HEALTH POLICY卫生政策
HEALTH POLICY(英文缩写 HEALTH POLICY),ISSN 0168-8510,eISSN 1872-6054,中文译名:卫生政策 是一本学术期刊。本页汇总该期刊的最新影响因子、分区信息以及最新收录于 PubMed 的文献,帮助您快速了解期刊全貌。
发文量统计区间：2025-11-01 至 2026-10-31，按本站收录文献的发表日期统计。
期刊介绍
历年影响因子趋势
| JCR 数据年份 | 影响因子 | JCR 分区 |
|---|---|---|
| 2021 | 3.255 | Q2 |
| 2022 | 3.300 | Q2 |
| 2023 | 3.600 | Q1 |
| 2024 | 3.400 | Q1 |
| 2025 | 4.700 | Q1 |
HEALTH POLICY 最新收录文献
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1. "Nothing for Us Without Us": Normalising patient and public involvement and engagement in national clinical audits and health system improvement.
PMID:日期:2026-09-23Patient and Public Involvement and Engagement (PPIE) is increasingly recognised as essential to patient-centred care, transparency, and health system improvement. However, how PPIE is operationalised within national clinical audit systems remains poorly described. To examine how PPIE is embedded and operationalised across Ireland's National Office of Clinical Audit (NOCA) and to identify the organisational mechanisms that support sustained involvement. We conducted a documentary content analysis of 23 publicly available NOCA materials from 2012 to 2025, including governance documents, national audit reports, communication outputs, and patient story media. A targeted review of PPIE policy and guidance contextualised the findings. Four themes characterised documented PPIE integration within NOCA: (i) governance integration, (ii) portfolio-level coordination, (iii) co-production of public-facing outputs, and (iv) institutional support mechanisms. Across multiple national audits, public documents described PPIE contributions to governance discussions, interpretation of findings, and communication outputs; the analysis did not assess the quality of participation or causal effects on clinical outcomes. The NOCA case illustrates how PPIE can be incorporated within a national clinical audit infrastructure as a recurring governance and accountability function. It offers a pragmatic model that may be adaptable to other health systems, subject to local resources, representation and evaluation.
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2. Ethical and legal challenges of cross-border health data sharing in Europe: A normative policy analysis of ICUData4EU.
2. 欧洲跨境健康数据共享的伦理与法律挑战：对ICUData4EU的规范性政策分析PMID:日期:2026-09-18Cross-border medical data sharing has become an important global practice. While it improves the efficiency of healthcare systems, it also raises significant concerns regarding patient privacy and data protection. How can healthcare data be used responsibly to advance medical technology while ensuring that electronic medical records are shared appropriately and privacy is safeguarded? This paper adopts a normative policy analysis approach. It evaluates the programme's structure and governance model, examines its legal implications in light of the GDPR and EHDS, and analyses the potential benefits and risks of cross-border data sharing. The analysis shows that ICUData4EU provides a federated platform that enables intensive care unit (ICU) data to be analysed within local hospital environments while allowing researchers across the EU to access aggregated analytical results remotely. This model supports medical research while seeking to mitigate risks associated with cross-border data transfers. However, the programme may still face legal and ethical challenges, particularly regarding GDPR as well as EHDS compliance and patient privacy protection. The paper recommends linking HDAB authorisation to federated execution, assessment of unequal privacy risks, and benefit sharing for hospitals and institutions in low- and middle-income countries. Notably, given ongoing development, the analysis is precautionary. Cross-border health data platforms such as ICUData4EU have significant potential to advance medical research and improve ICU care. However, implementation requires strong legal safeguards and ethical governance frameworks to ensure data protection compliance and address unequal privacy risks, and benefit sharing mechanisms to protect patient confidentiality while producing public value.
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3. Who stays, who leaves? Transitions from part-time to full-time private-sector employment among physicians in Portugal.
3. 谁留下，谁离开？葡萄牙医生从兼职到全职私营部门就业的转变PMID:日期:2026-09-16The transition of physicians from part-time to full-time private sector employment has significant implications for healthcare workforce management, particularly in dual practice settings. Yet, such transitions remain underexplored in the literature. This study examines the physician- and firm-level determinants associated with the transition from part-time to full-time private sector employment using employer-employee linked data from Portugal for the years 2010 to 2019. We summarize the share of private-sector contracts that are part-time and use a panel logit model with random effects to analyze the factors associated with physicians' shifts to full-time private sector roles. Transitions were more common among women and younger physicians, and among specialists. At the firm level, above-market wage premium was associated with higher predicted probability of transition in the pooled and specialist models. The evidence on physician entry was positive but more specification-dependent, while lagged exit rates showed less stable associations. Firm size showed a nonlinear association, with the clearest evidence pointing to higher predicted probability in the largest physician firms, particularly among specialists. Among specialists, higher firm-level formal education was positively associated with transitions, whereas greater within-firm dispersion was negatively associated. The study reveals insights into the dynamics of physician employment, highlighting gender disparities and age-related trends in the transition from part- to full-time private practice. It also demonstrates how institutional characteristics are associated with physicians' career decisions. These patterns can help target retention and recruitment efforts in the public sector and motivate causal evaluations of specific policies.
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4. Setting the wages of physicians and nurses working in hospitals across ten central and Eastern European countries - A comparative analysis.
4. 中欧和东欧十国医院医生和护士工资的设定——一项比较分析PMID:日期:2026-09-11The process of setting wages for health professionals plays an important role in shaping health system performance by influencing both workforce satisfaction and providers' financial sustainability. The objective was to provide a structured comparison of wage-setting processes for health professionals across ten Central and Eastern European (CEE) countries, with a particular focus on physicians and nurses employed in public hospitals. A cross-country comparative analysis was conducted: (1) a data collection form was developed and piloted; (2) purposive, snowball sampling was applied to identify national experts who completed the data collection; (3) a comparative analysis was performed. In all countries, dedicated regulations or collaborative agreements at the national level set either a minimum (which providers are free to exceed) or a basic (fixed across providers) wage level for each category of health professional. This centralized wage-setting system is complemented by decentralized recruitment of hospital staff. While standard employment contracts are usually the dominant form of employment, other types of service or business-to-business contracts are also used. These may apply to both internal and external hospital staff and, together with the relatively common practice of dual employment, contribute to substantial system fragmentation and disparities in actual wage levels. In CEE countries, health professionals' wages remain high on the political agenda. In recent years, wage increases have often been used as an ad hoc, crisis-driven response to mitigate migration and improve retention. Financial incentives must be complemented by policies aimed at improving working conditions and career development opportunities.
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5. Measuring and governing potentially low-value invasive coronary angiography in Europe: a systematic review, construct-specific meta-analysis, and policy framework.
PMID:日期:2026-09-10Potentially low-value invasive coronary angiography is defined inconsistently across European health systems. It remains unclear which indicators can validly support measurement, comparison and governance. To determine a measurement framework for identifying and governing distinct forms of potentially low-value invasive coronary angiography without encouraging underuse, using construct-specific synthesis to assess existing indicators. We conducted a PRISMA 2020 systematic review and construct-specific random-effects meta-analysis. PubMed/MEDLINE, Web of Science, Cochrane CENTRAL and Europe PMC were searched through December 2024, with citation tracking and contextual searches updated through June 2026. Estimates were grouped as formal appropriateness adjudication, guideline-discordant referral pathways or low diagnostic yield and pooled using binomial-normal generalized linear mixed models. An author-derived framework translated the findings using wider policy literature; it was not evaluated by the review. Thirty reports entered the evidence map; 13 studies contributed 14 estimates. Primary analyses included ten estimates covering 30,952 procedures in eight countries. Construct-specific pooled values were 8.4% (95% CI 2.1-28.3) for formal appropriateness adjudication, 58.2% (24.9-85.4) for guideline-discordant pathways and 42.6% (33.1-52.7) for low diagnostic yield. Heterogeneity was extreme. Two constructs included only two studies, and Knapp-Hartung intervals spanned essentially the full proportion scale. These values are construct-dependent signals, not estimates of the European prevalence of unnecessary angiography. Existing indicators capture different governance problems and cannot establish how much angiography in Europe is genuinely unnecessary. A harmonised minimum dataset, construct-specific indicators, clinical-record validation and monitoring for unintended underuse should precede benchmarking, public reporting or payment-based use.
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6. Beyond physician headcounts: a population-based analysis of regional physician practice patterns in northern Ontario, Canada.
6. 超越医生人数：加拿大北安大略地区基于人口的区域医生执业模式分析PMID:日期:2026-09-08Northern Ontario faces persistent physician shortages, with recruitment and retention hindered by heavy workloads, professional isolation, and financial barriers. Reliance on physician headcounts alone does not capture the complexity of physician practice patterns and are inadequate for effective health human resource planning (HHRP). To compare the demographic and practice characteristics of the physician workforce in four under-resourced specialties in Northern and Southern Ontario and assess the limitations of current approaches to HHRP. Using the ICES Physician Database (IPDB) and Ontario Health Insurance Plan billing data for 2022, we characterized physicians in Northern and Southern Ontario according to demographics, headcounts, billing days, patient encounters, and clinical settings. Scott's Medical Database provided complementary headcount data. The analysis included physicians practicing family medicine, pediatrics, psychiatry, and obstetrics and gynecology. Categorical and continuous variables were summarized using proportions and means, respectively, and regional differences were assessed using standardized differences. Physician demographics, practice comprehensiveness, and workload varied between Northern and Southern Ontario, reflecting differences in the delivery of care across geographic regions. Regional differences were observed in patient encounters, billing days, and the number of clinical settings in which physicians practiced. Physician headcounts also differed between Scott's Medical Database and the IPDB. Physician practice patterns vary by population, geography, and health-system context. Workforce planning should account for regional variation in physician activity and scope of practice, use complementary data sources, and support locally tailored recruitment and retention strategies.
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7. Understanding consumer preferences for allied health telehealth services in Australia: a discrete choice experiment.
PMID:日期:2026-09-07Telehealth can reduce barriers to allied health care, but consumer preferences remain underexplored. Because allied health involves discipline-specific assessment and therapeutic techniques, findings from medical telehealth may not generalise. To investigate consumer preferences for telehealth in Australian allied health services. An online discrete choice experiment was conducted with 1001 participants drawn from an Australian consumer panel, with recruitment quotas ensuring adequate representation of culturally and linguistically diverse (CALD) (n = 194, 19.4%) and rural participants (n = 285, 28.7%). Participants completed hypothetical choices in two allied health clinical frames (physiotherapy and psychology). Attributes and levels were developed through literature review, focus groups, and consumer and expert input. Data were analysed using conditional logit and latent class models, with subgroup analyses by rurality and CALD. In-person or hybrid models were preferred. Telehealth preference improved with reliability, though technical issues penalised. Timeliness and cost drove uptake, while long waits and high fees reduced use. Rural participants were more sensitive to delays and technical problems; CALD participants were more cost-sensitive but accepting of reliable telehealth. Patterns were similar across physiotherapy and psychology, physiotherapy valued punctuality and psychology valued structured follow-up. Latent class analysis identified three groups: traditionalist and cost-sensitive (47.2%), cost-tolerant generalists (27.4%), and time- and travel-sensitive users (25.4%). Reliable, affordable telehealth can be an attractive option for allied health care, although preferences vary. Policies that support affordability, cultural responsiveness, and quality standards, while enabling mixed delivery models, are critical to meeting consumers' diverse needs and circumstances.
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8. Building Indigenous primary health care infrastructure in Canada: A retrospective comparative policy analysis of Alberta and Ontario.
PMID:日期:2026-09-06Indigenous primary health care (PHC) in Canada is shaped by complex governance, funding, and jurisdictional arrangements, but how these arrangements shape the development of Indigenous PHC infrastructure remains poorly understood. To examine how historical institutional arrangements have shaped the development of Indigenous PHC infrastructure in Alberta and Ontario over time. We conducted a retrospective comparative policy analysis of 89 national and provincial policy documents from 1989 to 2024. Analysis combined deductive application of the Policy Triangle and Indigeneity-Grounded Analysis frameworks with inductive comparative analysis to identify institutional trajectories and domains of Indigenous PHC infrastructure. Distinct institutional trajectories emerged. In Ontario, early and sustained policy action institutionalized Indigenous-governed organizational models through global funding, legislative recognition, and cross-jurisdictional agreements, creating stronger conditions for coordinated infrastructure development. In Alberta, Indigenous PHC initiatives were introduced incrementally within predominantly physician-centred and fragmented funding arrangements, thereby limiting the formalization of Indigenous governance and constraining long-term infrastructure planning. Although both provinces committed to Indigenous PHC, differences in how these commitments were translated into governance, funding, and jurisdictional arrangements produced divergent pathways for building Indigenous PHC infrastructure. This study demonstrates how historical institutional arrangements have shaped Indigenous-led PHC models. By identifying how policy trajectories influence structural conditions, this study provides evidence to inform Indigenous PHC reform that advances Indigenous self-determination and strengthens health system infrastructure. Findings offer a framework to inform Indigenous PHC reform and comparative policy learning across jurisdictions.
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9. The 2025 European health data space regulation: implementation challenges in harmonising opt-out rules for reusing health data.
9. 2025年欧洲健康数据空间条例：统一健康数据再利用选择退出规则的实施挑战PMID:日期:2026-09-06In 2025, the European Health Data Space (EHDS) entered into force. A key objective of this landmark European Union (EU) health policy is to facilitate international biomedical research by harmonising privacy rules on data reuse. A central political disagreement in the preparation of the EHDS concerned whether there should be an opt-in rule for health data- whereby citizens have to explicitly consent for their data to be reused within the EHDS - or if an opt-out rule would suffice. It was finally agreed that the EHDS regulation would include an opt-out rule - meaning that reuse of data for research is possible, unless individuals actively opt-out. This policy decision was accompanied by the promise that European harmonisation on privacy rules for health data reuse was achieved. However, true harmonisation can be reached only if also the implementation of legal rules is coordinated. By providing an overview of how divergencies arose in the operationalisation of similar opt-out rules in previous health data policies from selected European countries, we show that the road to European harmonisation is still long. We conclude by arguing that true harmonisation of privacy rules for health data reuse requires to pay special attention to the implementation phase of the opt-out rule of the EHDS policy.
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10. Participation in out-of-home activities and health-related quality of life among Australian children with disabilities: Evidence from the longitudinal study of Australian children.
PMID:日期:2026-09-02Participation in out-of-home activities (OoHA) is hypothesised to enhance the physical, emotional, and social development of children with disabilities, as well as their health-related quality of life (HRQoL). However, longitudinal evidence in the Australian context remains limited. To examine the relationship between OoHA participation and HRQoL among children with disabilities using a population-based longitudinal dataset. Data were drawn from eight waves (2004-2018) of the Longitudinal Study of Australian Children, comprising 2480 unique children with disabilities (3694 children-wave observations). HRQoL was measured using the Paediatric Quality of Life Inventory instrument. OoHA was defined as participation in community activities, including movie or sporting events, playgrounds or swimming pools, concert or museum visits, visiting libraries, or religious services. Panel regression (random-effects) model was employed, controlling for child and family-level covariates. OoHA participation was significantly associated with higher overall HRQoL (β=3.43, 95% CI: [1.27, 5.59], p = 0.002). More specifically, significant positive associations were observed for the physical (β=4.52, 95% CI: [1.81, 7.23], p = 0.001), social (β=4.12, 95% CI: [1.05, 7.19], p = 0.009), and school (β=4.03, 95% CI: [0.92, 7.13], p = 0.011) domains. A graded association was evident, with overall HRQoL scores increasing from 1 activity (β=3.12, 95% CI: [0.77, 5.46], p = 0.009) to 2-3 activities (β=3.34, 95% CI: [1.15, 5.54], p = 0.003) and to 4-5 activities (β=4.41, 95% CI: [2.06, 6.76], p < 0.001). Diverse OoHA participation was associated with higher HRQoL among children with disabilities. Targeted funding should expand equitable access to inclusive programs across all regions and socioeconomic groups, supported by formal partnerships among schools, local governments, and disability service providers.