Health Policy最新文献_第8页

From mono to multi-causality: Towards a comprehensive perspective on understanding death 从单一因果关系到多重因果关系：以全面的视角理解死亡。

IF 3.6 3区医学

Health Policy Pub Date : 2024-07-03 DOI: 10.1016/j.healthpol.2024.105121

Peter Harteloh

引用次数: 0

Digital health technologies and inequalities: A scoping review of potential impacts and policy recommendations 数字医疗技术与不平等：对潜在影响和政策建议的范围审查。

IF 3.6 3区医学

Health Policy Pub Date : 2024-07-02 DOI: 10.1016/j.healthpol.2024.105122

Janine Badr , Aude Motulsky , Jean-Louis Denis

{"title":"Digital health technologies and inequalities: A scoping review of potential impacts and policy recommendations","authors":"Janine Badr , Aude Motulsky , Jean-Louis Denis","doi":"10.1016/j.healthpol.2024.105122","DOIUrl":"10.1016/j.healthpol.2024.105122","url":null,"abstract":"<div><p>Digital health technologies hold promises for reducing health care costs, enhancing access to care, and addressing labor shortages. However, they risk exacerbating inequalities by disproportionately benefitting a subset of the population<strong>.</strong> Use of digital technologies accelerated during the Covid-19 pandemic. Our scoping review aimed to describe how inequalities related to their use were conceptually assessed during and after the pandemic and understand how digital strategies and policies might support digital equity. We used the PRISMA Extension for scoping reviews, identifying 2055 papers through an initial search of 3 databases in 2021 and complementary search in 2022, of which 41 were retained. Analysis was guided by the eHealth equity framework. Results showed that digital inequalities were reported in the U.S. and other high-income countries and were mainly assessed through differences in access and use according to individual sociodemographic characteristics. Health disparities related to technology use and the interaction between context and technology implementation were more rarely documented. Policy recommendations stressed the adoption of an equity lens in strategy development and multilayered and intersectoral collaboration to align interventions with the needs of specific subgroups. Finally, findings suggested that evaluations of health and wellbeing distribution related to the use of digital technologies should inform digital strategies and health policies.</p></div>","PeriodicalId":55067,"journal":{"name":"Health Policy","volume":"146 ","pages":"Article 105122"},"PeriodicalIF":3.6,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0168851024001325/pdfft?md5=a9aec34cbff9dffa3912b45c15cd415e&pid=1-s2.0-S0168851024001325-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141581565","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

Gender diversity and healthcare performance: A quantitative analysis from the Italian health system 性别多样性与医疗保健绩效：意大利医疗系统的定量分析。

IF 3.6 3区医学

Health Policy Pub Date : 2024-06-23 DOI: 10.1016/j.healthpol.2024.105117

D. Trinchese, M. Vainieri, P. Cantarelli

{"title":"Gender diversity and healthcare performance: A quantitative analysis from the Italian health system","authors":"D. Trinchese, M. Vainieri, P. Cantarelli","doi":"10.1016/j.healthpol.2024.105117","DOIUrl":"10.1016/j.healthpol.2024.105117","url":null,"abstract":"<div><p>Unlike many other industries, which are characterized by a more significant presence of men than women, the healthcare sector has a clear majority of women. However, even if at the non-executive level, the percentage of women is extremely higher than that of men, at the executive level, this percentage is completely overturned, generating the so-called glass ceiling effect. Despite extensive research on gender diversity and its impact on financial metrics, few studies have focused on clinical measures. To bridge this research gap, the article analyzes the relationship between gender diversity and healthcare metrics. We developed an econometric model for unbalanced panel data by performing a random effect and a quantile regression analysis, which test the relationship between gender diversity and the average length of stay (LOS), controlling for structural and clinical metrics. We find that, in general, a higher percentage of women in non-executive positions is related to an increase in LOS. Conversely, a higher rate of women in executive positions is related to a lower level of LOS. Empirical evidence supports the relevance of including human resources strategies to increase the number of women at executive managerial positions. However, the study highlights also the necessity to consider how to make the public health sector positions more appealing for men.</p></div>","PeriodicalId":55067,"journal":{"name":"Health Policy","volume":"146 ","pages":"Article 105117"},"PeriodicalIF":3.6,"publicationDate":"2024-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0168851024001271/pdfft?md5=74c353743788d38f5da79defa1a04ad2&pid=1-s2.0-S0168851024001271-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141556002","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

Private sector expansion and the widening NHS treatment gap between rich and poor in England: Admissions for NHS-funded elective primary hip and knee replacements between 1997/98 and 2018/19 私营部门的扩张与英格兰国家医疗服务体系贫富差距的扩大：1997/98年至2018/19年期间国家医疗服务体系资助的选择性初级髋关节和膝关节置换术入院情况。

IF 3.6 3区医学

Health Policy Pub Date : 2024-06-22 DOI: 10.1016/j.healthpol.2024.105118

Graham Kirkwood, Allyson M Pollock, Peter Roderick

{"title":"Private sector expansion and the widening NHS treatment gap between rich and poor in England: Admissions for NHS-funded elective primary hip and knee replacements between 1997/98 and 2018/19","authors":"Graham Kirkwood, Allyson M Pollock, Peter Roderick","doi":"10.1016/j.healthpol.2024.105118","DOIUrl":"10.1016/j.healthpol.2024.105118","url":null,"abstract":"<div><p>Parliament has imposed duties on the government and NHS in England aimed at reducing health inequalities.</p></div><div><h3>Aim</h3><p>to understand the effect on inequalities of government policies, which require the NHS in England to outsource elective surgery to the private sector.</p><p>We analysed the numbers of admissions for hip and knee replacement surgery from the least and most deprived population quintiles in three time periods: before the introduction of the policies (1997/98–2002/03); following the implementation of the independent sector treatment centre programme (2003/04–2006/07); and after the extension of 'choice at referral’ (2007/08–2018/19).</p></div><div><h3>Results</h3><p>despite admission rates doubling and trebling for hip and knee replacements, respectively, between 1997/98 and 2018/19, inequality grew to the detriment of the most deprived. Inequality grew at the fastest rate during period 3; admission rates to the NHS fell while admissions to the private sector continued to rise. By 2018/19 almost a third of NHS funded procedures were provided privately.</p><p>In 1997/98, for every 10 patients admitted for hip and knee surgery from the most deprived quintile, 13 and 9, respectively were admitted from the least deprived, by 2018/19 the gap had widened to 19 and 15, respectively.</p><p>Socio-economic inequalities for hip and knee replacement have widened as outsourcing of NHS treatment to the private sector has increased. The NHS must rebuild in-house capacity and provision instead of outsourcing care.</p></div>","PeriodicalId":55067,"journal":{"name":"Health Policy","volume":"146 ","pages":"Article 105118"},"PeriodicalIF":3.6,"publicationDate":"2024-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0168851024001283/pdfft?md5=ac09d810f632894c1ec1c98f425f0361&pid=1-s2.0-S0168851024001283-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141472723","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

With a little help from my (neighbouring) friends. ‘Border region patient mobility’ in the European Union: A policy analysis 在我（邻居）朋友的帮助下。欧盟的 "边境地区病人流动性"：政策分析。

IF 3.6 3区医学

Health Policy Pub Date : 2024-06-21 DOI: 10.1016/j.healthpol.2024.105114

Markus Frischhut , Rosella Levaggi

{"title":"With a little help from my (neighbouring) friends. ‘Border region patient mobility’ in the European Union: A policy analysis","authors":"Markus Frischhut , Rosella Levaggi","doi":"10.1016/j.healthpol.2024.105114","DOIUrl":"10.1016/j.healthpol.2024.105114","url":null,"abstract":"<div><p>Increased disparities in income and health care expenditure across EU countries may lead to an increase in patient mobility, which may, in turn, call for more action by the EU and its Member States. At present, patient mobility (or cross-border healthcare) is still a marginal phenomenon but is deemed to increase in the future. In this paper we examine border region patient mobility, defined as patients receiving care in a neighbouring country within a certain proximity. We examine, with the use of a spatial competition model, the options used to regulate such a patient flow and their welfare implications, both for patients and Governments. We show that marginal price costing would lead to an increase in patient welfare, whilst reducing the risk of increasing cost for the exporting country.</p><p>At present there seems to be an East/West difference in the way these flows are regulated. In order to increase equity, we suggest that a ‘joint implementation’ of EU Directives by neighbouring Member States, especially in the field of cross-border healthcare, would allow Member States to define target populations (in terms of type of care and distance travelled) that could allow more freedom in terms of border care, without increasing health care expenditure. A future combination of the two existing legal frameworks in this field would also be more user- or patient-friendly.</p></div>","PeriodicalId":55067,"journal":{"name":"Health Policy","volume":"146 ","pages":"Article 105114"},"PeriodicalIF":3.6,"publicationDate":"2024-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0168851024001246/pdfft?md5=a473a1a2611ca827eac507880a63b8ec&pid=1-s2.0-S0168851024001246-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141472724","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

International guideline comparison of lifestyle management for acute coronary syndrome and type 2 diabetes mellitus: A rapid review 急性冠状动脉综合征和 2 型糖尿病生活方式管理的国际指南比较：快速回顾。

IF 3.6 3区医学

Health Policy Pub Date : 2024-06-20 DOI: 10.1016/j.healthpol.2024.105116

Bridie J. Kemp , David R. Thompson , Vivien Coates , Sarah Bond , Chantal F. Ski , Monica Monaghan , Karen McGuigan

{"title":"International guideline comparison of lifestyle management for acute coronary syndrome and type 2 diabetes mellitus: A rapid review","authors":"Bridie J. Kemp , David R. Thompson , Vivien Coates , Sarah Bond , Chantal F. Ski , Monica Monaghan , Karen McGuigan","doi":"10.1016/j.healthpol.2024.105116","DOIUrl":"10.1016/j.healthpol.2024.105116","url":null,"abstract":"<div><p>Acute coronary syndrome (ACS) is a life-threatening condition, with ACS-associated morbidity and mortality causing substantial human and economic challenges to the individual and health services. Due to shared disease determinants, those with ACS have a high risk of comorbid Type 2 diabetes mellitus (T2DM). Despite this, the two conditions are managed separately, duplicating workload for staff and increasing the number of appointments and complexity of patient management plans. This rapid review compared current ACS and T2DM guidelines across Australia, Canada, Europe, Ireland, New Zealand, the UK, and the USA. Results highlighted service overlap, repetition, and opportunities for integrated practice for ACS-T2DM lifestyle management across diet and nutrition, physical activity, weight management, clinical and psychological health. Recommendations are made for potential integration of ACS-T2DM service provision to streamline care and reduce siloed care in the context of the health services for ACS-T2DM and similar comorbid conditions.</p></div>","PeriodicalId":55067,"journal":{"name":"Health Policy","volume":"146 ","pages":"Article 105116"},"PeriodicalIF":3.6,"publicationDate":"2024-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S016885102400126X/pdfft?md5=1a3f59a87e74ecbdc2db50799a484a4d&pid=1-s2.0-S016885102400126X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141472722","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

IF 3.6 3区医学

Health Policy Pub Date : 2024-06-20 DOI: 10.1016/j.healthpol.2024.105115

Vera van Schie

{"title":"Governance related factors influencing the implementation of sustainability in hospitals: A systematic literature review","authors":"Vera van Schie","doi":"10.1016/j.healthpol.2024.105115","DOIUrl":"10.1016/j.healthpol.2024.105115","url":null,"abstract":"<div><p>Climate change is a pressing issue that has a negative impact on the planet but also on public health. The healthcare sector contributes to environmental pollution, while it aims to improve health. Therefore, its environmental sustainability should be improved. This study focuses on the governance of sustainability in hospitals, since hospitals are the largest operational units in the healthcare system and can therefore make a large impact. To successfully implement and embed sustainable development through the hospital, the right governance approach is needed. This systematic literature review aims to give an overview of governance related factors that influence the implementation of sustainable development in hospitals in Europe. Following PRISMA guidelines, 2426 papers were identified and screened of which 30 were included in the analysis. In these papers, four governance related factors were identified to be important for the implementation of sustainable development in the hospital: knowledge, involvement from management, commitment from healthcare professionals, and technology use. These factors currently mostly form barriers in the implementation process. Future research is recommended on how to practically deploy these factors as facilitators for implementation. Since both involvement from management and commitment from healthcare professionals are crucial factors, further research should look into combining the input of these stakeholders in policy development.</p></div>","PeriodicalId":55067,"journal":{"name":"Health Policy","volume":"146 ","pages":"Article 105115"},"PeriodicalIF":3.6,"publicationDate":"2024-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0168851024001258/pdfft?md5=b99ec8197ec377c1d1ee4c39bc3f8f2d&pid=1-s2.0-S0168851024001258-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141460831","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

Extending the discussion and updating information on social prescribing in Australia 扩展讨论并更新有关澳大利亚社会处方的信息

IF 3.6 3区医学

Health Policy Pub Date : 2024-06-20 DOI: 10.1016/j.healthpol.2024.105111

J.R. Baker , Leanne Wells , Michelle Bissett , Christina Aggar , Genevieve A. Dingle , Rosanne Freak-Poli

引用次数: 0

Surgical reorganization during the COVID-19 pandemic and impact on case-mix and surgical site infections: A multicenter cohort study in Italy COVID-19 大流行期间的外科重组及其对病例组合和手术部位感染的影响：意大利多中心队列研究

IF 3.3 3区医学

Health Policy Pub Date : 2024-06-15 DOI: 10.1016/j.healthpol.2024.105113

Costanza Vicentini , Elettra Ugliono , Heba Safwat Mhmoued Abdo Elhadidy , Giovanni Paladini , Alessandro Roberto Cornio , Federico Cussotto , Mario Morino , Carla Maria Zotti

{"title":"Surgical reorganization during the COVID-19 pandemic and impact on case-mix and surgical site infections: A multicenter cohort study in Italy","authors":"Costanza Vicentini , Elettra Ugliono , Heba Safwat Mhmoued Abdo Elhadidy , Giovanni Paladini , Alessandro Roberto Cornio , Federico Cussotto , Mario Morino , Carla Maria Zotti","doi":"10.1016/j.healthpol.2024.105113","DOIUrl":"10.1016/j.healthpol.2024.105113","url":null,"abstract":"<div><h3>Background</h3><p>The coronavirus 2019 (COVID-19) pandemic led to major disruptions in surgical activity, particularly in the first year (2020). The objective of this study was to assess the impact of surgical reorganization on surgical outcomes in Northern Italy in 2020 and 2021.</p></div><div><h3>Methods</h3><p>A retrospective cohort study was conducted among 30 hospitals participating in the surveillance system for surgical site infections (SSIs). Abdominal surgery procedures performed between 2018 and 2021 were considered. Predicted SSI rates for 2020 and 2021 were estimated based on 2018–2019 data and compared with observed rates. Independent predictors for SSI were investigated using logistic regression, including procedure year.</p></div><div><h3>Results</h3><p>7605 procedures were included. Significant differences in case-mix were found comparing the three time periods. Observed SSI rates among all patients in 2020 were significantly lower than expected based on 2018–2019 SSI rates (p 0.0465). Patients undergoing procedures other than cancer surgery in 2020 had significantly lower odds for SSI (odds ratio, OR 0.52, 95 % confidence interval, CI 0.3–0.89, p 0.018) and patients undergoing surgery in 2021 had significantly higher odds for SSI (OR 1.49, 95 % CI 1.07–2.09, p 0.019) compared to 2018–2019.</p></div><div><h3>Conclusions</h3><p>Enhanced infection prevention and control (IPC) measures could explain the reduced SSI risk during the first pandemic year. IPC practices should continue to be reinforced beyond the pandemic context.</p></div>","PeriodicalId":55067,"journal":{"name":"Health Policy","volume":"146 ","pages":"Article 105113"},"PeriodicalIF":3.3,"publicationDate":"2024-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0168851024001234/pdfft?md5=69d6543eb71083dc860a73df250bde25&pid=1-s2.0-S0168851024001234-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141416230","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

The effect of community diagnostic centres on volume and waiting time for diagnostic procedures in the UK 社区诊断中心对英国诊断程序的数量和等候时间的影响

IF 3.6 3区医学

Health Policy Pub Date : 2024-06-14 DOI: 10.1016/j.healthpol.2024.105101

Peter Sivey, Jinglin Wen

引用次数: 0