Health & Social Care in the Community最新文献

{"title":"Preferences for Models of Care for Older People With High Care Needs: Survey of People Aged 50 years and Over in England","authors":"Magdalena Walbaum,&nbsp;Michela Tinelli,&nbsp;Martin Knapp,&nbsp;Raphael Wittenberg","doi":"10.1155/hsc/9635386","DOIUrl":"https://doi.org/10.1155/hsc/9635386","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>The rising number of older adults, many with long-term conditions or limitations in activities of daily living, is expected to increase demand for social care services and for housing options to accommodate their future care needs. Additionally, an increasingly diverse population may require care models that respond to different preferences, beliefs and values. This study aims to explore how preferences to meet future care needs vary across demographic, socioeconomic and care-related factors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>An online survey was conducted among 2104 participants aged ≥ 50 in England. The survey collected data on participants’ sociodemographic characteristics, experiences with care and preferences for their future care and support. Descriptive statistics were used, mean and standard deviation for normally distributed continuous measures and proportions for discrete and categorical variables. Logistic regression was used to analyse the associations between these variables.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Forty percent of participants would prefer to stay in their own homes (with adaptations if needed). Forty-seven percent did not have enough information on their care options, and 59% did not know where to find information. A strong socioeconomic gradient was observed in access to information and having substantial choice over care. Preferences varied significantly by age, income and ethnicity regarding communal living arrangements and community assets, such as access to cultural spaces and places of worship.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The study underscores the need for person-centred, flexible care models that respond to the diversity of preferences, particularly in relation to socioeconomic status and ethnic background. Most participants valued maintaining independence and control over their care, particularly those participants with prior care experience. Policymakers should prioritise a range of care options to meet diverse needs, ensuring equitable access to information and resources to support independent living. Addressing these disparities will help create more inclusive and person-centred care systems for the ageing population in England.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2026 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/9635386","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147585095","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":"Trauma-Informed Approaches to Violence Reduction: A Qualitative Exploration With Multiagency Partners in a Violence Reduction Unit in England","authors":"Hilary Stewart,&nbsp;Koser Khan,&nbsp;Joanne Goldthorpe,&nbsp;Fiona Ward,&nbsp;Heather Brown,&nbsp;Paula Wheeler,&nbsp;Lindsay Youansamouth,&nbsp;Susannah Clarke","doi":"10.1155/hsc/8173464","DOIUrl":"https://doi.org/10.1155/hsc/8173464","url":null,"abstract":"<p>Trauma and adverse childhood experiences are a public health issue and risk factor for future violence and criminality. This has motivated stakeholders to consider approaches which tackle the root causes of violent crime. One such approach is the dissemination of trauma-informed practice, funded by the Home Office and led by violence reduction units (VRUs). VRUs broadly seek to prevent and reduce violence through early intervention and collaborative working with multiagency partners. Implementing trauma-informed approaches as a public health means of violence reduction are novel, and there is limited research exploring whether and how these approaches work. This paper presents findings from an evaluation of trauma-informed approaches led by a VRU in England to explore their acceptability, facilitators and barriers. Drawing upon qualitative interview and focus group data (<i>N</i> = 49) gathered during an evaluation in 2022, and guided by the normalisation process theory (NPT) framework, we evaluated the dynamic work involved in adopting trauma-informed approaches in three diverse programmes of work. Findings indicate that trauma-informed approaches are acceptable ways of working for participants, with evidence to suggest that trauma-informed training shapes practice and can be embedded in organisational policies and practice when supported by funding, resources and appropriate leaders. Facilitators and barriers to embedding trauma-informed approaches are considered, for example, leadership, organisational buy in and resources are needed to embed commitment to trauma-informed approaches. Future research should explore whether and how trauma-informed approaches improve outcomes for clients.</p>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2026 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/8173464","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147615258","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":"Digital Cancer Communication Strategies in Spain: Differences Between Public and Private Hospitals and the Role of Cultural Sensitivity","authors":"Diego Ravenda,&nbsp;Maika M. Valencia-Silva,&nbsp;Josep M. Argilés-Bosch,&nbsp;Josep García-Blandón","doi":"10.1155/hsc/5008279","DOIUrl":"https://doi.org/10.1155/hsc/5008279","url":null,"abstract":"<p>This study explores the dynamics of cancer communication on Facebook by Spanish hospitals, analysing 8061 posts through sophisticated textual analysis and regression methodologies. It identifies divergent strategies between private and public hospitals, with private institutions emphasising cancer risks and prevention to appeal to a health-conscious audience, reflecting market orientation and behaviour-change constructs related to perceived threat and efficacy. The research uncovers culturally sensitive aspects in these communications, particularly concerning dietary risks, which are subtly moderated in their tone, suggesting an adaptation to align with cultural norms. By providing a nuanced understanding of digital healthcare discourse, this research contributes to theories on market orientation, cultural sensitivity and risk communication. These findings are pivotal for healthcare administrators and policymakers, underscoring the necessity for strategic, culturally informed communication in healthcare and highlighting the crucial balance between market-driven strategies and ethical considerations in public health messaging.</p>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2026 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/5008279","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147615288","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":"Insights Into Older Adults’ Preferences for Well-Being Programs Through Co-Design","authors":"Carissa J. Louend,&nbsp;Hannah A. D. Keage,&nbsp;Stephanie Wong,&nbsp;Rhianna L. S. Sharman,&nbsp;Ashleigh E. Smith,&nbsp;Maria Shialis,&nbsp;Lui Di Venuto,&nbsp;Tobias Loetscher,&nbsp;Melissa J. Hull","doi":"10.1155/hsc/5284700","DOIUrl":"https://doi.org/10.1155/hsc/5284700","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>As the world’s population ages, it is imperative to develop community initiatives that address the well-being needs of older adults. This study aimed to identify older adults’ needs and preferences for a bespoke well-being program in local councils in Southern Adelaide, South Australia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Six local older adults (between 65 and 87 years of age) participated in six co-design focus groups. In the focus groups, older adults reviewed and discussed previous Council-led well-being programs and developed a new well-being program for older adults. Reflexive thematic analysis was intentionally conducted on focus group dialog, after program development, to represent the perspectives and preferences of the older adults for a future well-being program.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Three themes on preferred program content and delivery methods were identified. Theme (1) get the balance right, with two subthemes (a) volume of information versus activities, discussion, and self-reflection and (b) facilitation matters, which highlight the value older adults placed on facilitation activities, discussion, and self-reflection to facilitate behavior change. Theme (2) we value the science, with two subthemes (a) some topics warrant more practical strategies than scientific information and (b) information should be tailored, relatable and provide choice. Theme (3) continue to challenge aging stereotypes, including two subthemes (a) language must be accessible and (b) respect the diversity of the aging experience.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>To ensure maximum value for older adult participants at the community-level in Australia, well-being programs for older adults should include evidence-based tailored content, time for discussion and group interaction, while also respecting the diversity of older adults in terms of abilities and preferences. Recommendations for policy makers and practitioners are outlined at the conclusion of the paper.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2026 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/5284700","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147579879","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":"Lived Experience of Secondary Vicarious Trauma Among the Tegaru Australian Diaspora in the Postwar Context of Tigray","authors":"Hailay Abrha Gesesew,&nbsp;Nelsensius Klau Fauk,&nbsp;Kiflu Gebremicael Tesfamicael,&nbsp;Gebremeskel Mamu Werid,&nbsp;Lillian Mwanri,&nbsp;Amanuel Gebremedhin,&nbsp;Kidane Gebremariam,&nbsp;Semira Hailu,&nbsp;Kalayu Brhane Mruts,&nbsp;Michael Musker,&nbsp;Fisaha Haile Tesfay,&nbsp;Azeb Gebresilassie Tesema,&nbsp;Paul Ward","doi":"10.1155/hsc/5480262","DOIUrl":"https://doi.org/10.1155/hsc/5480262","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The war in Tigray has caused humanitarian and public health crises in North Ethiopia in addition to a high prevalence of mental health symptoms among the Tegaru (people from Tigray) diaspora in Australia. To date, there have been no studies that have explored mechanisms of vicarious mental health and resilience among Tegaru diasporas in Australia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted 14 in-depth interviews with Tegaru people living in South Australia from September 2023 to June 2024. Data analysis involved an initial stage of open coding, followed by conceptual coding. We also applied “interanalyst validity” to validate the code of framework.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>All participants talked at length about various aspects of vicarious trauma, including (a) psychological and emotional impacts such as media-induced stress, communication loss, anger, trauma related to family loss, and gender-based violence; (b) physical impacts, including sleep disturbances and health deterioration; (c) social impacts, such as narrative hate, perceived betrayal, and disruption of social ties; and (d) economic impacts, including financial strain and job loss. Coping mechanisms included strategies such as avoiding non-Tegaru media or community, religious support, social networking, and mental resilience.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The findings highlight the multifaceted and far-reaching impacts of the Tigray conflict on the Tegaru diaspora in Australia, extending beyond immediate psychological distress to broader social, economic, and communication aspects. The identified coping strategies underscored both the resilience and vulnerability of affected individuals. The findings imply the urgent need of culturally adapted peer-support and trauma-informed care programs for diaspora communities.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2026 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/5480262","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147585241","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":"Relationship Between Exposure to Anti-LGBTQI+ Hate Speech and LGBTQI+ People’s Wellbeing and Mental Health: The Being LGBTQI+ in Ireland Study","authors":"Carmel Downes,&nbsp;Aviejay Paul,&nbsp;Matt Kennedy,&nbsp;Renee Molloy,&nbsp;Karin O’Sullivan,&nbsp;Jan de Vries,&nbsp;Agnes Higgins","doi":"10.1155/hsc/3859080","DOIUrl":"https://doi.org/10.1155/hsc/3859080","url":null,"abstract":"<p>Anti-LGBTQI+ hate speech, much of which is transmitted through media platforms, is a growing problem internationally and also in Ireland. Using data from a national online survey (<i>n</i> = 2806) of the mental health and wellbeing of LGBTQI+ participants aged 14+ years in the Republic of Ireland (RoI), this paper examines the proportion of LGBTQI+ participants exposed to anti-LGBTQI+ hate speech online and in public media, and the associations between exposure and indicators of wellbeing and mental health. Quantitative data collected included previously validated wellbeing and mental health measures and two closed-ended questions on exposure to anti-LGBTQI+ hate speech online and in public media. An open-ended question also inquired about the impact of anti-LGBTQI+ hate speech. The findings show that one in five participants experienced anti-LGBTQI+ hate speech either online or in public media in the past year, while three in five witnessed it. It was most commonly encountered in the comment section of media outlets, on social media platforms like X and Facebook, and in public media, both national and international. Most exposed were the youngest participants and those identifying as transgender and gender nonconforming. Experiencing it was associated with greater mental health distress and lower wellbeing, while witnessing it was also associated with some of the mental health and wellbeing variables explored. In keeping with the quantitative findings, in the qualitative comments, participants described how anti-LGBTQI+ rhetoric on media platforms adversely affected their mental health and sense of self, as well as the ways in which they responded to it. The results highlight the need for a coordinated response across agencies and jurisdictions to combat anti-LGBTQI+ hate speech. Several support and education interventions are suggested by way of providing support to those targeted and affected.</p>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2026 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/3859080","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147585242","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":"Understanding Factors to Implement a Peer-Led Exercise Program Aiming to Reduce Risk of Falls in a Community Setting: A Qualitative Study","authors":"Danielle R. Bouchard,&nbsp;Brianna Leadbetter,&nbsp;Maria Fernanda Fuentes Diaz,&nbsp;Charlene Shannon,&nbsp;Kathryn M. Sibley","doi":"10.1155/hsc/5554842","DOIUrl":"https://doi.org/10.1155/hsc/5554842","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Zoomers in Balance is an evidence-based fall prevention group exercise program offered for free to participants and led by peer-volunteer leaders. Since 2009, it has been expanded to more sites, delivering to 800% more participants by adding capacity and online options. This program aims to reduce the risk of falls among adults aged 50+. To sustain and continue spreading the program as requests grow, it is crucial to understand the factors that drive success and pose challenges.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Thirteen key informants (eight leaders and five key community partners involved in program delivery) participated in individual interviews examining barriers and facilitators to delivering Zoomers in Balance (the innovation). Content analysis was used to categorize participants’ barriers and facilitators into the five domains of the Consolidated Framework for Implementation Research (CFIR 2.0): intervention characteristics, outer setting, inner setting, characteristics of individuals, and process.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The analysis of the interviews revealed 249 factors that influenced the implementation of the Zoomers in Balance program: 150 facilitators and 99 barriers. All five domains were represented among the reported barriers and facilitators. Most perceived facilitators (55%) were from the innovation and individuals domains, while most perceived barriers (56%) were from the inner setting and implementation process domains. Interestingly, a large proportion of factors were related to the volunteer peer model for both facilitators and barriers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The results suggest that, while the program is highly valued by both leaders and participants, organizational capacity and implementation procedures pose significant challenges. Overall, the prominence of the volunteer peer leader model across both facilitators and barriers underscores its central role in the program. Strategies are therefore needed to support peer leaders while acknowledging the model’s limitations.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2026 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/5554842","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147568080","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":"Implementation Challenges and Expectations on Family and Community Nurses in Italy: A Multicenter Qualitative Study","authors":"Matilda Coldebella,&nbsp;Renzo Zanotti,&nbsp;Matteo Danielis,&nbsp;Jessica Longhini","doi":"10.1155/hsc/4362065","DOIUrl":"https://doi.org/10.1155/hsc/4362065","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Family and community nurses (FCNs) play a crucial role in shifting healthcare from a hospital-based to a community-centered approach to care, addressing the needs of aging populations, chronic disease management, and preventive health. While the FCN model has been extensively studied in countries such as the United Kingdom, the United States of America, and Canada, it still remains an evolving approach in Italy, where its implementation varies due to regional governance and policy inconsistencies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study explores healthcare professionals’ perspectives on implementation challenges and expectations concerning FCN implementation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A multicenter qualitative descriptive study was conducted across four local health authorities and one postbachelor program in the Veneto Region in Northern Italy. Semistructured online interviews were conducted with 49 participants, including FCNs, students, general practitioners, and district directors. Thematic analysis was performed using Braun and Clarke’s framework.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Two key themes emerged: (1) Advancing the contribution of FCNs, highlighting expectations for their expanded role in preventive care, chronic disease management, and interprofessional collaboration, and (2) changing cultural and organizational settings, emphasizing challenges related to role ambiguity, professional recognition, and the necessity of structural support. Participants stressed the importance of FCNs in reducing hospital admissions and emergency visits, bridging care gaps, and fostering public health awareness.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Despite growing recognition of FCNs, challenges such as unclear role boundaries, resistance from healthcare professionals, and workforce shortages hinder their full implementation. Strengthening political support, raising public awareness, and establishing structured training programs are essential steps for the sustainable integration of FCNs in Italy. Further research is needed to assess long-term impacts and optimize FCN models in diverse healthcare settings.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2026 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/4362065","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147567634","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":"‘Arithmetic Does not Deal With All the Factors’: How and Why Communities ‘Take Over’ Their NHS Hospital When Faced With Closure","authors":"Steph Haydon,&nbsp;John Mohan","doi":"10.1155/hsc/4940166","DOIUrl":"https://doi.org/10.1155/hsc/4940166","url":null,"abstract":"<p>Since 1984, at least 11 hospitals have left NHS England to return to charitable control. This paper examines how and why these transfers took place, based on an analysis of political records, campaign materials and news coverage. Each of these voluntary takeovers was the outcome of lengthy community-led campaigns against the permanent closure of the hospital. We identify three identities of these hospitals mobilised during the campaigns against their closure: sites of specialist or accessible healthcare; special sites of neighbourly or religious community interaction; and local assets owned by the local community and embedded in local history. Like other UK hospitals that have faced closure, these heterogeneous meanings contrast sharply with the homogenous economic rationale of authorities for closing the hospital(s). These cases had identifiable campaign leaders, histories of community-led voluntary support and disposable capital amongst communities of support. These features enabled communities to establish and fundraise for new charitable trusts and commission proposals for transferring hospital control to them. These cases highlight the multiple meanings of hospitals and the different ‘publics’ that hold them, and the influence of voluntary action on health policy.</p>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2026 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/4940166","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147567646","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":"What Makes Them Happy? The Determinant Factors of Happiness Among Communities in an Endemic Phase","authors":"Naziatul Aziah Mohd Radzi,&nbsp;Normaizatul Akma Saidi,&nbsp;Banji Rildwan Olaleye","doi":"10.1155/hsc/4448318","DOIUrl":"https://doi.org/10.1155/hsc/4448318","url":null,"abstract":"<p>Due to its link to social welfare, happiness has gained interest from many stakeholders. However, the COVID-19 pandemic has severely impacted community well-being and happiness. The identification of community happiness factors, especially during an endemic phase, is vital for developing effective policy strategies. The present study examined the variables that lead to community members’ subjective happiness during an endemic phase. This study uses a quantitative survey questionnaire to achieve its goal. We administered the survey to 820 urban and rural Malaysians across various states. We used SMART PLS 3.2.7 to quantify the data using Partial Least Squares Structural Equation Modelling (PLS-SEM). Pollution and climate change had the greatest impact on community happiness in Malaysia, followed by mental health, depression, and public amenities. This study has significant implications and contributions for SDG 3 (Good Health and Well-being) and SDG 11 (Sustainable Cities and Communities), which aim to advance the development goals of developing countries. Societal well-being should include happiness.</p>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2026 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/4448318","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147567344","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}