European Journal of Public Health最新文献

{"title":"Retention of health and care workers needs more than listening to needs: towards an active role in governance and a comprehensive implementation strategy.","authors":"Ellen Kuhlmann, André Beja, Monica Brinzac, Alicja Domagala, Martijn Felder, Ber Oomen, Erica Richardson, Tomas Zapata, Tiago Correia","doi":"10.1093/eurpub/ckag186","DOIUrl":"10.1093/eurpub/ckag186","url":null,"abstract":"","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":"36 6","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13659914/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149180327","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Shaping public health policy in personalized prevention: the multidimensional PROPHET framework.","authors":"Astrid Moura Vicente, Angelica Valz Gris, Cristina Costa, Maria Luis Cardoso, Alexandra Costa, Fátima Lopes, Pragathy Kannan, Markus Perola, Roberta Pastorino, Angelo Maria Pezzullo, Stefania Boccia","doi":"10.1093/eurpub/ckag180","DOIUrl":"10.1093/eurpub/ckag180","url":null,"abstract":"<p><p>There is currently no widely accepted framework to guide decision-making for preventive approaches using genetic and genomic technologies. In the context of the PROPHET project, we developed a multidimensional framework integrating Health Technology Assessment and Health Impact Assessment, complemented by a monitoring phase to assess the impact of policies implementing personalized prevention interventions. This integrated approach links technical, clinical, and societal dimensions, supporting prevention strategies that are effective, equitable and sustainable. The PROPHET framework supports policy makers in the equitable and efficient implementation of personalized prevention policies at scale.</p>","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":"36 6","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13662691/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149180368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health and care workforce-driven transformations can improve workforce stability and strengthen health system resilience.","authors":"Ellen Kuhlmann, Gabriela Lotta, André Beja, Viola Burau, Olga Gershuni, Zuzana Kotherová, Klaas Stek, Marius-Ionuț Ungureanu, Tiago Correia","doi":"10.1093/eurpub/ckag185","DOIUrl":"https://doi.org/10.1093/eurpub/ckag185","url":null,"abstract":"","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":"36 6","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13659913/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149180359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Institutions, people, knowledge: rebuilding the capacities of global health diplomacy.","authors":"Natia Skhvitaridze, Amiran Gamkrelidze","doi":"10.1093/eurpub/ckag181","DOIUrl":"10.1093/eurpub/ckag181","url":null,"abstract":"","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":"36 6","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13652138/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149148473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction: Cardiovascular disease risk across subsectors and occupations in the transportation and storage industry: a national cohort study.","authors":"","doi":"10.1093/eurpub/ckag179","DOIUrl":"10.1093/eurpub/ckag179","url":null,"abstract":"","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":"36 6","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13652146/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149148148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ceuta 2026: the case for guaranteed health surge capacity at Europe's external borders.","authors":"Zeus Aranda","doi":"10.1093/eurpub/ckag182","DOIUrl":"10.1093/eurpub/ckag182","url":null,"abstract":"","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":"36 6","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13652144/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149147627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Co-developing equity-oriented neighbourhood care for children and young people with multiple long-term conditions: a concept mapping study in South London.","authors":"Nandeeta Samad, Ingrid Wolfe","doi":"10.1093/eurpub/ckag187","DOIUrl":"10.1093/eurpub/ckag187","url":null,"abstract":"<p><p>Children and young people (CYP) with multiple long-term conditions (MLTCs) rely on services spanning health, education, and social care, but fragmented pathways may widen inequalities and shift coordination work to families. We aimed to identify priorities for equity-oriented neighbourhood care. We conducted a participatory mixed-methods study informed by the Medical Research Council framework and group concept mapping. Sixteen stakeholders participated: three CYP, seven parents, five healthcare professionals (HCPs), and one community stakeholder. Participants generated, sorted, and rated candidate components. Group data were analysed separately using multidimensional scaling and hierarchical cluster analysis, then synthesised through stakeholder interpretation and consensus. The Rainbow Model of Integrated Care informed interpretation. HCPs and community stakeholders refined 38 candidate neighbourhood-care statements to 27 and generated five clusters; families refined 52 candidate neighbourhood-care statements to 36 and generated four clusters. Seven priorities were co-developed: tailored information, local access, and pathway communication; named coordination; workforce capability; shared care-planning tools; multidisciplinary working; parent/carer support; and embedded mental health support. Communication, local access, and navigation were relatively feasible, whereas mental health and cross-sector integration were resource-dependent. A stakeholder-informed programme theory linked components to accountability, information-sharing, culturally responsive care, earlier escalation, and reduced family burden. The findings translate neighbourhood-care policy into co-developed, equity-oriented priorities for CYP with MLTCs in South London. Communication, local access, and coordination offer practical starting points, while mental health and cross-sector integration require phased resourcing and leadership. These priorities may inform adaptation in European child health systems.</p>","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":"36 6","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13671751/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149192060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction: Digital health and rural health workforce retention: mapping workforce retention pathways.","authors":"","doi":"10.1093/eurpub/ckag184","DOIUrl":"10.1093/eurpub/ckag184","url":null,"abstract":"","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":"36 6","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13668334/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149180356","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Scaling an equity-oriented extended home visiting programme in Sweden: costs and cross-sectoral fiscal distribution.","authors":"Sergio Flores, Gunilla Lönnberg, Anna Sarkadi, Alice Brunnberg, Filipa Sampaio","doi":"10.1093/eurpub/ckag174","DOIUrl":"10.1093/eurpub/ckag174","url":null,"abstract":"<p><p>Inequalities in early childhood health persist across high-income countries, and structured home visiting is a principal policy response. Because such programmes are jointly produced by health and social services financed from separate budgets, the authority that pays is often not the authority that saves. We estimated the annual public-sector cost of scaling Sweden's extended home visiting programme nationally, and how it distributes between regional healthcare and municipal social services. A scenario-based costing analysis from a public-payer perspective. National registers gave an annual target population of 14 349 families. Unit costs came from micro-costing four pilot sites in disadvantaged areas in 2021. Three scenarios were modelled: a National Standard base case, a Facility-Based Adaptation, and an Enhanced Pilot. Costs are in 2023 Euros. Unit cost per family ranged from EUR 512 (Facility-Based) to EUR 1128 (Enhanced Pilot). Scaling the National Standard model would cost EUR 8.31 million annually, the Enhanced Pilot EUR 11.33 million. Regional healthcare carried 70%-76% of costs under every delivery model, because coordination, supervision, and training are overwhelmingly nurse and midwife time. Implementation choices change total cost but not its distribution between payers. Moving contacts from the home to a facility halves the cost and removes the setting through which the programme is theorized to reach marginalized families, without rebalancing the burden. Because the asymmetry follows from how the programme is staffed, scale-up requires explicit cross-sectoral financing agreements wherever health and social care budgets are held separately.</p>","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":"36 5","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13614793/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149059448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Long-term safety of human papillomavirus vaccination in relation to early pregnancy outcomes: registry-based follow-up of a community-randomized trial.","authors":"Tiina Koivisto, Kaisa Taavela, Tiina Eriksson, Dan Apter, Matti Lehtinen, Karolina Louvanto","doi":"10.1093/eurpub/ckag102","DOIUrl":"10.1093/eurpub/ckag102","url":null,"abstract":"<p><p>Despite the demonstrated safety of human papillomavirus vaccines, concerns have arisen regarding potential associations of human papillomavirus vaccination on reproductive health. The objective of this registry-based study was to compare overtime association of vaccination and early pregnancy outcomes. Twenty thousand four hundred twenty-six women born in 1992-1995, who participated in a Finnish community-randomized human papillomavirus vaccination trial, and age- and community-aligned unvaccinated controls born in 1990-1991 (n = 19 473) were followed up for 11 years. Data was obtained from the nationwide Finnish Care Register for Health Care. Incidence rates of adverse early pregnancy outcomes were compared between the human papillomavirus vaccinated and unvaccinated group. The mean age at first abnormal pregnancy result was 23.5 years in the human papillomavirus vaccinated group and 22.2 years in the unvaccinated group. 1.6% of human papillomavirus vaccinated women experienced a miscarriage compared with 5.3% of unvaccinated controls (P < .0001). No miscarriages occurred in close temporal proximity to vaccination. Rates of ectopic pregnancies were low and comparable across all groups (0.6-1.0%). Among women with a history of abnormal pregnancy outcomes, 55.6% of human papillomavirus vaccinated individuals had at least one live birth, compared with 70.3% of unvaccinated women. Human papillomavirus vaccination was not associated with an increased risk of miscarriage or other adverse early pregnancy outcomes. These results provide reassurance that human papillomavirus vaccination is safe with respect to reproductive outcomes, supporting its continued use in adolescent and young adult populations.</p>","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":"36 5","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13467021/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148720030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}