Healthcare最新文献

{"title":"Exploring Patient Awareness and the Feasibility of Mediation in Healthcare: A Pilot Study in Bulgaria.","authors":"Kostadin Yordanov Dimitrov, Tsonka Miteva-Katrandzhieva","doi":"10.3390/healthcare13060629","DOIUrl":"10.3390/healthcare13060629","url":null,"abstract":"<p><strong>Background/objectives: </strong>The healthcare system is complex and emotionally charged, which frequently leads to conflicts between patients and healthcare providers as a result of inadequate communication and unmet patient expectations. This pilot study investigates patient awareness and the feasibility of mediation as an alternative conflict resolution method in healthcare.</p><p><strong>Methods: </strong>A cross-sectional survey of 40 Bulgarian citizens was conducted to evaluate their experiences with physician-patient communication, their opinions regarding the effectiveness of the legal system, and their awareness of mediation.</p><p><strong>Results: </strong>According to the findings, more than half of the respondents reported difficulties communicating with their physicians, and only 5% believed the judicial system was effective in resolving disputes in healthcare. While many were familiar with mediation, only 2.5% had used it to address healthcare-related problems.</p><p><strong>Conclusions: </strong>This pilot study underscores the need for targeted education and trust-building initiatives to facilitate the implementation of mediation in healthcare. Improving patient-physician communication and introducing mediation could enhance healthcare quality and patients' trust, providing a more efficient and satisfactory conflict resolution mechanism.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 6","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11942163/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143729843","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":"Training School-Based Health Clinicians in New Mexico Regarding Adverse Childhood Experiences.","authors":"Joanna G Katzman, Laura E Tomedi, Krishna Chari, Navin Pandey, Anilla Del Fabbro, Mary Ramos, Briana Kazhe-Dominguez","doi":"10.3390/healthcare13060638","DOIUrl":"10.3390/healthcare13060638","url":null,"abstract":"<p><p><b>Background:</b> Adverse childhood experiences (ACEs) are potentially traumatic experiences that may promote poor mental health, including substance use and suicidality, as well as chronic pain. Telementoring may be used to provide education to school-based health center (SBHC) clinicians and other health professionals in the community to identify and support youth with ACEs. <b>Methods:</b> This study was an evaluation of the novel ACEs ECHO telementoring program, which incorporates didactics, case-based learning, and a community of practice to serve school-based health clinicians in New Mexico, a rural state with a high prevalence of ACEs. <b>Results:</b> In the program's first two years, there were 704 unique participants, including SBHC clinicians from 25 of New Mexico's 33 counties. The pre/post survey demonstrated that the participants reported increases in knowledge in identifying children that experienced ACEs (4.3 versus 3.7, <i>p</i> = 0.001) and confidence in supporting children who may be at high risk (4.1 versus 3.3, <i>p</i> = 0.001) compared with before they began attending the ACEs ECHO program. The participants also reported that they felt more hopeful that they could help youth with ACEs (4.2 versus 3.3, <i>p</i> = 0.001). <b>Conclusions:</b> The ACEs ECHO telementoring program may be considered for other rural states and globally as a capacity-building model to educate SBHC clinicians and other health professionals to identify youth at risk for adverse childhood experiences.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 6","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11942032/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143729854","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":"How Do Patients with Hypermobile Ehlers-Danlos Syndrome Cope with This Medical Condition? An Analysis of Autobiographical Narratives in Relation to Pain Perception and Affect Regulation Capabilities.","authors":"Alessia Renzi, Claudia Celletti, Michela Di Trani, Marta A S Vizzini, Lorenzo Colaboni, Giada Petronelli, Massimo Pasquini, Filippo Camerota, Rachele Mariani","doi":"10.3390/healthcare13060636","DOIUrl":"10.3390/healthcare13060636","url":null,"abstract":"<p><strong>Background/objectives: </strong>Hypermobile Ehlers-Danlos syndrome (hEDS) is the most common form of EDS, characterized by joint hypermobility, skin findings, and joint pains or recurrent dislocations that may also be associated with other several extra-articular symptoms. A deficit in the affect regulation represents a risk element in the development of both physical and mental health, as well as in a greater pain perception. The present study aims at exploring the associations between linguistic characteristics associated with different autobiographical memories and affect regulation and pain measures in patients affected by hEDS. A further aim is to explore the possible differences in linguistic measures between different episodes.</p><p><strong>Methods: </strong>Twenty-five patients with hEDS diagnoses (mean age = 38.32; SD = 17.00; 23 female) in treatment at the Physical Medicine and Rehabilitation Department of Umberto I Hospital in Rome completed a socio-demographic questionnaire, the Difficulties in Emotion Regulation Scale (DERS), the 20-item Toronto Alexithymia Scale (TAS-20), and the Brief Pain Inventory (BPI), as well as an interview aimed at collecting memories regarding neutral, positive, and negative events and the medical condition. The transcriptions of the interviews were analyzed using a computerized linguistic measure of the referential process (RP).</p><p><strong>Results: </strong>A correlational analysis showed several significant associations among the linguistic measures, affect regulation, and perception of pain, applied to neutral, positive, and disease condition narratives. Only few significant associations emerged regarding the negative episode. Moreover, significant differences emerged between the neutral event compared with the positive, negative, and diagnosis episodes, especially with the latter.</p><p><strong>Conclusions: </strong>The present findings seem to confirm the association between affect regulation, pain, and linguistic measures, sustaining an elaborative process. Specifically, the experience of chronic pain associated with the discovery of the rare disease becomes a meaningful experience in one's life condition and supports the ability to cope with the experience of chronicity.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 6","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11942265/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143729811","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":"Evaluation of Health Promotion in International Schools Using the Schools for Health in Europe (SHE) Rapid Assessment Tool.","authors":"Jaime Barrio-Cortes, María Díaz-Quesada, María Martínez-Cuevas, Amelia McGill, Cristina María Lozano-Hernández, Cayetana Ruiz-Zaldibar, María Teresa Beca-Martínez, Montserrat Ruiz-López","doi":"10.3390/healthcare13060633","DOIUrl":"10.3390/healthcare13060633","url":null,"abstract":"<p><p><b>Background:</b> Many schools are committed to the \"Five Steps to a Health Promoting School guide\" created by the Schools for Health in Europe (SHE) network to avoid chronic disease and promote healthy environments. <b>Objectives:</b> The aim of this study was to evaluate schools' health promotion policies and practices via the SHE rapid assessment tool. <b>Methods:</b> From February 2019 to June 2019, a cross-sectional survey based on this tool was conducted in nine international schools that are part of a private network operating in multiple countries. The entire school community was offered the opportunity to participate. The survey consisted of 37 questions aligned with the whole-school approach to health promotion and addressed orientation, healthy school policy, the physical and social environment, health skills, community links, and staff well-being using a three-point scale. A univariate analysis was subsequently performed. <b>Results:</b> A total of 929 people responded, 59.7% of whom were women, representing 74 different nationalities (82.5% Europeans). The average age was 25.9 years, ranging from 7 to 77 years. The participants included 57.2% students, 21.3% teachers, 15.3% families, 3.2% management teams, 1% counsellors/psychologists, 1% administrative/service staff, 0.5% catering staff, 0.3% nursing/medical staff, and 0.2% maintenance staff. The findings revealed that 80% of the respondents felt that most of these health promotion needs were being partially or fully addressed, predominantly with medium or high priority. However, 30% of the respondents indicated that the school had not yet assessed the students' and employees' health and well-being needs or fully promoted a healthy work-life. <b>Conclusions:</b> The SHE rapid assessment tool serves as an effective initial step in identifying key indicators within the school community, offering insights for future action towards becoming a health-promoting school. These results underscore the importance of addressing social and behavioural determinants of health within different international educational settings to promote positive sociorelational well-being and youth development. By fostering the well-being of children, adolescents, and the educational community, schools play a pivotal role in reducing the risk factors for chronic diseases and supporting psychosocial adaptation.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 6","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11942499/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143729837","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":"Impact of Ramadan Fasting on Mental Health, Body Composition, Physical Activity, and Sleep Outcomes Among University Students.","authors":"Nour Amin Elsahoryi, Mohammed O Ibrahim, Omar Amin Alhaj, Gaida Abu Doleh, Abeer Ali Aljahdali","doi":"10.3390/healthcare13060639","DOIUrl":"10.3390/healthcare13060639","url":null,"abstract":"<p><strong>Background: </strong>Over two billion Muslims across the world practice Ramadan fasting, which involves refraining from food and drink from dawn to sunset. This study was conducted to investigate the effects of Ramadan fasting on mental health (depression, anxiety, stress), body composition, physical activity, and sleep quality among Jordanian university students.</p><p><strong>Methods: </strong>This study utilized a quasi-experimental, pre-post-intervention design. It was conducted between March and April 2024 and included 77 students from the University of Petra (UOP) in Amman, Jordan. Bivariate analysis was performed to compare the variables pre-post Ramadan fasting. A linear mixed-effects model assessed the association between Ramadan fasting and each outcome.</p><p><strong>Results: </strong>The results indicated that Ramadan fasting was not associated with a change in the Depression Anxiety Stress Scales-21 (DASS-21 score). Ramadan fasting led to a decrease in sleep quality, indicated by an increase in the PSQI score (β = 0.92; <i>p</i>-value = 0.0419). Component analysis revealed statistically significant changes in subjective sleep quality (<i>p</i>-value = 0.0009), sleep duration (<i>p</i>-value < 0.0001), and sleep disturbances (<i>p</i>-value = 0.025). Body composition: Ramadan fasting was significantly associated with a decrease in the number of fat components, such as weight (β = -1.20; <i>p</i>-value = 0.0116), body mass index (β = -0.55), waist circumference (β = -1.79; <i>p</i>-value = 0.0029), fat mass index (β = -0.43; <i>p</i>-value = 0.0279), visceral fat area (β = -6.86; <i>p</i>-value = 0.0383), and body adiposity index (β = -0.45; <i>p</i>-value = 0.0068) (all <i>p</i>-value < 0.05). No substantial alterations to the body's water-related properties were noted. Physical Activity: A marked decrease was noted in moderate- to high-intensity activity levels (<i>p</i>-value < 0.0001).</p><p><strong>Conclusion: </strong>In conclusion, Ramadan fasting can positively affect body composition through a reduction in weight, body mass index, waist circumference, and other parameters of fat, emphasizing its potential role in body composition improvement. However, fasting was also accompanied by poorer sleep quality, including, specifically, poorer subjective sleep quality and sleep duration and greater disturbance. The associated impairments to sleep revealed in these findings demand strategies to mitigate sleep impairments, alongside, where possible, potential beneficial effects of fasting on body composition.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 6","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11942262/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143729826","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":"Acceptance of Illness, Quality of Sleep and Emotional State of Adolescents with Lymphatic Malignancy During the First Cycle of Anticancer Treatment-A Preliminary Report.","authors":"Agnieszka Kruszecka-Krówka, Grażyna Cepuch, Anna Królikowska, Agnieszka Micek","doi":"10.3390/healthcare13060637","DOIUrl":"10.3390/healthcare13060637","url":null,"abstract":"<p><p><b>Background</b>: Medical care provided to adolescents with lymphatic system cancer and leukemia should take into consideration psychological aspects, due to the increased risk of anxiety disorders, depression, irritability and sleep disorders, which may determine acceptance of the disease. <b>Methods</b>: The study included 50 patients of both sexes, aged 14-17. The following questionnaires were used: The Hospital Anxiety and Depression Scale (HADS-M), Athens Insomnia Scale (AIS), Acceptance of Illness Scale (AIS) and Numeric Rating Scale (NRS). <b>Results</b>: A significant group of patients did not accept their disease. Male gender turned out to be a predictor of higher acceptance of the disease. The dominant emotion among young people was anxiety, especially among girls (<i>p</i> = 0.012). The level of depression of most respondents was low or moderate (<i>p</i> = 0.143), and irritability was high (<i>p</i> = 0.074), regardless of gender. Sleep disorders were more common in girls (<i>p</i> < 0.001) and were associated with high levels of anxiety and depression. Regardless of gender, most adolescents experienced pain (≥3 NRS). <b>Conclusions</b>: Recognizing the predictors of disease acceptance, especially in the initial stage of treatment, may be of key importance for current and further therapeutic effects in adolescents; therefore, it should be included in the standards of care for this group of patients.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 6","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11942510/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143729902","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":"Childhood Trauma, Cognition, and Eating Psychopathology: A Network Analysis.","authors":"Kathryn Pasquariello, David A Gansler, Sukanya Ray, Malvina O Pietrzykowski, Margaret Pulsifer, Christina Ralph-Nearman","doi":"10.3390/healthcare13060630","DOIUrl":"10.3390/healthcare13060630","url":null,"abstract":"<p><p><b>Background/Objectives</b>: Childhood trauma is associated with psychiatric sequelae beyond post-traumatic stress disorder (PTSD), including eating disorders (EDs) and cognitive dysfunction. While eating pathology is related to cognition irrespective of childhood trauma exposure, such experiences may influence the way in which these symptoms develop. One method that has garnered increased interest in studying the interrelationships between symptoms and pinpointing core features of psychopathology is network analysis. <b>Methods</b>: Using data from the Nathan Kline Institute Rockland Sample, the present study utilized network analysis to examine associations between ED symptoms and cognitive deficits among a community sample. Comorbidity networks were constructed in two samples: adult reporters of childhood trauma (<i>n</i> = 116) and non-reporters (<i>n</i> = 101). <b>Results</b>: In line with the cognitive-behavioral model of EDs, overvaluation of weight/shape was central to both networks but demonstrated higher strength centrality among trauma reporters. Additionally, among trauma reporters, executive functioning deficits were linked to food-related attentional biases; alternatively, affective symptoms were salient among non-reporters. Finally, negative self-concept (theorized as a putative consequence of cognitive deficits) was implicated in both networks. When comparing the networks according to global strength, we did not find significant differences. <b>Conclusions</b>: Our findings contribute to the literature examining the interrelatedness of eating pathology and cognition and extend these findings by considering the role of trauma exposure. While our networks shared features of overvaluation of weight/shape and negative self-concept, they differed according to cognitive-affective concomitants. This information holds clinical utility in advancing assessment and intervention for individuals with eating psychopathology.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 6","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11941857/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143729807","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 Effect of Alarm Fatigue on the Tendency to Make Medical Errors in Surgical Intensive Care Nurses: A Correlational Study Examining the Role of Moderating Factors.","authors":"Muaz Gülşen, Sevban Arslan","doi":"10.3390/healthcare13060631","DOIUrl":"10.3390/healthcare13060631","url":null,"abstract":"<p><p><b>Introduction:</b> In surgical intensive care units, monitoring and interventions are performed utilizing advanced technologies. The warning alarms of these devices jeopardize patient safety by inducing fatigue in staff. <b>Aim:</b> The objective is to assess the impact of alarm fatigue on the tendency for medical errors among nurses in surgical intensive care units. <b>Method:</b> The current study employed a cross-sectional and correlational design. Data were gathered from 201 surgical intensive care nurses through an online survey approach and snowball sampling technique. The data collection instruments employed were the \"Personal Information Form\", the \"Alarm Fatigue Scale\", and the \"Medical Error Tendency Scale in Nursing\". <b>Results:</b> The mean total score for alarm fatigue among nurses in surgical intensive care units was found to be 16.42 ± 5.47, while the mean total score for the tendency to make medical errors was 180.57 ± 24.32. A negative moderate correlation was identified between alarm fatigue and a tendency for medical errors. This finding indicates that as alarm fatigue increases, the score reflecting the tendency to make medical errors decreases; however, this decrease suggests an actual increase in the tendency for medical errors. Nurses' alarm fatigue accounted for 14.5% of the total variance in the tendency to commit medical errors. A unit increase in alarm fatigue was found to correlate with a 0.381 unit increase in the likelihood of medical errors. <b>Conclusions:</b> Nurses exhibited moderate levels of alarm fatigue and a tendency for medical mistakes. The tendency for medical errors escalated markedly with the rise in alarm fatigue.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 6","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11941973/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143729815","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":"Childhood Anemia in Mozambique: A Multilevel Mixed-Effects Analysis of 2011-2022/23 Population-Based Surveys.","authors":"Réka Maulide Cane, Rornald Muhumuza Kananura, Ronald Wasswa, Maria Patrícia Gonçalves, Luís Varandas, Isabel Craveiro","doi":"10.3390/healthcare13060635","DOIUrl":"10.3390/healthcare13060635","url":null,"abstract":"<p><p><b>Background/Objectives</b>: Anemia adversely affects children's cognitive and motor development and remains a global public health problem. This study aimed to identify the individual, feeding, household, and community determinants of anemia among children in Mozambique. <b>Methods:</b> We used pooled datasets of two Mozambique representative population-based surveys: the 2011 and 2022-2023 Demographic and Health Surveys. A total sample of 8143 children aged 6-59 months with available hemoglobin testing was included. Multilevel mixed-effects analysis was performed using STATA (18.0). <b>Results:</b> Over a decade, the prevalence of anemia in children aged 6-59 months remained high, increasing slightly from 69.1% in 2011 to 72.9% in 2022. Children aged 6-11 months were less likely to have anemia than children from other age groups (aOR = 0.77, 95% CI = 0.62-0.96). Children who suffered from illnesses (aOR = 1.44, 95% CI = 1.18-1.75), received vitamin A supplements (aOR = 0.76, 95% CI = 0.63-0.93), lived in female-headed households (aOR = 1.16, 95% CI = 1.01-1.32), and who lived in households with unimproved drinking water sources (aOR = 1.40, 95% CI = 1.19-1.65) were more likely to have anemia than their peers. Overall, 16% of the variability in anemia prevalence was attributed to differences between clusters (ICC = 0.16). <b>Conclusions:</b> Childhood anemia remains a critical public health challenge in Mozambique, with prevalence rates exceeding the average for sub-Saharan Africa. Multisectoral approaches to enhance essential supplies' provision and the primary healthcare monitoring of children at risk favored more investments in rural development and sustainable agriculture, water sanitation, and social care and gender-sensitive work policies that can help tackle childhood anemia.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 6","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11942375/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143729798","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 Effect of E-Health Literacy and Patient-Physician Relationship on Treatment Adherence.","authors":"M Kemal Boz, Mesut Çimen","doi":"10.3390/healthcare13060632","DOIUrl":"10.3390/healthcare13060632","url":null,"abstract":"<p><p><b>Objective:</b> The Internet is actively used for gathering and learning health-related knowledge. The uncertainty surrounding the reliability of health information found online has heightened the importance of effective relationships between patients and physicians, as well as the value of a physician's guidance. This study focused on investigating the impact of individuals' e-health literacy level and their relationship with their physicians on their treatment adherence. In addition, the aim was to determine the mediatory role of patient-physician relationship in the effect of e-health literacy on treatment adherence. <b>Materials and Methods:</b> The study population included volunteering participants over the age of 18 living in the city of Istanbul. The study employed a survey method, gathering data from 425 participants between 15 April and 15 August 2023. <b>Results:</b> According to the results of the research, e-health literacy has an effect on patient-physician relationships, patient-physician relationship has an effect on treatment adherence, and e-health literacy has an effect on treatment adherence. It was found that patient-physician relationship played a mediatory role in the relationship between e-health literacy and treatment adherence. <b>Conclusions:</b> E-health literacy and patient-physician relationship were found to be factors affecting treatment adherence. Some suggestions were made within the framework of these results.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 6","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11942574/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143729817","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}