International Journal of Health Planning and Management最新文献

{"title":"The Prevalence of Induced Abortion and Its Causes in Iran: A Systematic Review and Meta-Analysis Study","authors":"Maedeh Sharafoddin,&nbsp;Azam Bazrafshan,&nbsp;Maryam Azimzadeh,&nbsp;Neda Malek Mohammadi,&nbsp;Maryam Chegeni,&nbsp;Leili Abedi Gheshlaghi,&nbsp;Ali Reza Moghadami,&nbsp;Shirin Nasri,&nbsp;Nahid Bagheri,&nbsp;Mahdiyeh Hassanzadeh,&nbsp;Mahdiyeh Afrashteh","doi":"10.1002/hpm.70047","DOIUrl":"10.1002/hpm.70047","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Abortion is one of the major public health problems among women during pregnancy and is regarded as the third cause of death in many societies such as Iran. To this end, this systematic review aimed to estimate the prevalence of induced abortion and its causes in Iran.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>PubMed, Scopus, Web of Science, and national Persian databases such as SID, Magiran, and Elmnet were searched from inception to March 11, 2023. In addition, the relevant conference abstracts in Elmnet, Scopus, and Embase were searched. The pooled prevalence of abortions (induced, spontaneous, and therapeutic) and related factors were calculated at a 95% confidence interval.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of 310 papers retrieved from seven electronic databases, 34 were included in the quantitative synthesis (meta-analysis). The pooled prevalence of abortion 18.1% (95% CI: 14.5%–21.7%). The prevalence of induced abortion was 27.4% in the central areas of Iran. A short preceding birth interval, economic hardship situation, adequate number of previous alive children, low level of education, academic education, younger parents, maternal occupation, older age (&gt; 35), and low knowledge about contraceptive use were the most frequent reasons for induced abortion.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The prevalence of induced abortion was 18%, showing a high rate for a religious country. Thus, policies and programs to reduce unwanted pregnancies should focus on increasing women's knowledge and access to suitable contraceptives, especially for women with a low socio-economic status.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"41 2","pages":"382-396"},"PeriodicalIF":1.8,"publicationDate":"2026-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145688462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge-Sharing and Patient Choice: Exploring the Curvilinear and Moderated Relationships in the Online Health Community","authors":"Pengfei Zhang,&nbsp;Min Chen,&nbsp;Yishuai Yin","doi":"10.1002/hpm.70053","DOIUrl":"10.1002/hpm.70053","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>An increasing number of patients are opting to utilise online health communities as their access to healthcare. However, there is limited research on the factors influencing patient choice in online health communities. The aim of this study was to explore the impact of physicians' knowledge-sharing in online health communities on patient choice and to analyse the potential theoretical boundaries of the relationship.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design/methodology/approach</h3>\u0000 \u0000 <p>This study used data collected from a large online health community in China for empirical analysis to illustrate a nonlinear relationship between physicians' knowledge-sharing and patients' choices.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>We found there was an inverted U-shaped relationship between physicians' knowledge-sharing and patients' choices. Moreover, the physician's pricing marked the non-linear relationship even steeper.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Originality/value</h3>\u0000 \u0000 <p>This research serves to enrich the existing literature concerning determinants of patient choice by investigating the nonlinear impact of physicians' knowledge-sharing. This study has important practical implications for improving the quality of online healthcare services and the physician-patient relationship.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"41 2","pages":"331-345"},"PeriodicalIF":1.8,"publicationDate":"2026-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145783291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How Innovative Work-Support Technologies can Increase Staff Acceptability and Adherence to Care Practices: A Pragmatic Lever for the HCWF Crisis","authors":"Linda Pasta","doi":"10.1002/hpm.70049","DOIUrl":"10.1002/hpm.70049","url":null,"abstract":"","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"41 2","pages":"417-418"},"PeriodicalIF":1.8,"publicationDate":"2026-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145696444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Role of Research Facilitation Positions in Health Services: A Scoping Review","authors":"Caitlin Brandenburg,&nbsp;Rachel Brimelow,&nbsp;Angela T. Chang,&nbsp;Kylie Matthews-Rensch,&nbsp;Iona Van Der Wiel,&nbsp;Shona Van Garderen,&nbsp;Hannah Mayr","doi":"10.1002/hpm.70056","DOIUrl":"10.1002/hpm.70056","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Research facilitation (RF) positions are a developing workforce in health services. This review aimed to map the available research literature and summarise findings related to the role and impact of RF positions in healthcare settings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A scoping review was conducted using three inclusion criteria. (1) Population: Articles about RF positions; (2) Concept: Articles that describe the roles and duties of RF positions, and/or report how their impact is evaluated; (3) Context: RF positions employed by, or have a significant role within, health services. Medline, EMBASE and CINAHL electronic databases were searched in June 2022 for records from 2000-present. Full text articles published in English were included. Data were extracted regarding the structure, responsibilities, and evaluation of RF positions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Eighteen articles were included, representing 86 RF positions. Most positions were orientated to support nursing or allied health research. Position titles and structure varied widely. Whilst key responsibilities were highly heterogeneous, almost all included providing direct support to health service staff to engage in research, and many included facilitating research education. A range of measures were used to evaluate RF positions, with traditional academic outputs such as publications and grants most frequent. Quantitative evidence of the impact of RF positions was weak, though positive. Qualitative evaluations revealed the important role of RF positions in research capacity and evidence-based practice.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>RF positions provided a wide variety of supports to clinicians and health services. While there is some positive evidence of the value of RF positions, further research is needed on their structure and outcomes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"41 2","pages":"397-410"},"PeriodicalIF":1.8,"publicationDate":"2026-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145991407","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trends and Equity in Continuous Maternity Care Utilization in Cambodia, 2000–2021","authors":"Hanzhi Peng,&nbsp;Yanqin Zhang,&nbsp;Peng Jia,&nbsp;Qian Long","doi":"10.1002/hpm.70051","DOIUrl":"10.1002/hpm.70051","url":null,"abstract":"<div>\u0000 \u0000 <p>This study applied the effective coverage framework to analyse trends and equity in the utilization of maternity care in Cambodia from 2000 to 2021 using data from the Cambodia Demographic and Health Surveys. The findings revealed a significant increase in the proportion of women attending at least four antenatal care (ANC) visits, rising from 7.5% in 2000 to 78.2% in 2021. However, coverage of the WHO-recommended ANC components varied, with the lowest compliance observed in urine and blood tests (64.1%) while the highest in iron/syrup supplementation (92.6%). Despite this, fewer than half of the women received all recommended ANC services. Facility-based delivery increased dramatically from 8.5% in 2000 to 91.5% in 2021, and the cesarean section rate rose from 0.9% to 14.2% during the same period. Utilization of postnatal care remained relatively low, with only 51.7% of women having at least one postnatal visit by 2021. Furthermore, only 22.7% of women accessed quality-adjusted continuous maternity care by 2021. Significant disparities were observed that 27.8% of urban and 31.3% of the wealthiest women received quality-adjusted continuous maternity care, compared to 20.3% of rural and 14.2% of the poorest women. Women who were older, had higher levels of education, or were covered by social health insurance were more likely to access quality-adjusted continuous care. Persistent gaps in comprehensive care highlight the need for targeted efforts to reduce disparities and enhance care quality across all population segments.</p>\u0000 </div>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"41 2","pages":"307-318"},"PeriodicalIF":1.8,"publicationDate":"2026-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145758085","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Forecast of Corporate Failures in the Health Insurance Providers: An Analysis of the Supplementary Brazilian Health Sector","authors":"Vinícius Gabriel Silva Cintra,&nbsp;Fabiano Guasti Lima,&nbsp;Vinicius Medeiros Magnani,&nbsp;Carolina Trinca Paulino,&nbsp;Rafael Confetti Gatsios","doi":"10.1002/hpm.70052","DOIUrl":"10.1002/hpm.70052","url":null,"abstract":"<div>\u0000 \u0000 <p>The supplementary health sector in Brazil plays an essential role, offering access to private health services for more than a quarter of the population. However, a continuous decrease in the number of Health Insurance Providers (HIPs) indicates a market concentration process, posing socioeconomic risks. To address the impacts of these closures, this study develops a predictive model to identify the key factors leading to corporate failure. A major limitation of existing research is its reliance on ambiguous insolvency proxies, such as negative net equity. This study fills a critical gap by adopting a more robust definition of failure: the compulsory termination of a provider's activities by the national regulatory agency (ANS). Applying logistic regression to a sample of 677 providers from 2014 to 2020, the model identified the EBITDA margin, net equity on total assets, working capital on total revenues, and financial assets on current liability as significant predictors. Notably, the model revealed that high volumes of short-term receivables relative to current liabilities are positively correlated with the probability of failure, suggesting this metric can mask underlying financial distress. Among categorical variables, being a self-insurer or a health cooperative was found to reduce the chances of failure. The model demonstrated high discriminative capacity (92%) and achieved 77.8% accuracy in forecasting failures in the sample test. The findings provide a crucial early warning tool for regulators, HIP managers, and stakeholders to enhance financial risk management and prevent service disruptions in the supplementary health sector.</p>\u0000 </div>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"41 2","pages":"368-381"},"PeriodicalIF":1.8,"publicationDate":"2026-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145913471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinicians With Formal Research Qualifications Undertaking Dual Clinical and Research Activities Should be Titled and Recognised as ‘Clinician Scientists’","authors":"Peter Buttrum,&nbsp;Adrienne Young,&nbsp;Diann Eley,&nbsp;Merrilyn Banks,&nbsp;Nicole Marsh,&nbsp;Mark Cruickshank,&nbsp;James Elliott,&nbsp;Nicholas J. Talley,&nbsp;Tracy Comans,&nbsp;Scott C. Bell,&nbsp;Shaun O'Leary","doi":"10.1002/hpm.70046","DOIUrl":"10.1002/hpm.70046","url":null,"abstract":"<div>\u0000 \u0000 <p>Clinicians, who engage in research alongside their clinical duties, not only improve patient outcomes but contribute to cultural and workforce benefits for their healthcare organisations. The nomenclature of workplace titles for these roles has evolved over time and across international and geographical boundaries, as has the perceived level of research expertise or qualifications required. We propose that consistent titling for these roles would be of significant benefit for individuals, as well as healthcare leaders, and in the Australian context, clinicians conducting relevant research as part of their role, and who have a PhD or recognised research qualification, should be titled ‘Clinician Scientists’.</p>\u0000 </div>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"41 2","pages":"411-414"},"PeriodicalIF":1.8,"publicationDate":"2026-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145670276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"E-Government in Global Health Crisis: Comparing the E-Performance of COVID-19 Contact Tracing Websites","authors":"Ying-ho Kwong,&nbsp;Mathew Y. H. Wong","doi":"10.1002/hpm.70054","DOIUrl":"10.1002/hpm.70054","url":null,"abstract":"<div>\u0000 \u0000 <p>E-government is widely acknowledged for its benefits to governments and citizens. However, its effectiveness during crises remains underexplored. During the COVID-19 pandemic, contact tracing websites were deployed globally to kerb the virus's spread, raising significant controversies about data privacy and security. This study evaluates the performance of e-government contact tracing websites across 57 countries/regions. Six e-government dimensions are examined, including (1) transparency, (2) accountability, (3) data security, (4) accessibility, (5) e-participation and (6) privacy, in a tailor-made questionnaire. The findings show that the overall performance of e-government is fair. Countries/regions mostly performed satisfactorily in providing transparency and promising accountability, data security and privacy. However, the commitments of accessibility and e-participation are evidently weak. The analysis reveals that regime type significantly influences e-government performance: democratic regimes generally perform better than autocratic ones across most dimensions, except accessibility and e-participation. The study concludes that higher levels of democracy enhance e-government performance as demonstrated by evaluations of contact tracing websites. This research provides an original comparative analysis that evaluates: (1) e-government performance through contact tracing websites, (2) the performance across various countries/regions, and (3) the factors that facilitate e-government. The contribution is to demonstrate that democracy consistently serves as a key factor in strengthening e-health management and safeguarding data protection for citizens during global health crises.</p>\u0000 </div>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"41 2","pages":"346-367"},"PeriodicalIF":1.8,"publicationDate":"2026-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145913445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"41 3","pages":"490-506"},"PeriodicalIF":1.8,"publicationDate":"2026-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148088256","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"41 3","pages":"545-553"},"PeriodicalIF":1.8,"publicationDate":"2026-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148077591","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}