International Journal of Health Policy and Management国际卫生政策与管理杂志
International Journal of Health Policy and Management(英文缩写 INT J HEALTH POLICY),ISSN 2322-5939,eISSN 2322-5939,中文译名:国际卫生政策与管理杂志 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
International Journal of Health Policy and Management 最新收录文献
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1. Multiple Chronic Conditions, Delayed Medical Care and Hospitalization: A Comparison Between the United States and Taiwan.
1. 多重慢性病、延迟医疗和住院：美国和台湾的比较PMID:日期:2026-02-17[中文摘要] 医疗照护的延迟对患有多种慢性病（multiple chronic conditions, MCCs）的个体尤为关键。美国和台湾拥有截然不同的医疗体系，为照护可及性提供了对比鲜明的背景。本研究旨在探讨美国和台湾MCCs、延迟就医与住院之间的关系。本分析使用了美国2021年全国健康访谈调查（National Health Interview Survey, NHIS）（n=29 482）和台湾2021年社会变迁调查（Taiwan Social Change Survey, TSCS）健康模块（n=1604）的数据。我们估计了多变量logit回归模型，并计算了MCCs状态（无慢性病、一种慢性病、MCCs）对结局的差异化效应。精确度指标采用delta法估计。所有针对美国人群的分析均纳入了适用的复杂抽样设计和加权，针对台湾人群的分析则在适当时纳入加权。与无慢性病者相比，美国患有一种慢性病（2.0个百分点，<.001）或MCCs（3.6个百分点，<.001）的个体因费用而延迟就医的可能性更高。在台湾，与无慢性病者相比，患有一种慢性病（5.6个百分点，=.08）或MCCs（9.5个百分点，=.02）的个体延迟就医的可能性更低。此外，在美国（分别为6.1个百分点，<.001；1.6个百分点，=.001）和台湾（分别为15.7个百分点，<.001；3.8个百分点，=.08），患有MCCs或一种慢性病均与更高的住院率相关，尽管台湾一种慢性病的差异化效应未达到统计学显著性。通过分析两个国家卫生系统的数据，本分析显示了MCC状态与延迟就医之间不同的关系，提示可能存在双向效应。随着两个地区均在进行改革——美国努力改善协调性，而台湾碎片化照护的风险不断上升——这些发现为政策制定者和卫生系统领导者提供了超越各自国家背景的相关启示。
[英文摘要] Delays in medical care can be especially critical for individuals with multiple chronic conditions (MCCs). The United States and Taiwan, with vastly different healthcare systems, offer contrasting contexts for access to care. This study aims to examine the relationship between MCCs, delayed medical care and hospitalization in the US and Taiwan. This analysis used data from the US National Health Interview Survey (NHIS) 2021 (n=29 482) and the Taiwan Social Change Survey (TSCS) 2021 health module (n=1604). We estimated multivariable logit regression models and calculated differential effects of MCCs status (no chronic conditions, one chronic condition, MCCs) on outcomes. Precision measures were estimated with delta method. All analyses for the US population incorporated applicable complex survey design and weighting, and for the Taiwan population incorporated weighting when appropriate. Compared to those with no chronic conditions, individuals in the US with one chronic condition (2.0 percentage-points, <.001) or MCCs (3.6 percentage-points, <.001) had a higher likelihood of delayed care due to costs. In Taiwan, delayed care was less likely among individuals with one chronic condition (5.6 percentage-points, =.08) or MCCs (9.5 percentage-points, =.02), compared to individuals with no chronic conditions. Furthermore, individuals with MCCs or one chronic condition are associated with higher hospitalization in both the US (6.1 percentage-point, <.001; 1.6 percentage-point, =.001, respectively) and Taiwan (15.7 percentage-point, <.001, 3.8 percentage-point, =.08, respectively), although the differential effect of one chronic condition in Taiwan did not reach statistical significance. Analyzing data from two national health systems, this analysis shows differing relationships between MCC status and delayed care, suggesting a possible bidirectional effect. As both regions undergo reforms-US efforts to improve coordination and Taiwan's rising risk of fragmented care-these findings offer insights relevant to policy-makers and health system leaders beyond each country's context.
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3. What Value Do Dutch Citizens Place on Health Interventions That Provide Greater Health Gains to Lower-Income Groups? A Discrete Choice Experiment.
PMID:日期:2026-02-15Reimbursement decisions for new health interventions focus on maximizing health gains, with limited attention to who benefits from these gains or the impact on income related health inequalities. This study aimed to examine the preferences of Dutch citizens regarding the distribution of health gains of new interventions across income groups. A discrete choice experiment (DCE) was completed by 614 Dutch adults. Respondents were presented with 12 choice tasks. In each choice task, they were asked to choose between two health interventions that differed on the following attributes: total healthy life years gained, distribution of healthy life years gained across income groups, additional costs in terms of health insurance premium increases and whether the intervention was curative or preventive. Preferences were estimated using multinomial logit (MNL) models, relative attribute importance, willingness-to-pay, and willingness-to-trade total health gains. Preference heterogeneity was examined using latent class (LC) analyses. Respondents found the distribution of health gains by income the most important attribute in their decision between health interventions (relative importance [RI] = 40.5%, 95% CI: 38.3%-42.7%). Overall, respondents preferred an equal distribution of healthy life years gained across income groups (β = -1.427, 95% CI: -1.547--1.307; β = -0.315, 95% CI: -0.395--0.235). A health intervention should yield 14 283 (95% CI: 10 463-18, 102) additional healthy life years or reduce the yearly health insurance premium by €39.96 (95% CI: €29.03-€50.89) if it mainly favors lower-income groups. Preventive interventions were generally preferred over equally effective or more effective curative interventions (β = 0.270, 95% CI: 0.204-0.336). While preferences displayed a similar direction across LCs, the classes differed in the RI assigned to the attributes. Our findings suggest societal support for interventions that prioritize preventive programs over equally effective or more effective curative interventions and prioritize interventions that provide equal benefits across different income groups.
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4. Paying Attention - and Respect - to the Agency of Conflict-Affected Health Workers Comment on "Human Resources for Health in Conflict Affected Settings: A Scoping Review of Primary Peer Reviewed Publications 2016-2022".
PMID:日期:2026-02-15The review stands out for its methodological rigour, clear results, and frank recognition of its limitations. However, the picture proposed by it is incomplete. Two aspects of great consequence are discussed in this commentary as a complement to the review. First, the political agency of human resources for health (HRHs) must always be considered. Among them, many take sides in a variety of roles, overt or not, as militants, activists, supporters, and researchers. Second, without including the informal practices adopted by HRH to survive and deliver in hostile environments, the health labour market cannot be understood. Arguably, these two key dimensions were not prominent in the review because the HRH literature prefers to focus on formal technical aspects easier to study and more likely to be published. Some of the reasons behind their neglect are suggested by this commentary, which concludes with a few remarks about how this drawback might be corrected.
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6. Rethinking Human Resources for Health Planning in Labour Markets Disrupted by Conflict-Affected and Fragile Settings Comment on "Human Resources for Health in Conflict Affected Settings: A Scoping Review of Primary Peer Reviewed Publications 2016-2022".
PMID:日期:2026-02-08In a world still grappling with exploring the underlying dynamics of challenges confronting human resources for health (HRH), how must the HRH research and planning ensue in conflict-affected settings (CAS)? Onvlee and colleagues undertake a scoping review to respond to this important question, using the World Health Organization's (WHO's) Health Labour Market (HLM) framework, to leverage upon available evidence. This commentary appraises the conceptual and methodological contributions of the review, while questioning the suitability of HLM to analyse HRH challenges in disrupted health systems. It argues that CAS-specific HRH planning exacts frameworks and approaches more attuned to political economy, contextual fragility, and structural inequalities, which shape healthcare workers' vulnerabilities and responses in CAS. The commentary identifies five gap questions for future scholarship, calling for intersectionality-driven, politically informed and context-specific research approaches for HRH evidence, transcending supply and demand framing of HRH, to inform HRH policies in conflict-affected and fragile settings.
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8. Advancing Public Health Through Internationally Coordinated Medical Device Registries Comment on "Quality and Utility of European Cardiovascular and Orthopaedic Registries for the Regulatory Evaluation of Medical Device Safety and Performance Across the Implant Lifecycle: A Systematic Review".
PMID:日期:2026-02-03This commentary draws on findings from Hoogervorst et al1 to underscore the urgent need for internationally coordinated medical device registries, addressing the fragmentation and inconsistency currently limiting their utility in Europe. It advocates for registries governed by academic specialty societies to ensure scientific integrity, transparency, and clinical relevance. Such registries can significantly enhance post-market surveillance, support regulatory compliance and accelerate real-world evidence (RWE) generation. The importance of standardized data collection, regular outcome reporting, and contributor recognition to foster engagement and improve data quality is highlighted. By complementing randomized controlled trials (RCTs), registries can detect rare adverse events, inform clinical guidelines and drive innovation. Actionable recommendations for governance, data harmonization and interoperability are given, emphasizing that now is the time for academic societies to lead this transformation for the benefit of patients and healthcare systems globally.
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9. Applying Abstract Text Mining as a Complement to PRISMA in Reviewing the Scope of Healthcare's Circular Economy Comment on "A Review of the Applicability of Current Green Practices in Healthcare Facilities".
PMID:日期:2026-02-02Efforts to reduce the healthcare sector's carbon footprint and greenhouse gas (GHG) emissions have brought increased attention to the adoption of the circular economy (CE) in recent years. These efforts aim to lower carbon-intensive products while improving efficiency, waste reduction, and healthcare resilience. Soares et al conducted a scoping review examining CE applicability in healthcare and identified strategies to enhance its implementation. In this commentary paper, a novel abstract text mining (ATM) approach is introduced as a complement to the standard Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) methodology. Using this approach, the search terms employed by Soares et al were expanded, article abstracts were extracted, and scope areas were mapped with the assistance of a well-established machine learning technique-latent Dirichlet allocation (LDA) topic modeling. Comparison of the ATM results with those reported by Soares et al revealed three additional scope areas: alternative treatment pathways, pharmaceutical footprint reduction, and the utilization of emerging technologies.