Health Policy最新文献_第8页

Scaling up integrated care for chronic diseases in belgium: A process evaluation. 扩大比利时慢性病综合护理：进程评价。

IF 3.6 3区医学

Health Policy Pub Date : 2024-12-22 DOI: 10.1016/j.healthpol.2024.105243

Josefien van Olmen, Katrien Danhieux, Edwin Wouters, Veerle Buffel, Roy Remmen, Monika Martens

{"title":"Scaling up integrated care for chronic diseases in belgium: A process evaluation.","authors":"Josefien van Olmen, Katrien Danhieux, Edwin Wouters, Veerle Buffel, Roy Remmen, Monika Martens","doi":"10.1016/j.healthpol.2024.105243","DOIUrl":"https://doi.org/10.1016/j.healthpol.2024.105243","url":null,"abstract":"Introduction: Few integrated care studies elaborate how interventions are brought to wider scale. The SCUBY project developed interventions for scale-up of an Integrated Care Package (ICP) for two common diseases - type 2 diabetes and hypertension-, comprising evidence-based roadmaps and policy dialogues. This paper's aim is to report on the process evaluation of the ICP scale-up in Belgium. Specific objectives are: to describe the development of scale-up interventions; to assess the actual process outcomes; and to assess progress on three scale-up dimensions coverage, expansion and institutionalisation.Methods: A case study design, with data collection including project diaries, stakeholder surveys and interviews. 11 Key informant interviews were held with five research team members and six external people. Tools were developed to visualise progress for coverage, institutionalisation and expansion.Results: The roadmap included three themes: primary care practice organization, data and monitoring, and healthcare financing. 99 policy dialogues of varying size and type were held. Stakeholders rated all themes relevant. For scale-up outcomes, progress was most on the institutionalization axis.Discussion: Scale-up of ICP demands a collaborative, networking approach to build trust and buy-in. Protagonists need to strike a balance between relevance and feasibility of scale-up strategies, being aware of context elasticity. A roadmap can be a living document serving change teams in communication, planning and monitoring, while allowing intervention plasticity.","PeriodicalId":55067,"journal":{"name":"Health Policy","volume":" ","pages":"105243"},"PeriodicalIF":3.6,"publicationDate":"2024-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142959274","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

Implementing integrated care infrastructure: A longitudinal study on the interplay of policies, interorganizational arrangements and interoperability in NHS England. 实施综合护理基础设施：对政策，组织间安排和互操作性的相互作用的纵向研究在NHS英格兰。

IF 3.6 3区医学

Health Policy Pub Date : 2024-12-13 DOI: 10.1016/j.healthpol.2024.105237

Andrey Elizondo, Robin Williams, Stuart Anderson, Kathrin Cresswell

{"title":"Implementing integrated care infrastructure: A longitudinal study on the interplay of policies, interorganizational arrangements and interoperability in NHS England.","authors":"Andrey Elizondo, Robin Williams, Stuart Anderson, Kathrin Cresswell","doi":"10.1016/j.healthpol.2024.105237","DOIUrl":"https://doi.org/10.1016/j.healthpol.2024.105237","url":null,"abstract":"Background: New models of care that integrate health and social care provision around the patient require a supportive infrastructure, including interorganizational arrangements and information systems. While public policies have been designed to facilitate visions of integrated care, these often neglect the implementation of effective and efficient delivery mechanisms.Method: This study examines a decade of attempts to move from fragmented health and care delivery to integrated care at scale in NHS England by developing and implementing a support infrastructure. We undertook a longitudinal qualitative investigation -encompassing interviews and documentary analysis- of the implementation of interorganizational and digital interoperability infrastructures intended to support integrated care policies.Findings: Our findings underscore the long-term symbiotic relationship between institutional interorganizational frameworks and the construction of interoperability infrastructures, emphasizing how they mutually reinforce each other to support their ongoing evolution. Iterative, flexible, and experimental approaches to implementation provide opportunities to adapt to local realities while learning in the making.Conclusion: This study underlines the importance of adaptable, locally-informed implementation strategies in supporting the vision of integrated care, and the need to understand such development as a long-term, ongoing process of construction and learning.","PeriodicalId":55067,"journal":{"name":"Health Policy","volume":" ","pages":"105237"},"PeriodicalIF":3.6,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142873548","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

What mechanisms lead to the endurance of health and social care integration? A multiple case study in Italy. 是什么机制导致了医疗和社会护理一体化的持久性？意大利多重案例研究。

IF 3.6 3区医学

Health Policy Pub Date : 2024-12-10 DOI: 10.1016/j.healthpol.2024.105234

Eleonora Gheduzzi, Silvia Mitidieri, Maria Picco, Federica Segato

{"title":"What mechanisms lead to the endurance of health and social care integration? A multiple case study in Italy.","authors":"Eleonora Gheduzzi, Silvia Mitidieri, Maria Picco, Federica Segato","doi":"10.1016/j.healthpol.2024.105234","DOIUrl":"https://doi.org/10.1016/j.healthpol.2024.105234","url":null,"abstract":"Background: The rising complexity of the population's needs has made health and social care integration a priority for the future. Despite the presence of supporting policies and funding, the number of successful experiences that endure over time is limited.Objective: This work aims to investigate how health and social care integration occur and identify factors facilitating its endurance.Methods: We conducted a multiple case study on four long-lasting health and social care integration cases in Italy, where a new policy for enhancing integration was introduced. 20 senior managers employed in the four cases were interviewed and 33 official documents and websites were collected. The interviews' transcripts and documents were coded using an abductive approach.Results: The modalities of health and social care integration can vary according to the level of integration, type of network governance, and level of customization. There is no one predominant solution as the modalities depend on the specific context. To support policy-makers and health and social care providers in designing and implementing a sustainable health and social care integration in their contexts, this study provides six possible macro factors that clarify the priorities for integration.Conclusions: This paper clarifies the modalities of integration and provides macro factors for enduring health and social care integration over time, providing avenues for future supporting policies.","PeriodicalId":55067,"journal":{"name":"Health Policy","volume":" ","pages":"105234"},"PeriodicalIF":3.6,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142824920","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

Erratum to “The long-run effect of COVID-19 on hospital emergency department attendances:evidence from statistical analysis of hospital data from England” [Health Policy 150 (2024) 105168] “COVID-19对医院急诊室就诊人数的长期影响：来自英国医院数据统计分析的证据”[卫生政策150(2024)105168]的勘误。

IF 3.6 3区医学

Health Policy Pub Date : 2024-11-30 DOI: 10.1016/j.healthpol.2024.105217

Nikita Jacob, Rita Santos, Peter Sivey

引用次数: 0

Gendered employment trajectories and later life health in liberal regime countries: A quantitative study in the United States, England, Switzerland and Chile 自由体制国家性别就业轨迹与晚年健康：美国、英国、瑞士和智利的定量研究

IF 3.6 3区医学

Health Policy Pub Date : 2024-11-27 DOI: 10.1016/j.healthpol.2024.105216

Ignacio Cabib , Ariel Azar , Isabel Baumann , Andr Biehl , Laurie Corna , Eric Mautz , Martina Yopo-Díaz

{"title":"Gendered employment trajectories and later life health in liberal regime countries: A quantitative study in the United States, England, Switzerland and Chile","authors":"Ignacio Cabib , Ariel Azar , Isabel Baumann , Andr Biehl , Laurie Corna , Eric Mautz , Martina Yopo-Díaz","doi":"10.1016/j.healthpol.2024.105216","DOIUrl":"10.1016/j.healthpol.2024.105216","url":null,"abstract":"<div><div>We explore the association between adulthood employment patterns and later life health among men and women in four liberal regime countries: two from Europe (England and Switzerland) and two from the Americas (United States and Chile). We carefully harmonized life-history data from the surveys SHARE (N = 1,143), HRS (N = 4,006), ELSA (N = 3,083), and EVDA (N = 802). The samples included individuals born between 1944 and 1954, with information on employment histories from age 15 to 65 and on 11 health outcomes in later life. In line with welfare regime and health literature, we find significant differences in health outcomes between countries, which are likely explained by differences in health systems. However, we extend previous literature by showing that positive health outcomes are consistently explained by standard employment histories, and poor health outcomes are consistently explained by non-standard employment histories. Importantly, men and women following the same employment pathway across countries are either similarly penalized or compensated in their health. This suggests that it is not gender per se that affects health in later life, but the employment trajectory experienced. Nonetheless, women are disproportionately more likely to experience non-standard employment and thus suffer a greater health disadvantage. Policy measures to mitigate negative health effects of non-standard employment trajectories may therefore pay attention to the specific reasons why women are more likely to experience non-standard trajectories.</div></div>","PeriodicalId":55067,"journal":{"name":"Health Policy","volume":"152 ","pages":"Article 105216"},"PeriodicalIF":3.6,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142756813","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

Corrigendum to “How COVID-19 illness perceptions and individual shocks are associated with trust during the COVID-19 pandemic in Australia, France, Germany, and South Africa” [Health policy (2024) 105178] 澳大利亚、法国、德国和南非 COVID-19 大流行期间，COVID-19 疾病认知和个人冲击如何与信任相关联》[卫生政策（2024）105178]更正。

IF 3.6 3区医学

Health Policy Pub Date : 2024-11-22 DOI: 10.1016/j.healthpol.2024.105212

Marie-Hélène Broihanne , Daria Plotkina , Stefanie Kleimeier , Anja S. Göritz , Arvid O.I. Hoffmann

引用次数: 0

Urban–rural disparities in hospital admissions for depression in Austria 奥地利因抑郁症入院的城乡差异

IF 3.6 3区医学

Health Policy Pub Date : 2024-11-19 DOI: 10.1016/j.healthpol.2024.105209

Michael Berger , Martin Zuba , Judit Simon

{"title":"Urban–rural disparities in hospital admissions for depression in Austria","authors":"Michael Berger , Martin Zuba , Judit Simon","doi":"10.1016/j.healthpol.2024.105209","DOIUrl":"10.1016/j.healthpol.2024.105209","url":null,"abstract":"<div><div>Medical practice variation in mental healthcare is a useful indicator for policymakers aiming to improve the efficiency of healthcare delivery. Previous studies have shown strong regional variation in healthcare utilisation in Austria, which seems to be a by-product of regionalised institutional rules and healthcare service mix rather than epidemiology. We use a set of routine municipality-level healthcare data on hospital admissions for depressive episodes of adult Austrian patients from 2009 to 2014 to examine spatial patterns in healthcare utilisation in mental health. Our data contains 93,302 hospital episodes by 65,908 adult patients across 2114 municipalities. We estimate a random-effects spatial autoregressive combined model to regress log hospital admission rates on hospital supply and urbanicity as proxies for municipality healthcare service mix alongside demographic and socioeconomic controls. We find that admissions for depression are substantially higher in suburban municipalities compared to rural areas and in municipalities with hospitals compared to those without. The spatial structure suggests positive spatial spillovers between neighbouring municipalities. Our main results are stable across virtually all model specifications used for robustness and show that healthcare service mix and supply of hospital services strongly correlate with spatial patterns of hospital admission rates in the population. Promoting timely access to high-quality primary care and early-stage treatments may reduce the burden of avoidable depression-related hospitalisations for patients and public budgets, and close a gap of unmet need for care of vulnerable populations.</div></div>","PeriodicalId":55067,"journal":{"name":"Health Policy","volume":"151 ","pages":"Article 105209"},"PeriodicalIF":3.6,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142699580","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

Mental health of Australian frontline nurses during the COVID-19 pandemic: Results of a large national survey COVID-19 大流行期间澳大利亚一线护士的心理健康：全国性大型调查的结果

IF 3.6 3区医学

Health Policy Pub Date : 2024-11-19 DOI: 10.1016/j.healthpol.2024.105214

Akbar Zamanzadeh , Marion Eckert , Nadia Corsini , Pam Adelson , Greg Sharplin

{"title":"Mental health of Australian frontline nurses during the COVID-19 pandemic: Results of a large national survey","authors":"Akbar Zamanzadeh , Marion Eckert , Nadia Corsini , Pam Adelson , Greg Sharplin","doi":"10.1016/j.healthpol.2024.105214","DOIUrl":"10.1016/j.healthpol.2024.105214","url":null,"abstract":"<div><div>This paper investigates the effects of work demands on burnout indices of emotional exhaustion, depersonalization and personal accomplishment, and mental health indices of anxiety, depression and stress, among Australian nurses and midwives. We used de-identified self-reported survey data from approximately 11,000 Australian nurses and midwives during the pandemic. Linear and quantile regression analyses explored how working conditions affect different aspects of nurses and midwives' burnout and mental health. Results show how working conditions affect burnout and mental health heterogeneously depending on the severity of the mental health symptoms. Increased quantitative and emotional work demands significantly impact occupational burnout indices of emotional exhaustion and depersonalization, and mental health indices of anxiety, depression, and stress among Australian nurses and midwives. Quantitative and emotional demands have more significant effects on people with higher levels of anxiety, depression, stress, and depersonalization than on those with milder or lesser symptoms. Given recent national and international policy focus on psychosocial hazards at work, this paper suggests that governments and health care providers need to monitor such hazards among nurses and midwives and introduce policies that reduce excessive quantitative or emotional burden to minimise risk of burnout and poor mental health and support good mental health among nurses and midwives.</div></div>","PeriodicalId":55067,"journal":{"name":"Health Policy","volume":"151 ","pages":"Article 105214"},"PeriodicalIF":3.6,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142699581","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 influenza vaccination's impact elderly's health outcomes in Catalonia (Spain) 流感疫苗接种对加泰罗尼亚（西班牙）老年人健康状况的影响。

IF 3.6 3区医学

Health Policy Pub Date : 2024-11-14 DOI: 10.1016/j.healthpol.2024.105213

Toni Mora , Montserrat Martínez-Marcos , Carmen Cabezas-Peña

引用次数: 0

Derek Parfit, personal identity, and the obligation to reduce others' Suffering 德里克-帕菲特、个人身份以及减少他人痛苦的义务。

IF 3.6 3区医学

Health Policy Pub Date : 2024-11-09 DOI: 10.1016/j.healthpol.2024.105201

Akshay Pendyal

引用次数: 0