Health Care Analysis最新文献_第7页

Access to Cancer Medicines in Türkiye Through Legal Avenues: An Analysis from the Perspective of Medical Ethics. 通过法律途径获取癌症药物：医学伦理学视角的分析。

IF 1.4 3区哲学

Health Care Analysis Pub Date : 2026-06-18 DOI: 10.1007/s10728-026-00580-3

Canan Ersoy, Müge Demir

引用次数: 0

Epistemic Adequacy: A Ground for Human Rights in Psychiatry : Towards a Functional Framework for Clinical and Legal Alignment. 认识充分性：精神病学人权的基础：迈向临床和法律对齐的功能框架。

IF 1.6 3区哲学

Health Care Analysis Pub Date : 2026-06-15 DOI: 10.1007/s10728-026-00578-x

Vladimir Zaichenko

引用次数: 0

Evidence-Based Planning of High-Complexity Healthcare Networks at National Level: Integrating Mortality Records, Accessibility Metrics, and Facility Location Optimization Models. 基于证据的国家层面高复杂性医疗网络规划：整合死亡率记录、可达性指标和设施位置优化模型。

IF 1.6 3区哲学

Health Care Analysis Pub Date : 2026-06-15 DOI: 10.1007/s10728-026-00572-3

Nicolas Rincon-Garcia, Santiago Aguirre, Rafael Guillermo García-Cáceres

{"title":"Evidence-Based Planning of High-Complexity Healthcare Networks at National Level: Integrating Mortality Records, Accessibility Metrics, and Facility Location Optimization Models.","authors":"Nicolas Rincon-Garcia, Santiago Aguirre, Rafael Guillermo García-Cáceres","doi":"10.1007/s10728-026-00572-3","DOIUrl":"https://doi.org/10.1007/s10728-026-00572-3","url":null,"abstract":"This study presents a four-step methodology to analyze and improve the provision of high-complexity healthcare services (HCHS) at national level: (i) data analysis and identification of municipalities with a concentration of HCHS provision, referred to as supplier municipalities; (ii) measurement of accessibility to supplier municipalities; (iii) identification of new facility locations through optimization techniques; and (iv) determination of the level of service provision required at the new locations. The proposed methodology is applied to the case of Colombia, where 65.25% of deaths occur in medical facilities. An analysis of the national database shows that in supplier municipalities, 92.8% of residents die in the same municipality, whereas in other municipalities this proportion decreases to 55.2%, indicating travel patterns among critically ill patients to supplier municipalities. Optimization methods are then used to identify locations for new HCHS facilities; the addition of 10 new locations improves coverage for 3,842,920 inhabitants within a 120 km range of HCHS.","PeriodicalId":46740,"journal":{"name":"Health Care Analysis","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148253825","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: Metaphors of Health System Resilience as Tools for Preparedness Imagination. 更正：卫生系统弹性作为防范工具的隐喻想象。

IF 1.6 3区哲学

Health Care Analysis Pub Date : 2026-06-13 DOI: 10.1007/s10728-026-00579-w

Kristiina Janhonen, Aino Rantamäki

引用次数: 0

Clashing Perspectives? Two Approaches to the Desirability of Biological Aging. 冲突的角度?两种途径的可取性的生物老化。

IF 1.6 3区哲学

Health Care Analysis Pub Date : 2026-06-09 DOI: 10.1007/s10728-026-00576-z

Joan Llorca Albareda, Pablo García-Barranquero

引用次数: 0

Rethinking Health System Readiness for Frailty Management: Frontline Perspectives from Indonesia and Malaysia. 重新思考脆弱管理的卫生系统准备：来自印度尼西亚和马来西亚的前沿观点。

IF 1.6 3区哲学

Health Care Analysis Pub Date : 2026-06-09 DOI: 10.1007/s10728-026-00575-0

Rista Fauziningtyas, Retno Indarwati, Nuzul Qur'aniati, Latifah Jehloh, Trihaningsih Puji Astuti, Rani Dwi Sulistiawati, Atsir Alma Dinisa, Roshaslina Rosli, Khailesh Bushan Balakrishnan, Maw Pin Tan

{"title":"Rethinking Health System Readiness for Frailty Management: Frontline Perspectives from Indonesia and Malaysia.","authors":"Rista Fauziningtyas, Retno Indarwati, Nuzul Qur'aniati, Latifah Jehloh, Trihaningsih Puji Astuti, Rani Dwi Sulistiawati, Atsir Alma Dinisa, Roshaslina Rosli, Khailesh Bushan Balakrishnan, Maw Pin Tan","doi":"10.1007/s10728-026-00575-0","DOIUrl":"https://doi.org/10.1007/s10728-026-00575-0","url":null,"abstract":"Frailty is a major concern for healthy ageing, reflecting declining functional capacity and increased vulnerability. Beyond clinical implications, frailty raises questions about how health systems recognise vulnerability, allocate responsibilities, and ensure equitable care. These challenges align with the Sustainable Development Goals (SDGs). Health system readiness refers to the capacity of health systems to adapt policies, infrastructure, and operational processes to integrate frailty care into routine service delivery. In low- and middle-income contexts, frailty remains insufficiently embedded within health system frameworks, limiting coordinated responses. This study examines how readiness for frailty care is understood and enacted by frontline healthcare professionals. Using a qualitative design, five focus group discussions were conducted (March-July 2024) across healthcare settings in Indonesia and Malaysia. Nineteen participants, representing nursing, medicine, physiotherapy, and pharmacy, were purposively recruited. Data were audio-recorded, transcribed verbatim, and analysed using inductive thematic analysis supported by NVivo. Analytical rigour was enhanced through investigator triangulation, team-based coding, and member checking. Four interrelated themes reveal systemic gaps. Frailty remains largely invisible in policy and clinical frameworks; professional roles are fragmented and weakly coordinated; care responsibilities are displaced to families and communities; and structural resource constraints limit implementation. These findings indicate uneven readiness. Strengthening readiness requires alignment across governance, service delivery, and workforce capacity to address inequities in the distribution of care responsibilities. Frailty thus emerges as a critical lens for evaluating health system governance in ageing societies.","PeriodicalId":46740,"journal":{"name":"Health Care Analysis","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148206568","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

Care in Dispute: Medical Work Between Moral and Market Logics. 争议中的关怀：道德与市场逻辑之间的医疗工作。

IF 1.6 3区哲学

Health Care Analysis Pub Date : 2026-06-05 DOI: 10.1007/s10728-026-00574-1

Raquel Yamada, Guilherme Wendt, Miguel Perondi

{"title":"Care in Dispute: Medical Work Between Moral and Market Logics.","authors":"Raquel Yamada, Guilherme Wendt, Miguel Perondi","doi":"10.1007/s10728-026-00574-1","DOIUrl":"https://doi.org/10.1007/s10728-026-00574-1","url":null,"abstract":"This article examines how the platformization of medical work has been reconfiguring the ethical, relational, and subjective dimensions of healthcare in the Brazilian context. Drawing on contributions from economic sociology, it argues that the growing mediation of medical practice by digital platforms, managerial protocols, and market-oriented rationalities exceeds strictly technological or organizational changes, constituting a sociotechnical reorganization of care. Based on the concepts of disembedding, contested markets, and emotional labor, the article examines how the fragmentation of labor ties, the intensification of emotional demands, and contractual instability affect professional autonomy, therapeutic continuity, and the construction of trust between physicians and patients. In Brazil, these transformations become particularly relevant given the accelerated expansion of the medical workforce, regional inequalities, and the increasing incorporation of managerial mechanisms and digitally mediated infrastructures in both the private sector and the Unified Health System (SUS). It is argued that the contemporary precarization of medical work affects not only labor conditions but also weakens the ethical and relational foundations that guide healthcare. Finally, the article argues for strengthening stable institutional ties, conditions for attentive listening, and forms of work organization capable of preserving the relational, collective, and ethical character of medical practice.","PeriodicalId":46740,"journal":{"name":"Health Care Analysis","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148164652","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

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. 从学校免疫到家庭保健中心：2020年政策变化对土耳其13岁儿童破伤风-白喉疫苗覆盖率的影响

IF 1.4 3区哲学

Health Care Analysis Pub Date : 2026-06-01 Epub Date: 2026-01-23 DOI: 10.1007/s10728-025-00557-8

Ufuk Acar, Burcu Beyazgül, Feyyaz Barlas, Harun Mesut Atmacaoğlu, İbrahim Koruk

{"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":"10.1007/s10728-025-00557-8","url":null,"abstract":"This study evaluated the impact of transferring the thirteen‑year tetanus-diphtheria booster from schools to Family Health Centers on vaccination coverage after 1 July 2020. In a two‑component descriptive cross‑sectional design conducted in the central districts of Şanlıurfa Province, annual non‑vaccination from 2018 to 2022 was tracked using administrative records; in addition, reasons for non‑vaccination were classified through face‑to‑face interviews with family physicians and on‑screen verification in nineteen Family Medicine Units selected by two‑stage stratified sampling. The primary outcome was non‑vaccination for the tetanus-diphtheria dose at age thirteen. In the research group, non‑vaccination was 23.5% in 2018, 27.2% in 2019, 22.2% in 2020 (annual total), 13.2% in 2021 and 12.3% in 2022; within 2020, rates were 32.4% before July and 11.9% after July. The absolute pre‑ versus post‑policy difference was 14.4% points and the relative risk was 0.47; the three districts likewise showed consistent declines in 2021-2022 compared with 2018-2019. Leading reasons for non‑vaccination were failure to attend after expressing intent (49.1%), outright refusal (20.9%), migration‑related mobility (13.5%), and doses administered elsewhere that were not visible in the records (8.6%). Relocating delivery to Family Health Centers strengthened access and follow‑up and was associated with improved coverage; yet intention-behaviour gaps, mobility and data fragmentation still limit attainment of the national threshold. A hybrid model combining school‑based visits with targeted completion at Family Health Centers may provide a pragmatic, low‑cost route to reach remaining groups.","PeriodicalId":46740,"journal":{"name":"Health Care Analysis","volume":" ","pages":"149-161"},"PeriodicalIF":1.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13212385/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Barriers to Long COVID Care in the U.S.: An Application of Levesque et al.'s Access Framework. 美国COVID - 19长期护理的障碍：Levesque等人的准入框架的应用

IF 1.4 3区哲学

Health Care Analysis Pub Date : 2026-06-01 Epub Date: 2026-01-22 DOI: 10.1007/s10728-026-00559-0

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":"10.1007/s10728-026-00559-0","url":null,"abstract":"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.","PeriodicalId":46740,"journal":{"name":"Health Care Analysis","volume":" ","pages":"162-186"},"PeriodicalIF":1.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13212712/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Compassionate Understanding in Dementia Care. 痴呆症护理中的同情理解。

IF 1.4 3区哲学

Health Care Analysis Pub Date : 2026-06-01 Epub Date: 2026-04-07 DOI: 10.1007/s10728-026-00563-4

Steve Matthews

引用次数: 0