European Journal of Public Health最新文献_第2页

20-Year labor market histories of 66-year-old women and men: a nationwide retrospective cohort study from Sweden. 66岁男女20年劳动力市场历史：瑞典全国回顾性队列研究。

IF 3.9 3区医学

European Journal of Public Health Pub Date : 2026-04-11 DOI: 10.1093/eurpub/ckag062

Katalin Gémes, Aleksiina Martikainen, Kristin Farrants, Kristina Alexanderson, Jakob Bergström, Ellenor Mittendorfer-Rutz, Marianna Virtanen

{"title":"20-Year labor market histories of 66-year-old women and men: a nationwide retrospective cohort study from Sweden.","authors":"Katalin Gémes, Aleksiina Martikainen, Kristin Farrants, Kristina Alexanderson, Jakob Bergström, Ellenor Mittendorfer-Rutz, Marianna Virtanen","doi":"10.1093/eurpub/ckag062","DOIUrl":"10.1093/eurpub/ckag062","url":null,"abstract":"A health-promoting, supportive, and inclusive labor market is essential to sustainable working life. However, knowledge is warranted on working life patterns from midlife on. We aimed to map 20-year histories of labor market and healthcare use among women and men aged 66. A 20-year retrospective cohort study of 52 920 women and 51 823 men aged 66 in 2019 who lived in Sweden 2000-19, using microdata on type of economic activity, income, secondary healthcare use, and prescribed medications, linked from nationwide registers. Sequence and cluster analysis were performed on yearly dominant labor market states, separately for women and men. Women spent more time in \"low-income\" and \"sickness absence/disability pension (SA/DP)\" and less time in \"high-income\" states than men. Time spent in \"unemployed,\" \"no/minimal income,\" \"social assistance\" and \"retired\" states were similar in both sexes. Probabilities of transitioning from \"SA/DP,\" \"social assistance,\" and \"retired\" to other states were low (<.09). The largest sequence cluster in men (68%) was mostly characterized by sequences with \"high-income\" and in women by \"low-\" and \"high-\" income states (74%). Other clusters were represented by \"unemployed\" (14% of women, 17% of men), \"no/minimal income\" (10%, 11%), and \"SA/DP\" (3%, 3%) states. Most women and men were active in the labor market when aged 46-66, nevertheless, around 30% followed less active paths, dominated by long-term SA/DP, social assistance, or unemployment. Transitions from these states were unlikely. The most pronounced sex-difference in working life was time spent in \"low\"- and \"high-income\" states.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":"36 3","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13082903/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147688844","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}

引用次数: 0

Quality of care in an era of global challenges: a transformational vision for WHO European Region and beyond. 全球挑战时代的保健质量：世卫组织欧洲区域及以后的变革愿景。

IF 3.9 3区医学

European Journal of Public Health Pub Date : 2026-04-01 DOI: 10.1093/eurpub/ckaf204

Válter R Fonseca, Damir Ivanković, Blerta Maliqi, Niek Klazinga, Stefan Larsson, Ernst J Kuipers, Christos Triantafyllou, Jennifer Hall, Lilian Vildiridi, Govin Permanand, Natasha Azzopardi Muscat, João Breda

{"title":"Quality of care in an era of global challenges: a transformational vision for WHO European Region and beyond.","authors":"Válter R Fonseca, Damir Ivanković, Blerta Maliqi, Niek Klazinga, Stefan Larsson, Ernst J Kuipers, Christos Triantafyllou, Jennifer Hall, Lilian Vildiridi, Govin Permanand, Natasha Azzopardi Muscat, João Breda","doi":"10.1093/eurpub/ckaf204","DOIUrl":"10.1093/eurpub/ckaf204","url":null,"abstract":"Health systems today face overlapping pressures-from demographic shifts, workforce shortages, climate change, and geopolitical and economic instability. This strains their ability to deliver effective and equitable care and erodes public trust. Traditional approaches to quality of care, often focused on service volumes or process compliance, are proving insufficient to address these system-wide challenges. In response, this paper proposes a transformational vision for quality of care that moves beyond traditional models. This vision is rooted in two interconnected pillars. First, a focus on outcomes that truly matter to people and populations, prioritizing health and well-being over service volume. The second pillar is a whole-systems perspective that embeds quality across all levels of governance, policy, and financing. This transformation is made possible through three key enablers. First, an empowered workforce and accountable leadership are needed to drive change. Second, data must be used transparently to build trust and guide results-focused work. Finally, innovative solutions and tools must enhance quality and be aligned with equity. Drawing on practical implementation examples, this paper outlines a roadmap for system-wide alignment of health systems-to rebuild trust, improve resource use, and advance health equity. This makes quality a lasting foundation for resilient, sustainable, and equitable healthcare.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":"iii11-iii16"},"PeriodicalIF":3.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13129200/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145476897","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}

引用次数: 0

Future leaders in child and adolescent mental health research: addressing career challenges of young researchers across the WHO European Region. 儿童和青少年心理健康研究的未来领导者：解决世卫组织欧洲区域青年研究人员的职业挑战。

IF 3.9 3区医学

European Journal of Public Health Pub Date : 2026-04-01 DOI: 10.1093/eurpub/ckag024

Anastasia Giannaki, Syed Muhammad Aqeel Abidi, Anouk Boonstra, Hannah Brunskill, Francesco Andrea Causio, Theodoros Filippou, Anastasia Gatopoulou, Maria Gogou, Sophie Mae Harrington, Panagiota Kalpaxi, Jasmine Lee, Eleni Maousidi, Mohammad Shafi Mohammadi, Lotenna Olisaeloka, Christos Papaioannou, Raffaella Sibilio, Milica Sušić, Jennifer Hall, Joao Breda

引用次数: 0

Leadership matters: a systems approach to strengthening the quality of child and youth mental health care. 领导很重要：加强儿童和青年精神卫生保健质量的系统方法。

IF 3.9 3区医学

European Journal of Public Health Pub Date : 2026-04-01 DOI: 10.1093/eurpub/ckaf242

Jennifer Hall, Hannah Brunskill, Válter R Fonseca, Anastasia Gatopoulou, Anastasia Giannaki, Penny Kalpaxi, Elena Maousidi-Zirganou, Raffaella Sibilio, Shobhan Thakore, Ledia Lazëri, João Breda

引用次数: 0

Reducing human error in global healthcare: leadership, learning, and system resilience. 减少全球医疗保健中的人为错误：领导力、学习和系统弹性。

IF 3.9 3区医学

European Journal of Public Health Pub Date : 2026-04-01 DOI: 10.1093/eurpub/ckag053

Ayza Altaf, Enemona Jacob

{"title":"Reducing human error in global healthcare: leadership, learning, and system resilience.","authors":"Ayza Altaf, Enemona Jacob","doi":"10.1093/eurpub/ckag053","DOIUrl":"10.1093/eurpub/ckag053","url":null,"abstract":"Human error in healthcare and public health remains a major contributor to patient harm and inefficiency globally. In high-income countries, it is estimated that 1 in 10 patients are harmed during hospital care, with nearly half of these incidents being preventable. In low- and middle-income countries (LMICs), the situation is even more concerning. The World Health Organization (WHO) has identified adverse events in healthcare as a major source of preventable harm in LMICs, highlighting persistent systemic weaknesses in quality of care and patient safety. While human errors occur, most patient harm stems from complex systemic factors rather than negligence. High-reliability organizations show that proactive leadership, transparent communication, and organizational learning reduce error likelihood and impact. Continuous quality improvement and simulation-based training strengthen resilience, enabling systems to anticipate and adapt to challenges. Technology-assisted tools, such as electronic health records and decision-support systems, further enhance error detection, though their success depends on integration and engagement. Building health system resilience therefore requires coordinated strategies that prioritize leadership, organizational learning, and adaptive design over punitive responses.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":"iii21-iii23"},"PeriodicalIF":3.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13129191/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147485130","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}

引用次数: 0

Steering health through uncertainty: leadership and transformation in the WHO European Region. 通过不确定性指导卫生：世卫组织欧洲区域的领导和变革。

IF 3.9 3区医学

European Journal of Public Health Pub Date : 2026-04-01 DOI: 10.1093/eurpub/ckaf267

Hans Kluge, Martin McKee

引用次数: 0

Public health quality indicators as a prioritization and leadership tool: a scoping review of their role in health system transformation. 作为优先次序和领导工具的公共卫生质量指标：对其在卫生系统转型中的作用进行范围审查。

IF 3.9 3区医学

European Journal of Public Health Pub Date : 2026-04-01 DOI: 10.1093/eurpub/ckaf174

Christos Triantafyllou, Anastasia Ntikoudi, Anastasia Papachristou, Vion Psiakis, Valter R Fonseca, Joao Breda

{"title":"Public health quality indicators as a prioritization and leadership tool: a scoping review of their role in health system transformation.","authors":"Christos Triantafyllou, Anastasia Ntikoudi, Anastasia Papachristou, Vion Psiakis, Valter R Fonseca, Joao Breda","doi":"10.1093/eurpub/ckaf174","DOIUrl":"10.1093/eurpub/ckaf174","url":null,"abstract":"Public health indicators serve as vital monitoring tools of population's health while assisting policy makers in their leadership role while guiding policy decisions. Standardized indicator development continues to face substantial obstacles regarding their conceptual definition, methodological precision, and national compatibility. The aim of this review was to combine academic and institutional literature to assess the application of quality indicators in public health settings. A scoping review of the existing literature on public health quality indicators was conducted. The search was performed in PubMed, EMBASE, and CINAHL databases. Eleven publications were included, and the extracted data were organized in a structured table. Research findings showed that indicators must retain a balance between usefulness, national context adaptability and standardized frameworks. The ECHI, EUHPID, and PAHO's frameworks established systematic methods to organize indicators and create measurement systems. Subnational programs highlighted that data quality and coverage remained insufficient. Public health indicators serve as essential tools for tracking population health status while assisting in policy decisions. The practical application of indicators depends on their methodological soundness, ethical approach and their practical implementation possibilities. Research demonstrates that public health indicators require continuous investment regarding their technical infrastructure and conceptual frameworks. Future research should include indicator policy impact assessment, framework improvement and real-time public health system assessment.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":"iii5-iii10"},"PeriodicalIF":3.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13129197/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146028725","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}

引用次数: 0

Healthier teams, safer care: workforce-driven determinants of quality of care and patient safety. 更健康的团队，更安全的护理：由劳动力驱动的护理质量和患者安全决定因素。

IF 3.9 3区医学

European Journal of Public Health Pub Date : 2026-04-01 DOI: 10.1093/eurpub/ckaf124

David Berhanu, Miglė Trumpickaitė, Lenio Capsaskis, Válter R Fonseca, Yanina Andersen, Álvaro Cerame, Tomas Zapata, João Breda

引用次数: 0

Trends in incidence, prevalence, and survival of primary liver cancer in the United Kingdom (2000-2021). 英国原发性肝癌的发病率、流行率和生存趋势（2000-2021年）

IF 3.9 3区医学

European Journal of Public Health Pub Date : 2026-03-14 DOI: 10.1093/eurpub/ckaf153

Berta Cuyàs, Edilmar Alvarado-Tapias, Eng Hooi Tan, Asieh Golozar, Talita Duarte-Salles, Antonella Delmestri, Josepmaria Argemi, Wai Yi Man, Edward Burn, Carlos Guarner-Argente, Daniel Prieto Alhambra, Danielle Newby

{"title":"Trends in incidence, prevalence, and survival of primary liver cancer in the United Kingdom (2000-2021).","authors":"Berta Cuyàs, Edilmar Alvarado-Tapias, Eng Hooi Tan, Asieh Golozar, Talita Duarte-Salles, Antonella Delmestri, Josepmaria Argemi, Wai Yi Man, Edward Burn, Carlos Guarner-Argente, Daniel Prieto Alhambra, Danielle Newby","doi":"10.1093/eurpub/ckaf153","DOIUrl":"10.1093/eurpub/ckaf153","url":null,"abstract":"Primary liver cancer (PLC) remains a global health challenge. Understanding trends in the disease burden and survival is crucial to inform decisions regarding screening, prevention, and treatment. Population-based cohort study using UK primary care data from the Clinical Practice Research Datalink (CPRD) GOLD (2000-2021), replicated in CPRD Aurum. Crude and age-standardized incidence rates (IRs), crude period prevalence (PP), and survival at 1, 5, and 10 years were calculated, and stratified by age, sex, and diagnosis year. The crude IR of PLC was 4.56 (95% CI 4.42-4.70) per 100 000 person-years between 2000 and 2021, with an increase over time across age and sex strata. Sex-specific IR for males was higher than females, 6.60 (95% CI 6.36-6.85) vs. 2.58 (95% CI 2.44-2.74) per 100 000 person-years. Age-standardized IR showed identical trends. Crude PP showed a seven-fold increase over the study period, with PP 0.02% (95% CI 0.019%-0.022%) in 2021, and a 2.8-fold higher PP in males. Survival at 1, 5, and 10 years after diagnosis was 41.7%, 13.2%, and 7.1%, respectively, for both sexes. One-year survival increased only in men, from 33.2% in 2005-2009 to 49.3% in 2015-2019. Over the past two decades, there has been a substantial increase in the number of patients diagnosed with PLC. Despite a slight improvement in median and one-year survival in men, prognosis remains poor. To improve the survival of PLC patients, it is necessary to understand the epidemiological changes and address preventable risk factors associated with liver disease and promote early detection and access to care.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13064510/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145481033","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}

引用次数: 0

Declining 28-day population myocardial infarction case-fatality trends in Catalonia, Spain: an analysis of the possible contribution of emergency management network. 西班牙加泰罗尼亚28天人群心肌梗死病死率下降趋势：应急管理网络可能贡献的分析

IF 3.9 3区医学

European Journal of Public Health Pub Date : 2026-03-14 DOI: 10.1093/eurpub/ckaf203

Helena Tizón-Marcos, Anna Camps-Vilaró, Irene Roman-Dégano, Isaac Subirana, Miguel Cainzos-Achirica, Teresa Puig, Josepa Mauri, Rosa Maria Lidon, Elena Arbelo, Jaume Marrugat

{"title":"Declining 28-day population myocardial infarction case-fatality trends in Catalonia, Spain: an analysis of the possible contribution of emergency management network.","authors":"Helena Tizón-Marcos, Anna Camps-Vilaró, Irene Roman-Dégano, Isaac Subirana, Miguel Cainzos-Achirica, Teresa Puig, Josepa Mauri, Rosa Maria Lidon, Elena Arbelo, Jaume Marrugat","doi":"10.1093/eurpub/ckaf203","DOIUrl":"10.1093/eurpub/ckaf203","url":null,"abstract":"The implementation of emergency care networks for ST-elevation myocardial infarction (STEMI), like Codi IAM in Catalonia, has reduced time to reperfusion. We hypothesized that Codi IAM would decrease the 28-day case-fatality rate for acute myocardial infarction (AMI) by enabling more patients with sudden cardiac death (SCD) to receive timely treatment. We linked the Codi IAM registry, Catalan hospital discharge records, and mortality registry. The study included 97 325 AMI patients aged 35-84 years hospitalized or deceased between 2008 and 2019. We compared trends in prehospital, in-hospital, and overall 28-day standardized case-fatality rates between the preimplementation (2008-10) and implementation periods (2011-19). Annual Percentage Change (APC) and spline trends were analyzed. During the study period, the mean age of AMI patients decreased from 70 to 67 years (P < .001), and the percentage of women declined from 29.2% to 25.7% (P < .001). Comorbidities increased, with higher rates of hypertension (38.8%-49.9%, P < .001), diabetes (23.9%-31.9%, P < .001), and cardiovascular disease history (26.5%-28.5%, P < .001). The overall 28-day AMI case-fatality significantly declined post-2010 (P < .001), mainly due to a decline in prehospital case-fatality (SCD) after 2010 (P < .001). In-hospital case-fatality declined until 2011 (P < .001) and stabilized afterward (P = .12). The decrease in prehospital 28-day AMI case-fatality paralleled the Codi IAM implementation, suggesting a possible transfer of recovered out-of-hospital SCD patients to hospitals, with limited changes in in-hospital mortality rates.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13064506/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145877876","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}

引用次数: 0