Abstract   Objectives: Since 1985, the international healthcare community has recommended the ideal rate of caesarean section (CS) to be 10%–15% at the national level. The literature has reported that overused CS without necessary medical indications can be harmful to both maternal and chil

Thailand’s dialysis policy reform, introduced in 2022, aimed to enable universal access to life-sustaining dialysis, but instead exposed systemic vulnerabilities that undermined dialysis quality, compromised patient safety and threatened sustainability of care. These outcomes highlight three ethical

Abstract Surrogate endpoints are frequently used as primary outcomes in clinical trials. This is appropriate when they are validated for their ability to predict clinical benefit measured on patient-relevant target outcome(s). Such validation is often lacking, thus increasing uncertainty in the dec

69401002PI008L0Alcoholic beverage,Policy intervention,Impact evaluation,Mixed-methods analysis

Evaluating health-related quality of life has many benefits. It can beused to evaluate the results of treatment from diseases as well as monitor population health. In addition, it can also be used in various types of research such as clinical research and econo measuring generic health status. The d

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Current challenges of climate change or global warming are issues that all countries worldwide prioritized and urgently addressed. Many countries have established policies to mitigate this problem. As is the case in other sectors, health systems contribute significantly to greenhouse gas emissions c

Background Chronic kidney disease is a growing global health concern, requiring kidney replacement therapy for survival. In Brunei, kidney failure incidence and prevalence are among the highest globally. Despite a peritoneal dialysis preference policy, uptake remains low, straining financial and hu

Background Healthcare policymaking often struggles to account for complex future uncertainties, particularly for policies affecting healthcare infrastructure or stakeholder behaviour. Scenario thinking is a structured approach for exploring multiple plausible futures. It has, however, been underuti

Kidney failure is the most advanced stage of chronic kidney disease, at which point patients require kidney replacement therapy (KRT) in the form of kidney transplant or lifelong dialysis to survive. Although many governments seek to provide KRT for patients with kidney failure under publicly funded