Laura Anselmi
Datos Biográficos
| ID | 1725230 |
|---|---|
| NOMBRE | Laura Anselmi |
| NOMBRES | Laura |
| APELLIDO | Anselmi |
| FIRMA | ANSELMI L |
| AFILIACIONES | Manchester Academic Health Science Centre |
| ORCID | 0000-0002-2499-7656 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 25 |
| TOTAL DE CITAS | 15 |
| TOTAL COMO AUTOR | 25 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2015 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 3 |
Effects of primary care visits on preventing chronic conditions and avoiding hospital care in the context of China's health system reform
Decentralising health management
Many countries have implemented decentralisation reforms to address efficiency and equity concerns in health management. Most evidence on their impact focuses on average health outcomes and provides mixed results. We examine effects of administrative decentralisation of population health management on health behaviours in Greater Manchester, England, in 2016. Using data on 26,773 adult respondents to the UK Household Longitudinal Study between 20…
Impact of a primary care-oriented shared savings model for patients with chronic conditions in China
Background: Social health insurance models that share savings among providers may promote more integrated and preventative healthcare but risk service under-provision to cut costs. There's limited evidence on optimal savings distribution to incentivise patients’ health outcomes. We explored a primary care-oriented shared savings model (PCO-SSM) in China, reallocating a greater portion of savings to primary care providers to boost primary care use…
Individual and area-level factors associated with depression in Indonesia
Individual-level factors are associated with depression among adults in Indonesia. Among the district level factors, only happiness index is related to depression. These results strengthen previous studies which stated determinants at the individual level are an important factor in depression. Therefore, effective prevention programs in mental health need to target both individuals and families
Differences in rating of health related quality of life on the EQ-5D-5 L between ethnic groups
Our results suggest important heterogeneity in self-rating of health and highlights the importance of adjusting for reporting heterogeneity in applications of this measure. Where such adjustments are not feasible, alternative approaches such as sensitivity analyses to test the impact of differential reporting should be considered
Are geographic variations in secondary hospital expenditure caused by supply and demand factors? Evidence from migration in England
Regional variations in hospital expenditure are a global concern because they may reflect unmet healthcare needs or inefficient resource use. Several recent studies have used internal migration to differentiate demand and supply causes of these regional variations. Most of these studies have focused on specific populations in competitive insurance settings and have not fully considered the timing of individual migrations. Using individual level d…
Predicting healthcare costs with diagnoses recorded in primary and secondary care
Most risk-adjustment models rely on diagnoses recorded during previous contacts in the same care setting to predict service use and cost. When diagnostic information from multiple settings has been used, studies have not examined how diagnoses recorded in different care settings influence model performance. Using a single set of diagnostic indicators recorded in primary or secondary care can incentivise case-finding and treatment outside hospital…
Horizontal equity in primary care financing
Payments to NHS primary care providers do not fully reflect healthcare need. Clear objectives for resource distribution should be defined and harmonized across different schemes to reduce horizontal inequities
Adjusting the risk-adjustment
There is concern that basing healthcare budgets on risk adjustment estimates derived from historical utilisation data may reinforce patterns of unmet need. We propose a method to avoid this, based on a measure of how closely local health organisations align resources to the needs of their populations. We refer to this measure as the 'responsiveness of expenditure to need' and estimate it using national person-level data on use of acute hospital a…
The impact of devolution on local health systems
Devolution and decentralisation policies involving health and other government sectors have been promoted with a view to improve efficiency and equity in local service provision. Evaluations of these reforms have focused on specific health or care measures, but little is known about their full impact on local health systems. We evaluated the impact of devolution in Greater Manchester (England) on multiple outcomes using a whole system approach. W…
Early effects of Covid-19 on maternal and child health service disruption in Mozambique
This article is part of the Research Topic ‘ Health Systems Recovery in the Context of COVID-19 and Protracted Conflict
Evaluating whole system reforms
Whole-system reforms, including devolution and integration of health and social care services, have the potential to impact multiple dimensions of health system performance. Most evaluations focus on a single or narrow subsets of outcomes amenable to change. This approach may not: (i) capture the overall effect of the reform, (ii) identify the mechanisms through which system-wide changes may have occurred, (iii) prevent post-hoc selection of outc…
Analysing changes to the flow of public funding within local health and care systems
Financial flows relating to health care are routinely analysed at national and international level. They have rarely been systematically analysed at local level, despite sub-national variation due to population needs and decisions enacted by local organisations. We illustrate an adaptation of the System of Health Accounts framework to map the flow of public health and care funding within local systems, with an application for Greater Manchester (…
The impact of devolution on experienced health and well-being
Devolution of health systems from national to local levels is a common focus of policymakers across the world. The overarching aim is to improve population health by better meeting the specific needs of local citizens. We examine the case of a coordinated devolution across several public service sectors in Greater Manchester, England, in 2016. We estimate the impact on experienced health and well-being using Short-Form 12 scores from 13,938 adult…
The relative effects of non-pharmaceutical interventions on wave one Covid-19 mortality
Focusing on 'compulsory', particularly school closing, not 'voluntary' reduction of social interactions with mandated interventions appears to have been the most effective strategy to mitigate early, wave one, Covid-19 mortality. Within 'compulsory' settings, such as schools and workplaces, less damaging interventions than closing might also be considered in future waves/epidemics
Who is paid in pay-for-performance? Inequalities in the distribution of financial bonuses amongst health centres in Zimbabwe
Although pay-for-performance (P4P) schemes have been implemented across low- and middle-income countries (LMICs), little is known about their distributional consequences. A key concern is that financial bonuses are primarily captured by providers who are already better able to perform (for example, those in wealthier areas), P4P could exacerbate existing inequalities within the health system. We examine inequalities in the distribution of pay-out…
Can Results-Based Financing improve health outcomes in resource poor settings? Evidence from Zimbabwe
Result Based Financing (RBF) has been implemented in health systems across low and middle-income countries (LMICs), with the objective of improving population health. Most evaluations of RBF schemes have focused on average programme effects for incentivised services. There is limited evidence on the potential effect of RBF on health outcomes, as well as on the heterogeneous effects across socio-economic groups and time periods. This study analyse…
Understanding efficiency and the effect of pay-for-performance across health facilities in Tanzania
BACKGROUND: Ensuring efficient use and allocation of limited resources is crucial to achieving the UHC goal. Performance-based financing that provides financial incentives for health providers reaching predefined targets would be expected to enhance technical efficiency across facilities by promoting an output-oriented payment system. However, there is no study which has systematically assessed efficiency scores across facilities before and after…
The effect of cash transfers on mental health – new evidence from South Africa
Our findings show that UCT programmes have strong mental health benefits for the poor adult population
Thank You to Reviewers 2019
The worse the better? Quantile treatment effects of a conditional cash transfer programme on mental health
Poor mental health is a pressing global health problem, with high prevalence among poor populations from low-income countries. Existing studies of conditional cash transfer (CCT) effects on mental health have found positive effects. However, there is a gap in the literature on population-wide effects of cash transfers on mental health and if and how these vary by the severity of mental illness. We use the Malawian Longitudinal Study of Family and…
The effect of cash transfers on mental health
There is a gap in the literature in understanding how cash transfer programmes affect mental health. We aim to fill this gap by conceptualising and estimating the mediation effects of an unconditional cash transfer programme on mental health. We use a sample of 4,535 adults living below the South African poverty line in four waves (2008-2014) of the South African National Income Dynamics Study. We use information on individual exposure to South A…
Do variations in hospital admission rates bias comparisons of standardized hospital mortality rates? A population-based cohort study
Equity in the allocation of public sector financial resources in low- and middle-income countries
Going beyond horizontal equity
Can Results-Based Financing improve health outcomes in resource poor settings? Evidence from Zimbabwe
Result Based Financing (RBF) has been implemented in health systems across low and middle-income countries (LMICs), with the objective of improving population health. Most evaluations of RBF schemes have focused on average programme effects for incentivised services. There is limited evidence on the potential effect of RBF on health outcomes, as well as on the heterogeneous effects across socio-economic groups and time periods. This study analyse…
The effect of cash transfers on mental health
There is a gap in the literature in understanding how cash transfer programmes affect mental health. We aim to fill this gap by conceptualising and estimating the mediation effects of an unconditional cash transfer programme on mental health. We use a sample of 4,535 adults living below the South African poverty line in four waves (2008-2014) of the South African National Income Dynamics Study. We use information on individual exposure to South A…
Going beyond horizontal equity
The worse the better? Quantile treatment effects of a conditional cash transfer programme on mental health
Poor mental health is a pressing global health problem, with high prevalence among poor populations from low-income countries. Existing studies of conditional cash transfer (CCT) effects on mental health have found positive effects. However, there is a gap in the literature on population-wide effects of cash transfers on mental health and if and how these vary by the severity of mental illness. We use the Malawian Longitudinal Study of Family and…
Adjusting the risk-adjustment
There is concern that basing healthcare budgets on risk adjustment estimates derived from historical utilisation data may reinforce patterns of unmet need. We propose a method to avoid this, based on a measure of how closely local health organisations align resources to the needs of their populations. We refer to this measure as the 'responsiveness of expenditure to need' and estimate it using national person-level data on use of acute hospital a…
The impact of devolution on local health systems
Devolution and decentralisation policies involving health and other government sectors have been promoted with a view to improve efficiency and equity in local service provision. Evaluations of these reforms have focused on specific health or care measures, but little is known about their full impact on local health systems. We evaluated the impact of devolution in Greater Manchester (England) on multiple outcomes using a whole system approach. W…
The impact of devolution on experienced health and well-being
Devolution of health systems from national to local levels is a common focus of policymakers across the world. The overarching aim is to improve population health by better meeting the specific needs of local citizens. We examine the case of a coordinated devolution across several public service sectors in Greater Manchester, England, in 2016. We estimate the impact on experienced health and well-being using Short-Form 12 scores from 13,938 adult…
Do variations in hospital admission rates bias comparisons of standardized hospital mortality rates? A population-based cohort study
Equity in the allocation of public sector financial resources in low- and middle-income countries
Going beyond horizontal equity
Do variations in hospital admission rates bias comparisons of standardized hospital mortality rates? A population-based cohort study
Understanding efficiency and the effect of pay-for-performance across health facilities in Tanzania
BACKGROUND: Ensuring efficient use and allocation of limited resources is crucial to achieving the UHC goal. Performance-based financing that provides financial incentives for health providers reaching predefined targets would be expected to enhance technical efficiency across facilities by promoting an output-oriented payment system. However, there is no study which has systematically assessed efficiency scores across facilities before and after…
The effect of cash transfers on mental health – new evidence from South Africa
Our findings show that UCT programmes have strong mental health benefits for the poor adult population
Thank You to Reviewers 2019
The worse the better? Quantile treatment effects of a conditional cash transfer programme on mental health
Poor mental health is a pressing global health problem, with high prevalence among poor populations from low-income countries. Existing studies of conditional cash transfer (CCT) effects on mental health have found positive effects. However, there is a gap in the literature on population-wide effects of cash transfers on mental health and if and how these vary by the severity of mental illness. We use the Malawian Longitudinal Study of Family and…
The effect of cash transfers on mental health
There is a gap in the literature in understanding how cash transfer programmes affect mental health. We aim to fill this gap by conceptualising and estimating the mediation effects of an unconditional cash transfer programme on mental health. We use a sample of 4,535 adults living below the South African poverty line in four waves (2008-2014) of the South African National Income Dynamics Study. We use information on individual exposure to South A…
Can Results-Based Financing improve health outcomes in resource poor settings? Evidence from Zimbabwe
Result Based Financing (RBF) has been implemented in health systems across low and middle-income countries (LMICs), with the objective of improving population health. Most evaluations of RBF schemes have focused on average programme effects for incentivised services. There is limited evidence on the potential effect of RBF on health outcomes, as well as on the heterogeneous effects across socio-economic groups and time periods. This study analyse…
The relative effects of non-pharmaceutical interventions on wave one Covid-19 mortality
Focusing on 'compulsory', particularly school closing, not 'voluntary' reduction of social interactions with mandated interventions appears to have been the most effective strategy to mitigate early, wave one, Covid-19 mortality. Within 'compulsory' settings, such as schools and workplaces, less damaging interventions than closing might also be considered in future waves/epidemics
Who is paid in pay-for-performance? Inequalities in the distribution of financial bonuses amongst health centres in Zimbabwe
Although pay-for-performance (P4P) schemes have been implemented across low- and middle-income countries (LMICs), little is known about their distributional consequences. A key concern is that financial bonuses are primarily captured by providers who are already better able to perform (for example, those in wealthier areas), P4P could exacerbate existing inequalities within the health system. We examine inequalities in the distribution of pay-out…
Early effects of Covid-19 on maternal and child health service disruption in Mozambique
This article is part of the Research Topic ‘ Health Systems Recovery in the Context of COVID-19 and Protracted Conflict
Evaluating whole system reforms
Whole-system reforms, including devolution and integration of health and social care services, have the potential to impact multiple dimensions of health system performance. Most evaluations focus on a single or narrow subsets of outcomes amenable to change. This approach may not: (i) capture the overall effect of the reform, (ii) identify the mechanisms through which system-wide changes may have occurred, (iii) prevent post-hoc selection of outc…
Analysing changes to the flow of public funding within local health and care systems
Financial flows relating to health care are routinely analysed at national and international level. They have rarely been systematically analysed at local level, despite sub-national variation due to population needs and decisions enacted by local organisations. We illustrate an adaptation of the System of Health Accounts framework to map the flow of public health and care funding within local systems, with an application for Greater Manchester (…
The impact of devolution on experienced health and well-being
Devolution of health systems from national to local levels is a common focus of policymakers across the world. The overarching aim is to improve population health by better meeting the specific needs of local citizens. We examine the case of a coordinated devolution across several public service sectors in Greater Manchester, England, in 2016. We estimate the impact on experienced health and well-being using Short-Form 12 scores from 13,938 adult…
Adjusting the risk-adjustment
There is concern that basing healthcare budgets on risk adjustment estimates derived from historical utilisation data may reinforce patterns of unmet need. We propose a method to avoid this, based on a measure of how closely local health organisations align resources to the needs of their populations. We refer to this measure as the 'responsiveness of expenditure to need' and estimate it using national person-level data on use of acute hospital a…
The impact of devolution on local health systems
Devolution and decentralisation policies involving health and other government sectors have been promoted with a view to improve efficiency and equity in local service provision. Evaluations of these reforms have focused on specific health or care measures, but little is known about their full impact on local health systems. We evaluated the impact of devolution in Greater Manchester (England) on multiple outcomes using a whole system approach. W…
Individual and area-level factors associated with depression in Indonesia
Individual-level factors are associated with depression among adults in Indonesia. Among the district level factors, only happiness index is related to depression. These results strengthen previous studies which stated determinants at the individual level are an important factor in depression. Therefore, effective prevention programs in mental health need to target both individuals and families
Differences in rating of health related quality of life on the EQ-5D-5 L between ethnic groups
Our results suggest important heterogeneity in self-rating of health and highlights the importance of adjusting for reporting heterogeneity in applications of this measure. Where such adjustments are not feasible, alternative approaches such as sensitivity analyses to test the impact of differential reporting should be considered
Are geographic variations in secondary hospital expenditure caused by supply and demand factors? Evidence from migration in England
Regional variations in hospital expenditure are a global concern because they may reflect unmet healthcare needs or inefficient resource use. Several recent studies have used internal migration to differentiate demand and supply causes of these regional variations. Most of these studies have focused on specific populations in competitive insurance settings and have not fully considered the timing of individual migrations. Using individual level d…
Predicting healthcare costs with diagnoses recorded in primary and secondary care
Most risk-adjustment models rely on diagnoses recorded during previous contacts in the same care setting to predict service use and cost. When diagnostic information from multiple settings has been used, studies have not examined how diagnoses recorded in different care settings influence model performance. Using a single set of diagnostic indicators recorded in primary or secondary care can incentivise case-finding and treatment outside hospital…
Horizontal equity in primary care financing
Payments to NHS primary care providers do not fully reflect healthcare need. Clear objectives for resource distribution should be defined and harmonized across different schemes to reduce horizontal inequities
Effects of primary care visits on preventing chronic conditions and avoiding hospital care in the context of China's health system reform
Decentralising health management
Many countries have implemented decentralisation reforms to address efficiency and equity concerns in health management. Most evidence on their impact focuses on average health outcomes and provides mixed results. We examine effects of administrative decentralisation of population health management on health behaviours in Greater Manchester, England, in 2016. Using data on 26,773 adult respondents to the UK Household Longitudinal Study between 20…
Impact of a primary care-oriented shared savings model for patients with chronic conditions in China
Background: Social health insurance models that share savings among providers may promote more integrated and preventative healthcare but risk service under-provision to cut costs. There's limited evidence on optimal savings distribution to incentivise patients’ health outcomes. We explored a primary care-oriented shared savings model (PCO-SSM) in China, reallocating a greater portion of savings to primary care providers to boost primary care use…
Medicine (17 obras) · Economics (15 obras) · Environmental health (15 obras) · Economic growth (13 obras) · Healthcare Policy and Management (12 obras) · Population (12 obras) · Public health (11 obras) · Global Health Care Issues (10 obras) · Health care (10 obras) · Business (9 obras)