Health systems and reform最新文献_第3页

Vaccine Hesitancy and COVID-19 Risk Behaviors Associated with Social Media Use in Japan. 日本与社交媒体使用相关的疫苗接种犹豫和 COVID-19 风险行为。

Health systems and reform Pub Date : 2024-12-17 Epub Date: 2024-10-22 DOI: 10.1080/23288604.2024.2377070

Shuko Takahashi, Naomi Takahashi, Masaru Nohara, Ichiro Kawachi

{"title":"Vaccine Hesitancy and COVID-19 Risk Behaviors Associated with Social Media Use in Japan.","authors":"Shuko Takahashi, Naomi Takahashi, Masaru Nohara, Ichiro Kawachi","doi":"10.1080/23288604.2024.2377070","DOIUrl":"https://doi.org/10.1080/23288604.2024.2377070","url":null,"abstract":"We examined the associations between the use of different types of media and COVID-19 vaccine hesitancy, as well as risk behaviors of COVID-19 infection, in Japan in late 2021. Cross-sectional surveys were conducted using rapid online surveys of residents in Iwate Prefecture from February 5 to 7, 2021, and from October 1 to 3, 2021. Each individual's risk of acquiring SARS-CoV-2 infection was calculated using a quantitative assessment tool (the microCOVID). Intention to get vaccinated for COVID-19 was assessed by self-report. Usage of five types of media for obtaining COVID-related information was assessed: (1) newspapers, (2) television or radio, (3) internet or news apps, (4) social network services (SNS) (excluding LINE, a popular messaging app), and (5) other. Reliance on SNS did not show significant associations with either intention to get vaccinated or engaging in risky behavior for acquiring COVID-19. Although users of the internet or news apps were marginally significantly less likely to engage in high-risk behavior, significant associations between vaccine hesitancy and the usage of the internet or news apps were found in the middle age and elderly groups (OR [95% confidence interval (CI)] in middle age: 1.55 [1.07-2.23]; in elderly; 9.24 [3.28-26.02]). The differential associations between different types of media use and COVID-19 prevention behaviors may assist in preparing for future pandemic outbreaks. One implication for public health risk communication is audience segmentation, such as emphasizing vaccine safety and effectiveness for older audiences.","PeriodicalId":73218,"journal":{"name":"Health systems and reform","volume":"10 2","pages":"2377070"},"PeriodicalIF":0.0,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142514158","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Ayushman Bharat Digital Mission of India: An Assessment. 印度的 Ayushman Bharat 数字任务：评估。

Health systems and reform Pub Date : 2024-12-17 Epub Date: 2024-10-22 DOI: 10.1080/23288604.2024.2392290

Udaya Shankar Mishra, Suryakant Yadav, William Joe

引用次数: 0

Preface to the Special Issue by Keizo Takemi, Minister of Health, Labor and Welfare, Japan. 日本厚生劳动大臣 Keizo Takemi 为特刊作序。

Health systems and reform Pub Date : 2024-12-17 Epub Date: 2024-10-22 DOI: 10.1080/23288604.2024.2390851

Keizo Takemi

引用次数: 0

The Digital Transformation in Health: How AI Can Improve the Performance of Health Systems. 卫生领域的数字化转型：人工智能如何提高医疗系统的绩效》。

Health systems and reform Pub Date : 2024-12-17 Epub Date: 2024-10-22 DOI: 10.1080/23288604.2024.2387138

África Periáñez, Ana Fernández Del Río, Ivan Nazarov, Enric Jané, Moiz Hassan, Aditya Rastogi, Dexian Tang

{"title":"The Digital Transformation in Health: How AI Can Improve the Performance of Health Systems.","authors":"África Periáñez, Ana Fernández Del Río, Ivan Nazarov, Enric Jané, Moiz Hassan, Aditya Rastogi, Dexian Tang","doi":"10.1080/23288604.2024.2387138","DOIUrl":"https://doi.org/10.1080/23288604.2024.2387138","url":null,"abstract":"Mobile health has the potential to revolutionize health care delivery and patient engagement. In this work, we discuss how integrating Artificial Intelligence into digital health applications focused on supply chain operation, patient management, and capacity building, among other use cases, can improve the health system and public health performance. We present the Causal Foundry Artificial Intelligence and Reinforcement Learning platform, which allows the delivery of adaptive interventions whose impact can be optimized through experimentation and real-time monitoring. The system can integrate multiple data sources and digital health applications. The flexibility of this platform to connect to various mobile health applications and digital devices, and to send personalized recommendations based on past data and predictions, can significantly improve the impact of digital tools on health system outcomes. The potential for resource-poor settings, where the impact of this approach on health outcomes could be decisive, is discussed. This framework is similarly applicable to improving efficiency in health systems where scarcity is not an issue.","PeriodicalId":73218,"journal":{"name":"Health systems and reform","volume":"10 2","pages":"2387138"},"PeriodicalIF":0.0,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142514155","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Leveraging Digital Health Data to Transform the United Nations Systems for Palestine Refugees for the Post Pandemic Time. 利用数字健康数据改造联合国巴勒斯坦难民系统，迎接大流行病后的时代。

Health systems and reform Pub Date : 2024-12-17 Epub Date: 2024-10-22 DOI: 10.1080/23288604.2024.2378505

Akihiro Seita, Ghada Ballout, Shatha Albeik, Zaid Salameh, Wafaa Zeidan, Sayed Shah, Saed Atallah, Masako Horino

{"title":"Leveraging Digital Health Data to Transform the United Nations Systems for Palestine Refugees for the Post Pandemic Time.","authors":"Akihiro Seita, Ghada Ballout, Shatha Albeik, Zaid Salameh, Wafaa Zeidan, Sayed Shah, Saed Atallah, Masako Horino","doi":"10.1080/23288604.2024.2378505","DOIUrl":"10.1080/23288604.2024.2378505","url":null,"abstract":"The COVID-19 pandemic presented a grave threat to the continuity of health services that UNRWA provides to 5.9 million Palestine Refugees in the Near East. UNRWA runs 140 primary health care clinics, providing approximately nine million medical consultations a year. During the pandemic, UNRWA's e-Health system (and other digital health tools) were crucial in maintaining health services. The e-Health system enabled the identification of at-risk patients and transformed UNRWA's services for sustainability and efficiency. Innovations like telemedicine and two smartphone applications (e-NCD and e-MCH) enhanced service delivery and staff management. To evaluate the effectiveness of digital health integration in UNRWA's services during and after the pandemic, the team analyzed reports, events, and e-Health data from 2019-2022. Results show that digital tools, like e-NCD and e-MCH applications, helped reduce COVID-19 among Palestine Refugees, enabling remote care and continuous access to essential health services. Digital health has now become essential in UNRWA's post-pandemic operations. This paper offers a paradigm for future outbreak responses. By harnessing the power of digital health, UNRWA's e-Health system served as a beacon of hope, demonstrating how innovative approaches can empower patients, enhance health care outcomes, and ensure equitable access to health care services during crisis situations and beyond.","PeriodicalId":73218,"journal":{"name":"Health systems and reform","volume":"10 2","pages":"2378505"},"PeriodicalIF":0.0,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142514148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Transforming the Patient-Provider Relationship Through Digitalized Peer Support in Japan. 日本通过数字化同伴支持改变患者与医疗服务提供者之间的关系。

Health systems and reform Pub Date : 2024-12-17 Epub Date: 2024-10-22 DOI: 10.1080/23288604.2024.2392306

Miwako Hosoda

{"title":"Transforming the Patient-Provider Relationship Through Digitalized Peer Support in Japan.","authors":"Miwako Hosoda","doi":"10.1080/23288604.2024.2392306","DOIUrl":"https://doi.org/10.1080/23288604.2024.2392306","url":null,"abstract":"The recent explosion in online dissemination of health-related information, and its availability to more and more people around the world, has led to a situation in which both healthcare providers and patients are accepting new roles. This paper examines the transformations toward new roles for healthcare professionals and patients, with a focus on Japan, based on the assumption that one of the driving forces accelerating these changes may be the digitalization of patient peer support. The methods used in this study were: 1) questionnaires and interviews with patients and healthcare providers asking about their participation in peer support and the effectiveness of its implementation; and 2) observations, questionnaires, and interviews with three patient groups about the experience of digitalizing peer support (via implementation of peer support in a virtual reality space). Analysis of the data showed that peer support by patient groups has both challenges and benefits, and that peer support in virtual spaces has certain positive effects. The empowerment of patients through digitalized peer support is transforming the relationship between healthcare providers and patients, changing it from a traditional asymmetrical relationship (in which the healthcare professionals are in a dominant position) to a cooperative relationship on a more equal footing.","PeriodicalId":73218,"journal":{"name":"Health systems and reform","volume":"10 2","pages":"2392306"},"PeriodicalIF":0.0,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142514157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Role of Digital Health Under Taiwan's National Health Insurance System: Progress and Challenges. 台湾国民健康保险制度下数字医疗的作用：进展与挑战》。

Health systems and reform Pub Date : 2024-12-17 Epub Date: 2024-10-22 DOI: 10.1080/23288604.2024.2375433

Jui-Fen Rachel Lu, Li-Lin Liang

{"title":"The Role of Digital Health Under Taiwan's National Health Insurance System: Progress and Challenges.","authors":"Jui-Fen Rachel Lu, Li-Lin Liang","doi":"10.1080/23288604.2024.2375433","DOIUrl":"https://doi.org/10.1080/23288604.2024.2375433","url":null,"abstract":"Digital health covers a wide spectrum of applications of digital technologies in the healthcare field. As a new set of tools to support the health system in achieving its goals-improving access to care, quality of care, and system efficiency-digital health has significantly transformed the landscape of modern medicine and health care. This paper examines the role of digital health under Taiwan National Health Insurance, considering the profound impacts of digital health during the COVID-19 pandemic. It focuses specifically on big data management and analytics (MediCloud and My Health Bank/NHI Mobile Easy Access) and innovative service provision models (telemedicine). We discuss two imminent challenges that any health system is likely to encounter: digital trust and digital divide. For the digital divide, we assessed the use of telemedicine and its determinants during the COVID-19 pandemic. Our study shows that high-income levels and the presence of chronic or severe illness were positively correlated with the use of telemedicine. This observation suggests that poor people who have poorer health status were most likely to suffer from unmet needs for telemedicine. Enhancing cybersecurity to safeguard confidentiality, and effective communications with the public are fundamental and essential steps to regaining public trust in the digital era. When calling for more investment in digital technology, policy makers should be mindful of the potential digital divide across the demographic and socioeconomic strata, and specific policies should be devised to provide support to target the socially disadvantaged group.","PeriodicalId":73218,"journal":{"name":"Health systems and reform","volume":"10 2","pages":"2375433"},"PeriodicalIF":0.0,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142514156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Analyzing the Maharashtra Ambulance Service "108": The Prospect and Challenges. 分析马哈拉施特拉邦救护车服务 "108"：前景与挑战。

Health systems and reform Pub Date : 2024-12-17 Epub Date: 2024-10-22 DOI: 10.1080/23288604.2024.2380251

Ahana Sarkar, Vipul Parmar, Arnab Jana, Sujata Saunik

{"title":"Analyzing the Maharashtra Ambulance Service \"108\": The Prospect and Challenges.","authors":"Ahana Sarkar, Vipul Parmar, Arnab Jana, Sujata Saunik","doi":"10.1080/23288604.2024.2380251","DOIUrl":"https://doi.org/10.1080/23288604.2024.2380251","url":null,"abstract":"The utilization of digital health in India is playing a crucial role in enhancing healthcare services by transitioning from the current inadequate public health structure to a more efficient and patient-centric system. Digital health includes various digital tools, such as electronic health records (EHRs), telemedicine, mobile health applications, health information exchange systems, and other technological advancements to improve access, efficiency, and quality of healthcare delivery. This study investigates the prospects and challenges encountered by the newly-digitized Maharashtra Emergency Medical Services (MEMS). Utilizing the 38,823 MEMS calls from November 2022, this study investigates the current status of emergency service delivery mechanisms in Maharashtra. Through spatial analyses, this study also explores the causes behind calls. The findings of the study show that calls for 108 ambulance services were distributed across the districts and had variable service delivery time periods. Current challenges to the system arise from various urban and healthcare infrastructure problems, as well as socio-cultural challenges. Implementation of the digitized MEMS system reveals key factors that influence the service's success, assisting the policymakers and health administrators in identifying and further improving the service.","PeriodicalId":73218,"journal":{"name":"Health systems and reform","volume":"10 2","pages":"2380251"},"PeriodicalIF":0.0,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142514144","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Applying Mobile Technology to Address Gender-Based Violence in Rural Nigeria: Experiences and Perceptions of Users and Stakeholders. 应用移动技术解决尼日利亚农村地区基于性别的暴力问题：用户和利益相关者的经验和看法。

Health systems and reform Pub Date : 2024-12-17 Epub Date: 2024-10-22 DOI: 10.1080/23288604.2024.2389569

Friday Okonofua, Babatunde Adelekan, Erika Goldson, Zubaida Abubakar, Ulla Mueller, Audu Alayande, Tellson Ojogun, Lorretta Ntoimo, Oluwatosin Sanyaolu, Juliet Omokaro, Vivian Onoh, Bukky Williams, Ibrahim Muhammed, Joy Adeniran, Emilene Anakhuekha, Ogochukwu Udenigwe, Sanni Yaya

{"title":"Applying Mobile Technology to Address Gender-Based Violence in Rural Nigeria: Experiences and Perceptions of Users and Stakeholders.","authors":"Friday Okonofua, Babatunde Adelekan, Erika Goldson, Zubaida Abubakar, Ulla Mueller, Audu Alayande, Tellson Ojogun, Lorretta Ntoimo, Oluwatosin Sanyaolu, Juliet Omokaro, Vivian Onoh, Bukky Williams, Ibrahim Muhammed, Joy Adeniran, Emilene Anakhuekha, Ogochukwu Udenigwe, Sanni Yaya","doi":"10.1080/23288604.2024.2389569","DOIUrl":"https://doi.org/10.1080/23288604.2024.2389569","url":null,"abstract":"This paper documents the results of an intervention conducted in Nigeria to test the effectiveness of a mobile phone technology, text4life, in enabling women to self-report gender-based violence (GBV). Women experiencing GBV and other challenges related to sexual and reproductive health and rights were requested to use their mobile phones to text a code to a central server. In turn, the server relayed the messages to trained nearby health providers and civil society organization (CSO) officials who reached out to provide health care and social management services to the callers. Interviews were conducted with some callers, health care providers, and CSO staff to explore their experiences with the device. The interviews and data from the server were analyzed qualitatively and quantitatively. The results indicate that over a 27-month period, 3,403 reports were received by the server, 34.9% of which were reporting GBV. While interviewees perceived that a large proportion of the women were satisfied with the use of text4life, and many received medical treatment and psychological care, the consensus opinion was that many women reporting GBV did not wish to pursue police or legal action. This was due to women's perceptions that there would be negative cultural and social backlash should they pursue civil punishments for their partners. We conclude that a mobile phone device can be used effectively to report GBV in low-resource settings. However, the device would be more useful if it contributes to equitable primary prevention of GBV, rather than secondary prevention measures.","PeriodicalId":73218,"journal":{"name":"Health systems and reform","volume":"10 2","pages":"2389569"},"PeriodicalIF":0.0,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142514145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Preface to the Special Issue by Kichiro Matsumoto, President, Japan Medical Association. 日本医学会会长松本喜一郎为特刊作序。

Health systems and reform Pub Date : 2024-12-17 Epub Date: 2024-10-22 DOI: 10.1080/23288604.2024.2392423

Kichiro Matsumoto

引用次数: 0