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IIMHL Update is researched,
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by Bill Davis.

For information about the International Initiative for Mental Health Leadership, please contact Fran Silvestri.











Webhealth
Webhealth has been specifically developed to provide access for people to connect with Health and Social Services. This web-based approach builds on the strengths of people and families to determine their support needs. Within the Webhealth website is Linkage. Linkage is a partnership between an NGO, Pathways; primary health care, Pinnacle; and a secondary provider/hospital, Health Waikato. It offers early intervention services with a “one stop shop” in central Hamilton and New Plymouth.



daily link  Friday, January 09, 2004


Latest Data on Health Coverage and Summarize Presidential Candidates' Proposals to Expand Coverage
From the Kaiser Family Foundation - "With policy discussions about covering America's uninsured continuing, the Kaiser Commission on Medicaid and the Uninsured is releasing its latest analysis of federal government data and a side-by-side summary of the Presidential candidates’ proposals to expand health coverage." Links are included here to several KFF documents, among them The Uninsured and Their Access to Health Care and a Side-by-Side Summary of Presidential Candidates’ Proposals for Expanding Health Insurance Coverage.  
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A new way of looking at health status
Article in the latest APA Monitor - "For the past eight years, APA's Practice Directorate collaborated with the World Health Organization (WHO) on the International Classification of Functioning, Disability and Health (ICF)--a system that classifies the impact of health conditions on people's level of functioning in domains such as communication, self-care, work and school. For example, the ICF allows health-care clinicians, such as psychologists, to describe in a standard way how a health condition has affected a patient's daily functioning. The ICF is positioned to ultimately become the universal system by which the functional aspects of health conditions are described...."  
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Protecting practitioners' autonomy
Article in the latest APA Monitor - "...Last year, Oxford Health Plans--which operates in New York, New Jersey and Connecticut--began retrospective audits of the records of some mental health professionals with whom the company has contracted. For the most part, the audits occurred in New York, where Oxford has most of its providers. ... But APA and the New York State Psychological Association (NYSPA)--on behalf of audited psychologists--stepped in because the company's methods and justification of these audits seemed far from normal. The two organizations penned a letter demanding corrective measures from Oxford in October. Nearly a month later, the company agreed to stop requiring repayments based on alleged deficiencies in recordkeeping."  
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Mixed Federal Action, State Activism Mark Health Policy in 2003
A review of 2003 in Medscape Money & Medicine, including links to many other articles and resources at the Medscape site and other sources - "Healthcare is often, and correctly, described by pundits as an issue that generates tremendous debate -- followed by little action. The year 2003 has been both an exception and confirmation of that statement." [Viewing Medscape resources requires registration, which is free].  
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Spotlight on Remission: Achieving an Evidence-Based Goal in Depression and Anxiety Disorders
A new CME unit at Medscape - "Although epidemiological and clinical evidence supports the feasibility — and desirability — of remission as the therapeutic goal in depression and anxiety disorders,a disturbing gap exists between research and practice.In both the primary-care and psychiatric settings, many clinicians have been satisfied with achieving response rather than remission. This situation has been attributed, first, to response being the common primary endpoint in clinical therapeutic trials and, second, to clinicians being reluctant to adopt the principles of evidence-based medicine. Because improved patient outcomes can be obtained through evidence-based medicine, it is critical that practitioners become confident in applying its principles in the treatment of all diseases — including mental health disorders. "med"  
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Changing Structure Of The Drug Industry
An editorial that serves as an introuction to the latest issue of Health Affairs, which has as its theme "The Drug Industry: A Closer Look" - "Rising research and development (R&D) expenditures by pharmaceutical companies are, in part, a consequence of changing industry structure, particularly the rise of the biotechnology sector. The creation of a market for biomedical science and increased vertical competition within the industry are likely to spur innovation and raise productivity, but they also could induce socially wasteful spending and weaken academic science. With innovation increasingly dependent on financially vulnerable firms and complex contractual arrangements, R&D investment might be becoming more sensitive to price controls or other cost containment measures." Other articles of note include The Political Economy Of FDA Drug Review, How Much Should Medicare Pay For Drugs?, and Restricted Drug Access In Medicaid. At times lately, articles at the Health Affairs web site have been very slow to load, so be patient.  
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Copyright 2003 © Bill Davis.

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