Health Care Analysis最新文献_第4页

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 1.8 3区哲学

Health Care Analysis Pub 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":"https://doi.org/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":""},"PeriodicalIF":1.8,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","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":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Deconstructing the Self-Other Binary in Care Networks by Unravelling Professional' Perspectives through an Intersectional Lens. 通过交叉镜头揭示专业人士的观点，解构护理网络中的自我-他者二元。

IF 1.8 3区哲学

Health Care Analysis Pub Date : 2025-01-03 DOI: 10.1007/s10728-024-00504-z

Aldiene Henrieke Hengelaar, Margo van Hartingsveldt, Tineke Abma, Petra Verdonk

{"title":"Deconstructing the Self-Other Binary in Care Networks by Unravelling Professional' Perspectives through an Intersectional Lens.","authors":"Aldiene Henrieke Hengelaar, Margo van Hartingsveldt, Tineke Abma, Petra Verdonk","doi":"10.1007/s10728-024-00504-z","DOIUrl":"https://doi.org/10.1007/s10728-024-00504-z","url":null,"abstract":"In many western countries informal care is conceived as the answer to the increasing care demand. Little is known how formal and informal caregivers collaborate in the context of an diverse ageing population. The aim of this study was to gain insight in how professionals' perspectives regarding the collaboration with informal carers with a migration background are framed and shaped by intersecting aspects of diversity. We used an intersectionality informed qualitative design with informal conversations (N = 12) and semi-structured interviews (N = 17) with healthcare professionals working with clients with Acquired Brain Injury. Two critical friends were involved in the analysis which was substantiated by a participatory analysis with a community of practice. We identified four interrelated themes: (a) 'The difficult Other' in which professionals reflected on carers with a migration background causing 'difficulties'; (b) 'The dependent Other' refers to professionals' realization that 'difficulties' are intensified by the context in which care takes place; (c) in 'The uncomfortable self' professionals describe how feelings of insecurities evoked by the Other are associated with an inability to act 'professionally', and; (d) 'The reflexive self' shows how some professionals reflect on their own identities and identify their blind spots in collaboration within a care network. These themes demonstrate the tensions, biases and power imbalances between carers and professionals, which may explain some of the existing health disparities perpetuated through care networks.","PeriodicalId":46740,"journal":{"name":"Health Care Analysis","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142923470","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 the COVID-19 Pandemic on Subjective Well-Being and Quality of Life: A Comprehensive Bibliometric and Thematic Analysis. COVID-19大流行对主观幸福感和生活质量的影响：一项综合文献计量学和专题分析。

IF 1.8 3区哲学

Health Care Analysis Pub Date : 2024-12-31 DOI: 10.1007/s10728-024-00507-w

Alper Aytekin, Rukiye Ayaz, Ahmet Ayaz

引用次数: 0

Beyond Individual Responsibilisation: How Social Relations are Mobilised in Communication About a Dementia Self-Testing App. 超越个人责任：关于痴呆症自测应用程序的沟通如何调动社会关系。

IF 1.8 3区哲学

Health Care Analysis Pub Date : 2024-12-27 DOI: 10.1007/s10728-024-00498-8

Alexandra Kapeller

{"title":"Beyond Individual Responsibilisation: How Social Relations are Mobilised in Communication About a Dementia Self-Testing App.","authors":"Alexandra Kapeller","doi":"10.1007/s10728-024-00498-8","DOIUrl":"https://doi.org/10.1007/s10728-024-00498-8","url":null,"abstract":"Research on mobile health (mHealth) applications has investigated how such technologies contribute to a responsibilisation of users/patients. This literature largely focuses on the individual responsibilities constructed by the apps and the neoliberal environments that enable the positioning of the user as responsible. With this focus, this scholarship is less attentive to the role of social relations in responsibilisation. In this article, I demonstrate how relational responsibilities are constructed in the communication of a North American self-testing app for \"early changes in cognition\". Through an analysis of qualitative expert interviews and images on the app's web presence, I show how social relations are, in fact, mobilised in the construction of the responsibilities to support the user in the test situation, to take the test for the sake of others, and to make others take the test. Based on this analysis, I argue that the role of social relations should receive more attention in the literature on responsibilisation, because they lead to additional, sometimes gendered responsibilities that a focus on individual responsibilities would miss.","PeriodicalId":46740,"journal":{"name":"Health Care Analysis","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899236","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 Sociopolitical Foundations of Health Sector Solidarity: A Cross-Sectional Study of Public Attitudes Toward the Health System in Taiwan. 卫生部门团结的社会政治基础：台湾公众对卫生系统态度的横断面研究》。

IF 1.8 3区哲学

Health Care Analysis Pub Date : 2024-12-15 DOI: 10.1007/s10728-024-00503-0

Ming-Jui Yeh, Richard B Saltman

{"title":"The Sociopolitical Foundations of Health Sector Solidarity: A Cross-Sectional Study of Public Attitudes Toward the Health System in Taiwan.","authors":"Ming-Jui Yeh, Richard B Saltman","doi":"10.1007/s10728-024-00503-0","DOIUrl":"https://doi.org/10.1007/s10728-024-00503-0","url":null,"abstract":"Publicly-funded health systems have traditionally been presumed to be underpinned by solidarity among the users. To which extent such solidarity presents and associates with what factors is understudied in the non-western countries. This article explores the distribution of health sector solidarity and its relationships with sociopolitical factors in Taiwan. Data was collected in 2021 through a national representative, cross-sectional survey with a sample size of 1272 included in the final analysis. The survey shows that solidarity regarding the National Health Insurance in Taiwan was prevalent in 2021, with 76.6% of Taiwanese willing to carry the cost to enhance the quality of care through the system, while ten years ago, in 2011, that figure was only 49.1%. Nationalist sentiments, belief in differentiated social responsibility, and political partisanship are found to be the main factors associated with this supportive attitude, while familial values are not. The supportive attitude toward the health system remains strong and has increased during the past ten years, implying that the clinical and social effectiveness of the system itself may help further forge health sector solidarity in Taiwan.","PeriodicalId":46740,"journal":{"name":"Health Care Analysis","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142829588","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

Childbirth as Fault Lines: Justifications in Physician-Patient Interactions About Postnatal Rehabilitation. 分娩是断层线：关于产后康复的医患互动中的理由。

IF 1.8 3区哲学

Health Care Analysis Pub Date : 2024-12-01 Epub Date: 2024-06-27 DOI: 10.1007/s10728-024-00486-y

Xin Li, Yinong Tian, Yanping Meng, Lanzhong Wang, Yonggang Su

{"title":"Childbirth as Fault Lines: Justifications in Physician-Patient Interactions About Postnatal Rehabilitation.","authors":"Xin Li, Yinong Tian, Yanping Meng, Lanzhong Wang, Yonggang Su","doi":"10.1007/s10728-024-00486-y","DOIUrl":"10.1007/s10728-024-00486-y","url":null,"abstract":"Research on justifications has shown their significance in advice-giving, decision-making and children disputes. However, the majority of studies gloss over practical functions of justifications in patient-physician interactions as they are often expected and pursued by patients and in turn, are adopted by physicians to support their stance and authority. This study, through conversation analysis (CA), aims to explore a) what are pragmatic functions of justifications in patient-physician interaction? b) how and when do physicians unfold their justifications for treatment recommendations? c) how do physicians deal with different responses based on their epistemic and deontic domains?. A total of 32 video-recordings between postpartum women and physicians are collected and studied. Four pragmatic functions of justifications drawn upon by physicians are explored: justifications as face-saving, reassurance, risk discussion and clarification-seeking. Despite physicians' attempts to justify their positions as less challenged by patients, this is not the entire picture as they demonstrate their desire to resolve patients' concerns and coordinate their viewpoints to achieve the best practice that facilitates patients' well-being.","PeriodicalId":46740,"journal":{"name":"Health Care Analysis","volume":" ","pages":"312-337"},"PeriodicalIF":1.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141471509","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

Sustainability as an Intrinsic Moral Concern for Solidaristic Health Care. 可持续性是团结医疗的内在道德关怀。

IF 1.8 3区哲学

Health Care Analysis Pub Date : 2024-12-01 Epub Date: 2023-09-04 DOI: 10.1007/s10728-023-00469-5

Marcel Verweij, Hans Ossebaard

{"title":"Sustainability as an Intrinsic Moral Concern for Solidaristic Health Care.","authors":"Marcel Verweij, Hans Ossebaard","doi":"10.1007/s10728-023-00469-5","DOIUrl":"10.1007/s10728-023-00469-5","url":null,"abstract":"Environmental pollution and greenhouse gas emissions that contribute to climate change have adverse impacts on global health. Somewhat paradoxically, health care systems that aim to prevent and cure disease are themselves major emitters and polluters. In this paper we develop a justification for the claim that solidaristic health care systems should include sustainability as one of the criteria for determining which health interventions are made available or reimbursed - and which not. There is however a complication: most adverse health effects due to climate change do occur elsewhere in the world. If solidarity would commit us to take care of everyone's health, worldwide, it might imply that solidaristic health system cannot justifiably restrict universal access to their own national populations. In response we explain health solidarity is to be considered as a moral ideal. Such an ideal does not specify what societies owe to whom, but it does have moral implications. We argue that ignoring sustainability in political decision making about what health care is to be offered, would amount to betrayal of the ideal of solidarity.","PeriodicalId":46740,"journal":{"name":"Health Care Analysis","volume":" ","pages":"261-271"},"PeriodicalIF":1.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11532315/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10137919","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

Ethical, Psychological and Social Un/certainties in the Face of Deemed Consent for Organ Donation in England. 在英格兰，面对器官捐献的 "视为同意"，伦理、心理和社会方面的不确定性。

IF 1.8 3区哲学

Health Care Analysis Pub Date : 2024-12-01 Epub Date: 2024-09-24 DOI: 10.1007/s10728-024-00492-0

Laura L Machin, Elizabeth Wrench, Jessie Cooper, Heather Dixon, Mark Wilkinson

{"title":"Ethical, Psychological and Social Un/certainties in the Face of Deemed Consent for Organ Donation in England.","authors":"Laura L Machin, Elizabeth Wrench, Jessie Cooper, Heather Dixon, Mark Wilkinson","doi":"10.1007/s10728-024-00492-0","DOIUrl":"10.1007/s10728-024-00492-0","url":null,"abstract":"Deemed consent legislation for deceased organ donation was introduced in England in 2020, and is considered a vital part of the new UK NHS Blood and Transplant's 10-year strategy to increase consent for organ donation. Despite the legislation containing safeguards to protect the public, the introduction of deemed consent creates ethical, psychological and social un/certainties for healthcare professionals in their practice. In this paper, we offer insights into healthcare professionals' perspectives on deemed consent, drawn from interview data with 24 healthcare professionals in an NHS Trust in England, prior to the introduction of the legislation. Whilst participants supported deemed consent in principle, they were concerned that it would present a threat to the nature of donation as a 'gift'; the notion of informed consent (or non-consent); and the autonomy of donors, their relatives, and their own roles as health professionals, posing dilemmas for practice. We argue that healthcare professionals present themselves as guardians of potential (non)donors and thus as having ethics and integrity in their own practice. We draw conclusions around the values and principles that matter to healthcare professionals when contemplating consent in deceased donation which will be useful for organ donation committees and ethics forums.","PeriodicalId":46740,"journal":{"name":"Health Care Analysis","volume":" ","pages":"272-289"},"PeriodicalIF":1.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11532317/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142308756","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

"I Do Not Believe We Should Disclose Everything to an Older Patient": Challenges and Ethical Concerns in Clinical Decision-Making in Old-Age Care in Ethiopia. "我不认为我们应该向老年患者披露一切"：埃塞俄比亚老年护理临床决策中的挑战和伦理问题。

IF 1.8 3区哲学

Health Care Analysis Pub Date : 2024-12-01 Epub Date: 2024-10-01 DOI: 10.1007/s10728-024-00494-y

Kirubel Manyazewal Mussie, Mirgissa Kaba, Jenny Setchell, Bernice Simone Elger

{"title":"\"I Do Not Believe We Should Disclose Everything to an Older Patient\": Challenges and Ethical Concerns in Clinical Decision-Making in Old-Age Care in Ethiopia.","authors":"Kirubel Manyazewal Mussie, Mirgissa Kaba, Jenny Setchell, Bernice Simone Elger","doi":"10.1007/s10728-024-00494-y","DOIUrl":"10.1007/s10728-024-00494-y","url":null,"abstract":"Clinical decision-making in old-age care is a complex and ethically sensitive process. Despite its importance, research addressing the challenges of clinical decision-making in old-age care within this cultural context is limited. This study aimed to explore the challenges and ethical concerns in clinical decision-making in old-age care in Ethiopia. This qualitative study employed an inductive approach with data collected via semi-structured interviews with 20 older patients and 26 health professionals recruited from healthcare facilities in Ethiopia. Data were analysed using reflexive thematic analysis. Our analysis identified three key themes. First, participants highlighted perceptions that older patients' religious beliefs interfere with the clinical decisions both older patients and health professionals make. Second, older patients often receive limited information from health professionals about their diagnosis and treatment. Third, families of older patients appear to strongly influence clinical decisions made by older patients or health professionals. This research enhances the understanding of clinical decision-making in old-age care within Ethiopia, a context where such research is scarce. As a result, this study contributes towards advancing the deliberation of ethical dilemmas that health professionals who work with older patients in Ethiopia might face. A key implication of the study is that there is a need for more ethics and cultural competence training for health professionals working with older patients in Ethiopia.","PeriodicalId":46740,"journal":{"name":"Health Care Analysis","volume":" ","pages":"290-311"},"PeriodicalIF":1.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11532312/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142362226","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

Recontextualization and Imagination: The Public Health Professional and the U.S. Health Care System. 重新语境化与想象力：公共卫生专业人员与美国医疗保健系统》。

IF 1.8 3区哲学

Health Care Analysis Pub Date : 2024-12-01 Epub Date: 2024-05-20 DOI: 10.1007/s10728-024-00482-2

William Minter

引用次数: 0