Health Policy最新文献_第2页

Public perceptions of front-of-package warning label during policy design and implementation in Uruguay: A content analysis of social media narratives 乌拉圭政策设计和实施期间公众对包装正面警告标签的看法：对社交媒体叙述的内容分析

IF 3.4 3区医学

Health Policy Pub Date : 2025-09-13 DOI: 10.1016/j.healthpol.2025.105435

Gastón Ares , Carlos Gómez Corona , Lucía Antúnez , Anne-Marie Thow

{"title":"Public perceptions of front-of-package warning label during policy design and implementation in Uruguay: A content analysis of social media narratives","authors":"Gastón Ares , Carlos Gómez Corona , Lucía Antúnez , Anne-Marie Thow","doi":"10.1016/j.healthpol.2025.105435","DOIUrl":"10.1016/j.healthpol.2025.105435","url":null,"abstract":"<div><div>Background: Nutritional warnings are one of several front-of-package labelling schemes implemented worldwide. Their adoption has often been complex and contested, particularly due to trade concerns and strong industry opposition. In this context, citizen support is considered critical. Understanding how people express views, motivations, and trust in institutions through everyday social talk can inform strategies to bridge opinion groups.</div><div>Objective: To explore narratives about nutritional warnings on Twitter throughout the Uruguayan policy process.</div><div>Methods: Tweets from Uruguay between May 2018 and April 2021 were retrieved using Synthesio®. Content analysis followed a deductive–inductive approach. First, references to the four elements of the Narrative Policy Framework (Setting, Characters, Plot, Moral) were identified. Then, inductive coding was used to generate categories within each element.</div><div>Results: A total of 1013 tweets were retrieved, of which 752 related to the Uruguayan warning label policy. Most tweets were posted by regular citizens without explicit links to key stakeholders. Tweets commonly included narrative elements, particularly a character and a moral or policy solution. As the policy process advanced, narrative elements shifted: regulatory changes prompted higher engagement, stronger polarization, and increasingly divergent arguments.</div><div>Conclusions: Findings highlight the value of examining public discourse on social media during the policy process. Understanding how nutritional warning labels are framed by citizens can help researchers and policymakers develop advocacy and communication strategies to shape opinion and support policy implementation in other countries.</div></div>","PeriodicalId":55067,"journal":{"name":"Health Policy","volume":"161 ","pages":"Article 105435"},"PeriodicalIF":3.4,"publicationDate":"2025-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145099440","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}

引用次数: 0

Health workforce planning should be strategy or policy-driven: From linear forecasts to normative futures 卫生人力规划应由战略或政策驱动：从线性预测到规范的未来

IF 3.4 3区医学

Health Policy Pub Date : 2025-09-13 DOI: 10.1016/j.healthpol.2025.105440

Gareth H Rees , Graham Willis , Cris Scotter

{"title":"Health workforce planning should be strategy or policy-driven: From linear forecasts to normative futures","authors":"Gareth H Rees , Graham Willis , Cris Scotter","doi":"10.1016/j.healthpol.2025.105440","DOIUrl":"10.1016/j.healthpol.2025.105440","url":null,"abstract":"<div><div>Health workforce planning (HWP) remains persistently ineffective, a weakness that was starkly exposed during the pandemic and amplified in today’s ongoing health permacrisis. Despite the development of increasingly sophisticated workforce models and planning techniques, outcomes continue to fall short. We argue that a central reason lies in how the HWP problem is framed: the dominant reliance on linear, forward-looking forecasting methods constrains both the scope of planning and the relevance of its outputs.</div><div>We propose reframing HWP through the use of normative futures methods, which begin with a desired future and then work backwards to identify the steps needed to reach it. Such approaches are well established in other complex policy domains and are particularly suited to HWP’s long-term horizon, multi-stakeholder setting, and inherent uncertainties. By aligning workforce planning with the strategic directions already articulated in national health strategies, normative backcasting offers three key advantages: (1) improved integration of drivers of change into workforce modelling, (2) more meaningful stakeholder engagement and ownership, and (3) stronger governance through clearer milestones, responsibilities, and monitoring.</div><div>As a result, HWP is more likely to deliver actionable, timely, and resource-efficient plans. We therefore call on policymakers and planners to shift from linear forecasting toward normative futures approaches to enable more reliable decisions and achieve the health workforce needed for resilient health systems.</div></div>","PeriodicalId":55067,"journal":{"name":"Health Policy","volume":"161 ","pages":"Article 105440"},"PeriodicalIF":3.4,"publicationDate":"2025-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145120928","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}

引用次数: 0

We should care about informal carers: Reforms are needed to improve their health and wellbeing 我们应该关心非正规照顾者：需要进行改革以改善他们的健康和福祉。

IF 3.4 3区医学

Health Policy Pub Date : 2025-09-12 DOI: 10.1016/j.healthpol.2025.105437

Natalie Winter Dr , Rebecca Haddock Adj A/Prof

{"title":"We should care about informal carers: Reforms are needed to improve their health and wellbeing","authors":"Natalie Winter Dr , Rebecca Haddock Adj A/Prof","doi":"10.1016/j.healthpol.2025.105437","DOIUrl":"10.1016/j.healthpol.2025.105437","url":null,"abstract":"<div><div>Informal carers-those who provide unpaid care for people with health concerns or age-related needs- frequently experience negative impacts on their own physical, mental, and social wellbeing. Health systems should respond to these impacts by explicitly recognising and addressing the support needs of informal carers. Positive outcomes for this underserved population group, sustain delivery of care, and reduce further burden on the healthcare system.</div><div>Three changes are needed to improve how health systems support carers. First, there must be a stronger and more systematic focus on carers’ wellbeing, including through the expansion of patient-centered care models to explicitly include carers. This should involve co-designing healthcare systems in ways that create space for carers as active partners in care. Second, carers’ needs should be routinely identified and assessed in clinical practice using standardised tools, ideally integrated into electronic health records. Third, clinicians must be supported to provide care for carers when needed—this requires a systemic approach that includes dedicated funding, targeted education, and protected clinical time to address carer wellbeing as part of routine care.</div><div>Embedding these reforms in policy and practice would not only improve health outcomes for carers but also strengthen the resilience and sustainability of healthcare systems.</div></div>","PeriodicalId":55067,"journal":{"name":"Health Policy","volume":"161 ","pages":"Article 105437"},"PeriodicalIF":3.4,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145093059","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}

引用次数: 0

Urgent action needed to address the epidemiological threat of prolonged war in Gaza 需要采取紧急行动，应对加沙长期战争造成的流行病威胁。

IF 3.4 3区医学

Health Policy Pub Date : 2025-09-12 DOI: 10.1016/j.healthpol.2025.105438

Hanane EL Hafa

{"title":"Urgent action needed to address the epidemiological threat of prolonged war in Gaza","authors":"Hanane EL Hafa","doi":"10.1016/j.healthpol.2025.105438","DOIUrl":"10.1016/j.healthpol.2025.105438","url":null,"abstract":"<div><div>The prolonged war in Gaza has led to the near-total collapse of the healthcare system, leaving over two million people without access to essential medical services, clean water, electricity, or basic sanitation. Many hospitals have been bombed or are barely functioning due to extreme constraints. Healthcare personnel are overwhelmed, injured, or forced to work under dangerous conditions. Essential medicines and vaccines are critically lacking. In this context, the risk of large-scale outbreaks of infectious diseases—such as cholera, hepatitis A, measles, and typhoid fever—is rapidly increasing, especially among displaced populations living in overcrowded and unsanitary conditions.</div><div>This policy comment highlights the urgent need for coordinated international action to prevent a major public health catastrophe. It calls for the immediate protection of remaining health infrastructure, restoration of disease surveillance systems, and facilitation of humanitarian access for medical supplies and personnel. Without swift intervention, thousands more lives could be lost—not just to violence, but to entirely preventable and treatable illnesses.</div><div>Protecting public health during war is not optional—it is a binding duty under international law, and a pressing moral imperative for the global community.</div></div>","PeriodicalId":55067,"journal":{"name":"Health Policy","volume":"161 ","pages":"Article 105438"},"PeriodicalIF":3.4,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145088198","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}

引用次数: 0

Health care coverage and access for displaced persons from Ukraine: Assessing the implementation of the Temporary Protection Directive across EU Member States 来自乌克兰的流离失所者的医疗保健覆盖和获得：评估欧盟各成员国临时保护指令的执行情况

IF 3.4 3区医学

Health Policy Pub Date : 2025-09-10 DOI: 10.1016/j.healthpol.2025.105434

Nicole Mauer , Cristina Hernandez-Quevedo , Astrid Eriksen , Giada Scarpetti , Ewout van Ginneken

{"title":"Health care coverage and access for displaced persons from Ukraine: Assessing the implementation of the Temporary Protection Directive across EU Member States","authors":"Nicole Mauer , Cristina Hernandez-Quevedo , Astrid Eriksen , Giada Scarpetti , Ewout van Ginneken","doi":"10.1016/j.healthpol.2025.105434","DOIUrl":"10.1016/j.healthpol.2025.105434","url":null,"abstract":"<div><h3>Background</h3><div>Since the beginning of the conflict in Ukraine, close to 4.3 million non-EU citizens have been granted temporary protection in the European Union (EU). Beneficiaries gain access to health care in their host countries. All EU countries must ensure coverage for and access to a minimum set of health care services, but they can arrange delivery and extend the services covered as they deem feasible, necessary, and appropriate.</div></div><div><h3>Objective</h3><div>The aim is to assess the implementation of temporary protection across 27 EU countries, including legislative provisions and health care coverage foreseen. This study offers a comparative overview of health care entitlements and financial coverage, access to services and barriers encountered in host health systems.</div></div><div><h3>Methods</h3><div>This study is based on three qualitative survey rounds conducted with members from the EU Health Security Committee and the Health Systems Policy Monitor network (European Observatory on Health Systems and Policies).</div></div><div><h3>Results</h3><div>All Member States have made the necessary legal provisions. However, large variations in health care benefits and financial coverage exist. The main reported access barriers relate to language, pre-existing capacity limitations, and lacking awareness of provisions on both beneficiary and health care provider sides.</div></div><div><h3>Conclusion</h3><div>As displaced persons from Ukraine transition into stable living conditions in host countries, data should be collected systematically to ensure health services can be tailored to meet their needs. Better aligning health care provision with other services, such as social care, may help unburden health systems and maximise the use of available resources.</div></div>","PeriodicalId":55067,"journal":{"name":"Health Policy","volume":"161 ","pages":"Article 105434"},"PeriodicalIF":3.4,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145120927","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}

引用次数: 0

Impacts of social determinants on the transient and persistent inefficiency of health systems in OECD countries 社会决定因素对经合组织国家卫生系统短暂和持续低效率的影响。

IF 3.4 3区医学

Health Policy Pub Date : 2025-09-07 DOI: 10.1016/j.healthpol.2025.105433

Ezgi Önen Efecan , Volkan Efecan

引用次数: 0

Cumulative legacies and crisis decision-making in shocks to the Irish health system: A mixed methods analysis 爱尔兰卫生系统冲击中的累积遗产和危机决策：混合方法分析

IF 3.4 3区医学

Health Policy Pub Date : 2025-09-04 DOI: 10.1016/j.healthpol.2025.105432

Steve Thomas , Catherine O’Donoghue , Arianna Almirall-Sanchez , Liz Farsaci

{"title":"Cumulative legacies and crisis decision-making in shocks to the Irish health system: A mixed methods analysis","authors":"Steve Thomas , Catherine O’Donoghue , Arianna Almirall-Sanchez , Liz Farsaci","doi":"10.1016/j.healthpol.2025.105432","DOIUrl":"10.1016/j.healthpol.2025.105432","url":null,"abstract":"<div><h3>Background</h3><div>Shocks, and the responses to them, always leave behind a legacy. In situations of sequential shocks or even permacrisis the legacy can become cumulative. It is therefore vital for decision-makers in a crisis to understand that their decisions will have long-lasting implications for health system performance and resilience.</div></div><div><h3>Objective</h3><div>In this article the authors explore the nature of legacy and a shock cycle approach to health system resilience. We investigate the case study of the Irish health system, which has undergone several shocks in succession, from economic austerity to COVID-19, a cyberattack and the cost-of-living crisis.</div></div><div><h3>Methods</h3><div>We explore quantitative health system performance metrics as well as qualitative interviews with health system experts who have been involved in the health system since the economic crisis in order to illuminate learnings around legacy and resilience. The case study is informed by analysis from the PHSSR programme and the PRESTO report.</div></div><div><h3>Results</h3><div>The results indicate that key cumulative legacy effects of the shocks in Ireland have been both negative and positive. There have been longer waiting lists, as well as demotivation, turnover and disengagement of staff that has resulted in poorer access to routine care. Yet there have also been successful reform efforts to universalise the health system and expand community-based care. This includes dropping access charges, additional funds to support capacity and democratising decision-making within services.</div></div><div><h3>Conclusion</h3><div>Taken together, this analysis highlights the compounding nature of shocks to the health system and their enhancement of both the strengths and weaknesses of health systems.</div></div>","PeriodicalId":55067,"journal":{"name":"Health Policy","volume":"161 ","pages":"Article 105432"},"PeriodicalIF":3.4,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145048401","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}

引用次数: 0

Is health financing fair? Evidence from 29 countries on the progressivity of health care revenue collection 卫生筹资公平吗？来自29个国家关于卫生保健收入累进性的证据

IF 3.4 3区医学

Health Policy Pub Date : 2025-09-04 DOI: 10.1016/j.healthpol.2025.105429

Thomas Rice , Ruth Waitzberg , Andres Võrk

引用次数: 0

Measuring health system resilience: Understanding the relationship between excess mortality and health system performance 衡量卫生系统弹性：了解超额死亡率与卫生系统绩效之间的关系

IF 3.4 3区医学

Health Policy Pub Date : 2025-09-04 DOI: 10.1016/j.healthpol.2025.105430

Irene Papanicolas , Jorge Ledesma

{"title":"Measuring health system resilience: Understanding the relationship between excess mortality and health system performance","authors":"Irene Papanicolas , Jorge Ledesma","doi":"10.1016/j.healthpol.2025.105430","DOIUrl":"10.1016/j.healthpol.2025.105430","url":null,"abstract":"<div><h3>Background</h3><div>The COVID-19 pandemic has underscored the importance of resilient health systems that can manage and adapt to large-scale health crises. However, the relationship between resilience and health system performance remains unclear. While some view performance as a feature of resilience, others conflate the two. Excess mortality—defined as the difference between observed and expected deaths during a given period—is often used to assess resilience, but may introduce bias. In particular, countries with stronger pre-pandemic performance and lower baseline mortality may appear to have worse resilience simply because they had less “room” for mortality to rise under normal conditions.</div></div><div><h3>Objective</h3><div>This study examines the relationship between pre-pandemic health system performance and resilience, as measured by excess mortality during the first two years of COVID-19.</div></div><div><h3>Methods</h3><div>Using the Healthcare Access and Quality (HAQ) Index, we evaluate baseline performance across 194 countries and compare it to age-standardized excess mortality from three major sources.</div></div><div><h3>Results</h3><div>Our analysis shows that health systems with higher pre-pandemic HAQ scores generally experienced lower excess mortality, though the strength of this association varied by data source and was most consistent in the second year of the pandemic. Adjusting for baseline performance using a normalized threshold of pre-pandemic performance, rather than country-specific baselines, improved comparability of excess mortality across countries.</div></div><div><h3>Conclusions</h3><div>These findings suggest that higher baseline performance may enhance resilience to health crises, and that normalizing baselines could yield more accurate cross-country resilience assessments.</div></div>","PeriodicalId":55067,"journal":{"name":"Health Policy","volume":"161 ","pages":"Article 105430"},"PeriodicalIF":3.4,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145048403","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}

引用次数: 0

Implementation of the European health data space: a qualitative study on expectations of health data experts from 23 countries 实施欧洲卫生数据空间：关于23个国家卫生数据专家期望的定性研究

IF 3.4 3区医学

Health Policy Pub Date : 2025-09-03 DOI: 10.1016/j.healthpol.2025.105428

Patricia Cervera de la Cruz , Teodora Lalova-Spinks , Mahsa Shabani

{"title":"Implementation of the European health data space: a qualitative study on expectations of health data experts from 23 countries","authors":"Patricia Cervera de la Cruz , Teodora Lalova-Spinks , Mahsa Shabani","doi":"10.1016/j.healthpol.2025.105428","DOIUrl":"10.1016/j.healthpol.2025.105428","url":null,"abstract":"<div><h3>Background</h3><div>As the formal adoption of the European Health Data Space (EHDS) draws nearer, questions surrounding the implementation of rules for the secondary use of health data abound.</div></div><div><h3>Objectives</h3><div>This study aims to explore the expectations of health data experts regarding the implementation of the EHDS.</div></div><div><h3>Methods</h3><div>To gain insights, we conducted semi-structured interviews with participants from 23 European countries. Data were analysed using inductive content analysis to identify key themes.</div></div><div><h3>Results</h3><div>Our findings reveal that the EHDS addresses some of the existing challenges for secondary health data use by setting clear rules for health data reuse and introducing new opportunities, such as enhanced competitiveness and cross-border data sharing. However, the implementation of the EHDS also brings about new challenges, including uneven interpretation across Member States, interaction with existing regulations, increased fees for accessing health data and heightened risks of data misrepresentation. These issues highlight the complexity of aligning diverse healthcare systems under a unified framework.</div></div><div><h3>Conclusions</h3><div>Significant investments are necessary to address the heterogeneity of health data and digital health systems across the Union. Additionally, incentives are essential to ensure the active engagement of all stakeholders, especially where systems for health data sharing and reuse are already in place.</div></div>","PeriodicalId":55067,"journal":{"name":"Health Policy","volume":"161 ","pages":"Article 105428"},"PeriodicalIF":3.4,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145048597","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}

引用次数: 0