International journal of social determinants of health and health services最新文献

Does Participating in New Rural Cooperative Medical Insurance Change Catastrophic Health Expenditure? Evidence from the China Household Income Project. 参加新型农村合作医疗保险会改变灾难性医疗支出吗？来自中国家庭收入项目的证据。

International journal of social determinants of health and health services Pub Date : 2025-01-01 Epub Date: 2024-04-28 DOI: 10.1177/27551938241251747

Yalu Zhang

{"title":"Does Participating in New Rural Cooperative Medical Insurance Change Catastrophic Health Expenditure? Evidence from the China Household Income Project.","authors":"Yalu Zhang","doi":"10.1177/27551938241251747","DOIUrl":"10.1177/27551938241251747","url":null,"abstract":"A primary goal of the New Rural Cooperative Medical Insurance (NRCMI) is to provide financial protection against health care costs and alleviate the financial burdens of rural residents in China. This article examines whether NRCMI participation impacted the incidence of catastrophic health expenditure (CHE) among middle-aged and older adults (45 years old and above). The analysis utilized data from the 2007 China Household Income Project survey in rural areas and an instrumental variable estimation method in Anhui and Sichuan provinces, which exhibited heterogeneity in the NRCMI implementation schedule. The results show that NRCMI participation was not associated with changes in the CHE incidence among families. The finding is consistent with the prior literature using quasi-experimental study designs. This study provides empirical evidence for policymakers, highlighting that the impact of NRCMI participation on financial protections is limited despite its extensive population coverage. The limited effects are probably due to the low reimbursement rate and increased utilization of expensive health care services.","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"64-75"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140869363","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 Locations of Palestine and the U.S. in the Global Map of Homelessness: Part 2. 巴勒斯坦和美国在全球无家可归者地图中的位置：第二部分

International journal of social determinants of health and health services Pub Date : 2025-01-01 Epub Date: 2024-06-11 DOI: 10.1177/27551938241261246

Osama Tanous, Amy Hagopian

{"title":"The Locations of Palestine and the U.S. in the Global Map of Homelessness: Part 2.","authors":"Osama Tanous, Amy Hagopian","doi":"10.1177/27551938241261246","DOIUrl":"10.1177/27551938241261246","url":null,"abstract":"It's now well appreciated that social determinants of health are the strongest predictors of our health and well-being. A good argument could be made that housing is at the top of the pyramid of these determinants. And, surprisingly, housing is also the social determinant that could rapidly turn on a dime-that is, with sufficient political will, creating access to housing could be radically expanded in short order. (Unfortunately, of course, it's true one can also become suddenly homeless, since few protections exist in policy or capitalist economies to prevent it). That alone sets it apart from social factors such as education and racism-conditions that take a long time to change. In contrast to long-term interventions (education) or culturally stubborn and historically rooted problems (racism), housing is rapidly malleable. In this article, we describe the social condition of homelessness in two settings, comparing and contrasting the concepts, causes, and consequences, along with how people are mobilizing to challenge the conditions that create their housing insecurity. As we review the factors that create housing conditions in each setting, we propose some universal international principles for a new approach to the human right of decent and secure housing.","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"5-15"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141307587","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 British NHS at 75: Past, Contemporary, and Future Challenges. 英国国家医疗服务体系 75 周年：过去、当代和未来的挑战》（The British NHS at 75: Past, Contemporary, and Future Challenges）。

International journal of social determinants of health and health services Pub Date : 2025-01-01 Epub Date: 2024-10-07 DOI: 10.1177/27551938241280175

Ben Williams

{"title":"The British NHS at 75: Past, Contemporary, and Future Challenges.","authors":"Ben Williams","doi":"10.1177/27551938241280175","DOIUrl":"10.1177/27551938241280175","url":null,"abstract":"This article assesses how and why the National Health Service (NHS) has remained at the forefront of British politics and society for 75 years amid significant economic pressures, organizational strain, shifting ideological trends, ongoing reforms, and an unprecedented public health emergency. The postwar \"years of consensus\" evolved into alleged decline and ostensible neglect during the 1980s, while New Labour sought to rejuvenate this core public service after 1997, featuring investment and often controversial reforms that challenged the party's social democratic values. Amid the New Labour era, NHS powers filtered down to devolved administrations, while from 2008 retrenchment and austerity ensued, fueled by global recession. Austerity eventually subsided, yet from early 2020 the NHS swiftly faced the extreme conditions of the globalized Covid-19 pandemic. The service continues to face challenges regarding its longer-term viability, and this article analyzes this scenario, within the context of the NHS's 75-year historical legacy, its contemporary status, comparative international trends, and likely future evolution.","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"76-87"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11583510/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142382638","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}

引用次数: 0

Caring During COVID-19: A Study of Intersectionality and Inequities in the Care Economy in 16 Countries. COVID-19 期间的关爱：对 16 个国家护理经济中的交叉性和不平等性的研究。

International journal of social determinants of health and health services Pub Date : 2025-01-01 Epub Date: 2024-08-11 DOI: 10.1177/27551938241269198

Connie Musolino, Fran Baum, Joanne Flavel, Toby Freeman, Martin McKee, Chunhuei Chi, Camila Giugliani, Matheus Zuliane Falcão, Wim De Ceukelaire, Philippa Howden-Chapman, Nguyen Thanh Huong, Hani Serag, Sun Kim, Carlos Alvarez Dardet, Hailay Abrha Gesesew, Leslie London, Jennie Popay, Lauren Paremoer, Viroj Tangcharoensathien, T Sundararaman, Sulakshana Nandi, Eugenio Villar

{"title":"Caring During COVID-19: A Study of Intersectionality and Inequities in the Care Economy in 16 Countries.","authors":"Connie Musolino, Fran Baum, Joanne Flavel, Toby Freeman, Martin McKee, Chunhuei Chi, Camila Giugliani, Matheus Zuliane Falcão, Wim De Ceukelaire, Philippa Howden-Chapman, Nguyen Thanh Huong, Hani Serag, Sun Kim, Carlos Alvarez Dardet, Hailay Abrha Gesesew, Leslie London, Jennie Popay, Lauren Paremoer, Viroj Tangcharoensathien, T Sundararaman, Sulakshana Nandi, Eugenio Villar","doi":"10.1177/27551938241269198","DOIUrl":"10.1177/27551938241269198","url":null,"abstract":"Carers were disproportionately harmed in the COVID-19 pandemic. Despite facing an increased risk of contracting the virus, they continued in frontline roles in care services and acted as \"shock absorbers\" for their families and communities. In this article, we apply an intersectional lens to examine care work and the structural factors disadvantaging carers during COVID-19 through a comparative case study analysis of 16 low-, middle-, and high-income countries. Data on each country was collected through a qualitative framework during 2021-2022. We found that while carers everywhere were predominantly women with low incomes and precarious employment, other factors were at play in shaping their experiences. Moreover, government responses to mitigate the direct impact of the pandemic have created local and global disparities affecting those working in this sector. Our findings reveal how oppressive social structures such as race, class, caste, and migration status converged in contextually specific ways to shape the gendered nature of care within and between different countries. We call for a better understanding of the multiple axes of inequalities experienced by carers to inform crisis mitigations, coupled with long-term strategies to address social inequities in the care economy and to promote gender equality.","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"16-32"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141918244","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

A Sociology of Plasma Proteins - A Technocrat's Perspective. 血浆蛋白社会学--技术专家的视角。

International journal of social determinants of health and health services Pub Date : 2025-01-01 Epub Date: 2024-08-14 DOI: 10.1177/27551938241264764

Albert Farrugia

{"title":"A Sociology of Plasma Proteins - A Technocrat's Perspective.","authors":"Albert Farrugia","doi":"10.1177/27551938241264764","DOIUrl":"10.1177/27551938241264764","url":null,"abstract":"This commentary addresses the article \"Toward a Sociology of Plasma Products\" by Holloway and Grundy in this issue of the International Journal of Social Determinants of Health and Health Services. The program of research proposed by the authors positioning the medico-industrial field of plasma products within a sociological context is supported, this being an endeavor which has not been attempted previously. I seek to augment Holloway and Grundy's proposed approach through some additional insights which are the result of over forty years of personal commitment in the field. Holloway and Grundy's proposed areas of engagement involving the products, the recipients, the donors and the governance of the systems binding these together is widened through an examination of additional technological factors that have shaped the field. These factors include the influence of the medical industry, the role of patient groups, the continuing controversy on the sourcing of plasma raw material, and the roles of different governance models. Converging these factors with Holloway and Grundy's proposed program should enhance its capacity to develop a framework for understanding the dynamics within this complex and unique sector. The concepts developed in both articles will assist stakeholders to develop a societal framework for the provision of these essential medicines.","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"88-91"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11583512/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141977361","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}

引用次数: 0

Social Determinants of Health, Tribal Payments, and Probability of Contracting COVID-19 in American Indian and Alaska Native Peoples. 美国印第安人和阿拉斯加原住民的健康社会决定因素、部落付款和感染 COVID-19 的概率。

International journal of social determinants of health and health services Pub Date : 2025-01-01 Epub Date: 2024-08-18 DOI: 10.1177/27551938241277130

Austin Henderson, Richard F MacLehose, Spero M Manson, Dedra Buchwald

{"title":"Social Determinants of Health, Tribal Payments, and Probability of Contracting COVID-19 in American Indian and Alaska Native Peoples.","authors":"Austin Henderson, Richard F MacLehose, Spero M Manson, Dedra Buchwald","doi":"10.1177/27551938241277130","DOIUrl":"10.1177/27551938241277130","url":null,"abstract":"Little is known about the relationships between demographic and economic social determinants of health and the probability of contracting COVID-19 in American Indian and Alaska Native (AI/AN) peoples. In addition, we do not know if and how tribal payments, unique to AI/AN peoples, are associated with the probability of contracting COVID-19. We surveyed 767 AI/AN patients of five geographically disparate health organizations that primarily served AI/AN peoples in urban settings between January and May of 2021. We used univariate modified Poisson regressions to estimate the influence of age, gender, household composition, education, household income, and tribal payments on risk of contracting COVID-19, with results presented as both risk and risk difference. Fifteen percent of the sample contracted COVID-19, and individuals who lived in households with two or more generations had an 11-percentage point elevated risk of contracting COVID-19 compared to those who lived alone. Twenty-seven percent of participants received tribal payments; receipt was associated with seven percentage points (change from 18% probability to 11% probability) lower risk of contracting COVID-19. Our findings showed interventions specifically designed to reduce the spread of COVID-19 in multigenerational households, and regular tribal payments may help improve health outcomes in urban AI/AN populations.","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"46-54"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142001494","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

Advancing Equity in Health Care Among Dalits and Tribal People in India: The Progress, Current Realities, and the Way Forward. 促进印度达利特人和部落居民的医疗平等：印度达利特人和部落居民医疗保健平等的推进：进展、现状和未来之路》。

International journal of social determinants of health and health services Pub Date : 2025-01-01 Epub Date: 2024-08-06 DOI: 10.1177/27551938241268179

Vijesh Sreedhar Kuttiatt, Arya Rahul, Anoop Choolayil, Ashwani Kumar

引用次数: 0

Global Health Indicators and Child Mortality Trends: Insights from a Global Panel Data Analysis of 200 Countries. 全球健康指标与儿童死亡率趋势：来自 200 个国家的全球面板数据分析的启示》。

International journal of social determinants of health and health services Pub Date : 2025-01-01 Epub Date: 2024-09-27 DOI: 10.1177/27551938241284250

Myung-Bae Park, Young-Joo Won

{"title":"Global Health Indicators and Child Mortality Trends: Insights from a Global Panel Data Analysis of 200 Countries.","authors":"Myung-Bae Park, Young-Joo Won","doi":"10.1177/27551938241284250","DOIUrl":"10.1177/27551938241284250","url":null,"abstract":"The aim of this study was to explore how medical resources and vaccine coverage relate to infant mortality rate (IMR) and under-five mortality rate (U-5MR), which are both key national health indicators. This longitudinal study was based on panel data from the national level of 200 countries. Data from 1990 to 2021 were grouped into seven regions based on geographic and epidemiological similarities. Regarding correlation, the high-income region showed a different trend from that shown by other regions. Health expenditure was positively associated with IMR and U-5MR globally. Number of medical doctors per 1,000 people was negatively associated with IMR and U-5MR globally. Hepatitis type B (HBV) and measles, first dose (MCV) were negatively associated with IMR and HBV, MCV, and Bacillus Calmette-Guérin were negatively associated with U-5MR globally. In quadratic regression, the correlation between the number of doctors and mortality stabilizes or plateaus at approximately four individuals. Overall vaccine coverage was positively correlated with mortality up to a certain threshold, beyond which it became negatively correlated. A higher number of doctors was consistently associated with decreased mortality, regardless of location, while other factors varied by region. Our study findings highlight the importance of implementing global strategies that are specific to each region's characteristics to reduce IMR and U-5MR.","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"92-106"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142333880","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

Demand and Supply Drivers of Medicare and Non-Medicare Health Spending: An Analysis of U.S. States, 1991-2019. 医疗保险和非医疗保险医疗支出的需求和供应驱动因素：1991-2019 年美国各州分析》。

International journal of social determinants of health and health services Pub Date : 2025-01-01 Epub Date: 2024-07-25 DOI: 10.1177/27551938241258399

Adam Gaffney, Danny McCormick, Gracie Himmelstein, Steffie Woolhandler, David U Himmelstein

{"title":"Demand and Supply Drivers of Medicare and Non-Medicare Health Spending: An Analysis of U.S. States, 1991-2019.","authors":"Adam Gaffney, Danny McCormick, Gracie Himmelstein, Steffie Woolhandler, David U Himmelstein","doi":"10.1177/27551938241258399","DOIUrl":"10.1177/27551938241258399","url":null,"abstract":"For the last four decades, policymakers have attempted to control the United States's high health care costs by reducing patients' demand for care (e.g., by imposing managed-care restrictions or high costs on patients at the time of use). Yet studies based mostly on data from the public Medicare program, which covers mostly elderly Americans, suggest that supply (e.g., number of physicians or hospital beds) rather than demand drives aggregate service use and, hence, costs. Using variation between U.S. states in per enrollee Medicare spending versus per capita spending of all other (non-Medicare) individuals, we find that greater supply boosts costs for the entire population. Furthermore, we find that factors that suppress demand in the non-Medicare population do reduce non-Medicare health care spending, but simultaneously increase Medicare spending. This suggests that for a given supply of medical resources, suppressing demand for one group of patients may produce a compensatory increase in provision of care to those whose demand has not been suppressed. Health planning to assure adequate medical resources where they are needed while preventing excess supply where it is duplicative and wasteful is likely a more effective cost control strategy than the imposition of managed-care restrictions or imposing higher costs onto patients seeking care.","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"55-63"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141763036","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

Health Policies Within the Poverty Agendas of the Lula Da Silva and Rousseff Administrations: The Influence of the World Bank. 卢拉-达席尔瓦和罗塞夫政府扶贫议程中的卫生政策：世界银行的影响

International journal of social determinants of health and health services Pub Date : 2024-11-25 DOI: 10.1177/27551938241291715

Welington Serra Lazarini, Francis Sodré, Carlos Eduardo Siqueira

{"title":"Health Policies Within the Poverty Agendas of the Lula Da Silva and Rousseff Administrations: The Influence of the World Bank.","authors":"Welington Serra Lazarini, Francis Sodré, Carlos Eduardo Siqueira","doi":"10.1177/27551938241291715","DOIUrl":"https://doi.org/10.1177/27551938241291715","url":null,"abstract":"The anti-poverty agenda has been at the heart of the World Bank's discourse in recent decades. Social policies started to be identified as strategic for combating poverty and promoting development in poor countries. We analyzed the health policy recommendations made by the World Bank to Brazil in the Lula da Silva and Rousseff administrations from 2003 to 2014. Document analysis was used to explore the partnership contracts between the World Bank and Brazil, projects financed by the World Bank in Brazil, and the document \"20 Years of Construction of the Health System in Brazil: An Analysis of the Unified Health System.\" Content analysis of documents show that there was a predominance of projects focusing on reducing poverty, while social policies occupied a secondary place in the agenda. The World Bank approached states and municipalities expanding the spread of its state reform agenda, in addition to reinterpreting the structural framework of the Sistema Único de Saúde (SUS). We conclude that the Bank acted to limit the original principles of the SUS in favor of hegemonic interests of the current phase of capitalist accumulation.","PeriodicalId":73479,"journal":{"name":"International journal of social determinants of health and health services","volume":" ","pages":"27551938241291715"},"PeriodicalIF":0.0,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142712034","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