Future healthcare journal最新文献

{"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":"Long-term conditions and symptom-based disorders - A community perspective.","authors":"Chris Barker","doi":"10.1016/j.fhj.2026.100499","DOIUrl":"10.1016/j.fhj.2026.100499","url":null,"abstract":"<p><p>Long-term conditions (LTCs) and symptom-based disorders (SBDs), such as chronic primary pain and functional neurological disorders, challenge traditional healthcare models. This article explores the facets important in the clinical management of SBDs through a community lens, advocating for integrated, person-centred approaches that move beyond the biomedical paradigm. It examines how we conceptualise and communicate about SBDs, the need for holistic assessment and management strategies, and limitations of current commissioning frameworks. The role of peer support and co-constructed networks is also highlighted drawing on peer-reviewed literature, policy and real-world service innovations. The article also acknowledges the political landscape surrounding the NHS, noting the tension between short-term political cycles and the need for long-term strategic planning. It calls for a reimagining of care that prioritises function, agency and collaboration across sectors, and emphasises the importance of integrated care, shared decision-making and governance that supports sustainable, community-embedded solutions for people living with complex, chronic symptoms.</p>","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"13 1","pages":"100499"},"PeriodicalIF":0.0,"publicationDate":"2026-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12907643/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146215104","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":"A trust-wide quality improvement programme to reduce out-of-area placements, length of stay and costs across inpatient mental health services.","authors":"Sarah McAllister, Marco Aurelio, Philip Baker, Lucy Brewer, Joanna Moore, Edwin Ndlovu, Angharad Rutley, Jamie Stafford, Amar Shah","doi":"10.1016/j.fhj.2025.100496","DOIUrl":"10.1016/j.fhj.2025.100496","url":null,"abstract":"<p><strong>Background: </strong>In the UK, rising demand for inpatient mental healthcare and fewer beds has led to persistently high occupancy, delayed admission and increased out-of-area placements. Consequently, only the most complex cases are admitted, contributing to longer lengths of stay.</p><p><strong>Methods: </strong>Between April 2024 and March 2025 East London NHS Foundation Trust ran a trust-wide, large-scale quality improvement programme across all geographical directorates, to eliminate out-of-area placements and reduce length of stay. The programme followed a structured improvement approach; directorates moved stepwise from identifying a quality issue through to implementing change ideas that resulted in improvement through testing.</p><p><strong>Results: </strong>Out-of-area placements reduced 93%, (from 66.5 to 4.6 per week), avoiding £8.5 million in costs. Average length of stay on London adult mental health wards fell by 17.5%, (53 to 43.9 days). Trust-wide bed occupancy decreased from 106% to 92%, and service users clinically ready for discharge reduced by 51%, (111 to 55 per week).</p><p><strong>Conclusion: </strong>Tailored interventions, real-time data, leadership and collaboration drove impact. Future work will focus on sustaining gains and enhancing community alternatives.</p>","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"13 1","pages":"100496"},"PeriodicalIF":0.0,"publicationDate":"2025-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12887397/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146168028","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":"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}

{"title":"Enduring symptoms: A call to immediate action.","authors":"Theresa Barnes","doi":"10.1016/j.fhj.2025.100490","DOIUrl":"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":"Future healthcare for patients with the common pain disorder 'fibromyalgia syndrome' - fundamental changes based on the discovery of an immune cause.","authors":"Andreas Goebel","doi":"10.1016/j.fhj.2025.100480","DOIUrl":"10.1016/j.fhj.2025.100480","url":null,"abstract":"<p><p>Recent laboratory advances have allowed re-conceptualising fibromyalgia syndrome, a common, severe chronic widespread pain condition, as an immune-mediated disease. This article summarises key findings and their implications for preventative strategies and future healthcare advances and their costs.</p>","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"12 4","pages":"100480"},"PeriodicalIF":0.0,"publicationDate":"2025-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12861675/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146109029","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":"Diagnostic labels in functional disorders.","authors":"Marianne Novak","doi":"10.1016/j.fhj.2025.100489","DOIUrl":"10.1016/j.fhj.2025.100489","url":null,"abstract":"<p><p>Diagnostic labels in functional disorders are explored with particular reference to functional neurological disorder (FND). Use of the term 'functional' is discussed, and is compared with alternative terminology. Relevant considerations including avoidance of inaccurate nomenclature and dualist labels, and the impact of diagnostic label choice on individual patient experience and broader service provision are considered.</p>","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"12 4","pages":"100489"},"PeriodicalIF":0.0,"publicationDate":"2025-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12861649/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146109019","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}