Healthcare最新文献

{"title":"Characterizing Managerial Decision Making in Public Hospitals: A Case Study from Romania.","authors":"Carmen Marinela Cumpăt, Daniela Huțu, Bogdan Rusu, Muthana Zouri, Nicoleta Zouri","doi":"10.3390/healthcare12232395","DOIUrl":"https://doi.org/10.3390/healthcare12232395","url":null,"abstract":"<p><strong>Background/objectives: </strong>Our study investigates the primary characteristics of managerial decision-making processes in the public hospital units in Romania, particularly in the Northeast region. This research aims to delineate the decision-making model applied by managers in these units, considering the multitude of legislative, economic, technical, ethical, and organizational changes prompted by the pandemic.</p><p><strong>Methods: </strong>A mixed-method research approach was utilized, combining semi-structured interviews and autoethnography, to capture experiences, attitudes, perceptions, motivations, and ethical considerations of decision-makers within the healthcare system.</p><p><strong>Results: </strong>The findings revealed that managerial decisions in public hospitals were influenced by unique elements such as the vulnerability and support needs of patients, the absence of a clear hierarchy, the personalized nature of healthcare services, the complexity of care processes, and the use of advanced technology. External factors, notably political and economic influences, alongside internal ethical dilemmas, significantly impacted decision making.</p><p><strong>Conclusions: </strong>This study identifies the reliance on evidence-based decision making and a consultative managerial style as key to addressing these challenges. This research contributes theoretically by comparing decision-making models and practically by identifying a decision-making model that includes forms, techniques, and tools that could guide managers in decision making in Romanian public hospitals.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"12 23","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142835516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mediating Role of Job Satisfaction in the Relationship Between Leisure-Time Physical Activity and Emotional State of Healthcare Workers: A Cross-Sectional Survey.","authors":"Francesco Fischetti, Ilaria Pepe, Gianpiero Greco, Maurizio Ranieri, Luca Poli, Luigi Vimercati, Stefania Cataldi","doi":"10.3390/healthcare12232406","DOIUrl":"https://doi.org/10.3390/healthcare12232406","url":null,"abstract":"<p><strong>Background: </strong>Work-related stress among healthcare employees can lead to burnout, worsened mood, and job dissatisfaction. Although physical activity is known to enhance mood and mental health, its impact on job satisfaction and emotional well-being in healthcare workers is under-researched. This study aimed to explore the associations between leisure-time physical activity (LTPA), job satisfaction, and emotional state and to investigate the mediating role of job satisfaction in the effect of LTPA on the emotional state of healthcare workers.</p><p><strong>Methods: </strong>A self-administered questionnaire, including items on LTPA, job satisfaction, and the emotional state, was distributed to 98 healthcare workers affiliated with the Bari Polyclinic Hospital (Mean age = 46.3; SD = 15.4 years). Composite measures of global job satisfaction and emotional state were extracted by Factor Analysis using the principal components method. The relationship between LTPA, job satisfaction, and the emotional state was investigated through General Linear Model (GLM) mediation models.</p><p><strong>Results: </strong>There was no significant direct effect of LTPA on negative emotional states (β = -0.08, <i>p</i> = 0.37). However, job satisfaction significantly mediated this relationship (β = -0.09, <i>p</i> = 0.04), indicating that engaging in LTPA increased job satisfaction, which in turn reduced negative emotional states. Similarly, LTPA did not have a significant direct effect on positive emotional states (β = 0.06, <i>p</i> = 0.48), but it indirectly resulted in increased positive emotional states through its positive impact on job satisfaction (β = 0.12, <i>p</i> = 0.03).</p><p><strong>Conclusions: </strong>The findings indicate that LTPA indirectly influences both negative and positive emotional states through job satisfaction. Engaging in LTPA enhances job satisfaction, which subsequently leads to reductions in negative emotional states and increases in positive emotional states among healthcare workers. These results underscore the importance of promoting physical activity as a strategy to improve job satisfaction (JS) and the emotional well-being of healthcare workers.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"12 23","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142835444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Safety of Thread-Embedding Acupuncture: A Multicenter, Prospective, Observational Pilot Study.","authors":"Seojung Ha, Suji Lee, Bonhyuk Goo, Eunseok Kim, Ojin Kwon, Sang-Soo Nam, Joo-Hee Kim","doi":"10.3390/healthcare12232396","DOIUrl":"https://doi.org/10.3390/healthcare12232396","url":null,"abstract":"<p><p><b>Background/Objectives</b>: Thread-embedding acupuncture (TEA) is widely used for cosmetic and therapeutic purposes; however, its safety profile, particularly in real-world clinical settings, remains under-researched. This study aimed to evaluate the safety profile of TEA through a prospective, observational analysis and confirm the feasibility of the study design for future studies involving larger patient populations. <b>Methods</b>: A multicenter, prospective observational study was conducted involving 100 patients who received TEA. Adverse events (AEs) were tracked, including incidence, severity, and duration during the 6-month post-treatment period. Bivariate analysis was used to assess factors influencing AE occurrence, including treatment site, depth, and patient-specific variables. <b>Results</b>: A total of 100 patients received 136 treatments during the study period. A total of 12 AEs were reported, most of which were mild and transient local reactions, including pain and bruising. More than half of the AEs occurred on the day of the procedure, with an average duration of 7 days. No serious AEs were observed, and all events resolved without any lasting effects. Patients undergoing multiple treatments showed no significantly higher AE rates than those receiving a single session. <b>Conclusions</b>: This study suggested that TEA generally has a favorable safety profile, with most AEs being mild and resolving without long-term effects. Further studies that evaluate the safety of TEA treatment across larger populations are recommended.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"12 23","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142835599","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Physician Deserts: Navigating the Texas Terrain of Provider Supply and Demand with GIS Mapping.","authors":"Syed Hussain Jafri, Subi Gandhi, Edward Osei","doi":"10.3390/healthcare12232397","DOIUrl":"https://doi.org/10.3390/healthcare12232397","url":null,"abstract":"<p><p><b>Background:</b> Rural health disparities in Texas impact population health due to limited healthcare access, insurance, and transportation challenges, especially in medically underserved areas. A shortage of specialists in rural regions worsens these issues, leading to increased morbidity and mortality rates. <b>Objective:</b> Our research aimed to address a knowledge gap by investigating the availability of three medical specialists-cardiologists, pulmonologists, and endocrinologists-in rural counties of Texas and identifying areas where access to healthcare is limited. <b>Methods:</b> Utilizing data from regional, state, and federal sources, the analysis geocoded specialist locations and created GIS maps to visualize the distribution of specialists across Texas's 254 counties. Physician demand was calculated by considering disease incidence and population size, resulting in a county-level physician availability index to highlight areas with shortages. <b>Results:</b> Our findings demonstrate a significant deficiency of cardiologists in 196 counties when considering a maximum reasonable travel distance of 50 miles. Comparable deficiencies were observed for pulmonologists and endocrinologists, with western rural counties predominantly comprising the deficiency areas for each specialty. These results emphasize a significant rural-urban disparity concerning access to the three investigated health specialists. <b>Conclusions:</b> Addressing geographic disparities can reduce health inequities, improve rural healthcare access, and promote a more equitable healthcare system across Texas. Solutions may include incentives for specialists to work in underserved areas, expanded telemedicine services, and transportation assistance.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"12 23","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142834895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association Between Sleep Quality and Duration During Pregnancy and Risk of Infant Being Small for Gestational Age: Prospective Birth Cohort Study.","authors":"Huimin Zhu, Xinchen Liu, Min Wei, Rui Gao, Xuemei Liu, Xiuxiu Li, Xuhua Liu, Weiqing Chen","doi":"10.3390/healthcare12232400","DOIUrl":"https://doi.org/10.3390/healthcare12232400","url":null,"abstract":"<p><strong>Background: </strong>Maternal sleep disturbance is a risk factor for adverse outcomes like preterm birth. However, the association of maternal sleep quality and duration with the risk of the infant being small for gestational age (SGA) remains inconclusive, and the specific critical window of vulnerability has yet to be clearly identified. Therefore, this study aims to investigate the effect of maternal sleep quality and duration on the risk of having an SGA infant and to identify the critical window for this association.</p><p><strong>Methods: </strong>One thousand six hundred and seventy-seven participants from the Shenzhen Birth Cohort Study were included. Maternal sleep duration and quality during pregnancy were assessed using the Pittsburgh Sleep Quality Index (PSQI) in early (<19 weeks), mid- (24-28 weeks), and late (32-38 weeks) pregnancy. Multivariate logistic regression analyses were used to examine the association of an SGA infant with sleep duration and quality, along with their specific effects across the different pregnancy stages.</p><p><strong>Results: </strong>The pregnant women with short sleep duration (≤7 h/day) in the early stage of pregnancy appeared to have a higher risk of having an SGA infant (aOR = 1.93, 95% CI = 1.32~2.79). Additionally, poor sleep quality combined with short sleep duration was associated with an even higher risk of having an SGA infant (aOR = 2.08, 95% CI = 1.32~3.23). However, this association was observed only during early pregnancy.</p><p><strong>Conclusions: </strong>The women with short sleep duration were associated with SGA risk, and the early stage of pregnancy might be a particularly sensitive period for this relationship. Addressing maternal sleep problems during pregnancy as part of antenatal care is crucial for reducing the likelihood of having an SGA infant and improving the overall birth outcomes.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"12 23","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142835457","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations Among Reduced Income, Unhealthy Habits, the Prevalence of Non-Communicable Diseases, and Multimorbidity in Middle-Aged and Older US Adults: A Cross-Sectional Study.","authors":"Damián Pereira-Payo, Raquel Pastor-Cisneros, María Mendoza-Muñoz, Lucía Carrasco-Marcelo","doi":"10.3390/healthcare12232398","DOIUrl":"https://doi.org/10.3390/healthcare12232398","url":null,"abstract":"<p><strong>Introduction: </strong>Evidence supports the relationships between socioeconomic status and access to health care, incidence of pathologies, and lifestyle.</p><p><strong>Objective: </strong>The aim of this research was to investigate whether there are associations between having a household income below the poverty line, and participation in unhealthy lifestyle habits, the prevalence of non-communicable diseases, and the number of comorbidities in US middle-aged and older adults.</p><p><strong>Methods: </strong>This cross-sectional study is based on the NHANES 2011-2020. A total of 10,788 US middle-aged and older adults (5653 males and 5135 females) participated in this research. Associations were studied through the Chi-squared test, and odds ratios were calculated using a binary logistic regression model.</p><p><strong>Results: </strong>There were associations between a household income below the poverty line and physical inactivity, unhealthy diet, and being or having been an alcoholic. Associations were found between this adverse economic situation and having hypertension, diabetes, liver disease, kidney problems, arthritis, congestive heart failure, angina pectoris, heart attack, stroke, and also with having two or more, three or more, four or more, and five or more comorbidities. Increased odds of being involved in these unhealthy habits and of suffering these diseases and multimorbidity were found for those with a family income below the poverty threshold.</p><p><strong>Conclusions: </strong>The existence of associations between having a family income under the poverty threshold and having unhealthy habits, suffering non-communicable diseases, and having multimorbidity is confirmed in US middle-aged and older adults. Increased odds for various non-communicable diseases, multimorbidity, and for being involved in these unhealthy habits were found for this low-income group. These findings should serve to draw the attention of policy makers to the increased health vulnerability of the adult population below the poverty line in the US.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"12 23","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142835473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quality of Life of Pediatric Patients with Chronic Intestinal, Liver, and Pancreatic Diseases During the COVID-19 Pandemic.","authors":"Irina Dijmărescu, Andreea Maria Iordache, Daniela Păcurar, Elena Roxana Matran, Alexandra Coroleucă, Cristina Adriana Becheanu","doi":"10.3390/healthcare12232405","DOIUrl":"https://doi.org/10.3390/healthcare12232405","url":null,"abstract":"<p><strong>Background/objectives: </strong>Children with chronic diseases and their families face significant challenges to their quality of life compared to the rest of the population, and the COVID-19 pandemic has been a greater challenge for them. Our research aimed to identify key factors affecting their quality of life.</p><p><strong>Methods: </strong>We conducted a cross-sectional study in the Department of Pediatrics of the \"Grigore Alexandrescu\" Emergency Children's Hospital in Bucharest on a group of 47 pediatric patients aged 9 years or older, diagnosed with chronic liver, gastrointestinal, and pancreatic diseases.</p><p><strong>Results: </strong>Children reported that their quality of life was not significantly affected by the pandemic due to the inability to see their family members and friends (89.36%), online education (67.5%), and social distancing (50%). Results showed that parents' perceptions of the COVID-19 pandemic had a significant negative correlation with their quality of life (r = -0.35, <i>p</i> < 0.01); also, parents' perceptions of the quality of life had a high negative significant correlation with their children's mental well-being (r = -0.67, <i>p</i> < 0.001). Interestingly, children's mental well-being did not have a significant correlation with their perceptions of quality of life (r = -0.02, <i>p</i> > 0.05). In the context of the COVID-19 pandemic, parents were concerned about their family well-being. Parents with higher scores for the perception of COVID-19's impact tended to have lower scores for health-related quality of life. Also, the parents' quality of life accounted for 44% of the variance in their children's mental well-being.</p><p><strong>Conclusions: </strong>Even if the medical issue of the COVID-19 pandemic was not a concern for either children or their parents, many families were anxious about the perceived lack of dependability of the medical system. Addressability was delayed in many cases because of this, and regular medical care is essential for patients with chronic diseases.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"12 23","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142835573","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How Mental Health Nurses Perceive the Implementation of Batho Pele Principles in a Selected Mental Health Hospital in Limpopo Province, South Africa.","authors":"Nkhensani Florence Mabunda","doi":"10.3390/healthcare12232402","DOIUrl":"https://doi.org/10.3390/healthcare12232402","url":null,"abstract":"<p><p><b>Background:</b> Batho Pele is a South African legislative framework initiative introduced to improve the overall delivery of public services. The framework was introduced in 1997 and aimed at bringing a comprehensive transformation of the work ethics of all public servants, including health workers, at all levels of health hospitals. The study aims to investigate nurses' perceptions of implementing Batho Pele principles in selected mental health hospitals. <b>Methods:</b> A quantitative descriptive survey design using a self-administered questionnaire was used to collect data. Probability-stratified random sampling was used to select the sample of 230 from the population of nurses. Statistical Package for the Social Sciences (SPSS) version 23 was used to analyze descriptive data. <b>Results:</b> The study showed that lack of knowledge, communication and practical skills, and human and material resources negatively affect the effective implementation of Batho Pele principles in the care of mental health service users. <b>Conclusions:</b> The Batho Pele principles are insufficiently implemented in mental health hospitals due to a shortage of staff to facilitate the implementation of Batho Pele principles. The researcher recommended an in-service program to train nurses in implementing Batho Pele principles to enhance the provision of exemplary mental health services.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"12 23","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142835355","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fetal Growth Associated with Maternal Rheumatoid Arthritis and Juvenile Idiopathic Arthritis.","authors":"Eugenia Yupei Chock, Bente Glintborg, Zeyan Liew, Lars Henning Pedersen, Mette Østergaard Thunbo","doi":"10.3390/healthcare12232390","DOIUrl":"https://doi.org/10.3390/healthcare12232390","url":null,"abstract":"<p><p><b>Introduction:</b> Patients with rheumatoid arthritis (RA) and juvenile idiopathic arthritis (JIA) are at a twice-higher risk of developing adverse pregnancy outcomes, such as preterm births and infants with a low birth weight. We aimed to evaluate fetal growth among patients with and without rheumatoid arthritis and juvenile idiopathic arthritis (RA and JIA). <b>Materials and Methods:</b> We conducted a population-based cohort study in Denmark from 2008-2018, which included 503,491 singleton pregnancies. Among them, 2206 were pregnancies of patients with RA and JIA. We linked several nationwide databases and clinical registries in Denmark to achieve our aim. First, we used the International Classification of Diseases-10 codes to identify pregnant patients with RA and JIA from the National Patient Registry. Next, we obtained fetal biometric measurements gathered from second-trimester fetal ultrasound scans and birthweights through the Fetal Medicine Database. Finally, we computed a fetal growth gradient between the second trimester and birth, using the mean difference in the Z-score distances for each fetal growth indicator. We also calculated the risk of small for gestational age (SGA). All outcomes were compared between pregnant individuals with and without RA and JIA, adjusted for confounders. <b>Results:</b> Maternal RA and JIA were not associated with a reduction in the estimated fetal weight (EFW) at 18 to 22 weeks of gestational age [adjusted mean EFW Z-score difference of 0.05 (95% CI 0.01, 0.10)]. We observed reduced mean Z-score differences in the weight gradient from the second trimester to birth among offspring of patients with RA and JIA who used corticosteroids [-0.26 (95% CI -0.11, -0.41)] or sulfasalazine [-0.61 (95% CI -0.45, -0.77)] during pregnancy. Maternal RA and JIA were also associated with SGA [aOR of 1.47 (95% CI 1.16, 1.83)] and the risk estimates were higher among corticosteroid [aOR 3.44 (95% CI 2.14, 5.25)] or sulfasalazine [(aOR 2.28 (95% CI 1.22, 3.88)] users. <b>Conclusions:</b> Among pregnant patients with RA and JIA, fetal growth restriction seemed to occur after 18 to 22 weeks of gestational age. The second half of pregnancy may be a vulnerable period for optimal fetal growth in this population.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"12 23","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142834692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Development of Algorithms for Individual Ranges of Body Temperature and Oxygen Saturation in Healthy and Frail Individuals.","authors":"Märta Sund Levander, Ewa Grodzinsky","doi":"10.3390/healthcare12232393","DOIUrl":"https://doi.org/10.3390/healthcare12232393","url":null,"abstract":"<p><strong>Background/objectives: </strong>Individual habitual conditions entail a risk during the interpretation of vital parameters. We developed algorithms for calculating, validating, and interpreting individual normal ranges of body temperature and oxygen saturation.</p><p><strong>Methods: </strong>In total, 70 healthy individuals aged 27 to 80 and 52 frail individuals aged 60 to 100 were included. Data on individual conditions comprised age, gender, physical ability, chronic disease, and medication. Ear temperature and oxygen saturation were measured for five mornings before the participants got out of bed and consumed medicine, food, or drink.</p><p><strong>Results: </strong>The range for body temperature was 34.3 °C to 37.7 °C, with a variation of 0.7 °C ± 0.4 °C. The variation in minimum and maximum temperatures was 2.4 °C vs. 2.7 °C and 2.9 °C vs. 2.3 °C in healthy and frail subjects, respectively. The range for oxygen saturation was 85% to 99% in healthy individuals and 75% to 100% in frail individuals. The variation between minimum and maximum oxygen saturation was 13% vs. 25% and 4% vs. 17% in healthy and frail subjects, respectively.</p><p><strong>Conclusions: </strong>To promote the implementation of precision medicine in clinical practice, it is necessary to interpret body temperature and oxygen saturation based on individual habitual conditions. Interpreting deviations from an individual's normal ranges allows healthcare professionals to provide necessary treatment without delay, which can be decisive in preventing further deterioration.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"12 23","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142834709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}