Health Care AnalysisPub Date : 2026-03-01Epub Date: 2025-11-14DOI: 10.1007/s10728-025-00547-w
Begoña Errasti-Ibarrondo, Gillian Lemermeyer, Michael van Manen
{"title":"Meaning, Fulfillment, and the Work of Healthcare.","authors":"Begoña Errasti-Ibarrondo, Gillian Lemermeyer, Michael van Manen","doi":"10.1007/s10728-025-00547-w","DOIUrl":"10.1007/s10728-025-00547-w","url":null,"abstract":"<p><p>Experiencing meaning and fulfillment in healthcare work is recognized as important for those in nursing, medicine, respiratory therapy, social work, and other health disciplines. Critically, moral distress, compassion fatigue, staff burnout, and individual health have all been linked as related phenomena when such experiences are compromised. And yet, we may question whether we truly understand the meaning of meaningfulness and fulfillment. What calls health providers to come to work, again and again, despite the complex and difficult situations that they have to deal with? What are sources of meaning and fulfillment? How do we understand these phenomena? The context of newborn intensive care deserves special consideration as healthcare providers manage clinical acuity, respond to infant illness, support stressed families, navigate ethical decision-making, and work through complex team dynamics. In this paper, we explore and reflect on anecdotes of meaning and fulfillment as described by healthcare providers to explicate these phenomena.</p>","PeriodicalId":46740,"journal":{"name":"Health Care Analysis","volume":" ","pages":"43-56"},"PeriodicalIF":1.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145514125","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}
{"title":"A Two-Level, Multidimensional Framework for Understanding and Treating Clinician Fatigue.","authors":"Stephen Buetow","doi":"10.1007/s10728-026-00560-7","DOIUrl":"https://doi.org/10.1007/s10728-026-00560-7","url":null,"abstract":"","PeriodicalId":46740,"journal":{"name":"Health Care Analysis","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147285456","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}
{"title":"Severity as a Criterion for Prioritizing Diagnostic Measures.","authors":"Erik Gustavsson, Niklas Juth","doi":"10.1007/s10728-026-00561-6","DOIUrl":"https://doi.org/10.1007/s10728-026-00561-6","url":null,"abstract":"","PeriodicalId":46740,"journal":{"name":"Health Care Analysis","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147285512","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}
{"title":"Responsive Equanimity to Uncertainty: Towards the Construction of a Concept for Handling Medical Uncertainty in Clinical Practice.","authors":"Bjørn Hofmann","doi":"10.1007/s10728-026-00562-5","DOIUrl":"https://doi.org/10.1007/s10728-026-00562-5","url":null,"abstract":"<p><p>The objective of this study is to elaborate an overall concept of addressing uncertainty in clinical practice that covers a series of specific characteristics. To do so, a conceptual engineering approach has been applied, starting with describing the concepts that exist and are in use. Based on this description the functional quality of these concepts (representational devices) is evaluated and a series of criteria for an improved concept is developed. Four alternatives, each with special merits, are presented, suitable for different context, i.e., bearing the burdens of uncertainty, mindful adaptability, compassionate resilience, and responsive equanimity. Among these, responsive equanimity emerges as the most robust generic concept, meeting the majority of criteria at a general level. These results are open for debate and revision before implementation and evaluation.</p>","PeriodicalId":46740,"journal":{"name":"Health Care Analysis","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147272452","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}
Noam Weiner, Nitzan Goldberg, Eyal Meir, Ossama Abu-Hatoum, Uri Kaplan
{"title":"Complicated Appendicitis in a Universal Healthcare System: Do Ethnic Disparities Persist?","authors":"Noam Weiner, Nitzan Goldberg, Eyal Meir, Ossama Abu-Hatoum, Uri Kaplan","doi":"10.1007/s10728-025-00558-7","DOIUrl":"https://doi.org/10.1007/s10728-025-00558-7","url":null,"abstract":"","PeriodicalId":46740,"journal":{"name":"Health Care Analysis","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146087584","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}
{"title":"From School-Based Immunization to Family Health Centers: the Impact of a 2020 Policy Change on 13-Year-Old Tetanus-Diphtheria Vaccine Coverage in Turkey.","authors":"Ufuk Acar, Burcu Beyazgül, Feyyaz Barlas, Harun Mesut Atmacaoğlu, İbrahim Koruk","doi":"10.1007/s10728-025-00557-8","DOIUrl":"https://doi.org/10.1007/s10728-025-00557-8","url":null,"abstract":"","PeriodicalId":46740,"journal":{"name":"Health Care Analysis","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146031155","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}
Katherine F Raymond, Twanna Hodge, Beth St Jean, Brooke Fisher Liu
{"title":"Barriers to Long COVID Care in the U.S.: An Application of Levesque et al.'s Access Framework.","authors":"Katherine F Raymond, Twanna Hodge, Beth St Jean, Brooke Fisher Liu","doi":"10.1007/s10728-026-00559-0","DOIUrl":"https://doi.org/10.1007/s10728-026-00559-0","url":null,"abstract":"<p><p>Long COVID is a condition that arose during the COVID-19 pandemic in individuals who developed the multi-system chronic condition after a COVID-19 infection. During the pandemic in the United States (U.S.), these \"COVID long-haulers\" navigated a complex and overburdened health care system in pursuit of diagnoses and treatments. This qualitative secondary analysis used the 2013 Levesque et al. Conceptual Model of Healthcare Access to examine multidimensional health care access issues faced by 29 COVID long-haulers in the U.S. Our analysis showed that long-haulers faced complementary issues from both individual and health systems perspectives related to the inability to get diagnoses or treatments, long waiting times for providers and difficulty reaching services, underinformed providers and biased interpersonal experiences, and struggles with the financial costs of treating the condition, which impacted care decisions. Interviewees also described relying on alternative medicine to provide symptom relief. Overall, this study extends international research by offering a comprehensive examination of Long COVID health care access issues in the U.S. and identifying specific insights related to health care access that made obtaining Long COVID care difficult, such as the mismatch between individual expectations of what health care should look like and how it actually operates. Our use of the full Conceptual Model of Healthcare Access provides new insights into the overlap across layers of access issues and offers suggestions for how public health and clinical health practitioners can collaborate to meet the needs of vulnerable populations such as these in future health emergencies.</p>","PeriodicalId":46740,"journal":{"name":"Health Care Analysis","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146019949","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}
{"title":"Therapeutic Misconception as a Problem of Nonmaleficence by Way of False Hope.","authors":"Christopher Bobier","doi":"10.1007/s10728-025-00555-w","DOIUrl":"https://doi.org/10.1007/s10728-025-00555-w","url":null,"abstract":"<p><p>According to a standard view, therapeutic misconception is a problem for informed consent and thereby respect for participant autonomy. This view is plausible given that therapeutic misconception refers to the mistaken beliefs of research participants regarding the nature and purpose of and their role in research. I do not disagree that therapeutic misconception can be a problem for informed consent and respect for autonomy; I disagree that it is only a problem for informed consent and respect for autonomy. The aim of this paper is to show that therapeutic misconception also harms participants, and as such, it is a matter of non-maleficence. I do this by showing that therapeutic misconception (often) fosters and sustains false hope, and since false hope harms people, therapeutic misconception is also a concern of non-maleficence.</p>","PeriodicalId":46740,"journal":{"name":"Health Care Analysis","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145935234","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}
{"title":"Medicine as a Human Science: Not Everything that Counts can be Codified.","authors":"Gianmarco Sirago, Biagio Solarino, Alessandro Dell'Erba, Davide Ferorelli","doi":"10.1007/s10728-025-00556-9","DOIUrl":"https://doi.org/10.1007/s10728-025-00556-9","url":null,"abstract":"","PeriodicalId":46740,"journal":{"name":"Health Care Analysis","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145935252","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}
Sonu Goel, Chirag Goel, Diksha Walia, Leimapokpam Swasticharan, Prakash Chandra Gupta, Sitanshu Sekhar Kar
{"title":"Strengthening Tobacco Product Regulation: Addressing Challenges and Strategies for Articles 9 and 10 Implementation.","authors":"Sonu Goel, Chirag Goel, Diksha Walia, Leimapokpam Swasticharan, Prakash Chandra Gupta, Sitanshu Sekhar Kar","doi":"10.1007/s10728-025-00553-y","DOIUrl":"https://doi.org/10.1007/s10728-025-00553-y","url":null,"abstract":"<p><p>Tobacco use remains a critical global public health challenge, representing the leading preventable cause of morbidity and mortality worldwide. The World Health Organisation's Framework Convention on Tobacco Control, ratified by 183 parties, includes Articles 9 and 10, which regulate the contents and emissions of tobacco products. Like many other WHO-FCTC articles, the implementation of these provisions faces significant challenges. These hurdles include tobacco industry interference, the proliferation of novel tobacco and nicotine products, the complexity of regulating product attractiveness, addictiveness, and toxicity, inadequate testing infrastructure, legal and political barriers, and coordination challenges among the regulatory authorities of different countries. Overcoming these impediments is crucial, as robust enforcement of Articles 9 and 10 holds the potential to reduce the substantial global burden of over 7 million annual deaths attributable to tobacco use. Effective implementation will require integrating these articles into domestic tobacco control legislation, establishing well-equipped testing facilities, fostering multi-sectoral coordination, and bolstering international research collaborations and capacity-building efforts. By surmounting these challenges, countries can harness the full power of the WHO-FCTC to curb the tobacco epidemic.</p>","PeriodicalId":46740,"journal":{"name":"Health Care Analysis","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145776160","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}