International Journal of Health Planning and Management最新文献

{"title":"National and Subnational Models of Care That Support Primary Health Care: A Mixed-Methods Study.","authors":"Mary Louisa Plummer, Nuria Toro Polanco, Faraz Khalid, Fidan Talishinskaya, Hassan Salah, Teri Reynolds","doi":"10.1002/hpm.70057","DOIUrl":"10.1002/hpm.70057","url":null,"abstract":"<p><p>In 2020, the World Health Assembly called on countries to reorient their models of care (MOCs) toward primary health care (PHC). This study's objectives were to (a) describe common use of the concept of MOC; and (b) identify implemented MOCs and their components that support PHC at national and subnational levels. A scoping review charted data on national and subnational level MOCs from literature reviews in PubMed and Global Index Medicus databases and WHO publications. Qualitative interviews about current MOCs were conducted with national-level health planners in seven Eastern Mediterranean Region countries. 2189 abstracts were screened and 98 papers included. Few papers explicitly defined 'model of care'; most instead referred to particular models of care and their components, implicitly including processes of care, organization of providers and management of services. Seventy-eight papers described small subnational (e.g., district or municipal) MOCs focused on care groups or conditions. Twelve papers and all interviewees described national or large subnational (e.g., provincial or regional) MOCs intended to prioritize primary care services, service integration and people-centred service delivery. Key components included: strengthening primary care capacity to coordinate and deliver services; implementing multidisciplinary, team-based service delivery; building robust linkages (e.g., referral, communication and transportation) across all care levels; designing pathways to efficiently guide people's journeys through a health system; and ensuring longitudinal health care coordination. Findings suggest that reorienting a national MOC toward PHC is facilitated by explicit articulation of the intended MOC and practical, coordinated planning for its incremental implementation, financing and monitoring.</p>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":" ","pages":"490-506"},"PeriodicalIF":2.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13127563/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146776864","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":"Conspiracy Beliefs, Institutional Mistrust, and Health-Related Behaviours During the COVID-19 Pandemic in Burkina Faso: A Mediation Analysis.","authors":"Gabin F Morillon, Marlène Guillon, Jacky Mathonnat","doi":"10.1002/hpm.70058","DOIUrl":"10.1002/hpm.70058","url":null,"abstract":"<p><strong>Background: </strong>No study has yet examined the conjoint role of institutional trust and COVID-19 conspiracy beliefs on compliance with COVID-19 preventive behaviours among populations of African countries. This study aims to deepen the understanding of the relationship between institutional mistrust, conspiracy beliefs, and health-related behaviours in the context of an African country during the COVID-19 pandemic.</p><p><strong>Methods: </strong>A cross-sectional research design was employed, and a paper-based survey using face-to-face interviews was conducted among the general adult population of Burkina Faso, collecting data on institutional mistrust, conspiracy beliefs, health-related behaviours (i.e., vaccination attitudes, agreement to sanitary measures, and containment-related behaviours), information-seeking behaviours (including traditional and digital sources of information), and negative sentiments. We defined a conceptual model according to the existing literature. A mediation analysis was employed to examine the direct effect of institutional mistrust on health-related behaviours and its indirect effect through conspiracy beliefs endorsement. Additionally, the effects of information-seeking behaviours and negative sentiments on mistrust and conspiracy beliefs were explored.</p><p><strong>Results: </strong>We find that institutional mistrust had a direct negative effect on all health-related behaviours and an indirect effect through conspiracy beliefs which themselves had a direct negative effect on protective behaviours. The partial mediation accounted for 12% (agreement with sanitary measures) to 34% (vaccination attitudes) of the total effect of institutional mistrust on health-related behaviours. Information seeking on traditional media and negative sentiments had positive effects on conspiracy beliefs and institutional mistrust, respectively.</p><p><strong>Conclusions: </strong>Our findings underscore the need for medium-to long-term policies aimed at restoring and perpetuating trust in institutions and curbing conspiracy beliefs for fighting future pandemics. In short term, health promotion campaigns should be channelled through the sources of information in which individuals have the greatest confidence such as religious and traditional leaders.</p>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"41 3","pages":"461-476"},"PeriodicalIF":2.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13127567/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785578","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":"Long-Term Care Insurance Coverage and Family Care for Older People in Rural Areas: Evidence From China.","authors":"Yifei Chu, Sirui Chen, Lixia Zhang","doi":"10.1002/hpm.70061","DOIUrl":"10.1002/hpm.70061","url":null,"abstract":"<p><p>This study examines the impact of Long-Term Care Insurance (LTCI) on rural family care and adult children's behaviour in China. Drawing on pooled data from the China Health and Retirement Longitudinal Study (CHARLS), this paper exploits the rollout of the LTCI pilots across different cities and identify the effect of LTCI using DID method. Findings show that LTCI reduces family informal care use in China's rural areas by 6.884 h per month. This study also documents substantial effects for older people with more children, cohabitating and severe incapacity. The mechanism of influence indicates that long-term care insurance significantly improves the self-rated health of elderly individuals living with their families and increases the employment probability of adult children, thereby reducing the time children spend caring for their parents. From a policy perspective, LTCI is rapidly covering urban areas in China, and the findings provide an important theoretical basis for further expanding LTCI coverage to more rural areas.</p>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":" ","pages":"507-520"},"PeriodicalIF":2.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147348859","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":"Determinants of Health Research Evidence Utilization in the Health Planning of Tanzania: Perspectives of Participants From a Qualitative Study.","authors":"Pius Kagoma, Richard Mongi, Albino Kalolo","doi":"10.1002/hpm.70060","DOIUrl":"10.1002/hpm.70060","url":null,"abstract":"<p><strong>Background: </strong>The utilization of health research evidence is essential for informed decision-making, especially in health planning and achieving Universal Health Coverage (UHC). However, limited information exists regarding its use in planning in Lower Middle-Income Countries (LMICs), including Tanzania. This study assessed the use of health research evidence and factors influencing its utilization among health planning teams.</p><p><strong>Methods: </strong>A descriptive qualitative approach was used to examine determinants of evidence use in health planning. Data were collected through six focus group discussions and 34 in-depth interviews with planning team members from regional, council, and health facility levels. The COM-B model (Capability, Opportunity, Motivation) was applied to assess factors influencing evidence use, and thematic analysis was conducted on the transcribed data.</p><p><strong>Findings: </strong>Although participants reported using available planning guidelines, the incorporation of health research evidence into planning was limited. Capability barriers included inadequate knowledge and skills for evidence-based planning. Opportunities included planning guidelines that supported evidence use, research coordinators, policymaker-researcher interactions, and infrastructure such as computers and the internet; however, access to knowledge translation tools was limited. Motivation was influenced by incentives such as extra duty allowances, promotions, and professional development opportunities.</p><p><strong>Conclusion: </strong>The use of health research evidence in planning processes in Tanzania is low, influenced by capability, opportunity, and motivation factors. Enhancing capacity-building, fostering collaboration, strengthening policy support, and improving infrastructure are recommended. Future research should evaluate the effectiveness of these interventions and their impact on healthcare planning and delivery. Efforts were made to minimize social desirability and selection biases.</p>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":" ","pages":"426-439"},"PeriodicalIF":2.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146004332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"41 3","pages":"421-422"},"PeriodicalIF":1.8,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148095900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"41 3","pages":"521-544"},"PeriodicalIF":1.8,"publicationDate":"2026-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148072501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"41 3","pages":"507-520"},"PeriodicalIF":1.8,"publicationDate":"2026-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148064951","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":"Bridging Gaps or Widening Disparities? A Spatiotemporal Analysis of COVID-19 Therapeutic Distribution Policies in Texas","authors":"Dohyo Jeong,&nbsp;Dohyeong Kim","doi":"10.1002/hpm.70045","DOIUrl":"10.1002/hpm.70045","url":null,"abstract":"<div>\u0000 \u0000 <p>This study examines how federal distribution policies affected regional disparities in access to COVID-19 therapeutics over time in Texas. To evaluate therapeutic accessibility, drug-to-case ratios were calculated by comparing the amount of therapeutic supply to confirmed case counts across counties during each policy period. A Bayesian spatiotemporal Integrated Nested Laplace Approximation (INLA) model was used to analyse how healthcare infrastructure, demographic characteristics, and regional vulnerabilities affected access. During the period when distribution was managed by state authorities, supply was quickly mobilized but often lagged demand, particularly in rural areas and communities with high rates of diabetes and older populations. In the next phase, test-to-treat program expanded overall supply, but access remained limited in areas with high racial and ethnic vulnerability due to the absence of demographic targeting. In the final phase, when therapeutics were allocated based on population thresholds and replenished regularly, spatial distribution became more stable and racial disparities narrowed. However, certain high-risk populations continued to face lower access. Findings show that each policy phase not only reflected but also reshaped regional disparities in therapeutic access. While early centralized efforts enabled swift response, they failed to address local needs. Later phases offered improved consistency but were still limited in addressing demographic and health-related vulnerabilities. This study underscores the importance of developing unified yet flexible distribution strategies that can respond to population-specific risks and infrastructure gaps, ensuring equitable access to treatment in future public health emergencies.</p>\u0000 </div>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"41 2","pages":"295-306"},"PeriodicalIF":1.8,"publicationDate":"2026-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145649792","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":"Letter to the Editor: Did the Daruyar Plan Increase Out-of-Pocket Spending on Medicines in Iran?","authors":"Mohsen Bayati","doi":"10.1002/hpm.70048","DOIUrl":"10.1002/hpm.70048","url":null,"abstract":"","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"41 2","pages":"415-416"},"PeriodicalIF":1.8,"publicationDate":"2026-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145670204","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":"Health Policy and Management Pathways Towards Universal Health Coverage","authors":"Noura Zaghmouri","doi":"10.1002/hpm.70050","DOIUrl":"10.1002/hpm.70050","url":null,"abstract":"<div>\u0000 \u0000 <p>Organizational transformation is a multifaceted process that involves altering an organization's structure, culture, processes, systems, and strategies to better adapt to internal and external changes. This transformative process is characterised by interprofessional interactions that aim to foster collective dynamics. The likelihood of organizational transformation failure is considerable, especially in pluralistic organizations. Our study's research question centred on the interactional mechanisms that come into play in the dynamics of organizational transformation within hospitals during a health crisis, treating the crisis as a valuable learning opportunity. Following a 6-month observation period, 28 semi-structured interviews were conducted between September 2021 and December 2022 with various professionals from different hierarchical levels and professional categories in two French hospitals. This study emphasises the mechanisms that facilitate the development of a social structure and social systems in pluralistic organizations and govern the individual and collective actions that regulate the process of organizational transformation.</p>\u0000 </div>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"41 2","pages":"319-330"},"PeriodicalIF":1.8,"publicationDate":"2026-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145764270","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}