International Journal of Health Policy and Management最新文献

{"title":"A Systematic Review and Quality Assessment of Pharmacoeconomic Publications for China Compared to Internationally: Is the Quality of Evidence-Base Sufficient for Health Technology Assessment?","authors":"Zhixin Fan, Xu Si, Zhongxiang Wang, Liwei Zhang, Junyang Liu, Qing He, Matthew Franklin, Qiang Sun, Jia Yin","doi":"10.34172/ijhpm.8656","DOIUrl":"10.34172/ijhpm.8656","url":null,"abstract":"<p><strong>Background: </strong>Pharmacoeconomic evaluations are becoming more important in China, and their research quality directly impacts government decisions, deserving extra attention. To summarize the quality of pharmacoeconomic publications for China compared to internationally and to identify areas for improvement both from a China-specific and international perspective.</p><p><strong>Methods: </strong>First, we conducted a systematic review of pharmacoeconomic publications for China, with subsequent reporting quality assessment based on the Consolidated Health Economic Evaluation Reporting Standards (CHEERS) checklist. Second, we conducted an umbrella review of pharmacoeconomic publications internationally which used a similar quality assessment. We extracted the CHEERS checklist scores for each study and converted them to percentages to facilitate comparison of results.</p><p><strong>Results: </strong>CHEERS 2022 instrument was used to evaluate the quality of 154 pharmacoeconomic publications by Chinese scholars. Across these articles, the average quality score was 61.0%, indicating a moderate level of quality on average. There were 27 (17.5%) high-quality articles, 85 moderate quality articles (55.2%) and 42 low-quality (27.3%) articles. Out of 28 scoring items, those included in the methods section such as: health economic analysis plan, characterizing heterogeneity, characterizing distributional effects, approach to engagement with patients and others affected by the study, got low scores. In addition to the generally lower scores of international articles on items 9 (Time horizon), 18 (Characterizing heterogeneity) and 24 (Effect of uncertainty), Chinese articles also scored lower than international articles on items included in the methods and other relevant information section, eg, health economic analysis plan, perspective, discount rate, analytics and assumptions, characterizing distributional effects, approach to engagement with patients and others affected by the study, source of funding, and conflicts of interest.</p><p><strong>Conclusion: </strong>The quality of China's pharmacoeconomic publications has been improving year by year since the establishment of the National Healthcare Security Administration (NHSA) in 2018, but there is still a quality gap with similar international publications which requires further focus and improvement in study conduct and reporting standards for the evidence-base to be sufficient for health technology assessment (HTA).</p>","PeriodicalId":14135,"journal":{"name":"International Journal of Health Policy and Management","volume":"14 ","pages":"8656"},"PeriodicalIF":5.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12257205/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144789014","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":"Evolving a Healthcare System With a Coordinated Approach for Patient-Reported Measurement of Diagnostic Quality Comment on \"Achieving Diagnostic Excellence: Roadmaps to Develop and Use Patient-Reported Measures With an Equity Lens\".","authors":"Karen S Cosby","doi":"10.34172/ijhpm.8905","DOIUrl":"10.34172/ijhpm.8905","url":null,"abstract":"<p><p>Quality metrics for improving care are deeply embedded in healthcare systems. Patient-reported measures (PRMs) have now been implemented for many conditions and are a high priority for the Centers for Medicare and Medicaid Services (CMS).¹ However, the development of PRMs specific to diagnostic quality remains largely exploratory. Early progress in acquiring and analyzing diagnostic PRMs reveals that patients offer a novel and valuable source of information about their diagnostic journeys. To fully understand and learn from patient experiences, work needs to include varied clinical settings, sites, and conditions. This work requires and deserves focused commitment and coordinated effort with a unifying strategic vision optimally facilitated by a national, or international, coordinating center.</p>","PeriodicalId":14135,"journal":{"name":"International Journal of Health Policy and Management","volume":"14 ","pages":"8905"},"PeriodicalIF":5.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12257201/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144789016","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":"Real-World Application of Unhealthy Commodity Industries' Corporate Political Activity Research Comment on \"Corporate Political Activity: Taxonomies and Model of Corporate Influence on Public Policy\".","authors":"Francisca Pulido Valente, Hilson Cunha Filho","doi":"10.34172/ijhpm.9077","DOIUrl":"10.34172/ijhpm.9077","url":null,"abstract":"<p><p>Taxonomies are essential tools for structuring evidence in public health, particularly in rapidly evolving fields like the Commercial Determinants of Health (CDoH). Ulucanlar et al addressed an important gap by proposing taxonomies to systematically document and classify corporate political activity (CPA) across unhealthy commodity industries. In this commentary we reflect on the broader relevance of these frameworks for CDoH research and discuss their real-world applicability through a case study of the Portuguese alcohol industry. Drawing from our empirical findings, we highlight both the practical strengths and challenges we encountered, and propose an additional use: employing CPA taxonomies as communication tools to translate complex corporate strategies into accessible narratives for broader public health audiences. Finally, we identify opportunities for refinement, including developing complementary quantitative metrics and the integration of CPA surveillance into routine public health systems.</p>","PeriodicalId":14135,"journal":{"name":"International Journal of Health Policy and Management","volume":"14 ","pages":"9077"},"PeriodicalIF":5.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12337182/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144789049","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":"Ways to Build a Greener Healthcare System Comment on \"A Review of the Applicability of Current Green Practices in Healthcare Facilities\".","authors":"Rui Wu, Yiming Liang","doi":"10.34172/ijhpm.9157","DOIUrl":"10.34172/ijhpm.9157","url":null,"abstract":"<p><p>Green practices have become the responsibility of healthcare system in the current warming planet. The article by Soares and colleagues reviews the literature on circular economy implementation in the European Union (EU) and its application in healthcare system. In this commentary, we complement the findings by discussing ways to build a greener healthcare system and introducing life cycle assessment (LCA), a method to quantify the environmental impacts of products and services in healthcare. LCA is useful to compare the environmental impacts of different clinical products and pathways. Within the healthcare system, avoiding overdiagnosis and overprescribing, improving building energy efficiency, and fleet electrification are important green practices. In addition, we cannot ignore the differences in regional energy system when comparing the carbon footprint of different healthcare systems.</p>","PeriodicalId":14135,"journal":{"name":"International Journal of Health Policy and Management","volume":"14 ","pages":"9157"},"PeriodicalIF":5.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12337165/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144789065","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":"Embedded Research Fellows: Charting New Paths for Impact Comment on \"Early Career Outcomes of Embedded Research Fellows: An Analysis of the Health System Impact Fellowship Program\".","authors":"Patrick Feng","doi":"10.34172/ijhpm.9024","DOIUrl":"10.34172/ijhpm.9024","url":null,"abstract":"<p><p>With more PhDs working outside of academia, embedded research programs are emerging as one way to broaden the skills of students and bridge the gap between theory and practice. Limited data has been collected on the impact of these programs. The paper by Kasaai et al provides a glimpse into the early career paths of alumni from Canadian Institutes of Health Research's (CIHR's) Health Systems Impact (HSI) Fellowship. The results suggest demand for embedded researchers is high and their career prospects are promising. Beyond that, the paper raises several issues that warrant further attention. First is the evolution towards learning health systems (LHSs) and the role embedded researchers might play in this. Second is the potential of embedded researchers to span the worlds of academia and practice. Third is how to measure impact in non-academic research roles. This commentary explores these issues and suggests ways that embedded researcher programs can contribute to each.</p>","PeriodicalId":14135,"journal":{"name":"International Journal of Health Policy and Management","volume":"14 ","pages":"9024"},"PeriodicalIF":4.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12958239/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147662502","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":"Assessing the Economic Benefit of Mass COVID-19 Vaccination Program in Iran: A Real-World Modeling Study.","authors":"Hamidreza Jamaati, Saeed Karimi, Yunes Panahi, Shahnam Arshi, Maryam Hajimoradi, Fatemeh Sadat Hosseini-Baharanchi, Fariba Ghorbani, Seyed Mohsen Zahraei, Fatemeh Nouri, Ali Akbari Sari, Mahshad Goharimehr, Abdolreza Mohamadnia, Payam Tabarsi, Farzaneh Dastan, Babak Sharif-Kashani, Majid Marjani, Farin Rashid Farokhi, Seyed Mohammad Reza Hashemian, Mostafa Noorizadeh, Mojtaba Nouhi, Katayoun Tayeri, Sima Noorali, Farnaz Ahmadi, Makan Sadr, Azadeh Moradkhani, Mahdi Ahmadinia, Bahamin Astani, Rajabali Daroudi, Shadi Shafaghi","doi":"10.34172/ijhpm.8852","DOIUrl":"10.34172/ijhpm.8852","url":null,"abstract":"<p><strong>Background: </strong>The global challenges posed by COVID-19 vaccinations require careful consideration by decision-makers at both the global and national levels, particularly in developing countries. This study aimed to evaluate the health and economic implications of implementing vaccination programs.</p><p><strong>Methods: </strong>Two scenarios, one involving vaccination and the other without, were analyzed using the Markov susceptible-infectious-recovered (SIR) model. For the vaccination scenario, real-world data, such as age-specific vaccination coverage, hospitalization rates, and mortality, were obtained from the Medical Care Monitoring Center (MCMC) and national COVID-19 registry during the Omicron wave in Iran. For the counterfactual non-vaccination scenario, we relied on model-based assumptions using published literature and expert input to estimate infection rates and clinical outcomes in the absence of vaccination. The incremental cost-effectiveness ratio (ICER) of the COVID-19 vaccination program was calculated by comparing the incremental cost per unit of quality-adjusted life year (QALY) generated to a willingness-to-pay (WTP) threshold equivalent to 1 time the gross domestic product (GDP) per capita, approximately US$4091. One-way sensitivity analysis was conducted to ensure the reliability of the results.</p><p><strong>Results: </strong>Overall, 2 098 495 extra QALYs were generated by vaccination, incurring a total extra cost of $853.78 million. The vaccination program resulted in an average of 0.035 incremental QALYs at an additional cost of $14.08 per person. The average ICER for adult vaccination was $406.85 per QALY, indicating that it is a highly cost-effective strategy compared to non-vaccination across all age groups. Vaccinating elderly individuals proved to be the most cost-effective approach among all age categories.</p><p><strong>Conclusion: </strong>The integrated Markov-SIR model used in this study provides valuable insights into both the health and economic impact of the COVID-19 vaccination program in Iran. These findings support the implementation of vaccination strategies and provide a framework for decision-makers to consider when formulating policies.</p>","PeriodicalId":14135,"journal":{"name":"International Journal of Health Policy and Management","volume":"14 ","pages":"8852"},"PeriodicalIF":4.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12958171/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147662755","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":"Supporting Healthcare Workers on the Frontline of Conflicts Comment on \"Human Resources for Health in Conflict Affected Settings: A Scoping Review of Primary Peer Reviewed Publications 2016-2022\".","authors":"Andrew My Lim, Kevin Kc Hung, Chi Shing Wong, Chunlan Guo, Joyce Tk Ching, Emily Yy Chan, Colin A Graham","doi":"10.34172/ijhpm.9457","DOIUrl":"10.34172/ijhpm.9457","url":null,"abstract":"<p><p>The rising trend of conflict-related deaths, the repeated attacks on healthcare facilities, and violations of the International Humanitarian Law (IHL) seen in recent conflicts are not only worrying but also deserve our collective attention and efforts. The scoping review on human resources for health in conflict-affected settings (CAS) from 2016 to 2022 by Onvlee and colleagues provides a timely reminder of the need for immediate relief and the longer-term support needed to provide healthcare in these extremely challenging settings. In this article, we reflect and elaborate on some of the key findings from Onvlee et al, including attacks on healthcare, the performance of healthcare workers (HCWs), and long-term strategic planning for the health workforce in CAS.</p>","PeriodicalId":14135,"journal":{"name":"International Journal of Health Policy and Management","volume":"14 ","pages":"9457"},"PeriodicalIF":4.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12958179/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147662746","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":"Lost in Green Transformation Comment on \"A Review of the Applicability of Current Green Practices in Healthcare Facilities\".","authors":"Anna K S von Eiff, Wilfried von Eiff","doi":"10.34172/ijhpm.9222","DOIUrl":"10.34172/ijhpm.9222","url":null,"abstract":"<p><p>This commentary refers to the scoping review \"A Review of the Applicability of Current Green Practices in Healthcare Facilities\" by Soares et al and intents to bring in additional aspects influencing the green transformation in healthcare and to propose concrete means that could be helpful to move forward towards carbon footprint reduction as well as resource saving. The authors aim to help to identify how circular economy (CE) can be implemented in current hospitals. Following up on this, we would like to enrichen the discussion by three thematic areas we pose as questions: (1) Is the green transformation a prominent part of the strategic agenda of hospital? (2) What impact on the green transformation is caused by legal interventions? (3) Which concrete means help to achieve carbon footprint reduction, resource saving and have a self-financing capability? Our comment is based on practical experience with green pilot projects in German hospitals.</p>","PeriodicalId":14135,"journal":{"name":"International Journal of Health Policy and Management","volume":"14 ","pages":"9222"},"PeriodicalIF":4.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12958234/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147662657","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":"Innovative Collaboration for a Longitudinal Cohort Study on the Health of Visually Impaired Individuals in Iran: A Partnership of NGOs, Private Entities, and Academia.","authors":"Zahra Mortazavi, Keramat Yousofi, Shahriar Dabiri, Mohammad Khaksari","doi":"10.34172/ijhpm.9168","DOIUrl":"10.34172/ijhpm.9168","url":null,"abstract":"","PeriodicalId":14135,"journal":{"name":"International Journal of Health Policy and Management","volume":"14 ","pages":"9168"},"PeriodicalIF":4.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12958235/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147662602","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":"Practice of Offering a Small Pouch of Tobacco for Free With a Big Pouch of Pan Masala: A Strategic Move to Circumvent Gutkha Regulations.","authors":"Vinay Kumar Gupta, Nishita Kankane, Seema Malhotra","doi":"10.34172/ijhpm.9537","DOIUrl":"10.34172/ijhpm.9537","url":null,"abstract":"","PeriodicalId":14135,"journal":{"name":"International Journal of Health Policy and Management","volume":"14 ","pages":"9537"},"PeriodicalIF":4.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12958156/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147662788","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}