Health policy
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Review Comparative Study
A systematic review and comparison of HIV contact tracing laws in Canada.
Public health officials and health providers need to be aware of the legislation documenting contact tracing in their jurisdiction to advise HIV positive clients of their rights, and to systematically perform their duties. The objective is to outline and compare the contact tracing laws in 13 jurisdictions in Canada, and to provide policy recommendations. ⋯ Public health officials should ensure that contact tracing practices and policies accurately reflect the current regulations without compromising their patients' confidentiality. It is recommended that each province/territory would benefit from standardized contact tracing regulations which are imbedded in communicable disease legislation. Regulations with provisions for informed consent, confidentiality, multiple counselling sessions, clear procedures in duty to warn cases, and domestic violence screening would be considered best practice.
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This paper describes the development and implementation of the first national hospital performance indicators in Lebanon including its institutionalization within existing policy framework and the initiation of independent governance structure for sustainability. ⋯ This is among the first attempts made in the East Mediterranean Region to adapt the BSC approach and translate the experience of its development to addresses local needs and contextual reality.
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The persistence of socioeconomic inequalities in health is a major policy concern in England, which was addressed by the new labour government in 1997 which prioritised curtailing health inequalities as a policy goal. This paper addresses two related questions: first, it empirically examines the dynamic patterns of socioeconomic inequalities in health in England from 1997 to 2007 by estimating concentration indices over three measures of health, namely self-reported health, long standing illness and health limitations, calculated across different years of the Health Survey for England. ⋯ Results suggest that patterns of health inequalities in England exhibit no significant variation from 1997 to 2007, although importantly, some reduction on inequalities in health, measured through self-assessed health, is found. Patterns of socioeconomic inequalities in health in spearhead areas are not found to be significantly different than health inequalities in non-spearhead areas.