International Journal of Health Planning and Management最新文献

{"title":"Impact of Coronavirus Disease 2019 on Fertility: An Integrative Review","authors":"Wakaha Ikeda,&nbsp;Yuka Yamazaki,&nbsp;Yutaka Inaba","doi":"10.1002/hpm.3908","DOIUrl":"10.1002/hpm.3908","url":null,"abstract":"<p>This integrative review aimed to explore the impact of the spread of coronavirus disease 2019 (COVID-19) on fertility to establish foundational knowledge and guide future epidemiological studies. The PubMed and Central Journal of Medicine databases were searched, yielding 80 relevant articles published between 2019 and 2021. Of these, 14 were published in Japanese and 66 in English. None of the Japanese studies met the inclusion criteria. Fourteen English-language studies, all of which were retrieved from PubMed, were included in the final analysis. No relevant literature was found in the Central Journal of Medicine. The keywords used were COVID-19, fertility, and demographics. COVID-19 led to an increase in unplanned pregnancies and abortions in developing countries. Fever associated with the infection was suggested to have reduced sperm concentration and motility, and the spread of the infection caused young couples to delay childbearing, potentially decreasing fertility. Conversely, relatively older couples showed fewer changes in their childbearing plans, indicating that COVID-19 had both positive and negative effects on fertility. Physical, psychological, and economic factors as well as sex, age, and cultural background exerted complex effects on fertility. Herein, the impact of social crises on fertility rates has been discussed in the context of the recent COVID-19 pandemic. Analysing the effects of this pandemic on fertility rates is crucial for understanding future demographic trends and national strengths. This study provides valuable data for future research in this field.</p>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"40 3","pages":"765-775"},"PeriodicalIF":1.9,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpm.3908","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400418","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":"Does Long-Term Care Insurance Release the Unmet Long-Term Care Needs and Promote Long-Term Care Services? A Quasi-Experimental Study in China","authors":"Liangwen Zhang,&nbsp;Sicheng Li,&nbsp;Ya Fang","doi":"10.1002/hpm.3907","DOIUrl":"10.1002/hpm.3907","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Long-term care insurance (LTCI) is a widely adopted approach to address the growing long-term care (LTC) needs associated with ageing. Little is known about its effect on unmet LTC needs among different LTC populations in China. This study explored the effect of LTCI pilot programs on unmet LTC needs and their pathways among different LTC need populations in China.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Data were derived from the China Health and Retirement Longitudinal Study 2013, 2015, and 2018. Difference-in-Difference methods were used to estimate the impact of LTCI on unmet LTC needs and informal LTC services. According to the degree of ADL or IADL needs, participants were categorised into broad, intermediate, and narrow LTC need populations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The unmet LTC needs increased in both broad, intermediate, and narrow LTC need populations, while informal LTC hours received decreased for the intermediate and narrow LTC need populations. Informal LTC was identified as a mediator, contributing to increased unmet LTC needs. With LTCI coverage, heterogeneity analysis showed a direct effect, resulting in a 72.1% reduction in informal LTC hours without an increase in unmet LTC needs. Additionally, a spillover effect led to a 35.7% reduction in informal LTC hours and an average increase of 0.133 unmet needs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>With the inadequate formal LTC services, the LTCI implementation decreased the informal LTC provision and further increased the unmet LTC needs in almost all LTC need populations. Only for individuals with severe disabilities LTCI effectively substituted the informal LTC provided by families. The government needs to improve the quality of formal LTC services to avoid increasing unmet LTC needs.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"40 3","pages":"646-654"},"PeriodicalIF":1.9,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400417","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":"Financing Universal Healthcare Coverage in Nigeria Through the Basic Health Care Provision Fund: Challenges and Potential Solutions","authors":"Theodora A. Odinenu,&nbsp;Chidiebere Jude Anago","doi":"10.1002/hpm.3909","DOIUrl":"10.1002/hpm.3909","url":null,"abstract":"<div>\u0000 \u0000 <p>This study examines the Nigerian government's efforts to provide Universal Health Care (UHC) and reduce out-of-pocket spending through the Basic Health Care Provision Funds (BHCPF) scheme. The study gathered insights into the degree of UHC accomplishment through the implementation of the BHCPF using qualitative and quantitative secondary data analysis approaches, which combined a series of interviews with Statista data. The findings show that BHCPF implementation must be better aligned with the needs of healthcare recipients, particularly at the local government level, with poor infrastructure, insufficient funding, a lack of workforce, limited medicine, low awareness, and reachability identified as key factors making the scheme inaccessible. For immediate improvement, supported by Statista data, the study recommended telemedicine to address some of the challenges of reachability/accessibility because it represents an advantageous approach, given its significant contribution to the expansion of healthcare accessibility and the mitigation of health inequities in under-resourced countries around the world. Furthermore, the Public-Private Partnership method backed by desk-based research method was deemed ideal for addressing health care infrastructure provisioning challenge. Overall, this study demonstrates, on the one hand, the difficulty in improving access to care at the local government level, given the multifaceted and complex nature of the barriers to care for low-income people; and on the other, the urgent need for more holistic collective action to improve quality healthcare services for all in Nigeria.</p>\u0000 </div>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"40 3","pages":"630-645"},"PeriodicalIF":1.9,"publicationDate":"2025-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143374856","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":"A Case Report of a Mixed-Methods Assessment of Patient Experiences to Inform Quality Improvement in an Emergency Department in Argentina","authors":"María Florencia Grande Ratti,&nbsp;Noelia De Masi,&nbsp;Leonardo Garfi,&nbsp;Lucila Hornstein,&nbsp;Esteban Rochina,&nbsp;Maria De La Paz Rodriguez,&nbsp;Ana Soledad Pedretti,&nbsp;Bernardo Julio Martinez","doi":"10.1002/hpm.3906","DOIUrl":"10.1002/hpm.3906","url":null,"abstract":"<div>\u0000 \u0000 <p>The objective of this paper is to explore how an emergency department in Argentina collected patient experience perspectives using varied tools to inform improvement activities. A case report of a mixed-methods assessment of patient experiences to inform quality improvement in an Emergency Department in Argentina. This study was conducted from July 2022 to December 2023 at Hospital Italiano de Buenos Aires, Argentina. Data collection was based on different resources: (a) <i>Net Promoter Score Survey</i>; (b) <i>Buyer Persona</i>, defined as a semi-fictional representation of your ideal customer based on market research and real data about your existing customers; (c) <i>Empathy Maps</i>, a tool which aids in understanding another person's perspective and empathises with the thoughts, feelings, needs, and behaviours; (d) <i>Customer Journey Map</i>, a visual representation that outlines the various stages and touchpoints a customer goes through when interacting with service. Data was analysed following an iterative process (plan→act→observe→reflect). Its analysis served to understand and improve the design, development, and implementation plans. The results helped to model the patient's journey pattern and understand users' profiles. Therefore, we used the information to support the organisation's improvement process. For example, although wait time is a major driver in this setting, provider and staff communication is critically important. Excellent communication and perceived empathy mitigate long waits, overcrowded environments, and other challenges (such as infrastructure and comfort). This case example can guide the future efforts of healthcare managers and key stakeholders in making decisions about how a service can use empathy-based tools to improve the patient experience.</p>\u0000 </div>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"40 3","pages":"620-629"},"PeriodicalIF":1.9,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143034566","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":"A Next Available Appointment (NAA) Tool to Better Manage Patient Delay Risk and Patient Scheduling Expectations in Specialist Clinics","authors":"Vahid Riahi,&nbsp;David Rolls,&nbsp;Ibrahima Diouf,&nbsp;Sankalp Khanna,&nbsp;Kim O'Sullivan,&nbsp;Rajiv Jayasena","doi":"10.1002/hpm.3904","DOIUrl":"10.1002/hpm.3904","url":null,"abstract":"<p>Every year there are approximately 3 million new outpatient specialist clinic appointments at local hospital networks in Victoria, Australia. Growing daily demand for these services leads to high-volume waiting lists and therefore long appointment delays for patients. This phenomenon emphasises the importance of providing analytics and tools to assist with waiting list management in outpatient specialist clinics. In this paper, we developed a novel Next Available Appointment (NAA) tool, to assist clinicians to manage delayed-appointment risk and improve the patient experience by aligning the expected and actual day of the appointment. The NAA uses simulation to determine the earliest available week for a patient appointment on or after the timeframe requested by the clinician, considering the current waiting list and future planned clinician availability. It was validated using 3 years of historical waiting list information across several scenarios chosen to capture operational diversity. As a practical example, a scenario chosen for implementation within the clinic's operational setting achieved a simulated reduction in overdue appointments from 41% to 25% (i.e., a reduction of 47,000 overdue appointments over 3 years). We also provided early details on the implementation of the tool currently underway.</p>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"40 3","pages":"607-619"},"PeriodicalIF":1.9,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpm.3904","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143034615","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":"Defining Health Management: A Conceptual Foundation for Excellence Through Efficiency, Sustainability and Equity","authors":"George Valiotis,&nbsp;Sandra C. Buttigieg,&nbsp;Americo Cicchetti,&nbsp;Rui Dang,&nbsp;Nabil Jamshed,&nbsp;Marija Jevtic,&nbsp;Teresa Magalhães,&nbsp;Henk Nies,&nbsp;Mangfred Pferzinger,&nbsp;Rui Santana,&nbsp;Tiago Correia,&nbsp;Emmi Weller,&nbsp;Laura Cande,&nbsp;Zachary Desson,&nbsp;Federica Margheri","doi":"10.1002/hpm.3903","DOIUrl":"10.1002/hpm.3903","url":null,"abstract":"<p>The practice of healthcare management is essential for the efficient operation of health services, encompassing leadership, management, and direction within healthcare organisations. ‘Health management’ extends beyond healthcare management by integrating principles of public health and health policy. As health management is commonly practised but not cohesively recognised, the European Health Management Association (EHMA) conducted this study to develop a cohesive definition of health management. Developed through a qualitative methodology comprising focus group discussions and validation through quantitative expert interviews, this study proposed a holistic definition of health management, incorporating social, environmental and economic determinants of health, cross-sector collaboration, and the ‘One Health’ approach. The publication of this unified definition has important implications for professional training, policy development, and health outcomes. It provides a foundational framework for curricula, informs precise policy formulation, and promotes excellence through health service delivery that reflects efficiency, sustainability, and equity.</p>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"40 3","pages":"788-793"},"PeriodicalIF":1.9,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpm.3903","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143033914","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":"Prevalence and Associated Factors of Long-Acting and Permanent Methods (LAPMs) of Family Planning Among Women of Reproductive Age: A Systematic Review and Meta-Analysis","authors":"Ayşe Taştekin,&nbsp;Tuğçe Ok","doi":"10.1002/hpm.3895","DOIUrl":"10.1002/hpm.3895","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To examine the prevalence and associated factors of long-acting and permanent methods of family planning (LAPMs) in women of reproductive age.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>LAPMs reduce the rate of unwanted pregnancy. Understanding the prevalence and associated factors of LAPMs is the key to preventing unwanted pregnancies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>In this systematic review and meta-analysis study, data from seven studies involving 1187 women, conducted between 2013 and 2022, were analysed by searching EBSCOhost, Google Scholar, Pubmed, Science Direct, Scopus, Web of Science, and ProQuest databases. PRISMA 2020 guidelines were followed in this study. Joanna Briggs Institute Critical Evaluation tools were used to evaluate the quality of the studies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The prevalence of LAPMs in women of reproductive age was 27.3%. Women with secondary education or higher, with three or more children, and who do not want to have more children use long-acting and permanent methods more.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Our results can guide the development of strategies to be applied to prevent unintended pregnancies and to increase the use of LAPMs in women of reproductive age.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"40 3","pages":"752-764"},"PeriodicalIF":1.9,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025210","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":"Long-Term Care Insurance and Health Inequality: Evidence From China","authors":"Jin Ke,&nbsp;Fei Sun","doi":"10.1002/hpm.3905","DOIUrl":"10.1002/hpm.3905","url":null,"abstract":"<div>\u0000 \u0000 <p>This study examined the relationship between the Chinese Long-Term Care Insurance (LTCI) programme and health inequality among older adults in China and explored potential explanatory factors. Overall, the LTCI was found to improve the health of Chinese older adults. However, it was also associated with widening health inequality among older residents across income classes and between urban and rural areas. The mechanism analysis found that LTCI significantly reduced out-of-pocket medical costs for high-income older adults and urban residents, while its effects on the low- and middle-income older adults and rural residents were not significant. The heterogeneous effects of LTCI on out-of-pocket medical costs for different groups contribute to widening health inequalities across income classes and between urban and rural areas. Further analyses showed that in the low- and middle-income and rural resident groups, out-of-pocket medical costs were significantly reduced only for individuals covered by LTCI who reported access to formal care services. This implies that formal care accessibility is critical, and additional analyses affirmed that the LTCI programme was associated with widened inequalities in formal care accessibility across income classes and between urban and rural areas. The current LTCI programme appears to exacerbate disparities in access to formal care, undermining its effectiveness for low- and middle-income and rural older adults. This finding calls for efforts to optimise the implementation of the LTCI programme including allocating care resources to address inequalities.</p>\u0000 </div>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"40 3","pages":"594-606"},"PeriodicalIF":1.9,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025234","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":"Multidimensional Poverty due to COVID-19 in Southeast Nigeria: Exploring the Roles of Education, Marital and Employment Status","authors":"C.E. Ugwu,&nbsp;O. C. Nwosu,&nbsp;C. J. Oti","doi":"10.1002/hpm.3901","DOIUrl":"10.1002/hpm.3901","url":null,"abstract":"<div>\u0000 \u0000 <p>Poverty as a phenomenon is multidimensional, and its incidence and causes constitute constant debate in the literature of the phenomenon. A crisis such as the Coronavirus Disease 2019 (COVID-19) and the resultant lockdowns may increase poverty prevalence among citizens and, particularly, certain demographic characteristics in Nigeria. Hence, this study's general objectives were to interrogate the incidence of multidimensional poverty due to the COVID-19 pandemic in the South-eastern States of Nigeria, using the roles of educational level, marital status, and employment status of citizens as predictors. The ³⁶ methodology of analysing multidimensional poverty index (MPI) was used in the study, and logistic regression is utilised to assess the determinant of multidimensional poverty. Additionally, an interstate online survey of 1057 participants (using a questionnaire) from five states was employed. The results indicated the prevalence and dynamics of COVID-19 multidimensional poverty in the study area, with 46.55% constituting the severe poor, 16.84% the poor, 6.71% the near poor, and 29.90% the none poor. There were no major significant differences between the states. Significant predictors of COVID-19-related poverty in the study were the secondary school educational status and the employment dynamics of respondents. The implication of the result of the study suggests the application of effective palliative measures towards the vulnerable groups, which contributes to poverty reduction.</p>\u0000 </div>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"40 3","pages":"583-593"},"PeriodicalIF":1.9,"publicationDate":"2025-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014017","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 Future Hospital in Global Health Systems: The Future Hospital Within the Healthcare System","authors":"N. J. Sebire,&nbsp;A. Adams,&nbsp;L. Celi,&nbsp;A. Charlesworth,&nbsp;M. Gorgens,&nbsp;M. Gorsky,&nbsp;O. Landeg,&nbsp;Y. Nagasawa,&nbsp;K. T. Nimako,&nbsp;C. Onoka,&nbsp;S. Roder-DeWan,&nbsp;N. Watts,&nbsp;M. McKee","doi":"10.1002/hpm.3891","DOIUrl":"10.1002/hpm.3891","url":null,"abstract":"<p>Future hospitals must be able to adapt in many ways to the changing demands on their roles and functions within evolving healthcare delivery infrastructures. These include changing population structures and needs, new models of healthcare provision, technological advances, and innovations in design, all while enhancing their environmental sustainability. This article sets out the issues that those determining healthcare policy and designing future hospitals must consider if they are to become and remain fit for purpose within the wider health and social care system. It also examines the need for, and challenges to, strategic healthcare planning, creating future hospitals that are sustainable, net-zero carbon organisations, and ensuring resilience in the face of a range of potential shocks. Future hospitals play a crucial role in healthcare worldwide, regardless of the country's income level. Hospitals cannot be viewed without broader health system changes, infrastructure, community and cultural factors, staffing and other considerations. We anticipate that future hospitals will enhance population health in all settings and support the move towards more consumer-centric healthcare. We urge clinical and policy planners to consider the factors discussed carefully to maximise the benefits.</p>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"40 3","pages":"741-751"},"PeriodicalIF":1.9,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpm.3891","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014023","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}