Pub Date : 2024-11-30DOI: 10.1016/j.healthpol.2024.105217
Nikita Jacob, Rita Santos, Peter Sivey
{"title":"Erratum to “The long-run effect of COVID-19 on hospital emergency department attendances:evidence from statistical analysis of hospital data from England” [Health Policy 150 (2024) 105168]","authors":"Nikita Jacob, Rita Santos, Peter Sivey","doi":"10.1016/j.healthpol.2024.105217","DOIUrl":"10.1016/j.healthpol.2024.105217","url":null,"abstract":"","PeriodicalId":55067,"journal":{"name":"Health Policy","volume":"152 ","pages":"Article 105217"},"PeriodicalIF":3.6,"publicationDate":"2024-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142756814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-27DOI: 10.1016/j.healthpol.2024.105216
Ignacio Cabib , Ariel Azar , Isabel Baumann , Andr Biehl , Laurie Corna , Eric Mautz , Martina Yopo-Díaz
We explore the association between adulthood employment patterns and later life health among men and women in four liberal regime countries: two from Europe (England and Switzerland) and two from the Americas (United States and Chile). We carefully harmonized life-history data from the surveys SHARE (N = 1,143), HRS (N = 4,006), ELSA (N = 3,083), and EVDA (N = 802). The samples included individuals born between 1944 and 1954, with information on employment histories from age 15 to 65 and on 11 health outcomes in later life. In line with welfare regime and health literature, we find significant differences in health outcomes between countries, which are likely explained by differences in health systems. However, we extend previous literature by showing that positive health outcomes are consistently explained by standard employment histories, and poor health outcomes are consistently explained by non-standard employment histories. Importantly, men and women following the same employment pathway across countries are either similarly penalized or compensated in their health. This suggests that it is not gender per se that affects health in later life, but the employment trajectory experienced. Nonetheless, women are disproportionately more likely to experience non-standard employment and thus suffer a greater health disadvantage. Policy measures to mitigate negative health effects of non-standard employment trajectories may therefore pay attention to the specific reasons why women are more likely to experience non-standard trajectories.
{"title":"Gendered employment trajectories and later life health in liberal regime countries: A quantitative study in the United States, England, Switzerland and Chile","authors":"Ignacio Cabib , Ariel Azar , Isabel Baumann , Andr Biehl , Laurie Corna , Eric Mautz , Martina Yopo-Díaz","doi":"10.1016/j.healthpol.2024.105216","DOIUrl":"10.1016/j.healthpol.2024.105216","url":null,"abstract":"<div><div>We explore the association between adulthood employment patterns and later life health among men and women in four liberal regime countries: two from Europe (England and Switzerland) and two from the Americas (United States and Chile). We carefully harmonized life-history data from the surveys SHARE (<em>N</em> = 1,143), HRS (<em>N</em> = 4,006), ELSA (<em>N</em> = 3,083), and EVDA (<em>N</em> = 802). The samples included individuals born between 1944 and 1954, with information on employment histories from age 15 to 65 and on 11 health outcomes in later life. In line with welfare regime and health literature, we find significant differences in health outcomes between countries, which are likely explained by differences in health systems. However, we extend previous literature by showing that positive health outcomes are consistently explained by standard employment histories, and poor health outcomes are consistently explained by non-standard employment histories. Importantly, men and women following the same employment pathway across countries are either similarly penalized or compensated in their health. This suggests that it is not gender per se that affects health in later life, but the employment trajectory experienced. Nonetheless, women are disproportionately more likely to experience non-standard employment and thus suffer a greater health disadvantage. Policy measures to mitigate negative health effects of non-standard employment trajectories may therefore pay attention to the specific reasons why women are more likely to experience non-standard trajectories.</div></div>","PeriodicalId":55067,"journal":{"name":"Health Policy","volume":"152 ","pages":"Article 105216"},"PeriodicalIF":3.6,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142756813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Corrigendum to “How COVID-19 illness perceptions and individual shocks are associated with trust during the COVID-19 pandemic in Australia, France, Germany, and South Africa” [Health policy (2024) 105178]","authors":"Marie-Hélène Broihanne , Daria Plotkina , Stefanie Kleimeier , Anja S. Göritz , Arvid O.I. Hoffmann","doi":"10.1016/j.healthpol.2024.105212","DOIUrl":"10.1016/j.healthpol.2024.105212","url":null,"abstract":"","PeriodicalId":55067,"journal":{"name":"Health Policy","volume":"151 ","pages":"Article 105212"},"PeriodicalIF":3.6,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142693833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-19DOI: 10.1016/j.healthpol.2024.105209
Michael Berger , Martin Zuba , Judit Simon
Medical practice variation in mental healthcare is a useful indicator for policymakers aiming to improve the efficiency of healthcare delivery. Previous studies have shown strong regional variation in healthcare utilisation in Austria, which seems to be a by-product of regionalised institutional rules and healthcare service mix rather than epidemiology. We use a set of routine municipality-level healthcare data on hospital admissions for depressive episodes of adult Austrian patients from 2009 to 2014 to examine spatial patterns in healthcare utilisation in mental health. Our data contains 93,302 hospital episodes by 65,908 adult patients across 2114 municipalities. We estimate a random-effects spatial autoregressive combined model to regress log hospital admission rates on hospital supply and urbanicity as proxies for municipality healthcare service mix alongside demographic and socioeconomic controls. We find that admissions for depression are substantially higher in suburban municipalities compared to rural areas and in municipalities with hospitals compared to those without. The spatial structure suggests positive spatial spillovers between neighbouring municipalities. Our main results are stable across virtually all model specifications used for robustness and show that healthcare service mix and supply of hospital services strongly correlate with spatial patterns of hospital admission rates in the population. Promoting timely access to high-quality primary care and early-stage treatments may reduce the burden of avoidable depression-related hospitalisations for patients and public budgets, and close a gap of unmet need for care of vulnerable populations.
{"title":"Urban–rural disparities in hospital admissions for depression in Austria","authors":"Michael Berger , Martin Zuba , Judit Simon","doi":"10.1016/j.healthpol.2024.105209","DOIUrl":"10.1016/j.healthpol.2024.105209","url":null,"abstract":"<div><div>Medical practice variation in mental healthcare is a useful indicator for policymakers aiming to improve the efficiency of healthcare delivery. Previous studies have shown strong regional variation in healthcare utilisation in Austria, which seems to be a by-product of regionalised institutional rules and healthcare service mix rather than epidemiology. We use a set of routine municipality-level healthcare data on hospital admissions for depressive episodes of adult Austrian patients from 2009 to 2014 to examine spatial patterns in healthcare utilisation in mental health. Our data contains 93,302 hospital episodes by 65,908 adult patients across 2114 municipalities. We estimate a random-effects spatial autoregressive combined model to regress log hospital admission rates on hospital supply and urbanicity as proxies for municipality healthcare service mix alongside demographic and socioeconomic controls. We find that admissions for depression are substantially higher in suburban municipalities compared to rural areas and in municipalities with hospitals compared to those without. The spatial structure suggests positive spatial spillovers between neighbouring municipalities. Our main results are stable across virtually all model specifications used for robustness and show that healthcare service mix and supply of hospital services strongly correlate with spatial patterns of hospital admission rates in the population. Promoting timely access to high-quality primary care and early-stage treatments may reduce the burden of avoidable depression-related hospitalisations for patients and public budgets, and close a gap of unmet need for care of vulnerable populations.</div></div>","PeriodicalId":55067,"journal":{"name":"Health Policy","volume":"151 ","pages":"Article 105209"},"PeriodicalIF":3.6,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142699580","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-19DOI: 10.1016/j.healthpol.2024.105214
Akbar Zamanzadeh , Marion Eckert , Nadia Corsini , Pam Adelson , Greg Sharplin
This paper investigates the effects of work demands on burnout indices of emotional exhaustion, depersonalization and personal accomplishment, and mental health indices of anxiety, depression and stress, among Australian nurses and midwives. We used de-identified self-reported survey data from approximately 11,000 Australian nurses and midwives during the pandemic. Linear and quantile regression analyses explored how working conditions affect different aspects of nurses and midwives' burnout and mental health. Results show how working conditions affect burnout and mental health heterogeneously depending on the severity of the mental health symptoms. Increased quantitative and emotional work demands significantly impact occupational burnout indices of emotional exhaustion and depersonalization, and mental health indices of anxiety, depression, and stress among Australian nurses and midwives. Quantitative and emotional demands have more significant effects on people with higher levels of anxiety, depression, stress, and depersonalization than on those with milder or lesser symptoms. Given recent national and international policy focus on psychosocial hazards at work, this paper suggests that governments and health care providers need to monitor such hazards among nurses and midwives and introduce policies that reduce excessive quantitative or emotional burden to minimise risk of burnout and poor mental health and support good mental health among nurses and midwives.
{"title":"Mental health of Australian frontline nurses during the COVID-19 pandemic: Results of a large national survey","authors":"Akbar Zamanzadeh , Marion Eckert , Nadia Corsini , Pam Adelson , Greg Sharplin","doi":"10.1016/j.healthpol.2024.105214","DOIUrl":"10.1016/j.healthpol.2024.105214","url":null,"abstract":"<div><div>This paper investigates the effects of work demands on burnout indices of emotional exhaustion, depersonalization and personal accomplishment, and mental health indices of anxiety, depression and stress, among Australian nurses and midwives. We used de-identified self-reported survey data from approximately 11,000 Australian nurses and midwives during the pandemic. Linear and quantile regression analyses explored how working conditions affect different aspects of nurses and midwives' burnout and mental health. Results show how working conditions affect burnout and mental health heterogeneously depending on the severity of the mental health symptoms. Increased quantitative and emotional work demands significantly impact occupational burnout indices of emotional exhaustion and depersonalization, and mental health indices of anxiety, depression, and stress among Australian nurses and midwives. Quantitative and emotional demands have more significant effects on people with higher levels of anxiety, depression, stress, and depersonalization than on those with milder or lesser symptoms. Given recent national and international policy focus on psychosocial hazards at work, this paper suggests that governments and health care providers need to monitor such hazards among nurses and midwives and introduce policies that reduce excessive quantitative or emotional burden to minimise risk of burnout and poor mental health and support good mental health among nurses and midwives.</div></div>","PeriodicalId":55067,"journal":{"name":"Health Policy","volume":"151 ","pages":"Article 105214"},"PeriodicalIF":3.6,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142699581","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-14DOI: 10.1016/j.healthpol.2024.105213
Toni Mora , Montserrat Martínez-Marcos , Carmen Cabezas-Peña
The most effective method of preventing influenza infection and complications is through vaccination. However, annual vaccination rates remain low. This study examines the impact of influenza vaccination on healthcare utilisation among the elderly population in Catalonia, Spain. Indeed, we examine the impact of vaccination on various outcomes related to direct and indirect health costs. Utilising longitudinal data on healthcare resource utilisation for individuals born before 1965 in Catalonia, we used instrumental variables for vaccination shots based on previous flu campaign incidence individually and outbreaks in the area of residence. The results showed a significant (beneficial) impact of vaccination on using influenza-related healthcare (count of visits and health direct costs) and sick leave duration. However, no effects were observed on influenza-related mortality.
{"title":"The influenza vaccination's impact elderly's health outcomes in Catalonia (Spain)","authors":"Toni Mora , Montserrat Martínez-Marcos , Carmen Cabezas-Peña","doi":"10.1016/j.healthpol.2024.105213","DOIUrl":"10.1016/j.healthpol.2024.105213","url":null,"abstract":"<div><div>The most effective method of preventing influenza infection and complications is through vaccination. However, annual vaccination rates remain low. This study examines the impact of influenza vaccination on healthcare utilisation among the elderly population in Catalonia, Spain. Indeed, we examine the impact of vaccination on various outcomes related to direct and indirect health costs. Utilising longitudinal data on healthcare resource utilisation for individuals born before 1965 in Catalonia, we used instrumental variables for vaccination shots based on previous flu campaign incidence individually and outbreaks in the area of residence. The results showed a significant (beneficial) impact of vaccination on using influenza-related healthcare (count of visits and health direct costs) and sick leave duration. However, no effects were observed on influenza-related mortality.</div></div>","PeriodicalId":55067,"journal":{"name":"Health Policy","volume":"151 ","pages":"Article 105213"},"PeriodicalIF":3.6,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142677766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-10DOI: 10.1016/j.healthpol.2024.105202
Maria Alejandra Rodriguez-Duarte, Pamela Fernainy, Lise Gauvin, Géraldine Layani, Marie-Eve Poitras, Mylaine Breton, Claire Godard-Sebillotte, Catherine Hudon, Janusz Kaczorowski, Yves Couturier, Anaïs Lacasse, Marie-Thérèse Lussier, Cristina Longo, Nadia Sourial
Background: This study aimed to develop an organizational typology of Interprofessional Primary Care (IPC) teams in Quebec, Canada, by describing their organizational profiles and assessing the association between the characteristics of the populations served and the organizational profiles.
Methods: This cross-sectional study was carried out using a finite mixture model of the 2021 financial monitoring data from the Ministry of Health and Social Services of Quebec. The population consisted of all IPC teams in Quebec (N = 368). A multinomial logistic model was used to assess the association between the population characteristics and the organizational profiles.
Results: The analysis revealed that IPC teams were heterogeneous and could be classified into five distinct profiles varying in size, team composition, sector, type, and level of partnership. Pregnant women (odds ratio [OR] = 2.78, 95 % confidence interval [CI] 1.98-3.91), disadvantaged patients ([OR] = 1.62, [CI] 1.15-2.28), patients receiving homecare support ([OR] = 1.85, [CI] 1.28-2.66) and rural patients ([OR] = 0.66, [CI] 0.50-0.86)) were more likely to be associated to the medium, public, university-affiliated, practitioner-oriented, low partnered profile compared to the very small, private, regular, high-partnered profile.
Conclusion: IPC teams can be characterized into five distinct profiles that are associated with the characteristics of the populations they serve. These results may help to better evaluate if the desired effects of IPC teams have been achieved.
{"title":"Development of an organizational typology of interprofessional primary care teams in Quebec, Canada: A multivariate analysis.","authors":"Maria Alejandra Rodriguez-Duarte, Pamela Fernainy, Lise Gauvin, Géraldine Layani, Marie-Eve Poitras, Mylaine Breton, Claire Godard-Sebillotte, Catherine Hudon, Janusz Kaczorowski, Yves Couturier, Anaïs Lacasse, Marie-Thérèse Lussier, Cristina Longo, Nadia Sourial","doi":"10.1016/j.healthpol.2024.105202","DOIUrl":"https://doi.org/10.1016/j.healthpol.2024.105202","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to develop an organizational typology of Interprofessional Primary Care (IPC) teams in Quebec, Canada, by describing their organizational profiles and assessing the association between the characteristics of the populations served and the organizational profiles.</p><p><strong>Methods: </strong>This cross-sectional study was carried out using a finite mixture model of the 2021 financial monitoring data from the Ministry of Health and Social Services of Quebec. The population consisted of all IPC teams in Quebec (N = 368). A multinomial logistic model was used to assess the association between the population characteristics and the organizational profiles.</p><p><strong>Results: </strong>The analysis revealed that IPC teams were heterogeneous and could be classified into five distinct profiles varying in size, team composition, sector, type, and level of partnership. Pregnant women (odds ratio [OR] = 2.78, 95 % confidence interval [CI] 1.98-3.91), disadvantaged patients ([OR] = 1.62, [CI] 1.15-2.28), patients receiving homecare support ([OR] = 1.85, [CI] 1.28-2.66) and rural patients ([OR] = 0.66, [CI] 0.50-0.86)) were more likely to be associated to the medium, public, university-affiliated, practitioner-oriented, low partnered profile compared to the very small, private, regular, high-partnered profile.</p><p><strong>Conclusion: </strong>IPC teams can be characterized into five distinct profiles that are associated with the characteristics of the populations they serve. These results may help to better evaluate if the desired effects of IPC teams have been achieved.</p>","PeriodicalId":55067,"journal":{"name":"Health Policy","volume":"152 ","pages":"105202"},"PeriodicalIF":3.6,"publicationDate":"2024-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787824","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-09DOI: 10.1016/j.healthpol.2024.105201
Akshay Pendyal
{"title":"Derek Parfit, personal identity, and the obligation to reduce others' Suffering","authors":"Akshay Pendyal","doi":"10.1016/j.healthpol.2024.105201","DOIUrl":"10.1016/j.healthpol.2024.105201","url":null,"abstract":"","PeriodicalId":55067,"journal":{"name":"Health Policy","volume":"151 ","pages":"Article 105201"},"PeriodicalIF":3.6,"publicationDate":"2024-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142640321","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-08DOI: 10.1016/j.healthpol.2024.105198
Ivana Gusar , Dragan Šijan , Tomislav Sorić , Sonja Šare , Mediana Županović , Marija Ljubičić
The turnover intention rate among nurses is very high both worldwide, and in Europe. It is related to personal and professional factors that contribute to the decision to leave or stay. This descriptive cross-sectional study aimed to identify the personal and professional predictors that contribute to nurses’ turnover intention in Croatia. A convenient sample of 448 nurses employed in public general hospitals was used. The Practice Environment Scale of the Nursing Work Index questionnaire and the Turnover Intention Scale were applied. A logistic regression model was used to determine the associations between nurses' turnover intention and their personal and professional factors. The results indicate that both types of factors can influence nurses’ turnover intention. The associations between turnover intention and personal factors such as age (p = 0.033), gender (p = 0.023), job satisfaction (p < 0.001), and social satisfaction (p = 0.006), were recorded. Nurse participation in hospital affairs (p = 0.026), and the nurse manager ability, leadership, and support of nurses (p = 0.002), which are professional factors were also associated with turnover intention. In order to prevent turnover intention, continuous measures need to be planned and implemented to increase nurses' satisfaction and improve their working environment.
{"title":"Predictors of Croatian nurses' turnover intention: A cross-sectional study","authors":"Ivana Gusar , Dragan Šijan , Tomislav Sorić , Sonja Šare , Mediana Županović , Marija Ljubičić","doi":"10.1016/j.healthpol.2024.105198","DOIUrl":"10.1016/j.healthpol.2024.105198","url":null,"abstract":"<div><div>The turnover intention rate among nurses is very high both worldwide, and in Europe. It is related to personal and professional factors that contribute to the decision to leave or stay. This descriptive cross-sectional study aimed to identify the personal and professional predictors that contribute to nurses’ turnover intention in Croatia. A convenient sample of 448 nurses employed in public general hospitals was used. The Practice Environment Scale of the Nursing Work Index questionnaire and the Turnover Intention Scale were applied. A logistic regression model was used to determine the associations between nurses' turnover intention and their personal and professional factors. The results indicate that both types of factors can influence nurses’ turnover intention. The associations between turnover intention and personal factors such as age (<em>p</em> = 0.033), gender (<em>p</em> = 0.023), job satisfaction (<em>p</em> < 0.001), and social satisfaction (<em>p</em> = 0.006), were recorded. Nurse participation in hospital affairs (<em>p</em> = 0.026), and the nurse manager ability, leadership, and support of nurses (<em>p</em> = 0.002), which are professional factors were also associated with turnover intention. In order to prevent turnover intention, continuous measures need to be planned and implemented to increase nurses' satisfaction and improve their working environment.</div></div>","PeriodicalId":55067,"journal":{"name":"Health Policy","volume":"151 ","pages":"Article 105198"},"PeriodicalIF":3.6,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142640323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-08DOI: 10.1016/j.healthpol.2024.105200
Stephen Whiting , Karim Abu-Omar , Peter Gelius , João Firmino-Machado , Ivo Rakovac , Romeu Mendes
National policies are a key starting point to achieve changes in population health. This study aimed to provide an overview of the relationship between physical activity policy implementation and the levels of sufficient physical activity across the European Union over the last decade.
Data from the 23 indicators of the European Union Health-Enhancing Physical Activity Monitoring Framework established to monitor country implementation of the European Union Physical Activity Guidelines from 2015, 2018 and 2021, and physical activity prevalence data from the Special Eurobarometer on Sport and Physical Activity in 2013, 2017 and 2022 were analysed.
European Union Member States significantly increased their physical activity policy implementation from 2015 to 2021 by 13.2 % (63.30 ± 18.89 versus 76.51 ± 14.94 %, p < 0.001, 95 % CI [-19.97, -6.45]). However, no significant change in levels of sufficient physical activity was found between 2013 and 2022 (60.59 ± 15.67 versus 61.70 ± 17.67 %, p = 0.360, 95 % CI [-3.61, 1.39]). Additionally, most European Union countries are not on track to meet the targeted 10 % relative reduction in levels of insufficient physical activity by 2025.
Physical activity policies in the European Union do not appear to be related with the intended goal of increasing levels of physical activity. Policies may need to be reviewed and policy monitoring expanded, strengthened, and better integrated.
{"title":"Physical activity policy implementation and physical activity levels in the European Union: Are we on track to close the gap between policy and practice?","authors":"Stephen Whiting , Karim Abu-Omar , Peter Gelius , João Firmino-Machado , Ivo Rakovac , Romeu Mendes","doi":"10.1016/j.healthpol.2024.105200","DOIUrl":"10.1016/j.healthpol.2024.105200","url":null,"abstract":"<div><div>National policies are a key starting point to achieve changes in population health. This study aimed to provide an overview of the relationship between physical activity policy implementation and the levels of sufficient physical activity across the European Union over the last decade.</div><div>Data from the 23 indicators of the European Union Health-Enhancing Physical Activity Monitoring Framework established to monitor country implementation of the European Union Physical Activity Guidelines from 2015, 2018 and 2021, and physical activity prevalence data from the Special Eurobarometer on Sport and Physical Activity in 2013, 2017 and 2022 were analysed.</div><div>European Union Member States significantly increased their physical activity policy implementation from 2015 to 2021 by 13.2 % (63.30 ± 18.89 versus 76.51 ± 14.94 %, <em>p</em> < 0.001, 95 % CI [-19.97, -6.45]). However, no significant change in levels of sufficient physical activity was found between 2013 and 2022 (60.59 ± 15.67 versus 61.70 ± 17.67 %, <em>p</em> = 0.360, 95 % CI [-3.61, 1.39]). Additionally, most European Union countries are not on track to meet the targeted 10 % relative reduction in levels of insufficient physical activity by 2025.</div><div>Physical activity policies in the European Union do not appear to be related with the intended goal of increasing levels of physical activity. Policies may need to be reviewed and policy monitoring expanded, strengthened, and better integrated.</div></div>","PeriodicalId":55067,"journal":{"name":"Health Policy","volume":"151 ","pages":"Article 105200"},"PeriodicalIF":3.6,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142649876","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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