Stephen Birch
Biographic Data
| ID | 290878 |
|---|---|
| NAME | Stephen Birch |
| GIVEN NAMES | Stephen |
| FAMILY NAME | Birch |
| SIGNATURE | BIRCH S |
| AFFILIATIONS | McMaster University |
| ORCID | 0000-0002-1372-0440 |
| VERIFIED | Yes |
| TOTAL WORKS | 60 |
| TOTAL CITATIONS | 279 |
| AUTHOR COUNT | 60 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1985 |
| LATEST PUBLICATION YEAR | 2024 |
| H-INDEX | 9 |
Origins and developmental paths of medical conditions from mid-childhood to mid-adolescence in Australia
This study investigates various common medical conditions affecting Australian children aged 4-14 years and the impact of prenatal and early-life conditions on these health conditions using a large national data set (n = 4122) with 15 years of follow-up. Consistent with the developmental origins of health and diseases hypothesis and the life-course models of health, the in-utero environment and parental financial hardship during pregnancy and sho…
From population numbers to population needs
We conclude that 'constant-use' planning models based on the expected future numbers of people in different age groups applied to current levels of service use by age groups without any consideration given to changing age-specific needs for health care lead to inefficient resource planning
Equity in maternal and child health care utilization in Guangdong province of China 2009–2019
Background Equity is the principal challenge of maternal and child health care (MCH) across the world, especially in China. Existing researches focused on equity in MCH resources and outcomes. There is an evidence gap regarding equity of MCH services utilization, revealing the black box between equity in MCH resources and MCH outcomes. In the study, we evaluate the changes of equity in integrated MCH service utilization in Guangdong province of C…
Clinician Perspectives of Communication with Aboriginal and Torres Strait Islanders Managing Pain
Poor communication is an important factor contributing to health disparity. This study sought to investigate clinicians' perspectives about communicating with Aboriginal and Torres Strait Islander patients with pain. This multi-site and mixed-methods study involved clinicians from three pain management services in Queensland, Australia. Clinicians completed a survey and participated in focus groups. Clinicians rated the importance of communicatio…
Eliciting Preferences of Providers in Primary Care Settings for Post Hospital Discharge Patient Follow-Up
Primary care providers placed the most importance on the multidisciplinary composition of the follow-up team. The preference heterogeneity observed among primary care providers suggests personalized management is important in the multidisciplinary teams, especially for those providers with relatively low educational attainment and less work experience. Future research and policies should work towards innovations to improve patients' engagement in…
A Validation Study of the Rainbow Model of Integrated Care-Measurement Tool for Patients in China
The results showed initial satisfactory psychometric properties for the validation of the Chinese RMIC-MT patient version. Its application in China will promote the development of people-centered integrated primary care. However, future studies with diverse samples crossing regions would be needed to test its psychometric properties for the various Chinese primary care contexts
Option B+ Program for the Prevention of Vertical Transmission of HIV
South Africa’s National Department of Health adopted WHO’s 2013 consolidated guidelines on ARVs for HIV treatment and prevention in 2015, including changes for Prevention from Mother-to-Child Transmission (PMTCT) through Option B+, aimed to reduce the HIV prevalence rate amongst women by placing them on lifelong treatment, irrespective of their CD4 count. As a result, these guidelines were implemented for the PMTCT program at Rahima Moosa Hospita…
Modelling the economic impact of Covid19 under different policy choices
Keogh-Brown et al.(2020) illustrate the application of economic modelling to inform and guide policy making during the COVID-19 pandemic in the UK. The methodology is based on linking a general equilibrium economic model to a simple epidemiological model of the infection. In this commentary a number of issues are discussed relating to the construction and application of the model, and the implications of the findings for government policies
Opportunities for, and implications of, skill mix changes in health care pathways
How Do Type 2 Diabetes Patients Value Urban Integrated Primary Care in China? Results of a Discrete Choice Experiment
Objectives: Fragmented healthcare in China cannot meet the needs of the growing number of type 2 diabetes patients. The World Health Organization proposed an integrated primary care approach to address the needs of patients with chronic conditions. This study aims to measure type 2 diabetes patients' preferences for urban integrated primary care in China. Methods: A discrete choice experiment was designed to measure type 2 diabetes patient prefer…
The Location of Death and Dying Across Canada
Background: Concern has existed for many years about the extensive use of hospitals by dying persons. In recent years, however, a potential shift out of hospital has been noticed in a number of developed countries, including Canada. In Canada, where high hospital occupancy rates and corresponding long waits and waitlists for hospital care are major socio-political issues, it is important to know if this shift has continued or if hospitalized deat…
How to strengthen institutional collaboration in a medical consortium based on patients’ preference? A study in China’s rural county
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)
Luohu Model
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)
The Luohu Model
Introduction: Emerging from the epidemiological transition and accelerated aging process, China’s fragmentated healthcare systems struggle to meet the demands of the population. On Sept 1st 2017, China’s National Health and Family Planning Commission encouraged all cities to learn from the Luohu model of integration adopted in Luohu as an approach to meeting these challenges. In this paper, we study the integration process, analyze the core mecha…
Moving from place to place in the last year of life
Moving from one care setting to another is common as death nears. Many concerns exist over these end-of-life (EOL) care setting transitions, including low-quality moves as mistakes and other mishaps can occur. Delayed or denied moves are also problematic, such as a move out of hospital for dying inpatients who want to spend their last hours or days at home. The aim of the study was to identify current issues or problems with care setting transiti…
The Structure and Effectiveness of Health Systems
Both county health systems have strengths and limitations regarding system integration. The use of medical consortia in Huangzhong has contributed to system effectiveness. Future research might consider alternative more context specific models of health system integration
Coordination of care in the Chinese health systems
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 2.913 (2021 JCR, received in June 2022)The IJIC 20th Anniversary Issue was published in 2021
Does treatment collection and observation each day keep the patient away? An analysis of the determinants of adherence among patients with Tuberculosis in South Africa
Directly observed treatment short course (DOTS) has been the recommended strategy for Tuberculosis (TB) control since 1995. Developed as an alternative to inpatient treatment, it involves observation of patients' medication intake to promote adherence. However, the burden of daily clinic visits may affect access to care. Using a mixed methods approach, we consider whether (1) non-adherence differs systematically between patients required to make …
Blunt Policy Instruments Deliver Blunt Policy Outcomes
Centre for Health Economics and Policy Analysis, McMaster University †Menzies Centre for Health Policy, University of Sydney ‡Centre for Health Economics, University of Manchester B.M.E. is the recipient of a Sidney Sax Research Fellowship from the National Health and Medication Research Council of Australia. She has no conflicts of interest to declare. S.B. has no conflicts of interest to declare. Reprints: Beverley M. Essue, PhD, MPH, McMaster …
Variation in healthcare services for specialist genetic testing and implications for planning genetic services
The structure and effectiveness of health systems
The structure and effectiveness of health systems: Exploring the impact of system integration in rural China / La estructura y la eficacia de los sistemas de salud
Exploring the limitations of age-based models for health care planning
Inclusiveness and health economics
Investigating the affordability of key health services in South Africa
Intervention of a health network Reppop 69 for treating obesity and overweight in children
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Who you know, where you live
Unemployment and health
Health profiles of Hamilton
Equity in health care
Valuing the benefits and costs of health care programmes
Geographically-decentralized planning and management in health care
Incremental cost-effectiveness ratios (Icers)
Heterogeneity in the determinants of health and illness
A Needs-Based Approach to Resource Allocation in Health Care
Stephen Birch, John Eyles, Jeremiah Hurley, Brian Hutchison, Shelley Chambers, A Needs-Based Approach to Resource Allocation in Health Care, Canadian Public Policy / Analyse de Politiques, Vol. 19, No. 1 (Mar., 1993), pp. 68-85
Charging for health care
Increasing Patient Charges in the National Health Service
Frequent increases in the real value of National Health Service (NHS) patient charges have been made since the Conservative Party's return to office in 1979. For those patients subject to these charges the increases have led to a substantial reduction in the level of subsidization of the cost of the service. The rationale for the subsidization of health care is shown to be unrelated to 'ability to pay' considerations. Consequently the 'backdoor p…
The Luohu Model
Introduction: Emerging from the epidemiological transition and accelerated aging process, China’s fragmentated healthcare systems struggle to meet the demands of the population. On Sept 1st 2017, China’s National Health and Family Planning Commission encouraged all cities to learn from the Luohu model of integration adopted in Luohu as an approach to meeting these challenges. In this paper, we study the integration process, analyze the core mecha…
Modelling the Community as a Determinant of Health
Proxies for healthcare need among populations
STUDY OBJECTIVE: To compare the use of a non-mortality based proxy for relative needs for healthcare among regional populations with a mortality based proxy for population relative needs and to evaluate the additional value of a proxy based on a combination of non-mortality and mortality based proxies. DESIGN: Analysis of cross sectional data on mortality, socioeconomic status, and self assessments of health taken from registrar general records, …
Investigating the affordability of key health services in South Africa
Human Resources Planning and the Production of Health
Traditional approaches to health human resources planning emphasize the effects of demographic change on the needs for health human resources. Planning requirements are largely based on the size and demographic mix of the population applied to simple population-provider or population-utilization ratios. We develop an extended analytical framework based on the production of health-care services and the multiple determinants of health human resourc…
Preferences for outcomes in economic evaluation
Opportunities for, and implications of, skill mix changes in health care pathways
Moving from place to place in the last year of life
Moving from one care setting to another is common as death nears. Many concerns exist over these end-of-life (EOL) care setting transitions, including low-quality moves as mistakes and other mishaps can occur. Delayed or denied moves are also problematic, such as a move out of hospital for dying inpatients who want to spend their last hours or days at home. The aim of the study was to identify current issues or problems with care setting transiti…
Optimizing a portfolio of health care programs in the presence of uncertainty and constrained resources
Does treatment collection and observation each day keep the patient away? An analysis of the determinants of adherence among patients with Tuberculosis in South Africa
Directly observed treatment short course (DOTS) has been the recommended strategy for Tuberculosis (TB) control since 1995. Developed as an alternative to inpatient treatment, it involves observation of patients' medication intake to promote adherence. However, the burden of daily clinic visits may affect access to care. Using a mixed methods approach, we consider whether (1) non-adherence differs systematically between patients required to make …
Exploring the limitations of age-based models for health care planning
Provider incentives and access to dental care
Allocating resources in health care
A Validation Study of the Rainbow Model of Integrated Care-Measurement Tool for Patients in China
The results showed initial satisfactory psychometric properties for the validation of the Chinese RMIC-MT patient version. Its application in China will promote the development of people-centered integrated primary care. However, future studies with diverse samples crossing regions would be needed to test its psychometric properties for the various Chinese primary care contexts
Dental Manpower
A recent report by the Department of Health and Society Security (DHSS) has argued that a 10% reduction in the intake to dental schools is needed if an oversupply of dentists over the next forty years is to be avoided. Whilst welcoming this recommendation it is likely that it may not go far enough. In this article we describe the approach used in the DHSS report to estimate the demand for and supply of dental care and examine the relevance and im…
Increasing Patient Charges in the National Health Service
Frequent increases in the real value of National Health Service (NHS) patient charges have been made since the Conservative Party's return to office in 1979. For those patients subject to these charges the increases have led to a substantial reduction in the level of subsidization of the cost of the service. The rationale for the subsidization of health care is shown to be unrelated to 'ability to pay' considerations. Consequently the 'backdoor p…
Health Care Funding
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Charging for health care
A Needs-Based Approach to Resource Allocation in Health Care
Stephen Birch, John Eyles, Jeremiah Hurley, Brian Hutchison, Shelley Chambers, A Needs-Based Approach to Resource Allocation in Health Care, Canadian Public Policy / Analyse de Politiques, Vol. 19, No. 1 (Mar., 1993), pp. 68-85
Fair Shares for the Zone
The purpose of this paper is to explore issues of healthcare resource allocation for a Canadian native population, that of Sioux Lookout Zone, within the context of the total provincial population. We argue that a fair share of provincial health resources for any population must be based on a population needs approach. The paper begins by establishing a method to measure a fair share of healthcare resources. It goes on to establish why a fair sha…
National Health Care
Preferences for outcomes in economic evaluation
Equity in health care
Geographically-decentralized planning and management in health care
Proxies for healthcare need among populations
STUDY OBJECTIVE: To compare the use of a non-mortality based proxy for relative needs for healthcare among regional populations with a mortality based proxy for population relative needs and to evaluate the additional value of a proxy based on a combination of non-mortality and mortality based proxies. DESIGN: Analysis of cross sectional data on mortality, socioeconomic status, and self assessments of health taken from registrar general records, …
Allocating resources in health care
Modelling the Community as a Determinant of Health
Willingness to Pay for Periodontal Therapy
This pilot study supports some of the criteria concerning validity of the WTP questionnaire to measure preferences for alternative periodontal therapies. Further testing on larger samples is required to confirm these results
Heterogeneity in the determinants of health and illness
Health profiles of Hamilton
Unemployment and health
Optimizing a portfolio of health care programs in the presence of uncertainty and constrained resources
Valuing the benefits and costs of health care programmes
The Diabetes Continuity of Care Scale
The purpose of the present study was to develop and pilot test a questionnaire to assess continuity of care from the perspective of patients with diabetes. Seven patient and two healthcare-provider focus groups were conducted. These focus groups generated 777 potential items. This number was reduced to 56 items after item reduction, face validity testing and readability analysis, and to 47 items after a preliminary factor analysis. Readability wa…
Individual and Regional Determinants of Mammography Uptake
Cost-benefit analysis and health care evaluations
Portfolio theory and the alternative decision rule of cost-effectiveness analysis
Developing Management Information from an Administrative Database of Dental Services
Program expenditures were influenced by different factors over the study period. In the final two years, increasing expenditures were driven by price increases and increasing numbers of clients, but not by increasing numbers of services per client, nor a 'richer' mix of services
Who you know, where you live
Medicine (41 works) · Health care (33 works) · Economics (24 works) · Population (22 works) · Economic growth (21 works) · Nursing (21 works) · Political science (21 works) · Environmental health (20 works) · Healthcare Policy and Management (19 works) · Business (18 works)