in which doctors were remunerated through commissions on markups on sales of medicines, as well as a fragmented system of regulation, have been major contributors to these cost
Cross-border medical travels from Cambodia
In low- and middle-income countries, patients may travel abroad to seek better health services or treatments that are not available at home, especially in regions where great disparities exist between the standard of care in neighbouring countries. While awareness of South–South medical travels has increased, only a few studies investigated this phenomenon in depth from the perspective of sending countries. This article aims to contribute to thes…
Who benefits most from extending financial protection for cataract surgery in Vietnam? An extended cost-effectiveness analysis of small incision surgery
Treatment costs remain a barrier for having timely cataract surgery in Vietnam, particularly for females and the poor, despite significant progress in achieving universal health coverage (UHC). This study evaluated the potential impact, on health and financial protection, of eliminating medical and non-medical out-of-pocket costs associated with cataract surgery. An extended cost-effectiveness analysis (ECEA) was conducted with a societal perspec…
Staking a claim for claims
A holistic approach to the economic evaluation of health programs using institutionalist methodology
Who benefits from healthcare spending in Cambodia? Evidence for a universal health coverage policy
Cambodia’s healthcare system has seen significant improvements in the last two decades. Despite this, access to quality care remains problematic, particularly for poor rural Cambodians. The government has committed to universal health coverage (UHC) and is reforming the health financing system to align with this goal. The extent to which the reforms have impacted the poor is not always clear. Using a system-wide approach, this study assesses how …
Exploring the determinants of distress health financing in Cambodia
Borrowing is a common coping strategy for households to meet healthcare costs in countries where social health protection is limited or non-existent. Borrowing with interest, hereinafter termed distress health financing or distress financing, can push households into heavy indebtedness and exacerbate the financial consequences of healthcare costs. We investigated distress health financing practices and associated factors among Cambodian household…
A politico-economic analysis of decision making in funding health service organisations
Institutional analysis of health system governance
It is important that researchers who study health system governance have a set of collective understandings of the meanings of governance, which can then inform the methods used in research. We present an institutional framing and definition of health system governance; that is, governance refers to making, changing, monitoring and enforcing the rules that govern the demand and supply of health services. This pervasive, relational view of governa…
Accounting for institutional change in health economic evaluation
Proceduralism and its role in economic evaluation and priority setting in health
Cross-border medical travels from Cambodia
In low- and middle-income countries, patients may travel abroad to seek better health services or treatments that are not available at home, especially in regions where great disparities exist between the standard of care in neighbouring countries. While awareness of South–South medical travels has increased, only a few studies investigated this phenomenon in depth from the perspective of sending countries. This article aims to contribute to thes…
The government cannot do it all alone’
Since the mid-1980s, the national health policy in Nigeria has sought to inspire community engagement in primary health care by bringing communities into partnership with service providers through community health committees. Using a realist approach to understand how and under what circumstances the committees function, we explored 581 meeting minutes from 129 committees across four states in Nigeria (Lagos, Benue, Nasarawa and Kaduna). We found…
How community preferences can more effectively shape equity policy
A holistic approach to the economic evaluation of health programs using institutionalist methodology
Staking a claim for claims
A politico-economic analysis of decision making in funding health service organisations
Accounting for institutional change in health economic evaluation
Health professionals, patients and chronic illness policy
BACKGROUND AND OBJECTIVE: This study investigates health professionals' reactions to patients' perceptions of health issues - a little-researched topic vital to the reform of the care of chronic illness. METHODS: Focus groups were undertaken with doctors, nurses, allied health staff and pharmacists (n = 88) in two Australian urban regions. The focus groups explored responses to patient experiences of chronic illness (COPD, Diabetes, CHF) obtained…
Community Preferences for the Allocation & Donation of Organs - The PAraDOx Study
By providing a better understanding of current community preferences in relation to organ donation and allocation, the PAraDOx study will highlight options for firstly, increasing the rate of organ donation and secondly, allow for more transparent and equitable policies in relation to organ allocation
Trade and the Nutrition Transition
This article describes pathways through which trade policy change in two Pacific Island countries has contributed to changes in the food supply, and thereby to the nutrition transition. The effect of various trade policies from 1960 to 2005 on trends in food imports and availability is described, and case studies are presented for four foods associated with the nutrition transition and chronic disease in the Pacific. Trade policies (including lib…
Are rehabilitation services following stroke accessed equitably in Australia
ANZCTRN12608000459325
A systematic review of the effectiveness of food taxes and subsidies to improve diets
Task Shifting for Non-Communicable Disease Management in Low and Middle Income Countries – A Systematic Review
Embedding sustainable physical activities into the everyday lives of adults with intellectual disabilities
ISRCTN77889248 (18 April 2012)
The relationship between economic characteristics and health-related quality of life in newly diagnosed cancer patients in Southeast Asia
Proceduralism and its role in economic evaluation and priority setting in health
Strengthening health systems in low-income countries by enhancing organizational capacities and improving institutions
BACKGROUND: This paper argues that the global health agenda tends to privilege short-term global interests at the expense of long-term capacity building within national and community health systems. The Health Systems Strengthening (HSS) movement needs to focus on developing the capacity of local organizations and the institutions that influence how such organizations interact with local and international stakeholders. DISCUSSION: While instituti…
How decentralisation influences the retention of primary health care workers in rural Nigeria
BACKGROUND: In Nigeria, the shortage of health workers is worst at the primary health care (PHC) level, especially in rural communities. And the responsibility for PHC - usually the only form of formal health service available in rural communities - is shared among the three tiers of government (federal, state, and local governments). In addition, the responsibility for community engagement in PHC is delegated to community health committees. OBJE…
Priority Setting in Indigenous Health
Indigenous Australians have significantly poorer health outcomes than the non-Indigenous population worldwide. The Australian government has increased its investment in Indigenous health through the "Closing the Health Gap" initiative. Deciding where to invest scarce resources so as to maximize health outcomes for Indigenous peoples may require improved priority setting processes. Current government practice involves a mix of implicit and explici…
Ten best resources for conducting financing and benefit incidence analysis in resource-poor settings
Many low- and middle-income countries are seeking to reform their health financing systems to move towards universal coverage. This typically means that financing is based on people’s ability to pay while, for service use, benefits are based on the need for health care. Financing incidence analysis (FIA) and benefit incidence analysis (BIA) are two popular tools used to assess equity in health systems financing and service use. FIA studies examin…
The government cannot do it all alone’
Since the mid-1980s, the national health policy in Nigeria has sought to inspire community engagement in primary health care by bringing communities into partnership with service providers through community health committees. Using a realist approach to understand how and under what circumstances the committees function, we explored 581 meeting minutes from 129 committees across four states in Nigeria (Lagos, Benue, Nasarawa and Kaduna). We found…
Institutional analysis of health system governance
It is important that researchers who study health system governance have a set of collective understandings of the meanings of governance, which can then inform the methods used in research. We present an institutional framing and definition of health system governance; that is, governance refers to making, changing, monitoring and enforcing the rules that govern the demand and supply of health services. This pervasive, relational view of governa…
Investing in non-communicable disease prevention and management to advance the Sustainable Development Goals
Cardiovascular disease risk and comparison of different strategies for blood pressure management in rural India
Clinical Trials Registry of India CTRI/2013/06/003753 , 14 June 2013
Generating sustainable collective action
The impact of out-of-pocket costs on treatment commencement and adherence in chronic kidney disease
Health care equity and access for marginalised young people
We interviewed 41 young people at baseline who were living in rural or remote areas, sexuality and/or gender diverse, refugee, homeless, and/or Aboriginal. A retention rate of over 85% was achieved. Nineteen belonged to more than one marginalised group allowing an exploration of intersectionality. General practitioners (family physicians) were the most commonly accessed service throughout the study period. Participants were ambivalent about their…
Medicine (42 obras) · Economics (24 obras) · Nursing (23 obras) · Political science (23 obras) · Health care (22 obras) · Environmental health (21 obras) · Business (20 obras) · Economic growth (20 obras) · Public health (14 obras) · Sociology (14 obras)