International Journal of Health Policy and Management最新文献

{"title":"America First and Global Health Last: Assessing the Policy's Ripple Effects on Tropical Disease Control and Health Sovereignty in Sub-Sahara Africa.","authors":"Stephen Olaide Aremu","doi":"10.34172/ijhpm.9631","DOIUrl":"10.34172/ijhpm.9631","url":null,"abstract":"","PeriodicalId":14135,"journal":{"name":"International Journal of Health Policy and Management","volume":"15 ","pages":"9631"},"PeriodicalIF":5.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12980024/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147662761","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":"Advancing Public Health Through Internationally Coordinated Medical Device Registries Comment on \"Quality and Utility of European Cardiovascular and Orthopaedic Registries for the Regulatory Evaluation of Medical Device Safety and Performance Across the Implant Lifecycle: A Systematic Review\".","authors":"Herbert Mauch","doi":"10.34172/ijhpm.9383","DOIUrl":"10.34172/ijhpm.9383","url":null,"abstract":"<p><p>This commentary draws on findings from Hoogervorst et al1 to underscore the urgent need for internationally coordinated medical device registries, addressing the fragmentation and inconsistency currently limiting their utility in Europe. It advocates for registries governed by academic specialty societies to ensure scientific integrity, transparency, and clinical relevance. Such registries can significantly enhance post-market surveillance, support regulatory compliance and accelerate real-world evidence (RWE) generation. The importance of standardized data collection, regular outcome reporting, and contributor recognition to foster engagement and improve data quality is highlighted. By complementing randomized controlled trials (RCTs), registries can detect rare adverse events, inform clinical guidelines and drive innovation. Actionable recommendations for governance, data harmonization and interoperability are given, emphasizing that now is the time for academic societies to lead this transformation for the benefit of patients and healthcare systems globally.</p>","PeriodicalId":14135,"journal":{"name":"International Journal of Health Policy and Management","volume":"15 ","pages":"9383"},"PeriodicalIF":5.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13034190/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147662770","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":"Institutional Decoupling in China's Blood Donation Reform: Bridging the Gap Between Policy Intentions and Implementation Realities.","authors":"Renqi Luo, Jingrong Lu","doi":"10.34172/ijhpm.9536","DOIUrl":"10.34172/ijhpm.9536","url":null,"abstract":"","PeriodicalId":14135,"journal":{"name":"International Journal of Health Policy and Management","volume":"15 ","pages":"9536"},"PeriodicalIF":5.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13034214/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147662458","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":"Multiple Chronic Conditions, Delayed Medical Care and Hospitalization: A Comparison Between the United States and Taiwan.","authors":"Chen-Yang Wang, Ching-Ching Claire Lin, Raymond N Kuo, Joshua M Liao","doi":"10.34172/ijhpm.9164","DOIUrl":"10.34172/ijhpm.9164","url":null,"abstract":"<p><strong>Background: </strong>Delays in medical care can be especially critical for individuals with multiple chronic conditions (MCCs). The United States and Taiwan, with vastly different healthcare systems, offer contrasting contexts for access to care. This study aims to examine the relationship between MCCs, delayed medical care and hospitalization in the US and Taiwan.</p><p><strong>Methods: </strong>This analysis used data from the US National Health Interview Survey (NHIS) 2021 (n=29 482) and the Taiwan Social Change Survey (TSCS) 2021 health module (n=1604). We estimated multivariable logit regression models and calculated differential effects of MCCs status (no chronic conditions, one chronic condition, MCCs) on outcomes. Precision measures were estimated with delta method. All analyses for the US population incorporated applicable complex survey design and weighting, and for the Taiwan population incorporated weighting when appropriate.</p><p><strong>Results: </strong>Compared to those with no chronic conditions, individuals in the US with one chronic condition (2.0 percentage-points, <i>P</i><.001) or MCCs (3.6 percentage-points, <i>P</i><.001) had a higher likelihood of delayed care due to costs. In Taiwan, delayed care was less likely among individuals with one chronic condition (5.6 percentage-points, <i>P</i>=.08) or MCCs (9.5 percentage-points, <i>P</i>=.02), compared to individuals with no chronic conditions. Furthermore, individuals with MCCs or one chronic condition are associated with higher hospitalization in both the US (6.1 percentage-point, <i>P</i><.001; 1.6 percentage-point, <i>P</i>=.001, respectively) and Taiwan (15.7 percentage-point, <i>P</i><.001, 3.8 percentage-point, <i>P</i>=.08, respectively), although the differential effect of one chronic condition in Taiwan did not reach statistical significance.</p><p><strong>Conclusion: </strong>Analyzing data from two national health systems, this analysis shows differing relationships between MCC status and delayed care, suggesting a possible bidirectional effect. As both regions undergo reforms-US efforts to improve coordination and Taiwan's rising risk of fragmented care-these findings offer insights relevant to policy-makers and health system leaders beyond each country's context.</p>","PeriodicalId":14135,"journal":{"name":"International Journal of Health Policy and Management","volume":"15 ","pages":"9164"},"PeriodicalIF":5.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13034188/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147662435","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":"Applying Abstract Text Mining as a Complement to PRISMA in Reviewing the Scope of Healthcare's Circular Economy Comment on \"A Review of the Applicability of Current Green Practices in Healthcare Facilities\".","authors":"Amin Esmaeili","doi":"10.34172/ijhpm.9410","DOIUrl":"10.34172/ijhpm.9410","url":null,"abstract":"<p><p>Efforts to reduce the healthcare sector's carbon footprint and greenhouse gas (GHG) emissions have brought increased attention to the adoption of the circular economy (CE) in recent years. These efforts aim to lower carbon-intensive products while improving efficiency, waste reduction, and healthcare resilience. Soares et al conducted a scoping review examining CE applicability in healthcare and identified strategies to enhance its implementation. In this commentary paper, a novel abstract text mining (ATM) approach is introduced as a complement to the standard Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) methodology. Using this approach, the search terms employed by Soares et al were expanded, article abstracts were extracted, and scope areas were mapped with the assistance of a well-established machine learning technique-latent Dirichlet allocation (LDA) topic modeling. Comparison of the ATM results with those reported by Soares et al revealed three additional scope areas: alternative treatment pathways, pharmaceutical footprint reduction, and the utilization of emerging technologies.</p>","PeriodicalId":14135,"journal":{"name":"International Journal of Health Policy and Management","volume":"15 ","pages":"9410"},"PeriodicalIF":5.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13034189/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147662781","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":"Prioritizing Health in War and Conflict: The 2025 War in Iran and the Call for Global Peace.","authors":"Azam Raoofi, Elham Ehsani-Chimeh, Amirhossein Takian","doi":"10.34172/ijhpm.9428","DOIUrl":"10.34172/ijhpm.9428","url":null,"abstract":"","PeriodicalId":14135,"journal":{"name":"International Journal of Health Policy and Management","volume":"15 ","pages":"9428"},"PeriodicalIF":5.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13034187/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147662448","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":"The International Advanced Practice Nurse Integration Model: A Response to Recent Commentaries.","authors":"Joshua Porat-Dahlerbruch, Tatyana Miller, Judith Shamian, Moriah Ellen","doi":"10.34172/ijhpm.9777","DOIUrl":"10.34172/ijhpm.9777","url":null,"abstract":"","PeriodicalId":14135,"journal":{"name":"International Journal of Health Policy and Management","volume":"15 ","pages":"9777"},"PeriodicalIF":5.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13034194/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147662464","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":"Economic Burden of Non-medicinal Poisoning From Healthcare Provider Perspective in 2020: A Prevalence-Based Cost-of-Illness Study in Thailand.","authors":"Mu Htay Kywel, Orathai Khiaocharoen, Chatchon Prasertworakul, Tanwa Khattiyod, Sitaporn Youngkong, Arthorn Riewpaiboon","doi":"10.34172/ijhpm.8928","DOIUrl":"10.34172/ijhpm.8928","url":null,"abstract":"<p><strong>Background: </strong>Between 2010 and 2019 in Thailand, hospital admissions due to toxic effects of non-medicinal substances (International Classification of Diseases 10th Revision [ICD-10] codes: T51-T65) ranged from 59.78 to 87.47 per 100 000 population. The objective of this study was to estimate the costs of non-medicinal poisoning from healthcare provider perspective, and identify factors associated with the costs in Thailand for the year 2020.</p><p><strong>Methods: </strong>This was a prevalence-based cost-of-illness study conducted from healthcare provider perspective, analysing data from five hospitals (four regional and one provincial) across the Central, North, and Northeast regions of Thailand. We included all patients diagnosed with non-medicinal poisoning (ICD-10 codes: T51-T65) during the fiscal year 2020. Direct medical costs were calculated from hospital databases, estimating the cost per outpatient/emergency visit and the cost per hospital admission. Multiple regression analysis was used to determine the factors affecting these costs. All total costs were converted to international dollar (Int$) for 2020.</p><p><strong>Results: </strong>A total of 3260 patients were included (2472 outpatient visits and 788 admissions). The mean age was 39 years, with 51% being male. The mean cost per outpatient visit was Int$ 47, and the mean cost per admission was Int$ 896. Key factors significantly associated with higher costs included patient type (outpatient vs admission), length of stay (LOS), age, insurance scheme, diagnosis group, and the presence of comorbidities.</p><p><strong>Conclusion: </strong>This study provided critical, updated data that can inform health policy by emphasizing the economic burden of non-medicinal poisoning. These findings underscore the need for strengthening poisoning prevention and early intervention services and offer essential data for conducting future economic evaluation studies of relevant interventions in Thailand.</p>","PeriodicalId":14135,"journal":{"name":"International Journal of Health Policy and Management","volume":"15 ","pages":"8928"},"PeriodicalIF":5.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12980026/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147662432","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":"United Nations Partnerships With the Alcohol Industry.","authors":"June Yue Yan Leung, Sally Casswell","doi":"10.34172/ijhpm.8947","DOIUrl":"10.34172/ijhpm.8947","url":null,"abstract":"<p><strong>Background: </strong>The alcohol industry builds engagement with United Nations (UN) organisations to enhance its corporate image and influence policy, supported by the UN's endorsement of public-private partnerships (PPPs). However, the extent of the alcohol industry's relationships with the UN remains unclear due to limited reporting.</p><p><strong>Methods: </strong>We searched the websites of 57 UN-affiliated entities and 18 transnational alcohol corporations (TNACs) for evidence of partnerships or relationships between the UN and the alcohol industry. We summarised the UN entities and TNACs involved in formal partnerships, membership of alliances or stakeholder networks, financial contributions, sponsorship of programmes or projects, sponsorship of events, event participation, and personal relationships with conflicts of interest.</p><p><strong>Results: </strong>We identified examples of all the above relationships between various UN entities and the world's largest TNACs, including an alcohol industry donation towards the World Health Organization (WHO) Foundation, which was created to maximise private sector donations to WHO. The focus of these engagements aligned closely with the alcohol industry's corporate social responsibility (CSR) initiatives, including drink-driving prevention, education, sustainability, and philanthropy. These activities frequently involved support for low- and middle-income countries (LMICs) and women, which are emerging markets for the TNACs. Sponsorship and participation in intergovernmental events allowed the TNACs privileged access to policy-makers. Limited disclosure by UN entities meant that our findings provided an incomplete picture of relationships with the alcohol industry.</p><p><strong>Conclusion: </strong>The UN's wide-ranging relationships with the TNACs highlight the power of these large corporations in building political influence and the UN's failure to acknowledge the alcohol industry's conflicting interests with health. These relationships undermine WHO's mandate to promote health, placing the integrity and impartiality of the UN system at risk. On top of adequate resources from member states and enhanced transparency measures, the UN requires effective safeguards against alcohol industry influence, in line with those for the tobacco industry.</p>","PeriodicalId":14135,"journal":{"name":"International Journal of Health Policy and Management","volume":"15 ","pages":"8947"},"PeriodicalIF":5.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12980025/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147662552","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":"Paying Attention - and Respect - to the Agency of Conflict-Affected Health Workers Comment on \"Human Resources for Health in Conflict Affected Settings: A Scoping Review of Primary Peer Reviewed Publications 2016-2022\".","authors":"Enrico Pavignani","doi":"10.34172/ijhpm.9580","DOIUrl":"10.34172/ijhpm.9580","url":null,"abstract":"<p><p>The review stands out for its methodological rigour, clear results, and frank recognition of its limitations. However, the picture proposed by it is incomplete. Two aspects of great consequence are discussed in this commentary as a complement to the review. First, the political agency of human resources for health (HRHs) must always be considered. Among them, many take sides in a variety of roles, overt or not, as militants, activists, supporters, and researchers. Second, without including the informal practices adopted by HRH to survive and deliver in hostile environments, the health labour market cannot be understood. Arguably, these two key dimensions were not prominent in the review because the HRH literature prefers to focus on formal technical aspects easier to study and more likely to be published. Some of the reasons behind their neglect are suggested by this commentary, which concludes with a few remarks about how this drawback might be corrected.</p>","PeriodicalId":14135,"journal":{"name":"International Journal of Health Policy and Management","volume":"15 ","pages":"9580"},"PeriodicalIF":5.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13034192/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147662428","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}