Healthcare最新文献

{"title":"Impact of Sarcopenia, Dynapenia, and Obesity on Muscle Strength and Quality in Chronic Kidney Disease Patients: A Sex-Specific Study.","authors":"Marcio Bacci, Fernanda Rico Angelotto, Thiago Dos Santos Rosa, Thaís Branquinho De Araújo, Hugo De Luca Corrêa, Lysleine Alves De Deus, Rodrigo Vanerson Passos Neves, Andrea Lucena Reis, Rafael Lavarini Dos Santos, Jéssica Mycaelle Da Silva Barbosa, Vitória Marra Da Motta Vilalva Mestrinho, Carmen Tzanno-Martins, Whitley J Stone, Ivo Vieira De Sousa Neto, Wilson Max Almeida Monteiro de Moraes, Guilherme Borges Pereira, Jonato Prestes","doi":"10.3390/healthcare13131621","DOIUrl":"10.3390/healthcare13131621","url":null,"abstract":"<p><p>Sex-specific differences in the prevalence of sarcopenia, dynapenia, and the impact of obesity on muscle strength and quality in patients with chronic kidney disease (CKD) remain underexplored. <b>Background/Objectives</b>: In this cross-sectional study, 78 adults with stage 5 CKD undergoing thrice-weekly maintenance hemodialysis in Brazil (44 men, 34 women; mean ± SD age = 57.55 ± 4.06 years) were assessed. Anthropometry (BMI, waist circumference, waist-to-height ratio), dual-energy X-ray absorptiometry, circulating IL-6, Timed Up and Go, handgrip strength (Jamar ^® dynamometer), and muscle quality index (MQI = handgrip/BMI) were obtained. Dynapenia (handgrip < 27 kg men and < 16 kg women) and sarcopenia (1.0 kg/kg for men and 0.56 kg/kg for women) were classified using EWGSOP2-2018 and FNIH thresholds. <b>Results:</b> Compared with reference values, men showed markedly reduced muscle strength and muscle quality (men: handgrip 21.3 ± 5.1 kg; MQI 0.80 ± 0.23 AU) than women. Also, men were 5.1 times more likely to present with dynapenia (88.6%; 95% CI 2.28-11.60) and 3.15 times more likely to present with sarcopenia (75.0%; 95% CI 1.88-5.30) than women. Waist circumference, waist-to-height ratio, BMI, and body fat % correlated inversely with MQI in both sexes (<i>p</i> ≤ 0.01) and with handgrip strength in men (<i>p</i> ≤ 0.01) but not in women. <b>Conclusions:</b> Among hemodialysis patients, men exhibit a substantially higher burden of dynapenia and sarcopenia than women and excess adiposity is independently associated with poorer muscle quality in both sexes. These findings highlight the need for sex-specific screening cut-offs and integrated strategies targeting both muscle dysfunction and central obesity in CKD management.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 13","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12250467/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144617268","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Advancing Gender Equity in International Eyecare: A Roadmap in Creating the Women Leaders in Eye Health (WLEH) Initiative.","authors":"Clare Szalay Timbo, Armaan Jaffer, Maria Jose Montero Romero, Gabriela Cubias, Heidi Chase, Sara T Wester, Femida Kherani, Erin M Shriver","doi":"10.3390/healthcare13131630","DOIUrl":"10.3390/healthcare13131630","url":null,"abstract":"<p><p>Gender inequality remains a persistent issue in healthcare, especially in ophthalmology, where women face systemic barriers such as pay gaps, limited surgical opportunities, harassment, and unequal family expectations. Despite increasing entry into the field, women remain underrepresented in leadership, affecting career advancement and patient care. This study examines how virtual platforms, and co-led initiatives can address gender disparities in eye health. In 2021, Women in Ophthalmology, Seva Foundation, and Orbis International launched the Women's Leaders in Eye Health (WLEH) initiative-a global community promoting mentorship, networking, and leadership development. Starting with virtual webinars and informal networking, the initiative expanded to in-person events in 2023 due to strong global engagement and demand. Early virtual programming, including webinars and \"Coffee Hour\" sessions, proved effective and laid the groundwork for broader offerings such as mentorship and professional development grants. WLEH's success underscores the power of collaboration in promoting gender equity. By fostering connections and leadership pathways, WLEH offers a scalable model to break down gender challenges and uplift the next generation of women leaders to deliver more accessible eyecare globally.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 13","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12250130/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144617202","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evidence-Based Weight Management for Fertility Preservation in Endometrial Cancer Patients: Developing a Complex Intervention Based on the Medical Research Council Framework.","authors":"Jingjing Gong, Yiqian Chen, Yongli Wang, Yuanyuan Gong, Dandan Yang, Xiaodan Li","doi":"10.3390/healthcare13131623","DOIUrl":"10.3390/healthcare13131623","url":null,"abstract":"<p><p><b>Background/Objectives</b>: This study aims to develop a standardized weight management intervention program for patients with endometrial cancer (EC) undergoing fertility preservation treatment and to provide a scientific foundation for midwives to implement weight management initiatives in the domains of oncology and reproduction. <b>Methods</b>: The weight management intervention program for patients with EC undergoing fertility preservation treatment was crafted following the directives of the Medical Research Council framework for developing and assessing complex interventions and the World Health Organization handbook for guideline development. The development process encompassed four distinct stages: (1) establishing the intervention development group, (2) identifying a theoretical basis and forming a content framework, (3) gathering and synthesizing evidence, and (4) refining and modeling the practice program. <b>Results</b>: The ultimate weight management program consisted of 6 primary, 18 secondary, and 53 tertiary items. Through two rounds of Delphi consultation, a response rate of 100% was attained, with an expert authority coefficient of 0.83. <b>Conclusions</b>: The developed intervention demonstrates scientific robustness and clinical feasibility, presenting a structured methodology for weight management for EC patients undergoing fertility preservation therapy.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 13","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12250016/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144617309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pathways Linking ICT Use to Chronic Disease Self-Management Among Older Adults with Comorbidities in Shanghai, China.","authors":"Qingru Chen, Ke Gong, Zhijun Bao, Yuanfang Yin, Lirong Zhao, Yan-Yan Chen","doi":"10.3390/healthcare13131626","DOIUrl":"10.3390/healthcare13131626","url":null,"abstract":"<p><p><b>Background:</b> The mechanisms through which information and communication technology (ICT) use influences chronic disease self-management remain unclear. <b>Method:</b> This cross-sectional investigation examined the mediating effects of health literacy, social support, and self-efficacy on the association between ICT use and self-management behaviors among older adults (≥60 years) with comorbidities in China (<i>n</i> = 520). The participants were recruited from a tertiary hospital in Shanghai (July 2023-June 2024), and data on sociodemographics, self-management, health literacy, social support, self-efficacy, and ICT use were collected via structured questionnaires. <b>Results:</b> Pearson's correlation analysis revealed a significant association between ICT use, health literacy, social support, self-efficacy, and chronic disease self-management (<i>p</i> < 0.001). Multiple mediation modeling revealed a direct positive effect of ICT use on self-management (<i>b</i> = 1.3314, 95% CI = 0.6629, 2.0002). Furthermore, significant indirect effects were observed, mediated independently by both health literacy and social support. Additional serial mediation pathways included health literacy → social support, health literacy → self-efficacy, social support → self-efficacy, and a comprehensive pathway from health literacy through social support to self-efficacy. <b>Conclusions:</b> These findings collectively indicate that ICT use directly enhances chronic disease self-management among older adults with comorbidities. Moreover, ICT use indirectly improves self-management by enhancing health literacy, augmenting social support, and bolstering self-efficacy.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 13","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12249374/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144617318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Advancing Cardiovascular Risk Stratification and Functional Assessment: A Narrative Review of CPET and ESE Applications.","authors":"Valerio Di Fiore, Lavinia Del Punta, Nicolò De Biase, Stefano Masi, Stefano Taddei, Javier Rosada, Michele Emdin, Claudio Passino, Iacopo Fabiani, Nicola Riccardo Pugliese","doi":"10.3390/healthcare13131627","DOIUrl":"10.3390/healthcare13131627","url":null,"abstract":"<p><p>Cardiopulmonary exercise testing combined with exercise stress Echocardiography (CPET-ESE) is an advanced diagnostic modality for evaluating cardiovascular disease and tailoring patient-specific treatment strategies. By integrating metabolic, ventilatory, and hemodynamic data with real-time imaging, CPET-ESE offers a comprehensive assessment of cardiovascular function under physiological stress. CPET provides detailed insights into metabolic and ventilatory performance, while ESE allows for the dynamic visualisation of cardiac structure and function during exercise. This review outlines the physiological foundations and core parameters of CPET and ESE, emphasising their complementary roles in cardiovascular diagnostics and prognostication and exploring their clinical value for evaluating unexplained dyspnoea and exercise-induced hemodynamic abnormalities. CPET-ESE plays a pivotal role in detecting subtle hemodynamic abnormalities, assessing functional capacity, and contributing to earlier diagnosis, targeted interventions, and improved clinical outcomes.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 13","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12249865/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144617201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adverse Effects and Precautionary Measures for Isotretinoin Use in Patients with Acne Vulgaris: A Single-Center Study.","authors":"Mohammed Saif Anaam, Dalia A AlShibl, Saeed Alfadly, Munirah Yousef Aloyuni, Fawaz Hamdan Al Harbi, Hussam Alhmoud, Ibrahim S Alhomoud, Waleed Mohammad Altowayan","doi":"10.3390/healthcare13131617","DOIUrl":"10.3390/healthcare13131617","url":null,"abstract":"<p><strong>Background: </strong>Oral isotretinoin is an effective treatment for refractory and moderate acne unresponsive to conventional therapies, considered the most effective option for such cases.</p><p><strong>Objective: </strong>This study aimed to evaluate the knowledge, concerns, and experiences of acne patients undergoing isotretinoin treatment in Qassim, Saudi Arabia, with a focus on commonly reported adverse effects.</p><p><strong>Methods: </strong>A cross-sectional study was conducted from December 2023 to February 2024 using a self-administered questionnaire. This study targeted male and female acne vulgaris patients from the Qassim region attending the outpatient dermatology clinic at King Saud Hospital (KSH).</p><p><strong>Results: </strong>A total of 131 acne patients participated. Of these, 97.7% had heard of isotretinoin, and 92.4% were aware of its side effects. The most common sources of information were colleagues, friends, or family (37.4%), followed by previous use (26%) and healthcare professionals (24%). The most frequently reported side effect was dryness (51.9%), followed by liver function changes (24.4%) and fetal abnormalities (13%). There was a significant association between educational level and knowledge of isotretinoin's side effects (<i>p</i> = 0.003) and awareness of specific side effects (<i>p</i> < 0.001).</p><p><strong>Conclusion: </strong>Most acne patients had sufficient knowledge of isotretinoin and its adverse effects, with dryness being the most commonly reported side effect. The primary sources of information were non-medical, highlighting the need for health education to ensure informed and safe isotretinoin use.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 13","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12250291/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144617214","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Machine Learning in Primary Health Care: The Research Landscape.","authors":"Jernej Završnik, Peter Kokol, Bojan Žlahtič, Helena Blažun Vošner","doi":"10.3390/healthcare13131629","DOIUrl":"10.3390/healthcare13131629","url":null,"abstract":"<p><p><b>Background:</b> Artificial intelligence and machine learning are playing crucial roles in digital transformation, aiming to improve the efficiency, effectiveness, equity, and responsiveness of primary health systems and their services. <b>Method:</b> Using synthetic knowledge synthesis and bibliometric and thematic analysis triangulation, we identified the most productive and prolific countries, institutions, funding sponsors, source titles, publications productivity trends, and principal research categories and themes. <b>Results:</b> The United States and the United Kingdom were the most productive countries; <i>Plos One</i> and <i>BJM Open</i> were the most prolific journals; and the National Institutes of Health, USA, and the National Natural Science Foundation of China were the most productive funding sponsors. The publication productivity trend is positive and exponential. The main themes are related to natural language processing in clinical decision-making, primary health care optimization focusing on early diagnosis and screening, improving health-based social determinants, and using chatbots to optimize communications with patients and between health professionals. <b>Conclusions:</b> The use of machine learning in primary health care aims to address the significant global burden of so-called \"missed diagnostic opportunities\" while minimizing possible adverse effects on patients.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 13","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12249260/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144617300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychometric Properties of the Brazilian Version of Environmental Protectors Against Hospital Work Stress.","authors":"Silmara Meneguin, Paula Astudillo-Díaz, José Fausto de Morais, Camila Fernandes Pollo, Juliana Pierami de Freitas, Cesar de Oliveira, Aniele Fernanda Deplácido De Léo","doi":"10.3390/healthcare13131618","DOIUrl":"10.3390/healthcare13131618","url":null,"abstract":"<p><p><b>Objective</b>: To analyse the psychometric properties of the Brazilian version of the Environmental Protectors Against Hospital Work Stress (ENPROS). <b>Methods</b>: A cross-sectional methodological study was conducted in two public hospitals in São Paulo state, Brazil, involving 431 doctors and nursing staff. Exploratory and confirmatory factor analyses were performed to assess the construct validity of the instrument. To evaluate internal consistency and measurement stability, Cronbach's alpha and the intraclass correlation coefficient (ICC) were used. Convergent validity was tested by comparison with the Job Stress Scale. <b>Results</b>: Exploratory factor analysis indicated a structure comprising four factors, with satisfactory factor loadings and commonalities ranging from 0.26 to 0.75. Confirmatory factor analysis suggested a model with good fit (CFI = 0.988; TLI = 0.988; RMSEA = 0.064; SRMR = 0.067). Cronbach's alpha was 0.95, and the intraclass correlation coefficient (ICC) was 0.45. Convergent validity showed significant correlations between the ENPROS domains and the Job Stress Scale factors, particularly in the social support domain. <b>Conclusions</b>: The Brazilian Portuguese version of the Environmental Protectors Against Hospital Work Stress scale has a four-dimensional structure, adequate reliability, and a good fit to the proposed factorial model.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 13","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12249321/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144617336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Value of Interventions Aimed at Improving the Patient Experience: Systematic Review of Economic Impacts and Provider Well-Being Outcomes.","authors":"Tiago S Jesus, Dongwook Lee, Brocha Z Stern, Manrui Zhang, Jan Struhar, Allen W Heinemann, Anne Deutsch, Neil Jordan","doi":"10.3390/healthcare13131622","DOIUrl":"10.3390/healthcare13131622","url":null,"abstract":"<p><p><b>Background:</b> Although improving the patient experience with care is being framed as part of value-based care, the economic and provider well-being impact of interventions for improving the patient experience has not been established. We aimed to synthesize the contemporary (2015-2024) empirical literature on the economic (e.g., costs, revenue) and other value-based impacts (e.g., provider well-being) of patient-experience improvement interventions. <b>Methods:</b> Systematic review using six databases of scientific literature (PubMed, EconLit, CINAHL, PsycINFO, DOAJ, and Scopus) supplemented by journal-specific and snowball searches following a registered study protocol (PROSPERO: CRD42022358337). Two independent reviewers performed eligibility decisions and quality appraisals of the study methods and economic assessments, when applicable; the latter was conducted using the Joanna Briggs Institute's checklist for economic evaluations. <b>Results:</b> Out of 1317 unique references, nine were included. Four studies assessed the effectiveness of patient experience improvement interventions (e.g., provider communication training, discharge or transitional support) coupled with economic evaluations; these found statistically significant positive outcomes for both patient experience and economic dimensions-including reduced costs, improved revenue, or additional costs offset by increased revenue. Three additional studies on provider communication training also found statistically significant positive impacts on provider well-being (i.e., reduced burnout) and patient experience improvements. <b>Conclusion:</b> These findings shed light on the overall synergistic value of and business case for investments into developing patient experience improvement programs or activities. However, there is room for strengthening this body of knowledge in scope, volume, and method quality, including the need to study the impact on patient experience, provider well-being, health outcomes, and costs (i.e., the <i>quadruple aim</i>) in tandem.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 13","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12249292/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144617344","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Integrated Dental Practice Management in Romania: A Cross-Sectional Case-Control Study on the Perceived Impact of Managerial Training on Efficiency, Collaboration, and Care Quality Dental.","authors":"Georgiana Ioana Potra Cicalău, Liana Todor, Roxana Alexandra Cristea, Ramona Hodișan, Olivia Andreea Marcu, Ioan Andrei Țig, Lucia Georgeta Daina, Gabriela Ciavoi","doi":"10.3390/healthcare13131631","DOIUrl":"10.3390/healthcare13131631","url":null,"abstract":"<p><p><b>Background/Objectives:</b> The effective management of dental practices is increasingly recognized as a key factor in ensuring high-quality care, efficient operations, and interdisciplinary collaboration. While many dentists assume managerial responsibilities, formal training in healthcare or dental practice management may influence the quality of these practices. This study aims to evaluate the differences in organization, efficiency, and quality of care between dental clinics managed by dentists who have completed management training and those who have not. It also explores dentists' knowledge and attitudes regarding dental practice management. <b>Methods:</b> A cross-sectional, observational, case-control study was conducted between 14 April and 14 May 2023, using an online questionnaire distributed to licensed dental practitioners in Romania. A total of 136 dentists participated, divided into a study group (<i>n</i> = 60), who had completed management courses and a control group (<i>n</i> = 76) who had not. Descriptive statistics and comparative analyses (<i>t</i>-tests, Chi-square tests) were performed using SPSS version 24, with significance set at <i>p</i> < 0.05. <b>Results:</b> Dentists with managerial training demonstrated greater implementation of strategic planning, financial performance monitoring, quality management, and use of digital tools. They also reported higher collaboration with interdisciplinary professionals-orthodontist 76.7% in the study group vs. 63.2% in the control group, medical assistant 78.3% in the study group vs. 47.4% in the control group, front desk 43.3% in the study group vs. 18.4% in the control group; better delegation of tasks-61.7% in the study group vs. 27.6% in the control group; and greater concern for team development-95% in the study group vs. 71% in the control group; and patient rights-81.7% in the study group vs. 75% in the control group. Significant differences (<i>p</i> < 0.05) were noted in management practices, opinions about the optimal manager for a dental practice, and the use of software tools. <b>Conclusions:</b> Managerial training equips dentists with critical skills for enhancing operational efficiency and care quality. Integrating management education into dental curricula and continuing professional development can substantially improve the sustainability and performance of dental practices.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 13","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12249282/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144617274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}