Journal of Health Services Research & Policy最新文献

{"title":"Organisational readiness and perceived sustainability of mental health integration in primary care: A multistakeholder survey in Lagos, Nigeria.","authors":"Abiodun O Adewuya, Seye Abimbola, Bolanle Ola, Jibril Abdulmalik, Olabisi E Oladipo","doi":"10.1177/13558196261490908","DOIUrl":"https://doi.org/10.1177/13558196261490908","url":null,"abstract":"<p><p>ObjectivesTo assess organisational readiness and stakeholder-rated sustainability of the Mental Health in Primary Care initiative in Lagos, Nigeria, and to identify factors associated with perceived sustainability.MethodsA cross-sectional survey was conducted across 30 primary health care facilities during June-August, 2019. Participants comprised policymakers (<i>n</i> = 40), programme managers (<i>n</i> = 60), primary health care workers (<i>n</i> = 120) and service users (<i>n</i> = 120). Four sustainability-related measures were adapted and evaluated psychometrically; because each instrument was administered to a different subset of stakeholders, the integrated regression was restricted to the 120 primary health care workers with complete data on all model variables.ResultsThe adapted measures showed acceptable to excellent internal consistency and preliminary structural support. Stakeholders generally reported favourable expectations of continued implementation, although service users were less confident than professional stakeholders. Among primary health care workers, perceived programme benefits, feasibility and facilitation were independently associated with greater confidence that the initiative would continue; workplace support and programme burden did not retain independent associations in the adjusted model.ConclusionsStakeholders generally perceived favourable conditions for continued delivery, although service users were less confident. Programme value, feasibility and facilitation were the principal correlates among primary health care workers. Perception-based measures should be combined with longitudinal indicators of service continuation, quality and user experience.</p>","PeriodicalId":15953,"journal":{"name":"Journal of Health Services Research & Policy","volume":" ","pages":"13558196261490908"},"PeriodicalIF":2.2,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149069637","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An umbrella review of facilitators and barriers to the adoption, spread and sustainability of AI solutions within hospital settings.","authors":"Sigrún Eyrúnardóttir Clark, Sanjoli Mathur, Yolanda Barrado-Martín, Ahmed El-Sayed, Yue Zhao, Yiqing Li, Zarnie Khadjesari, Fiona Stevenson, Manish K Tiwari, Ryo Torii, Laurence B Lovat, Cecilia Vindrola-Padros","doi":"10.1177/13558196261486714","DOIUrl":"https://doi.org/10.1177/13558196261486714","url":null,"abstract":"<p><p>There is a growing use of artificial intelligence (AI) in healthcare settings, but challenges exist with AI adoption and its long-term use. This umbrella review funded by the NIHR (NIHR205439), aimed to identify the facilitators and barriers of AI implementation within hospitals and was registered on PROSPERO. Five databases (MEDLINE, HMIC, CINAHL Plus, Web of Science and Cochrane Reviews) were searched in January 2025 and re-run in February 2026, 1184 articles were screened, with 20 included. The inclusion criteria encompassed reviews implementing AI within hospital settings. The quality of the data were assessed using the ROBIS checklist and data were synthesised using the NASSS (Nonadoption, Abandonment, and challenges to the Scale-up, Spread, and Sustainability) framework. We found AI implementation was affected by: whether an AI solution as an intervention had been externally validated to ensure generalisability across different settings; evidence that the AI solution brings measurable gains; the level of trust in and understanding of the AI solution among hospital staff; the budgets and resources available to onboard the AI solution, train staff, and maintain the solution; the need for national policies on funding and regulating AI solutions. These factors affected the adoption, spread, scalability, and sustainability of AI implementation and should be considered for future implementation.</p>","PeriodicalId":15953,"journal":{"name":"Journal of Health Services Research & Policy","volume":" ","pages":"13558196261486714"},"PeriodicalIF":2.2,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149012286","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Beyond vaccine hesitancy: Australians' attitudes and practices concerning COVID-19 vaccines in 2022.","authors":"Deborah Lupton","doi":"10.1177/13558196261490904","DOIUrl":"https://doi.org/10.1177/13558196261490904","url":null,"abstract":"<p><p>BackgroundIn Australia and many other countries, initial high uptake of COVID-19 vaccines in earlier years of the pandemic has not continued into later years, with a noticeable drop-off since 2021. Little in-depth research has identified the attitudes and social, epidemiological and political contexts behind this decline in the general Australian population.ObjectivesIn-depth interviews were conducted with a diverse group of Australian adults to identify their attitudes and practices related to COVID vaccination.MethodsA total of 40 online interviews were conducted in late 2022 and transcribed for analysis. The interviews were analysed using an inductive and deductive thematic approach to discern the stances adopted by participants in relation to vaccines.ResultsFive stances to the vaccines were identified: (i) vaccine confidence; (ii) vaccine pragmatism; (iii) vaccine hesitance; (iv) vaccine disillusionment; and (v) vaccine refusal. Findings go some way to demonstrating the impacts of the epidemiological, social and health policy contexts, nuance and range of attitudes and behaviours in response to the COVID vaccination program in the third pandemic year. Vaccine disillusionment is created through over-promising what the COVID vaccines can achieve. For the most part, participants demonstrated realistic viewpoints on both the possibility of side-effects and the efficacy of the COVID vaccines. Few people assumed that vaccination alone would protect them from COVID, understanding that their main value was in minimising the severity of the disease.ConclusionsThis study draws attention to the importance of going beyond assumptions about people's lack of interest or unwillingness to accept COVID and other vaccines. It highlights people's lived experiences of the pandemic over time in contributing to their vaccine-related attitudes and practices. Recommendations include improving accessibility and inclusion in vaccine education materials and service delivery, as well as continued efforts on the part of government and health authorities to educate the public about developments in vaccine science more broadly. Especially in a setting in which misinformation and disinformation about vaccine safety and effectiveness is rife, governments and health authorities need to communicate honestly with members of the public not only about their benefits, but also shortcomings.</p>","PeriodicalId":15953,"journal":{"name":"Journal of Health Services Research & Policy","volume":" ","pages":"13558196261490904"},"PeriodicalIF":2.2,"publicationDate":"2026-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148990347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Structural disadvantage, capital, and constrained agency: A qualitative analysis of health care inaccessibility in rural Kashmir.","authors":"Abdul Mohsin, Snober Hamid, Irfanullah Farooqi, Iqra Nahvi","doi":"10.1177/13558196261475877","DOIUrl":"https://doi.org/10.1177/13558196261475877","url":null,"abstract":"<p><p>BackgroundHealth care accessibility in rural regions remains a critical global concern, shaped by the intersection of geographic isolation, economic precarity, infrastructural deficits, and socio-cultural constraints.Study AimThis study examines health care access in the remote villages of Akhal and Naranag in District Ganderbal, Jammu and Kashmir.MethodsThe study employed a qualitative research design grounded in an interpretive paradigm. Data were generated using semi-structured interviews and focus group discussions with 18 rural residents and 8 health care providers, and thematically analysed.ResultsThe findings reveal five interrelated dimensions of health care inaccessibility: (i) geographic and logistical barriers, where difficult terrain and poor connectivity delay or prevent timely care; (ii) resource and personnel shortages, resulting in inconsistent service delivery and eroded trust in public health systems; (iii) economic constraints, where high out-of-pocket expenditure and indirect costs compel households to defer or forgo treatment; (iv) cultural and social influences, including gender norms and reliance on traditional healing systems that shape health care-seeking behaviour; and (v) resilience and coping strategies, where communities and providers develop adaptive mechanisms such as informal transport networks, barter systems, and outreach practices to navigate systemic gaps. Drawing on critical sociology, the study conceptualizes health care inaccessibility as a product of unequal distribution of capital, embedded structural disadvantage, and constrained agency within rigid social structures.ConclusionThe findings demonstrate that health care inequities in rural Kashmir are not isolated service failures but manifestations of deeply entrenched structural and socio-cultural processes. By providing a context-specific and empirically grounded analysis, this study contributes to the limited body of literature on rural health care in geographically remote regions of India. It underscores the need for integrated policy interventions that combine infrastructural development, financial protection, and culturally responsive health care delivery, while also recognizing and strengthening community-based resilience.</p>","PeriodicalId":15953,"journal":{"name":"Journal of Health Services Research & Policy","volume":" ","pages":"13558196261475877"},"PeriodicalIF":2.2,"publicationDate":"2026-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148759714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From healthcare encounters to policy: Patient and stakeholder perspectives on how stigma undermines care for people with substance use disorders and multiple disadvantages.","authors":"Nikolaos Mylonas, Stephen J Kaar","doi":"10.1177/13558196261475658","DOIUrl":"https://doi.org/10.1177/13558196261475658","url":null,"abstract":"<p><p>ObjectivesStigma is a well-documented barrier to care for people with substance use disorders (SUDs), but little is known about how it affects individuals with SUDs who also experience multiple disadvantages such as homelessness, poverty and unmet health care needs. This article explores how stigma is experienced by service users, staff, and system-level stakeholders of outreach services tailored to this cohort, and how it shapes interactions with health care services, treatment engagement, and service implementation.MethodsNinety-eight semi-structured interviews were conducted with service users, staff, and stakeholders of three outreach-based services for people with SUDs and multiple disadvantages in England. Data were analysed using the iterative categorisation technique. The analysis was guided by a framework informed by a sociological model of stigma and a typology of stigma and discrimination in mental health.ResultsFour themes were identified: (1) stigmatising language and discriminatory practices in primary and acute health care encounters; (2) self-stigma and its impact on help-seeking behaviour; (3) the influence of stigma on the commissioning and sustainability of services tailored to this cohort; and (4) the key role of specialist services, such as outreach services and acute hospital alcohol care teams, in reducing stigma.ConclusionsStigma operates across interpersonal and structural levels, undermining equitable care for people with SUDs and multiple disadvantages. Addressing these barriers requires stigma-informed training for acute and primary health care providers, as well as advocacy skills for specialist services.</p>","PeriodicalId":15953,"journal":{"name":"Journal of Health Services Research & Policy","volume":" ","pages":"13558196261475658"},"PeriodicalIF":2.2,"publicationDate":"2026-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148706680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Qualitative study of the implementation of long-term care plus: An intervention-in-systems approach.","authors":"Leahora Rotteau, Brian M Wong, Geetha Mukerji, Andrea Moser, Sid Feldman, Kaveh G Shojania, Joanne Goldman","doi":"10.1177/13558196261470275","DOIUrl":"https://doi.org/10.1177/13558196261470275","url":null,"abstract":"<p><p>ObjectivesReducing resident transfers from long-term care (LTC) to emergency departments (ED) is a well-established quality target. LTC plus (LTC+) provides medical consultations, healthcare navigation, rapid diagnostics, and education to LTC home providers, based on the logic that providing enhanced medical care in LTC homes will decrease ED transfers. LTC+ was implemented across six hospital-hubs and 54 homes in Toronto, Canada. An evaluation demonstrated positive program satisfaction and impacts on care, however limited program uptake and impact on ED transfers. We examine LTC+ intervention components and their implementation and adaptations to understand these discrepancies and identify improvement opportunities.MethodsWe conducted 32 qualitative interviews with LTC home providers and administrators and consultant physicians, and three focus groups with residents and family members, at six LTC homes and three hospital-hubs. Analysis drew on Lennox et al.'s conceptualization of \"intervention-in-systems\" which outlines four spheres to categorize intervention components (accessibility of evidence base, process of enactment, dependent processes and sociocultural issues) and their interconnectedness and adaptations when implemented and spread in complex systems.ResultsLTC+ design and implementation was centered within the accessibility of evidence base (e.g., educating about LTC+) and process of enactment (e.g., identify residents being considered for ED transfer) spheres to support program goals. LTC+ use was aligned with original program logic, however, providers also accessed LTC+ in cases where an ED transfer was not being considered highlighting limitations of a logic focused solely on ED transfers. LTC+ design and implementation was less attentive to intervention components in the dependant processes and sociocultural issues spheres (e.g., staffing models, interprofessional interactions) impacting adoption.ConclusionThe \"intervention-in-systems\" analytic lens was useful in examining intervention components across the four spheres, including their gaps, adaptations and interconnections. Study findings informed revisions to program goals, intervention components, and evaluative approach, reinforcing program and financial sustainability.</p>","PeriodicalId":15953,"journal":{"name":"Journal of Health Services Research & Policy","volume":" ","pages":"13558196261470275"},"PeriodicalIF":2.2,"publicationDate":"2026-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148630753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Police custody healthcare: The case for the AAAQ framework.","authors":"Gethin Rees, Stephanie Mulrine, Michelle Addison, Mwenza Blell, Tracy Finch, Iain McKinnon","doi":"10.1177/13558196261471367","DOIUrl":"10.1177/13558196261471367","url":null,"abstract":"<p><p>ObjectivesTo apply the AAAQ (Available, Accessible, Acceptable and Good Quality) Framework for healthcare as an analytical lens for healthcare delivery in police custody suites in England and Wales.MethodsWe investigated two English police forces via three discrete work packages: an ethnography of four custody suites (two custody suites per police force); semi-structured interviews with professionals (Healthcare Professionals, Police Custody Sergeants and Detention Officers) and persons with Lived Experience of police custody detention (33 professional and 41 Lived Experience interviews); and documentary analysis of 3,200 police custody risk assessments (1,600 per force) and 40 case logs (20 per force). Collaborative qualitative thematic analysis was performed by the research team, but also included peer analysts from a Third Sector organisation.ResultsWe identified that police custody healthcare in its current form does not meet many of the standards of the AAAQ Framework. Healthcare in police custody is not Available at the point of need due to a lack of embedded healthcare professionals; it is not Acceptable nor Accessible to all due to stigmatised assumptions about detained persons and scepticism about their reasons for requesting medication; and it is not Good Quality due to private providers having different Patient Group Directives resulting in a \"Postcode Lottery\" of treatments based on location of arrest. Insufficient resourcing of healthcare by private providers is the primary cause for these lapses, so we recommend police custody healthcare fall under the commissioning of NHS England Health and Justice to provide some oversight and governance for this domain.ConclusionsThe AAAQ Framework provides a basic set of healthcare standards that should be met in police custody suites. Beyond custody, as traditional forms of healthcare become increasingly carceral (especially maternity services), the AAAQ could also be fruitfully employed in other areas of healthcare nationally and internationally.</p>","PeriodicalId":15953,"journal":{"name":"Journal of Health Services Research & Policy","volume":" ","pages":"13558196261471367"},"PeriodicalIF":2.2,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148603850","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A cross-sectional study of associations between workforce connections and general trust in the US health care system.","authors":"Mark Benton","doi":"10.1177/13558196261472886","DOIUrl":"https://doi.org/10.1177/13558196261472886","url":null,"abstract":"<p><p>ObjectivesThe objective of the study is to examine associations between connections to the workforce and trust in the health care system in the United States.MethodsWe examine cross-sectional survey data from the 2024 Health Information National Trends Survey (HINTS, <i>n</i> = 7,278) descriptively and statistically. After examining sample characteristics, trust is examined by income and primary employment status. Bivariate and multivariate ordinary least squares regression models are created to examine associations of trust in the health care system.ResultsThere are associations between connections to the workforce and trust in the United States' health care system. Students, retired people, and homemaker/caregivers have comparatively high trust in the health care system, although the association for retired people loses significance with controls and homemaker/caregiver findings are only significant with controls. People with a higher household income tend to trust the health care system more than people with a lower household income.ConclusionAccess to and payment for health care in the United States is interwoven with connections to the workforce, with trust seemingly associated with an ability to pay as indicated by income and employment status. Trust in the health care system is still high but is lower among key groups, especially those with lower household incomes and key occupational groups. Trust in this study was highest among those with lower workforce obligations who may still have indirect access to health care payment such as homemaker/caregivers, students, and older adults with access to public health care programs. These findings highlight the need to prioritize outreach and communication with different kinds of people who have low trust in the health care system.</p>","PeriodicalId":15953,"journal":{"name":"Journal of Health Services Research & Policy","volume":" ","pages":"13558196261472886"},"PeriodicalIF":2.2,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148603825","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What drives patients to utilise regular hypertension care at primary health care facilities in Vietnam? A sequential mixed-methods study.","authors":"Giang Hoang Nguyen, My Tra Do, Oanh Thi Mai Tran, Hien Thi Ho, Rohan Jayasuriya","doi":"10.1177/13558196261471353","DOIUrl":"https://doi.org/10.1177/13558196261471353","url":null,"abstract":"<p><p>BackgroundVietnam has expanded primary health care (PHC) services and the health insurance (HI) scheme to increase access to NCD services at PHC facilities.ObjectivesTo examine patterns of regular hypertension care across health facility levels, identify factors associated with PHC use, and explore barriers to regular PHC engagement.MethodsWe conducted a sequential explanatory mixed-methods study. The quantitative phase analysed a household survey conducted in six provinces, including 1,706 adults with self-reported hypertension. Regular care was categorised as no regular facility-based care, PHC care, or non-PHC care. Multinomial logistic regression analyses identified factors associated with care-seeking. The qualitative phase involved in-depth interviews with 13 patients in two rural communes within Hanoi city. Interviews were audio-recorded, transcribed verbatim, and analysed using reflexive thematic analysis.ResultsOverall, 44.2% of patients did not seek regular care. Among those seeking regular care, less than half used PHC-level services: 23.7% attended district hospitals and 23.5% visited commune health stations. Older age, rural residence, lower socioeconomic status, good hypertension knowledge, health insurance ownership, and NCD comorbidity were associated regular care for hypertension at the PHC level. Qualitative findings revealed barriers at both individual and system levels. At the individual level, misconceptions, limited awareness, and financial constraints, despite high HI coverages, led to irregular care, prompting patients to resort to self-medication or traditional remedies. At the system level, structural challenges, including out-of-pocket costs, medicine stockouts, long waiting times and poor provider communication, weakened patients' trust and continuity of care at PHC facilities.ConclusionHI and PHC reforms have improved access, particularly for disadvantaged groups, but implementation gaps still limit regular hypertension care. Improving patient education, medicine availability, service organisation and provider communication is essential for stronger PHC-based chronic disease management.</p>","PeriodicalId":15953,"journal":{"name":"Journal of Health Services Research & Policy","volume":" ","pages":"13558196261471353"},"PeriodicalIF":2.2,"publicationDate":"2026-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148592202","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Community alternatives to acute hospital (CAtCH) assessment services: Design principles and implementation challenges.","authors":"Sara McKelvie, Margaret Glogowska, Daniel Lasserson, Joanne Reeve","doi":"10.1177/13558196261464928","DOIUrl":"https://doi.org/10.1177/13558196261464928","url":null,"abstract":"<p><p>There is an increasing global focus on Hospital Avoidance for Older People with urgent healthcare needs. In the UK, five main service models for crisis response have been identified by the British Geriatric Society; Same Day Emergency Care (SDEC), Hospital at Home (HaH), Urgent Community Response (UCR), Acute Frailty Units (AFU) and Virtual Wards (VW).ObjectivesThis article evaluated how Community Alternatives to Acute Hospital (CAtCH) assessment services have been implemented in the UK by analysing the published literature with the aim of developing key design principles for global policy makers involved in acute community care for older adults.MethodsA critical review and narrative synthesis approach was used to develop key conceptual design principles for CAtCH services. Significant papers in the field were collated as services developed between 2016-2021 and complemented by systematic searches of OVID Medline, Embase and CINAHL in September 2024 and January 2026, and citation searches, key author searches and grey literature searches on Google Scholar and NHS websites, in 2025 and 2026. Articles were analysed using an evaluation framework based on categories developed in the BGS 2021 report. A narrative synthesis approach was used to compare the different CAtCH services.ResultsThis article provides an overview of the current provision and supporting evidence. Key principles for implementation of CAtCH Assessment services include timely access to patients with an urgent healthcare need, the ability to intervene after a rapid assessment and the need for wider public input into service design.ConclusionsThese design principles are planned to support policy makers and service providers when commissioning, implementing or evaluating CAtCH services. The article also highlights implementation challenges including rapid scale-up, regional variation, heterogeneity in service provision and limited public awareness of CAtCH services.</p>","PeriodicalId":15953,"journal":{"name":"Journal of Health Services Research & Policy","volume":" ","pages":"13558196261464928"},"PeriodicalIF":2.2,"publicationDate":"2026-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148549398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}