International Journal of Health Policy and Management最新文献

{"title":"The International Journal of Health Policy and Management (IJHPM) in 2024: Progress and Innovation.","authors":"Mina Moradzadeh, Vahid Yazdi-Feyzabadi, Sahar Najafizadeh, AliAkbar Haghdoost","doi":"10.34172/ijhpm.9087","DOIUrl":"10.34172/ijhpm.9087","url":null,"abstract":"","PeriodicalId":14135,"journal":{"name":"International Journal of Health Policy and Management","volume":"14 ","pages":"9087"},"PeriodicalIF":5.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12257198/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144789061","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":"Towards Implementation of Equitable and Effective Non-Communicable Disease Policies 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":"Valerie A Luyckx, Randall Lou-Meda","doi":"10.34172/ijhpm.9064","DOIUrl":"10.34172/ijhpm.9064","url":null,"abstract":"<p><p>Non-communicable diseases (NCDs) have been the leading global causes of death and disease burden over the past two decades, but policies and actions to reduce these burdens have been insufficient. Many NCDs are preventable through the implementation of the World Health Organization (WHO) Best Buys - which initially focused on cardiovascular disease, cancer, respiratory disease, and diabetes. Implementing these interventions is complex, requiring transparent and appropriate policy development, policy implementation, and tracking of impact. Barriers to successful implementation are multiple and highly contextual, suchcountry fragility, loci of power, and external pressures. Implementation research is required to identify local barriers and develop strategies to optimize policy implementation to maximize success. Success relies on availability of robust data to permit priority setting, especially where resources are limited, and equitable allocation of healthcare resources to tackle the leading burdens of disease in local contexts. Policy-making must look beyond health to ensure a multisectoral approach to enhancing well-being and sustainability. Global solidarity is required to ensure no countries and no diseases are left behind.</p>","PeriodicalId":14135,"journal":{"name":"International Journal of Health Policy and Management","volume":"14 ","pages":"9064"},"PeriodicalIF":4.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12958150/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147662730","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":"Addressing Healthcare Waiting Time Challenges in Canada: Insights From Emerging Initiatives.","authors":"Mohammad Hajizadeh, Faramarz Jalili","doi":"10.34172/ijhpm.8986","DOIUrl":"10.34172/ijhpm.8986","url":null,"abstract":"<p><p>Canada's public healthcare system faces persistent challenges with waiting times. Prolonged delays lead to adverse physical and mental health outcomes, higher treatment costs, and economic burdens for patients and families. This editorial examines the drivers of extended wait times and policy responses at both provincial and federal levels. Contributing factors include systemic features of the Canadian healthcare system, such as shared federal-provincial jurisdiction, along with staffing shortages, population aging, structural inefficiencies, and poorly integrated health information technology. Provinces have introduced strategies such as digital health solutions, capacity expansion, workforce innovations (including Physician Assistants [PAs]), and expanded scopes of practice for pharmacists. At the federal level, a 10-year $196.1 billion investment announced in 2023 is supporting these initiatives. While such measures indicate progress, wait times remain a significant concern. Achieving equitable and timely access will require coordinated and sustained strategies that address systemic challenges and deliver long-term improvements.</p>","PeriodicalId":14135,"journal":{"name":"International Journal of Health Policy and Management","volume":"14 ","pages":"8986"},"PeriodicalIF":4.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12595564/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147662810","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":"We Should Pay More Attention to Cross-sectoral Cooperation, Incentives and Practice-Oriented Evaluation Comment on \"The Effect of Integrated Care After Discharge From Hospitals on Outcomes Among Korean Older Adults\".","authors":"Eva Blozik","doi":"10.34172/ijhpm.9088","DOIUrl":"10.34172/ijhpm.9088","url":null,"abstract":"<p><p>In their study, Choi and Yoo analysed a pilot project of the Koran government providing integrated care of older adults discharged from hospitals. The pilot project resulted in reduced length of home stay, cost reduction in total expenses and emergency visits for participants compared to controls, but increased hospital readmissions. This commentary provides actionable insights for stakeholders and researchers interested in testing, implementing and monitoring integrated care services in routine care settings. An essential requirement is that barriers and success factors of such projects need to be addressed in scientific evaluations. Also, understanding implementation projects as a continuous quality improvement process may increase knowledge gain and practical relevance of innovative initiatives. Furthermore, heterogeneity across healthcare providers, patient populations, and regions should be considered an asset from which different solutions can emerge. Regulatory authorities are in the position to create a framework so that stakeholders have the required scope for action.</p>","PeriodicalId":14135,"journal":{"name":"International Journal of Health Policy and Management","volume":"14 ","pages":"9088"},"PeriodicalIF":4.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12958243/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147662732","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":"Optimizing Performance Monitoring of Value-Based Healthcare: The Role of Generic Patient Population Dashboards Comment on \"Reflections on Managing the Performance of Value-Based Healthcare: A Scoping Review\".","authors":"Marieke Sijm-Eeken, Jurrien Burren, Céline van Lint","doi":"10.34172/ijhpm.9251","DOIUrl":"10.34172/ijhpm.9251","url":null,"abstract":"<p><p>Value-based healthcare (VBHC) provides a framework for enhancing health outcomes relative to costs, however its implementation depends on robust and inclusive performance monitoring systems. In their recent scoping review, van Elten et al examined the role of performance management in VBHC but adopted a narrow focus on patient-perceived outcomes. This commentary extends their findings by highlighting two key recommendations: expanding performance measurement beyond patient-perceived value to include provider experience, innovation, and transparency, and implementing generic patient population dashboards to streamline VBHC monitoring. Drawing on practical implementation experience at Dutch academic hospitals, we propose broadening literature search criteria to include cross-organizational studies and grey literature from established VBHC organizations. Furthermore, we outline criteria-identified through co-design sessions with healthcare professionals-for selecting generic indicators and designing dashboards that support efficient, organization-wide VBHC monitoring. These insights seek to enhance the theoretical and practical understanding of VBHC monitoring while promoting the advancement of transparent, value-driven healthcare systems.</p>","PeriodicalId":14135,"journal":{"name":"International Journal of Health Policy and Management","volume":"14 ","pages":"9251"},"PeriodicalIF":4.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12958231/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147662694","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":"Collaboration and Governance in Integrated Care Systems: A Moroccan Perspective on Lessons From England's ICS Comment on \"New Ways of Working to Manage and Improve Quality in Integrated Care Systems in England\".","authors":"Abdeslam Baalla, Tarik Jellouli","doi":"10.34172/ijhpm.9299","DOIUrl":"10.34172/ijhpm.9299","url":null,"abstract":"<p><p>Lalani et al explores how integrated care systems (ICSs) in England are redefining quality management through collaboration, co-production, and a focus on population health. This commentary examines the relevance of these principles for Morocco, where universal health coverage (UHC), the expansion of social protection, and Territorial Health Groups (GSTs, <i>Groupements Sanitaire Territoriaux</i>) aim to improve care coordination and reduce health inequalities. ICS-inspired strategies could strengthen Moroccan reforms by promoting decentralized governance, community engagement, and co-production, with GSTs serving as regional coordination platforms. However, financial constraints, centralized institutions, and political pressures to prioritize visible outcomes require local adaptation. Strengthening regional quality committees, addressing social determinants, and empowering community health workers (CHWs) could help align Morocco's reforms with ICS principles.</p>","PeriodicalId":14135,"journal":{"name":"International Journal of Health Policy and Management","volume":"14 ","pages":"9299"},"PeriodicalIF":4.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12958228/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147662437","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":"Are Corporate Political Actors Aware of the Health Risks Associated With Their Products? Comment on \"Corporate Political Activity: Taxonomies and Model of Corporate Influence on Public Policy\".","authors":"Emanuel Orozco","doi":"10.34172/ijhpm.9104","DOIUrl":"10.34172/ijhpm.9104","url":null,"abstract":"<p><p>The analytical model proposal by Ulucanlar et al for the analysis of corporate political activity (CPA) establishes that corporate actors are aware of the high incidence of non-communicable diseases (NCDs) associated with their products and protect themselves against the consequences. This model helps to identify the strategies used by various corporate entities to influence public policies and protect their interests. The CPA analytical model applies a critical approach to commercial determinants of health that allows us to understand how corporate actors take advantage of their systems-based management of power. Due to its inherent complexity, this analysis presents several unanswered questions requiring along with theoretical and empirical challenges. The situation described in this commentary points to the importance of monitoring the CPA at a global and local level, identifying opportunities that favor the regulation of political influence, to reduce the influence of the commercial determinants of health on the NCDs.</p>","PeriodicalId":14135,"journal":{"name":"International Journal of Health Policy and Management","volume":"14 ","pages":"9104"},"PeriodicalIF":4.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12573126/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147662747","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":"Rethinking Hospital Sustainability: Circular Economy and Health Literacy Comment on \"A Review of the Applicability of Current Green Practices in Healthcare Facilities\".","authors":"Patrizio Zanobini, Chiara Lorini, Guglielmo Bonaccorsi","doi":"10.34172/ijhpm.9297","DOIUrl":"10.34172/ijhpm.9297","url":null,"abstract":"<p><p>Climate change poses critical dangers to both environmental and human health, highlighting the need for sustainable healthcare strategies. In their recent paper, Soares et al explore how circular economy principles can be implemented in hospital settings in order to reduce environmental impact. This commentary expands on their work by highlighting a complementary but underexplored dimension: organizational health literacy (OHL). OHL emphasizes patient education and engagement, recognizing that informed and empowered patients are key to more efficient healthcare use. By enhancing patients' understanding of their health conditions and care options, OHL helps prevent unnecessary procedures, tests, and hospital visits, thereby indirectly reducing resource consumption and supporting sustainable practices such as minimizing waste, conserving energy, and promoting telemedicine. In this way, OHL directly supports the operationalization of circular economy interventions described by Soares et al, ensuring their effectiveness and long-term sustainability. Merging OHL with circular economy practices represents a holistic pathway towards sustainable, equitable, and resilient healthcare delivery.</p>","PeriodicalId":14135,"journal":{"name":"International Journal of Health Policy and Management","volume":"14 ","pages":"9297"},"PeriodicalIF":4.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12958151/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147662785","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":"How Organisational and Socio-Cultural Contexts Shape Healthcare Workers' Intrinsic, Prosocial, and Public Service Motivation in Africa: A Scoping Review.","authors":"Djibrine Diallo, Bruno Marchal, Zakaria Belrhiti","doi":"10.34172/ijhpm.8861","DOIUrl":"10.34172/ijhpm.8861","url":null,"abstract":"<p><strong>Background: </strong>In Africa, the poor quality of care is often attributed to a lack of motivated health workers (HWs). Most reforms implemented in African health systems rely on performance-based financial incentives. Evidence suggests that financial incentives may have adverse effects, such as crowding out autonomous forms of motivation, including intrinsic, prosocial, and public service motivation (PSM). We aim to map conceptual definitions of autonomous motivation and unpack the relationship between context and societal culture in shaping the motivation of HW in Africa.</p><p><strong>Methods: </strong>Following guidelines from Arksey and O'Malley, we conducted a scoping review of peer-reviewed publications from 1990 to 2024 using the databases (Web of Science, Scopus, Google Scholar, and PubMed). We used the Intervention-Context-Actor-Mechanism-Outcome (ICAMO) heuristic to identify plausible causal pathways linking context and societal culture to HW motivation.</p><p><strong>Results: </strong>Scholars defined PSM as a complex dynamic process that stimulates individuals to carry out self-altruistic and prosocial behaviours. Our review showed that autonomous motivation is sensitive to context. Enabling conditions include a positive work environment, community appreciation, and local context. Our review suggests a form of intrinsic motivation (IM) for HW in Africa that may be rooted in collectivistic values, such as the willingness to serve the community to which they belong. When HW perceived a lack of belonging to the community they serve, they reported being disregarded, which reduced their sense of self-efficacy, self-esteem, and trust in their community relationships.</p><p><strong>Conclusion: </strong>This review highlights how context and societal culture can reinforce the trust relationship between HW and communities, thereby increasing HWs' motivation by enhancing their perceived self-efficacy and autonomy. Our findings suggest that exploring the role of decentralisation, trust relationships, and self-efficacy in expressing autonomous motivations are research priorities.</p>","PeriodicalId":14135,"journal":{"name":"International Journal of Health Policy and Management","volume":"14 ","pages":"8861"},"PeriodicalIF":4.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12958157/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147662515","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 Call for Broadening the Analysis of Corporate Political Activities: Insights From Social Media as a Commercial Determinant of Health Comment on \"Corporate Political Activity: Taxonomies and Model of Corporate Influence on Public Policy\".","authors":"Teresa Leão","doi":"10.34172/ijhpm.9155","DOIUrl":"10.34172/ijhpm.9155","url":null,"abstract":"<p><p>Corporate political activities of unhealthy commodity industries have been identified and categorised in terms of <i>framing</i> and <i>action</i> strategies. This commentary discusses the relevance of systematically and comprehensively applying these taxonomy models to other commercial determinants of health, with special attention to their joint activities and health implications. The social media industry is an especially relevant case to be analysed due to its direct and indirect health effects, namely those associated with digital marketing of unhealthy commodities, mis and disinformation, and social polarisation. Interferences in research, lobbying, and corporate social responsibility actions are examples of the strategies used by this industry to prevent and obstruct regulators' efforts, limiting the control of the marketing of unhealthy products, the spread of mis/disinformation, and the promotion of violent speech and attitudes.</p>","PeriodicalId":14135,"journal":{"name":"International Journal of Health Policy and Management","volume":"14 ","pages":"9155"},"PeriodicalIF":4.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12595570/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147662715","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}