Future healthcare journalPub Date : 2025-07-25eCollection Date: 2025-09-01DOI: 10.1016/j.fhj.2025.100451
Waqas Akhtar, Alan Roy Abraham
{"title":"Where is the money? The healthcare education and training tariff.","authors":"Waqas Akhtar, Alan Roy Abraham","doi":"10.1016/j.fhj.2025.100451","DOIUrl":"10.1016/j.fhj.2025.100451","url":null,"abstract":"","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"12 3","pages":"100451"},"PeriodicalIF":0.0,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12391592/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144981067","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 : 2025-07-23eCollection Date: 2025-09-01DOI: 10.1016/j.fhj.2025.100452
Simon Barry, Chris Davies
{"title":"Creating system-wide change in medicine: The role of implementation science in achieving scale and adoption.","authors":"Simon Barry, Chris Davies","doi":"10.1016/j.fhj.2025.100452","DOIUrl":"10.1016/j.fhj.2025.100452","url":null,"abstract":"<p><p>Delivering meaningful change in healthcare is less about new discoveries and more about ensuring adoption at scale of what is already known to work. Implementation science (IS) studies the methods that support systematic uptake of evidence-based practices into routine care. Yet traditional strategies - like policy mandates, staff training alone, or the passive spread of information - often fail to deliver sustained change. This paper introduces the foundational principles of IS, critiques conventional approaches, and shares lessons learned from national-scale digital implementation efforts in Wales. Key IS enablers, including leadership, stakeholder alignment, readiness and feedback systems, are described in practical terms. We aim to make IS accessible for healthcare leaders and clinicians seeking to reduce variation and embed innovation at scale.</p>","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"12 3","pages":"100452"},"PeriodicalIF":0.0,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12395526/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144980993","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 : 2025-07-17eCollection Date: 2025-09-01DOI: 10.1016/j.fhj.2025.100450
Staci J Wendt, Catherine T Dinh, Michael Sutcliffe, Kyle Jones, James M Scanlan, J Scott Smitherman
{"title":"Deploying ambient clinical intelligence to improve care: A research article assessing the impact of nuance DAX on documentation burden and burnout.","authors":"Staci J Wendt, Catherine T Dinh, Michael Sutcliffe, Kyle Jones, James M Scanlan, J Scott Smitherman","doi":"10.1016/j.fhj.2025.100450","DOIUrl":"10.1016/j.fhj.2025.100450","url":null,"abstract":"<p><strong>Introduction: </strong>Occupational burnout among clinical care providers, due in part to documentation burden, has reached crisis level. This study measured the effect of using new clinical documentation software, an 'ambient clinical intelligence' (ACI) program, to reduce the documentation workload and improve provider wellbeing.</p><p><strong>Methods: </strong>This was a randomised, control study with a step-wedge design. Providers were randomly assigned to use ACI early or late in the study. Medical records metadata captured time spent on documentation. Measures of burden and burnout were collected monthly.</p><p><strong>Results: </strong>ACI significantly reduced documentation burden, provider frustration and burnout. Providers spent less documentation time each day, and 2.5 h less per week of off-hours documentation.</p><p><strong>Discussion: </strong>This study demonstrates that the use of ACI does indeed relieve the documentation burden and had both subjective and objective benefits. The widespread use of ACI has the potential to alleviate the crisis of physician burnout.</p>","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"12 3","pages":"100450"},"PeriodicalIF":0.0,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12398943/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144980970","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 : 2025-06-30eCollection Date: 2025-06-01DOI: 10.1016/j.fhj.2025.100267
May Ci van Schalkwyk, Rebecca Cassidy
{"title":"Why do we tolerate the activities of the gambling industry?","authors":"May Ci van Schalkwyk, Rebecca Cassidy","doi":"10.1016/j.fhj.2025.100267","DOIUrl":"10.1016/j.fhj.2025.100267","url":null,"abstract":"<p><p>This article explains how gambling policy in the UK perpetuates exceptionalism by, among other things, promoting a way of understanding the drivers of gambling harm that is highly favourable to the interests of the industry and its political allies. It argues that this exceptionalism should come to an end, that completely transformative ways of thinking about this industry are possible, and considers what that would mean for gambling legislation and research. This is achieved by taking the reader on a reflective journey that involves stepping back and critiquing the taken for granted by posing a set of thought-provoking rhetorical questions. In order to support the case against exceptionalism, the article makes illuminating comparisons between gambling and other industries.</p>","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"12 2","pages":"100267"},"PeriodicalIF":0.0,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12277463/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144683702","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 : 2025-06-30eCollection Date: 2025-06-01DOI: 10.1016/j.fhj.2025.100270
Mark Petticrew, May Ci van Schalkwyk, Cécile Knai
{"title":"Alcohol industry conflicts of interest: The pollution pathway from misinformation to alcohol harms.","authors":"Mark Petticrew, May Ci van Schalkwyk, Cécile Knai","doi":"10.1016/j.fhj.2025.100270","DOIUrl":"10.1016/j.fhj.2025.100270","url":null,"abstract":"<p><p>The alcohol industry plays a major role in global public health harm, and shapes policies and public perceptions to its benefit, through misinformation, lobbying and self-regulation. This article describes the alcohol industry's conflicts of interest, particularly in the dissemination of misleading health information, its role in school-based alcohol 'education', and its resistance to evidence-based harm reduction measures. The industry's activities contribute to a 'pollution pathway' that normalises alcohol consumption while obscuring its links to cancer, cardiovascular disease, fetal alcohol spectrum disorders (FASD) and other harms. Alcohol industry-funded organisations, such as Drinkaware, omit and distort the evidence on health risks and seek to shift the responsibility for harm onto consumers. Drawing parallels with the tobacco industry, we argue for stricter regulation, exclusion of the alcohol industry from health policymaking, and stronger public awareness campaigns to counter alcohol industry misinformation. Urgent action is needed to protect public health from alcohol industry influence and to mitigate alcohol-related harm.</p>","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"12 2","pages":"100270"},"PeriodicalIF":0.0,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12277470/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144683644","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 : 2025-06-30eCollection Date: 2025-06-01DOI: 10.1016/j.fhj.2025.100272
James Larkin
{"title":"The FHJ debate: The General Medical Council (GMC) should support a mandatory register of interests for UK doctors.","authors":"James Larkin","doi":"10.1016/j.fhj.2025.100272","DOIUrl":"10.1016/j.fhj.2025.100272","url":null,"abstract":"","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"12 2","pages":"100272"},"PeriodicalIF":0.0,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12277464/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144683652","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 : 2025-06-30eCollection Date: 2025-06-01DOI: 10.1016/j.fhj.2025.100259
Dominik Kurzeja
{"title":"Letter to the editor: 'Impact of climate change and infectious diseases: Implications for healthcare providers in the UK'.","authors":"Dominik Kurzeja","doi":"10.1016/j.fhj.2025.100259","DOIUrl":"10.1016/j.fhj.2025.100259","url":null,"abstract":"","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"12 2","pages":"100259"},"PeriodicalIF":0.0,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12277472/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144683649","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 : 2025-06-30eCollection Date: 2025-06-01DOI: 10.1016/j.fhj.2025.100266
Annabelle Marie Derin Elegbede
{"title":"Young people are demanding better from Britain's big food businesses: Bite Back movement.","authors":"Annabelle Marie Derin Elegbede","doi":"10.1016/j.fhj.2025.100266","DOIUrl":"https://doi.org/10.1016/j.fhj.2025.100266","url":null,"abstract":"<p><p>Multinational conglomerates and other major food corporations dominate food options in the UK. At Bite Back, a youth-led movement, we have extensively documented the ways in which big food businesses target children as part of their market monopoly. These businesses employ tactics such as misleading health claims, advertising incessantly, promoting junk food every chance they get, as well as excluding young people from critical discussions about public health and reflections on their own impact. However, their negligence extends beyond individual wellbeing. Our research uncovered their significant contribution to environmental degradation, with many of these corporations responsible for alarming levels of carbon emissions. This article explores the dangerous liaisons between multinational conglomerates and the health of the public and the planet. This article also aims to show what youth-led activism looks like in a system rigged against young people, particularly in the face of such powerful and influential businesses.</p>","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"12 2","pages":"100266"},"PeriodicalIF":0.0,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12277461/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144683703","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 : 2025-06-30eCollection Date: 2025-06-01DOI: 10.1016/j.fhj.2025.100256
Joseph Dickenson, Sean Devlin
{"title":"Young people's perspective on the influence of alcohol, tobacco, vaping and fast food industries.","authors":"Joseph Dickenson, Sean Devlin","doi":"10.1016/j.fhj.2025.100256","DOIUrl":"https://doi.org/10.1016/j.fhj.2025.100256","url":null,"abstract":"<p><p>As young people, alcohol, tobacco, vapes and fast food are everywhere in our lives. They are commonplace at social events, in our media, and in adverts; explained away as part of growing up. Many young people are unaware of the health risks of these substances, partly due to the success of industry marketing. For example, most people are aware of the risks to their livers from drinking alcohol, but far fewer of us realise the small scale of consumption required. The rise of vaping and fast food in particular has been accelerated by their low cost and widespread availability. As teenagers, most of us have limited spending power - our income comes from Saturday jobs or a handful of hours of shift work, so processed foods are the easiest choice. Vapes are easily available on most high streets, and young people often pass shops that sell them on their way to school. Society's casual attitude towards these promotes more consumption and obscures the risks. Our social media feeds influence us all, in a myriad of ways, ranging from athletes promoting an ideal body image, to companies sponsoring adverts for their products, to influencers casually showing alcohol, smoking and vaping as part of their regular lives. We explore solutions such as tighter regulations on packaging; clearer labelling of the risks of substances can help young people to make healthier, more informed decisions. We propose that vapes be subject to the same regulations as tobacco on storage, and mandating drab packaging; moving away from the bright, colourful designs that seem designed to target children specifically. Increasing the duty paid on these products could be beneficial, but it risks pushing consumers to potentially more risky alternatives, and further widens the socio-economic divide between rich and poor. We also suggest that teaching children to think critically from a young age will enable them to make better decisions about their health, as well as many other aspects of their lives.</p>","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"12 2","pages":"100256"},"PeriodicalIF":0.0,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12277467/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144683704","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 : 2025-06-30eCollection Date: 2025-06-01DOI: 10.1016/j.fhj.2025.100274
Christoffer van Tulleken
{"title":"If commercial incentives are the engine, then conflicts of interest are the lubricant.","authors":"Christoffer van Tulleken","doi":"10.1016/j.fhj.2025.100274","DOIUrl":"10.1016/j.fhj.2025.100274","url":null,"abstract":"","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"12 2","pages":"100274"},"PeriodicalIF":0.0,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12277469/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144683648","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}