International Journal of Health Planning and Management最新文献

{"title":"From ‘Sovereign Self-Proclaimed Experts’ to ‘Impressionable Sceptics’–Developing a Patient Typology to Distinguish Patients' Interactions With Healthcare: A Qualitative Study in Germany","authors":"Katharina Achstetter,&nbsp;Miriam Blümel,&nbsp;Julia Röttger,&nbsp;Julia Köppen,&nbsp;Katherine Polin,&nbsp;Reinhard Busse","doi":"10.1002/hpm.3923","DOIUrl":"10.1002/hpm.3923","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Person-centredness in health systems puts patients and their preferences at the centre of healthcare. However, there is not an ‘one size fits all’ approach as patients are heterogenous and have varying interactions with and perceptions of healthcare, and assessments of the health system performance. This study aims to explore these patient differences by (1) identifying core attributes of patients that shape their general approach to and interactions with healthcare and (2) deriving specific patient types based on these core attributes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The qualitative study included content analysis of semi-structured, problem-oriented interviews with 27 participants selected with the aim of maximum variation and heterogeneity (e.g., regarding age, gender, health status, place of living) from the Berlin-Brandenburg region of Germany.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Based on the interviews with the participants, three core patient attributes were found that shape interactions with healthcare: (1) taking care of health and illness, (2) the self-assigned patient role, and (3) the patient-assigned healthcare provider role. Seven patient types were identified across (opposing) manifestations of these core attributes, ranging from ‘sovereign self-proclaimed experts’ (focussing–autonomous–fulfiller) to ‘impressionable sceptics’ (ignoring–heteronomous–seller).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Consideration of the identified patient types and their different ways of engaging with healthcare providers and their varying perceptions of the health system can help to develop strategies to promote person-centredness in health systems. Furthermore, this typology can inform providers about the diverse ways in which patients may perceive healthcare interactions, and it can be useful for the training of future physicians and other healthcare professionals.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"40 4","pages":"896-906"},"PeriodicalIF":1.9,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpm.3923","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143671404","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":"Organizational and Service Management Interventions for Improving the Patient Experience With Care: Systematic Review of the Effectiveness","authors":"Tiago S. Jesus,&nbsp;Dongwook Lee,&nbsp;Manrui Zhang,&nbsp;Brocha Z. Stern,&nbsp;Jan Struhar,&nbsp;Allen W. Heinemann,&nbsp;Neil Jordan,&nbsp;Anne Deutsch","doi":"10.1002/hpm.3916","DOIUrl":"10.1002/hpm.3916","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Healthcare managers and administrators increasingly need to develop systems, structures and operations capable of improving the patient experience performance of their organisations or service delivery units.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To systematically review the effectiveness of organizational and service management interventions on standardized patient experience measure scores.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Six scientific databases, speciality journals and snowballing were used to identify English-language, peer-reviewed, contemporary studies (2015–2023) that examined the impact of service management or organizational interventions on the patient experience as a primary outcome. The studies needed to include inferential statistics on standardized, patient-reported experience measures. Two independent reviewers performed the eligibility decisions and risk-of-bias appraisals.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Nine papers were finally included. Three papers were on discrete, service-level interventions, including two randomized controlled trials (RCTs) and one pre-post study; one RCT achieved significant improvements by delaying the timing of bedside rounding versus maintaining the early morning schedule. One non-randomized controlled study and two pre-post studies addressed organisation-wide approaches. Among those, one pre-post study achieved significant improvements by having site managers meet regularly with an organizational oversight committee to compare the units' patient-experience performance and setting improvement expectations. Finally, three observational, multi-site comparative studies were included. These addressed self-reported improvement approaches, implementation of a nursing excellence certification programme, and implementation of Patient Experience Offices. The latter was significantly associated with improved patient experience performance.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Selected discrete service-level interventions and organizational approaches can lead to better patient experience outcomes, even though the evidence from the pre-post and observational studies should be interpreted with caution.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"40 4","pages":"883-895"},"PeriodicalIF":1.9,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpm.3916","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143671423","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 Willingness to Pay for Basic Health Insurance in the Netherlands: Quantitative and Qualitative Insights","authors":"M. A. Meijer,&nbsp;A. E. M. Brabers,&nbsp;N. Stadhouders,&nbsp;J.D. De Jong","doi":"10.1002/hpm.3926","DOIUrl":"10.1002/hpm.3926","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Rising healthcare costs could undermine people's willingness to contribute to the healthcare system. Therefore, we investigated people's willingness to pay (WTP) for basic health insurance. We also studied reasons for the willingness or unwillingness to pay.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A mixed methods study was performed. An online survey was sent out to 1500 members of the Dutch Health Care Consumer Panel in May 2023 (51% response rate, <i>N</i> = 760). WTP was assessed using the contingent valuation methodology. Reasons for the willingness or unwillingness to pay were obtained via 15 semi-structured interviews. Thematic analysis was used to analyse the interviews.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>People were, on average, willing to pay €160 per month for basic health insurance (€153–167 95% CI). Of the respondents, 58% (<i>N</i> = 443) was willing to pay more than the lowest monthly premium of €140 in 2023. WTP was positively correlated to income, age, and education. The interviews indicated that the ability to pay, healthcare consumption, care included in the basic health insurance package, organisation of the health insurance system, coverage of risk, and accessibility of care play a role in people's willingness or unwillingness to pay.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Most people in the Netherlands were willing to pay more for basic health insurance than the current lowest premium. People valued that health insurance allowed them and others to access healthcare services. As the premium is expected to increase in the coming years, support for the healthcare system may erode, as interviews indicated that the ability to pay is an important condition of the WTP.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"40 4","pages":"871-882"},"PeriodicalIF":1.9,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651214","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 Corporate Well-Being Strategies to Medical Practice: Addressing Physician Burnout and Overwork","authors":"Sakumi Yamakawa,&nbsp;Maaya Ono,&nbsp;Kiyonobu Kusu,&nbsp;Hayase Hakariya","doi":"10.1002/hpm.3928","DOIUrl":"10.1002/hpm.3928","url":null,"abstract":"<div>\u0000 \u0000 <p>In August 2023, a tragic case in Kobe City, Japan, highlighted the severe working conditions faced by resident physicians. A resident specialising in internal medicine died by suicide after experiencing extraordinary workloads, including 236 h of overtime in the month before his death. This case underscores the broader systemic issue of excessive working hours in Japan's medical profession, exacerbated by the country's ‘<i>passion pay</i>’ culture, which exploits young physicians' dedication. Surveys indicate that 28% of residents experience burnout, with long hours, inefficient task allocation and poor workplace communication as key stressors. Addressing excessive workloads requires restructuring physician responsibilities. Research shows that full-time physicians under 50 spend significant time on non-medical tasks that could be delegated to other professionals. The primary physician model, which holds doctors responsible for patients beyond their shifts, further extends work hours. Transitioning to a time-based task allocation system and implementing task-shifting strategies could alleviate these burdens. Workplace communication also requires improvement. Limited supervisory support and hierarchical barriers prevent open discussions about well-being. We underscore that drawing insights from corporate strategies, such as Marui Group's task optimisation policies and TOYOTA's anonymous feedback system, hospitals could implement structured well-being initiatives for physicians. Physician well-being directly correlates with patient satisfaction and treatment adherence. Addressing burnout through workload reduction and improved communication is essential for maintaining both doctor and patient health. Hospitals must prioritise physician well-being alongside patient care, fostering a sustainable working environment for medical professionals.</p>\u0000 </div>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"40 4","pages":"1018-1020"},"PeriodicalIF":1.9,"publicationDate":"2025-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143639681","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 Shadow Pandemic Contextualised: Albania's Response to Domestic Violence During COVID-19","authors":"Venera Bekteshi,&nbsp;Mary van Hook,&nbsp;Eglantina Gjermeni,&nbsp;Jenn L. Bellamy","doi":"10.1002/hpm.3884","DOIUrl":"10.1002/hpm.3884","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Domestic violence (DV) encompasses a pattern of psychological, physical, sexual, financial, and/or emotional abuse, manifesting through assault, threats, and intimidation. Economic and social stressors in conjunction with the COVID-19 pandemic escalated DV cases worldwide, including those in Albania. Socioeconomic vulnerabilities worsened the situation, with DV-related complaints to non-governmental organizations (NGOs) in Albania increasing by 60% between March and May 2020, compared to the same period in 2019. Despite government efforts through a comprehensive anti-DV strategy, as the pandemic subsided, 2986 Albanian women still reported enduring DV.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Using the Contextual Influence in Acculturative Stress (CIAS) framework, this study identified key external and internal contextual factors contributing to DV in Albania. These factors were assessed to evaluate their integration into the national anti-DV policy and their potential for improving the policy's impact.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The Albanian government's response focused on four primary areas: legal protection, women's safety, economic well-being, and community awareness. However, many vulnerable groups remained underserved. Furthermore, economic assistance provided was insufficient to address the increased financial strain faced by victims. Educational and awareness campaigns were implemented, but despite these efforts, DV rates persisted at high levels throughout the pandemic.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The findings underscore the need for more targeted, comprehensive, and context-sensitive approaches to DV intervention. The Albanian government's anti-DV strategy could be strengthened by addressing micro-level needs, such as tailored counselling, culturally sensitive services, and more robust economic support measures. Incorporating these elements into future policies may better address the structural and cultural barriers that perpetuate DV, particularly among vulnerable populations.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"40 3","pages":"716-729"},"PeriodicalIF":1.9,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143617210","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":"Artificial Intelligence in Healthcare: Balancing Technological Innovation With Health and Care Workforce Priorities","authors":"Abi Sriharan,&nbsp;Ellen Kuhlmann,&nbsp;Tiago Correia,&nbsp;Farhang Tahzib,&nbsp;Katarzyna Czabanowska,&nbsp;Marius-Ionuț Ungureanu,&nbsp;Bernadette Nirmal Kumar","doi":"10.1002/hpm.3927","DOIUrl":"10.1002/hpm.3927","url":null,"abstract":"<p>Artificial Intelligence (AI) has emerged as a transformative force in healthcare, offering significant potential to address workforce challenges and improve patient outcomes. This perspective article presents a framework for responsible AI innovation, emphasising ethical governance, responsible leadership and a commitment to human-centred AI. It provides guidance for healthcare organisations to position AI as a strategic enabler, augmenting the health and care workforce and fostering sustainable, patient-centred advancements in healthcare.</p>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"40 4","pages":"987-992"},"PeriodicalIF":1.9,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpm.3927","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143617208","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":"Access to Healthcare Among Tribal Population in India: A Cross-Sectional Household Survey","authors":"Yogita Sharma,&nbsp;Parikipandla Sridevi,&nbsp;Deepa Bhat,&nbsp;Shaily B. Surti,&nbsp;Jatin Sarmah,&nbsp;Godi Sudhakar,&nbsp;Manoranjan Ranjit,&nbsp;Bontha V. Babu","doi":"10.1002/hpm.3924","DOIUrl":"10.1002/hpm.3924","url":null,"abstract":"<div>\u0000 \u0000 <p>This study addresses significant healthcare access challenges faced by India's 104 million-strong tribal population, who are among the most disadvantaged and typically live in hilly rural and remote areas with poor health infrastructure and resources. The study aims to examine healthcare access patterns in six tribal areas, focussing on primary health centres (PHCs), to develop a strategy that improves healthcare service accessibility, quality, and utilization for tribal communities. Data were collected from 9837 participants from 24 PHC areas across six states. Most respondents (78.8%; CI: 77.98–79.61) reported monthly visits of government health workers to their habitations, indicating regular healthcare access. Two-thirds confirmed house visits in the last 3 months, primarily receiving immunisation services. A significant portion (57.38%; CI: 56.39–58.36) received health education, and a majority (64.29%; CI: 63.33–65.24) were satisfied with the services. About 77% depend on PHC and its healthcare staff, though state-wise variations exist. Common reasons for not using these services included distance (17.45%; CI: 16.71–18.22) and lack of trust (4.57%; CI: 4.17–5.01). Most respondents were examined by a doctor (60.32%; CI: 59.35–61.29) and received diagnostic tests (27.50%; CI: 26.62–28.39). Walking (21.88%; CI: 21.6–22.71) and auto-rickshaw/cab (20.23%; CI: 19.44–21.04) were the most common travel modes, with a mean travel time of 34 min. The data highlights the tribal population's preferences and experiences with primary healthcare services. Understanding these patterns can guide the design implementation research to further improve accessibility and utilisation of primary healthcare services among these vulnerable populations.</p>\u0000 </div>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"40 4","pages":"863-870"},"PeriodicalIF":1.9,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606666","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":"Securing Global Health in the Face of Changing U.S. Policy: The Case for Strengthening National Public Health Institutes","authors":"Quentin Sandifer,&nbsp;Duncan Selbie,&nbsp;Sadaf Lynes,&nbsp;Neil Squires","doi":"10.1002/hpm.3925","DOIUrl":"10.1002/hpm.3925","url":null,"abstract":"<div>\u0000 \u0000 <p>Following the announcement by the new American administration of a pause and review of funding to international aid programmes, we comment on the potential effect on global health security and argue for increased recognition of the role of National Public Health Institutes (NPHIs) to mitigate the impacts.</p>\u0000 </div>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"40 4","pages":"1015-1017"},"PeriodicalIF":1.9,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606668","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":"Establishing Sustainable Access to Quality Uterotonics in Kano, Lagos and Niger States—A Supply Chain Perspective","authors":"Eba Ajima,&nbsp;Chukwunonso Nwaokorie,&nbsp;Naanma Kangkum,&nbsp;Lola Ameyan,&nbsp;Obruche Sophia Ogefere,&nbsp;Eric Aigbogun,&nbsp;Valentine Amasiatu,&nbsp;Uchenna Igbokwe","doi":"10.1002/hpm.3910","DOIUrl":"10.1002/hpm.3910","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The quality of oxytocin and misoprostol, the most widely used uterotonics for postpartum haemorrhage (PPH) management, suffer supply chain challenges and climactic susceptibilities.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To describe a supply chain strengthening programme for introducing heat-stable Carbetocin (HSC), to health facilities in Kano, Lagos and Niger states.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Human-centred design (HCD) was employed to uncover uterotonics supply chain challenges and to identify priority interventions across a market-shaping value chain to facilitate the rollout of HSC. Through a mixed-methods approach and interviews with 203 stakeholders, challenges in the uterotonics supply chain and potential solutions were identified. A market-shaping value chain was employed to map HSC introduction and rollout, focusing on key interventions. Before the project initiation, we established clear objectives including identifying barriers, introduction and rollout journey mapping of HSC.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Using HCD, HSC was successfully rolled out to over 87 health facilities. Employing the market-shaping value chain, pivotal interventions were executed. These included policy updates (inclusion of HSC in the National and States Essential Medicines List), regulatory actions (registering Carbetocin with NAFDAC), financing strategies (co-developing state roadmaps for sustainable procurements), supply management (reducing stock-outs) and healthcare provider training on supply chain management practices. These efforts facilitated seamless integration of HSC into the states' supply chains.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>HCD and market-shaping value chain approach were employed to introduce HSC in Nigeria. This study shows that integrating these approaches can enhance the availability and accessibility of essential medicines, offering potential replicability in similar health systems.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"40 3","pages":"701-715"},"PeriodicalIF":1.9,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpm.3910","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143597551","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":"Counting Midwives Providing Clinical Care in Nevada","authors":"Jennifer Vanderlaan,&nbsp;Janice Enriquez,&nbsp;Melva Thompson-Robinson","doi":"10.1002/hpm.3921","DOIUrl":"10.1002/hpm.3921","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To estimate the number of midwives providing care primarily in Nevada.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Study Setting and Design</h3>\u0000 \u0000 <p>A cross-sectional study of Nevada was conducted in May, 2024 to compare the agreement between two lists of midwives in Nevada. Midwives were considered as providing care primarily in Nevada if they (1) had an active licence with a Nevada address and (2) listed a Nevada practice site in their National Provider Identifier file.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Data Sources and Analytic Sample</h3>\u0000 \u0000 <p>The sample of midwives associated with Nevada was created by combining (1) the State Board of Nursing list of nurse-midwife licensees and (2) the National Plan &amp; Provider Enumeration System Data Dissemination file enumerates identified as advanced practice midwives with a Nevada licence or practice location in Nevada.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Principle Findings</h3>\u0000 \u0000 <p>Only 55% of nurse-midwives with active Nevada licences are providing care full-time in Nevada.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Nurse-midwife licensee lists may overstate the number of nurse-midwives practicing full-time in the state. States may consider nurse licence compacts with registration for telehealth or hub-and-spoke models of care to identify the extent to which out-of-state midwives are filling gaps in access to care.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"40 4","pages":"1002-1006"},"PeriodicalIF":1.9,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpm.3921","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574267","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}