Health Policy and Technology最新文献

{"title":"A national survey of physicians regarding protection of patient privacy in China","authors":"Zhongzhou Xiao ,&nbsp;Wei Zhai ,&nbsp;Xinwei Peng ,&nbsp;Yun Zhong ,&nbsp;Shuqing Luo ,&nbsp;Ruiyao Chen ,&nbsp;Lu Lu ,&nbsp;Yijue Zhang ,&nbsp;Jie Xu","doi":"10.1016/j.hlpt.2023.100823","DOIUrl":"https://doi.org/10.1016/j.hlpt.2023.100823","url":null,"abstract":"<div><h3><strong>Objectives</strong></h3><p>The significance of safeguarding patient privacy at a population level within public medical institutions remains insufficiently acknowledged despite the potential to enhance the protection awareness of physicians and of hospital management in clinical practice. We herein devised a survey to investigate the current state of patient privacy breaches in China and to ascertain its underlying rationales.</p></div><div><h3><strong>Methods</strong></h3><p><span>We conducted a comprehensive nationwide survey of 928 physicians in seven geographic regions of China through convenience and snowball sampling, enrolled physicians defined in the Chinese Health Statistics Yearbook, and measured the incidence of medical data breaches. Physicians’ perceptions and behaviors with respect to patient privacy protection and their attitudes toward hospital management were accessed through descriptive statistics. Multiple </span>logistic regression analysis was also conducted with different adjustments of covariates for each model.</p></div><div><h3><strong>Results</strong></h3><p>Of the 937 respondents, 928 physicians were eligible and validated for the analysis. We estimated that 52.2 % (95 %CI, 48.9–55.4) of the physicians reported that they had disclosed their patients’ privacy. Master's (OR, 0.63 [95 %CI, 0.43–0.92]) and Ph.D. (OR, 0.59 [95 %CI, 0.35–1.00]) educational levels, scores on the understanding of patient privacy protection (OR, 0.89 [95 %CI, 0.80–0.99]), the presence of colleagues who had experienced data disclosure (OR, 7.00 [95 %CI, 5.02–9.77]), full-time department supervision (OR, 1.60 [95 %CI, 1.02–2.53]) and corresponding regulations (OR, 0.56 [95 %CI, 0.33–0.97]) for patient privacy protection in the hospital, restricted external equipment for computers (OR, 1.76 [95 %CI, 1.10–2.83]), and access to medical records (OR, 0.62 [95 %CI, 0.41–0.94]) were all associated with privacy breaches by physicians.</p></div><div><h3><strong>Conclusions</strong></h3><p>In general, patient privacy research and awareness of patient privacy protection are relatively deficient in China, with a remarkably high occurrence of disclosure. We posit that the identification of the factors underlying our results will provide evidence for appropriate hospital management, and that these factors may then be generalizable to other clinical settings.</p></div><div><h3><strong>Public interest summary</strong></h3><p>Patient privacy breaches seem to be rarely mentioned and addressed regardless of the country, potentially due to its high sensitivity, while this is significant in clinical practice. In this study, we meant to find out the answers to the questions, “What is the situation of privacy disclosure in China public medical institutions?”, “Why does it happen?”, and “Is patient privacy protected enough? If not, how can we do better?”. Through conducting a survey among physicians, their answers were collected for further analysis. Our","PeriodicalId":48672,"journal":{"name":"Health Policy and Technology","volume":null,"pages":null},"PeriodicalIF":6.0,"publicationDate":"2023-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134656463","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Towards a universal patient-centric health record sharing platform","authors":"Mana Azarm ,&nbsp;Rebecca Meehan ,&nbsp;Craig Kuziemsky","doi":"10.1016/j.hlpt.2023.100819","DOIUrl":"https://doi.org/10.1016/j.hlpt.2023.100819","url":null,"abstract":"<div><h3>Objectives</h3><p>This paper provides a practical approach to evaluate health record sharing platforms in terms of their ability to deliver interoperable healthcare of quality at a systems level. We use our previously published interoperability evaluation framework to evaluate our proposed System-level Record Sharing (SLRS) platform against four other common categories of health record sharing platforms in Canada, the United States, and Norway.</p></div><div><h3>Methods</h3><p>In this paper, we compare the SLRS platform architecture that we previously developed against 4 health record sharing platform categories. We conducted this comparative evaluation of 5 categories of healthcare platforms: SLRS, Commercial-Multi (CM), Commercial-Independent (CI), Governmental-Multi (GM), and Governmental-Independent (GI) using our proposed evaluation framework that is built upon quadruple aim, triple aim and Canadian Institute for Health Information (CIHI) health platform evaluation frameworks.</p></div><div><h3>Results</h3><p>SLRS and platforms managed by government organizations that provide a technology-independent or compatible platform were the most effective in terms of satisfying data interoperability, providing meaningful and effective information exchange, being compliant with health privacy regulations across a range of contexts, and having many of the costs paid for at a central level. All platforms struggled with context and process interoperability requirements, as well as providing evidence-based information across an entire health system.</p></div><div><h3>Conclusion</h3><p>To optimize health management, both clinicians and patients need sharing of personal health information (PHI) across applications. Our findings indicate that commercial platforms in this study need to improve their governance structure and employ a consistent ontology that can be adopted by all EHR applications across a health system. Our proposed SLRS platform can support the sharing of health data across multiple health care organizations at a system-level, allowing clinicians to access patient health data to inform treatment and care decisions.</p></div><div><h3>Public interest abstract</h3><p>Healthcare organizations face barriers when exchanging information across their boundaries. Many obstacles are caused by varying technical requirements of the EHR applications they have, and their contextual regulations. Most healthcare organizations have a portal in which the patients can view their care history. However, the breadth of the information provided limits to the number of healthcare providers subscribed to that specific platform. Viewing the full history across the entire health system, requires maintaining multiple accounts.</p><p>In this paper we refer to a new framework for sharing health information and its prototyped platform (SLRS) that we have previously developed in our lab. In this paper we report on how we evaluated the SLRS platform against four pro","PeriodicalId":48672,"journal":{"name":"Health Policy and Technology","volume":null,"pages":null},"PeriodicalIF":6.0,"publicationDate":"2023-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50197905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Telemedicine implementation framework for Malaysia: An integrated SWOT-MCDM approach","authors":"Siti Norida Wahab ,&nbsp;Jagroop Singh ,&nbsp;Nikram Subramaniam","doi":"10.1016/j.hlpt.2023.100818","DOIUrl":"https://doi.org/10.1016/j.hlpt.2023.100818","url":null,"abstract":"<div><h3>Objectives</h3><p>Despite the increase in the utilization of telemedicine worldwide, especially during the pandemic, its implementation in Malaysia's healthcare industry remains scarce. Hence, this study aims to understand the current state of telemedicine utilization by identifying the constraints and establishing the optimum telemedicine implementation strategy.</p></div><div><h3>Methods</h3><p>The study proposes an integrated methodology based on strengths, weaknesses, opportunities, and threats (SWOT) analysis, analytical hierarchy process entropy (AHPE), and fuzzy technique for order performance by similarity to the ideal solution (FTOPSIS). The SWOT analysis is performed for the situational assessment of telemedicine technology in Malaysia. Each element of SWOT was assessed using AHPE to establish priorities, followed by the FTOPSIS approach to provide strategies for its successful adoption.</p></div><div><h3>Results</h3><p>The findings show that continuous government support and encouragement for market acquisition, cost-cutting, profit-maximizing, and Internet of Things (IoT)-based adoption to establish a strong telemedicine network is the most important strategy for telemedicine technology implementation. While using a structured method to improve service quality, the implementation of a knowledge-sharing management program for telemedicine technology is ranked as the least preferred telemedicine technology implementation strategy.</p></div><div><h3>Conclusions</h3><p>The study suggests a systematic way of developing and evaluating telemedicine technology implementation strategies for further improving Malaysian healthcare patient experiences and policy endeavours. This study proposed alternative strategies to expand telemedicine technology implementation. It is hoped that this study could further enhance knowledge and serve as a guide for stakeholders in the healthcare industry to understand their business environment better.</p></div>","PeriodicalId":48672,"journal":{"name":"Health Policy and Technology","volume":null,"pages":null},"PeriodicalIF":6.0,"publicationDate":"2023-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50197879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Must the ICMJE and COPE guidelines and/or recommendations be interpreted (and used) as voluntary advice or as mandatory rules?","authors":"Jaime A. Teixeira da Silva","doi":"10.1016/j.hlpt.2023.100817","DOIUrl":"https://doi.org/10.1016/j.hlpt.2023.100817","url":null,"abstract":"","PeriodicalId":48672,"journal":{"name":"Health Policy and Technology","volume":null,"pages":null},"PeriodicalIF":6.0,"publicationDate":"2023-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50197904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors affecting the use of magnetic resonance imaging in a Southern European region: a qualitative study","authors":"Yolanda González-Rábago ,&nbsp;Erika Valero ,&nbsp;Paola Bully ,&nbsp;Pedro Latorre ,&nbsp;Begoña Fernandez-Ruanova","doi":"10.1016/j.hlpt.2023.100816","DOIUrl":"https://doi.org/10.1016/j.hlpt.2023.100816","url":null,"abstract":"<div><h3>Objectives</h3><p>The use of Magnetic Resonance Imaging (MRI) has increased significantly in recent years. Superior diagnostic capability and extension of criteria for the performance of MRI may explain this increase, but there are also non-clinical factors that influence doctors’ decisions. We aim to describe the views of doctors in the Basque Country (Spain) regarding factors affecting MRI orders.</p></div><div><h3>Methods</h3><p>We conducted a qualitative study using semi-structured interviews with doctors based on intentional sampling to cover a diverse range of interviewees according to personal and professional characteristics (sex, workplace, post of responsibility). We analyzed transcript content using an inductive approach.</p></div><div><h3>Results</h3><p>Factors identified by doctors were classified into three themes: 1) superior diagnostic capability of the MRI compared to other imaging modalities has favoured MRI use and inclusion in Clinical Practice Guidelines; 2) patient demands, owing to lower trust and acceptance of doctors’ judgment than to technology-based medicine, leads to patient-doctor relationships that result unnecessary MRI test; 3) structural or contextual aspects of the health system, such as excessive rotation of doctors or a lack of time to carry out a thorough patient examination, which disempower doctors and favour overuse.</p></div><div><h3>Conclusions</h3><p>Doctors identified non-clinical factors that affect MRI use and that lead to unintended consequences both for the healthcare system and for patients. We recommend an organizational approach to give doctors enough resources to overcome non-clinical factors that lead to excessive MRI orders in order to optimize its use.</p></div>","PeriodicalId":48672,"journal":{"name":"Health Policy and Technology","volume":null,"pages":null},"PeriodicalIF":6.0,"publicationDate":"2023-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50197903","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The opportunities and challenges of women's digital health: A research agenda","authors":"Caroline A Figueroa ,&nbsp;Josephine Sundqvist ,&nbsp;Sunjoy Mathieu ,&nbsp;Nasim Farrokhnia ,&nbsp;Diane Nevin ,&nbsp;Sarah Wamala Andersson","doi":"10.1016/j.hlpt.2023.100814","DOIUrl":"https://doi.org/10.1016/j.hlpt.2023.100814","url":null,"abstract":"","PeriodicalId":48672,"journal":{"name":"Health Policy and Technology","volume":null,"pages":null},"PeriodicalIF":6.0,"publicationDate":"2023-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50197901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"E-Prescription: A practical application of information and communications technology in perspective of Bangladesh","authors":"M. A. Khan, Md. Rabiul Islam, Asif Rahman, Afsana Mim, Rasel Ahmmed","doi":"10.1016/j.hlpt.2023.100810","DOIUrl":"https://doi.org/10.1016/j.hlpt.2023.100810","url":null,"abstract":"The healthcare management authorities are responsible for delivering convenient services to the patients. The traditional healthcare management system is quite old and impractical in many cases, including a physical visit. Additionally, the COVID-19 epidemic makes the existing system unattainable, which creates an uncomfortable situation for visiting doctor's chambers that is risky both for doctors and patients. An electronic-prescription (e-prescription) management system can switch the existing one to the online appointment and doctor consulting system. Many developed countries have already adopted such e-prescription management systems, although low-and-middle-income countries (LMICs) like Bangladesh are apathetic. So implementing e-prescription management systems in all countries, including Bangladesh, is the demand of time, especially when information and communication technologies (ICT) are at hand. We design, develop and test an ICT-based online doctor and patient management system utilizing the latest software and web development tools. In the developed e-prescription management system, the patient can visit their profile to make an appointment according to their need and doctor's availability. After that, the patient consults with the doctor based on the appointment's approval by the admin panel. Finally, the patient receives an online e-prescription and collects the medicine from a registered pharmacy with access to the online e-prescription. The e-prescription management system records patient history, including e-prescription, making handling patients easy. The proper use of the developed e-prescription management system will solve many existing problems of the existing healthcare management system, including many concerns that arise due to the advent of COVID-19.","PeriodicalId":48672,"journal":{"name":"Health Policy and Technology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134934267","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"VALIDATE approach on medication adequacy clinical decision support systems: Holistic assessment for optimal technology adoption","authors":"Carla Fernández-Barceló ,&nbsp;Elena Calvo-Cidoncha ,&nbsp;Laura Sampietro-Colom","doi":"10.1016/j.hlpt.2023.100811","DOIUrl":"https://doi.org/10.1016/j.hlpt.2023.100811","url":null,"abstract":"<div><h3>Introduction</h3><p>Lately, Health Technology Assessment (HTA) has narrowed its scope to analyses of mainly clinical and economic benefits. Recent challenges emphasize the need for holistic assessments to obtain accurate recommendations for decision-making considering empirical facts and stakeholder's values. VALIDATE approach considers stakeholder's views and empirical facts allowing for more comprehensive HTAs. This study frames the assessment for clinical decision support systems (CDSS) using VALIDATE.</p></div><div><h3>Methods</h3><p>A systematic review of the literature was conducted to gather evidence on the CDSS's effectiveness and published stakeholder perspectives. Considering the retrieved information, semi-structured interviews with stakeholders were conducted to uncover issues around CDSSs such as problem definition regarding the occurrence of medication errors, judgement of existing preventive methods and previous experiences with CDSSs, background theories regarding thoughts on future impact and personal beliefs, and barriers/facilitators for implementation.</p></div><div><h3>Results</h3><p>When including multi-stakeholder views, reasons different from the literature are shown to interfere with CDSS acceptance/implementation, such as: i) Occurrence of ME (no traceability of medication taken/poor patient empowerment), ii) Technology as a tool to prevent ME (insufficient if only implemented at one point-of-care), iii) Previous experiences with CDSSs (low CDSSs development due to drug prescription being lastly digitalized in hospitals) and iv) CDSSs metrics (data inputted should be measured to control CDSSs performance).</p></div><div><h3>Conclusion</h3><p>Including multi-stakeholders views in scoping technology evaluation brings added value and new information for the assessment, resulting in more comprehensive assessment; otherwise, it can lead to inaccurate information resulting in inaccurate decisions on if, when and how to adopt CDSS.</p></div><div><h3>Public Interest Summary</h3><p>Including varied stakeholders into health technology assessment provides a deeper understanding of what value can a technology bring in. The present study develops a framework to assess clinical decision support systems (CDSS) considering different stakeholders. They were interviewed to understand their perspective on different parts of the problem CDSSs try to solve (medication errors) and the solution itself (CDSSs). Some reasons on the interviews were different from the literature published so far, that are shown to hinder CDSS acceptance/implementation, such as: no traceability of medication taken/poor patient empowerment, CDSSs being insufficient if only implemented at one point-of-care, low CDSSs development due to drug prescription being lastly digitalized in hospitals and CDSS metrics (data inputted should be measured to control CDSSs performance). This approach can improve both implementation chances and posterior assessment of CDSSs.","PeriodicalId":48672,"journal":{"name":"Health Policy and Technology","volume":null,"pages":null},"PeriodicalIF":6.0,"publicationDate":"2023-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50197902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Future challenges and opportunities for cancer screening in the COVID-19 era","authors":"Mojtaba Nouhi ,&nbsp;Leon Bijlmakers ,&nbsp;Zahra Goudarzi ,&nbsp;Samira Alipour ,&nbsp;Seyyed Mostafa Hakimzadeh ,&nbsp;Pedram Nazari ,&nbsp;Reza Jahangiri ,&nbsp;Majid Heydari","doi":"10.1016/j.hlpt.2023.100808","DOIUrl":"10.1016/j.hlpt.2023.100808","url":null,"abstract":"<div><h3>Objectives</h3><p>The COVID-19 pandemic undermines health service provision and poses threats to health systems in general. This study aims to investigate the early and long-term effects of COVID-19 on cancer screening.</p></div><div><h3>Method</h3><p>We conducted a scoping review, in which we nested the Futures Wheel (FW) method and the Future Polygon (FP) method. PubMed, SCOPUS, and Web of Sciences databases were searched electronically to identify relevant studies published between 1 January 2020 and 25 July 2023. The FW method was applied to identify the early and long-term effects; the FP was applied during a focus group discussion with a group of experts with a view to estimating the lag time between COVID-19 and its effects on cancer screening.</p></div><div><h3>Results</h3><p>A total of 79 studies met the inclusion criteria. We identified 31 early effects and 26 long-term effects of COVID-19, and divided them into four clusters: screening centers, at-risk persons, screening methods, and clinical staff. The first long-term effects of COVID-19 involve a tendency to shift from hospital-based to home-based screening, accompanied by an acceleration in the application of remote screening methods and emerging psychological problems among clinical staff. This may result in an increase in the number of people with serious oncological conditions, more intensive use of advanced therapeutic interventions, higher expenditure and worsening of treatment outcomes.</p></div><div><h3>Conclusion</h3><p>The effects of COVID-19 on cancer screening and its long-term effects on cancer treatment and its outcomes are ominous. A redesign of cancer screening programs may be required so as to make them more flexible and resilient to external shocks.</p></div>","PeriodicalId":48672,"journal":{"name":"Health Policy and Technology","volume":null,"pages":null},"PeriodicalIF":6.0,"publicationDate":"2023-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135348048","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adapting evidence-informed peri-discharge complex interventions in reducing 30-day hospital readmissions for heart failure and COPD","authors":"Claire CW Zhong ,&nbsp;Charlene HL Wong ,&nbsp;Chi-tim Hung ,&nbsp;Eng-kiong Yeoh ,&nbsp;Eliza LY Wong ,&nbsp;Vincent CH Chung","doi":"10.1016/j.hlpt.2023.100804","DOIUrl":"10.1016/j.hlpt.2023.100804","url":null,"abstract":"<div><h3>Objective</h3><p>To select and refine evidence-informed peri-discharge complex interventions(abbrev. <em>Interventions</em><span>) for reducing 30-day hospital readmissions among Heart Failure(HF) and COPD patients in Hong Kong public healthcare system context using GRADE Evidence to Decision(EtD) framework.</span></p></div><div><h3>Methods</h3><p>Two 18-participant panels were recruited to carry out a two-step process for both conditions. In Step 1, participants were invited to prioritize <em>Interventions</em> and suggest important combinations of <em>Interventions</em>. In Step 2, based on the priority lists, participants were invited to conduct a two-round Delphi study for generating consensus-based <em>Interventions</em> for reducing 30-day hospital readmissions. GRADE EtD framework was used to guide the decision-making process, taking into consideration of benefits, harms, values and preferences, equity, acceptability, and feasibility.</p></div><div><h3>Results</h3><p>Five out of ten <em>Interventions</em> reached positive consensus for HF, while six reached positive consensus for COPD. Case management, discharge planning, patient education, self-management, and telephone follow-up were common components, and were considered as core elements for reducing 30-day hospital readmissions among HF and COPD patients in Hong Kong. Preliminary implementation issues mainly included governance and leadership, financing, health workforce development, service access and readiness, as well as empowerment of patients and caregivers.</p></div><div><h3>Conclusions</h3><p>This study successfully applied the GRADE EtD framework for starting the adaptation process of complex interventions and established a list of local stakeholders-endorsed <em>Interventions</em> for reducing 30-day hospital readmissions for HF and COPD in Hong Kong. Before implementing and maintaining these endorsed <em>Interventions</em> at scale in local context, further research to improve intervention-context fit as well as piloting and evaluation is necessary.</p></div>","PeriodicalId":48672,"journal":{"name":"Health Policy and Technology","volume":null,"pages":null},"PeriodicalIF":6.0,"publicationDate":"2023-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135348909","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}