Journal of Health Services Research & Policy卫生服务研究与政策杂志
Journal of Health Services Research & Policy(英文缩写 J HEALTH SERV RES PO),ISSN 1355-8196,eISSN 1758-1060,中文译名:卫生服务研究与政策杂志 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：2025-10-01 至 2026-09-30，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 | 2.300 | Q3 |
| 2022 | 2.400 | Q3 |
| 2023 | 1.900 | Q3 |
| 2024 | 2.700 | Q2 |
| 2025 | 2.200 | Q3 |
Journal of Health Services Research & Policy 最新收录文献
-
1. An umbrella review of facilitators and barriers to the adoption, spread and sustainability of AI solutions within hospital settings.
PMID:日期:2026-09-21There is a growing use of artificial intelligence (AI) in healthcare settings, but challenges exist with AI adoption and its long-term use. This umbrella review funded by the NIHR (NIHR205439), aimed to identify the facilitators and barriers of AI implementation within hospitals and was registered on PROSPERO. Five databases (MEDLINE, HMIC, CINAHL Plus, Web of Science and Cochrane Reviews) were searched in January 2025 and re-run in February 2026, 1184 articles were screened, with 20 included. The inclusion criteria encompassed reviews implementing AI within hospital settings. The quality of the data were assessed using the ROBIS checklist and data were synthesised using the NASSS (Nonadoption, Abandonment, and challenges to the Scale-up, Spread, and Sustainability) framework. We found AI implementation was affected by: whether an AI solution as an intervention had been externally validated to ensure generalisability across different settings; evidence that the AI solution brings measurable gains; the level of trust in and understanding of the AI solution among hospital staff; the budgets and resources available to onboard the AI solution, train staff, and maintain the solution; the need for national policies on funding and regulating AI solutions. These factors affected the adoption, spread, scalability, and sustainability of AI implementation and should be considered for future implementation.
-
2. Beyond vaccine hesitancy: Australians' attitudes and practices concerning COVID-19 vaccines in 2022.
PMID:日期:2026-09-17BackgroundIn Australia and many other countries, initial high uptake of COVID-19 vaccines in earlier years of the pandemic has not continued into later years, with a noticeable drop-off since 2021. Little in-depth research has identified the attitudes and social, epidemiological and political contexts behind this decline in the general Australian population.ObjectivesIn-depth interviews were conducted with a diverse group of Australian adults to identify their attitudes and practices related to COVID vaccination.MethodsA total of 40 online interviews were conducted in late 2022 and transcribed for analysis. The interviews were analysed using an inductive and deductive thematic approach to discern the stances adopted by participants in relation to vaccines.ResultsFive stances to the vaccines were identified: (i) vaccine confidence; (ii) vaccine pragmatism; (iii) vaccine hesitance; (iv) vaccine disillusionment; and (v) vaccine refusal. Findings go some way to demonstrating the impacts of the epidemiological, social and health policy contexts, nuance and range of attitudes and behaviours in response to the COVID vaccination program in the third pandemic year. Vaccine disillusionment is created through over-promising what the COVID vaccines can achieve. For the most part, participants demonstrated realistic viewpoints on both the possibility of side-effects and the efficacy of the COVID vaccines. Few people assumed that vaccination alone would protect them from COVID, understanding that their main value was in minimising the severity of the disease.ConclusionsThis study draws attention to the importance of going beyond assumptions about people's lack of interest or unwillingness to accept COVID and other vaccines. It highlights people's lived experiences of the pandemic over time in contributing to their vaccine-related attitudes and practices. Recommendations include improving accessibility and inclusion in vaccine education materials and service delivery, as well as continued efforts on the part of government and health authorities to educate the public about developments in vaccine science more broadly. Especially in a setting in which misinformation and disinformation about vaccine safety and effectiveness is rife, governments and health authorities need to communicate honestly with members of the public not only about their benefits, but also shortcomings.
-
3. Beyond preparedness: Building resilient health systems through capabilities.
PMID:日期:2026-08-30该文献暂无摘要。
-
4. Structural disadvantage, capital, and constrained agency: A qualitative analysis of health care inaccessibility in rural Kashmir.
PMID:日期:2026-08-14BackgroundHealth care accessibility in rural regions remains a critical global concern, shaped by the intersection of geographic isolation, economic precarity, infrastructural deficits, and socio-cultural constraints.Study AimThis study examines health care access in the remote villages of Akhal and Naranag in District Ganderbal, Jammu and Kashmir.MethodsThe study employed a qualitative research design grounded in an interpretive paradigm. Data were generated using semi-structured interviews and focus group discussions with 18 rural residents and 8 health care providers, and thematically analysed.ResultsThe findings reveal five interrelated dimensions of health care inaccessibility: (i) geographic and logistical barriers, where difficult terrain and poor connectivity delay or prevent timely care; (ii) resource and personnel shortages, resulting in inconsistent service delivery and eroded trust in public health systems; (iii) economic constraints, where high out-of-pocket expenditure and indirect costs compel households to defer or forgo treatment; (iv) cultural and social influences, including gender norms and reliance on traditional healing systems that shape health care-seeking behaviour; and (v) resilience and coping strategies, where communities and providers develop adaptive mechanisms such as informal transport networks, barter systems, and outreach practices to navigate systemic gaps. Drawing on critical sociology, the study conceptualizes health care inaccessibility as a product of unequal distribution of capital, embedded structural disadvantage, and constrained agency within rigid social structures.ConclusionThe findings demonstrate that health care inequities in rural Kashmir are not isolated service failures but manifestations of deeply entrenched structural and socio-cultural processes. By providing a context-specific and empirically grounded analysis, this study contributes to the limited body of literature on rural health care in geographically remote regions of India. It underscores the need for integrated policy interventions that combine infrastructural development, financial protection, and culturally responsive health care delivery, while also recognizing and strengthening community-based resilience.
-
5. From healthcare encounters to policy: Patient and stakeholder perspectives on how stigma undermines care for people with substance use disorders and multiple disadvantages.
PMID:日期:2026-08-11ObjectivesStigma is a well-documented barrier to care for people with substance use disorders (SUDs), but little is known about how it affects individuals with SUDs who also experience multiple disadvantages such as homelessness, poverty and unmet health care needs. This article explores how stigma is experienced by service users, staff, and system-level stakeholders of outreach services tailored to this cohort, and how it shapes interactions with health care services, treatment engagement, and service implementation.MethodsNinety-eight semi-structured interviews were conducted with service users, staff, and stakeholders of three outreach-based services for people with SUDs and multiple disadvantages in England. Data were analysed using the iterative categorisation technique. The analysis was guided by a framework informed by a sociological model of stigma and a typology of stigma and discrimination in mental health.ResultsFour themes were identified: (1) stigmatising language and discriminatory practices in primary and acute health care encounters; (2) self-stigma and its impact on help-seeking behaviour; (3) the influence of stigma on the commissioning and sustainability of services tailored to this cohort; and (4) the key role of specialist services, such as outreach services and acute hospital alcohol care teams, in reducing stigma.ConclusionsStigma operates across interpersonal and structural levels, undermining equitable care for people with SUDs and multiple disadvantages. Addressing these barriers requires stigma-informed training for acute and primary health care providers, as well as advocacy skills for specialist services.
-
6. Qualitative study of the implementation of long-term care plus: An intervention-in-systems approach.
PMID:日期:2026-07-30ObjectivesReducing resident transfers from long-term care (LTC) to emergency departments (ED) is a well-established quality target. LTC plus (LTC+) provides medical consultations, healthcare navigation, rapid diagnostics, and education to LTC home providers, based on the logic that providing enhanced medical care in LTC homes will decrease ED transfers. LTC+ was implemented across six hospital-hubs and 54 homes in Toronto, Canada. An evaluation demonstrated positive program satisfaction and impacts on care, however limited program uptake and impact on ED transfers. We examine LTC+ intervention components and their implementation and adaptations to understand these discrepancies and identify improvement opportunities.MethodsWe conducted 32 qualitative interviews with LTC home providers and administrators and consultant physicians, and three focus groups with residents and family members, at six LTC homes and three hospital-hubs. Analysis drew on Lennox et al.'s conceptualization of "intervention-in-systems" which outlines four spheres to categorize intervention components (accessibility of evidence base, process of enactment, dependent processes and sociocultural issues) and their interconnectedness and adaptations when implemented and spread in complex systems.ResultsLTC+ design and implementation was centered within the accessibility of evidence base (e.g., educating about LTC+) and process of enactment (e.g., identify residents being considered for ED transfer) spheres to support program goals. LTC+ use was aligned with original program logic, however, providers also accessed LTC+ in cases where an ED transfer was not being considered highlighting limitations of a logic focused solely on ED transfers. LTC+ design and implementation was less attentive to intervention components in the dependant processes and sociocultural issues spheres (e.g., staffing models, interprofessional interactions) impacting adoption.ConclusionThe "intervention-in-systems" analytic lens was useful in examining intervention components across the four spheres, including their gaps, adaptations and interconnections. Study findings informed revisions to program goals, intervention components, and evaluative approach, reinforcing program and financial sustainability.
-
7. Police custody healthcare: The case for the AAAQ framework.
PMID:日期:2026-07-28ObjectivesTo apply the AAAQ (Available, Accessible, Acceptable and Good Quality) Framework for healthcare as an analytical lens for healthcare delivery in police custody suites in England and Wales.MethodsWe investigated two English police forces via three discrete work packages: an ethnography of four custody suites (two custody suites per police force); semi-structured interviews with professionals (Healthcare Professionals, Police Custody Sergeants and Detention Officers) and persons with Lived Experience of police custody detention (33 professional and 41 Lived Experience interviews); and documentary analysis of 3,200 police custody risk assessments (1,600 per force) and 40 case logs (20 per force). Collaborative qualitative thematic analysis was performed by the research team, but also included peer analysts from a Third Sector organisation.ResultsWe identified that police custody healthcare in its current form does not meet many of the standards of the AAAQ Framework. Healthcare in police custody is not Available at the point of need due to a lack of embedded healthcare professionals; it is not Acceptable nor Accessible to all due to stigmatised assumptions about detained persons and scepticism about their reasons for requesting medication; and it is not Good Quality due to private providers having different Patient Group Directives resulting in a "Postcode Lottery" of treatments based on location of arrest. Insufficient resourcing of healthcare by private providers is the primary cause for these lapses, so we recommend police custody healthcare fall under the commissioning of NHS England Health and Justice to provide some oversight and governance for this domain.ConclusionsThe AAAQ Framework provides a basic set of healthcare standards that should be met in police custody suites. Beyond custody, as traditional forms of healthcare become increasingly carceral (especially maternity services), the AAAQ could also be fruitfully employed in other areas of healthcare nationally and internationally.
-
8. A cross-sectional study of associations between workforce connections and general trust in the US health care system.
PMID:日期:2026-07-28ObjectivesThe objective of the study is to examine associations between connections to the workforce and trust in the health care system in the United States.MethodsWe examine cross-sectional survey data from the 2024 Health Information National Trends Survey (HINTS, = 7,278) descriptively and statistically. After examining sample characteristics, trust is examined by income and primary employment status. Bivariate and multivariate ordinary least squares regression models are created to examine associations of trust in the health care system.ResultsThere are associations between connections to the workforce and trust in the United States' health care system. Students, retired people, and homemaker/caregivers have comparatively high trust in the health care system, although the association for retired people loses significance with controls and homemaker/caregiver findings are only significant with controls. People with a higher household income tend to trust the health care system more than people with a lower household income.ConclusionAccess to and payment for health care in the United States is interwoven with connections to the workforce, with trust seemingly associated with an ability to pay as indicated by income and employment status. Trust in the health care system is still high but is lower among key groups, especially those with lower household incomes and key occupational groups. Trust in this study was highest among those with lower workforce obligations who may still have indirect access to health care payment such as homemaker/caregivers, students, and older adults with access to public health care programs. These findings highlight the need to prioritize outreach and communication with different kinds of people who have low trust in the health care system.
-
9. Community alternatives to acute hospital (CAtCH) assessment services: Design principles and implementation challenges.
PMID:日期:2026-07-22There is an increasing global focus on Hospital Avoidance for Older People with urgent healthcare needs. In the UK, five main service models for crisis response have been identified by the British Geriatric Society; Same Day Emergency Care (SDEC), Hospital at Home (HaH), Urgent Community Response (UCR), Acute Frailty Units (AFU) and Virtual Wards (VW).ObjectivesThis article evaluated how Community Alternatives to Acute Hospital (CAtCH) assessment services have been implemented in the UK by analysing the published literature with the aim of developing key design principles for global policy makers involved in acute community care for older adults.MethodsA critical review and narrative synthesis approach was used to develop key conceptual design principles for CAtCH services. Significant papers in the field were collated as services developed between 2016-2021 and complemented by systematic searches of OVID Medline, Embase and CINAHL in September 2024 and January 2026, and citation searches, key author searches and grey literature searches on Google Scholar and NHS websites, in 2025 and 2026. Articles were analysed using an evaluation framework based on categories developed in the BGS 2021 report. A narrative synthesis approach was used to compare the different CAtCH services.ResultsThis article provides an overview of the current provision and supporting evidence. Key principles for implementation of CAtCH Assessment services include timely access to patients with an urgent healthcare need, the ability to intervene after a rapid assessment and the need for wider public input into service design.ConclusionsThese design principles are planned to support policy makers and service providers when commissioning, implementing or evaluating CAtCH services. The article also highlights implementation challenges including rapid scale-up, regional variation, heterogeneity in service provision and limited public awareness of CAtCH services.
-
10. Addressing the failure of economic measures of value-for-money to reflect societal preferences for health and social care.
PMID:日期:2026-07-21With increasing costs, and an aging population, it is inevitable that demand for health and social care exceeds the available resources. Policymakers seek to maximise value-for-money and, increasingly, use quantitative economic methods to guide such policy. Current characterisation of value is largely based upon health utility and may not align with societal preferences for attributes such as care processes, autonomy and dignity. The limited concept of value provided by quality adjusted life years (QALY), with other factors adding weight to the QALY or inflating thresholds, may distort funding decisions. This essay explores the limitations of current economic methods and argues that these prioritise cost utility calculations and lack appropriate measures for other attributes of health or social care. Many methods require assumptions and simplifications, such as the equivalence of chosen outcomes, leading to unintended or unconsidered consequences. The choice of perspective, handling of unrelated costs, and methodological choices may conceal implicit value judgements, and the values and preferences used may reflect the preferences of specific stakeholders but fail to represent the interests of those likely to bear the opportunity costs of policy decisions. Areas are identified in which there is the potential for improved alignment of decisions with societal values. Existing methods could be used more extensively to identify and quantify societal preferences in terms of monetary value or equivalent health utility. Changes to decision-making processes to favour a net benefit approach over the use of a variable willingness-to-pay threshold, may reduce the current primacy of cost per QALY calculations, and there is a need for a more rigorous approach to the consideration of opportunity costs. It is concluded that without such changes there is a danger that high-cost new technologies will displace more caring aspects of health and social care that are highly valued by society.