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Unveiling patterns and drivers of immigrant health integration policies: A model-based cluster and panel data analysis in MIPEX countries 揭示移民健康一体化政策的模式和驱动因素:MIPEX国家基于模型的集群和面板数据分析
IF 3.6 3区 医学
Health Policy Pub Date : 2025-02-15 DOI: 10.1016/j.healthpol.2025.105267
Cheng Chow
{"title":"Unveiling patterns and drivers of immigrant health integration policies: A model-based cluster and panel data analysis in MIPEX countries","authors":"Cheng Chow","doi":"10.1016/j.healthpol.2025.105267","DOIUrl":"10.1016/j.healthpol.2025.105267","url":null,"abstract":"<div><h3>Background</h3><div>The integration of immigrant health is a complex process with significant implications for both immigrants and host communities, yet the policies guiding such integration display considerable variation across nations and remain substantially underexplored. This study aims to examine the patterns of health integration policies across countries, identify their distinct characteristics, and investigate the drivers shaping these policies at a global scale.</div></div><div><h3>Method</h3><div>We analyzed data from the Migrant Integration Policy Index (MIPEX) using a cluster analysis of health integration policies in 56 countries. Publicly available international datasets on healthcare capacity, migration dynamics, and institutional development were integrated into a panel data analysis to explore the factors driving these policies.</div></div><div><h3>Findings</h3><div>The analysis identifies three distinct patterns of health integration policies: supportive, restrictive, and generalized. Key drivers include healthcare expenditure, migrant acceptance, and economic development, indicating the interplay of health system capacity, public attitudes, and institutional efficacy in shaping policy performance of immigrant health integration.</div></div><div><h3>Conclusion</h3><div>This research advances understanding of how health integration policies are structured globally and how migration dynamics, institutional factors, and healthcare capacity influence these policies. The findings offer insights into the policy environments that shape immigrant health integration and suggest policy recommendations to promote health equity.</div></div>","PeriodicalId":55067,"journal":{"name":"Health Policy","volume":"154 ","pages":"Article 105267"},"PeriodicalIF":3.6,"publicationDate":"2025-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143429551","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
Public versus private access in the Italian NHS - The use of propensity score matching to provide more insight on the increasing adoption of voluntary health insurance 意大利国家医疗服务体系中的公共与私人访问-使用倾向评分匹配来提供更多关于自愿医疗保险日益普及的见解
IF 3.6 3区 医学
Health Policy Pub Date : 2025-02-14 DOI: 10.1016/j.healthpol.2025.105271
Elenka Brenna
{"title":"Public versus private access in the Italian NHS - The use of propensity score matching to provide more insight on the increasing adoption of voluntary health insurance","authors":"Elenka Brenna","doi":"10.1016/j.healthpol.2025.105271","DOIUrl":"10.1016/j.healthpol.2025.105271","url":null,"abstract":"<div><div>In the Italian NHS, over the last decades, a growing share of population opted for a Voluntary Health Insurance (VHI) in order to privately access healthcare services and bypass the increasingly long waiting times of the public system.</div><div>The study analyses whether and to what extent the presence of a VHI may condition the choice of privately accessing healthcare services. Information on different access fees, specifically “full price”, “copayment price” and “no price”, are furnished for both specialist visits and diagnostic tests; the analysis is focused on these services.</div><div>Data is drawn from the European Health Interview Survey, and is modelled through Propensity Score Matching to find possible differences in the choice of accessing private, rather than public, healthcare services by individuals with VHI.</div><div>Results show a higher likelihood of accessing private specialist (+7.3 %) and diagnostic care (+7.3 %) by patients with a VHI compared to patients without VHI; conversely, having a VHI decreases the probability of seeking NHS care, through copayment, by respectively 5.1 % and 6.3 %. These findings suggest that the spread of VHI may reduce the burden on the NHS and increase the availability of diagnostic and specialist services for patients without integrative coverage.</div><div>On the other side, the analysis shows that income, education and employment status are directly related to the probability of having a VHI, raising concern on possible inequalities across socioeconomic classes in the access to healthcare services. Policy implications are not univocal and claim for a deeper insight into these aspects by both scholars and policymakers.</div></div>","PeriodicalId":55067,"journal":{"name":"Health Policy","volume":"154 ","pages":"Article 105271"},"PeriodicalIF":3.6,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143454840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Identification of health-related needs: The needs examination, evaluation and dissemination (NEED) assessment framework 确定与健康有关的需要:需要审查、评价和传播评估框架
IF 3.6 3区 医学
Health Policy Pub Date : 2025-02-13 DOI: 10.1016/j.healthpol.2025.105263
Charline Maertens de Noordhout , Muriel Levy , Rani Claerman , Mats de Jaeger , Robby De Pauw , Laurence Kohn , Claudia Schönborn , Irina Cleemput
{"title":"Identification of health-related needs: The needs examination, evaluation and dissemination (NEED) assessment framework","authors":"Charline Maertens de Noordhout ,&nbsp;Muriel Levy ,&nbsp;Rani Claerman ,&nbsp;Mats de Jaeger ,&nbsp;Robby De Pauw ,&nbsp;Laurence Kohn ,&nbsp;Claudia Schönborn ,&nbsp;Irina Cleemput","doi":"10.1016/j.healthpol.2025.105263","DOIUrl":"10.1016/j.healthpol.2025.105263","url":null,"abstract":"<div><div>Innovation in healthcare is highly supply-driven, leading to underinvestment in less profitable health areas, unmet needs and inefficient use of public resources. This study proposes a framework to structure the identification of health-related patient and societal needs across different health conditions, supporting the evolution towards needs-driven healthcare policy and innovation. The Needs Examination, Evaluation and Dissemination (NEED) assessment framework was based on the results of two systematic literature reviews and stakeholder and expert consultation. The first review concerned patient needs criteria and the second concerned societal needs criteria. Relevant publications in Ovid Medline® or Embase®, in English, French or Dutch were included. The NEED framework addresses patient, societal, and future needs across health, healthcare, and social domains. Patient-level needs encompass five criteria in the health domain (e.g., impact on quality of life), four in the healthcare domain (e.g., burden of treatment) and four in the social domain (e.g., impact on social life). Societal needs encompass four health needs criteria (e.g., transmissibility), two healthcare needs criteria (e.g., value for money) and two social needs criteria (e.g., productivity losses). Future needs criteria (2) consider future burden of disease and economic burden. Equity is recognised as a transverse dimension, requiring unmet needs data disaggregated by population sub-groups. Each criterion is associated with one or more measurable indicators. This framework represents an important first step towards a more needs-driven healthcare policy and innovation landscape.</div></div>","PeriodicalId":55067,"journal":{"name":"Health Policy","volume":"155 ","pages":"Article 105263"},"PeriodicalIF":3.6,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143578322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Needs of non-pharmacological management versus sedation or general anesthesia for dental treatment in older adults with special needs: A systematic review 有特殊需要的老年人牙科治疗的非药物管理与镇静或全身麻醉的需要:一项系统综述
IF 3.6 3区 医学
Health Policy Pub Date : 2025-02-12 DOI: 10.1016/j.healthpol.2025.105262
Kamheang Vacharaksa , Ticha Thongrakard , Anjalee Vacharaksa
{"title":"Needs of non-pharmacological management versus sedation or general anesthesia for dental treatment in older adults with special needs: A systematic review","authors":"Kamheang Vacharaksa ,&nbsp;Ticha Thongrakard ,&nbsp;Anjalee Vacharaksa","doi":"10.1016/j.healthpol.2025.105262","DOIUrl":"10.1016/j.healthpol.2025.105262","url":null,"abstract":"<div><h3>Background</h3><div>Adults with special needs have dental problems requiring treatment; however, patient management could be extremely difficult under local anesthesia. This review aimed to compare the needs of pharmacological approaches versus non-pharmacological approach for dental treatment to adults with special needs.</div></div><div><h3>Methods</h3><div>This systematic review was registered in PROSPERO (CRD42024528488). The systematic search was conducted in databases: PUBMED; EBSCO; SCOPUS, April 10, 2024. Clinical studies published in English from 2000 to June 2024, demonstrating the needs for pharmacological as compared with non-pharmacological approach in older adults over 18 years old were included. The primary outcome was the completion of dental treatment.</div></div><div><h3>Results</h3><div>Titles and abstracts were screened after the initial search, then forty studies were identified for potential inclusion. After retrieving full‐text studies, Information relevant to objectives and outcome measures was recorded by using a data extraction form and analyzed again by three reviewers. Only 2 articles were eligible and included.</div></div><div><h3>Conclusions</h3><div>The best patient management approach could not be conclusive. Pharmacological approach remains necessary in many situations. Preparation of health care setting and multidisciplinary team is important to ensure patient safety. Further studies focusing on older adults with special needs are needed.</div></div>","PeriodicalId":55067,"journal":{"name":"Health Policy","volume":"154 ","pages":"Article 105262"},"PeriodicalIF":3.6,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143418855","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Health economic evaluation evidence of interventions for peripartum depression: A scoping review 围产期抑郁症干预措施的健康经济评价证据:范围综述
IF 3.6 3区 医学
Health Policy Pub Date : 2025-02-12 DOI: 10.1016/j.healthpol.2025.105264
Gülcan Tecirli , Mehtap Çakmak Barsbay , Greg Sheaf , Nurettin Öner , Ana Ganho-Ávila , Roser Palau-Costafreda , Inês Ribeiro , Eva Lassemo , Elizabeth Camacho , Pedro Lopes Ferreira , Annette Bauer
{"title":"Health economic evaluation evidence of interventions for peripartum depression: A scoping review","authors":"Gülcan Tecirli ,&nbsp;Mehtap Çakmak Barsbay ,&nbsp;Greg Sheaf ,&nbsp;Nurettin Öner ,&nbsp;Ana Ganho-Ávila ,&nbsp;Roser Palau-Costafreda ,&nbsp;Inês Ribeiro ,&nbsp;Eva Lassemo ,&nbsp;Elizabeth Camacho ,&nbsp;Pedro Lopes Ferreira ,&nbsp;Annette Bauer","doi":"10.1016/j.healthpol.2025.105264","DOIUrl":"10.1016/j.healthpol.2025.105264","url":null,"abstract":"<div><div>This scoping review provides a broad overview of the existing literature on economic evaluations of preventive, screening, and treatment programmes for peripartum depression (PPD). PPD is one of the leading causes of disease-related disability among women. However, PPD often goes undiagnosed and untreated, with as many as half of cases not being identified.</div><div>We followed the PICO-P (publication type) structure. Databases were searched from inception until 30 June 2023. The intervention stage in the studies was classified as prevention, screening, treatment, screening and treatment, and prevention and treatment. The health economics methods of the studies were divided into cost-effectiveness analysis, cost-utility analysis, cost-benefit analysis, cost-minimisation analysis, return of investment, and multiple. Ultimately, 38 studies were included for extraction and evaluation.</div><div>Several interventions for PPD may be cost effective, including peer support, psychological therapies, and screening strategies using tools like the Edinburgh Postnatal Depression Scale (EPDS). However, study limitations include heterogeneity across studies, methodological limitations, and limited generalisability to diverse populations.</div><div>The cost-effectiveness results of PPD interventions may differ across different health systems, partly due to differences in the amount and distribution of resources available. By implementing suggested policy recommendations, policymakers can significantly improve the identification, treatment, and prevention of PPD, ultimately improving the health and well-being of mothers, children, and families.</div></div>","PeriodicalId":55067,"journal":{"name":"Health Policy","volume":"154 ","pages":"Article 105264"},"PeriodicalIF":3.6,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143464798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Avoidable visits to UK emergency departments from the patient perspective: A recursive bivariate probit approach 可避免的访问英国急诊科从病人的角度:一个递归的二元概率方法
IF 3.6 3区 医学
Health Policy Pub Date : 2025-02-12 DOI: 10.1016/j.healthpol.2025.105265
Chiara Calastri , John Buckell , Romain Crastes dit Sourd
{"title":"Avoidable visits to UK emergency departments from the patient perspective: A recursive bivariate probit approach","authors":"Chiara Calastri ,&nbsp;John Buckell ,&nbsp;Romain Crastes dit Sourd","doi":"10.1016/j.healthpol.2025.105265","DOIUrl":"10.1016/j.healthpol.2025.105265","url":null,"abstract":"<div><div>Unsustainably high numbers of patients attending emergency departments (ED) is a serious issue worldwide, with consequences for the quality and timeliness of emergency care. Avoidable visits, i.e. unnecessary or that should be dealt with elsewhere, exacerbate this issue. Most studies focussed on avoidable attendances use clinical data collected by hospital staff, while this study relies on survey data collected from patients asked to recall their last ED attendance and reflect on its necessity. We apply a Recursive Bivariate Probit model to quantify the factors affecting patients' perception of an ED visit being avoidable (or not), unveiling how it relates to socio-demographic and contextual factors. We find that patients who do not trust their General Practitioner (GP) are less likely to think their ED visit was avoidable. The perception of whether an ED visit was avoidable is also associated with symptoms experienced, patients’ ethnicity and waiting time for a GP appointment.</div></div>","PeriodicalId":55067,"journal":{"name":"Health Policy","volume":"154 ","pages":"Article 105265"},"PeriodicalIF":3.6,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143464949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Health care provider payment schemes and their changes since 2010 across nine Central and Eastern European countries – a comparative analysis 中欧和东欧9个国家自2010年以来医疗保健提供者支付计划及其变化——一项比较分析
IF 3.6 3区 医学
Health Policy Pub Date : 2025-02-07 DOI: 10.1016/j.healthpol.2025.105261
Costase Ndayishimiye , Marzena Tambor , Daiga Behmane , Antoniya Dimova , Alina Dūdele , Aleksandar Džakula , Barbora Erasti , Péter Gaál , Triin Habicht , Pavel Hroboň , Liubove Murauskienė , Tamás Palicz , Silvia Gabriela Scîntee , Lenka Šlegerová , Cristian Vladescu , Katarzyna Dubas-Jakóbczyk
{"title":"Health care provider payment schemes and their changes since 2010 across nine Central and Eastern European countries – a comparative analysis","authors":"Costase Ndayishimiye ,&nbsp;Marzena Tambor ,&nbsp;Daiga Behmane ,&nbsp;Antoniya Dimova ,&nbsp;Alina Dūdele ,&nbsp;Aleksandar Džakula ,&nbsp;Barbora Erasti ,&nbsp;Péter Gaál ,&nbsp;Triin Habicht ,&nbsp;Pavel Hroboň ,&nbsp;Liubove Murauskienė ,&nbsp;Tamás Palicz ,&nbsp;Silvia Gabriela Scîntee ,&nbsp;Lenka Šlegerová ,&nbsp;Cristian Vladescu ,&nbsp;Katarzyna Dubas-Jakóbczyk","doi":"10.1016/j.healthpol.2025.105261","DOIUrl":"10.1016/j.healthpol.2025.105261","url":null,"abstract":"<div><div>Health care provider payment schemes consist of a complex set of arrangements used to influence provider behavior towards specific health policy objectives. The study aimed at: 1) providing a structured, comparative overview of current payment schemes within the public health system in selected Central and Eastern European (CEE) countries for different health care providers; 2) identifying and comparing major changes in payment schemes since 2010. Methods included: 1) data collection form development; 2) desk research; 3) national experts’ consultations; 4) comparative analysis. The results indicate that the nine CEE countries (Bulgaria, Croatia, Czechia, Estonia, Latvia, Lithuania, Hungary, Poland, and Romania) show numerous similarities in provider payment method mix and in the general direction of the recent changes conducted in this field. Output-based payment methods prevail across all countries and types of providers. Primary health care (PHC) providers are characterized by the most diverse payment method mix. PHC and hospital inpatient care have experienced the most frequent changes in their payment schemes within the last 13 years. These focused mostly on modifying existing payment methods (e.g. detailing payment categories), and applying additional methods to pay for specific services or performance (e.g. fee-for-service, bonus payments). The objectives of conducted change were often similar, thus, there is high potential for a shared, cross-country learning.</div></div>","PeriodicalId":55067,"journal":{"name":"Health Policy","volume":"153 ","pages":"Article 105261"},"PeriodicalIF":3.6,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143421243","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
Equity in healthcare financing: A review of evidence 医疗融资公平性:证据综述
IF 3.6 3区 医学
Health Policy Pub Date : 2025-02-01 DOI: 10.1016/j.healthpol.2024.105218
Emilia Luyten , Sandy Tubeuf
{"title":"Equity in healthcare financing: A review of evidence","authors":"Emilia Luyten ,&nbsp;Sandy Tubeuf","doi":"10.1016/j.healthpol.2024.105218","DOIUrl":"10.1016/j.healthpol.2024.105218","url":null,"abstract":"<div><div>This review summarises empirical studies on the progressivity and redistributive effects of healthcare financing mechanisms. The evidence varies significantly across countries and financing sources. Tax-based systems exhibit high progressivity, as direct taxes contribute to a favourable redistribution toward low-income households, often offsetting the regressive nature of indirect taxes. Social insurance systems are found to be progressive but may be regressive in practice due to contribution ceilings and exemptions for high-income earners. This creates disparities where high-income taxpayers benefit from social protection while contributing less proportionally to their total income, limiting the overall positive redistributive effect on income inequalities. Most health systems with co-payments use flat rates rather than income-based rates, disproportionately affecting lower-income individuals and potentially leading to catastrophic expenses. This review highlights a lack of recent research on healthcare financing in high-income countries, while recent studies in low- and middle-income countries align with commitment to deliver universal health coverage. Continuous analysis of the redistributive effects of the health system is essential to ensure that health financing systems not only fund healthcare effectively but also contribute to broader social equity goals.</div></div>","PeriodicalId":55067,"journal":{"name":"Health Policy","volume":"152 ","pages":"Article 105218"},"PeriodicalIF":3.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142911143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Immigration of medical personnel from Ukraine to Poland – Context, regulations, and trends 从乌克兰到波兰的医疗人员移民——背景、法规和趋势。
IF 3.6 3区 医学
Health Policy Pub Date : 2025-02-01 DOI: 10.1016/j.healthpol.2024.105241
Liudmyla Andriiashenko , Michał Zabdyr-Jamróz , Paweł Lipowski , Alicja Domagała
{"title":"Immigration of medical personnel from Ukraine to Poland – Context, regulations, and trends","authors":"Liudmyla Andriiashenko ,&nbsp;Michał Zabdyr-Jamróz ,&nbsp;Paweł Lipowski ,&nbsp;Alicja Domagała","doi":"10.1016/j.healthpol.2024.105241","DOIUrl":"10.1016/j.healthpol.2024.105241","url":null,"abstract":"<div><h3>Background</h3><div>The migration of healthcare professionals is common phenomenon and shows upwards trends. Poland, which used to be a source country with marginal immigration, has in the past few years received more immigrants due to the simplified access to the labour market for professionals from outside the European Union. We aimed to analyse the immigration of healthcare workforce to Poland with an emphasis on legislative changes regarding the right to practice of medical personnel from outside the EU (mainly from Ukraine).</div></div><div><h3>Methods</h3><div>This analysis included the description of legislative changes in the recognition of qualifications of doctors, dentists, nurses, and midwives. Data on the number of non-EU citizens who took up employment in Poland were analysed concerning three periods reflecting these changes: (1) before 2020, (2) during the Covid-19 pandemic (2020–2022), and (3) after the Russian invasion of Ukraine (since February 2022). Also, the medical education systems in Poland and Ukraine were compared.</div></div><div><h3>Results</h3><div>The number of Ukrainian health workers seeking employment in Poland has increased significantly in recent years, mainly due to the geopolitical context of the war in Ukraine. This has been supported by the simplification of legal regulations for obtaining a licence to practice.</div></div><div><h3>Conclusions</h3><div>It is necessary to implement a comprehensive adaptation process for migrant health workers to maintain the quality of provided services and patient safety.</div></div>","PeriodicalId":55067,"journal":{"name":"Health Policy","volume":"152 ","pages":"Article 105241"},"PeriodicalIF":3.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A good start for all children: Integrating early-life course medical and social care through Solid Start, the Netherlands’ nationwide action programme 所有儿童都有一个良好的开端:通过荷兰的全国行动方案“扎实起步”,将生命早期阶段的医疗和社会护理结合起来。
IF 3.6 3区 医学
Health Policy Pub Date : 2025-02-01 DOI: 10.1016/j.healthpol.2024.105219
Eric A.P. Steegers , Jeroen N. Struijs , Angela J.M. Uijtdewilligen , Tessa J. Roseboom
{"title":"A good start for all children: Integrating early-life course medical and social care through Solid Start, the Netherlands’ nationwide action programme","authors":"Eric A.P. Steegers ,&nbsp;Jeroen N. Struijs ,&nbsp;Angela J.M. Uijtdewilligen ,&nbsp;Tessa J. Roseboom","doi":"10.1016/j.healthpol.2024.105219","DOIUrl":"10.1016/j.healthpol.2024.105219","url":null,"abstract":"<div><div>The foundations of human wellbeing are laid in early life during the preconception stage and the 1,000-days of life from conception to the child's second birthday. This period is therefore receiving scrutiny as a concept for guiding pregnancy-care innovation and public health policy. The Dutch government took responsibility to invest in this. In September 2018, the Dutch Ministry of Health, Welfare, and Sport launched the Solid Start action programme. Coordinated nationally, the programme is implemented locally through coalitions in all 342 Dutch municipalities involving collaboration between medical and social-care professionals, policymakers, parents and organisations. The programme has generated a nationwide movement in which medical and social-care professionals now develop forms of structural collaboration that support (future) parents by offering evidence-based interventions that simultaneously enhance early healthy human development and prevent unwanted pregnancies. Although monitoring of the programme does not currently make it possible to address the causal effects of the programme itself, lessons can be distilled which have contributed to the successful implementation of this nationwide programme. These lessons include 1) having and maintaining an unambiguous narrative, 2) creating a lasting sense of urgency among stakeholders, and 3) ensuring that the programme is multi-sectoral.</div></div>","PeriodicalId":55067,"journal":{"name":"Health Policy","volume":"152 ","pages":"Article 105219"},"PeriodicalIF":3.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142796517","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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