Health Policy & Services

Review Health Policy & Services

A global overview of healthcare workers' turnover intention amid COVID-19 pandemic: a systematic review with future directions

Yuan-Sheng Ryan Poon, Yongxing Patrick Lin, Peter Griffiths, Keng Kwang Yong, Betsy Seah, Sok Ying Liaw

Summary: This study investigated the factors influencing turnover intention among healthcare workers during the COVID-19 pandemic. It found that factors such as fear, stress, socio-demographic characteristics, working conditions, and organizational support all play a role in healthcare workers' decision-making process. Future research should focus on specific factors and vulnerable groups to help policymakers adopt strategies to retain healthcare workers.

HUMAN RESOURCES FOR HEALTH (2022)

Article Communication

Do Messages Matter? Investigating the Combined Effects of Framing, Outcome Uncertainty, and Number Format on COVID-19 Vaccination Attitudes and Intention

Tianen Chen, Minhao Dai, Shilin Xia, Yu Zhou

Summary: The study found that Chinese adults have positive attitudes and high intention towards COVID-19 vaccination, with age and education positively correlating with attitudes and intention. However, message frames, outcome uncertainty, and number format did not significantly impact vaccination attitudes and intention.

HEALTH COMMUNICATION (2022)

Review Health Care Sciences & Services

COVID-19 infodemic and digital health literacy in vulnerable populations: A scoping review

Mohamed-Amine Choukou, Diana C. Sanchez-Ramirez, Margriet Pol, Mohy Uddin, Caroline Monnin, Shabbir Syed-Abdul

Summary: This study aims to explore e-services as a digital approach to support digital health literacy in vulnerable populations during the COVID-19 pandemic, and identifies barriers and facilitators for their implementation. The literature review found various e-services aimed at increasing disease knowledge and digital health literacy among vulnerable populations, with facilitators identified in specific groups such as expectant mothers and older adults. Poor health literacy and misinformation were highlighted as key barriers to digital health literacy implementation. Despite the limited literature, digital health literacy has the potential to improve health outcomes and empower individuals in making informed health decisions.

DIGITAL HEALTH (2022)

Article Health Policy & Services

Motivations to Vaccinate Among Hesitant Adopters of the COVID-19 Vaccine

Ramey Moore, Rachel S. Purvis, Emily Hallgren, Don E. Willis, Spencer Hall, Sharon Reece, Sheena CarlLee, Hunter Judkins, Pearl A. McElfish

Summary: The study found that the motivations for hesitant adopters to receive the COVID-19 vaccine are mainly categorized into three types: extrinsic motivators, intrinsic motivators, and structural motivators. Extrinsic motivators include protecting the community, family, and friends; intrinsic motivators involve the desire to protect oneself from COVID-19; and structural motivators suggest that vaccine mandates can also serve as a motivator for hesitant adopters to receive the COVID-19 vaccine.

JOURNAL OF COMMUNITY HEALTH (2022)

Article Health Care Sciences & Services

Impact of COVID-19 restrictions on diabetes health checks and prescribing for people with type 2 diabetes: a UK-wide cohort study involving 618 161 people in primary care

Matthew J. Carr, Alison K. Wright, Lalantha Leelarathna, Hood Thabit, Nicola Milne, Naresh Kanumilli, Darren M. Ashcroft, Martin K. Rutter

Summary: The study compared the rates of health checks and prescribing in people with type 2 diabetes before and after the COVID-19 pandemic in the UK. It found that rates of health checks significantly decreased in April 2020 but gradually recovered from May onward, remaining lower than historical trends. Similarly, new medication prescribing for diabetes and hypertension decreased during the pandemic period, while prescribing for new cholesterol-lowering and antiplatelet medications remained unchanged.

BMJ QUALITY & SAFETY (2022)

Article Health Care Sciences & Services

Adoption of Preventive Behaviour Strategies and Public Perceptions About COVID-19 in Singapore

Semra Ozdemir, Sean Ng, Isha Chaudhry, Eric Andrew Finkelstein

Summary: This study investigated predictors of preventive behaviors for COVID-19 among 897 Singaporean adults. The overall adoption of preventive behaviors was high and consistent with government recommendations. Respondents who perceived higher COVID-19 risks, had higher government trust, higher self-efficacy, and perceived that others acted appropriately reported increased adoption/frequency of preventive measures. The strongest indicator of behavioral change was response efficacy. Older, highly educated, anxious, and married respondents reported higher adoption/frequency of preventive measures.

INTERNATIONAL JOURNAL OF HEALTH POLICY AND MANAGEMENT (2022)

Article Communication

Communicating Scientific Uncertainty in an Age of COVID-19: An Investigation into the Use of Preprints by Digital Media Outlets

Alice Fleerackers, Michelle Riedlinger, Laura Moorhead, Rukhsana Ahmed, Juan Pablo Alperin

Summary: This article investigates the increase in media coverage of COVID-19 preprints and highlights a diversity of outlets reporting on these preprints during the early months of the pandemic. Despite the scientific uncertainty associated with preprints, online media outlets have rapidly adopted these research findings, presenting both challenges and opportunities for public health communication.

HEALTH COMMUNICATION (2022)

Review Health Care Sciences & Services

Do providers use computerized clinical decision support systems? A systematic review and meta-regression of clinical decision support uptake

Andrew Kouri, Janet Yamada, Jeffrey Lam Shin Cheung, Stijn Van de Velde, Samir Gupta

Summary: The study found that computerized clinical decision support systems (CDSSs) have low uptake rates and often fail to have a meaningful impact on their targeted outcomes. Uptake rates were seldom reported, and features related to CDSS context and implementation strategy were key factors influencing uptake.

IMPLEMENTATION SCIENCE (2022)

Article Health Policy & Services

Response to COVID-19: was Italy (un)prepared?

Iris Bosa, Adriana Castelli, Michele Castelli, Oriana Ciani, Amelia Compagni, Matteo M. Galizzi, Matteo Garofano, Simone Ghislandi, Margherita Giannoni, Giorgia Marini, Milena Vainieri

Summary: This paper critically reviews the Italian response to the COVID-19 crisis, spanning from the early acute phases of the emergency to the relative stability of the epidemiological situation before the second outbreak.

HEALTH ECONOMICS POLICY AND LAW (2022)

Article Communication

Health Beliefs, Trust in Media Sources, Health Literacy, and Preventive Behaviors among High-Risk Chinese for COVID-19

Zhaomeng Niu, Zhou Qin, Pengwei Hu, Tingting Wang

Summary: The COVID-19 outbreak in China was effectively controlled after China's efforts, with vulnerable populations requiring extra attention. Factors such as barriers, benefits, self-efficacy, and trust in different media sources significantly influence their engagement in preventive behaviors, providing direction for future health promotions and interventions.

HEALTH COMMUNICATION (2022)

Article Health Care Sciences & Services

Health Service Utilization in Hong Kong During the COVID-19 Pandemic - A Cross-sectional Public Survey

Kevin K. C. Hung, Joseph H. Walline, Emily Ying Yang Chan, Zhe Huang, Eugene Siu Kai Lo, Eng Kiong Yeoh, Colin A. Graham

Summary: This study examined health service utilization during the COVID-19 pandemic in Hong Kong and found that factors such as marital status, education level, and concern about COVID-19 were associated with avoiding medical consultation.

INTERNATIONAL JOURNAL OF HEALTH POLICY AND MANAGEMENT (2022)

Article Health Care Sciences & Services

Disparities in digital access among American rural and urban households and implications for telemedicine-based services

Megan E. Curtis, Sarah E. Clingan, Huiying Guo, Yuhui Zhu, Larissa J. Mooney, Yih-Ing Hser

Summary: The research found disparities in digital access among American rural and urban households, with nonmetropolitan households, racial/ethnic minority households, and lower-income households being more likely to lack digital access. The lack of digital access could exacerbate health disparities, highlighting the importance of addressing these issues in improving healthcare accessibility.

JOURNAL OF RURAL HEALTH (2022)

Article Health Care Sciences & Services

European countries? responses in ensuring sufficient physical infrastructure and workforce capacity during the first COVID-19 wave *

Juliane Winkelmann, Erin Webb, Gemma A. Williams, Cristina Hernandez-Quevedo, Claudia B. Maier, Dimitra Panteli

Summary: This paper analyzes the strategies implemented by 45 countries in Europe to address the insufficient capacity of healthcare systems during the COVID-19 crisis, with a focus on the hospital sector. Despite different pre-crisis capacities, countries adopted similar strategies to increase surge capacity, such as establishing COVID-19 units, expanding hospital and ICU capacities, mobilizing additional staff, and reallocating existing healthcare workforce. Innovative solutions were found to overcome the challenges of international and national procurement of personal protective equipment, including increasing internal production and implementing temporary measures to mitigate shortages. The importance of real-time monitoring of healthcare resources and closer cooperation between countries in building resilient responses to COVID-19 is emphasized.

HEALTH POLICY (2022)

Review Health Care Sciences & Services

Telehealth and Artificial Intelligence Insights into Healthcare during the COVID-19 Pandemic

Dina M. El-Sherif, Mohamed Abouzid, Mohamed Tarek Elzarif, Alhassan Ali Ahmed, Ashwag Albakri, Mohammed M. Alshehri

Summary: The study addresses the privacy, transparency, and safety concerns raised by artificial intelligence during the COVID-19 pandemic and looks forward to an intelligent healthcare future based on best practices and lessons learned.

HEALTHCARE (2022)

Article Health Care Sciences & Services

Many Medicare Beneficiaries Do Not Fill High-Price Specialty Drug Prescriptions

Stacie B. Dusetzina, Haiden A. Huskamp, Russell L. Rothman, Laura C. Pinheiro, Andrew W. Roberts, Nilay D. Shah, Theresa L. Walunas, William A. Wood, Autumn D. Zuckerman, Leah L. Zullig, Nancy L. Keating

Summary: This study investigates the purchasing behavior of Medicare Part D beneficiaries without low-income subsidies for high-price drugs. The findings indicate that beneficiaries without subsidies are more likely to not initiate treatment due to cost burden, especially for anticancer drugs, hepatitis C treatments, and disease-modifying therapies for immune system disorders and hypercholesterolemia.

HEALTH AFFAIRS (2022)

Review Health Policy & Services

Strategies for the implementation of clinical practice guidelines in public health: an overview of systematic reviews

Viviane C. Pereira, Sarah N. Silva, Viviane K. S. Carvalho, Fernando Zanghelini, Jorge O. M. Barreto

Summary: This study summarized the evidence on the effectiveness of strategies used to promote clinical practice guideline implementation and dissemination, finding that educational materials, meetings, reminders, academic detailing, and audit feedback were the most common interventions. Organizational culture, educational interventions, and reminders were effective when used alone, while organizational culture remained effective when used in conjunction with other strategies.

HEALTH RESEARCH POLICY AND SYSTEMS (2022)

Review Health Care Sciences & Services

COVID-19 Preparedness and Response Plans from 106 countries: a review from a health systems resilience perspective

Saqif Mustafa, Yu Zhang, Zandile Zibwowa, Redda Seifeldin, Louis Ako-Egbe, Geraldine McDarby, Edward Kelley, Sohel Saikat

Summary: The COVID-19 pandemic has highlighted weaknesses in health systems' preparedness for emergencies and the maintenance of essential health services. While most countries' response plans focus on emergency activities, there is a lack of consideration for the continuity of non-COVID-19 healthcare services. Moving forward, it is crucial to integrate activities, resources, and monitoring for essential health services into emergency planning to reduce excess mortality and morbidity.

HEALTH POLICY AND PLANNING (2022)

Review Health Care Sciences & Services

Mapping definitions of co-production and co-design in health and social care: A systematic scoping review providing lessons for the future

Daniel Masterson, Kristina Areskoug Josefsson, Glenn Robert, Elisabeth Nylander, Sofia Kjellstrom

Summary: This study systematically reviewed articles on the definitions and applications of co-production and co-design in the field of health and social care. The findings showed that these concepts are understood in various ways. The study also revealed an increase in research activities in this area and a lack of clear definitions in a significant portion of the included articles.

HEALTH EXPECTATIONS (2022)

Article Health Care Sciences & Services

Geographic, racial/ethnic, and socioeconomic inequities in broadband access

Whitney E. Zahnd, Nathaniel Bell, Annie E. Larson

Summary: Broadband access is essential for health, and disparities in access exist across different geographic and sociodemographic factors. Rural areas, especially those with large Black and American Indian/Alaska Native populations, poverty, and lower educational attainment, experience the greatest disparities in broadband access. Strategies and resources should target these areas of greatest need to improve health outcomes.

JOURNAL OF RURAL HEALTH (2022)

Review Health Policy & Services

Management of COVID-19 vaccines cold chain logistics: a scoping review

Mathumalar Loganathan Fahrni, Intan An-Nisaa' Ismail, Dalia Mohammed Refi, Ahmad Almeman, Norliana Che Yaakob, Kamaliah Md Saman, Nur Farhani Mansor, Noorasmah Noordin, Zaheer-Ud-Din Babar

Summary: This study aimed to synthesize evidence for efficient cold chain management of COVID vaccines. The findings suggest that regulatory requirements, packaging and storage, and transportation and distribution are key factors in the efficient cold chain management. Recommendations were made to improve formulation stability, end-product storage conditions, and monitoring technologies.

JOURNAL OF PHARMACEUTICAL POLICY AND PRACTICE (2022)