Health Policy最新文献_第8页

A historical overview of policy perspectives towards informal care in Taiwan (1996-2023) 台湾非正式照护政策展望之历史回顾（1996-2023）。

IF 3.6 3区医学

Health Policy Pub Date : 2025-02-01 DOI: 10.1016/j.healthpol.2024.105239

Yu-Ching Liu , Chen-Fen Chen

{"title":"A historical overview of policy perspectives towards informal care in Taiwan (1996-2023)","authors":"Yu-Ching Liu , Chen-Fen Chen","doi":"10.1016/j.healthpol.2024.105239","DOIUrl":"10.1016/j.healthpol.2024.105239","url":null,"abstract":"<div><div>This paper examines the evolution of policy perspectives towards informal care in Taiwan, focusing on the development of carer support services. It traces the transition from self-funded services by the Taiwan Association of Family Caregivers (a nonprofit organisation), to services funded by the government. Taiwan's approach highlights the considerable changes brought about by the implementation of the Long-Term Care Services Act which elevated the legal status of carers. Other reforms include the establishment of community-based carer support centres, the introduction of a carer referral mechanisms, and the decentralisation of services to local governments. Carer policies in Taiwan have increasingly embraced the perspective of carers as co-clients, not only recognising their crucial role in the care ecosystem but also raising the profile of informal care in public policy. However, ensuring sustainable funding from the central government, which is vital for the continuation and expansion of carer support, presents a considerable challenge for future policy considerations. The Taiwanese experiences of integrating carers into the long-term care policy context and of decentralisation of carer support services to local governments, serve as a reference for other countries developing carer policies.</div></div>","PeriodicalId":55067,"journal":{"name":"Health Policy","volume":"152 ","pages":"Article 105239"},"PeriodicalIF":3.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016799","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

How beliefs and policy characteristics shape the public acceptability of nutritional policies—A survey study in Germany 信念和政策特征如何影响公众对营养政策的接受度--德国的调查研究。

IF 3.6 3区医学

Health Policy Pub Date : 2025-02-01 DOI: 10.1016/j.healthpol.2024.105221

Marike Andreas , Anna K. Kaiser , Raenhha Dhami , Vincent Brugger , Falko F. Sniehotta

{"title":"How beliefs and policy characteristics shape the public acceptability of nutritional policies—A survey study in Germany","authors":"Marike Andreas , Anna K. Kaiser , Raenhha Dhami , Vincent Brugger , Falko F. Sniehotta","doi":"10.1016/j.healthpol.2024.105221","DOIUrl":"10.1016/j.healthpol.2024.105221","url":null,"abstract":"<div><h3>Background</h3><div>Despite the high prevalence of obesity in Germany, few effective political measures have been implemented to protect population health and improve the sustainability of food systems. One argument frequently raised against policy implementation is the lack of acceptability for policy measures in the German population.</div></div><div><h3>Aim</h3><div>We aimed to evaluate the acceptability of policy measures currently discussed in Germany's national nutrition strategy and how perceived policy characteristics and participant characteristics influence policy acceptability.</div></div><div><h3>Method</h3><div>We conducted an online survey with 2001 participants between 06.12.2023 and 05.01.2024, in which we collected data on perceived policy characteristics (acceptability, equity, societal and personal effectiveness), as well as participant values and beliefs.</div></div><div><h3>Results</h3><div>Most policies were highly acceptable, with policies such as the introduction of free school lunches (84 % acceptability), the introduction of a ban on fast food advertising aimed at children (71 %) or a sugar tax (53 %) being acceptable to a majority of the sample. The least acceptable policy was the introduction of a tax on animal products (36 %). Logistic regression analyses showed that perceived equity and societal and personal effectiveness predicted policy acceptability. Likewise, environmental values and beliefs about state intervention of participants influenced policy acceptability.</div></div><div><h3>Conclusion</h3><div>The high acceptability observed in this study suggests an opportunity for German policymakers to implement evidence-based and acceptable nutritional strategies to improve population health.</div></div>","PeriodicalId":55067,"journal":{"name":"Health Policy","volume":"152 ","pages":"Article 105221"},"PeriodicalIF":3.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142822620","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 right to health for socioeconomically disadvantaged TB patients in South Korea: An AAAQ framework analysis 韩国社会经济状况不佳的肺结核患者的健康权：AAAQ 框架分析。

IF 3.6 3区医学

Health Policy Pub Date : 2025-02-01 DOI: 10.1016/j.healthpol.2024.105236

Juyeon Lee , Yeori Park , Myoung-Hee Kim

{"title":"The right to health for socioeconomically disadvantaged TB patients in South Korea: An AAAQ framework analysis","authors":"Juyeon Lee , Yeori Park , Myoung-Hee Kim","doi":"10.1016/j.healthpol.2024.105236","DOIUrl":"10.1016/j.healthpol.2024.105236","url":null,"abstract":"<div><div>Tuberculosis, a disease of poverty, continues to disproportionately affect socioeconomically disadvantaged populations worldwide. This is particularly concerning given the recent resurgence of TB following the COVID-19 pandemic. In South Korea, despite substantial socioeconomic development, TB remains a prominent problem, ranking as the leading infectious killer in the country. The severe stigma associated with TB, coupled with the significant vulnerability of TB patients, has resulted in the voices of these patients being completely underrepresented in both policy and research. This article addresses this research gap by conducting a qualitative assessment of Korea's national TB control efforts through the lens of the UN's AAAQ (Availability, Accessibility, Acceptability, Quality) right to health framework. Through field observations and 20 in-depth interviews with TB patients, healthcare providers, policymakers, and advocates, we explore the lived experiences of socioeconomically disadvantaged TB patients in accessing care and support in Korea. Findings reveal that the failure to integrate the right to health into TB care and support, including inadequate availability, accessibility, acceptability, and quality of services tailored to the needs of this population, contributes significantly to Korea's TB burden. The findings have important implications for TB policy and practice in countries with high TB burdens or those experiencing a resurgence of TB. Prioritizing the right to health in TB care and support is crucial to effectively combat this disease.</div></div>","PeriodicalId":55067,"journal":{"name":"Health Policy","volume":"152 ","pages":"Article 105236"},"PeriodicalIF":3.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142822621","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

National COVID-19 plans: Equity is unlikely without public participation and transparency 国家COVID-19计划：没有公众参与和透明度，公平是不可能的。

IF 3.6 3区医学

Health Policy Pub Date : 2025-02-01 DOI: 10.1016/j.healthpol.2024.105242

Alain Braillon

引用次数: 0

Projected costs of long-term care for older people in England: The impacts of housing quality improvements 英国老年人长期护理的预计成本：住房质量改善的影响。

IF 3.6 3区医学

Health Policy Pub Date : 2025-02-01 DOI: 10.1016/j.healthpol.2025.105246

Bo Hu, Nicola Brimblecombe, Javiera Cartagena-Farias, Wagner Silva-Ribeiro

{"title":"Projected costs of long-term care for older people in England: The impacts of housing quality improvements","authors":"Bo Hu, Nicola Brimblecombe, Javiera Cartagena-Farias, Wagner Silva-Ribeiro","doi":"10.1016/j.healthpol.2025.105246","DOIUrl":"10.1016/j.healthpol.2025.105246","url":null,"abstract":"<div><div>Good quality housing is vitally important to public health. However, its economic consequences for the long-term care sector and implications for health policy have not been thoroughly examined. This study investigates the impacts of housing improvements on future costs of long-term care in England. Using data from two national surveys, the English Longitudinal Study of Ageing (ELSA) and the Health Survey for England (HSE), we combined a Markov model with a macrosimulation model to make projections of long-term care costs under a series of housing intervention scenarios. We project that, without housing interventions, formal care costs will increase from £22.4 billion to £40.8 billion and unpaid/informal care costs will increase from £55.2 billion to £90.8 billion between 2022 and 2042. In a scenario where all housing problems are remedied, formal and unpaid care costs in 2042 are projected to be £2.8 billion and £7.1 billion lower than the no intervention scenario, respectively. There are substantial synergies between health and housing policies. Well-designed housing improvement programmes delay the progression of long-term care needs, resulting in lower long-term care costs. The cumulative savings of long-term care costs over time can pay back the investment needed for housing improvements.</div></div>","PeriodicalId":55067,"journal":{"name":"Health Policy","volume":"152 ","pages":"Article 105246"},"PeriodicalIF":3.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142973396","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

Could hospitals operating through a value-based healthcare policy overcome potential management drawbacks in European healthcare? 通过以价值为基础的医疗保健政策运营的医院能否克服欧洲医疗保健中潜在的管理缺陷？

IF 3.6 3区医学

Health Policy Pub Date : 2025-02-01 DOI: 10.1016/j.healthpol.2025.105249

Cristina Caramés , Javier Arcos , Bernadette Pfang , Ion Cristóbal , Juan Antonio Álvaro

引用次数: 0

Variation in day surgery rates across Irish public hospitals 爱尔兰公立医院日间手术率的差异。

IF 3.6 3区医学

Health Policy Pub Date : 2025-02-01 DOI: 10.1016/j.healthpol.2024.105215

Aoife Brick , Brendan Walsh , Theano Kakoulidou , Harry Humes

{"title":"Variation in day surgery rates across Irish public hospitals","authors":"Aoife Brick , Brendan Walsh , Theano Kakoulidou , Harry Humes","doi":"10.1016/j.healthpol.2024.105215","DOIUrl":"10.1016/j.healthpol.2024.105215","url":null,"abstract":"<div><div>The appropriate use of day surgery has been shown to provide the same or better outcomes for patients and to increase hospital efficiency. However, it is often underutilised, and rates can vary widely across hospitals. This study examines variation in day-surgery rates across Irish public hospitals and identifies the characteristics associated with these variations. Using patient-level administrative data on high-volume elective procedures, three-level logistic regression models are estimated which allow us to attribute variation in day-surgery rates to hospitals and surgical-teams. We find that day-surgery rates have increased in the last decade and vary substantially between hospitals for most procedures examined. Focusing on laparoscopic cholecystectomy, a key procedure targeted by policymakers, rates varied from 0% to over 90% across hospitals in 2019. We find that a substantial amount of variation in likelihood of day surgery is attributable to the surgical team (56.8%) with 37.8% attributable to the hospital. While there has undoubtedly been progress in the use of day surgery in Ireland there is still scope for improvement. A policy focus on encouraging and incentivising surgical team adoption of day surgery may be warranted, in addition to dedicated resources, and monitoring of day-surgery rate variation across hospitals.</div></div>","PeriodicalId":55067,"journal":{"name":"Health Policy","volume":"152 ","pages":"Article 105215"},"PeriodicalIF":3.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016810","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 reporting in five health care areas: A comparative content analysis across nine countries 五个卫生保健领域的公共报告：九个国家的比较内容分析。

IF 3.6 3区医学

Health Policy Pub Date : 2025-02-01 DOI: 10.1016/j.healthpol.2024.105222

Maxime Sapin, David Ehlig, Alexander Geissler, Justus Vogel

{"title":"Public reporting in five health care areas: A comparative content analysis across nine countries","authors":"Maxime Sapin, David Ehlig, Alexander Geissler, Justus Vogel","doi":"10.1016/j.healthpol.2024.105222","DOIUrl":"10.1016/j.healthpol.2024.105222","url":null,"abstract":"<div><h3>Background</h3><div>Public reporting is crucial to enhance transparency, accountability, and informed provider choice. Therefore, providing accessible and reliable information on provider performance and activities is key for all healthcare areas and the utilization of information by patients, providers and related audiences.</div></div><div><h3>Objective</h3><div>This study provides an extensive analysis of public reporting websites across nine high income countries, focusing on five healthcare areas, and aims to understand how these websites support patients in making informed choices about healthcare providers.</div></div><div><h3>Methods</h3><div>We apply a comparative cross-country analysis to examine public reporting websites based on a framework consisting of five components: healthcare area, objectives and target audience, quality dimensions, data collection and methodology for quality indicator calculation, and visualization. Using literature and internet search as well as expert interviews, we selected 20 public reporting websites across nine high-income countries.</div></div><div><h3>Results</h3><div>The websites vary widely within and across countries for most components of our framework. Notably, we found that within countries, same data used by different websites can lead to confusing or even contradictory information about the same provider, depending on the websites’ reporting methods and data usage.</div></div><div><h3>Conclusion</h3><div>The findings suggest that establishing national standards for public reporting may reduce the risk of presenting contradictory information to patients and thus, improve provider choice. Our results lay the basis for developing such national standards.</div></div>","PeriodicalId":55067,"journal":{"name":"Health Policy","volume":"152 ","pages":"Article 105222"},"PeriodicalIF":3.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142866500","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

Development of an organizational typology of interprofessional primary care teams in Quebec, Canada: A multivariate analysis 加拿大魁北克省跨专业初级保健团队组织类型的发展：多变量分析。

IF 3.6 3区医学

Health Policy Pub Date : 2025-02-01 DOI: 10.1016/j.healthpol.2024.105202

Maria Alejandra Rodriguez-Duarte , Pamela Fernainy , Lise Gauvin , Géraldine Layani , Marie-Eve Poitras , Mylaine Breton , Claire Godard-Sebillotte , Catherine Hudon , Janusz Kaczorowski , Yves Couturier , Anaïs Lacasse , Marie-Thérèse Lussier , Cristina Longo , Nadia Sourial

{"title":"Development of an organizational typology of interprofessional primary care teams in Quebec, Canada: A multivariate analysis","authors":"Maria Alejandra Rodriguez-Duarte , Pamela Fernainy , Lise Gauvin , Géraldine Layani , Marie-Eve Poitras , Mylaine Breton , Claire Godard-Sebillotte , Catherine Hudon , Janusz Kaczorowski , Yves Couturier , Anaïs Lacasse , Marie-Thérèse Lussier , Cristina Longo , Nadia Sourial","doi":"10.1016/j.healthpol.2024.105202","DOIUrl":"10.1016/j.healthpol.2024.105202","url":null,"abstract":"<div><h3>Background</h3><div>This study aimed to develop an organizational typology of Interprofessional Primary Care (IPC) teams in Quebec, Canada, by describing their organizational profiles and assessing the association between the characteristics of the populations served and the organizational profiles.</div></div><div><h3>Methods</h3><div>This cross-sectional study was carried out using a finite mixture model of the 2021 financial monitoring data from the Ministry of Health and Social Services of Quebec. The population consisted of all IPC teams in Quebec (<em>N</em> = 368). A multinomial logistic model was used to assess the association between the population characteristics and the organizational profiles.</div></div><div><h3>Results</h3><div>The analysis revealed that IPC teams were heterogeneous and could be classified into five distinct profiles varying in size, team composition, sector, type, and level of partnership. Pregnant women (odds ratio [OR] = 2.78, 95 % confidence interval [CI] 1.98–3.91), disadvantaged patients ([OR] = 1.62, [CI] 1.15–2.28), patients receiving homecare support ([OR] = 1.85, [CI] 1.28–2.66) and rural patients ([OR] = 0.66, [CI] 0.50–0.86)) were more likely to be associated to the medium, public, university-affiliated, practitioner-oriented, low partnered profile compared to the very small, private, regular, high-partnered profile.</div></div><div><h3>Conclusion</h3><div>IPC teams can be characterized into five distinct profiles that are associated with the characteristics of the populations they serve. These results may help to better evaluate if the desired effects of IPC teams have been achieved.</div></div>","PeriodicalId":55067,"journal":{"name":"Health Policy","volume":"152 ","pages":"Article 105202"},"PeriodicalIF":3.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787824","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

Key stakeholder's attitudes towards the professional accountabilities and responsibilities of newly qualified Pharmacist Independent Prescribers (IPs) in England and enablers to implementation at scale? 主要利益相关者对英格兰新近获得资格的药剂师独立处方人 (IP) 的专业责任和义务的态度，以及大规模实施的推动因素？

IF 3.6 3区医学

Health Policy Pub Date : 2025-02-01 DOI: 10.1016/j.healthpol.2024.105223

Bruce Warner , Tracey Thornley , Claire Anderson , Anthony Avery

{"title":"Key stakeholder's attitudes towards the professional accountabilities and responsibilities of newly qualified Pharmacist Independent Prescribers (IPs) in England and enablers to implementation at scale?","authors":"Bruce Warner , Tracey Thornley , Claire Anderson , Anthony Avery","doi":"10.1016/j.healthpol.2024.105223","DOIUrl":"10.1016/j.healthpol.2024.105223","url":null,"abstract":"<div><h3>Background</h3><div>Independent prescribing is set to expand amongst community pharmacists in England in the next few years. This study aims to explore the different accountabilities and responsibilities associated with independent prescribing compared to more traditional pharmacist roles.</div></div><div><h3>Objective</h3><div>To inform commissioning frameworks that will allow independent prescribing by community pharmacists to be commissioned safely and appropriately at scale.</div></div><div><h3>Design/Methodology</h3><div>A series of qualitative semi-structured interviews were undertaken with key stakeholders. Interviews were analysed using thematic analysis, and over-arching themes developed from emergent findings.</div></div><div><h3>Conclusions</h3><div>This study identified three themes, supported by twelve sub-themes, associated with pharmacist independent prescribing being viewed positively. Those three themes were 'self', 'environmen't and 'competence'. Whilst pharmacists are well placed through their initial education and training to undertake a prescribing role, we found that there are perceived differences in responsibility between a prescribing and a non-prescribing role, attitude towards risk and the training and support needed to adapt to those changes. These differences are explored leading to a series of overarching themes and recommendations, including that ongoing support is critical and should be built into commissioning frameworks, that newly qualified prescribers need to start prescribing immediately after qualifying and that experiential learning should be built into all training programmes.</div></div>","PeriodicalId":55067,"journal":{"name":"Health Policy","volume":"152 ","pages":"Article 105223"},"PeriodicalIF":3.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142831008","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