International Journal of Health Planning and Management最新文献

{"title":"Public Health Crisis Management Caused by COVID-19: A Scientometrics Review","authors":"Sen Wang,&nbsp;Miaomei Liu","doi":"10.1002/hpm.3867","DOIUrl":"10.1002/hpm.3867","url":null,"abstract":"<div>\u0000 \u0000 <p>The COVID-19 pandemic was one of the most serious public health events of the 21st century, which had a profound impact on the entire human society and sparked extensive debate and research on public health crisis management. To clarify the development path of the issue and to discover the structure and internal logic of related studies, this study conducted a scientometric analysis (co-citation analysis, co-occurrence analysis, cooperation network analysis, knowledge domain migration analysis) of 8814 publications from the Web of Science Core Collection and PubMed using CiteSpace, and drew the following conclusions: (1) The research focuses on empirical studies in medicine and other fields, and expands to non-medical fields such as “social media”, “COVID-19 lockdown”, and “air quality”; (2) The USA, UK, Italy and other major developed countries in Europe and America are leading the research trend, while developing countries, notably China, India and Brazil have become the important contributors to the study of this issue in different ways; (3) The research results at this stage are mainly in the fields of medicine, health and biology and are cited internally, but are also developing in the direction of economics, political, environmental and other fields. Finally, this study summarises some of the issues that should be of concern to public health crisis management in the post-pandemic era, in the hope of providing some insight for researchers on this issue.</p>\u0000 </div>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"40 2","pages":"458-473"},"PeriodicalIF":1.9,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142591949","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":"Prevalence, Predictors and Reasons for Discharge Against Medical Advice Among Patients With Chronic Disease During COVID-19","authors":"Raya T. Al-Bataineh,&nbsp;Ahmad H. Ghaith","doi":"10.1002/hpm.3868","DOIUrl":"10.1002/hpm.3868","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Discharge against medical advice (DAMA) is used in healthcare facilities in a situation where patients refuse care or decide to leave the hospital before the treating physician recommends discharge. Previous studies have found DAMA to be prevalent among patients with various chronic conditions. The study had four objectives. The study aimed to investigate: (1) the prevalence of DAMA during COVID-19 (2020–2021) among Jordanian patients with chronic diseases, (2) the association between DAMA and sociodemographic and clinical characteristics of patients with chronic diseases, (3) the predictors of DAMA and (4) the reasons behind DAMA at the patient, hospital and environmental levels.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A descriptive cross-sectional correlational design was used in the study. A convenience sampling approach was used to collect data from 1576 patients with chronic diseases from 3 private hospitals.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The study found that the prevalence rate of DAMA was 33.3%. There was a significant association between the sociodemographic and clinical characteristics of patients with chronic diseases and DAMA. Health insurance found to be the strongest predictor of DAMA. Finally, the study found that patient, hospital and environmental-related factors had a low impact on DAMA.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>DAMA is prevalent among patients with chronic diseases in Jordan during COVID-19 pandemic. The current study's findings can serve as an empirical basis for planning and implementing DAMA prevention programs and/or establishing or revising policies for the target population.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"40 2","pages":"300-310"},"PeriodicalIF":1.9,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142591945","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 Artificial Intelligence in Accelerating Vaccine Development: Challenges and Opportunities in Pandemic Preparedness","authors":"Marina dos Santos Barreto,&nbsp;Adriana Kelly Santana Correa,&nbsp;Ronaldy Santana Santos,&nbsp;Eloia Emanuelly Dias Silva,&nbsp;Deise Maria Rego Rodrigues Silva,&nbsp;Pedro Henrique Macedo Moura,&nbsp;Pamela Chaves de Jesus,&nbsp;Jessiane Bispo de Souza,&nbsp;Lucas Alves da Mota Santana,&nbsp;Rajiv Gandhi Gopalsamy,&nbsp;Govindasamy Hariharan,&nbsp;Adriana Gibara Guimarães,&nbsp;Lysandro Pinto Borges","doi":"10.1002/hpm.3870","DOIUrl":"10.1002/hpm.3870","url":null,"abstract":"<div>\u0000 \u0000 <p>Artificial intelligence (AI) has been studied and applied to medicines and vaccine development. However, there is still a need to understand the processes used and improve them. With this letter, we draw attention to AI use as a tool in vaccine production, supporting scientists and enabling optimization in this process. In this way, it can be applied to contain pandemics and epidemics.</p>\u0000 </div>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"40 2","pages":"516-518"},"PeriodicalIF":1.9,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142591955","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":"Pandemic COVID-19 as a challenge for telemedicine in the Czech Republic","authors":"Olga Angelovská,&nbsp;Karolína Dobiášová,&nbsp;Jolana Kopsa Těšinová","doi":"10.1002/hpm.3863","DOIUrl":"10.1002/hpm.3863","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <p>The COVID-19 Pandemic contributed to accelerating the process of using information and communication technologies and digital technologies in healthcare management and delivery within healthcare systems. At that time, the Czech healthcare system faced the same problems as other European systems and struggled with a temporary limitation of direct provision of healthcare services. It was solved by switching to telemedicine. The Czech healthcare system used telemedicine to a minimal extent until then. Despite adopting the law on healthcare digitisation, it is still one of the countries with a lower level of digitisation of healthcare processes. The article presents the results of an exploratory expert investigation focused on the implementation and development of telemedicine in the Czech Republic. The conducted research aimed to identify problems related to the implementation of telemedicine in practice, place them in the broader framework of the healthcare system and structure them, propose possible solutions, and identify the future challenges of telemedicine in the Czech Republic. We based our study on the results of a three-phase QUAL-QUAN-QUAL research. Data collection in the first phase took the form of individual semi-structured interviews with patients (25) with practical experience in the field of telemedicine, followed by the second quantitative phase of the questionnaire survey with patients (650). The third qualitative phase included semi-structured interviews with experts (17) with practical experience in telemedicine. The introduction and expansion of telemedicine require several fundamental changes. These include adjustments to the legislative environment and changes to the technological infrastructure, organisation of care and work. Several barriers have been identified at the healthcare system level, healthcare providers, healthcare professionals and patients.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"40 1","pages":"271-286"},"PeriodicalIF":1.9,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11704822/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142577088","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 Future of the Health Professions: Navigating Shortages, Imbalances, and Automation","authors":"Martin McKee,&nbsp;Tiago Correia","doi":"10.1002/hpm.3865","DOIUrl":"10.1002/hpm.3865","url":null,"abstract":"<p>The healthcare sector is undergoing significant transformation driven by workforce shortages, role imbalances, and technological advances. Traditional health professions, characterised by advanced knowledge and self-regulation, face challenges from two key trends. First, there is a growing reliance on less-trained workers, such as nursing assistants and physician associates, to fill gaps, raising concerns about patient safety and the quality of care. While these roles can assist in simpler tasks, their expanded responsibilities—often exceeding their training—can lead to adverse outcomes, particularly in critical medical scenarios. Second, the rise of automation and artificial intelligence (AI) offers both opportunities and risks. While AI shows promise in reducing administrative burdens and aiding specialized tasks like image recognition, its limitations hinder its broader adoption, such as reinforcing biases and failing to reason diagnostically. This editorial argues that uncritical reliance on these developments risks compromising healthcare quality. It calls for evidence-based policymaking, robust oversight, and updated regulatory frameworks to ensure patient safety while adapting to these shifts. Getting the right balance between maintaining professional autonomy and integrating new roles and technologies is critical for building resilient healthcare systems capable of responding to future challenges.</p>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"40 2","pages":"289-292"},"PeriodicalIF":1.9,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpm.3865","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142577099","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 power of artificial intelligence for managing pandemics: A primer for public health professionals","authors":"Martin McKee,&nbsp;Rikard Rosenbacke,&nbsp;David Stuckler","doi":"10.1002/hpm.3864","DOIUrl":"10.1002/hpm.3864","url":null,"abstract":"<p>Artificial intelligence (AI) applications are complex and rapidly evolving, and thus often poorly understood, but have potentially profound implications for public health. We offer a primer for public health professionals that explains some of the key concepts involved and examines how these applications might be used in the response to a future pandemic. They include early outbreak detection, predictive modelling, healthcare management, risk communication, and health surveillance. Artificial intelligence applications, especially predictive algorithms, have the ability to anticipate outbreaks by integrating diverse datasets such as social media, meteorological data, and mobile phone movement data. Artificial intelligence-powered tools can also optimise healthcare delivery by managing the allocation of resources and reducing healthcare workers' exposure to risks. In resource distribution, they can anticipate demand and optimise logistics, while AI-driven robots can minimise physical contact in healthcare settings. Artificial intelligence also shows promise in supporting public health decision-making by simulating the social and economic impacts of different policy interventions. These simulations help policymakers evaluate complex scenarios such as lockdowns and resource allocation. Additionally, it can enhance public health messaging, with AI-generated health communications shown to be more effective than human-generated messages in some cases. However, there are risks, such as privacy concerns, biases in models, and the potential for ‘false confirmations’, where AI reinforces incorrect decisions. Despite these challenges, we argue that AI will become increasingly important in public health crises, but only if integrated thoughtfully into existing systems and processes.</p>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"40 1","pages":"257-270"},"PeriodicalIF":1.9,"publicationDate":"2024-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11704850/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510403","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":"Applying global lessons from limerick: Insights for Taiwan's drug policy development","authors":"Yu-Chieh Wu,&nbsp;Lien-Chung Wei","doi":"10.1002/hpm.3862","DOIUrl":"10.1002/hpm.3862","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <p>This letter responds to Duopah et al.'s study on illicit drug use in Limerick City, drawing parallels with Taiwan's experiences in drug policy development and highlighting lessons from other countries with advanced harm reduction policies, including Portugal and Switzerland. The application of Kingdon's multiple streams model is used to analyse cross-cultural policy development. Taiwan's shift from punitive to health-oriented strategies, such as supervised injection facilities and rehabilitation programs, is explored. This letter emphasises the challenges of stakeholder engagement, particularly in integrating the perspectives of people who use drugs, and discusses the broader implications for international policy adaptation, especially in countries with similar health system challenges. Taiwan's development of multi-tiered interventions and integrated care models serves as an example of evidence-based policymaking. These insights highlight the potential for global cross-cultural learning in drug policy development.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"40 1","pages":"254-256"},"PeriodicalIF":1.9,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477701","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":"Roadmap for rebuilding the health system and scenarios of crisis path in Gaza","authors":"Mohammed Alkhaldi,&nbsp;Malak Alrubaie","doi":"10.1002/hpm.3861","DOIUrl":"10.1002/hpm.3861","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <p>The horrific attacks on Gaza have had a profound impact on Gaza's health system, culminating in a multidimensional crisis. The deliberate destruction of vital infrastructure, such as hospitals, schools, housing, and public facilities, coupled with the deaths and injuries of medical personnel and support workers has only exacerbated the situation and further highlighted the existing gaps. This unprecedented catastrophe proves the criticality of adopting a new national inclusive integrated approach to meeting the immediate and long-term needs of the population. In this perspective, we explore the recovery roadmap features for rebuilding the health system in Gaza, specifically focusing on determining the primary challenges that might emerge, the trajectory of recovery, and the expected crisis scenarios. The existing evidence and perspectives of key stakeholders, including state and non-state health authorities in Palestine were synthesised. Despite some local and international initiatives undertaken to generate a concrete road to recovery, there remains a need for realistic, innovative, and comprehensive Marshall plans to rebuild Gaza's health system. The article draws on insights and gaps in current efforts and underscores the urgent need to address the challenges of rebuilding the health system. The authors strive to offer an inclusive and realistic path with the potential scenarios toward recovery and resilience considering the mass levels of loss and damage, and ways to move forward for building back a resilient health system in Gaza.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"40 1","pages":"241-253"},"PeriodicalIF":1.9,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11704815/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477702","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 amended international health regulations: Implications and challenges for domestic legal frameworks","authors":"Sarah Emami,&nbsp;Cedric Aperce","doi":"10.1002/hpm.3853","DOIUrl":"10.1002/hpm.3853","url":null,"abstract":"<p>The World Health Organisation's International Health Regulations were amended in May 2024, with a number of implications for countries to amend their legal and institutional frameworks. This perspective highlights two key areas of focus in the amendments—the importance of multisectoral coordination and subnational work - and explores their links to health security challenges and to concrete country experiences. National legal and institutional frameworks constitute a key enabling mechanism for effective public health systems capable of preventing, detecting, and responding promptly to public health events and emergencies, and the recent IHR amendments provide a new impetus for WHO Member States to make these changes.</p>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"40 1","pages":"234-240"},"PeriodicalIF":1.9,"publicationDate":"2024-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477703","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":"Turning the global health and care workforce crisis into action: The pathway to effective evidence-based policy and implementation","authors":"Tiago Correia,&nbsp;Ellen Kuhlmann,&nbsp;Gabriela Lotta,&nbsp;André Beja,&nbsp;Rita Morais,&nbsp;Tomas Zapata,&nbsp;James Campbell","doi":"10.1002/hpm.3860","DOIUrl":"10.1002/hpm.3860","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <p>The global health and care workforce (HCWF) is facing an evolving crisis, requiring urgent and sustained action. There is a critical need for enhanced workforce planning, management, and leadership, which are currently at risk of being overshadowed by political inertia, particularly in the post-COVID-19 context. A comprehensive approach tailored to the specific needs of different countries is outlined here, offering actionable insights for policymakers and stakeholders to address the HCWF crisis effectively. Key areas for critical analysis and improvement include identifying major challenges, developing policies that effectively address the HCWF crisis, and strengthening the implementation of evidence-based policies. These areas are detailed based on recent developments in the international debate, with the aim of providing comprehensive guidance for understanding the problems and identifying clear actions for improvement.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"40 1","pages":"224-233"},"PeriodicalIF":1.9,"publicationDate":"2024-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpm.3860","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477704","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}