International Journal of Health Policy and Management最新文献

{"title":"Establishing a Dedicated Fund to Improve Patient Access to Cancer Medicines: Key Considerations and Policy Implications for Thailand Comment on \"Scoping Review of International Experience of a Dedicated Fund to Support Patient Access to Cancer Drugs: Policy Implications for Thailand\".","authors":"Jong Hyuk Lee","doi":"10.34172/ijhpm.9153","DOIUrl":"10.34172/ijhpm.9153","url":null,"abstract":"<p><p>Thai policy-makers should carefully design a well-structured, managed-access cancer drug fund (CDF) that aligns with the country's socioeconomic system and complements existing institutional and policy frameworks. Developing this framework requires a clear and evidence-based definition of innovative cancer drugs, grounded in measurable clinical benefits such as overall survival (OS) and cost-effectiveness. It also requires careful consideration of alternative policies to address the challenges posed by high-priced cancer drugs. In addition, strategies are needed to incorporate cost-ineffective yet life-saving drugs with no therapeutic alternatives into the healthcare system in a fair and transparent manner. It also requires rigorous evaluation of the effectiveness of the CDF, supported by empirical evidence and underpinned by robust operational and data governance frameworks. Such a framework could serve as a foundation for Thailand's future efforts to balance innovation, affordability, and equity in cancer care.</p>","PeriodicalId":14135,"journal":{"name":"International Journal of Health Policy and Management","volume":"14 ","pages":"9153"},"PeriodicalIF":4.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12958213/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147662537","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":"A Causal Layered Analysis of Oral Health Disparities and Policy Strategies for Vulnerable Iranian Populations.","authors":"Shervan Shoaee, Afshin Sarafinejad","doi":"10.34172/ijhpm.9245","DOIUrl":"10.34172/ijhpm.9245","url":null,"abstract":"","PeriodicalId":14135,"journal":{"name":"International Journal of Health Policy and Management","volume":"14 ","pages":"9245"},"PeriodicalIF":4.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12958227/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147662779","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 Future of Transforming Healthcare Systems Into Circular Economy Models Comment on \"A Review of the Applicability of Current Green Practices in Healthcare Facilities\".","authors":"Edda Weimann","doi":"10.34172/ijhpm.9176","DOIUrl":"10.34172/ijhpm.9176","url":null,"abstract":"<p><p>The healthcare sector is both a guardian of health and a significant contributor to global carbon emissions and environmental degradation. In their scoping review, Soares et al explore the applicability of circular economy (CE) principles within healthcare facilities, identifying eight areas for intervention. While their work provides a valuable synthesis, this commentary highlights future points of interest such as vulnerable populations, a call to broaden governance frameworks, and to move from an overly Eurocentric to a more global scope. Low- and middle-income countries (LMICs) face major barriers to implementing CE models in healthcare, including weak policy frameworks, a lack of holistic recycling chains, awareness and training, as well as limited incentives. Stronger government leadership is needed to develop CE policies, foster multi-sector collaboration among private investors, governments, academia, non-governmental organisations, and international partners. Drawing on public health and child health perspectives, and informed by work in net-zero hospital initiatives, this commentary argues for a more transformative, equitable, and globally inclusive vision of circular healthcare. Organisations like Health Care Without Harm (HCWH) can support implementation through technical expertise, advocacy, and capacity-building.</p>","PeriodicalId":14135,"journal":{"name":"International Journal of Health Policy and Management","volume":"14 ","pages":"9176"},"PeriodicalIF":4.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12573131/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147662727","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":"Managed Competition in Healthcare (?) Comment on \"Measuring Active Purchasing in Healthcare: Analysing Reallocations of Funds Between Providers to Evaluate Purchasing Systems Performance in the Netherlands\".","authors":"Juraj Nemec","doi":"10.34172/ijhpm.9094","DOIUrl":"10.34172/ijhpm.9094","url":null,"abstract":"<p><p>This article comments on the paper by Stadhouders et al titled \"Measuring Active Purchasing in Healthcare: Analysing Reallocations of Funds Between Providers to Evaluate Purchasing Systems Performance in the Netherlands.\" Its main aim is to respond to the fact that the paper, without discussion, assumes that competitive reform stimulates the efficient allocation of funds. To achieve this goal, this article discusses existing knowledge related to the author's assumption, highlighting that there is no uniform theory regarding the capacity of market forces to regulate healthcare markets. It also argues that market-based healthcare reforms may be very risky in countries with limited state regulatory capacity and widespread corruption.</p>","PeriodicalId":14135,"journal":{"name":"International Journal of Health Policy and Management","volume":"14 ","pages":"9094"},"PeriodicalIF":4.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12573142/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147662670","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":"Licensing Issues at Primary Clinics Resulting From the Omnibus Law in Indonesia: A Case Study From Surabaya City.","authors":"Lilik Djuari, Samsriyaningsih Handayani, Sulistiawati Sulistiawati, Shafira Meidyana, Raudia Faridah Humaidy, Arya Ivan Mahendra, Ahmad Cholifa Fahruddin, Brahmaputra Marjadi","doi":"10.34172/ijhpm.9006","DOIUrl":"10.34172/ijhpm.9006","url":null,"abstract":"<p><strong>Background: </strong>Anecdotal evidence has indicated that Indonesian primary care clinics struggle to meet new licensing requirements under the new Omnibus Law in 2020. This study aimed to analyse the challenges associated with clinic licensing under this Law and identify potential practical solutions.</p><p><strong>Methods: </strong>This was a sequential exploratory mixed-method case study in Surabaya, the second-largest city in Indonesia. Participants were recruited using convenience sampling from a District Health Office WhatsApp group of 38% of primary clinics in Surabaya (85/223). We used a quantitative survey to assess primary clinics' compliance with the new requirements. Subsequently, survey participants and key stakeholders were invited to two-phase focus group discussions (FGDs) where survey findings were reported and discussed. Quantitative data were analysed descriptively, and qualitative data were thematically analysed; both were synthesised at the final data analysis.</p><p><strong>Results: </strong>The survey response rate was 35% (30/85 clinics in the WhatsApp group). Compliance with the new regulation varied, with 17% of the clinics still awaiting license approval and 27% needing to obtain waste management permits. Eighteen survey participants and six key stakeholders participated in the FGDs. Five key challenges in primary clinic licensing were identified: regulation shifting, knowledge and perception, weakness in system design, time, and cost.</p><p><strong>Conclusion: </strong>The more complex licensing requirements have caused delays in license issuance for a convenience sample of primary clinics in this study. Ineffective communication and a lack of understanding between clinics, local government agencies, and external consultants have exacerbated these issues, leading to a heavy burden on clinic resources. To mitigate these challenges, policy-makers should prioritize simplifying sequential requirements, enhancing interagency coordination, and establishing clear communication channels-ensuring regulatory changes align with on-the-ground capacity and needs. By addressing these gaps, the licensing process can become more efficient and transparent, ultimately supporting clinic sustainability and healthcare access.</p>","PeriodicalId":14135,"journal":{"name":"International Journal of Health Policy and Management","volume":"14 ","pages":"9006"},"PeriodicalIF":4.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12958238/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147662637","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":"Rowing Against the Tide: Building Healthier Societies Is Difficult Comment on \"How to Build Healthy Societies: A Thematic Analysis of Relevant Conceptual Frameworks\".","authors":"José-Ramón Repullo-Labrador","doi":"10.34172/ijhpm.9089","DOIUrl":"10.34172/ijhpm.9089","url":null,"abstract":"<p><p>The article by Nambiar et al reviews the literature on the influence of policies from outside the health sector, proposing Policy Levers and Enablers to enhance their positive contribution. The regulatory and fiscal lever has a central role, but it should be better articulated with the set of vectors of good governance. Intersectoral action is a complex but necessary axis of work. And it is necessary to change the way of measuring progress and social well-being, but the purpose exceeds the scope and legitimacy of the health sector. In a hostile political environment, it would be advisable to draw up more defensive strategies to defend achievements and avoid setbacks.</p>","PeriodicalId":14135,"journal":{"name":"International Journal of Health Policy and Management","volume":"14 ","pages":"9089"},"PeriodicalIF":4.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12573127/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147662738","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":"Acting on the Evidence: The Challenges Facing Policy and Practice Comment on \"Barriers and Opportunities for WHO 'Best Buys' Non-communicable Disease Policy Adoption and Implementation From a Political Economy Perspective: A Complexity Systematic Review\".","authors":"David J Hunter","doi":"10.34172/ijhpm.9022","DOIUrl":"10.34172/ijhpm.9022","url":null,"abstract":"<p><p>Even in situations where there exists robust evidence on what works and what needs to change to tackle deep-seated and persistent public health challenges, the lack of sustained progress across polities globally remains a cause for concern. Adopting a political economy perspective to better understand why the adoption and implementation of policies to tackle non-communicable diseases (NCDs) continues to be deficient, Loffreda and colleagues' systematic review of facilitating and inhibiting factors sheds valuable light on the subject. The adoption of a political economy approach is long overdue since it gets to the nub of identifying enablers and barriers to change and how to tackle the latter while strengthening the former. However, whether such an approach will be welcomed by policy-makers or be rejected merits further exploration if research is going to stand any chance of being heeded and acted upon.</p>","PeriodicalId":14135,"journal":{"name":"International Journal of Health Policy and Management","volume":"14 ","pages":"9022"},"PeriodicalIF":5.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12337163/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144788974","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":"Barriers and Facilitators to the Development and Implementation of Public Policies Addressing Food Systems in Five Sub-Saharan African Countries and Five of Their Cities.","authors":"Celia Burgaz, Iris Van Dam, Adama Diouf, Kouakou Philipps Kouakou, Olouwafemi M Mama, Sabiba Kou'santa Amouzou, Rebecca Rachel Assa Yao, Blessing Atwine, Madina M Guloba, Lallepak Lamboni, Pauline Nakitende, Julien S Manga, Clémence Metonnou, Célestin Koffi N'dri, Reynald Santos, Charles Sossa, Papa M D D Sylla, Tiatou Souho, Stefanie Vandevijvere","doi":"10.34172/ijhpm.8592","DOIUrl":"10.34172/ijhpm.8592","url":null,"abstract":"<p><strong>Background: </strong>There is increasing recognition of the role governments play in addressing the health and environmental sustainability challenges within current food systems. This study seeks to understand food system policies designed and/or implemented by selected national and local governments in Africa, and the barriers and facilitators faced when designing or implementing policies to create healthy and environmentally sustainable food systems.</p><p><strong>Methods: </strong>From an evidence-based list of proposed policies with double- or triple-duty potential to achieve healthy and environmentally sustainable food systems, a policy mapping was performed in five African countries (Benin, Côte d'Ivoire, Senegal, Togo, and Uganda) and one city in each of these countries (Ouidah, Bouaké, Saint-Louis, Sokodé, and Mbale). Semi-structured interviews were then conducted with policy stakeholders. The interview data were analysed in NVivo 14 using the thematic framework analysis approach, informed by the Health Policy Triangle (HPT).</p><p><strong>Results: </strong>The mapping showed that African countries have designed and implemented policies that simultaneously address food insecurity and climate change, mainly through food production policies. Within food environments, countries are focussing on interventions to prevent obesity, mainly food provision or food pricing policies. However, many policy gaps remain. Several technical and political barriers were commonly experienced when designing and implementing food system policies, regardless of the jurisdiction, context or region, such as insufficient financial resources, lack of political will, limited data, and inadequate monitoring and enforcement mechanisms. The major facilitators perceived were supportive public opinion and awareness, international agreements, sound agenda-setting, multi-sector and multi-stakeholder consultations and partnerships, availability of both financial resources and data, and solid political will.</p><p><strong>Conclusion: </strong>This article gives an overview of policies designed and implemented to achieve sustainable food systems, highlighting a strong focus through agriculture on undernutrition and climate change objectives. It also identifies their potential legislative, financial, and practical barriers and facilitators.</p>","PeriodicalId":14135,"journal":{"name":"International Journal of Health Policy and Management","volume":"14 ","pages":"8592"},"PeriodicalIF":5.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12089831/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144788982","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":"Demystifying Commercial Influences on Health: Applying Systems Dynamics Methodologies to Policy Processes Comment on \"Using System Dynamics to Understand Transnational Corporate Power in Diet-Related Non-communicable Disease Prevention Policy-Making: A Case Study of South Africa\".","authors":"Marsha Orgill, Lori Lake, Zakaria Belrhiti, Mumta Hargoven","doi":"10.34172/ijhpm.9174","DOIUrl":"10.34172/ijhpm.9174","url":null,"abstract":"<p><p>In their study on which we provide commentary, the authors applied a qualitative systems dynamics methodology to explore how transnational corporate power has led to policy inertia in the prevention of diet-related non-communicable disease (RD-NCD) in South Africa. This commentary explores the potential of systems thinking and causal loop diagrams to deepen understandings of - and responses to - the commercial determinants of health (CDOH). We reflect on the application of causal loop diagrams in policy processes and provide reflections that proposed strategies for change will need to take into account recent shifts in global discourse, funding streams and the balance of global power.</p>","PeriodicalId":14135,"journal":{"name":"International Journal of Health Policy and Management","volume":"14 ","pages":"9174"},"PeriodicalIF":5.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12414143/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144789002","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":"Reinforcing the Research Coproduction Impact Pathway: A Response to Recent Commentaries.","authors":"Chris McCutcheon, Ian D Graham, Anita Kothari, Jo Rycroft-Malone","doi":"10.34172/ijhpm.9302","DOIUrl":"10.34172/ijhpm.9302","url":null,"abstract":"","PeriodicalId":14135,"journal":{"name":"International Journal of Health Policy and Management","volume":"14 ","pages":"9302"},"PeriodicalIF":5.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12414139/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144789052","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}