The Lancet Regional Health: Western Pacific最新文献

{"title":"A cost-minimisation population-based analysis of telehealth-integrated antenatal care","authors":"YiJie Neo ,&nbsp;Emily Callander ,&nbsp;Ben W. Mol ,&nbsp;Ryan Hodges ,&nbsp;Kirsten R. Palmer","doi":"10.1016/j.lanwpc.2024.101239","DOIUrl":"10.1016/j.lanwpc.2024.101239","url":null,"abstract":"<div><h3>Background</h3><div>In response to the COVID-19 pandemic, Victoria’s largest maternity service provider implemented a telehealth-integrated antenatal care (ANC) schedule for high- and low-risk pregnancies. The program has been maintained since March 2020. Given ever-increasing healthcare costs, economic evaluation is crucial to ensure value and guide ongoing use.</div></div><div><h3>Methods</h3><div>The aim of the study was to perform a cost-minimisation analysis of telehealth integrated ANC compared to conventional in-person ANC, from the hospital and patient perspectives. We hypothesised that the costs associated with telehealth integrated ANC would be less than in-person ANC. We generated propensity score matched pre- and post-telehealth cohorts from women with a singleton pregnancy who received ANC and birthed at Monash Health from 1 Jan 2018–22 Mar 2020 (pre-telehealth), and 20 Apr 2020–31 Dec 2021 (post-telehealth). Data were extracted from electronic medical and finance records. We assigned costs for all Monash Health outpatient, inpatient, and emergency department episodes to calculate mean cost per birth. Patient travel costs were estimated based on distance residing from hospital.</div></div><div><h3>Findings</h3><div>Matched pre- and post-telehealth cohorts of n = 13,534 each were created. There were no significant differences in stillbirth, pre-eclampsia, severe maternal morbidity, or death. There was a AU$133 (0.98%, 95% CI [−0.17%, 2.16%]) increase in cost per birth in the post-telehealth cohort. This was driven by increased hospital costs (AU$340 or 2.64% increase, [1.44%, 3.86%]), due to a 4.78% increase in antenatal inpatient episodes and 3.51% increase in outpatient appointments post-telehealth. Increased care complexity was noted in the post-telehealth period with increased rates of gestational diabetes, caesarean birth, and specialty-led care (p-values all &lt;0.0001). In contrast, patient costs of accessing healthcare fell significantly from AU$562 pre-telehealth to AU$355 post-telehealth (difference -AU$207 (−36.81%, [−37.46%, −36.16%]).</div></div><div><h3>Interpretation</h3><div>Telehealth supported the provision of a greater volume of antenatal care to more complex pregnancies, while maintaining safety and quality of care, for only a minimal cost increase to health funders and substantial cost savings to patients. This finding provides reassurance regarding the financial viability of telehealth-integrated antenatal care.</div></div><div><h3>Funding</h3><div>None.</div></div>","PeriodicalId":22792,"journal":{"name":"The Lancet Regional Health: Western Pacific","volume":"52 ","pages":"Article 101239"},"PeriodicalIF":7.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142654620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Redefining the gap in Aboriginal health: from deficit to cultural connection","authors":"Ted Fields ,&nbsp;Warren Foster ,&nbsp;Brett J. Biles ,&nbsp;Aryati Yashadhana","doi":"10.1016/j.lanwpc.2024.101176","DOIUrl":"10.1016/j.lanwpc.2024.101176","url":null,"abstract":"<div><div>This article is written from the perspectives of a Yuwaalaraay/Gamilaraay cultural knowledge holder and a Yuin Djirringanj cultural knowledge holder from New South Wales, Australia. It explores the concept of cultural health, and the need to shift towards centring culture in every aspect of Aboriginal health and wellbeing. The three elements of cultural health are discussed as Country which includes lands, waters, skies, and all entities within; people, and their freedom, and ability to express and maintain continuing connections to culture and Country; and culture which encompasses identity, language, and knowledges, and is maintained and strengthened through active connection to Country, and cultural practices. Cultural health is out of balance due to invasion and ongoing colonisation which translates to the differences in health and social outcomes we see represented in ‘the gap’, fails to acknowledge or centre our cultural health, and remains a challenge in making significant progress in health and social outcomes. It is reflected in many of the unmet or receding targets. To improve Aboriginal health and wellbeing, data exploring the different aspects of ‘the gap’ in cultural health from a strength-based approach, as opposed to the gap in deficit and disease is required.</div></div>","PeriodicalId":22792,"journal":{"name":"The Lancet Regional Health: Western Pacific","volume":"52 ","pages":"Article 101176"},"PeriodicalIF":7.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142745761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Population attributable fractions for modifiable risk factors of dementia in China: an updated analysis","authors":"Jiazhou Yu ,&nbsp;Shanquan Chen","doi":"10.1016/j.lanwpc.2024.101247","DOIUrl":"10.1016/j.lanwpc.2024.101247","url":null,"abstract":"","PeriodicalId":22792,"journal":{"name":"The Lancet Regional Health: Western Pacific","volume":"52 ","pages":"Article 101247"},"PeriodicalIF":7.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142704670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Racism and health in South Korea: history, concept, and systematic review","authors":"Hayoung Lee ,&nbsp;Eun-Ji Paeng ,&nbsp;Delanjathan Devakumar ,&nbsp;Mita Huq ,&nbsp;Garin Lee ,&nbsp;Seung-Sup Kim","doi":"10.1016/j.lanwpc.2024.101228","DOIUrl":"10.1016/j.lanwpc.2024.101228","url":null,"abstract":"<div><div>To understand racism and its impact on health in South Korea, it is essential to consider the political and social context of the migrant population, including ethnic Korean migrants, marriage migrants, migrant workers, and bi-ethnic adolescents. This paper has two goals. First, we examined the increasing trends of the foreign population in South Korea, with a focus on the growth of migrant workers and marriage migrants. Following this, we reviewed the historical contexts and discussed the characteristics of racism in South Korea: ‘ethnic homogeneity’, ‘White supremacy’, and ‘ethnic discrimination against ethnic Koreans’. Second, we conducted a systematic review of 43 articles on the association between discrimination and health among racially and ethnically minoritized populations in South Korea. The review revealed statistically significant associations across various migrant groups but highlighted several limitations: all studies were cross-sectional, many used non-standardized discrimination measures, all focused on interpersonal discrimination, most examined mental health outcomes, and certain migrant groups were neglected in the research. Future research is needed to address these gaps.</div></div><div><h3>Funding</h3><div>This work was supported by the <span>New Faculty Startup</span> Fund from Seoul <span>National University</span>.</div></div>","PeriodicalId":22792,"journal":{"name":"The Lancet Regional Health: Western Pacific","volume":"52 ","pages":"Article 101228"},"PeriodicalIF":7.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142654621","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Why I decide to leave South Korea healthcare system","authors":"Jounggi Moon ,&nbsp;Joo-Young Lee","doi":"10.1016/j.lanwpc.2024.101232","DOIUrl":"10.1016/j.lanwpc.2024.101232","url":null,"abstract":"","PeriodicalId":22792,"journal":{"name":"The Lancet Regional Health: Western Pacific","volume":"52 ","pages":"Article 101232"},"PeriodicalIF":7.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142554270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Corrigendum to “Dementia diagnostic and treatment services in the Western Pacific: challenges, preparedness and opportunities in the face of amyloid-targeting therapies” [The Lancet Regional Health–Western Pacific, Volume 50, September 2024, 101183]","authors":"Claire O’Callaghan ,&nbsp;Johannes C. Michaelian ,&nbsp;Yoko Aihara ,&nbsp;Veeda Michelle Anlacan ,&nbsp;Christopher Chen ,&nbsp;Gary Cheung ,&nbsp;Etuini Ma’u ,&nbsp;Tuan Anh Nguyen ,&nbsp;Ming-Chyi Pai ,&nbsp;Anna Palagyi ,&nbsp;Maw Pin Tan ,&nbsp;Shyh Poh Teo ,&nbsp;Yuda Turana ,&nbsp;Huali Wang ,&nbsp;Gloria Wong ,&nbsp;Sharon L. Naismith","doi":"10.1016/j.lanwpc.2024.101249","DOIUrl":"10.1016/j.lanwpc.2024.101249","url":null,"abstract":"","PeriodicalId":22792,"journal":{"name":"The Lancet Regional Health: Western Pacific","volume":"52 ","pages":"Article 101249"},"PeriodicalIF":7.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142697856","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Corrigendum to “Transforming medical education to strengthen the health professional training in Viet Nam: a case study” [The Lancet Regional Health – Western Pacific, volume 27 (2022)/S2666606522001584]","authors":"Tuan D. Tran ,&nbsp;Phuc M. Vu ,&nbsp;Hong T.M. Pham ,&nbsp;Luan N. Au ,&nbsp;Hung P. Do ,&nbsp;Hoa T.T. Doan ,&nbsp;Nghia Huynh ,&nbsp;Quynh T.V. Huynh ,&nbsp;Bao K. Le ,&nbsp;Dat Q. Ngo ,&nbsp;Hanh T.M. Nguyen ,&nbsp;Khanh D. Nguyen ,&nbsp;Nghia A. Nguyen ,&nbsp;Phong H. Nguyen ,&nbsp;Tuan A. Nguyen ,&nbsp;Thang C. Tran ,&nbsp;Hoa N. Chau ,&nbsp;Lan N. Vuong ,&nbsp;Nu V. Vu","doi":"10.1016/j.lanwpc.2024.101245","DOIUrl":"10.1016/j.lanwpc.2024.101245","url":null,"abstract":"","PeriodicalId":22792,"journal":{"name":"The Lancet Regional Health: Western Pacific","volume":"52 ","pages":"Article 101245"},"PeriodicalIF":7.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142704856","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Food insecurity threatens health gains in the Western Pacific","authors":"The Lancet Regional Health – Western Pacific","doi":"10.1016/j.lanwpc.2024.101255","DOIUrl":"10.1016/j.lanwpc.2024.101255","url":null,"abstract":"","PeriodicalId":22792,"journal":{"name":"The Lancet Regional Health: Western Pacific","volume":"52 ","pages":"Article 101255"},"PeriodicalIF":7.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142745760","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Measuring the health and wellbeing impacts of cultural camps among Aboriginal adults: preliminary evidence from the Gaawaadhi Gadudha Research Collaborative","authors":"Brooke Brady ,&nbsp;Anthony B. Zwi ,&nbsp;Jonathan Kingsley ,&nbsp;Michelle O’Leary ,&nbsp;Nina Serova ,&nbsp;Stephanie M. Topp ,&nbsp;Brett J. Biles ,&nbsp;Ted Fields ,&nbsp;Warren Foster ,&nbsp;Aryati Yashadhana","doi":"10.1016/j.lanwpc.2024.101200","DOIUrl":"10.1016/j.lanwpc.2024.101200","url":null,"abstract":"<div><h3>Background</h3><div>Aboriginal and Torres Strait Islander peoples’ have sustained their cultural practices for over 60,000 years which fundamentally impacts their health and wellbeing. Recent literature emphasizes cultural connection as a contributor to good public health, yet the mechanisms through which cultural engagement promotes health and wellbeing remain underexplored. This study investigates the health and wellbeing outcomes associated with Aboriginal peoples’ participation in cultural camps in New South Wales (Australia), focusing on the role of cultural determinants of health.</div></div><div><h3>Methods</h3><div>This cohort study, part of the larger Gaawaadhi Gadudha Research Collaborative, examines the impact of camp attendance on health indicators among Aboriginal adults. Participants (N = 43) completed surveys assessing individual cultural health, access to cultural resources, resilience, and health-related quality of life pre and post camp. Paired-samples t-tests and Wilcoxon related samples signed-rank tests were employed to analyze changes.</div></div><div><h3>Findings</h3><div>Participants reported high engagement in cultural activities and positive experiences at camps. Post-camp responses indicated significant improvements in cultural health, including increased pride in cultural identity, knowledge of traditions, and connections to Country and community. However, measures of resilience and health-related quality of life showed no reliable changes.</div></div><div><h3>Interpretation</h3><div>The findings suggest that camps play a crucial role in enhancing cultural health among Aboriginal peoples, reinforcing the importance of knowledge of cultural determinants of health. This study underscores the need for further research to explore the long-term impacts of cultural engagement on health and wellbeing and highlights the potential of cultural camps as a model for health promotion initiatives within Aboriginal communities.</div></div><div><h3>Funding</h3><div>This study was funded by the <span>Australian Government’s Medical Research Future Fund</span> (<span><span>MRF2009522</span></span>).</div></div>","PeriodicalId":22792,"journal":{"name":"The Lancet Regional Health: Western Pacific","volume":"52 ","pages":"Article 101200"},"PeriodicalIF":7.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142745762","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gaawaadhi Gadudha: exploring how cultural camps support health and wellbeing among Aboriginal adults in New South Wales Australia, a qualitative study","authors":"Aryati Yashadhana ,&nbsp;Brett J. Biles ,&nbsp;Nina Serova ,&nbsp;Stephanie M. Topp ,&nbsp;Jonathan Kingsley ,&nbsp;Anthony B. Zwi ,&nbsp;Ted Fields ,&nbsp;Warren Foster ,&nbsp;Michelle O’Leary ,&nbsp;Brooke Brady ,&nbsp;Evelyne de Leeuw ,&nbsp;Miri (Margaret) Raven","doi":"10.1016/j.lanwpc.2024.101208","DOIUrl":"10.1016/j.lanwpc.2024.101208","url":null,"abstract":"<div><h3>Background</h3><div>Culture and its practice is a recognised, but not well understood factor, in Aboriginal health and wellbeing. Our study aimed to explore how health and wellbeing are phenomenologically connected to cultural practices, foods, medicines, languages, and Country, through the platform of ‘on-Country’ camps facilitated by Aboriginal cultural knowledge holders in NSW, Australia.</div></div><div><h3>Methods</h3><div>Our study is based on a collaboration between knowledge holders from freshwater and saltwater cultures, and Aboriginal and non-Aboriginal researchers. Three existing cultural camps on Yuwaalaraay, Gamilaraay, and Yuin-Djirringanj Country were observed as part of the study. Within the camps, eight yarning circles were conducted with 76 participants. Data were analysed inductively using literal code descriptors which were cross tabulated to identify emergent patterns relevant to the study aims.</div></div><div><h3>Findings</h3><div>Three key areas emerged from our analysis: 1) what constitutes cultural health; 2) the way in which cultural camps provide a mechanism for improved cultural health and; 3) the key elements needed to deliver a cultural camp that provides therapeutic benefits. Camps had a positive effect on participants’ social, emotional, and spiritual health and wellbeing, often described through experiences of healing or stress relief, connection with Country and each other, and engaging in cultural practices.</div></div><div><h3>Interpretation</h3><div>‘On-Country’ camps that are facilitated by place-based knowledge holders, provide a unique and promising platform that supports Aboriginal health and wellbeing through therapeutic, sensory experiences that strengthen cultural health; including cultural identity, knowledge gain and sharing, connection to Country, mob, and ancestors, and engagement in cultural practices. Access to Country and land to conduct camps remains a barrier to their delivery.</div></div><div><h3>Funding</h3><div>This study was funded by the <span>Australian Government’s Medical Research Future</span> Fund (MRF2009522).</div></div>","PeriodicalId":22792,"journal":{"name":"The Lancet Regional Health: Western Pacific","volume":"52 ","pages":"Article 101208"},"PeriodicalIF":7.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142745681","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}