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The assessment of national conduct in realizing the right to heath: using the framework of United Nations 评估各国在实现健康权方面的行为:利用联合国框架
IF 1.4 Q4 HEALTH POLICY & SERVICES Pub Date : 2024-01-01 DOI: 10.1108/ijhrh-07-2023-0059
Fatemeh Kokabisaghi
Purpose Health is a human right and a fundamental building block of sustainable development, economic prosperity and poverty reduction. To realize people’s right to health, evaluating the situation of the right and its determinants is necessary. This paper aims to analyze Iran’s conduct in realizing its population’s right to health. Design/methodology/approach A qualitative case study design involving a structured review of relevant laws, policy documents, reports and academic literature was undertaken. The data were collected from electronic databases and the official Web pages of the United Nations (UN) and Iran’s Government and analyzed by a framework suggested by the UN. Findings Iran’s law and policies intend to combat health inequalities and to provide an adequate standard of living for everyone, particularly disadvantaged groups and individuals. However, not all laws and policies protecting disadvantaged groups are adequately implemented. There are disparities in health status and access to health care among different socio-economic groups. International economic sanctions and government policies decreased people’s ability to access the necessities of life including health care. Moreover, social determinants of health, such as cultural beliefs regarding women’s rights have not been addressed sufficiently in the country’s laws. Research limitations/implications This study includes a broad range of subjects and provides an overview of the health-care system of Iran. However, more detail is needed to describe every aspect of the right to health. It was not feasible to address them all in this paper and needs more research. In addition, as with the majority of qualitative studies, the design of the current study is subject to limitations. Firstly, the research quality of narrative reviews is dependent on the researcher’ skills and more easily can be influenced by his/her personal biases. Second, the rigor is more difficult to maintain, assess and demonstrate. Nevertheless, narrative studies often complement quantitative studies and are informative. Originality/value To fulfill the right to health, Iran should improve affordability and quality of care and the situation of the determinants of health. The gaps in people’s access to health care need to be identified, and all necessary means and scarce resources be allocated to remove access barriers and to improve the situation of disadvantaged people. The adoption of relatively low-cost targeted programs, the proper management of resources and the prevention of unnecessary costs are suggested.
目的 健康是一项人权,也是可持续发展、经济繁荣和减贫的基石。要实现人民的健康权,就必须评估健康权的状况及其决定因素。本文旨在分析伊朗在实现人民健康权方面的行为。 设计/方法/途径 采用定性案例研究设计,对相关法律、政策文件、报告和学术文献进行结构性审查。数据收集自电子数据库以及联合国和伊朗政府的官方网页,并根据联合国建议的框架进行分析。 研究结果 伊朗的法律和政策旨在消除健康方面的不平等,为每个人,尤其是弱势群体和个人提供适足的生活水平。然而,并非所有保护弱势群体的法律和政策都得到了充分执行。不同社会经济群体的健康状况和获得医疗保健的机会存在差异。国际经济制裁和政府政策削弱了人们获得包括医疗保健在内的生活必需品的能力。此外,健康的社会决定因素,如有关妇女权利的文化信仰,也没有在国家法律中得到充分解决。 研究局限性/启示 本研究涵盖了广泛的主题,概述了伊朗的医疗保健系统。然而,还需要更多细节来描述健康权的方方面面。本文无法对所有方面进行阐述,因此需要进行更多的研究。此外,与大多数定性研究一样,本研究的设计也存在局限性。首先,叙事评论的研究质量取决于研究者的技能,更容易受到其个人偏见的影响。其次,严谨性更难保持、评估和展示。不过,叙事研究往往是对定量研究的补充,并能提供信息。 原创性/价值 为实现健康权,伊朗应提高医疗服务的可负担性和质量,并改善健康决定因素的状况。需要找出人们在获得医疗保健方面存在的差距,并分配一切必要手段和稀缺资源,以消除获得医疗保健的障碍,改善弱势群体的状况。建议采取成本相对较低的有针对性的方案,妥善管理资源,避免不必要的费用。
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引用次数: 0
Redirecting to sustainable menstrual products – a holistic approach for improving public health 改用可持续的月经用品--改善公众健康的综合方法
IF 1.4 Q4 HEALTH POLICY & SERVICES Pub Date : 2023-11-27 DOI: 10.1108/ijhrh-09-2023-0076
Prerna Ahuja, Navjit Singh
Purpose Access to good menstrual products is a human rights concern. It is essential for normalising the life during menstrual cycles by making available all the resources necessary for managing them. Sustainable menstrual products are the novel products which can improve the women menstrual lifestyles and reduce the discomfort associated with menstruation. However, these products are not readily adopted by the women due to their perception resulting from various factors. Hence, this study aims to figure out these perceptions, which can promote and hinder the adoption of these products. Design/methodology/approach A survey was conducted for the purpose of data collection. The study uses questionnaire as a research instrument to gain an insight on women health beliefs towards sustainable menstrual products. Data was collected from the women respondents through convenience sampling. Structural equation modelling was applied to analyse the data. Findings The findings suggest that women with appropriate knowledge had a positive perception towards the sustainable menstrual products, further leading to positive behaviour. It was also noted that marketing efforts through cues to action had an impact on their behavioural patterns. The policymakers and the marketers can focus on such prospects to advocate the use of sustainable menstrual products so that healthcare is improved. Originality/value To the best of the authors’ knowledge, this is the first study that provides a comprehensive framework for analysing the impact of women health beliefs towards behaviour of sustainable menstrual products. The study adds meaningful insights to the sustainable menstrual literature.
目的 获得优质月经用品是一项人权问题。通过提供管理月经周期所需的一切资源,使月经周期生活正常化至关重要。可持续经期产品是一种新型产品,可以改善妇女的经期生活方式,减少与经期有关的不适。然而,由于各种因素的影响,这些产品并没有被妇女们轻易采用。因此,本研究旨在弄清这些观念会促进还是阻碍这些产品的采用。 设计/方法/途径 为收集数据进行了一项调查。本研究使用问卷作为研究工具,以深入了解妇女对可持续经期产品的健康观念。数据是通过便利抽样从女性受访者中收集的。采用结构方程模型对数据进行分析。 研究结果 研究结果表明,拥有适当知识的妇女对可持续经期产品有积极的看法,并进一步导致了积极的行为。研究还注意到,通过行动提示进行的营销努力对她们的行为模式产生了影响。政策制定者和营销人员可以关注这些前景,倡导使用可持续经期产品,从而改善医疗保健。 原创性/价值 据作者所知,这是第一项为分析妇女的健康信念对可持续经期产品行为的影响提供全面框架的研究。该研究为可持续月经文献增添了有意义的见解。
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引用次数: 0
Midwifery students’ perceptions on ethical rights of women using assisted reproductive technologies 助产士学生对使用辅助生殖技术的妇女的伦理权利的看法
IF 1.4 Q4 HEALTH POLICY & SERVICES Pub Date : 2023-11-27 DOI: 10.1108/ijhrh-05-2023-0041
Sibel Ejder Tekgündüz, A. Gürol, Serap Ejder Apay
Purpose This study aims to understand how midwifery students view ethical rights concerning the usage of reproductive technologies. Design/methodology/approach A series of focus groups were conducted with midwifery students who were asked to discuss four novel scenarios highlighting some of the most controversial issues on the ethics of assisted reproductive technologies. The sample consisted of third-year students studying at the Department of Midwifery of a university in the fall semester of the 2020–2021 academic year. In total, 60 students aged between 20 and 23 participated in the study (mean age 21.5 years). Findings Four scenarios that may be encountered in the use of assisted reproductive techniques were presented to the students. These scenarios were about IVF treatment, using the preimplantation gender identification technique, surrogate mother and using frozen zygotes. Four themes were identified from the analysis of the focus group data related to all four scenarios. These themes were: female reproduction, sex selection, surrogacy and reproductive cloning. Originality/value This study reveals what midwifery students consider essential components of assisted reproduction techniques, focusing on the professional attributes of shared decision-making. The results suggest that student midwives are sensitive to the range of ethical dilemmas associated with the increased use of technology in human reproduction, and construct distinct bound arise in relation to what is considered of benefit or good to the mother, parents, the child and to society. They also expressed their opposition to the excessive use of technological intervention, preferring instead to maintain a more naturalistic approach to reproduction.
目的 本研究旨在了解助产士学生如何看待与使用生殖技术有关的伦理权利。 设计/方法/途径 对助产士专业的学生进行了一系列焦点小组讨论,要求他们讨论四个新颖的情景,这些情景突出了辅助生殖技术伦理方面最具争议性的一些问题。样本包括 2020-2021 学年秋季学期在某大学助产系就读的三年级学生。共有 60 名年龄在 20 至 23 岁之间的学生参与了研究(平均年龄为 21.5 岁)。 研究结果 向学生们展示了在使用辅助生殖技术过程中可能遇到的四种情景。这些情景分别涉及体外受精治疗、使用植入前性别鉴定技术、代孕母亲和使用冷冻合子。通过分析与所有四个情景相关的焦点小组数据,确定了四个主题。这些主题是:女性生殖、性别选择、代孕和生殖克隆。 原创性/价值 本研究揭示了助产士学生认为辅助生殖技术的基本组成部分,重点是共同决策的专业属性。研究结果表明,助产士学生对与人类生殖技术使用增加相关的一系列伦理困境很敏感,并在什么被认为对母亲、父母、孩子和社会有益或有利的问题上构建了明确的界限。她们还表示反对过度使用技术干预,而是更倾向于保持一种更自然的生殖方法。
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引用次数: 0
Sandstone mining and silicosis deaths in Rajasthan: a critical legal and policy analysis 拉贾斯坦邦的砂岩开采与矽肺病死亡:重要的法律和政策分析
IF 1.4 Q4 HEALTH POLICY & SERVICES Pub Date : 2023-11-27 DOI: 10.1108/ijhrh-05-2023-0037
Shamim Mohammad, Shivaraj Huchhanavar, Hifzur Rahman, T. Pasha
Purpose The extant literature underlines the inadequacies of legal and policy frameworks addressing the safety and health concerns of sandstone mineworkers in India. Notably, Rajasthan, a state renowned for its extractive industries, mirrors these concerns. Against this backdrop, this paper aims to critically evaluate the relevant legal and policy landscape, with an emphasis on the recent central statute: the Occupational Safety, Health and Working Conditions Code of 2020 (OSHWCC). Given that the Code subsumes the key legislation pertaining to the safety and health of mineworkers, an in-depth critical analysis is essential to forge suitable policy interventions to address continued gross violations of human rights. Design/methodology/approach The critical analysis of legal and policy frameworks on silicosis in sandstone mineworkers is based on a comprehensive reading of existing literature. The literature includes relevant laws, case law, reports of the Rajasthan State Human Rights Commission and National Human Rights Commission, publicly available data and key scholarly contributions in the field. Findings Although the OSHWCC has made some changes to the existing regulatory architecture of mines in India, it has failed to safeguard the safety and health of mineworkers. Notably, the vast majority of mines in India – constituting approximately 90%, which are informal, seasonal and small-scale – remain beyond the jurisdiction of this Code. In Rajasthan, there are specific policies on silicosis, but these policies are poorly implemented. There is a serious shortage of doctors to diagnose silicosis cases, leading to under-diagnosis. The compensation for silicosis victims is insufficient; the distribution mechanism is complex and often delayed. Research limitations/implications The central and many state governments have not established the regulatory institutions envisaged under the OSHWCC 2020; therefore, the working of the regulatory institutions could not be critically examined. Originality/value The paper critically evaluates laws and policies pertaining to silicosis in sandstone mineworkers, with a special emphasis on the state of Rajasthan. It offers a comprehensive critique of the OSHWCC of 2020, which has not received much attention from previous studies.
目的 现有文献强调,解决印度砂岩矿工安全和健康问题的法律和政策框架存在不足。值得注意的是,以采掘业闻名的拉贾斯坦邦也反映了这些问题。在此背景下,本文旨在对相关法律和政策进行批判性评估,重点关注近期的核心法规:《2020 年职业安全、健康和工作条件规范》(OSHWCC)。鉴于《守则》涵盖了与矿工安全和健康有关的主要立法,深入的批判性分析对于制定适当的政策干预措施以解决持续存在的严重侵犯人权问题至关重要。 设计/方法/途径 对砂岩矿工矽肺病的法律和政策框架进行批判性分析,是基于对现有文献的全面阅读。文献包括相关法律、判例法、拉贾斯坦邦人权委员会和国家人权委员会的报告、可公开获得的数据以及该领域的主要学术成果。 研究结果 虽然《职业安全和健康、妇女和儿童保护公约》对印度现有的矿山监管架构进行了一些改革,但未能保障矿工的安全和健康。值得注意的是,印度绝大多数矿山--约占 90%,属于非正规、季节性和小规模矿山--仍然不在该守则的管辖范围之内。拉贾斯坦邦有专门针对矽肺病的政策,但这些政策执行不力。诊断矽肺病的医生严重短缺,导致诊断不足。对矽肺病受害者的赔偿不足;分配机制复杂,而且经常拖延。 研究局限性/影响 中央政府和许多邦政府尚未建立《职业安全与健康、妇女和儿童问题 2020》所设想的监管机构;因此,无法对监管机构的工作进行严格审查。 原创性/价值 本文以拉贾斯坦邦为重点,对与砂岩矿工矽肺病有关的法律和政策进行了批判性评估。本文对 2020 年《职业安全和健康、妇女和儿童协调委员会》进行了全面的批评,以往的研究对该委员会关注不多。
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引用次数: 0
Improving healthcare for substance users: the moderating role of psychological flexibility on stigma, mental health, and quality of life 改善药物使用者的医疗保健:心理灵活性对污名化、心理健康和生活质量的调节作用
IF 1.4 Q4 HEALTH POLICY & SERVICES Pub Date : 2023-11-24 DOI: 10.1108/ijhrh-08-2023-0072
Mahvia Gull, Zartashia Kynat Javaid, Kamran Khan, Husnain Ali Chaudhry
Purpose Stigma is a major impediment to human rights in health care that causes discrimination, isolation and the exclusion of individuals from essential health-care services. It fosters fear, leading to negative stereotyping of individuals based on their social, cultural or health status and undermines their dignity and respect, consequently violating their right to health. Therefore, the purpose of this study is to evaluate the moderating role of psychological flexibility in the relationship between stigma (enacted, anticipated and internalized), mental health and the quality of life of substance users. Design/methodology/approach This study was based on a cross-sectional design and included 200 male patients with an age range of 18–65 years from 23 rehabilitation centers in four cities in Pakistan. The purposive sampling technique was used, and the sample size ranged from 4 to 23 participants for each site. Four scales were used to measure stigma, general mental health, quality of life and psychological flexibility in substance users. Findings The data were analyzed using SPSS and Smart PLS, which showed that stigma (enacted, anticipated and internalized) had a detrimental effect on substance users’ mental health and quality of life. Additionally, psychological flexibility acts as an efficient moderator between them. Originality/value This research unveils the moderating role of psychological flexibility in mitigating stigma’s adverse effects on individuals with substance use disorders. Future investigations should prioritize interventions aimed at enhancing psychological flexibility to ameliorate the repercussions of stigma, ultimately enhancing the well-being and quality of life of substance users.
目的 成见是保健方面人权的一大障碍,造成歧视、孤立和个人被排斥在基本 保健服务之外。成见助长了恐惧,导致基于个人的社会、文化或健康状况而对其产生负面的刻板印象,损害了他们的尊严和尊重,从而侵犯了他们的健康权。因此,本研究的目的是评估心理灵活性在成见(已形成的、预期的和内在化的)、心理健康和药物使用者生活质量之间关系中的调节作用。 设计/方法/途径 本研究采用横断面设计,包括来自巴基斯坦四个城市 23 家康复中心的 200 名 18-65 岁男性患者。研究采用了目的性抽样技术,每个地点的样本量从 4 到 23 人不等。使用了四个量表来测量药物使用者的耻辱感、一般心理健康、生活质量和心理灵活性。 研究结果 使用 SPSS 和 Smart PLS 对数据进行了分析,结果表明,成见(已形成的、预期的和内在化的)对药物使用者的心理健康和生活质量有不利影响。此外,心理灵活性在两者之间起到了有效的调节作用。 原创性/价值 本研究揭示了心理灵活性在减轻成见对药物使用障碍患者的不利影响方面所起的调节作用。未来的调查应优先考虑旨在提高心理灵活性的干预措施,以改善成见的影响,最终提高药物使用者的福祉和生活质量。
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引用次数: 0
The Indonesian national family planning program: progress and remaining challenges in implementing a rights-based approach 印度尼西亚国家计划生育计划:在实施基于权利的方法方面取得的进展和依然面临的挑战
IF 1.4 Q4 HEALTH POLICY & SERVICES Pub Date : 2023-11-20 DOI: 10.1108/ijhrh-06-2023-0049
Budi Utomo, Sukma Rahayu, Elvira Liyanto, N. Romadlona, Dewi Nuryana, Riznawaty Imma Aryanty, Melania Hidayat, Anggraini Sariastuti, Maria Gayatri, R. Magnani
Purpose Indonesia subscribes to rights-based principles of family planning. However, a chasm between principles and practice has long been noted on a global basis, and progress has not been well-documented. This paper aims to assess the extent to which the Indonesian national family planning program has evolved in a manner that is consistent with rights-based principles. Design/methodology/approach The primary source of data was five Indonesian Demographic Health Surveys undertaken from 1997 to 2017. The analyses were organized around three major categories of family planning-related human rights. Trend analysis and logistic regression were used in analyzing the data. Findings Indonesian women have considerable autonomy in family planning decision, reporting that family planning decisions were mainly made by themselves or jointly with their spouse. Although contraceptive method awareness and demand for family planning are high, Indonesia fares poorly with regard to informed choice in contraceptive method selection. Access to family planning services is comparatively high as judged by contraceptive prevalence, family planning demand satisfaction and unmet need for family planning. However, significant geographic and socioeconomic inequity were observed on many indicators, with eastern Indonesian provinces consistently lagging behind. Research limitations/implications This paper focuses on married couple, as Indonesia has a restrictive policy to limiting access and information of family planning for other groups, unmarried youth in particular. Originality/value This paper makes an important contribution to document how effectively the prohuman rights policy orientation toward family planning has been translated into services.
目的 印度尼西亚赞同基于权利的计划生育原则。然而,长期以来,全球范围内一直存在原则与实践之间的鸿沟,进展情况也没有得到很好的记录。本文旨在评估印尼国家计划生育计划在多大程度上符合以权利为本的原则。 设计/方法/途径 主要数据来源于 1997 年至 2017 年期间进行的五次印度尼西亚人口健康调查。分析围绕计划生育相关人权的三大类进行。在分析数据时使用了趋势分析和逻辑回归。 调查结果 印度尼西亚妇女在计划生育决策方面拥有相当大的自主权,她们表示计划生育决策主要由自己或与配偶共同做出。虽然对避孕方法的认识和对计划生育的需求很高,但印尼在避孕方法选择的知情选择方面表现不佳。从避孕普及率、计划生育需求满意度和未满足的计划生育需求来看,计划生育服务的普及率相对较高。然而,在许多指标上都发现了明显的地域和社会经济不平等,印尼东部省份一直处于落后状态。 研究局限性/意义 本文重点关注已婚夫妇,因为印尼的限制性政策限制了其他群体,尤其是未婚青年获得 计划生育的机会和信息。 独创性/价值 本文在记录支持人权的计划生育政策导向如何有效转化为服务方面做出了重要贡献。
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引用次数: 0
Comprehending women beliefs towards sustainable menstrual products – a fundamental step in healthcare 了解妇女对可持续经期产品的看法-医疗保健的基本步骤
Q4 HEALTH POLICY & SERVICES Pub Date : 2023-11-10 DOI: 10.1108/ijhrh-08-2023-0068
Prerna Ahuja, Navjit Singh
Purpose Access to good menstrual products is a human rights issue. Yet, there are rising health concerns of women regarding traditional–plastic sanitary napkins. The usage of these products has raised apprehensions towards the environmental pollution due to the plastic content. The solution for both these issues lies in the sustainable menstrual products. As menstruation is a public health issue, this study aims to identify the role of health beliefs on attitude of women towards sustainable menstrual products. Design/methodology/approach A survey was conducted for the purpose of data collection. The study uses questionnaire as a research instrument to gain an insight on women health beliefs towards sustainable menstrual products. Data was collected from 527 women respondents through convenience sampling. SPSS and Smart-PLS 4 were used for analysing the data. Findings Results of the study indicate that all the health belief perceptions had a significant impact on attitude. Women with more positive health belief and less negative health beliefs are the potential consumers for sustainable menstrual products. Originality/value To the best of the authors’ knowledge, this the first study that uses health belief model to explore and add to the menstruation literature especially sustainable menstrual hygiene.
获得优质月经用品是一个人权问题。然而,越来越多的女性对传统塑料卫生巾的健康感到担忧。这些产品的使用引起了人们对环境污染的担忧,因为它们含有塑料。解决这两个问题的办法在于可持续的月经产品。由于月经是一个公共卫生问题,本研究旨在确定健康信念对妇女对可持续月经产品的态度的作用。设计/方法/方法为了收集数据进行了一次调查。本研究以问卷调查为研究工具,深入了解女性对可持续经期产品的健康观念。通过方便抽样,对527名女性受访者进行了数据收集。采用SPSS和Smart-PLS 4对数据进行分析。研究结果显示,健康信念知觉对态度有显著影响。对健康持积极态度的妇女和对健康持消极态度的妇女是可持续经期产品的潜在消费者。据作者所知,这是第一次使用健康信念模型来探索和增加月经文献,特别是可持续月经卫生的研究。
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引用次数: 0
Forecasting turnover intention: an analysis of psychological factors and perceived organizational support among healthcare professionals 预测离职倾向:医疗保健专业人员的心理因素和感知组织支持分析
Q4 HEALTH POLICY & SERVICES Pub Date : 2023-11-03 DOI: 10.1108/ijhrh-06-2023-0043
Nadia A. Abdelmegeed Abdelwahed, Mohammed A. Al Doghan, Ummi Naiemah Saraih, Bahadur Ali Soomro
Purpose Turnover intention (TOI) has become a severe issue in Saudi Arabia’s health-care system as health professionals leave their organizations. Saudi Arabia’s health-care professionals’ TOI affects the organizations and the patients’ human rights. Therefore, this study aims to assess the factors that affected Saudi Arabia’s health-care professionals’ TOI. Design/methodology/approach This study based its findings on quantitative cross-sectional data. This study’s respondents were health-care professionals working in Saudi Arabia’s public and private health-care institutions. Findings By using path analysis, this study’s findings reveal that, on the one hand, job stress (JS), psychological distress (PD) and perceived work exhaustion (PWE) have positive and significant effects on TOI. On the other hand, perceived organizational support (POS) is a positive and significant predictor of TOI. Practical implications This study’s findings will help the Saudi Arabian Ministry and policymakers develop policies to encourage health professionals’ perseverance through reducing their JS, PD and PWE and by enhancing POS for health-care staff. Moreover, by controlling the increasing turnover ratio among Saudi Arabia’s health-care professionals, this study’s findings assist in overcoming the violations of human rights. Originality/value This study’s findings empirically confirm the development of TOI through JS, PD and PWE among Saudi Arabia’s health-care professionals.
随着卫生专业人员离开他们的组织,离职意向(TOI)已成为沙特阿拉伯卫生保健系统的一个严重问题。沙特阿拉伯保健专业人员的《印度时报》影响到组织和患者的人权。因此,本研究旨在评估影响沙特阿拉伯卫生保健专业人员TOI的因素。设计/方法/方法本研究的研究结果基于定量的横断面数据。这项研究的调查对象是在沙特阿拉伯的公共和私人保健机构工作的保健专业人员。通过通径分析,本研究发现,一方面,工作压力(JS)、心理困扰(PD)和感知工作疲劳(PWE)对TOI有显著的正向影响。另一方面,感知组织支持(POS)是TOI的正向显著预测因子。本研究的结果将有助于沙特阿拉伯卫生部和政策制定者制定政策,通过减少其JS、PD和PWE以及加强卫生保健人员的POS,鼓励卫生专业人员坚持不懈。此外,通过控制沙特阿拉伯保健专业人员不断增加的流动率,本研究的结果有助于克服侵犯人权的行为。原创性/价值本研究的结果从经验上证实了沙特阿拉伯卫生保健专业人员通过JS、PD和PWE发展TOI。
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引用次数: 0
Safeguarding human rights to health: a systematic review of supply chain impediments to safe medicines in developing nations 保障健康人权:对发展中国家安全药品供应链障碍的系统审查
IF 1.4 Q4 HEALTH POLICY & SERVICES Pub Date : 2023-08-31 DOI: 10.1108/ijhrh-05-2023-0036
A. Loomba
PurposeA key feature of human rights in health is access to safe, effective and affordable medicines. Pharmacovigilance is advocated for monitoring intended/unintended effects of medicines to assure their safety. The purpose of this paper is to synthesize knowledge about supply chain impediments to safe medicines in developing nations and contribute to future development of research in this field.Design/methodology/approachThis paper conducts a structured literature review based on Preferred Reporting Items for the Systematic Reviews and Meta-Analyses guidelines. It aims at profiling supply chain impediments to safe medicines in developing nations by reviewing 46 recent pharmacovigilance-specific papers published between 2005 and 2020.FindingsAnalysis of reviewed articles identified criticality of supply chain impediments that affect constituents across pharmaceutical in developing nations, which still struggle to maintain robust national pharmacovigilance systems due to lack of awareness, policy and practices.Research limitations/implicationsResearch results can be applied by pharmaceutical industry decision-makers and drug safety professionals in developing nations. Because the review is qualitative in nature, its implication ought to be tested after actual implementation.Practical implicationsThis review can help identify underinvestigated impediments and methods to aid in developing new pharmacovigilance knowledge areas in developing nation context.Social implicationsThe review uncovers gaps in global health equity dialogue in developing nations. It also recognizes that macrolevel supply chain impediments exist due to unfair disease burden and health inequities in developing nations.Originality/valueThe paper examines supply chain impediments to safe medicines in developing nations with insights for future pharmacovigilance research. Identifying and classifying supply chain impediments through this review is the first step toward creating effective interventions for these impediments to safe medicines.
目的健康人权的一个主要特点是获得安全、有效和负担得起的药物。药物警戒被提倡用于监测药物的预期/非预期效果,以确保其安全性。本文的目的是综合有关发展中国家安全药品供应链障碍的知识,并为该领域未来的研究发展做出贡献。设计/方法论/方法本文根据系统评价和荟萃分析指南的首选报告项目进行结构化文献综述。它旨在通过审查2005年至2020年间发表的46篇最近的药物警戒特定论文来分析发展中国家安全药物的供应链障碍。对审查文章的分析确定了影响发展中国家药物成分的供应链阻碍的关键性,由于缺乏意识、政策和实践,这些国家仍难以维持健全的国家药物警戒系统。研究局限性/含义发展中国家的制药行业决策者和药品安全专业人员可以应用研究结果。由于审查本质上是定性的,其含义应该在实际实施后进行测试。实际意义这篇综述有助于确定研究不足的障碍和方法,以帮助在发展中国家背景下开发新的药物警戒知识领域。社会影响该审查揭示了发展中国家在全球卫生公平对话方面的差距。它还认识到,由于发展中国家不公平的疾病负担和健康不平等,宏观层面的供应链存在障碍。原创性/价值该论文考察了发展中国家安全药物的供应链障碍,为未来的药物警戒研究提供了见解。通过这项审查识别和分类供应链障碍是为这些安全药物障碍制定有效干预措施的第一步。
{"title":"Safeguarding human rights to health: a systematic review of supply chain impediments to safe medicines in developing nations","authors":"A. Loomba","doi":"10.1108/ijhrh-05-2023-0036","DOIUrl":"https://doi.org/10.1108/ijhrh-05-2023-0036","url":null,"abstract":"\u0000Purpose\u0000A key feature of human rights in health is access to safe, effective and affordable medicines. Pharmacovigilance is advocated for monitoring intended/unintended effects of medicines to assure their safety. The purpose of this paper is to synthesize knowledge about supply chain impediments to safe medicines in developing nations and contribute to future development of research in this field.\u0000\u0000\u0000Design/methodology/approach\u0000This paper conducts a structured literature review based on Preferred Reporting Items for the Systematic Reviews and Meta-Analyses guidelines. It aims at profiling supply chain impediments to safe medicines in developing nations by reviewing 46 recent pharmacovigilance-specific papers published between 2005 and 2020.\u0000\u0000\u0000Findings\u0000Analysis of reviewed articles identified criticality of supply chain impediments that affect constituents across pharmaceutical in developing nations, which still struggle to maintain robust national pharmacovigilance systems due to lack of awareness, policy and practices.\u0000\u0000\u0000Research limitations/implications\u0000Research results can be applied by pharmaceutical industry decision-makers and drug safety professionals in developing nations. Because the review is qualitative in nature, its implication ought to be tested after actual implementation.\u0000\u0000\u0000Practical implications\u0000This review can help identify underinvestigated impediments and methods to aid in developing new pharmacovigilance knowledge areas in developing nation context.\u0000\u0000\u0000Social implications\u0000The review uncovers gaps in global health equity dialogue in developing nations. It also recognizes that macrolevel supply chain impediments exist due to unfair disease burden and health inequities in developing nations.\u0000\u0000\u0000Originality/value\u0000The paper examines supply chain impediments to safe medicines in developing nations with insights for future pharmacovigilance research. Identifying and classifying supply chain impediments through this review is the first step toward creating effective interventions for these impediments to safe medicines.\u0000","PeriodicalId":14129,"journal":{"name":"International Journal of Human Rights in Healthcare","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42303335","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
Comparative approach in public health social security: a legal case study of the Indonesian, France, and Singapore health systems 公共卫生社会保障的比较方法:印度尼西亚、法国和新加坡卫生系统的法律案例研究
IF 1.4 Q4 HEALTH POLICY & SERVICES Pub Date : 2023-08-28 DOI: 10.1108/ijhrh-03-2023-0020
Sukri Paluttri
PurposeThis research paper aimed to study the legal structure of top-performing health governance systems and compare them with the Indonesian health social security system to identify the main differences and provide recommendations for Indonesian and other developing countries’ health policymakers and administrators.Design/methodology/approachUsing formative research with a conceptual approach and statute approach as method in this study. Data was gathered using the document study technique, which studies various documents, especially legal documents related to health law, linked to legal purpose theories. Moreover, the World Health Organization ranking was considered to choose the two countries (France and Singapore) with a high social health security system for comparative analysis. All data collected has been analyzed using a qualitative and theoretical basis. Content analysis was performed by analyzing the legal documents, and the regulatory framework of all three countries was deeply analyzed to draw conclusions and recommendations.FindingsIndonesia has specific laws to implement a social security system in the health sector. However, the lack of the best medical facilities and infrastructure and weak implementation of existing laws were identified as major reasons behind the poor health security system compared to comparative countries. Also, as a developing nation Indonesian Government face budgetary pressures and huge population challenges to meet required standards. Thus, the financing approaches used by Singapore and France may help developing countries meet these challenges effectively. Therefore, there is a dire need to strengthen the social health security system all over the country with amendments to laws and ensure the implementation of prevailing laws and regulations.Practical implicationsProviding understanding related to the social security health system in Indonesia along with a detailed description of the sound social health security system in France and Singapore will further provide an avenue for the researchers to critically analyze this line of study to devise some valuable suggestions further and to draw loopholes in the system.Originality/valueA comparative approach for legal studies in the health sector is rare. So, this research advanced the social security health system-related literature and legal studies on the health sector by using this comparative approach to develop policy insights and future research directions, which will further help the field to grow.
目的本研究旨在研究绩效最高的卫生治理体系的法律结构,并将其与印尼卫生社会保障体系进行比较,以确定主要差异,并为印尼和其他发展中国家的卫生政策制定者和管理者提供建议。设计/方法论/方法本研究采用概念方法和法规方法进行形成性研究。数据是使用文件研究技术收集的,该技术研究与法律目的理论相关的各种文件,特别是与卫生法有关的法律文件。此外,世界卫生组织的排名被认为是为了选择社会卫生保障体系较高的两个国家(法国和新加坡)进行比较分析。所有收集到的数据都经过了定性和理论分析。通过分析法律文件进行内容分析,并对三国的监管框架进行深入分析,得出结论和建议。Findings印度尼西亚有在卫生部门实施社会保障制度的具体法律。然而,与比较国家相比,缺乏最好的医疗设施和基础设施以及现行法律执行不力被认为是卫生保障体系薄弱的主要原因。此外,作为一个发展中国家,印度尼西亚政府在达到所需标准方面面临预算压力和巨大的人口挑战。因此,新加坡和法国采用的融资办法可能有助于发展中国家有效应对这些挑战。因此,迫切需要通过修改法律来加强全国各地的社会卫生保障体系,并确保现行法律法规的实施。实际含义提供对印度尼西亚社会保障卫生系统的了解,以及对法国和新加坡健全的社会卫生保障系统的详细描述,将进一步为研究人员批判性分析这一研究方向提供途径,以进一步制定一些有价值的建议,并找出该系统中的漏洞。独创性/价值卫生部门法律研究的比较方法很少。因此,本研究通过使用这种比较方法来发展政策见解和未来的研究方向,推进了社会保障卫生系统相关文献和卫生部门的法律研究,这将进一步有助于该领域的发展。
{"title":"Comparative approach in public health social security: a legal case study of the Indonesian, France, and Singapore health systems","authors":"Sukri Paluttri","doi":"10.1108/ijhrh-03-2023-0020","DOIUrl":"https://doi.org/10.1108/ijhrh-03-2023-0020","url":null,"abstract":"Purpose\u0000This research paper aimed to study the legal structure of top-performing health governance systems and compare them with the Indonesian health social security system to identify the main differences and provide recommendations for Indonesian and other developing countries’ health policymakers and administrators.\u0000\u0000\u0000Design/methodology/approach\u0000Using formative research with a conceptual approach and statute approach as method in this study. Data was gathered using the document study technique, which studies various documents, especially legal documents related to health law, linked to legal purpose theories. Moreover, the World Health Organization ranking was considered to choose the two countries (France and Singapore) with a high social health security system for comparative analysis. All data collected has been analyzed using a qualitative and theoretical basis. Content analysis was performed by analyzing the legal documents, and the regulatory framework of all three countries was deeply analyzed to draw conclusions and recommendations.\u0000\u0000\u0000Findings\u0000Indonesia has specific laws to implement a social security system in the health sector. However, the lack of the best medical facilities and infrastructure and weak implementation of existing laws were identified as major reasons behind the poor health security system compared to comparative countries. Also, as a developing nation Indonesian Government face budgetary pressures and huge population challenges to meet required standards. Thus, the financing approaches used by Singapore and France may help developing countries meet these challenges effectively. Therefore, there is a dire need to strengthen the social health security system all over the country with amendments to laws and ensure the implementation of prevailing laws and regulations.\u0000\u0000\u0000Practical implications\u0000Providing understanding related to the social security health system in Indonesia along with a detailed description of the sound social health security system in France and Singapore will further provide an avenue for the researchers to critically analyze this line of study to devise some valuable suggestions further and to draw loopholes in the system.\u0000\u0000\u0000Originality/value\u0000A comparative approach for legal studies in the health sector is rare. So, this research advanced the social security health system-related literature and legal studies on the health sector by using this comparative approach to develop policy insights and future research directions, which will further help the field to grow.","PeriodicalId":14129,"journal":{"name":"International Journal of Human Rights in Healthcare","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2023-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45801417","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}
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International Journal of Human Rights in Healthcare
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