Health Care Analysis最新文献

Correction: Driving Quality Forward: A Study on the Utilization of QI Tools by Hospital Quality Managers. 更正：推动质量前进：医院质量管理人员使用质量保证工具的研究。

IF 1.6 3区哲学

Health Care Analysis Pub Date : 2025-10-11 DOI: 10.1007/s10728-025-00545-y

Senol Demirci, Demet Gokmen Kavak, Yasin Aras, Figen Cizmeci Senel

引用次数: 0

Consanguineous Marriage: Law and Public Health. 近亲婚姻：法律与公共卫生。

IF 1.6 3区哲学

Health Care Analysis Pub Date : 2025-10-10 DOI: 10.1007/s10728-025-00541-2

Nicola Glover-Thomas

{"title":"Consanguineous Marriage: Law and Public Health.","authors":"Nicola Glover-Thomas","doi":"10.1007/s10728-025-00541-2","DOIUrl":"https://doi.org/10.1007/s10728-025-00541-2","url":null,"abstract":"This article examines the complex interplay of cultural practices, genetic health risks, and evolving legal frameworks surrounding consanguineous marriage, with a focus on England and Wales. Consanguineous unions, increase offspring's risk of autosomal recessive genetic disorders and congenital anomalies due to heightened homozygosity. The 'Born in Bradford' study revealed that 37% of babies in the cohort were born to related parents, with over 60% of marriages in the Pakistani-origin population being consanguineous. This was associated with a near doubling of the congenital anomaly risk (3% to 6%) and accounted for an estimated 30% of all congenital anomalies and 25% of infant mortality in Bradford. While Norway and Sweden have recently banned or are set to ban first-cousin marriages, citing public health and forced marriage concerns, England and Wales maintain a permissive stance. Proposed legislation, like the Marriage (Prohibited Degrees of Relationship) Bill 2025, aims to prohibit these unions and is argued to mitigate NHS strain. However, such proposals face significant human rights challenges (right to marry, privacy, non-discrimination) and concerns about driving the practice underground. The paper concludes by advocating for nuanced, culturally sensitive public health strategies-including enhanced genetic counselling, targeted education, and proactive screening-to empower informed choice and improve health outcomes without legal coercion, aiming to balance state responsibility with individual and cultural freedoms.","PeriodicalId":46740,"journal":{"name":"Health Care Analysis","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145276201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Hospitalizations at Home in Israel, a Retrospective Observational Study. 以色列家庭住院：一项回顾性观察研究

IF 1.6 3区哲学

Health Care Analysis Pub Date : 2025-09-27 DOI: 10.1007/s10728-025-00544-z

Hanna Schroeder, Yitzhak Ben Menachem, Netta Bentur, Dina Cherno, Lior Barak, Ayelet Grinbaum Arizon

{"title":"Hospitalizations at Home in Israel, a Retrospective Observational Study.","authors":"Hanna Schroeder, Yitzhak Ben Menachem, Netta Bentur, Dina Cherno, Lior Barak, Ayelet Grinbaum Arizon","doi":"10.1007/s10728-025-00544-z","DOIUrl":"https://doi.org/10.1007/s10728-025-00544-z","url":null,"abstract":"Israel's aging population and demographic growth have driven a surge in hospitalizations, prompting the Ministry of Health to expand community-based care. In 2019, a financial incentive was introduced, special payments to health maintenance organizations (HMOs) for Hospital at Home (HaH) services, implemented in 2020. This study examines changes in the volume and geographic distribution of HaH following this policy. We analyzed retrospective Ministry of Health data on all HaH admissions from 2017-2023, excluding COVID-19 cases. Data included length of stay, referral source (hospital vs. community), patient age, and residence. HMOs reported 70,203 HaH admissions during the study period, increasing from only 8 in 2017 to 33,141 in 2023. Growth was most rapid after the payment policy was introduced. The mean monthly HaH days rose sharply, reaching 2762 in 2023. Over time, the proportion of HaH admissions from central Israel increased, while peripheral areas saw a relative decline. Readmission rates to HaH were low-3% within 1 week, and 8%, 15%, and 23% within 1, 3, and 6 months, respectively. HaH could play a significant role in meeting Israel's growing demand for inpatient care. To maximize its impact, policy efforts should address barriers to expansion, particularly in peripheral regions, and promote more equitable geographic access.","PeriodicalId":46740,"journal":{"name":"Health Care Analysis","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Collaboration During Crisis: New Graduates' Experiences of Interprofessional Practice During the COVID-19 Pandemic. 危机中的协作：新冠肺炎大流行期间应届毕业生的跨专业实践经验。

IF 1.6 3区哲学

Health Care Analysis Pub Date : 2025-09-18 DOI: 10.1007/s10728-025-00540-3

Lindsay Van Dam, Sheri L Price, Hossein Khalili, John H V Gilbert

{"title":"Collaboration During Crisis: New Graduates' Experiences of Interprofessional Practice During the COVID-19 Pandemic.","authors":"Lindsay Van Dam, Sheri L Price, Hossein Khalili, John H V Gilbert","doi":"10.1007/s10728-025-00540-3","DOIUrl":"https://doi.org/10.1007/s10728-025-00540-3","url":null,"abstract":"The COVID-19 pandemic presented unprecedented challenges for health and social care practice worldwide. Ensuring effective collaboration between health and social care is essential to meet population health needs- especially during crisis. Interprofessional education for collaborative practice (IPECP) during students' pre-licensure education is an important primer for collaboration in practice. Within IPECP, students are provided opportunities to learn about, with, and from each other, lending to professional and interprofessional socialization and processes of developing an interprofessional identity. Few studies have followed health professions graduates longitudinally from pre-licensure into professional practice to understand how IPECP supports new professionals' readiness for collaborative practice. The COVID-19 pandemic coincided with the timing of this longitudinal study of students' experiences of IPECP and collaboration upon entry to practice. This interpretive, narrative analysis provides novel insights to how collaboration was experienced during the pandemic and implications for interprofessional identity development. The participant narratives provide insight into the contexts, settings, and experiences that were critical catalysts for connection and collaboration between professionals. Findings support a need for IPECP throughout pre-licensure and into practice and provides important direction for innovative curricula, policy and practice development to prepare future collaborative practitioners and interprofessional teams.","PeriodicalId":46740,"journal":{"name":"Health Care Analysis","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145082003","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Tariff Conflicts and Entrenched Interests: The Deepening Deadlock of US Healthcare Reform. 关税冲突与既得利益：美国医疗改革僵局加深。

IF 1.6 3区哲学

Health Care Analysis Pub Date : 2025-09-10 DOI: 10.1007/s10728-025-00542-1

Miao Wang

{"title":"Tariff Conflicts and Entrenched Interests: The Deepening Deadlock of US Healthcare Reform.","authors":"Miao Wang","doi":"10.1007/s10728-025-00542-1","DOIUrl":"https://doi.org/10.1007/s10728-025-00542-1","url":null,"abstract":"The US healthcare system is characterized by a persistent deadlock, where high costs, low efficiency, and inequity resist fundamental reform. This stalemate is rooted in deep ideological divides, political polarization, a fragmented fiscal structure, and the power of entrenched interest groups. This article analyzes how recent trade protectionist policies, specifically tariffs on pharmaceuticals and their inputs, intersect with this domestic gridlock. It posits a central paradox: a political system incapable of enacting major domestic health reform can simultaneously deploy assertive trade interventions in the same sector. The article argues that these tariffs should not be misconstrued as flawed instruments of healthcare reform. Instead, they represent the application of a distinct sovereigntist and protectionist logic, driven by national security concerns. The consequence is not a failed attempt at a solution, but a collision of policy agendas that actively exacerbates the healthcare system's core dysfunctions. By increasing costs, destabilizing supply chains, and creating new arenas for interest group conflict, tariffs intensify partisan strife and further entrench the reform deadlock. This process, marked by the \"securitization\" of the pharmaceutical industry, signals a critical shift in global health governance, where geopolitical strategy now overrides and complicates the pursuit of domestic public health goals.","PeriodicalId":46740,"journal":{"name":"Health Care Analysis","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145030984","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Professional Practice of Ukrainian Doctors in Germany and Poland-Legal and Ethical Considerations. 乌克兰医生在德国和波兰的专业实践——法律和伦理考虑。

IF 1.6 3区哲学

Health Care Analysis Pub Date : 2025-09-01 Epub Date: 2025-06-07 DOI: 10.1007/s10728-025-00526-1

Helena Hointza, Nikola Biller-Andorno, Michael Leitzmann, Julian Werner März

{"title":"Professional Practice of Ukrainian Doctors in Germany and Poland-Legal and Ethical Considerations.","authors":"Helena Hointza, Nikola Biller-Andorno, Michael Leitzmann, Julian Werner März","doi":"10.1007/s10728-025-00526-1","DOIUrl":"10.1007/s10728-025-00526-1","url":null,"abstract":"The ongoing war in Ukraine, which began in 2022, has displaced millions of people, creating immense challenges for healthcare systems in refugee-receiving countries. While temporary protection aims to grant refugees access to medical care, significant structural barriers and ethical shortcomings exist in refugee healthcare. To meet this challenge, the authors propose considering the integration of displaced physicians into the medical care systems of host countries. This solution not only meets the immediate healthcare demands but also leverages the expertise of Ukrainian doctors. The implementation in Germany and Poland exemplifies the current heterogeneity of regulations governing the professional practice of Ukrainian physicians, with individual workarounds such as the possibility of treating fellow Ukrainians while waiting for the approval of the license. From an ethical perspective, the dilemma between the urgent need for additional physicians and ensuring patient safety by thoroughly assessing all doctors' qualifications is a critical concern. Considering all the analyzed aspects, the authors advocate for harmonizing the regulations across the EU and removing barriers that limit healthcare access for refugees. They further stress the importance of developing comprehensive long-term strategies to ensure sustained healthcare access for Ukrainian refugees.","PeriodicalId":46740,"journal":{"name":"Health Care Analysis","volume":" ","pages":"297-319"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12361323/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Healthcare Workforce Analytics: Computational Analysis of Despotic Leadership on Workplace Deviance, Emotional Exhaustion and Neuroticism's as a Mediation-Moderation. 医疗保健劳动力分析：专制领导对工作场所偏差、情绪耗竭和神经质的计算分析作为中介-调节。

IF 1.6 3区哲学

Health Care Analysis Pub Date : 2025-09-01 Epub Date: 2025-05-05 DOI: 10.1007/s10728-025-00520-7

Hasib Shamshad, Sadaf Shamshad, Amina Tariq, Fasee Ullah

{"title":"Healthcare Workforce Analytics: Computational Analysis of Despotic Leadership on Workplace Deviance, Emotional Exhaustion and Neuroticism's as a Mediation-Moderation.","authors":"Hasib Shamshad, Sadaf Shamshad, Amina Tariq, Fasee Ullah","doi":"10.1007/s10728-025-00520-7","DOIUrl":"10.1007/s10728-025-00520-7","url":null,"abstract":"Despotic leadership harms both employee motivation and well-being. It has been studied using several theories, including social exchange and social learning theory, the latter suggesting learning stems from imitation. This study explores dark side of leadership, particularly in current healthcare reforms in Pakistan, such as Medical Teaching Institute (MTI). The need to review changing structural hierarchies is emphasized, as unilateral decisions often lead to defensive silence rather than workplace aggression and bullying. This study investigated the moderating role of neuroticism in the relationship between despotic leader- ship and workplace deviance, with emotional exhaustion mediating factor among healthcare sector employees. This study involved 294 professionals from public healthcare centres in Pakistan, achieving a 73% response rate. Five hypotheses were tested using Smart PLS for model testing and structural measurement along with SPSS and Preacher Hayes process models for moderated-mediation analysis. Results of linear regression analysis revealed that despotic leadership, mediated by emotional exhaustion, significantly impacts interpersonal and organizational deviance. Interestingly, neuroticism does not moderate this relationship, challenging previous literature. This study sheds light on despotic leadership's broader influence beyond personality attributes, offering new theoretical and practical implications and guiding future research directions.","PeriodicalId":46740,"journal":{"name":"Health Care Analysis","volume":" ","pages":"279-296"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144053834","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The "Newborn Gang" Scandal in Türkiye: Ethics in a Neoliberal Health System. <s:1>基耶的“新生儿帮”丑闻：新自由主义医疗体系中的伦理。

IF 1.6 3区哲学

Health Care Analysis Pub Date : 2025-09-01 Epub Date: 2025-05-28 DOI: 10.1007/s10728-025-00522-5

Maide Barış, Gürkan Sert, M İnanç Özekmekçi

{"title":"The \"Newborn Gang\" Scandal in Türkiye: Ethics in a Neoliberal Health System.","authors":"Maide Barış, Gürkan Sert, M İnanç Özekmekçi","doi":"10.1007/s10728-025-00522-5","DOIUrl":"10.1007/s10728-025-00522-5","url":null,"abstract":"In October 2024, Türkiye was shocked by the \"Newborn Gang\" scandal, in which a network of healthcare professionals allegedly exploited newborns for financial gain in private hospitals. The accused are charged with intentionally neglecting, mistreating or even killing of healthy infants in neonatal intensive care units to prolong their stays and maximize government reimbursements. This paper critically examines the structural and ethical failures exposed by the 2024 \"Newborn Gang\" scandal in Türkiye, in which healthcare professionals in private hospitals allegedly allowed or caused the deaths of newborns to profit from the state's healthcare reimbursement system. Drawing on the frameworks of neoliberal critique and medical humanities, the study argues that such extreme violations are not isolated incidents of individual misconduct, but manifestations of deeper systemic vulnerabilities fostered by the neoliberalization of healthcare. It explores how deregulation, market incentives, and the erosion of ethical values-exacerbated by Türkiye's Health Transformation Program-have created an environment where financial gain is prioritized over patient welfare. Comparative case studies are employed to contextualize these findings within broader global patterns of ethical collapse in healthcare systems influenced by market logic. The paper contends that merely strengthening oversight is insufficient; rather, a structural reorientation is needed. As a potential alternative, the study introduces Value-Based Healthcare as a model that aligns clinical outcomes with ethical imperatives. Ultimately, the paper calls for a fundamental moral recalibration of healthcare-one that affirms care, integrity, and justice as core values over profit and efficiency.","PeriodicalId":46740,"journal":{"name":"Health Care Analysis","volume":" ","pages":"215-231"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12360970/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144175309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

10 Limits to Forgiveness in Health Care. 医疗领域宽恕的10个限度。

IF 1.6 3区哲学

Health Care Analysis Pub Date : 2025-09-01 Epub Date: 2025-04-28 DOI: 10.1007/s10728-025-00518-1

Stephen Buetow

{"title":"10 Limits to Forgiveness in Health Care.","authors":"Stephen Buetow","doi":"10.1007/s10728-025-00518-1","DOIUrl":"10.1007/s10728-025-00518-1","url":null,"abstract":"Compliance and regulatory bodies often encourage health care providers' disclosure of and apologies for wrongdoing. Patients may perceive that forgiveness is expected and feel pressure to grant it. However, forgiveness carries consequences, which can bring limits to forgiveness. Understanding these limits is crucial for understanding when forgiveness can either heal or add to trauma. This paper explores 10 context-dependent limits to forgiveness across four categories. The first category outlines conceptual limits: not all harm requires forgiveness, some evil acts may be beyond human forgiveness, and blame can be incompatible with forgiveness. Secondly, moral and ethical limits result from how accountability strains forgiveness, how moral absolutism can hinder it, and how proxy forgiveness may lack moral legitimacy. The third category identifies relational and social limits. Forced reconciliation can undermine forgiveness. System negligence diffuses culpability, hindering individual forgiveness, and requires prioritizing the victim's healing and benefit despite the diluted accountability. Finally, the fourth category highlights temporal and process-related limits. It emphasizes that ongoing or unaddressed harm can obstruct forgiveness, while variations in healing trajectories may delay or complicate it. Updating current understanding, this framework adds insight into when forgiveness may be inappropriate. It offers providers ethical guidance in navigating this terrain through a person-centred approach balancing empathy and accountability. The framework aims to facilitate healing for the patient and provider, regardless of whether forgiveness occurs.","PeriodicalId":46740,"journal":{"name":"Health Care Analysis","volume":" ","pages":"261-278"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12360977/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144034874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Factors Associated with the Use of Complementary and Alternative Medicine in Rural Northern Victoria, Australia. 澳大利亚维多利亚州北部农村使用补充和替代医学的相关因素。

IF 1.6 3区哲学

Health Care Analysis Pub Date : 2025-09-01 Epub Date: 2025-01-17 DOI: 10.1007/s10728-024-00508-9

Andrew J Hamilton, Lisa Bourke, Geetha Ranmuthugala, Kristen M Glenister, David Simmons

{"title":"Factors Associated with the Use of Complementary and Alternative Medicine in Rural Northern Victoria, Australia.","authors":"Andrew J Hamilton, Lisa Bourke, Geetha Ranmuthugala, Kristen M Glenister, David Simmons","doi":"10.1007/s10728-024-00508-9","DOIUrl":"10.1007/s10728-024-00508-9","url":null,"abstract":"About one-third of Australians use the services of complementary and alternative medicine (CAM); but debate about the role of CAM in public healthcare is vociferous. Despite this, the mechanisms driving CAM healthcare choices are not well understood, especially in rural Australia. From 2016 to 2018, 2,679 persons from the Goulburn Valley, northern Victoria, were surveyed, 28% (755) of whom reporting visiting CAM practitioners. A Generalized Linear Mixed Model was used to assess associations between various socio-demographic variables and the use of CAM services. The strongest significant inverse (p < 0.05) association with CAM use overall was being unemployed, with markedly lower odds of using CAM than those employed full-time (OR 0.22 [0.12, 0.41]). The next strongest inverse relationship was being retired (OR 0.44 [0.30, 0.65]). The strongest positive associations were with English spoken at home (OR 2.38 [1.34, 4.24]), private health insurance (hospital cover) (1.57 [1.28, 1.91]), being Australian born (OR 1.61 [1.14, 2.28]), and female sex (1.25 [1.02, 1.52])). Females had significantly higher odds of using osteopathy than males (OR 1.98 [1.33, 2.96]) but there were no significant sex differences for chiropractic or massage. This is the first such study conducted solely for a rural Australian population. The drivers of CAM use differed from previous nation-wide studies and they varied across modalities. The factors identified here as being associated with CAM use could be used by CAM practitioners in developing person-centred services. Similarly, the findings are relevant to primary-care services in understanding what sectors of society might eschew conventional health care for CAM in rural regions, where health services are often limited.","PeriodicalId":46740,"journal":{"name":"Health Care Analysis","volume":" ","pages":"248-260"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12360969/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0