Journal of Healthcare Quality Research最新文献

{"title":"Analysis of the accuracy of clinical diagnosis in an internal medicine department of a regional hospital: Inter-MONF study","authors":"S. Hernández-Dorta ,&nbsp;I. Izuzquina-Avanzini ,&nbsp;A. Lobelle-Seijas ,&nbsp;I. Fernández-Uzquiano ,&nbsp;L. Ramos-Rúa ,&nbsp;J. López-Castro","doi":"10.1016/j.jhqr.2025.101142","DOIUrl":"10.1016/j.jhqr.2025.101142","url":null,"abstract":"<div><h3>Introduction</h3><div>There are numerous studies examining the diagnostic accuracy of various supplementary tests; however, the literature focused on diagnostic accuracy derived from clinical reasoning and data is limited. Consequently, we conducted a study to assess the diagnostic accuracy of the professionals in the Internal Medicine Department at our hospital and to examine whether there are variations in accuracy related to specific pathologies and across different time periods, particularly before and after the emergence of the SARS-CoV-2 pandemic.</div></div><div><h3>Methods</h3><div>This is a retrospective, longitudinal, and observational study conducted in the Internal Medicine Department of the Regional Hospital of Monforte de Lemos from 2016 to 2022, encompassing both pre- and post-SARS-CoV-2 pandemic periods. The initial diagnosis made upon patient admission was compared with the final diagnosis at discharge through an independent peer review process.</div></div><div><h3>Results</h3><div>The diagnostic concordance at admission and discharge was 77.4%, with statistically significant differences observed between age groups (with higher concordance in patients under 55 years of age) and according to sex, with greater concordance in female patients. No differences were found regarding pathology type or temporal cohort.</div></div><div><h3>Conclusions</h3><div>The diagnostic accuracy of the healthcare professionals in the Internal Medicine Department at Monforte Public Hospital during the study periods was found to be high. Diagnostic concordance was greater in female patients and those under 55 years of age, with no significant differences observed across the most prevalent pathological conditions. Furthermore, the restrictive measures implemented during the SARS-CoV-2 pandemic do not appear to have negative affected diagnostic accuracy when compared to previous periods.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 5","pages":"Article 101142"},"PeriodicalIF":1.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143947091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding quality and efficiency of cancer care services from oncologist's perspective","authors":"S. Cinaroglu ,&nbsp;B. Saylan ,&nbsp;S. Zararsız","doi":"10.1016/j.jhqr.2025.101150","DOIUrl":"10.1016/j.jhqr.2025.101150","url":null,"abstract":"<div><h3>Objectives</h3><div>Enhancing the quality of critical care services requires a comprehending of the elements that contribute to their efficiency. This study proposes a new way of understanding of cancer service quality and efficiency from oncology professionals’ perspective by combining crisp and stochastic DEA techniques blended with a fully ranking DEA–AHP approach.</div></div><div><h3>Methods</h3><div>Our analysis is based on the analysis of cancer care services efficiency of 81 provinces of Turkey by using indicators of cancer care process, quality of cancer care, general quality of health and cancer care services, development level of provinces, and cancer mortality. Based on the DEA–AHP integrated model with fuzzy AHP weights, provinces located in poor areas are the least efficient in terms of cancer care services. Harmonized crisp and stochastic province-level efficiency analysis serves as a mediator variable to better understand the efficiency of cancer services by using geospatial data in oncology and allows capturing the efficiency dynamics of cancer care.</div></div><div><h3>Results</h3><div>The study findings highlight that the least efficient provinces for cancer care services are those that are mainly found in underdeveloped areas.</div></div><div><h3>Conclusion</h3><div>Cancer policy makers and oncology professionals should consider the efficiency dynamics of cancer care which acts as a mediator variable to help better understand the efficiency of cancer services through the use of spatial differences in oncology.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 5","pages":"Article 101150"},"PeriodicalIF":1.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144297639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Translation and cross-cultural adaptation of the service user technology acceptability questionnaire to a Spanish version","authors":"A. Méndez ,&nbsp;C. Nieto ,&nbsp;J.P. Guerrero ,&nbsp;D. Galaz","doi":"10.1016/j.jhqr.2025.101153","DOIUrl":"10.1016/j.jhqr.2025.101153","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>Telemedicine requires sensitivity to needs and contexts of patients. Acceptability, which is the intention or usage of technology, is a crucial aspect. SUTAQ (Service User Technology Acceptability Questionnaire) is the only questionnaire specifically designed to collect beliefs of patients about telehealth, however there is no Spanish version available to be used.</div></div><div><h3>Objective</h3><div>To translate and cross-culturally adapt the Service User Technology Acceptability Questionnaire to a Spanish version.</div></div><div><h3>Materials and methods</h3><div>An observational, cross-sectional study was designed to forward translate and synthesize the English version of SUTAQ, then to obtain a T-12 version which was back-translated to English and reviewed by an expert committee. The prefinal version was pretested after obtaining informed consent in subjects ≥18 years, with a chronic disease, using a form to evaluate fluency and comprehension of each question with a 5-point Likert scale.</div></div><div><h3>Results</h3><div>Minor modifications were incorporated in the T-12 version. Thirty-two subjects of 61 years old, female (65.6%), twelve or more years of study (59.4%) and hypertension (46.9%) were recruited. Fluency and understanding were mainly high in all questions with a minority who said the items were moderately understandable.</div></div><div><h3>Conclusion</h3><div>The Spanish version of SUTAQ was fluent and understandable for most patients, which demonstrated its consistency with the English version. This version should be further tested to demonstrate its reliability and validity in a larger sample.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 5","pages":"Article 101153"},"PeriodicalIF":1.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144660673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing patient satisfaction and identifying areas for improvement in gynecological care across various healthcare settings at a tertiary teaching hospital in Pakistan: A cross-sectional study","authors":"S.I. Memon ,&nbsp;A. Aijaz ,&nbsp;R. Jameel ,&nbsp;M. Shafique ,&nbsp;Y. Khan","doi":"10.1016/j.jhqr.2025.101132","DOIUrl":"10.1016/j.jhqr.2025.101132","url":null,"abstract":"<div><h3>Objectives</h3><div>Patient satisfaction is a key indicator of healthcare quality and essential for improving hospital services. This study aimed to assess patient satisfaction and to identify areas for improvement in gynecological care across inpatient, outpatient, and emergency settings.</div></div><div><h3>Material and methods</h3><div>We conducted a descriptive, cross-sectional study among 587 gynecological patients at a tertiary care teaching hospital in Karachi, Pakistan. We assessed multiple dimensions of patient care, such as doctor satisfaction, nursing care, housekeeping services, and value for money using simple random sampling. We used a standard questionnaire to gauge patient satisfaction with care and analyzed the data using Statistical Package for the Social Sciences (SPSS) version 21. We considered a <em>p</em>-value of less than 95% to be statistically significant.</div></div><div><h3>Results</h3><div>The analysis revealed high satisfaction rates across all service areas. Doctor satisfaction scored the highest at 95.4% (95% CI: 0.929–0.978, <em>p</em> <!-->&lt;<!--> <!-->0.0001), followed by value for money at 90.4% (95% CI: 0.870–0.939, <em>p</em> <!-->&lt;<!--> <!-->0.0001). Housekeeping and nursing care were rated 86.2% (95% CI: 0.821–0.902, <em>p</em> <!-->&lt;<!--> <!-->0.0001) and 83.3% (95% CI: 0.790-0.877, <em>p</em> <!-->&lt;<!--> <!-->0.0001), respectively. The hospital achieved a 98.9% recommendation rate, with 54.3% rating their experience as “Excellent,” 36.9% as “Good,” 7.8% as “Average,” and only 1.1% as “Bad.”</div></div><div><h3>Conclusions</h3><div>This study highlights high patient satisfaction in gynecological services, reflected in strong recommendations and positive feedback. While physician care is well-rated, improvements in nursing and housekeeping through enhanced communication are needed. These findings support quality enhancement efforts, fostering a blame-free culture and setting a benchmark for similar institutions in Pakistan.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 5","pages":"Article 101132"},"PeriodicalIF":1.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143907673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Design and application of a survey for measuring multidimensional access to health services","authors":"G.P. González ,&nbsp;M. Geri ,&nbsp;M.S. Moreno ,&nbsp;M.F. Arnaudo ,&nbsp;F.P. Lago ,&nbsp;M.E. Elorza ,&nbsp;N.S. Moscoso ,&nbsp;A.M. Blanco","doi":"10.1016/j.jhqr.2025.101154","DOIUrl":"10.1016/j.jhqr.2025.101154","url":null,"abstract":"<div><h3>Objectives</h3><div>Access to health services is a critical factor in ensuring equitable healthcare delivery. Understanding patient perspectives on barriers and obstacles to healthcare access is essential for improving health outcomes. This study aims to design and test an instrument to assess self-perceived access to health services across different levels of care, encompassing all process dimensions.</div></div><div><h3>Methods</h3><div>The survey, constructed with an interdisciplinary approach, is administered at the household level. It was validated by experts and approved by a Bioethics Committee. This survey was conducted in a medium-sized city in Argentina.</div></div><div><h3>Results</h3><div>The validated instrument provides a comprehensive tool to investigate, from the patient's perspective and preferences, the barriers that prevent a health need from becoming a demand and the obstacles to effectively using the needed healthcare service. The implementation of the survey revealed significant insights into these issues.</div></div><div><h3>Conclusions</h3><div>Our instrument offers valuable insights into the patient-perceived barriers to healthcare access. It is a robust tool for identifying the obstacles that impede the utilization of health goods and services in the different levels of care, thereby improving healthcare delivery systems.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 5","pages":"Article 101154"},"PeriodicalIF":1.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144660672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Failure to rescue in colon surgery","authors":"J.J. Rubio-García ,&nbsp;F. Mauri Barberá ,&nbsp;C. Villodre Tudela ,&nbsp;J. Ferri Romero ,&nbsp;M. Marco Gómez ,&nbsp;T. Viñas Martínez ,&nbsp;C. Gómez Alcázar ,&nbsp;M. Romero Simo ,&nbsp;J.M. Ramia-Ángel","doi":"10.1016/j.jhqr.2025.101118","DOIUrl":"10.1016/j.jhqr.2025.101118","url":null,"abstract":"<div><h3>Background</h3><div>Major complications (MC) after colorectal surgery are not uncommon and can have serious consequences for patient survival. Failure to rescue (FTR) is an indicator used to measure the capacity for correct management of MC, calculated as the number of patients who die among all those who present MC.</div></div><div><h3>Methods</h3><div>Observational study with retrospective data analysis of all patients undergoing scheduled colon cancer surgery at a Spanish university hospital from September-2012 to August-2016. Preoperative, intraoperative and postoperative variables were recorded. Postoperative complications Clavien–Dindo scores<!--> <!-->&gt;<!--> <!-->II were considered MC. FTR was defined as death within 90 postoperative days in patients with at least one MC.</div></div><div><h3>Results</h3><div>A total of 564 patients were included, of whom 140 (24.8%) presented MC. Of these, 22 died, representing an FTR rate of 15.7%. Patients with MC had a mean age of 69.6 years, and 30.7% were women. An open approach was used in 81.4%. Compared with survivors, the group of non-survivors presented a higher proportion of ASA III and IV (<em>P</em> <!-->=<!--> <!-->0.008), a higher mean age (<em>P</em> <!-->=<!--> <!-->0.001) and a higher proportion of anastomotic leaks (<em>P</em> <!-->=<!--> <!-->0.009). Multivariate analysis confirmed that age (OR 1.161; <em>P</em> <!-->=<!--> <!-->000), anastomotic leak (OR 18; <em>P</em> <!-->=<!--> <!-->0.001) and sepsis of origin other than anastomotic leak or intra-abdominal collection (OR 26; <em>P</em> <!-->=<!--> <!-->0.001) were significantly associated with FTR as independent factors.</div></div><div><h3>Conclusion</h3><div>The FTR rate after colectomy in our series was similar or slightly lower than other series. Age, anastomotic leakage, and sepsis of non-abdominal origin were independent factors associated with FTR. We contend that FTR is an excellent indicator of a center's ability to resolve MC. It is particularly useful for implementing measures to ensure effective treatment of MC.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 4","pages":"Article 101118"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143783583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Textbook outcome in thyroid surgery: A new approach to assess quality in an endocrine surgery unit","authors":"D. Costa Navarro ,&nbsp;J.J. Rubio-García ,&nbsp;A. Gomis-Martín ,&nbsp;T. Viñas Martínez ,&nbsp;J. López-Noguera ,&nbsp;M. Franco-Campello ,&nbsp;A. Carrion-Tomás ,&nbsp;J.M. Ramia","doi":"10.1016/j.jhqr.2025.101120","DOIUrl":"10.1016/j.jhqr.2025.101120","url":null,"abstract":"<div><h3>Background</h3><div>Thyroidectomy is a term encompassing various surgical procedures involving the thyroid gland. Assessing quality is imperative for patient safety and clinical auditing and textbook outcome (TO) offers more comprehensive information on overall quality than single indicators. This study aims to define the parameters constituting TO in thyroid surgery, evaluate the outcomes based on TO criteria within an endocrine surgery unit at a tertiary hospital, and identify factors associated with failure to achieve TO in these cases.</div></div><div><h3>Methods</h3><div>A retrospective observational study of consecutive patients undergoing thyroid surgery at the Endocrine Surgery Unit in Spain between January 2020 and December 2022. The analyzed variables included, among others, age and sex, comorbidities, diagnosis, intrathoracic goiter, type of thyroidectomy, and several postoperative complications. The first TO definition in thyroid surgery was made.</div></div><div><h3>Results</h3><div>A total of 244 patients were included in the study. TOTS was achieved in 153 patients (62.7%), and there were no reported mortalities. Diabetes (18% vs 8.61%) and endothoracic goiter (40% vs 22%) were statistically associated with textbook outcome non-achievement. Also, the endothoracic goiter parameter was identified as a statistically significant predictor of textbook outcome non-achievement.</div></div><div><h3>Conclusion</h3><div>The implementation of the TO concept in thyroid surgery offers a comprehensive method for assessing surgical quality, encapsulating a range of critical postoperative outcomes. The rate of TO in our serie was 62.7%, identifying that endothoracic goiter is the main parameter of textbook outcome non-achievement.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 4","pages":"Article 101120"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143767514","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Design Thinking y su uso para promover la seguridad de los pacientes: revisión de alcance","authors":"L. Del-Valle Quintana ,&nbsp;K. Sichieri ,&nbsp;S. Secoli","doi":"10.1016/j.jhqr.2025.101140","DOIUrl":"10.1016/j.jhqr.2025.101140","url":null,"abstract":"<div><h3>Background and objective</h3><div>Design Thinking is a user centered methodology used to address problems through innovation. Patient safety is a complex issue within healthcare and remains a global priority. International organizations urge the development of joint strategies to tackle this challenge. The objective was to map the current use of Design Thinking as a methodology to promote patient safety in healthcare settings.</div></div><div><h3>Materials and methods</h3><div>A scoping review was conducted following the Joanna Briggs Institute guidelines, using indexed databases such as PubMed, CINAHL, WOS, EMBASE, Scopus, Science Direct, PsycINFO, SciELO, and ERIC, as well as grey literature from CAPES and ProQuest journals. The protocol was registered in Open Science Framework. Data were analyzed and summarized narratively.</div></div><div><h3>Results</h3><div>A total of 55 publications applying Design Thinking in the context of patient safety were included. The six international patient safety goals were addressed, with a focus on effective communication (45%) and medication safety (35%). The study design was not reported in 65% of the cases, and 30% lacked data procedures and analysis. The healthcare team participated in 93% of the studies, while patients were involved in 44%. The most common solutions were mobile applications, software, and dashboards.</div></div><div><h3>Conclusions</h3><div>Design Thinking is contributing to improvements in patient safety by developing co-designed solutions, particularly in the international patient safety goals of communication and medication safety. However, the lack of a rigorous methodological approach limits the validity and replicability of the results.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 4","pages":"Article 101140"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143948760","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Optimización del reprocesado de materiales sanitarios en centros de atención primaria","authors":"E.A. Sabuco Tébar ,&nbsp;Á.R. Sáez Soto ,&nbsp;M. Culiañez Alenda ,&nbsp;Y. López Benavente ,&nbsp;R. López Alegría ,&nbsp;F.J. Campayo Rojas","doi":"10.1016/j.jhqr.2025.101124","DOIUrl":"10.1016/j.jhqr.2025.101124","url":null,"abstract":"<div><h3>Introduction and objetive</h3><div>Reprocessing of medical devices in Primary Care Centers (PCC) can be a source of infections. The aim of this study was to improve the quality of reprocessing devices in the PCCs of Area VII-Murcia/Este through an improvement cycle.</div></div><div><h3>Methods</h3><div>This prospective intervention study. was carried out in 12 PCC, 14 Local Clinics (LC), 4 Oral Health Units (OHU) and the professionals involved in the reprocessing. Between 09/2022-03/2023, a working group was created, and a situation analysis was carried out: inventory of autoclaves, consumption of materials, and visits to the PCCs. Between 04/2023-03/2024, improvement actions were implemented: purchasing plan, use of Chemical Indicators (CHI) and Biological Indicators (BI), training with prior knowledge surveys, work procedure, and processes traceability.</div></div><div><h3>Results</h3><div>In total 11 autoclaves were acquired. The percentage of BI completion was ≥ 45%, and 80% of professionals were trained. The following improvements were obtained: detergent technical data sheet in the washing Area (45% to 73%), sterilization dates traceability (10% to 78%), sterilization cycles traceability (11% to 66%), use of instrument brush (55% to 74%), bag labeling (45% to 68%), correct storage (45% to 78%), and use of tap water to generate steam (2% to 0%).</div></div><div><h3>Conclusions</h3><div>The implementation of an improvement cycle, through the training of professionals, standardization of procedures, and traceability of processes, in addition to having an expert nurse as a reference, increases the quality in the reprocessing of medical devices.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 4","pages":"Article 101124"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143759915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experiencias, percepciones y emociones de los pacientes crónicos hospitalizados tras un programa de intervencion musical","authors":"L. Ortiz de Villacián-Fernández ,&nbsp;I. Apraiz-Sánchez ,&nbsp;N. Martínez-Domínguez ,&nbsp;A. Picón-Santamaría ,&nbsp;S. Ballesteros-Peña","doi":"10.1016/j.jhqr.2025.101121","DOIUrl":"10.1016/j.jhqr.2025.101121","url":null,"abstract":"<div><h3>Aim</h3><div>Musical interventions for hospitalized patients have shown benefits such as improved mood and reduced stress, but their impact from a qualitative perspective is under-explored. This study aimed to understand the experiences, perceptions, and emotions of chronically ill hospitalized patients who participated in a program of individual micro-concerts during their hospital stay.</div></div><div><h3>Methodology</h3><div>A qualitative study was conducted in a hospital in Bilbao, Spain, in 2024. Hospitalized patients were offered 20-minute micro-concerts three times a week. Semi-structured interviews were conducted with 21 patients selected through purposive sampling. The interviews were transcribed and analyzed inductively to identify thematic patterns.</div></div><div><h3>Results</h3><div>The analysis identified four categories. The first was emotional and cognitive well-being, where patients reported improvements in mood and cognitive stimulation. The second category, the operational aspects of the intervention, highlighted the positive perception of the frequency, duration, and personalization of the sessions. The third category was personal evaluation, where the role of the music therapist was highlighted as a key factor in the success of the intervention. Finally, suggestions for improvement included recommendations to extend the program to other areas of the hospital and combine musical interventions with complementary activities.</div></div><div><h3>Conclusions</h3><div>Personalized musical interventions have a positive impact on the emotional and cognitive well-being of patients. It is essential to design flexible interventions that adapt to individual needs and promote integrated care models.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 4","pages":"Article 101121"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143759926","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}