Future healthcare journal最新文献

{"title":"Not ready to die yet! A patient perspective of motor neurone disease.","authors":"Mark Taylor, Katherine Frew","doi":"10.1016/j.fhj.2026.100507","DOIUrl":"https://doi.org/10.1016/j.fhj.2026.100507","url":null,"abstract":"<p><p>Palliative care expertise is appropriate at various points in a person's life or during a specific illness, but there is a widespread public and professional misperception that it is an 'end of life' service. This patient view is written jointly by Mark and by the consultant in his local palliative care service, who has been intermittently involved in his care and healthcare planning for a decade.</p>","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"13 1","pages":"100507"},"PeriodicalIF":0.0,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13063260/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147678968","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}

{"title":"Recognising dying: Will artificial intelligence (AI) help improve clinical accuracy?","authors":"Eleni Lester, Simon Tavabie, Nicola White, Ollie Minton","doi":"10.1016/j.fhj.2026.100516","DOIUrl":"https://doi.org/10.1016/j.fhj.2026.100516","url":null,"abstract":"<p><p>The number of people requiring palliative care in the UK is projected to rise significantly, creating an urgent need for earlier and more systematic recognition of those approaching the end of life. Current clinical markers and tools for predicting prognosis are limited in their accuracy, and prone to human and systemic biases. Artificial intelligence (AI) offers potential to improve prediction of deterioration and dying, and early studies suggest that it may support timely interventions and advance care planning. However, integration of AI must prioritise data integrity, accountability and minimising the amplification of existing inequities. Crucially, recognising dying remains a fundamentally human task with ethical, relational and existential dimensions that AI cannot replicate. Successful implementation will depend on thoughtful human-AI collaboration that strengthens clinical insight without compromising the compassionate, person-centred approach that is central to palliative care.</p>","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"13 1","pages":"100516"},"PeriodicalIF":0.0,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13063267/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147678991","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}

{"title":"Final costs: The emotional impact of providing end-of-life care.","authors":"Caroline Elton","doi":"10.1016/j.fhj.2026.100514","DOIUrl":"https://doi.org/10.1016/j.fhj.2026.100514","url":null,"abstract":"<p><p>The article highlights the emotional challenges that doctors face when providing end-of-life care, and argues that medical training doesn't always prepare them adequately for this task. While palliative care specialists are particularly experienced in handling the emotional demands of caring for the dying patient, their expertise could usefully be shared more widely beyond their specialty. This is particularly important, given that most end-of-life care is provided by doctors from specialties other than palliative medicine. The suggestion is made that there needs to be greater provision of reflective groups and psychological support, to help doctors manage the inevitable emotional weight of their work. Although this would incur costs in the short term, such investment has been shown to be cost-effective in the longer term as it improves doctors' wellbeing and enhances staff retention.</p>","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"13 1","pages":"100514"},"PeriodicalIF":0.0,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13063263/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147679194","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}

{"title":"Are we preparing our medical students to fail with a reactive not proactive approach to managing workplace stress, reducing burnout and addressing mental health problems?","authors":"William Lea, Vijay Jayagopal, Lucy Pointon, Raoul Ovalekar, Rajjan Singh, Judith Johnson","doi":"10.1016/j.fhj.2026.100506","DOIUrl":"https://doi.org/10.1016/j.fhj.2026.100506","url":null,"abstract":"<p><p>Stress, burnout and mental health problems are pervasive among medical students globally. Mental health difficulties during undergraduate training may persist throughout medical careers, yet current support remains predominantly reactive, addressing problems only after they emerge. This approach is problematic: harm has already occurred, students must self-identify difficulties despite documented help-seeking barriers, and psychological support resources remain insufficient. We argue for a paradigm shift towards proactive, preventative interventions that prepare students for the predictable stressors of clinical education and practice. Our preliminary research evaluating a cognitive-behavioural intervention demonstrated improvements in resilience, confidence and burnout indicators in medical students, and we are now building upon this with a randomised controlled trial of Thumos, an intervention based upon cognitive-behavioural principles. While acknowledging that individual-level interventions cannot address systemic causes of occupational stress, evidence-based proactive approaches should be prioritised alongside organisational change. International collaboration is essential to develop and implement effective preventative programmes.</p>","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"13 1","pages":"100506"},"PeriodicalIF":0.0,"publicationDate":"2026-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12937162/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147328281","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}

{"title":"UK Supreme Court Ruling: A step backwards for transgender inclusionary healthcare?","authors":"Simrit Braich","doi":"10.1016/j.fhj.2026.100504","DOIUrl":"10.1016/j.fhj.2026.100504","url":null,"abstract":"","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"13 1","pages":"100504"},"PeriodicalIF":0.0,"publicationDate":"2026-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12966708/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147379741","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}

{"title":"Why is there no regulation despite evidence that ultra-processed foods are hazardous to long-term health?","authors":"John O Warner, Alisha Khan","doi":"10.1016/j.fhj.2026.100503","DOIUrl":"10.1016/j.fhj.2026.100503","url":null,"abstract":"<p><p>Non-communicable diseases (NCDs) have exceeded infectious diseases as a global health threat. This shift has occurred concurrently with changes to lifestyle and diet, of which the increased consumption of ultra-processed foods (UPFs) is particularly concerning. UPFs are defined by industrial processing of often cheaply sourced natural food and inclusion of non-nutritional additives such as azo-dye colourants, non-caloric sweeteners, emulsifiers and preservatives. They now account for approximately half of the caloric intake in many countries and notably by children. These products can compromise nutritional quality while promoting hedonistic hunger and disrupting the gut microbiota. Population studies are increasingly demonstrating an association between high UPF consumption and increased all-cause mortality, obesity, cardiovascular disease, cancer risk, mental health and neuro-behavioural disorders. While association studies cannot account for all potential confounding factors, triangulation through combining large-scale cohort studies with animal/<i>in vitro</i> models and human challenge studies provides more compelling evidence that UPFs increase the risks of NCDs. Despite the increasing evidence, regulatory action on their use has remained limited. We review the evidence and explore the reasons why effective regulation is lacking, with increasing examples of inappropriate food industry influence on political decisions in several countries. The current focus on reducing consumption of high fat, sugar and salt has distracted attention from the adverse effects of alternative non-nutritional additives. We propose changes to food labelling and call for public health interventions to combat and minimise UPF consumption. These interventions are especially vital for socioeconomically disadvantaged populations and children, who increasingly consume UPFs as attractive and cheaper alternatives to fresh or minimally processed products. Urgent action is needed to promote healthier dietary practices worldwide.</p>","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"13 1","pages":"100503"},"PeriodicalIF":0.0,"publicationDate":"2026-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12964288/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147379729","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}

{"title":"My fibromyalgia journey.","authors":"Helen Robinson","doi":"10.1016/j.fhj.2025.100469","DOIUrl":"https://doi.org/10.1016/j.fhj.2025.100469","url":null,"abstract":"","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"12 4","pages":"100469"},"PeriodicalIF":0.0,"publicationDate":"2025-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12861643/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146108940","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}

{"title":"The FHJ debate: The NHS is failing to provide services for patients with symptom-based disorders.","authors":"Chris Burton, Benjamin Ellis","doi":"10.1016/j.fhj.2025.100482","DOIUrl":"10.1016/j.fhj.2025.100482","url":null,"abstract":"","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"12 4","pages":"100482"},"PeriodicalIF":0.0,"publicationDate":"2025-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12863038/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146115031","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}

{"title":"Enduring symptoms: A call to immediate action.","authors":"Theresa Barnes","doi":"10.1016/j.fhj.2025.100490","DOIUrl":"https://doi.org/10.1016/j.fhj.2025.100490","url":null,"abstract":"","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"12 4","pages":"100490"},"PeriodicalIF":0.0,"publicationDate":"2025-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12861679/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146108944","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}

{"title":"In medicine, good things don't come to those who wait.","authors":"Andrew Duncombe","doi":"10.1016/j.fhj.2025.100488","DOIUrl":"10.1016/j.fhj.2025.100488","url":null,"abstract":"","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"12 4","pages":"100488"},"PeriodicalIF":0.0,"publicationDate":"2025-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12861661/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146108931","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}