Healthcare最新文献

{"title":"Evaluating the Reliability and Quality of Sarcoidosis-Related Information Provided by AI Chatbots.","authors":"Nur Aleyna Yetkin, Burcu Baran, Bilal Rabahoğlu, Nuri Tutar, İnci Gülmez","doi":"10.3390/healthcare13111344","DOIUrl":"10.3390/healthcare13111344","url":null,"abstract":"<p><p><b>Background and Objectives:</b> Artificial intelligence (AI) chatbots are increasingly employed for the dissemination of health information; however, apprehensions regarding their accuracy and reliability remain. The intricacy of sarcoidosis may lead to misinformation and omissions that affect patient comprehension. This study assessed the usability of AI-generated information on sarcoidosis by evaluating the quality, reliability, readability, understandability, and actionability of chatbot responses to patient-centered queries. <b>Methods</b>: This cross-sectional evaluation included 11 AI chatbots comprising both general-purpose and retrieval-augmented tools. Four sarcoidosis-related queries derived from Google Trends were submitted to each chatbot under standardized conditions. Responses were independently evaluated by four blinded pulmonology experts using DISCERN, the Patient Education Materials Assessment Tool-Printable (PEMAT-P), and Flesch-Kincaid readability metrics. A Web Resource Rating (WRR) score was also calculated. Inter-rater reliability was assessed using intraclass correlation coefficients (ICCs). <b>Results</b>: Retrieval-augmented models such as ChatGPT-4o Deep Research, Perplexity Research, and Grok3 Deep Search outperformed general-purpose chatbots across the DISCERN, PEMAT-P, and WRR metrics. However, these high-performing models also produced text at significantly higher reading levels (Flesch-Kincaid Grade Level > 16), reducing accessibility. Actionability scores were consistently lower than understandability scores across all models. The ICCs exceeded 0.80 for all evaluation domains, indicating excellent inter-rater reliability. <b>Conclusions</b>: Although some AI chatbots can generate accurate and well-structured responses to sarcoidosis-related questions, their limited readability and low actionability present barriers for effective patient education. Optimization strategies, such as prompt refinement, health literacy adaptation, and domain-specific model development, are required to improve the utility of AI chatbots in complex disease communication.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 11","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12154112/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144283676","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 Burden of Treatment: Experiences of Patients Who Have Undergone Radiotherapy and Proton Beam Therapy.","authors":"Danielle Fairweather, Rachel M Taylor, Lee Hulbert-Williams, Nick J Hulbert-Williams, Rita Simões","doi":"10.3390/healthcare13111351","DOIUrl":"10.3390/healthcare13111351","url":null,"abstract":"<p><p><b>Background/Objectives</b>: The physical and psychosocial impacts of cancer treatment can be distressing and profound for many patients, but little is known about the specific impacts of undergoing radiotherapy and proton beam therapy (PBT). This study explores the hidden burdens of treatment and aims to identify the gaps in our current understanding of patients' experience when attending a large radiotherapy and PBT service. <b>Methods</b>: A qualitative study using semi-structured interviews was conducted with patients undergoing treatment. A purposive sample of participants were recruited, reflecting the main indications for radiotherapy and PBT. Semi-structured interviews were conducted between August 2023 and January 2024 either in person, virtually, or by telephone. Data were analysed using Framework Analysis. <b>Results</b>: In total, 20 patients were interviewed. Five themes were identified: informational needs, emotional wellbeing, logistical concerns, physical impacts, and interpersonal impacts. Patients reported additional financial burdens such as transport and staying away from home, difficulty carrying out normal responsibilities, caregiver burden, and increased anxiety. Many patients reported the post-treatment drop in healthcare interaction, which resulted in distress and isolation, difficult. <b>Conclusions</b>: This study indicates that there are many burdens of radiotherapy and PBT outside of the physical symptoms and side-effects of cancer treatment. Tailored support is needed to address treatment-specific concerns within the radiotherapy and PBT service, but this study also suggests that supportive interventions developed for broader cancer populations may be helpful for this patient cohort.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 11","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12155157/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144283734","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":"Long-Term-Effects of Training-Accompanied Myofascial Self-Massage on Health Complaints, Symptoms of Overload, and Training Compatibility in Recreational Cyclists.","authors":"Doris Posch, Markus Antretter, Michael Zach, Martin Faulhaber, Martin Burtscher","doi":"10.3390/healthcare13111337","DOIUrl":"10.3390/healthcare13111337","url":null,"abstract":"<p><p><b>Background/Objectives:</b> Cycling has become a popular recreational sport, but it can lead to injuries and overload syndromes. The goal of this study is to evaluate the effectiveness of a training-accompanied myofascial self-massage intervention on two primary outcomes: injury occurrence and perceived training intensity. <b>Methods</b>: To achieve this goal, we conducted a randomized controlled trial (RCT) with 35 cyclists. A difference-in-differences (DiD) regression analysis was employed to analyze the effects of the intervention. <b>Results</b>: The DiD analysis revealed, on the one hand, no statistically significant effect of the intervention on the overall injury score. On the other hand, the intervention group showed a significantly smaller increase in perceived training intensity compared to the control group, supporting the hypothesis that myofascial self-massage decreases the perception of training intensity. In one of our strongest models, which estimated the impact of the intervention from baseline to the second post-test, we observed an adjusted R-squared value of 0.89 and an interaction term coefficient of 1.35 at a significance level of <i>p</i> < 0.01. This indicates that, on average, the increase in perceived training intensity was 1.35 points higher (on a scale of 0 to 10) in the control group than in the intervention group. <b>Conclusions</b>: This study found no evidence to support the effectiveness of a training-accompanied myofascial self-massage in reducing injury levels, but it demonstrated that the intervention may reduce perceived training intensity. Future studies with larger sample sizes and more objective injury tracking methods are needed to further explore these findings and their long-term implications for injury prevention in cycling.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 11","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12155503/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144283642","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 Usability of Neurological Occupational Therapy Case Studies Generated by ChatGPT.","authors":"Si-An Lee, Jin-Hyuck Park","doi":"10.3390/healthcare13111341","DOIUrl":"10.3390/healthcare13111341","url":null,"abstract":"<p><p><b>Background/Objectives</b>: Case-based learning is essential in occupational therapy education, but developing standardized cases requires significant resources. This study explores the usability of AI-generated case studies using ChatGPT. <b>Methods</b>: A four-stage process was applied: (1) prompt development based on existing frameworks, (2) case generation ensuring diversity and relevance, (3) expert evaluation using a 5-point Likert scale, and (4) data analysis. Five neurological cases were generated and reviewed by ten experts. <b>Results</b>: Experts rated the cases highly in clinical realism (4.22/5), information comprehensiveness (4.56/5), and educational value (4.44/5). The AI-generated cases successfully provided structured occupational therapy scenarios, assessment results, and clinical questions. <b>Conclusions</b>: Five AI-generated occupational therapy cases were developed and reviewed by occupational therapy experts to evaluate their clinical realism, comprehensiveness, and educational value. While expert feedback was favorable, the effectiveness of these cases for student learning has not yet been empirically tested.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 11","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12155196/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144283663","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":"Harnessing Extended Reality for Neurocognitive Training in Chronic Pain: State of the Art, Opportunities, and Future Directions.","authors":"Javier Guerra-Armas, Alberto Roldán-Ruiz, Mar Flores-Cortes, Daniel S Harvie","doi":"10.3390/healthcare13111338","DOIUrl":"10.3390/healthcare13111338","url":null,"abstract":"<p><p>Chronic pain is a significant burden affecting more than 30% of people worldwide. Within the multiple biopsychosocial factors affected in people suffering from chronic pain, neurocognitive impairments represent a significant but often under-recognized aspect of the chronic pain experience that impacts daily life and healthcare. Multiple neurocognitive domains, including attention, executive function, learning, and memory, have been commonly associated with chronic pain. Within novel approaches, extended reality (XR) has been highlighted for its potential in chronic pain management. XR offers unique features to enhance traditional neurocognitive interventions, including dual tasks, gamification, ecological validity, and enriched experience, to increase engagement and motivation in rehabilitation. This systematic-narrative hybrid literature review aims to shed light on the potential benefits, challenges, and future directions of XR technology to address neurocognitive impairments associated with chronic pain. While preliminary evidence suggests that XR-based neurocognitive training may be beneficial in overcoming neurocognitive impairments found in chronic pain, some challenges still need to be addressed for effective translation into clinical practice. Within a transdiagnostic approach, XR-based neurocognitive training appears to be valuable across different diagnoses in chronic pain, wherein XR may emerge as a promising first-line intervention toward personalized multimodal management for chronic pain. Despite the rapid development of substantial growing evidence for XR, enhanced methodological rigor and reporting quality are recommended in future studies. More research is needed to fully understand the mechanisms and optimal application of XR-based neurocognitive training in different chronic pain conditions.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 11","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12154370/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144283684","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":"Cultural Humility Training in Mental Health Service Provision: A Scoping Review of the Foundational and Conceptual Literature.","authors":"Mayio Konidaris, Melissa Petrakis","doi":"10.3390/healthcare13111342","DOIUrl":"10.3390/healthcare13111342","url":null,"abstract":"<p><strong>Background: </strong>Ongoing access and equity concerns for culturally diverse populations in mental health warrant a shift from cultural competence to cultural humility training. This review aimed to systematically assess the breadth of conceptual and training literature in peer-reviewed publications drawn from PsycINFO, CINAHL plus, Google Scholar and Scopus, from 2007-2018, utilizing <i>cultural humility</i> as the key search term and its relevance to service provision.</p><p><strong>Methods: </strong>This method utilized a five-stage scoping review framework.</p><p><strong>Results: </strong>Results were that a total of 246 publications were extracted. Following employing an abstract review method and removing duplicates, this resulted in a full-text review of 56 publications. The emerging themes included the following: culturally informed conceptual frameworks; culturally diverse training approaches; racial inequalities in mental health services; culturally informed national and international perspectives; race and international transcultural mental health.</p><p><strong>Conclusions: </strong>Conclusions were that including cultural humility principles in service provision and training enables greater self-awareness towards racial bias and negative cultural stereotypes at both practice and organizational levels, ultimately aimed at enhancing mental health service provision by mitigating the structural barriers encountered by service users.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 11","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12155312/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144283630","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":"Low- and Very-Low-Calorie Diets and Medication Use in Hospitalized Patients with Obesity: A Cross-Sectional Study.","authors":"Sérgio de Queiroz Braga, Márcia Cristina Almeida Magalhães Oliveira, Matheus Jorgetti Chamorro, Najara Araújo de Jesus, Rodrigo Almeida Magalhães Oliveira, Dandara Almeida Reis da Silva, Domingos Lázaro Souza Rios, Magno Merces","doi":"10.3390/healthcare13111336","DOIUrl":"10.3390/healthcare13111336","url":null,"abstract":"<p><p><b>Background</b>: Obesity is a growing global health concern associated with numerous comorbidities and high medication burden. This study aimed to evaluate the impact of low- and very-low-calorie diets (LCD/VLCD), combined with intensive lifestyle changes, on comorbidities and medication use in hospitalized patients with class II and III obesity. <b>Methods</b>: A retrospective cohort study was conducted using medical records of patients hospitalized for 3-6 months at a specialized obesity hospital in Brazil. Prescription data for antihypertensive, hypoglycemic, and lipid-lowering drugs were compared at admission, 3, and 6 months. Descriptive statistics, chi-squared tests, and <i>t</i>-tests were used to compare medication use and weight change over time. <b>Results</b>: Among 246 patients, the proportion of those using antihypertensives decreased from 74.4% at admission to 44.7% at 6 months (<i>p</i> < 0.02), with significant reductions also observed at 3 months (<i>p</i> < 0.001). Hypoglycemic prescriptions also declined at 3 months (<i>p</i> = 0.01), but not significantly at 6 months. Lipid-lowering medication use showed no significant changes. Average weight loss was 11% at 3 months and 21.3% at 6 months. <b>Conclusions</b>: Hospitalization with LCD/VLCD and lifestyle therapy was associated with a short-term reduction in medication burden, especially antihypertensives, supporting the potential of inpatient multidisciplinary strategies for severe obesity management.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 11","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12154314/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144283702","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":"Exploring the Efficacy of Vessilen^® in Treating Bladder Pain Syndrome/Interstitial Cystitis: A Prospective Study.","authors":"Mariachiara Palucci, Marta Barba, Alice Cola, Matteo Frigerio","doi":"10.3390/healthcare13111340","DOIUrl":"10.3390/healthcare13111340","url":null,"abstract":"<p><p><b>Background/Objectives:</b> Bladder pain syndrome (BPS), or painful bladder syndrome (PBS)/interstitial cystitis (IC), is a chronic inflammatory condition characterized by symptoms like pain, urgency, urinary incontinence, and sometimes urinary retention, which significantly affect patients' quality of life. The etiology of PBS/IC remains unclear and may be multifactorial, with no definitive treatment currently available. The challenge lies in finding new therapeutic strategies. Various intravesical treatments, such as heparin, hyaluronic acid, and botulinum toxin, are commonly used for PBS/IC. In this study, we aimed to evaluate the anti-inflammatory effects of intravesical Vessilen^® (a new formulation consisting of 2% adelmidrol and 0.1% sodium hyaluronate) in patients with IC/PBS or other bladder disorders. <b>Methods:</b> This was a pilot study conducted at a tertiary-level urogynecology center. Two validated questionnaires were administered to patients before and after treatment: the Visual Analogue Scale (VAS) and the International Consultation on Incontinence Questionnaire Female Lower Urinary Tract Symptoms Modules (ICIQ-FLUTS Long Form). The Patient Global Impression (PGI) scale was used to assess symptom severity. <b>Results:</b> Among the 25 patients who completed six weekly instillations, a significant decrease in bladder symptoms was observed, as indicated by both the ICIQ-FLUTS scale (89.3 vs. 61.3; <i>p</i> = 0.021) and VAS score (4.4 vs. 2.6; <i>p</i> < 0.001). Additionally, 80% of patients reported symptom improvement (PGI-I score ≤ 3). <b>Conclusions:</b> Intravesical Vessilen^® (adelmidrol + sodium hyaluronate) appears to be an innovative therapeutic approach for PBS/IC and other chronic inflammatory bladder disorders due to its anti-inflammatory and antinociceptive properties.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 11","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12155245/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144283679","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":"Ranking Nursing Diagnoses by Predictive Relevance for Intensive Care Unit Transfer Risk in Adult and Pediatric Patients: A Machine Learning Approach with Random Forest.","authors":"Manuele Cesare, Mario Cesare Nurchis, Nursing And Public Health Group, Gianfranco Damiani, Antonello Cocchieri","doi":"10.3390/healthcare13111339","DOIUrl":"10.3390/healthcare13111339","url":null,"abstract":"<p><p><b>Background/Objectives</b>: In hospital settings, the wide variability of acute and complex chronic conditions-among both adult and pediatric patients-requires advanced approaches to detect early signs of clinical deterioration and the risk of transfer to the intensive care unit (ICU). Nursing diagnoses (NDs), standardized representations of patient responses to actual or potential health problems, reflect nursing complexity. However, most studies have focused on the total number of NDs rather than the individual role each diagnosis may play in relation to outcomes such as ICU transfer. This study aimed to identify and rank the specific NDs most strongly associated with ICU transfers in hospitalized adult and pediatric patients. <b>Methods</b>: A retrospective, monocentric observational study was conducted using electronic health records from an Italian tertiary hospital. The dataset included 42,735 patients (40,649 adults and 2086 pediatric), and sociodemographic, clinical, and nursing data were collected. A random forest model was applied to assess the predictive relevance (i.e., variable importance) of individual NDs in relation to ICU transfers. <b>Results</b>: Among adult patients, the NDs most strongly associated with ICU transfer were <i>Physical mobility impairment</i>, <i>Injury risk</i>, <i>Skin integrity impairment risk</i>, <i>Acute pain,</i> and <i>Fall risk</i>. In the pediatric population, <i>Acute pain</i>, <i>Injury risk</i>, <i>Sleep pattern disturbance</i>, <i>Skin integrity impairment risk</i>, and <i>Airway clearance impairment</i> emerged as the NDs most frequently linked to ICU transfer. The models showed good performance and generalizability, with stable out-of-bag and validation errors across iterations. <b>Conclusions</b>: A prioritized ranking of NDs appears to be associated with ICU transfers, suggesting their potential utility as early warning indicators of clinical deterioration. Patients presenting with high-risk diagnostic profiles should be prioritized for enhanced clinical surveillance and proactive intervention, as they may represent vulnerable populations.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 11","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12154488/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144283724","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":"Effect of Instant Messaging-Based Integrated Healthcare on Medical Service Use and Care Outcomes in Patients with Disabilities.","authors":"Han-Chin Hsieh, Yan-Yuh Lee, Nai-Ching Chen, Ya-Chuan Hu, Lin-Yi Wang","doi":"10.3390/healthcare13111335","DOIUrl":"10.3390/healthcare13111335","url":null,"abstract":"<p><p><b>Objectives:</b> We aimed to investigate how receiving integrated healthcare services from a case manager via instant messaging affected patients with disabilities. <b>Methods</b>: This database-matched case-control study was conducted at one medical center. Patients with officially certified disabilities were recruited and assigned to either the LINE-based group or the control group, which accessed services in the traditional manner. Their baseline characteristics were collected through chart reviews. Medical service utilization data-including their number of outpatient visits, prescribed medications, and hospitalizations-were obtained at baseline and 3, 6, and 12 months into the intervention. In the LINE group, quality of life, caregiver burden, and perceived social support were also assessed. A repeated-measures ANOVA was used to analyze within- and between-group differences over time. <b>Results</b>: Both the LINE group and the control group contained 66 patients. The number of outpatient visits (<i>p</i> < 0.001) and quantity of medication taken (<i>p</i> = 0.026) were significantly lower in the LINE group than in the control group. Furthermore, the caregiver burden in the LINE group (<i>p</i> = 0.024) was significantly lower 12 months after receiving integrated healthcare services. <b>Conclusions</b>: Providing integrated healthcare services via instant messaging enabled patients with disabilities to access medical services promptly and efficiently, thus enhancing the accessibility of healthcare and improving care for the disabled population.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 11","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12154475/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144283653","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}