Healthcare最新文献

{"title":"Professional Role Transition in Nursing: Leveraging Transition Theory to Mitigate the Current Human Resource Crises.","authors":"Stella Akomeng Aryeequaye, Kathryn Corneau, Judy E Duchscher","doi":"10.3390/healthcare13060671","DOIUrl":"10.3390/healthcare13060671","url":null,"abstract":"<p><p>New graduate nurse (NGN) turnover is emerging as one of the foremost issues in healthcare systems, primarily due to the implications for patient care and the need to secure the human resource future of the nursing profession. The initial months of transitioning into the professional role are crucial for cultivating and developing clinical practice patterns, professional values and a connection to the profession. However, the initial transition period for new nurses is associated with numerous challenges that can interrupt a healthy introduction into practice, justifying the critical prioritization of these issues. In light of these challenges to NGN entry to practice, this paper aims to conceptualize the contemporary professional role transition experiences of new graduate nurses and highlight the potential leverage that transition theories offer in managing this experience. Eleven transition theories relevant to this discourse were identified to enhance the understanding and comprehension of the new graduate nurses to inform future initiatives, directives, interventions and policies.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 6","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11941911/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143728560","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":"Understanding Cancer Screening Behavior in South Korea: A Biopsychosocial Approach to Regional Differences.","authors":"Yoon-Hee Cho, Joohyun Lee","doi":"10.3390/healthcare13060664","DOIUrl":"10.3390/healthcare13060664","url":null,"abstract":"<p><p><b>Background/Objectives:</b> This study aimed to examine regional cancer screening participation rates among South Korean adults aged 40 and over and to identify biological, psychological, and sociocultural factors associated with cancer screening behavior using the biopsychosocial model. <b>Methods:</b> This research was a secondary analysis study. Data were obtained from the 2023 Korean Community Health Survey, focusing on adults residing in cities that exhibited the highest and lowest rates of cancer screening. Differences in cancer screening rates by city were visualized using a location-based open service platform. Variables were categorized into biological, psychological, and sociocultural factors, and logistic regression analysis was conducted to ascertain the factors associated with screening participation. <b>Results:</b> The cancer screening rate for adults aged 40 or older in 17 metropolitan cities in Korea ranged from 64.9% to 76.0%, and the national average was 70.9%. In the city with the highest screening rate, participation was positively associated with oral health, physical activity, breakfast-eating habits, and past smoking. In the city with the lowest screening rate, higher screening participation correlated with family cohabitation and satisfaction with the social environment. <b>Conclusions:</b> Our results suggest that cancer screening participation rates vary across regions and that the factors associated with cancer screening participation differ between regions with the highest and lowest participation rates. These results provide evidence for targeted interventions that take into account regional factors to improve cancer screening rates in South Korea.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 6","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11942035/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143729786","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":"Learning Objectives Matrix in DIM.RUHR: A Didactic Concept for the Interprofessional Teaching of Data Literacy in Outpatient Health Care.","authors":"Vivian Lüdorf, Anne Mainz, Sven Meister, Jan P Ehlers, Julia Nitsche","doi":"10.3390/healthcare13060662","DOIUrl":"10.3390/healthcare13060662","url":null,"abstract":"<p><p>(1) <b>Background</b>: Each year, significant volumes of healthcare data are generated through both research and care. Since fundamental digital processes cannot function effectively without essential data competencies, the challenge lies in enhancing the quality of data management by establishing data literacy among professionals in outpatient healthcare and research. (2) <b>Methods</b>: Within the DIM.RUHR project (Data Competence Center for Interprofessional Use of Health Data in the Ruhr Metropolis), a didactic concept for interprofessional data literacy education is developed, structured as a learning objectives matrix. Initially conceived through a literature review, this concept has been continually developed through collaboration with interprofessional project partners. The study was conducted between February 2023 and June 2024. (3) <b>Results</b>: The foundational structure and content of the didactic concept are based on various scientific studies related to general data literacy and the outcomes of an interactive workshop with project partners. Eight distinct subject areas have been developed to encompass the data literacy required in healthcare professions: (1) Fundamentals and general concepts, (2) ethical, legal, and social considerations, (3) establishing a data culture, (4) acquiring data, (5) managing data, (6) analyzing data, (7) interpreting data, and (8) deriving actions. Within these, learners' data literacy is assessed across the four competency areas: basic, intermediate, advanced, and highly specialized. (4) <b>Conclusions</b>: The learning objectives matrix is anticipated to serve as a solid foundation for the development of teaching and learning modules aimed at enhancing data literacy across healthcare professions, enabling them to effectively manage data processes while addressing the challenges associated with digital transformation.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 6","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11942240/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143729870","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 a Supervised Aerobic Exercise Training Program and Ginkgo Biloba Extract on Metabolic Parameters and Functional Capacity in HIV-Infected Subjects.","authors":"Raúl Soria-Rodríguez, Javier Méndez-Magaña, Nathaly Torres-Castillo, Erika Martínez-López, Edtna Jauregui-Ulloa, Juan López-Taylor, Cesar O de Loera-Rodríguez, Ramón Sigala-Arellano, Fernando Amador-Lara","doi":"10.3390/healthcare13060663","DOIUrl":"10.3390/healthcare13060663","url":null,"abstract":"<p><p><b>Background</b>: A remarkable increase in metabolic comorbidities occur in people living with HIV infection (PLWH). Supervised physical activity provides significant health benefits. Ginkgo biloba (GKB) extract has been reported to have a wide range of metabolic advantages. This study aimed to examine the effects of an exercise training (ET) program and a GKB extract on PLWH. <b>Methods</b>: This was a randomized placebo-controlled double-blind study. Twenty-eight PLWH were assigned to receive a placebo (<i>n</i> = 10), GKB extract (<i>n</i> = 10), or statins (<i>n</i> = 8). All patients underwent a supervised ET program 3-5 times per week. Anthropometric measurements, functional capacities, and metabolic parameters were assessed in all participants at baseline and after 12 weeks of follow-up. <b>Results</b>: After the 12-week intervention, body fat decreased significantly by 2-3% in all groups relative to their baseline values (<i>p</i> < 0.05). Total cholesterol and LDL-c were significantly decreased in the ET + statin group (<i>p</i> = 0.04, and <i>p</i> = 0.007, respectively) compared to baseline values, while HbA1c and the HOMA-IR index were significantly decreased in the ET + GKB group (<i>p</i> = 0.03 and <i>p</i> = 0.02, respectively) compared to baseline values, and a significant increase in CD4+ T cell mean was observed in the ET + placebo group (<i>p</i> = 0.005) compared to baseline values. A significant increase in cardiorespiratory capacity (VO_2max) from their baseline values was observed in all groups (<i>p</i> < 0.001) after 12 weeks of intervention from their baseline values. <b>Conclusions</b>: Body fat and cardiorespiratory fitness significantly improved after a 12-week supervised ET program. GKB extract significantly decreased insulin resistance.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 6","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11942170/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143729816","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":"Barriers to the Utilization of mHealth Applications in Saudi Arabia: Insights from Patients with Chronic Diseases.","authors":"Haitham Alzghaibi","doi":"10.3390/healthcare13060665","DOIUrl":"10.3390/healthcare13060665","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Mobile health (mHealth) applications play a crucial role in enhancing healthcare accessibility, patient engagement, and chronic disease management. However, technical, usability, accessibility, and privacy-related barriers continue to hinder their widespread adoption. The Sehaty app, a government-managed mHealth platform in Saudi Arabia, is widely used for scheduling medical appointments, accessing health records, and communicating with healthcare providers. Understanding the challenges associated with its utilization is essential for optimizing its functionality and improving user experience.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Aim: &lt;/strong&gt;This study aims to identify and evaluate the key barriers affecting the adoption and usability of the Sehaty mHealth application among patients with chronic conditions in Saudi Arabia. Specifically, it examines challenges related to technical performance, usability, accessibility, privacy, and security and their impact on user satisfaction and engagement.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;A cross-sectional study was conducted using a structured questionnaire distributed to 344 participants selected through purposive sampling to ensure the inclusion of active Sehaty users with chronic conditions. The questionnaire assessed 10 primary usability barriers, including technical issues, navigation difficulties, privacy concerns, and accessibility limitations. Descriptive statistics and correlation analyses were performed to evaluate the prevalence and interrelationships of these barriers.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The findings indicate that technical barriers, including frequent application crashes, slow responsiveness, and system instability, significantly hinder user satisfaction. Usability challenges, such as difficulties in navigation and task completion, further impede engagement. Moreover, privacy and security concerns emerged as significant deterrents, with users expressing apprehensions about data safety and transparency. Accessibility barriers, particularly for older adults and individuals with disabilities, were associated with insufficient support and training, making the app less user-friendly for these populations. The study highlights the interconnected nature of usability challenges, suggesting that improvements in technical stability and interface design could lead to enhanced user confidence, engagement, and overall satisfaction.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;Addressing these barriers requires targeted technical enhancements, user-centered design improvements, and strengthened data security measures to promote trust and engagement. Additionally, implementing comprehensive user support systems and accessibility features is essential to ensuring equitable access to mHealth services. While the study's generalizability is limited by its focus on a single government-managed platform, its findings offer valuable insights applicable to broader mHealth initiatives. Future research shoul","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 6","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11941799/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143729767","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":"End of Life in Italy: Ethical and Legal Perspectives.","authors":"Rosagemma Ciliberti, Linda Alfano, Chiara Robba, Nicolò Antonino Patroniti","doi":"10.3390/healthcare13060666","DOIUrl":"10.3390/healthcare13060666","url":null,"abstract":"<p><p>The regulation of end-of-life decisions has been the subject of intense debate for years, marked by the challenge of reconciling two fundamental ethical principles: preservation of life and individual self-determination. From a legal perspective, numerous court rulings have outlined an evolving framework, highlighting the difficulty of establishing a regulatory approach that balances constitutional rights with ethical values. This study examines key Italian judicial decisions, with a particular focus on recent Constitutional Court rulings regarding end-of-life issues, and discusses the underlying ethical and humanistic perspectives. We aim to explore the key ethical and legal issues arising in the context of end-of-life regulation. Judicial developments demonstrate an increasing recognition of individual self-determination in accessing assisted suicide despite persisting ongoing ambiguities and regulatory gaps. The end-of-life debate underscores the urgency of moving beyond abstract and schematic approaches, favoring a perspective that integrates multidisciplinary expertise and human sensitivity. Ensuring effective access to palliative care and comprehensive social and healthcare systems is essential to alleviate suffering and provide genuine alternatives to assisted suicide.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 6","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11942586/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143729835","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 Impact of ISO Certification Procedures on Patient Safety Culture in Public Hospital Departments.","authors":"Georgia Kyriakeli, Anastasia Georgiadou, Maria Lithoxopoulou, Zoi Tsimtsiou, Vasilios Kotsis","doi":"10.3390/healthcare13060661","DOIUrl":"10.3390/healthcare13060661","url":null,"abstract":"<p><p><b>Background:</b> ISO certification is widely implemented as a quality assurance tool in healthcare services; however, its impact on patient safety culture (PSC) in public hospitals remains insufficiently explored. <b>Aim:</b> This study aims to assess the effect of ISO certification procedures on different dimensions of PSC in public hospital departments by comparing ISO-certified and non-certified departments across two phases (Phase A: pre-certification; Phase B: 18 months post-certification). <b>Methods:</b> A two-phase cross-sectional study was conducted in a tertiary public hospital in Greece. Healthcare professionals from both ISO-certified and non-certified departments participated. The Hospital Survey on Patient Safety Culture (HSOPSC v1.0) was administered at two time points (Phase A: baseline, pre-certification; Phase B: 18 months post-certification). A repeated measures analysis was performed to assess the changes over time and differences between the two groups. <b>Results:</b> The findings suggest that ISO certification has a mixed impact on the PSC dimensions. A significant improvement was observed in \"Supervisor's/Manager's Expectations and Actions Promoting Safety\" (<i>p</i> = 0.012), while \"Teamwork Within Units\" (<i>p</i> = 0.026) and \"Handoffs and Transitions\" (<i>p</i> = 0.037) showed statistically significant changes. These results indicate that certification may enhance structured managerial oversight and interdepartmental collaboration, but at the same time, may negatively impact the teamwork within hospital units. However, no statistically significant changes were observed in \"Overall Perception of Safety\" (<i>p</i> = 0.135) and \"Non-Punitive Response to Error\" (<i>p</i> = 0.101), suggesting that while there was a trend towards a stricter safety evaluation, this was not statistically confirmed. Additionally, the staffing perceptions remained unchanged (<i>p</i> = 0.745). <b>Conclusions:</b> ISO certification appears to reinforce managerial safety expectations and interdepartmental teamwork, yet does not significantly improve the overall perceptions of patient safety or non-punitive error responses. The results indicate the need for targeted interventions to ensure that certification processes do not increase administrative burdens or negatively impact staff perceptions. Future research should explore whether these effects persist over time and how hospitals can optimize certification processes to strengthen PSC without unintended consequences.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 6","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11942358/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143729822","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":"Comparative Analyses Between Vulnerability Biomarkers of Aging and Health Biomarkers in Middle-Aged and Older Female Adults.","authors":"Klara Karin Brigitte Knoblauch, Luana Froes Losnack, Gustavo Castillo Zacarias, Gabriel Gasparini Satyro, Rodrigo Villar, Anderson Saranz Zago","doi":"10.3390/healthcare13060667","DOIUrl":"10.3390/healthcare13060667","url":null,"abstract":"<p><p>Biological aging is normally associated with greater physiological changes which predispose individuals to adverse outcomes. In this way, the evaluation of vulnerability biomarkers and their relationships with other health biomarkers could contribute to the promotion of interventions and the improvement of older adults' quality of life. Thereby, this study aimed to compare vulnerability biomarkers (Growth Differentiation Factor 15 (GDF-15), General Functional Fitness Index (GFFI), and frailty phenotype) and their influence on health markers (blood biochemistry, body composition, and hemodynamic variables) in middle-aged and older female adults. <b>Methods:</b> A cross-sectional observational study was conducted with community-dwelling females aged 54-84 with at least 6 months of experience with physical training. The participants were categorized based on functional fitness, frailty phenotype, and GDF-15 quartiles. The General Functional Fitness Index (GFFI) was assessed using the AAHPERD test battery, while frailty phenotype was determined using Fried's criteria. GDF-15 levels were measured through ELISA. <b>Results:</b> A higher training status (TS) showed better functional fitness and favorable biochemical profiles, including lower total cholesterol (<i>p</i> = 0.006, η²p = 0.253), LDL cholesterol (<i>p</i> = 0.001, η²p = 0.346), triglycerides (<i>p</i> = 0.048, η²p = 0.195), and systolic blood pressure (<i>p</i> = 0.001, η²p = 0.333). Individuals classified as robust (non-frail) had better physical performance and lower total cholesterol (<i>p</i> = 0.002, η²p = 0.306) and LDL cholesterol (<i>p</i> = 0.014, η²p = 0.216) compared to those classified as frail and pre-frail. The GDF-15 quartile did not present differences in health markers between groups. <b>Conclusions:</b> These findings suggest that GFFI may be considered a health biomarker for middle-aged and female older adults while highlighting the need for further research on the role of biomarkers of vulnerability and healthy aging.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 6","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11942191/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143729812","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":"Adolescents' Well-Being and Democratic Parenting: Does Environmental Sensitivity Matter?","authors":"Nicolò Maria Iannello, Nicla Cucinella, Alida Lo Coco, Sonia Ingoglia, Costanza Baviera, Cristiano Inguglia, Francesca Lionetti, Michael Pluess, Maria Grazia Lo Cricchio","doi":"10.3390/healthcare13060659","DOIUrl":"10.3390/healthcare13060659","url":null,"abstract":"<p><p><b>Background/Objectives:</b> This study examines the relations between democratic parenting and adolescents' subjective well-being, focusing on the potential moderating role of youth environmental sensitivity. Three environmental sensitivity models (diathesis-stress, vantage sensitivity, differential susceptibility) were tested to unveil the heterogeneity of the effects of democratic parenting on adolescents' subjective well-being according to the type of environmental influences (positive, negative, both positive and negative) youths are more susceptible to. <b>Methods:</b> A sample of 321 Italian adolescents (75% females; <i>M</i>_age = 16.83, <i>SD</i> = 1.35) completed online self-report measures assessing perceptions of democratic parenting, environmental sensitivity, and various dimensions of subjective well-being (positivity, vitality, anxiety, and general health). <b>Results:</b> Three path analysis models were run to evaluate the associations between democratic parenting, environmental sensitivity, and youths' well-being. The results showed that democratic parenting was positively related to adolescents' positivity, vitality, and general health and negatively to anxiety. Adolescents with higher environmental sensitivity reported reduced subjective well-being. A moderating effect of environmental sensitivity was detected such that highly sensitive adolescents had lower general health when democratic parenting was low. <b>Conclusions:</b> These findings support a diathesis-stress model, suggesting that environmental sensitivity might be a vulnerability factor in less supportive environments.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 6","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11941766/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143729906","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":"Key Factors Influencing Outpatient Satisfaction in Chronic Disease Care: Insights from the 2023 Korea HSES.","authors":"Yu-Jin Cha","doi":"10.3390/healthcare13060655","DOIUrl":"10.3390/healthcare13060655","url":null,"abstract":"<p><p><b>Background/Objectives</b>: The outpatient healthcare experiences of patients with chronic diseases significantly impact disease management and quality of life. Patient satisfaction with healthcare services serves as a critical indicator of the responsiveness of healthcare systems and the advancement of patient-centered care. This study aimed to identify key factors influencing patient satisfaction and propose strategies for improvement. <b>Methods</b>: Using secondary data from the 2023 Healthcare Service Experience Survey (HSES), we analyzed patient satisfaction and its associated factors among respondents aged 15 years and older from households nationwide. Through multiple regression analysis and statistical testing, we examined the impact of the healthcare facility type, sociodemographic characteristics, and healthcare service experiences on satisfaction levels. <b>Results</b>: Information provided by physicians and nurses, communication with healthcare providers, and shared decision-making processes had a significant impact on patient satisfaction. Satisfaction levels were highest in hospitals and lowest in clinics. Older patients and those who discontinued treatment due to the financial burden reported lower satisfaction. Notably, information provided by nurses had the most substantial positive influence on satisfaction. <b>Conclusions</b>: Delivering patient-centered outpatient healthcare services is essential in improving satisfaction and health outcomes. Enhancing the service quality, reducing financial burdens, and adopting digital platforms to promote patient engagement are critical measures. These approaches will strengthen chronic disease management systems and contribute to improving the overall quality of life of the population. The entire study focused on outpatient care.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 6","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11942462/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143729867","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}