Health Care Analysis最新文献_第2页

Exploring Consent to Use Real-World Data in Lung Cancer Radiotherapy: Decision of a Citizens' Jury for an 'Informed Opt-Out' Approach. 探索同意在肺癌放疗中使用真实世界数据：公民陪审团对“知情选择退出”方法的决定。

IF 1.8 3区哲学

Health Care Analysis Pub Date : 2025-06-01 Epub Date: 2025-02-10 DOI: 10.1007/s10728-025-00510-9

Arbaz Kapadi, Hannah Turner-Uaandja, Rebecca Holley, Kate Wicks, Leila Hamrang, Brian Turner, Tjeerd van Staa, Catherine Bowden, Annie Keane, Gareth Price, Corinne Faivre-Finn, David French, Caroline Sanders, Søren Holm, Sarah Devaney

{"title":"Exploring Consent to Use Real-World Data in Lung Cancer Radiotherapy: Decision of a Citizens' Jury for an 'Informed Opt-Out' Approach.","authors":"Arbaz Kapadi, Hannah Turner-Uaandja, Rebecca Holley, Kate Wicks, Leila Hamrang, Brian Turner, Tjeerd van Staa, Catherine Bowden, Annie Keane, Gareth Price, Corinne Faivre-Finn, David French, Caroline Sanders, Søren Holm, Sarah Devaney","doi":"10.1007/s10728-025-00510-9","DOIUrl":"10.1007/s10728-025-00510-9","url":null,"abstract":"An emerging approach to complement randomised controlled trial (RCT) data in the development of radiotherapy treatments is to use routinely collected 'real-world' data (RWD). RWD is the data collected as standard-of-care about all patients during their usual cancer care pathway. Given the nature of this data, important questions remain about the permissibility and acceptability of using RWD in routine practice. We involved and engaged with patients, carers and the public in a two-day citizens' jury to understand their views and obtain decisions regarding two key issues: (1) preferred approaches to consent for the use of RWD within the context of patients receiving radiotherapy for lung cancer in RAPID-RT and (2) how RWD use should be best communicated to patients. Individual views were polled using questionnaires at various stages of the jury, whilst group discussion activities prompted further dialogue about the rationale behind choices of consent. Key decisions obtained from the jury include: (1) an opt-out approach to consent for the use of RWD; (2) the opt-out approach to consent should be informed. Furthermore, it was advised that information and communication regarding the consent process and use of RWD should be accessible, clear and available in a variety of formats. It is important that the consent process for patient data use is underpinned by principles of autonomy and transparency with clear channels of communication between those asking for and giving consent. Moreover, the process of seeking consent from patients should be proportionate to the risks presented from their participation.","PeriodicalId":46740,"journal":{"name":"Health Care Analysis","volume":" ","pages":"192-213"},"PeriodicalIF":1.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12053208/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383756","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

Is Public Health Environmentally Sustainable? 公共卫生环境可持续发展吗？

IF 1.8 3区哲学

Health Care Analysis Pub Date : 2025-06-01 Epub Date: 2025-03-04 DOI: 10.1007/s10728-025-00511-8

Martin Marchman Andersen, Michael Z Hauschild, Sigurd Lauridsen

{"title":"Is Public Health Environmentally Sustainable?","authors":"Martin Marchman Andersen, Michael Z Hauschild, Sigurd Lauridsen","doi":"10.1007/s10728-025-00511-8","DOIUrl":"10.1007/s10728-025-00511-8","url":null,"abstract":"In this paper we discuss whether effective public health interventions and policies are environmentally sustainable. First, we suggest that the environmental impact from public health interventions and policies should be considered in the perspective of a human lifecycle. Second, we spell out in greater detail what we take it to mean for a public health intervention or policy to be environmentally sustainable. Third, environmental sustainability regards not only environmental impact, but also shares of our environmental \"budgets\", also referred to as environmentally safe operating spaces. Such budgets represent the limits of the sustainability of a group of individuals, e.g. a population. Each individual is assigned a share of the budget for each category of environmental impact, which represents how much the individual may impact the environmental category in question without doing so unsustainably. We discuss whether individuals ought to have a larger share of these budgets as a function of their ongoing life as this would make a better case for thinking that public health interventions and policies are environmentally sustainable. But we argue that this is incompatible with maximizing health within our environmental budgets and therefore mistaken. Instead, individuals ought to be ascribed a share of these budgets for life, a share that does not increase as individuals get older. We conclude that while some public health interventions and policies might be environmentally sustainable, we cannot merely assume that public health and sustainability are win-win; indeed, we have positive reason to think that some interventions and policies are not environmentally sustainable. Finally, we elaborate on how we ought to think about and react to this conclusion.","PeriodicalId":46740,"journal":{"name":"Health Care Analysis","volume":" ","pages":"97-108"},"PeriodicalIF":1.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12052747/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143543747","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

History of the Autism Diagnosis- How the Perspectives Have Changed. 自闭症诊断的历史-观点是如何改变的。

IF 1.8 3区哲学

Health Care Analysis Pub Date : 2025-05-29 DOI: 10.1007/s10728-025-00527-0

Heldi Marleen Lang

{"title":"History of the Autism Diagnosis- How the Perspectives Have Changed.","authors":"Heldi Marleen Lang","doi":"10.1007/s10728-025-00527-0","DOIUrl":"https://doi.org/10.1007/s10728-025-00527-0","url":null,"abstract":"The diagnosis and perception of autism have undergone significant transformations throughout history. Initially conceptualised as a symptom of schizophrenia, autism later emerged as a distinct diagnosis, evolving into the broader classification of autism spectrum disorder (ASD). This essay explores the main shifts in the understanding of autism throughout its history and different approaches to its treatment. While the traditional psychiatric perspective aligns with a naturalist view of disease, the Neurodiversity Movement advocates for a normative approach, emphasising societal adaptation over medical intervention. The study examines historical milestones, including the contributions of Eugen Bleuler, Grunya Sukhareva, Leo Kanner, and Hans Asperger, alongside the conceptual transition from low- and high-functioning autism to the spectrum model. It also discusses the implications of language in shaping autism discourse, highlighting the shift from person-first to identity-first terminology. The essay ultimately argues that the expansion of the autism diagnosis supports the neurodiversity paradigm, which fosters greater inclusion and empowerment of neurodivergent individuals. However, considerations of severity and linguistic framing remain crucial in advancing this perspective.","PeriodicalId":46740,"journal":{"name":"Health Care Analysis","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144175331","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 1.8 3区哲学

Health Care Analysis Pub 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":"https://doi.org/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":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","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":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Impact of Mindfulness, Emotional Intelligence, and Employee Well-being on Mental Healthcare of Workers' Affectiveness: The Mediating Role of Employee Satisfaction and the Moderating Effect of Digital Leadership. 正念、情绪智力和员工幸福感对员工情感心理健康的影响：员工满意度的中介作用和数字领导的调节作用

IF 1.8 3区哲学

Health Care Analysis Pub Date : 2025-05-28 DOI: 10.1007/s10728-025-00523-4

Junjian Zheng, Hao Hong, Nan Wang, JiuJian Sun, Xiaowei Xu

{"title":"Impact of Mindfulness, Emotional Intelligence, and Employee Well-being on Mental Healthcare of Workers' Affectiveness: The Mediating Role of Employee Satisfaction and the Moderating Effect of Digital Leadership.","authors":"Junjian Zheng, Hao Hong, Nan Wang, JiuJian Sun, Xiaowei Xu","doi":"10.1007/s10728-025-00523-4","DOIUrl":"https://doi.org/10.1007/s10728-025-00523-4","url":null,"abstract":"Recently, the most critical psychological challenges have compelled healthcare professionals to confront their mental health issues. Consequently, many employees experiencing elevated levels of psychological stress have reported disengagement and dissatisfaction across various aspects of their work. Given the strong association between individual well-being and job satisfaction, how healthcare employees regulate their emotions and psychological health to attain job satisfaction remains largely unexplored. To address this issue, the present study investigates the effects of mindfulness, emotional intelligence, and employee well-being on healthcare workers' emotional and mental health while considering the mediating role of employee satisfaction and the moderating role of digital leadership. Data were collected through a structured questionnaire distributed to 633 healthcare employees in China. We employed SPSS and Smart PLS for reliability, discriminant validity, and structural equation modeling analyses. The findings reveal that mindfulness (MFN), emotional intelligence (EI), and employee well-being (EWB) significantly and positively influence both emotional health (EH) and mental health (MH). Furthermore, employee satisfaction (ES) mediated the relationship between mindfulness, emotional intelligence, and employee well-being to emotional and mental health. The moderating role of digital leadership (DL) was also examined, demonstrating its influence on emotional and mental health. These findings hold important implications for healthcare professionals, managers, policymakers, practitioners, and other stakeholders seeking to enhance employee well-being and job satisfaction in healthcare settings.","PeriodicalId":46740,"journal":{"name":"Health Care Analysis","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144162830","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

Shared Decision-Making with the "Professionally-Driven Zone of Patient or Surrogate Discretion" Model and its Application in Acute Care. “专业驱动区患者或代理裁量权”模型的共同决策及其在急症护理中的应用。

IF 1.8 3区哲学

Health Care Analysis Pub Date : 2025-05-20 DOI: 10.1007/s10728-025-00524-3

Joshua T Landry

{"title":"Shared Decision-Making with the \"Professionally-Driven Zone of Patient or Surrogate Discretion\" Model and its Application in Acute Care.","authors":"Joshua T Landry","doi":"10.1007/s10728-025-00524-3","DOIUrl":"https://doi.org/10.1007/s10728-025-00524-3","url":null,"abstract":"Shared decision-making (\"SDM\") has increased in acceptance and become a gold standard in medical decision-making over the last two decades. Despite this, there continues to be disagreement about several facets of SDM that many existing models or versions do not sufficiently address, including: that there is a lack of agreement about which version or model of SDM to utilize in practice; that there are practical limitations on when SDM ought to be utilized; that SDM may be required to use different \"harm thresholds\" when making decisions for patients who have lost decision-making capacity or competence, or for those who have never had such capacity in the first place; and that many existing models of SDM succumb to what is known as the \"framing problem,\" among other concerns. Elsewhere, this author presented a model of SDM titled, the Professionally-Driven Zone of Patient or Surrogate Discretion (or, Professionally-Driven ZPSD) as a more comprehensive and defensible way forward. This article sets out to expand on the expected benefits of the model, and apply it to several case studies in the acute-care setting in order to demonstrate its functionality as a model of SDM.","PeriodicalId":46740,"journal":{"name":"Health Care Analysis","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112231","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

Data Privacy in Medical Informatics and Electronic Health Records: A Bibliometric Analysis. 医学信息学和电子健康记录中的数据隐私：文献计量学分析。

IF 1.8 3区哲学

Health Care Analysis Pub Date : 2025-05-14 DOI: 10.1007/s10728-025-00519-0

Kemal Hakan Gulkesen, Esra Tokur Sonuvar

{"title":"Data Privacy in Medical Informatics and Electronic Health Records: A Bibliometric Analysis.","authors":"Kemal Hakan Gulkesen, Esra Tokur Sonuvar","doi":"10.1007/s10728-025-00519-0","DOIUrl":"https://doi.org/10.1007/s10728-025-00519-0","url":null,"abstract":"This study aims to evaluate scientific publications on \"Medical Informatics\" and \"Data Privacy\" using a bibliometric approach to identify research trends, the most studied topics, and the countries and institutions with the highest publication output. The search was carried out utilizing the WoS Clarivate Analytics tool across SCIE journals. Subsequently, text mining, keyword clustering, and data visualization were applied through the use of VOSviewer and Tableau Desktop software. Between 1975 and 2023, a total of 7,165 articles were published on the topic of data privacy. The number of articles has been increasing each year. The text mining and clustering analysis identified eight main clusters in the literature: (1) Mobile Health/Telemedicine/IOT, (2) Security/Encryption/Authentication, (3) Big Data/AI/Data Science, (4) Anonymization/Digital Phenotyping, (5) Genomics/Biobank, (6) Ethics, (7) Legal Issues, (8) Cloud Computing. On a country basis, the United States was identified as the most active country in this field, producing the most publications and receiving the highest number of citations. China, the United Kingdom, Canada, and Australia also emerged as significant countries. Among these clusters, \"Mobile Health/Telemedicine/IOT,\" \"Security/Encryption/Authentication,\" and \"Cloud Computing\" technologies stood out as the most prominent and extensively studied topics in the intersection of medical informatics and data privacy.","PeriodicalId":46740,"journal":{"name":"Health Care Analysis","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144021518","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

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 1.8 3区哲学

Health Care Analysis Pub 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":"https://doi.org/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":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-05","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

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

IF 1.8 3区哲学

Health Care Analysis Pub 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":"https://doi.org/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":""},"PeriodicalIF":1.8,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","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":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Correction: A Study on Consumer-Centric Health Information Provision Strategy Using SWOT-AHP-Focusing on the National Health Information Portal. 更正：基于swot - ahp的以消费者为中心的卫生信息提供策略研究——以国家卫生信息门户网站为例。

IF 1.8 3区哲学

Health Care Analysis Pub Date : 2025-04-11 DOI: 10.1007/s10728-025-00515-4

Jaeeun Baek

引用次数: 0