International Journal of Health Planning and Management最新文献

{"title":"Barriers and Facilitators to the Implementation of the Weekend-70 Cervical Cancer Screening Programme in Mali: A Multiple Case Study.","authors":"Aminata Adama Ndour, Sabina Abou Malham, David-Martin Milot, Geneviève Baron, Ibrahima Téguété, Mahamane Maiga, Kadidia Bokar","doi":"10.1002/hpm.70136","DOIUrl":"https://doi.org/10.1002/hpm.70136","url":null,"abstract":"<p><strong>Introduction: </strong>Cervical cancer (CC) represents a significant public health issue in low- and middle-income countries. In Mali, the Weekend-70 cervical cancer screening programme, initially implemented in Bamako (the capital), is gradually being rolled out in other regions. Based on the visual inspection screening method, the programme aims to reduce mortality and morbidity due to CC. This article analyzes the barriers and facilitators influencing the programme's implementation in semi-urban and rural health centres.</p><p><strong>Methods: </strong>Using a multiple-case study comparing the Kayes Ndi and Konobougou health centres, we conducted 18 semi-structured interviews. Participants were key stakeholders in the implementation of the programme and included health centre staff (healthcare professionals, matrons, midwives and managers) as well as programme users. A thematic content analysis was carried out using QDA Miner Lite.</p><p><strong>Results: </strong>The results show that the main barriers to implementing the programme are the lack of resources (human and material), the lack of training (initial and continuous) and the limited involvement of religious groups, considered as community pillars. The main facilitators identified were the offer of free screening days, favourable collaboration (between health centre staff and with their partners), awareness-raising and the availability of on-site treatment.</p><p><strong>Conclusion: </strong>This study highlights the need to consider the barriers and facilitators influencing implementation to improve the programme, particularly with a view to national scaling. Our recommendations could guide programme managers and decision-makers in this process, as well as benefiting other sub-Saharan African countries wishing to implement similar programmes.</p>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148921057","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":"Applying Change Models and Methods During a Period of Vast Digital Transformation: A Systematic Review of Practice in Healthcare","authors":"Rebecca McDonnell,&nbsp;Ashfaq Chauhan,&nbsp;Corey Adams,&nbsp;Alexander Cardenas,&nbsp;Michelle Moscova,&nbsp;Ramya Walsan,&nbsp;Maryam Sina,&nbsp;Alice Munro,&nbsp;Elizabeth Manias,&nbsp;Rebecca Mitchell,&nbsp;Anthony Gust,&nbsp;Sabe Sabesan,&nbsp;Reema Harrison","doi":"10.1002/hpm.70092","DOIUrl":"10.1002/hpm.70092","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Reflection and learning about the use of virtual care in healthcare delivery has become a central goal for health systems internationally. Insights drawn in the aftermath of the COVID-19 pandemic have led to vast changes to embed virtual care in health care delivery. This study explored the methodologies used to manage change that encompasses virtual care and factors contributing to success.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A systematic review and narrative synthesis was undertaken. Eligible articles were those reporting structured change management processes in the context of virtual care published between 1st January 2019–31st December 2023, identified by searching four electronic databases (Scopus, MedLine, PsycInfo and Business Source Premier). Data were extracted and synthesised from the eligible studies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Seventeen studies met inclusion criteria describing changes occurring within hospital settings or in community health centres. Kotter's 8-Step Model was the most frequently applied change framework, often combined with other approaches. Commonly enablers included high quality communication among all parties involved and strong leadership. Common barriers included overemphasis on technology at the expense of people and processes, linear application of models, and lack of mechanisms to monitor change progress.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Structured change methodologies were often integrated in a strategic change framework with process improvement methods utilised to support the change process. Managing change relating to the technology with attention to the clinical and people aspects of change was considered a key gap and challenge in the context of virtual care change. Change leadership and the integration of technical and clinical teams were identified as key enablers.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"41 5","pages":"1032-1053"},"PeriodicalIF":2.5,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpm.70092","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147983823","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Classifying OECD Health Systems by Financing Structure: An Empirical Latent Profile Analysis","authors":"Jebağı Canberk Aydın,&nbsp;Gülbiye Yaşar","doi":"10.1002/hpm.70111","DOIUrl":"10.1002/hpm.70111","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The classification of health systems by financing structure has long played a central role in comparative health policy research, but typologies have often proceeded deductively from theoretical categories. This study asks how OECD countries cluster empirically when classified using harmonised financing indicators.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Latent Profile Analysis was applied to 10 financing indicators from the WHO Global Health Expenditure Database for the year 2022, covering all 38 OECD member countries. Indicators were z-standardised, and one-to six-class models were estimated. The retained solution was selected on the joint evaluation of BIC, entropy, class size, parsimony, and substantive interpretability. Between-class separation was examined using Kruskal–Wallis tests and η²[H] effect sizes as descriptive indicators only.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A five-class solution was retained. The five empirical profiles were labelled as a social insurance–oriented public financing profile, a lower-spending private-mix financing profile, a lower-spending mixed social-insurance financing profile, a tax-financed public financing profile, and a high-spending private-financing-dominant profile. Between-class separation was strongest for social insurance contributions, current health expenditure per capita, transfers from general government domestic revenue, and the public and private shares of current health expenditure.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The retained classes describe financing profiles rather than full institutional health system types. They complement, but do not replace, classical and multidimensional typologies, and make the financing dimension of health system classification empirically explicit for comparative analysis of OECD health systems.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"41 5","pages":"1009-1021"},"PeriodicalIF":2.5,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148608673","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":"Unmet Need for Family Planning Among Married Women in Bangladesh: A Decade of Progress and Persisting Disparities","authors":"Sabina Yasmin,&nbsp;Farjana Afrin Koasha,&nbsp;Md. Rakibul Islam,&nbsp;Md. Hazrat Ali,&nbsp;Mohammed Nazmul Huq","doi":"10.1002/hpm.70099","DOIUrl":"10.1002/hpm.70099","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Unmet need for family planning continues to be a critical barrier to achieving reproductive health goals in Bangladesh, despite advancements in health infrastructure and services. This study examines trends and determinants of unmet need for family planning among married women of reproductive age using data from the Bangladesh Demographic and Health Surveys (BDHS) spanning 2011 to 2022.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We analysed nationally representative BDHS datasets from 2011, 2014, 2017–18, and 2022 (<i>n</i> = 16,551; 16,795; 18,885; 18,987 married women aged 15–49). Unmet need (spacing/limiting) was the binary outcome. We described trends and subgroup differences, tested bivariate associations (<i>χ</i>²), and fitted separate multivariable logistic regressions for each survey year to estimate adjusted odds ratios (95% CIs). Division-level disparities were mapped, and a Blinder–Oaxaca decomposition (2022) quantified the explained versus unexplained components of rural–urban gaps.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Over the past 12 years, the unmet need for family planning has consistently decreased; however, notable disparities persist across geographic divisions, wealth quintiles, and educational attainment. Women with minimal education and rural residency were likelier to report unmet needs; women from affluent homes, metropolitan locations, and those exposed to family planning knowledge via mass media were less likely.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>These results highlight the need for thorough, context-specific interventions to close the gaps in family planning programs, guaranteeing proper access and advancement towards sustainable development goals in reproductive health.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"41 5","pages":"892-902"},"PeriodicalIF":2.5,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148362332","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":"Human Resource Management, Complementarity and Hospital Performance: Evidence From the English NHS","authors":"Manhal Ali,&nbsp;Reza Salehnejad,&nbsp;Peter Kawalek","doi":"10.1002/hpm.70093","DOIUrl":"10.1002/hpm.70093","url":null,"abstract":"<div>\u0000 \u0000 <p>This study investigates the role of complementary clusters of human resource management (HRM) practices in explaining the persistent productivity variations across English NHS hospitals. While prior research has highlighted the importance of individual HRM practices, their impact is often indeterminate. A critical gap remains in the systematic analysis of complementarity, non-linearity, and the interdependencies between these practices. To address this gap, we draw on complementarity theory to propose and test a novel framework. This framework posits that hospital performance is shaped by three distinct effects: indeterminacy, where isolated practices have an inconsistent impact; non-linearity, where practices are effective only above a certain intensity threshold; and complementarity, where synergies between practices amplify their collective impact. We use this framework to explain the significant productivity dispersion observed across hospitals. Using panel data from English NHS hospitals, we employ machine learning techniques to identify distinct HRM clusters and test their significance using correlated random effects models. Our findings confirm that individual HRM practices often have no significant effect until their intensity surpasses a critical threshold. Crucially, we identify several distinct complementary clusters involving incentives, workplace flexibility, training, team quality, and job design. High-performing hospitals are distinguished by their adoption of these synergistic bundles—such as combining job design, team quality, and incentives—whereas persistent low performance is linked to the adoption of incomplete clusters. For instance, workplace flexibility or training only boosts productivity when supported by an effective incentive system, underscoring the powerful non-linear and interdependent effects at play. This study advances the HRM and healthcare management literature by systematically demonstrating the non-linear and complementary nature of HRM practices and by introducing data-driven methods for their analysis. The key implication for policymakers and hospital administrators is the need to prioritise bundles of complementary practices and holistic organisational change over isolated, piecemeal initiatives.</p>\u0000 </div>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"41 5","pages":"863-878"},"PeriodicalIF":2.5,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148303537","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":"Governance Coordination, Financing Reform, and Equity-Targeted Interventions as Structural Determinants of Health System Performance in Southwest Nigeria: A Convergent Mixed-Methods Study","authors":"Babatunde Folorunso Kolajo,&nbsp;Johnson Olusola Olaosebikan,&nbsp;Henry Inegbedion","doi":"10.1002/hpm.70107","DOIUrl":"10.1002/hpm.70107","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Improving health system performance in decentralised settings requires coordinated governance structures, sustainable financing mechanisms, and targeted equity policies. However, empirical evidence on how these institutional mechanisms interact to influence service delivery, financial protection, and equitable access remains limited in many low- and middle-income countries.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study examined the determinants of health system performance in Southwest Nigeria using cross-sectional survey data collected from health sector stakeholders. Robust ordinary least squares regression models with heteroskedasticity-consistent standard errors were estimated to assess the relationships between governance coordination, financing reform implementation, equity-targeted interventions, and three performance outcomes: service delivery effectiveness, financial access protection, and equitable access to care. State fixed effects and stakeholder and organizational controls were included in all models.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Governance coordination demonstrated a significant positive association with service delivery effectiveness in the baseline model (<i>β</i> = 0.295, <i>p</i> &lt; 0.01). Financing reform implementation was strongly associated with improved financial access protection (<i>β</i> = 0.311, <i>p</i> &lt; 0.01), while equity-targeted interventions exhibited the strongest and most consistent relationship with equitable access outcomes (<i>β</i> = 0.335, <i>p</i> &lt; 0.01). Expanded institutional models revealed that public trust was positively associated with multiple performance indicators, whereas corruption displayed a negative relationship with financial protection and service delivery outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The findings suggest that health system performance improvements are driven by the combined effects of governance coordination, pooled financing mechanisms, and equity-focused policy interventions operating within supportive institutional environments. Strengthening intergovernmental coordination, expanding financial risk-pooling arrangements, and prioritising targeted equity policies may substantially enhance progress towards universal health coverage in decentralised health systems.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"41 5","pages":"938-949"},"PeriodicalIF":2.5,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148580705","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 Spatiotemporal Threshold Effects of Health Expenditure and Health Developmental Assistances on Health-Related Outcome in Sub-Saharan Africa Post Covid19: The Case of the Public-Private Partnerships Donors","authors":"Toh Ryan Peters Akembom,&nbsp;Andam Andin Ndi Buma,&nbsp;Hubert Visas,&nbsp;Jabbar Ul-Haq","doi":"10.1002/hpm.70110","DOIUrl":"10.1002/hpm.70110","url":null,"abstract":"<div>\u0000 \u0000 <p>The COVID-19 pandemic has not only revealed pre-existing vulnerabilities in global health systems and imposed heavy costs on countries worldwide, but also exacerbated existing disparities. These institutional and financing limitations were part of the development strategy, which did not adequately accommodate the health risks accompanying the outbreak of the virus. This disruption has ongoing implications for access to healthcare and treatment, particularly in economically disadvantaged and marginalised communities. This study documents the spatial spillover and threshold effects of health development assistance per capita (HDApc) and health expenditure (HEAEXP) on health-related outcomes (HROs) in Sub-Saharan Africa (SSA), which is a potential vector of the dissimilation of viruses. The study utilises panel data from 38 SSA countries spanning the period from 2000 to 2021. Employing the fixed effect (FE), fixed effect spatial Durbin Model (FE-SDM) and the threshold methods, and adding immunisation rate, GDP per capita growth and democracy as additional variables, this study finds that (1) HDApc and HEAEXP significantly improve the health status of the population, (2) HDApc and HEAEXP have a favourable spatial effect as both significantly reduce the under-five mortality rate, infant mortality rate, age-standardized deaths from infectious diseases, and the death rate in neighbouring countries, (3) HDApc has a double threshold effect on HROs and that its effect on the HROs is higher at higher threshold level of 12%.</p>\u0000 </div>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"41 5","pages":"950-966"},"PeriodicalIF":2.5,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148608635","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":"Development and Validation of the Medical Brain Drain Attitudes Scale (MBDAS) in Turkey","authors":"Mehpare Tatlı Yöndem,&nbsp;Duygu Tatlı Uçarcı","doi":"10.1002/hpm.70095","DOIUrl":"10.1002/hpm.70095","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This study aimed to develop and psychometrically validate the Medical Brain Drain Attitudes Scale (MBDAS) to measure attitudes towards the conditions underlying medical brain drain. The final scale was also used to describe the attitudinal pattern observed in the study sample.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>During the scale development process, we generated the item pool and examined face and content validity. We then conducted exploratory factor analysis using data from 246 clinical and intern medical students. Next, we performed confirmatory factor analysis and tested the convergent, discriminant, and criterion validity with a further sample of 560 participants. We assessed reliability using Cronbach's alpha, item analysis, upper–lower 27% group comparisons, and test–retest analysis with 87 participants. Once the final scale was established, we calculated mean values for its dimensions in the study sample.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The final scale comprised a total of 18 items within six dimensions: Earnings and Living Standards (ELS), Professional Safety and Fairness (PSF), Professional Prestige (PP), Workload and Duty (WD), Career and Development (CD), and SocioPolitical Climate (SPC). Factor analyses supported this structure and confirmatory analysis indicated acceptable model fit. Analyses of validity and reliability confirmed the psychometric adequacy of the MBDAS. In the study sample, mean values across the scale dimensions were high or very high.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The MBDAS enables attitudes towards emigration to be examined multidimensionally on the basis of the conditions associated with physician emigration. The scale serves as a quantitative assessment tool that extends beyond the commonly used binary push–pull framework. In this study's sample, the highest mean values were observed in relation to economic conditions, violence in healthcare settings, the functioning of the health system, and workload conditions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"41 5","pages":"830-845"},"PeriodicalIF":2.5,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148253896","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":"Providing Mental Health and Substance Use Services to People Released From Custody During the COVID-19 Pandemic: A Qualitative Study of Service Providers","authors":"Lucas M. Seuren,&nbsp;Arthur McLuhan,&nbsp;Madison Ford,&nbsp;Nikoleta Curcin,&nbsp;Angela Mashford-Pringle,&nbsp;Patricia O'Campo,&nbsp;Flora I. Matheson","doi":"10.1002/hpm.70098","DOIUrl":"10.1002/hpm.70098","url":null,"abstract":"<p>This paper explores the perspectives of mental health and substance use providers who supported people released from custody during the pandemic in Ontario, Canada, with a focus on service disruptions, adaptations, and experiences. We conducted 20 in-depth qualitative interviews and analysed these using Applied Thematic Analysis. Pandemic public health responses limited the ability of providers to support people released from custody. Policies designed to mitigate viral spread were not tailored to the mental health and substance use context, leading to disruptions in service delivery. This had domino effects for service users and providers. Criminal-legal-involved populations had to isolate and at the same time providers could not reach out to them, leading to increased risks for substance use, overdose, and suicide. Providers in turn felt pressure to help people released from custody, when policy made it exceedingly difficult for them to do so. Still, providers did find silver linings through opportunities to work together and provide better person-centred care. For future pandemic preparedness, decision-makers must consider the unintentional fallout that blanket policies can have on underserved communities and mitigate against unintended consequences. Future research should engage underserved communities to understand their needs during emergencies.</p>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"41 5","pages":"879-891"},"PeriodicalIF":2.5,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpm.70098","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148309979","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Association Between Neighbourhood Leisure Amenities and Chinese Older Adults' Depressive Symptoms: The Mediating Role of Social Capital","authors":"Zhipeng He,&nbsp;Qiyan Zeng","doi":"10.1002/hpm.70103","DOIUrl":"10.1002/hpm.70103","url":null,"abstract":"<div>\u0000 \u0000 <p>With the growing prevalence of mental health problems among older adults, this paper investigates the association between neighbourhood leisure amenities and depressive symptoms among older adults in China, and further explores the mediating role of social capital in this relationship. The results suggest that neighbourhood leisure amenities significantly reduce older adults' depressive symptoms (<i>α</i> = −0.124, 95% CI [−0.206, −0.042]), with stronger associations observed among those who are low-income, aged 75 years and above, female, and living in rural areas. Mediation analyses show that social participation and sense of neighbourhood belonging exert statistically significant mediating effects, accounting for 2.58% and 7.91% of the total effect, respectively. In contrast, the social support network does not exhibit a statistically significant mediating effect. These findings provide important insights into understanding the mechanisms linking neighbourhood leisure amenities to healthy ageing.</p>\u0000 </div>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"41 5","pages":"927-937"},"PeriodicalIF":2.5,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148585569","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}