World Medical & Health Policy最新文献

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Mixed signals: The inadequacy of provider‐per‐enrollee ratios for assessing network adequacy in California (and elsewhere) 混合信号：在评估加州（和其他地方）网络充足性时，提供者/注册者比率不足

IF 4.1 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

World Medical & Health Policy

Pub Date : 2021-07-21 DOI: 10.1002/wmh3.466

Simon F. Haeder, D. Weimer, D. Mukamel

引用次数: 1

Canadian policy changes for alcohol-based hand rubs during the COVID-19 pandemic and unintended risks. 加拿大在 COVID-19 大流行期间对酒精搓手液政策的改变及意外风险。

IF 4.1 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

World Medical & Health Policy

Pub Date : 2021-06-18 DOI: 10.1002/wmh3.463

Rana Mustafa, Sarah K Purdy, Fina B Nelson, Timothy J Tse, Daniel J Wiens, Jianheng Shen, Martin J T Reaney

The COVID-19 pandemic led to major changes in public policies to address supply chain disruption and escalated the price of consumer disinfectant products. To address market demands on alcohol-based hand rubs and disinfectants, Health Canada implemented major changes to the regulations regarding composition, handling, transportation, and packaging to insure product availability. Furthermore, accelerated licensing of ingredients and packaging did not meet standard medical quality guidelines yet were authorized for manufacturing and packaging of alcohol-based hand rubs and disinfectants. The accountability associated with these policy changes were reactive, including industry self-reporting, consumer reporting, and Health Canada advisories and recalls that were responsive to products after they were available in the market. Nonetheless, Canadian public health policy increased hand sanitizers availability. However, some of the interim policies have raised major public health concerns associated with ethanol quality, packaging, and labeling, and enforcement of regulations. In this paper, we review the changes in the Canadian regulations amid the current pandemic and we evaluate the unintended health risks that might arise from these changes.

COVID-19 大流行导致公共政策发生重大变化，以解决供应链中断问题，并使消费类消毒剂产品的价格上涨。为了满足市场对酒精擦手液和消毒剂的需求，加拿大卫生部对有关成分、处理、运输和包装的法规进行了重大修改，以确保产品的供应。此外，对不符合标准医疗质量准则的成分和包装加快发放许可证，但仍授权生产和包装酒精擦手液和消毒剂。与这些政策变化相关的问责制是被动的，包括行业自我报告、消费者报告以及加拿大卫生部在产品上市后针对产品的建议和召回。尽管如此，加拿大的公共卫生政策还是增加了洗手液的供应。然而，一些临时政策引发了与乙醇质量、包装和标签以及法规执行有关的重大公共卫生问题。在本文中，我们回顾了在当前大流行病中加拿大法规的变化，并评估了这些变化可能带来的意外健康风险。

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引用次数: 0

Corona, climate, chronic emergency: War communism in the twenty‐first century Andreas Malm Verso, 2020, 215 pp. ISBN 9781839762178. 《Corona, climate, chronic emergency: War communism in twenty - first century》，Andreas Malm Verso, 2020, 215 pp. ISBN 9781839762178。

IF 4.1 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

World Medical & Health Policy

Pub Date : 2021-06-04 DOI: 10.1002/WMH3.433

Sam Friedman

引用次数: 7

A guide to the scientific career: Virtues, communication, research, and academic writing Edited by Mohammadali M. Shoja, Anastasia Arynchyna, Marios Loukas, Anthony V. D'Antoni, Sandra M. Buerger, Marion Karl, and R. Shane Tubbs Wiley Blackwell, 2020, 742 pp. ISBN: 9781118907429. 《科学事业指南:美德、交流、研究和学术写作》，作者:Mohammadali M. Shoja、Anastasia Arynchyna、Marios Loukas、Anthony V. D'Antoni、Sandra M. Buerger、Marion Karl和R. Shane Tubbs Wiley Blackwell, 2020年，742页，ISBN: 9781118907429。

IF 4.1 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

World Medical & Health Policy

Pub Date : 2021-06-04 DOI: 10.1002/WMH3.461

Prabakaran Shankar, Mohammed Alshakka

引用次数: 13

Disaster by choice. How our actions turn natural hazards into catastrophes Ilan Kelman Oxford, UK: Oxford University Press, 2020. ISBN: 9780198841340. 选择灾难。我们的行动如何将自然灾害转化为灾难伊兰·克尔曼，英国牛津：牛津大学出版社，2020年。ISBN:9780198841340。

IF 4.1 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

World Medical & Health Policy

Pub Date : 2021-06-04 DOI: 10.1002/WMH3.452

Betty C. Jung

引用次数: 1

Coming out to the streets: LGBTQ youth experiencing homelessness Brandon A. Robinson California: University of California Press, 2020, 249 pp. PDF. eBook $29.95. ISBN 9780520971073. 走上街头：无家可归的LGBTQ青年布兰登·A·罗宾逊加州：加州大学出版社，2020，249页PDF。电子书29.95美元。为9780520971073英镑。

IF 4.1 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

World Medical & Health Policy

Pub Date : 2021-06-04 DOI: 10.1002/WMH3.456

Alexis I. Carraway

引用次数: 0

Exploring the implications of the relationship between BMI and household consumptions for countries in transition 探讨BMI与家庭消费之间关系对转型期国家的影响

IF 4.1 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

World Medical & Health Policy

Pub Date : 2021-06-01 DOI: 10.1002/WMH3.451

L. Fan, N. Habibov, Rong Luo, A. Auchynnikava

引用次数: 0

Tales of two planets: Stories of climate change and inequality in a divided world (First) J. Freeman Penguin Books, 2020, 320 pp. ISBN 9780143133926 (paperback). 两个星球的故事：分裂世界中的气候变化和不平等的故事（上）J。弗里曼企鹅出版社，2020，320页，ISBN 9780143133926（平装本）。

IF 4.1 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

World Medical & Health Policy

Pub Date : 2021-06-01 DOI: 10.1002/WMH3.453

Ayushi Rai

引用次数: 0

A Call for the World Health Organization to Create International Classification of Disease Diagnostic Codes for Post-Intensive Care Syndrome in the Age of COVID-19. 呼吁世界卫生组织为COVID-19时代重症监护后综合征创建国际疾病诊断代码分类。

IF 4.1 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

World Medical & Health Policy

Pub Date : 2021-06-01 Epub Date: 2021-02-22 DOI: 10.1002/wmh3.401

Brian C Peach, Michael Valenti, Mary Lou Sole

Post-intensive care syndrome (PICS), a condition found in survivors of critical illness, is characterized by persistent physical, cognitive, and psychological sequelae that impact the quality of life after discharge from an intensive care unit (ICU). At present, there are no International Classification of Disease (ICD) billing codes for this condition. Without financial alignment, clinicians cannot diagnose PICS, hindering tracking of its prevalence and impeding policy development for this condition. Clinicians should be screening for PICS in all survivors of critical illness, particularly those with acute respiratory distress syndrome (ARDS). Results from single-center studies suggest over 75 percent of ARDS survivors develop PICS. With nearly 5 percent of patients with COVID-19 requiring ICU admission for ARDS, it is important for clinicians to be able to diagnose PICS in survivors, and researchers to be able to track it. Member states should impress upon the World Health Organization to create ICD-10 codes for PICS.

重症监护后综合征(PICS)是一种在危重疾病幸存者中发现的病症，其特征是持续的身体、认知和心理后遗症，影响重症监护病房(ICU)出院后的生活质量。目前，还没有针对这种疾病的国际疾病分类(ICD)计费代码。如果没有资金支持，临床医生就无法诊断PICS，从而阻碍了对其患病率的跟踪，并阻碍了针对这种疾病的政策制定。临床医生应筛查所有危重疾病幸存者的PICS，特别是急性呼吸窘迫综合征(ARDS)患者。单中心研究结果表明，超过75%的ARDS幸存者发展为PICS。由于近5%的COVID-19患者需要因ARDS入院ICU，因此临床医生能够诊断幸存者的PICS，研究人员能够跟踪它非常重要。会员国应敦促世界卫生组织为非传染性疾病制定ICD-10代码。

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引用次数: 16

Elevated Rates of Violence Victimization and Suicide Attempt Among Transgender and Gender Diverse Patients in an Urban, Safety Net Health System. 城市安全网卫生系统中跨性别和不同性别患者的暴力受害和自杀企图率升高

IF 1.7 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

World Medical & Health Policy

Pub Date : 2021-06-01 Epub Date: 2021-03-18 DOI: 10.1002/wmh3.403

Ana M Progovac, Nathaniel M Tran, Brian O Mullin, Juliana De Mello Libardi Maia, Timothy B Creedon, Emilia Dunham, Sari L Reisner, Alex McDowell, Natalie Bird, María José Sánchez Román, Mason Dunn, Cynthia Telingator, Frederick Lu, Aaron Samuel Breslow, Marshall Forstein, Benjamin Lê Cook

The extent to which violent victimization may explain higher rates of suicidality for transgender and gender diverse (TGD) populations is not well-understood. We identified likely-TGD patients using 2008-2019 electronic health record data and compared them with non-TGD patients to characterize differences in suicide attempt, ideation, and violent victimization. TGD patients (n = 916) had more suicide attempts (5.2 vs. 0.4 percent), ideation (20.5 vs. 1.8 percent), and violent victimization (5.4 vs. 1.7 percent, all p < .001) than non-TGDs (n = 511,026). Violent victimization and TGD cohort were independent predictors of suicide attempt (odds ratios [ORs], 7.23 and 10.84) and ideation (ORs, 6.83 and 11.03, all p < .001). We did not observe a differential impact of violent victimization for gender minorities. TGD patients are at higher baseline risk for suicidality, which is higher still for those experiencing violent victimization. Routine screening for both outcomes, including in primary care settings, may improve treatment.

暴力受害在多大程度上可以解释跨性别和性别多样化（TGD）人群较高的自杀率，这一点尚不清楚。我们使用2008-2019年的电子健康记录数据确定了可能的TGD患者，并将他们与非TGD患者进行了比较，以确定自杀企图、意念和暴力受害方面的差异。TGD患者（n=916）的自杀企图（5.2%对0.4%）、意念（20.5%对1.8%）和暴力受害（5.4%对1.7%，均p＜0.001）多于非TGD（n=511026）。暴力受害和TGD队列是自杀未遂（比值比[OR]，7.23和10.84）和意念（比值比，6.83和11.03，均为p<.001）的独立预测因素。我们没有观察到暴力侵害对性别少数群体的不同影响。TGD患者自杀的基线风险更高，而那些遭受暴力侵害的患者自杀的风险更高。对这两种结果进行常规筛查，包括在初级保健环境中，可能会改善治疗。

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引用次数: 0

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