Future healthcare journalPub Date : 2025-04-30eCollection Date: 2025-06-01DOI: 10.1016/j.fhj.2025.100252
Andrea Cuschieri, Bridget L Ryan, Sarah Cuschieri
{"title":"Integrating multimorbidity education into undergraduate medical curriculum: A systematic review.","authors":"Andrea Cuschieri, Bridget L Ryan, Sarah Cuschieri","doi":"10.1016/j.fhj.2025.100252","DOIUrl":"10.1016/j.fhj.2025.100252","url":null,"abstract":"<p><p>Multimorbidity is becoming highly prevalent across the globe. Current medical curricula predominantly focus on single-disease management, leaving future physicians underprepared to provide patient-centred care to address the multimorbidity epidemic. Through a systematic review, this short communication identified the current state of multimorbidity education in medical curricula and evaluated existing educational approaches. A narrative systematic review (CRD42024585500) of studies meeting stringent inclusion criteria focusing on multimorbidity education was conducted. The review found limited evidence regarding the integration and effectiveness of current educational approaches. Although multimorbidity education was associated with improved self-reported student confidence, there was a notable absence of structured, formal teaching frameworks, with education primarily occurring through informal clinical exposure. This systematic review discovered the absence of an evidence base on structured, validated teaching methods that are urgently needed to better prepare future physicians to manage patients with multimorbidity effectively.</p>","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"12 2","pages":"100252"},"PeriodicalIF":0.0,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12149426/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144268034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Future healthcare journalPub Date : 2025-04-25eCollection Date: 2025-06-01DOI: 10.1016/j.fhj.2025.100253
D Atraszkiewicz
{"title":"Redesigning a general surgery foundation doctor rota to improve shift equity, staffing levels, doctors' pay and patient care.","authors":"D Atraszkiewicz","doi":"10.1016/j.fhj.2025.100253","DOIUrl":"10.1016/j.fhj.2025.100253","url":null,"abstract":"<p><p>Inefficient rota design is a key cause of rota gaps, additional work hours and poor rest among doctors. These are major factors in declining NHS doctor workforce retention rates and compromised patient care. Eighteen improvements were made to the Broomfield Hospital General Surgery foundation doctor rota to improve shift equity, staffing levels, doctors' pay and patient care. The rota can be used as a template by rota coordinators across NHS trusts. Doctors should be actively involved with improving local rota design.</p>","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"12 2","pages":"100253"},"PeriodicalIF":0.0,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12137149/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144236034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Future healthcare journalPub Date : 2025-04-11eCollection Date: 2025-06-01DOI: 10.1016/j.fhj.2025.100251
Ana Raquel Nunes, Jeremy Dale
{"title":"Global trends in sustainable healthcare research: A bibliometric analysis.","authors":"Ana Raquel Nunes, Jeremy Dale","doi":"10.1016/j.fhj.2025.100251","DOIUrl":"10.1016/j.fhj.2025.100251","url":null,"abstract":"<p><strong>Introduction: </strong>This study maps the development of sustainable healthcare research, identifying key contributors, collaborative networks and emerging trends.</p><p><strong>Objective: </strong>To provide a comprehensive overview of the sustainable healthcare research landscape, offering insights to inform strategic planning, resource allocation and future research.</p><p><strong>Methods: </strong>A bibliometric analysis of 842 publications up to May 2024 was conducted using the Web of Science Core Collection. The analysis examined publication year, authorship, countries, journals, citations, research fields, subjects and methodologies. VOSviewer was used to visualise knowledge networks and research priorities.</p><p><strong>Results: </strong>Over 70% of publications emerged in the last 5 years, with the USA, England and Australia as leading contributors. Key trends include integrating environmental sustainability into healthcare and advancing green technologies.</p><p><strong>Conclusion: </strong>The findings highlight the rapid growth of sustainable healthcare research, offering valuable insights for policymakers, researchers and healthcare professionals seeking to enhance the resilience and sustainability of healthcare systems.</p>","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"12 2","pages":"100251"},"PeriodicalIF":0.0,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12133695/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Future healthcare journalPub Date : 2025-03-31eCollection Date: 2025-03-01DOI: 10.1016/j.fhj.2025.100236
Melanie My Chan, Omid Sadeghi-Alavijeh, Rhys Dr Evans, Andrew Davenport, Dorothea Nitsch
{"title":"The future of nephrology in 2050.","authors":"Melanie My Chan, Omid Sadeghi-Alavijeh, Rhys Dr Evans, Andrew Davenport, Dorothea Nitsch","doi":"10.1016/j.fhj.2025.100236","DOIUrl":"https://doi.org/10.1016/j.fhj.2025.100236","url":null,"abstract":"<p><p>As medicine advances at an unprecedented pace, the field of nephrology is poised for transformative change. By 2050, breakthroughs in kidney disease prevention, dialysis, transplantation, and omics-driven precision medicine could redefine patient care and outcomes. Here, we share our perspectives on the challenges faced and how changes in health policy, emerging technologies, novel therapies, and data-driven approaches might shape the future of nephrology. From innovative dialysis solutions to xenotransplantation and AI-powered diagnostics, we explore the possibilities that could revolutionise kidney health in the decades to come.</p>","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"12 1","pages":"100236"},"PeriodicalIF":0.0,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11998293/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144060246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Future healthcare journalPub Date : 2025-03-31eCollection Date: 2025-03-01DOI: 10.1016/j.fhj.2025.100231
Shireen Kassam, Laura-Jane Smith
{"title":"Why is the medical profession reluctant to talk about diet change?","authors":"Shireen Kassam, Laura-Jane Smith","doi":"10.1016/j.fhj.2025.100231","DOIUrl":"https://doi.org/10.1016/j.fhj.2025.100231","url":null,"abstract":"<p><p>The intertwined crises of poor health, climate change, biodiversity loss and social injustice demand urgent action. Human activities, particularly fossil fuel use and the current food system, are key drivers of these crises. A transition to a plant-based diet, especially within healthcare systems, offers a significant opportunity to address these challenges. Diets high in animal products and ultra-processed foods are leading causes of chronic ill health and environmental degradation, while plant-based diets reduce greenhouse gas emissions, conserve biodiversity and promote human health. Evidence shows that plant-based diets can prevent and manage conditions such as cardiovascular disease, type 2 diabetes and cancer, while addressing global food insecurity and resource inefficiency. Healthcare systems, such as the NHS, can lead this transition by offering plant-based meals, promoting education and advocating for policy changes. Embracing plant-based diets is now an ethical imperative, with benefits spanning individual health, environmental sustainability, equitable resource distribution and global health justice.</p>","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"12 1","pages":"100231"},"PeriodicalIF":0.0,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11998298/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144044114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Future healthcare journalPub Date : 2025-03-31eCollection Date: 2025-03-01DOI: 10.1016/j.fhj.2025.100240
Mark Maslin, Raina D Ramnath, Gavin I Welsh, Sanjay M Sisodiya
{"title":"Understanding the health impacts of the climate crisis.","authors":"Mark Maslin, Raina D Ramnath, Gavin I Welsh, Sanjay M Sisodiya","doi":"10.1016/j.fhj.2025.100240","DOIUrl":"https://doi.org/10.1016/j.fhj.2025.100240","url":null,"abstract":"<p><p>The climate crisis is the greatest threat to global health. Anthropogenic greenhouse gas emissions have increased the temperature of the Earth by over 1.5 °C and caused sea levels to rise by over 24 cm since the beginning of the 20th century. 2024 was the warmest year on record and the last 10 hottest years have all occurred in the last 10 years. Climate models suggest that global surface temperature could rise between 1.5 °C and 5.5 °C compared with the pre-industrial period by 2100, and sea-level rise could be between 0.5 m and 1.3 m. Climate change is already causing significant shifts in weather patterns and an increase in extreme weather events around the world, including droughts, heatwaves, wildfires, storms and floods. These are having an impact on the spread of infectious diseases and the severity of non-infectious diseases. Climate change is already causing food and water insecurity, increasing levels of malnourishment and the burden of disease. The unpredictable impacts of climate change and the perceived inaction from local, national and international leaders, is creating anxiety that is contributing to deteriorating mental health, particularly in young people. The health impacts of climate change will increase in the future if nothing is done to curb greenhouse gas emission. We need action to deal with the climate crisis while improving the health, security and income of the very poorest people in our global society. We must plan for a net zero world that provides healthy, safe and low environmental impact lives for 10 billion people by 2050.</p>","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"12 1","pages":"100240"},"PeriodicalIF":0.0,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11998295/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144013637","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Future healthcare journalPub Date : 2025-03-31eCollection Date: 2025-03-01DOI: 10.1016/j.fhj.2025.100241
Rosa Montero, Isaac Chung, Mark Wright
{"title":"Healthcare resilience in the climate crisis: Do we have any?","authors":"Rosa Montero, Isaac Chung, Mark Wright","doi":"10.1016/j.fhj.2025.100241","DOIUrl":"https://doi.org/10.1016/j.fhj.2025.100241","url":null,"abstract":"<p><p>The UK is increasingly being affected by unpredictable weather events with flooding, heatwaves and storms impacting on physical and mental health and livelihoods. All of these will become increasingly common as the climate crisis accelerates. Efforts made to reduce greenhouse gas (GHG) emissions are slow. Healthcare systems must meet the growing demands of a multi-morbid and ageing population, while simultaneously reducing their environmental impact. The NHS is already under significant pressures and currently is ill-prepared to deal with these changes unless adaptive and resilient measures are introduced urgently and at pace. Hospital infrastructures require urgent vulnerability climate crisis assessment; however, fundamentally the models of care we currently use are dated and in need of innovative solutions that embrace digital technologies to help develop new models of care in the community. Failure to introduce resilience will lead to future preventable deaths. We must act now and do so collaboratively.</p>","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"12 1","pages":"100241"},"PeriodicalIF":0.0,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11998283/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144022537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Future healthcare journalPub Date : 2025-03-31eCollection Date: 2025-03-01DOI: 10.1016/j.fhj.2025.100238
Matthew Rd Lee, Mark Harber
{"title":"The climate crisis is a global health emergency: A call to arms.","authors":"Matthew Rd Lee, Mark Harber","doi":"10.1016/j.fhj.2025.100238","DOIUrl":"https://doi.org/10.1016/j.fhj.2025.100238","url":null,"abstract":"","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"12 1","pages":"100238"},"PeriodicalIF":0.0,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11998292/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144045968","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Future healthcare journalPub Date : 2025-03-31eCollection Date: 2025-03-01DOI: 10.1016/j.fhj.2025.100228
Eleanor C Murray, Hugh Montgomery
{"title":"The 'climate emergency', and how we respond.","authors":"Eleanor C Murray, Hugh Montgomery","doi":"10.1016/j.fhj.2025.100228","DOIUrl":"https://doi.org/10.1016/j.fhj.2025.100228","url":null,"abstract":"<p><p>Driven by human activity, global heating and associated climate change threaten the health and survival of those alive today. This paper explains why, the pace and scale of the response required.</p>","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"12 1","pages":"100228"},"PeriodicalIF":0.0,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11998296/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059875","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Future healthcare journalPub Date : 2025-03-31eCollection Date: 2025-03-01DOI: 10.1016/j.fhj.2025.100229
Thomas Daniels, Linford Fernandes
{"title":"The FHJ debate: Sustainable healthcare should be the responsibility of every physician.","authors":"Thomas Daniels, Linford Fernandes","doi":"10.1016/j.fhj.2025.100229","DOIUrl":"https://doi.org/10.1016/j.fhj.2025.100229","url":null,"abstract":"","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"12 1","pages":"100229"},"PeriodicalIF":0.0,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11998294/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144052632","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}