Health Services Insights最新文献

{"title":"Bridging Gaps in Hepatitis B Virus Prevention: A Systematic Review and Meta-Analysis of Knowledge, Attitudes and Preventive Practices in Ethiopia.","authors":"Beshada Zerfu Woldegeorgis, Kinfe Woldu Ekubazgi, Ermiyas Abera Urgesa, Gizachew Ambaw Kassie, Amanuel Yosef Gebrekidan, Yordanos Sisay Asgedom","doi":"10.1177/11786329261470986","DOIUrl":"10.1177/11786329261470986","url":null,"abstract":"<p><strong>Background: </strong>Hepatitis B virus (HBV) infection continues to pose a significant global health challenge, with prevention efforts heavily dependent on individuals' knowledge, attitudes, and practices. Recognizing the critical role of comprehensive data in shaping policy, we sought to pool estimates from primary studies conducted across various regions of Ethiopia.</p><p><strong>Methods: </strong>Full text studies published in English from December 31^st 2010 to May 31^st, 2025 were identified through searches in the PubMed, Embase, Web of Science, African Journals Online, Google Scholar, and Scopus databases using the medical subject headings and text words. The protocol was registered in the PROSPERO and the results were reported accordance with the PRISMA 2020. The heterogeneity was evaluated graphically and using statistical methods. Publication bias was assessed with a funnel plot and Egger's regression (significant at <i>P</i> ≤ 0.05). A random-effects meta-analysis was performed to calculate the pooled estimates.</p><p><strong>Results: </strong>The search identified 980 records and 26 studies met the eligibility criteria and were included. The pooled prevalence of a good level of knowledge, favorable attitudes, and good prevention practices was 47.45% (95% confidence interval (CI) 36.53, 58.36), 50.48% (95% CI 38.65, 62.30), and 36.22% (95% CI 27.22, 45.23), respectively. In the subgroup analysis, a good level of knowledge among barbers was only 11.14% (95% CI 8.55-13.74). Being a rural resident (pooled odds ratio (pOR) = 2.25, 95% CI 1.39, 3.63), illiterate (pOR = 2.22, 95% CI 1.30, 3.76), having poor knowledge (pOR = 2.13, 95% CI 1.56, 2.91), and having unfavorable attitudes (pOR = 3.56, 95% CI 1.17, 10.81) were significantly associated with poor HBV prevention practices.</p><p><strong>Conclusions and recommendations: </strong>The results revealed elevated gaps in knowledge, attitudes, and practices related to the prevention of HBV infection. These results highlight the urgent need to strengthen public awareness campaigns, integrate HBV modules into adult literacy programs, and develop culturally sensitive communication strategies to counter cultural myths that hinder positive attitudes and practices toward HBV prevention and care, establish mobile clinics for rural communities, promote adult education programs for rural communities in local languages.</p>","PeriodicalId":12876,"journal":{"name":"Health Services Insights","volume":"19 ","pages":"11786329261470986"},"PeriodicalIF":2.1,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13379670/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148497589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An Evidence-Based and Lived Experience Approach to Improving Therapeutic Environments for Neurodivergent Clients.","authors":"Amile Cominotti, Cailyn Green","doi":"10.1177/11786329261465576","DOIUrl":"10.1177/11786329261465576","url":null,"abstract":"<p><p>Neurodivergent individuals face substantial environmental and communication difficulties when accessing counseling services. The majority of these clients report sensory sensitivities and accessibility barriers that impact their ability to engage in treatment. This community perspective integrates current evidence-based research with lived experience to provide practical guidance for supporting neurodivergent needs. Recommendations address how counselors can modify their practices and physical spaces to reduce anxiety, support diverse processing styles, and honor neurodivergent ways of being rather than requiring conformity to neurotypical norms. Many proposed modifications require minimal financial investment and can be implemented by individual counselors regardless of organizational constraints, making neurodivergent-affirming care accessible even within resource-limited settings.</p>","PeriodicalId":12876,"journal":{"name":"Health Services Insights","volume":"19 ","pages":"11786329261465576"},"PeriodicalIF":2.1,"publicationDate":"2026-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13373399/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148470287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bridging Knowledge Gaps in Rheumatic Heart Disease Prevention: A Narrative Review of Educational Interventions Across Resource-Limited Settings.","authors":"Ganesh Shetty, Prashant Khadka, Dhurba Khatri, Rudra Prakash Hada, Yamuna Chhetri, Shishir Paudel, Sandeepa Karki","doi":"10.1177/11786329261469677","DOIUrl":"10.1177/11786329261469677","url":null,"abstract":"<p><strong>Background: </strong>Acute rheumatic fever (ARF) and rheumatic heart disease (RHD) remain major public health challenges in low- and middle-income countries, where limited awareness, delayed care-seeking, and inadequate provider training contribute to preventable morbidity and mortality.</p><p><strong>Methods: </strong>A narrative review was conducted using an integrative synthesis framework to examine educational and awareness strategies implemented between 2010 and 2025. Searches across MEDLINE, Scopus, CINAHL, DOAJ, and grey literature sources identified studies reporting educational interventions targeting community members, mothers, students, or healthcare workers. Seven eligible studies were synthesised thematically based on intervention type, delivery modality, and outcomes.</p><p><strong>Result: </strong>Across the seven included studies, educational and awareness interventions consistently improved knowledge, attitudes, preventive practices, or clinical competencies related to ARF/RHD. Although study designs, target populations, and delivery modes varied widely, all interventions demonstrated positive short-term effects. Healthcare-worker programmes reported notable gains in clinical understanding and confidence, particularly regarding diagnosis and benzathine penicillin use. Maternal education improved awareness and preventive practices, while school-based sessions enhanced immediate understanding despite a gradual decline over time. Community-level mass-media campaigns achieved broad reach and generated substantial increases in both knowledge and seeking care for sore throat. Collectively, the evidence demonstrates clear beneficial trends, though long-term sustainability and comparative effectiveness remain insufficiently evaluated.</p><p><strong>Conclusion: </strong>Educational and awareness interventions consistently improve ARF/RHD-related knowledge, behaviours, and clinical competencies. Sustained impact, however, depends on integrated, multi-level approaches that combine school-based reinforcement, maternal education, health-worker training, and community-wide communication.</p>","PeriodicalId":12876,"journal":{"name":"Health Services Insights","volume":"19 ","pages":"11786329261469677"},"PeriodicalIF":2.1,"publicationDate":"2026-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13369408/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148455791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating a Multi-Site Quality Improvement Intervention for Early Essential Newborn Care: Trends and Persistent Gaps Across Three Assessment Rounds in Viet Nam.","authors":"Bui Thi Tu Quyen, Vu Thi Hoang Lan, Nguyen Van Chi, Hoang Anh Tuan, Hoang Tran, Pham Quynh Nga, Marzia Lazzerini, Nuhu Omeiza Yaqub","doi":"10.1177/11786329261468511","DOIUrl":"10.1177/11786329261468511","url":null,"abstract":"<p><strong>Background: </strong>Early Essential Newborn Care (EENC) is an evidence-based strategy to reduce neonatal morbidity and mortality, yet implementation gaps persist in many low- and middle-income countries. In Vietnam, a multi-site quality improvement initiative, including clinical training, on-site coaching, supportive supervision, and facility-level quality improvement planning, was implemented to strengthen EENC practices across diverse hospital settings.</p><p><strong>Methods: </strong>A repeated cross-sectional study was conducted in 14 hospitals across four provinces using data from three assessment rounds (December 2022, March 2024, and August 2024). Targeted EENC quality improvement activities were implemented between Rounds 1 and 2 and reinforced between Rounds 2 and 3. Medical record reviews, maternal interviews, and facility assessments were used to evaluate changes in EENC implementation. Indicators were selected based on WHO EENC standards, clinical and programmatic relevance, alignment with the intervention package, and availability across all three rounds. Proportions were compared using chi-square or Fisher's exact tests, as appropriate.</p><p><strong>Results: </strong>Improvements were observed in several technical practices. Immediate skin-to-skin contact increased from 32.5% in Round 1 to 73.8% in Round 3, and sustained skin-to-skin contact from 8.2% to 38.4% (p<0.001). Vitamin K1 administration rose from 93.0% to 99.3%, and non-application of antibiotic eye ointment from 88.8% to 98.8% (p<0.001). However, several indicators declined, including non-separation of mother and newborn (96.8% to 81.0%), early breastfeeding initiation (83.1% to 73.5%), no prelacteal feeding (28.0% to 19.1%), uterotonic use (99.3% to 94.6%), and uterine contraction monitoring (98.9% to 90.2%) (all p≤0.03). In Round 3, cesarean births showed persistent gaps compared with vaginal births.</p><p><strong>Conclusion: </strong>The quality improvement initiative was associated with gains in selected technical EENC practices. However, declines in maternal monitoring and mother-infant support practices, and persistent gaps after cesarean birth, indicate that training and supervision alone are insufficient. Broader health-system strengthening is required to sustain full EENC implementation.</p>","PeriodicalId":12876,"journal":{"name":"Health Services Insights","volume":"19 ","pages":"11786329261468511"},"PeriodicalIF":2.1,"publicationDate":"2026-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13369565/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148455785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Chronic Kidney Disease Screening Practice Among High-Risk Patients During Follow-Up in Sub-Saharan Africa: A Systematic Review.","authors":"Habtamu Abera Areri, Yewondwossen Tadesse Mengistu, Rebecca Gary","doi":"10.1177/11786329261468554","DOIUrl":"10.1177/11786329261468554","url":null,"abstract":"<p><strong>Background: </strong>Screening for Chronic Kidney Disease (CKD) for high-risk patients is essential to provide early detection, management, and delayed progression. In Sub-Saharan Africa (SSA), CKD screening remains variable and inadequate. Therefore, the review question was: what is the current practice of screening for CKD in high-risk patients (hypertension and diabetes) attending chronic care follow-up visits in SSA?</p><p><strong>Methods: </strong>The systematic review followed the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) 2020 guidelines. The review included studies published from 2010 to August 2025. Inclusion criteria included screening practices or early detection of chronic kidney diseases among high-risk patients during routine care in SSA. The review followed the JBI Condition, Context, and Population (CoCoPop) protocol. Two independent reviewers screened, appraised, and extracted data using the standardized JBI SUMARI data extraction form. Narrative synthesis of the findings was carried out to understand CKD screening practice in SSA.</p><p><strong>Results: </strong>Out of 856 records identified, twelve studies from SSA focused on high-risk patients screened for CKD who met criteria and were included. Serum creatinine was the most common method used to screen CKD during routine follow-up of high-risk patients, followed by albuminuria and estimated glomerular filtration rate(eGFR). The prevalence of CKD screening during routine care varies from 8.4% to 38.5%. Older age, being a female, duration of diabetes and/or hypertension, and co-existence of hypertension and diabetes were identified as factors associated with CKD screening practice.</p><p><strong>Conclusion and recommendations: </strong>Routine follow-up of high-risk patients demonstrated that CKD screening was effective in early patient identification. Most of the included studies relied on one-time screening, which may not accurately represent the true prevalence; therefore, confirmatory CKD screening should be conducted. Finally, healthcare providers should prioritize older age, female gender, duration of the high-risk conditions, and concomitance of hypertension and diabetes.</p>","PeriodicalId":12876,"journal":{"name":"Health Services Insights","volume":"19 ","pages":"11786329261468554"},"PeriodicalIF":2.1,"publicationDate":"2026-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13365639/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148445924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Financial Inclusion Reforms and Female Entrepreneurship in Latin America: Evidence With Health Equity Heterogeneity.","authors":"Mario de la Puente, José Torres, Hernán Guzmán, Johana Elisa Fajardo Pereira, Aníbal Henrique Toscano Hernández","doi":"10.1177/11786329261469226","DOIUrl":"10.1177/11786329261469226","url":null,"abstract":"<p><p>Female entrepreneurship is an important dimension of women's economic participation in Latin America and may also function as a pathway with implications for health and wellbeing. This study estimates the causal effects of national financial inclusion reforms (2014-2018) on female entrepreneurship using staggered difference-in-differences with Callaway-Sant'Anna estimators across 15 countries. Data from the World Bank, ECLAC, and PAHO span 2014-2021. The empirical analysis does not model health outcomes directly; instead, it tests whether the entrepreneurship effects of financial inclusion reforms vary according to pre-existing gender inequity in health systems, measured through a composite index based on maternal mortality, antenatal care, contraceptive prevalence, and health insurance access. The study therefore contributes primarily to economic policy analysis while drawing on a health-related contextual framework to show how baseline health-system conditions moderate policy effectiveness in promoting female entrepreneurship.</p>","PeriodicalId":12876,"journal":{"name":"Health Services Insights","volume":"19 ","pages":"11786329261469226"},"PeriodicalIF":2.1,"publicationDate":"2026-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13365646/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148445856","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Impact of COVID-19 on Healthcare Access for Gender-Diverse Adults: A Qualitative Study.","authors":"Saniya Sahasrabudhe, Jaylin Snyder, Ellesse-Roselee Akré","doi":"10.1177/11786329261464655","DOIUrl":"10.1177/11786329261464655","url":null,"abstract":"<p><strong>Background: </strong>Transgender and gender-diverse (TGD) individuals, whose well-being relies on gender-affirming care, faced heightened barriers during the COVID-19 pandemic. Structural inequities intensified as non-emergent services were deprioritized.</p><p><strong>Objective: </strong>In this paper we examined changes and delays in healthcare access by TGD populations across the United States during the COVID-19 pandemic.</p><p><strong>Methods & design: </strong>From September 2022 through March 2023, we administered an online survey to TGD adults in the United States. Participants responded to the question, \"How did COVID-19 impact your experience accessing healthcare?\" We used inductive coding and thematic analysis techniques to analyze the 87 responses.</p><p><strong>Results: </strong>Response themes were: (1) shift to telehealth, (2) availability and access and why those were limited, (3) affordability, (4) delays in gender-affirming care, and (5) delays in healthcare overall. Participants frequently discussed telehealth shifts and access limitations.</p><p><strong>Conclusion: </strong>TGD individuals face significant, structurally rooted healthcare barriers that COVID-19 intensified. Integrating gender-affirming care into comprehensive healthcare systems is essential for ensuring accessible care for TGD populations. Additionally, creating and reforming relevant policies with input from TGD individuals can help reduce healthcare access disparities going forward and in future crises.</p>","PeriodicalId":12876,"journal":{"name":"Health Services Insights","volume":"19 ","pages":"11786329261464655"},"PeriodicalIF":2.1,"publicationDate":"2026-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13351221/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148420667","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Multi-Hospital Assessment of Healthcare Service Quality and Patient Satisfaction in Ghana's Tertiary Hospitals: Implications for Sustainable Development Goal 3.","authors":"Michael Darko Ashaley, Thompson Jacob Asare, Kissinger Marfo, Asare Offei, Mark Tiboah Appiah, Gloria Amy Kumi, Veronica Adwubi, Godsway Solomon Attepor, Ivana Abena Adzigbli, Osaro Mgbere, James Edward Mensah, Stephen T Odonkor","doi":"10.1177/11786329261467279","DOIUrl":"10.1177/11786329261467279","url":null,"abstract":"<p><strong>Background: </strong>Sustainable Development Goal 3 (SDG 3) emphasizes universal access to high-quality healthcare services as a cornerstone of global health improvement. Although access to care has expanded in many low- and middle-income countries, including Ghana, healthcare service quality (HSQ) and patient satisfaction (PS) remain uneven, particularly within tertiary hospitals. This study assessed PS and determinants of HSQ in Ghanaian tertiary hospitals using the RATER model.</p><p><strong>Methods: </strong>A multi-center cross-sectional survey was conducted among patients attending five tertiary hospitals in Ghana that were operational prior to the inception of SDG 3. PS was measured using the Client Satisfaction Questionnaire (CSQ-8), while HSQ was assessed using the RATER dimensions of SERVQUAL. Of the 354 participants targeted, 297 were enrolled with a response rate of 83.9%. Data were collected electronically using REDCap. Group differences, associations, and predictors of PS were examined using appropriate non-parametric tests and multivariable regression models. All analyses were performed using SPSS and R software.</p><p><strong>Results: </strong>The mean age of participants was 38.96 ± 15.19 years (range: 18-75), and 65.7% were female. Overall PS was high with a mean score of 3.56 ± 0.41. All RATER gap dimensions were strongly intercorrelated (<i>ρ</i>= 0.62-0.80) and demonstrated moderate-to-strong positive associations with PS (<i>ρ</i>=0.50-0.59). Demographic characteristics were not significantly associated with satisfaction. However, monthly income predicted satisfaction, with low-income participants reporting higher satisfaction than those with no income. Institutional differences in unadjusted satisfaction were observed, with the highest satisfaction among patients attending Tamale and Komfo Anokye Teaching Hospitals, although these differences attenuated after multivariable adjustment. Among HSQ dimensions, reliability showed the strongest association with PS.</p><p><strong>Conclusion: </strong>Patient satisfaction in Ghana's tertiary hospitals is driven more by structural and socioeconomic conditions, institutional performance and perceived service reliability than by demographic characteristics. Strengthening reliability in service delivery and reducing inter-hospital disparities are critical for advancing patient-centered care and achieving SDG 3.</p>","PeriodicalId":12876,"journal":{"name":"Health Services Insights","volume":"19 ","pages":"11786329261467279"},"PeriodicalIF":2.1,"publicationDate":"2026-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13354924/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148420664","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Regional Disparities in Rehabilitation Resources and Service Provision for Older Adults in Secondary Healthcare Regions: Analysis of a Large Health Insurance Claim Database in Japan.","authors":"Kaori Yamaguchi, Yasuhiro Nakanishi, Yuichi Nishioka, Tomoaki Imamura, Wouter De Groote, Manabu Akahane","doi":"10.1177/11786329261461051","DOIUrl":"10.1177/11786329261461051","url":null,"abstract":"<p><strong>Background: </strong>Regional health disparities have been reported in many countries, including Japan. As rehabilitation needs increase worldwide owing to population aging and the epidemiological shift from communicable to non-communicable diseases, addressing unmet rehabilitation needs is crucial.</p><p><strong>Objective: </strong>To analyze and compare rehabilitation resources and service provision for older adults across secondary healthcare regions in Japan.</p><p><strong>Design: </strong>A quantitative, analytical cross-sectional design was used in this study.</p><p><strong>Methods: </strong>Nara Prefecture, a representative region in Japan comprising five secondary healthcare regions, was selected as the study setting. Data relevant to rehabilitation were obtained from routine national surveys and the Kokuho local government database for the period April 2019 to March 2020, and retrospectively analyzed as secondary data. The Kokuho database includes medical insurance claims for 213,933 residents aged ≥ 75 years, covering the entire prefectural population in this age group. A descriptive regional comparison was conducted using aggregated administrative data, including age-standardized claims ratios for rehabilitation sessions, to compare secondary healthcare regions.</p><p><strong>Results: </strong>The southern secondary healthcare region, characterized by the smallest population and lowest population density, showed distinctive features. It had the lowest per capita number of rehabilitation beds and professionals across all medical institutions within the region among the secondary healthcare regions. Although the proportion of individuals receiving rehabilitation services was the highest, the overall volume of services provided was the lowest, even after adjusting for age and population size. Notably, the provision of outpatient rehabilitation services across all providers within the region was particularly low compared with that in other regions.</p><p><strong>Conclusions: </strong>This study revealed regional disparities in rehabilitation resources and service provision in secondary healthcare regions, highlighting the need for more equitable access. These findings underscore the value of routinely collected administrative and claims data for regional need assessment, particularly for informing evidence-based planning and resource allocation.</p>","PeriodicalId":12876,"journal":{"name":"Health Services Insights","volume":"19 ","pages":"11786329261461051"},"PeriodicalIF":2.1,"publicationDate":"2026-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13329004/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148390722","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Burnout Among Pediatric Surgeons of Different Subspecialties Worldwide: A Systematic Review and Meta-Analysis.","authors":"Amani N Alansari, Imen Tabia, Marwa Messaoud, Hanan Youssif","doi":"10.1177/11786329261462801","DOIUrl":"10.1177/11786329261462801","url":null,"abstract":"<p><strong>Background and objective: </strong>Burnout among surgeons has become an increasing concern due to its impact on physician well-being, healthcare quality, and patient safety. This systematic review and meta-analysis aims to estimate the global prevalence of burnout and examine variations according to burnout assessment tools and surgical subspecialties.</p><p><strong>Methods: </strong>A systematic search of PubMed, Scopus, and Web of Science was conducted from inception to November 2025 for studies assessing burnout prevalence among pediatric surgeons and trainees, using validated tools such as the Maslach Burnout Inventory (MBI) or alternatives. Two reviewers independently screened studies, extracted data, and assessed quality using the JBI Critical Appraisal Checklist. A single-arm meta-analysis with a random-effects model was used to calculate pooled prevalence rates, with subgroup analyses based on the assessment tool.</p><p><strong>Results: </strong>Eighteen cross-sectional studies met the inclusion criteria. A total of 17 studies were included in the meta-analysis. The pooled prevalence of burnout was 30% (95% CI: 21%-41%), with high heterogeneity (I² = 96.5%). Subgroup analysis revealed a lower burnout prevalence among studies using the MBI (23%, 95% CI: 16%-31%), compared to studies using other tools (50%, 95% CI: 25%-75%). Orthopedic subspecialty had the highest pooled burnout proportion at 42% with a very wide 95% CI of (3% to 94%). Urology had the lowest pooled rate at 26% with a 95% CI of (17% to 37%).</p><p><strong>Conclusion: </strong>Burnout represents a significant issue among pediatric surgeons. These findings highlight the need for a proactive approach to recognize burnout in healthcare professionals and implement effective strategies for its prevention and management.</p>","PeriodicalId":12876,"journal":{"name":"Health Services Insights","volume":"19 ","pages":"11786329261462801"},"PeriodicalIF":2.1,"publicationDate":"2026-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13305349/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148345125","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}