Risk Management and Healthcare Policy最新文献

{"title":"Hope is Not a Strategy: Key Lessons from COVID-19 for Future Health Crises.","authors":"Søren Valgreen Knudsen, Inge Kristensen, Nanna Kure-Biegel, Mickael Bech, Hanne Agerbak, Camilla Plambeck Hansen, Christina Mohr-Jensen, Jan Brink Valentin, Michael Bang Petersen, Jan Mainz","doi":"10.2147/RMHP.S495041","DOIUrl":"10.2147/RMHP.S495041","url":null,"abstract":"<p><strong>Introduction: </strong>The COVID-19 pandemic disrupted global economies, social structures, and public health systems. However, Denmark stood out as an exception, maintaining steady life expectancy during this period. This raises important questions about the factors that strengthened the Danish healthcare system and society against the pandemic's challenges.</p><p><strong>Methods: </strong>The Danish healthcare system serves 5.8 million citizens with free care, advanced digital infrastructure, and comprehensive health registers. Under the auspices of the Danish Society for Patient Safety, insights from Denmark's response to COVID-19 were collected from the onset of the pandemic. This paper builds on these collected experiences, covering crucial areas such as strategies to reduce transmission, digitalization, management of non-COVID diseases, tracking adverse events, workplace well-being, development and use of predictive models, and maintaining public trust. Patient-level data on contacts, contact types, and clinical procedures were obtained from health administrative systems and clinical quality registries. All results were reported as raw counts, with no statistical analyses applied.</p><p><strong>Results: </strong>During COVID-19, Denmark's healthcare system demonstrated resilience by adapting swiftly, achieving a high vaccination rate, shifting to virtual care, enhancing response capacity through real-time adverse event tracking, and supporting healthcare workers through crisis teams minimizing prolonged sick leave. Predictive models accurately forecasted healthcare demands, while public health strategies focused on monitoring public behavior and trust in authorities.</p><p><strong>Discussion: </strong>A key lesson from Denmark's handling of COVID-19 is that much of the observed resilience stemmed from pre-existing structures that could be reused, further developed, and expanded. This resilience was further enhanced by an unprecedented readiness for change, cross-sectoral and interdisciplinary collaboration, and the removal of typical barriers. These experiences aim to further improve the quality and resilience of healthcare in Denmark and inspire other countries' healthcare systems. Moving forward, acknowledging chronic conflicts as the new normal, coupled with the reminder that \"hope is not a strategy\", could serve as a pivotal approach.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"17 ","pages":"3247-3256"},"PeriodicalIF":2.7,"publicationDate":"2024-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11669334/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing the Overall Technical Efficiency, Pure Technical Efficiency, and Scale Efficiency of United States Department of Defense Hospitals.","authors":"Dongjin Oh, Keon-Hyung Lee, Donwe Choi","doi":"10.2147/RMHP.S491139","DOIUrl":"10.2147/RMHP.S491139","url":null,"abstract":"<p><strong>Introduction: </strong>This study aims to evaluate US Department of Defense hospital efficiency.</p><p><strong>Methods: </strong>Drawing on the American Hospital Association's annual survey data, the study employs data envelopment analysis, slack analysis, and the Malmquist Productivity Index to identify the differences in hospital efficiency between Air Force, Army, and Navy hospitals as well as the trends of their efficiency from 2010 to 2021.</p><p><strong>Results: </strong>US Department of Defense hospitals operated inefficiently from 2010 to 2021, although the average technical efficiency of all DOD hospitals increased slightly during this period. The inefficiency of all US Department of Defense hospitals may be due to the lack of pure technical efficiency rather than the suboptimal scale. However, as the efficiency trends in Navy hospitals differ from those in Army and Air Force hospitals, we should be careful in addressing the inefficiency of each type of US Department of Defense hospital.</p><p><strong>Conclusion: </strong>Informed by the findings, this study enhances our understanding of US Department of Defense hospital efficiency and the policy implications, offering practical advice to healthcare policymakers, hospital executives, and managers on managing military hospitals.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"17 ","pages":"3267-3289"},"PeriodicalIF":2.7,"publicationDate":"2024-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11669536/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors Influencing Nurses' Knowledge About Delirium in Acute Care Settings in Hail Region, Saudi Arabia: A Cross-Sectional Study.","authors":"Mokhtar A Almoliky, Sameer A Alkubati, Salman H Alsaqri, Khalil A Saleh, Mujeeb A Sultan, Saddam Ahmed Al-Ahdal, Anas Mahmoud Balawi, Hajer Ibrahim Moatakef","doi":"10.2147/RMHP.S494402","DOIUrl":"10.2147/RMHP.S494402","url":null,"abstract":"<p><strong>Background: </strong>The factors influencing nurses' knowledge of delirium in acute care settings have not been fully investigated in Saudi Arabia. Therefore, this study aimed to investigate these factors among nurses in acute care settings in the northern region of Saudi Arabia.</p><p><strong>Methodology: </strong>A cross-sectional study was conducted using a convenience sample of 234 acute care nurses at the main public hospitals in the Hail region of Saudi Arabia. Data were collected using a structured, self-administered questionnaire, from November 2023 to February 2024. Multiple linear regression was used to identify factors of knowledge about delirium.</p><p><strong>Results: </strong>Of the acute care nurses, 7.3% had a good level of overall knowledge about delirium, while 66.1% and 26.6% showed poor and moderate levels, respectively. Most nurses (78.2%) had poor knowledge of delirium assessment. Significantly higher scores on delirium assessment were observed for nurses who reported receiving in-service training on delirium (<i>P</i> = 0.006) and when a clear job description was applied (<i>P</i> = 0.031), whereas significantly higher scores on knowledge about risk factors were observed for those who had previous experience in caring for delirious patients (<i>P</i> <0.001), received educational sessions on delirium (<i>P</i> = 0.001), and participated in training on delirium care (<i>P</i> <0.001). Lack of previous experience in caring for delirious patients and participation in delirium care training were significant factors for lower knowledge about delirium scores (CI=-5.750 --1.200, <i>P</i> <0.001).</p><p><strong>Conclusion: </strong>In-service training, daily clinical discussion, availability of instructional materials, and specific training on delirium significantly influence nurses' knowledge about delirium, particularly regarding delirium assessment and early recognition. Enhancing these factors could improve nurses' knowledge and the care and management of patients complaining of delirium in acute care settings.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"17 ","pages":"3257-3266"},"PeriodicalIF":2.7,"publicationDate":"2024-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11669344/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Cross-Sectional Retrospective Study Assessing Potentially Inappropriate Medications for Elderly Diabetic Patients in a Tertiary Care Hospital in Saudi Arabia.","authors":"Haifa A Fadil, Ziyad S Alrehaili, Khaled M Alharbi, Abdulaziz F Almuzaini, Raed Hamed Alharbi, Hindi S Alharbi, Hossein M Elbadawy, Yaser M Alahmadi","doi":"10.2147/RMHP.S484334","DOIUrl":"10.2147/RMHP.S484334","url":null,"abstract":"<p><strong>Background: </strong>The aging global population presents challenges in medication management, particularly among diabetic elderly patients vulnerable to potentially inappropriate medications (PIM). PIM can lead to adverse outcomes like hypoglycemia, falls, cognitive decline, and hospitalizations, affecting quality of life and survival. This study aimed to assess PIM prevalence among diabetic elderly patients in a tertiary care hospital in Saudi Arabia, using the American Geriatrics Society 2023 Updated Beers Criteria.</p><p><strong>Methods: </strong>A cross-sectional retrospective study was conducted among 480 diabetic adults aged 60 years or older at a tertiary care hospital over 3 months. Data, including demographics, comorbidities, and medication use, were extracted from Electronic Health Records. 2023 AGS Updated Beers Criteria® was followed.</p><p><strong>Results: </strong>The median age was 66 years with a male predominance (62.7%). Peripheral vascular disease (42.7%) and prior myocardial infarction (22.7%) were prevalent comorbidities. Inappropriate insulin use was observed in 17.7% of insulin users, mainly short-acting insulin without basal/long-acting insulin. Approximately 39.2% of patients were prescribed antidiabetic drugs deemed inappropriate by Beers Criteria, with Gliclazide being the most common (35.6%). Despite potential drug-disease interactions, such as urogenital infections, half of the patients received cautioned drugs, while only 4.2% experienced such infections.</p><p><strong>Conclusion: </strong>The study highlights the prevalence of PIMs among diabetic elderly patients in Madinah, Saudi Arabia. Adherence to Beers Criteria guidelines is crucial to optimize therapy for this population. Age and congestive heart failure were significant predictors of PIM use.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"17 ","pages":"3227-3238"},"PeriodicalIF":2.7,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11665171/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883568","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Suboptimal Attainment of Global Goals of Human Rights, Universal Health Coverage and Sustainable Development Goals in Gaza During 2023-2024.","authors":"Mohammed Alkhaldi, Bhavana Akilan, Maha Hoteit, Mohamed Elhadidy, Suzanne Morrison","doi":"10.2147/RMHP.S488944","DOIUrl":"10.2147/RMHP.S488944","url":null,"abstract":"<p><p>The Israel military occupation, ongoing for over 75 years, has profoundly impacted the health and well-being of Palestinians. Despite longstanding calls for Universal Health Coverage (UHC) and sustainable development, the response of global health systems and organizations to crises such as the recent large-scale military assault on Gaza in October 2023 has been inadequate. There is a critical need to examine why these global health approaches have failed and how they can be restructured to address the unique challenges in Gaza effectively. This analysis aims to analyze the shortcomings of global health strategies in the context of the Gaza crisis during 2023-2024, evaluate their alignment with UHC and the Sustainable Development Goals (SDGs), and propose actionable solutions to enhance their relevance and effectiveness in conflict-affected settings. The ongoing military assault has rendered Gaza uninhabitable, exacerbating mass human loss, destruction, health insecurity, and widespread social inequities. The crisis has highlighted the erosion of health systems and the inability to meet basic population needs. Global health strategies, as currently implemented, fail to address the specific challenges of Gaza, including ensuring human rights for health, achieving UHC, and advancing SDGs. These failures are rooted in a lack of context-specific adaptation, inadequate accountability, and unresponsive global health diplomacy. The analysis concludes that global health entities and organizations have been largely ineffective in responding to the Gaza crisis, resulting in significant inequities and failures in life-saving actions. To address these challenges, there is an urgent need to tackle the factors behind the ineffective role of these organizations and suboptimal attainment of global goals. This role of global health should be redefined. Reforming the existing global health architecture and shaping well-representative alliances by involving influential actors from the Global South is a priority. These alliances should prioritize accountability, advocacy, and diplomacy while developing innovative and context-specific approaches to safeguard human rights, achieve UHC, and promote sustainable development in Palestine.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"17 ","pages":"3207-3216"},"PeriodicalIF":2.7,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11665161/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barriers and Facilitators of Patient Engagement Activities to Improve Patient Safety in Healthcare Organizations: A Delphi-Based Expert Survey.","authors":"Amelie Koch, Larissa Brust, Matthias Weigl","doi":"10.2147/RMHP.S489522","DOIUrl":"10.2147/RMHP.S489522","url":null,"abstract":"<p><strong>Purpose: </strong>In order to obtain sustainable healthcare, engagement of patients in patient safety improvement is vital. Drawing upon a multi-perspective approach, this study aimed to investigate perspectives of patients and healthcare professionals on key implementation factors (ie, barriers and facilitators) for effective patient engagement (PE) in healthcare organizations to improve patient safety.</p><p><strong>Patients and methods: </strong>A two-round Delphi technique comprising semi-structured interviews and an online survey was applied to consolidate the individual perspectives of stakeholders and establish consensus on factors (expected, potential or experienced) that facilitate or mitigate successful implementation of PE in healthcare organizations (ie, all types, including hospital and outpatient medical practices). Adult, German-speaking experts in patient safety or PE (ie, with professional background or personal experience) were eligible to participate. Purposive and convenience sampling for inclusion of different healthcare professionals and patient representatives was established. Thirty-four panelists participated in data collection.</p><p><strong>Results: </strong>We identified eight key barriers and seven facilitators for effective patient engagement in healthcare organizations. Time constraints and perceived low effectiveness of patient engagement activities were deemed as most critical barriers. Supportive organizational culture, education and training opportunities, and clearly nominated responsibilities for patient feedback and engagement were rated as the most important facilitators. There were no statistically significant differences in the ratings between patient representatives and healthcare professionals.</p><p><strong>Conclusion: </strong>Our findings contribute to a deeper understanding of real-world implementation factors for effective patient engagement in healthcare organizations in Germany to improve patient safety. Our insights may further inform recommendations for future development and implementation of effective patient involvement in healthcare organizations, especially for similar countries with low levels of PE.</p><p><strong>Trial registration: </strong>German Clinical Trials Register (ID: DRKS00031837).</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"17 ","pages":"3217-3226"},"PeriodicalIF":2.7,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11665140/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diagnosis of Isolated Central Vertigo: Report for a Series Cases.","authors":"Yong-Kun Ruan, Wang-Kai He, Qing-Qing Chen, Hua Hu","doi":"10.2147/RMHP.S474047","DOIUrl":"10.2147/RMHP.S474047","url":null,"abstract":"<p><p>Vertigo, including central and peripheral causes, is one of the common symptoms in patients who are admitted to neurological outpatient and emergency rooms. Despite the advancements in imaging techniques in recent years, central vertigo is difficult to identify and is often misdiagnosed in clinical practice. In this study, 4 patients were admitted to the hospital with complaints of dizziness or vertigo. Information about their symptoms, physical examinations and imaging were collected. Two patients were accurately diagnosed using diffusion-weighted imaging (DWI), a specific type of brain MRI. They received targeted treatments, which led to significant improvement, and were discharged nearly cured within a week. One patient with dorsolateral medullary infarction was misdiagnosed due to atypical symptoms, such as vertigo without the typical lateral medullary syndrome signs, and was discharged with a mild swallowing disorder after 2 weeks of treatment. One patient was diagnosed with both central and peripheral vertigo. It was observed that the symptoms of isolated vertigo caused by an acute lacunar infarction resolved more quickly than the accompanying physical symptoms. In summary, more attention should be paid to the diagnosis of isolated central vertigo, as early identification and intervention can improve a patient's prognosis and reduce medical expenses.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"17 ","pages":"3197-3205"},"PeriodicalIF":2.7,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11665182/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk Estimation of Deep Venous Thrombosis in Polytrauma Patients with Traumatic Brain Injury: A Nomogram Approach.","authors":"Cong Zhang, Teding Chang, Deng Chen, Jialiu Luo, Shunyao Chen, Peidong Zhang, Zhiqiang Lin, Hui Li","doi":"10.2147/RMHP.S487375","DOIUrl":"10.2147/RMHP.S487375","url":null,"abstract":"<p><strong>Background: </strong>Deep venous thrombosis (DVT), known to be a major factor in poor outcomes and death rates, is common after polytrauma with traumatic brain injury (TBI). In this study, a nomogram will be developed to predict the risk of DVT in polytrauma patients with TBI, since there is currently no specific and convenient diagnostic method.</p><p><strong>Methods: </strong>A retrospective and observational trial was conducted between November 2021 and May 2023. The predictive model was created using a group of 349 polytrauma patients with TBI in a training set, with data collected between November 2021 and August 2022. A nomogram was presented after using multivariable logistic regression analysis to create the predictive model. Validation of the model was conducted internally. A separate group for validation included 298 patients seen consecutively between August 2022 and May 2023.</p><p><strong>Results: </strong>A total of 647 trauma patients were included in the study. Out of these, 349 individuals were part of the training group, while 298 were part of the validation group. Training cohorts reported 32.1% and validation cohorts reported 31.9% DVT. Age, Smoking, Injury Severity Score (ISS), Glasgow Coma Scale (GCS), D-dimer, Mechanical ventilation (MV) and Application of Vasoactive Drugs (AVD) comprised the individualized prediction nomogram. The model exhibited strong discrimination, achieving a C-index of 0.783 and a statistically insignificant result (P=0.216) following the Hosmer-Lemeshow test. Nomogram calibration plots and decision curve analysis showed the nomogram's utility in predicting DVT.</p><p><strong>Conclusion: </strong>Our study characterized the incidence of DVT in polytrauma patients with TBI and further emphasized that it represented a substantial health concern, as evidenced by its frequency. Using this nomogram, it is possible to predict DVT in polytrauma patients with TBI based on demographics and clinical risk factors.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"17 ","pages":"3187-3196"},"PeriodicalIF":2.7,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11663389/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142877797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nomogram for Predicting in-Hospital Severe Complications in Patients with Acute Myocardial Infarction Admitted in Emergency Department.","authors":"Yaqin Song, Kongzhi Yang, Yingjie Su, Kun Song, Ning Ding","doi":"10.2147/RMHP.S485088","DOIUrl":"10.2147/RMHP.S485088","url":null,"abstract":"<p><strong>Background: </strong>There is lack of predictive models for the risk of severe complications during hospitalization in patients with acute myocardial infarction (AMI). In this study, we aimed to create a nomogram to forecast the likelihood of in-hospital severe complications in AMI.</p><p><strong>Methods: </strong>From August 2020 to January 2023, 1024 patients with AMI including the modeling group (n=717) and the validation group (n=307) admitted in Changsha Central Hospital's emergency department. Conduct logistic regression analysis, both univariate and multivariate, on the pertinent patient data from the modeling cohort at admission, identify independent risk factors, create a nomogram to forecast the likelihood of severe complications in patients with AMI, and assess the accuracy of the graph's predictions in the validation cohort.</p><p><strong>Results: </strong>Age, heart rate, mean arterial pressure, diabetes, hypertension, triglycerides and white blood cells were seven independent risk factors for serious complications in AMI patients. Based on these seven variables, the nomogram model was constructed. The nomogram has high predictive accuracy (AUC=0.793 for the modeling group and AUC=0.732 for the validation group). The calibration curve demonstrates strong consistency between the anticipated and observed values of the nomogram in the modeling and validation cohorts. Moreover, the DCA curve results show that the model has a wide threshold range (0.01-0.73) and has good practicality in clinical practice.</p><p><strong>Conclusion: </strong>This study developed and validated an intuitive nomogram to assist clinicians in evaluating the probability of severe complications in AMI patients using readily available clinical data and laboratory parameters.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"17 ","pages":"3171-3186"},"PeriodicalIF":2.7,"publicationDate":"2024-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11653858/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Global Health and Peace: The Elusive Path with a Focus on Palestine, Ukraine, and Venezuela.","authors":"Mohammed Alkhaldi, Zeana Hamdonah, Lyne El Khatib","doi":"10.2147/RMHP.S483791","DOIUrl":"10.2147/RMHP.S483791","url":null,"abstract":"<p><p>The interrelationality of health and peace is complex, multifactorial, and imbued with political and economic challenges. Peace and health outcomes reflect shared fundamental values related to the achievement of a balanced holistic condition on the individual and collective level. This causal relationship between social inequity and health requires special attention be paid to the impact of political instability and structural violence on undermining health systems in conflict zones. The mutual dependency between peace and health means that peace cannot be achieved without the existence of physical, mental, social, and spiritual health, and holistic health cannot be sustained under violent conditions. The interrelationality of peace and health as mutual conditions shapes our understanding of global solidarity and advocacy in relation to health diplomacy and peace promotion if addressed equally across all conflict zones. This commentary analyzes the unique interdisciplinary contextual factors that contribute to, or undermine the realization of global health and peace in three active conflict zones: Palestine, Ukraine, and Venezuela. Contextual analysis, review of the evidence, and synthesis of the authors' perspectives were used. The health-peace nexus remains a theoretical approach and lacks real application in most settings under crisis. Peace is a multifaceted phenomenon that necessitates the participation, dedication, and action of all sectors and stakeholders in global societies, including health policymakers, scientists, professionals, and people. Both the \"right to health\" and the \"right to peace\" even at the minimum remains unfulfilled, particularly in Palestine, and can be realized through two trajectories: (1) honest, responsible, and fair accountability, transparency, and political commitment empowered by reliable global health diplomacy for maintaining peace, eliminating the roots of injustice, and protecting health systems, and (2) equitable and real implementation of peace-health approaches, policies and actions driven by monitoring mechanisms that promote health, well-being, health security and equity for all nations under conflicts.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"17 ","pages":"3161-3169"},"PeriodicalIF":2.7,"publicationDate":"2024-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11668334/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142886522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}