INTERNATIONAL JOURNAL OF HEALTH CARE QUALITY ASSURANCE最新文献

{"title":"Spiritual leadership and adaptive performance among health workers: the roles of optimism and trust.","authors":"Emmanuel Agyenim Boateng, Moses Ahomka Yeboah, Abraham Ansong, Isaac Tetteh Kwao","doi":"10.1108/IJHCQA-07-2025-0090","DOIUrl":"10.1108/IJHCQA-07-2025-0090","url":null,"abstract":"<p><strong>Purpose: </strong>This study examines how leaders could use spiritual values to influence the adaptive performance of health workers to deliver quality care to patients through the mediation and moderation effects of optimism and trust, respectively.</p><p><strong>Design/methodology/approach: </strong>We employed a quantitative approach to collect data from 356 health workers and used the partial least squares structural equation modeling (PLS -SEM) technique to test the hypotheses in the study.</p><p><strong>Findings: </strong>The study found that health leaders' application of spiritual values positively influenced the adaptive performance of health workers in delivering quality patient care. Moreover, health workers' optimism was identified as a mediating variable in the relationship between spiritual leadership and adaptive performance, indicating that optimistic attitudes partially explain how spiritual leadership translates into improved adaptability. While trust among health workers was positively associated with their adaptive performance, it did not moderate the relationship between spiritual leadership and adaptive performance. This suggests that although trust is important for performance, it does not strengthen the influence of spiritual leadership on adaptability.</p><p><strong>Originality/value: </strong>This study offers new insights into the mechanisms and boundary conditions through which health leaders can leverage spirituality to enhance health workers' performance in delivering quality healthcare. By examining the sequential roles of optimism (as a mediator) and trust (as a moderator), the study integrates elements of positive psychology into the framework of spiritual leadership theory. This approach deepens our understanding of how intervening personality traits can shape the relationship between leadership styles and employee performance, thereby highlighting the psychological pathways that support improved outcomes in healthcare settings.</p>","PeriodicalId":47455,"journal":{"name":"INTERNATIONAL JOURNAL OF HEALTH CARE QUALITY ASSURANCE","volume":" ","pages":"219-235"},"PeriodicalIF":2.0,"publicationDate":"2026-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145606872","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":"Development of a framework for evaluation of quality of emergency care services of Indian hospitals.","authors":"Kumar Amit, Ajith Tom James, Girish Kumar","doi":"10.1108/IJHCQA-12-2024-0123","DOIUrl":"10.1108/IJHCQA-12-2024-0123","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this paper is to develop a comprehensive Emergency Care Service Quality Index (ECSQI) using a digraph-matrix approach.</p><p><strong>Design/methodology/approach: </strong>About eight emergency healthcare service quality factors have been identified in the literature and field investigations. The service quality factor relationships were analysed using graph theory and matrices. The equivalent matrix from the digraph establishes an emergency healthcare service quality function, which helps in evaluating the ECSQI.</p><p><strong>Findings: </strong>The findings indicate that the quality of the treatment procedure and patient safety have the most significant impact on the ECSQI, whereas elements like hospital ambience have a comparatively minor effect. The framework emphasizes key areas for enhancement and offers a measurable system to monitor service quality in emergency care.</p><p><strong>Research limitations/implications: </strong>The adapted methodology can be practically applied to evaluate and compare the service quality of different hospital emergency departments. The insights gained from such assessments can assist emergency department managers in devising effective strategies to enhance service quality and overall patient satisfaction.</p><p><strong>Practical implications: </strong>The ECSQI offers hospital administrators and policymakers a decision-support instrument to identify deficiencies, prioritize solutions and enhance patient safety. The model can be included in digital dashboards for real-time surveillance and accrediting procedures.</p><p><strong>Originality/value: </strong>This work has the novelty of identifying the factors of emergency healthcare service quality of Indian hospitals and employing the structural methodology in modelling the factors for assessing the service quality.</p>","PeriodicalId":47455,"journal":{"name":"INTERNATIONAL JOURNAL OF HEALTH CARE QUALITY ASSURANCE","volume":" ","pages":"169-186"},"PeriodicalIF":2.0,"publicationDate":"2026-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145524241","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":"Technology meets trust: a UTAUT-driven exploration of AI-based medical device implementation in healthcare.","authors":"Manish Mohan Baral, Ramji Nagariya, Sharad Chandra Srivastava, Venkataiah Chittipaka, Nitendra Kumar","doi":"10.1108/IJHCQA-05-2025-0073","DOIUrl":"https://doi.org/10.1108/IJHCQA-05-2025-0073","url":null,"abstract":"<p><strong>Purpose: </strong>Healthcare sectors are increasingly adopting artificial intelligence (AI) to speed up disease diagnosis, tailor treatments to individual patients, streamline routine processes, and improve overall patient safety in hospitals. Despite its great potential, there remains resistance among healthcare professionals towards AI adoption. The current study has identified the determinants influencing intentions to adopt AI-based medical devices among healthcare professionals.</p><p><strong>Design/methodology/approach: </strong>The data were collected from various healthcare professionals using a structured questionnaire. The collected data were analyzed using partial least squares structural equation modeling (PLS-SEM).</p><p><strong>Findings: </strong>The findings indicate that performance expectancy, facilitating conditions, effort expectancy, and social influence have a significant influence on trust. Further, facilitating conditions, effort expectancy, and performance expectancy positively influence adoption intention. Again, trust holds substantial positive implications for the intention to adopt AI-based medical devices. Further, social influence shows an adverse effect. It does not provide a significant contribution towards adoption intention, but when the mediating relationship is tested, all the mediating relationships are supported, including social influence and adoption intention.</p><p><strong>Practical implications: </strong>The findings offer valuable insights for healthcare professionals to introduce innovative medical devices that support the integration of AI-based medical technologies, thereby enhancing service efficiency and quality.</p><p><strong>Originality/value: </strong>This study makes a valuable contribution to the current body of literature pertaining to technology adoption with a focus on AI adoption among healthcare professionals.</p>","PeriodicalId":47455,"journal":{"name":"INTERNATIONAL JOURNAL OF HEALTH CARE QUALITY ASSURANCE","volume":" ","pages":"1-19"},"PeriodicalIF":2.2,"publicationDate":"2026-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148007181","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":"The strategy implementation fidelity gap in transitional healthcare systems.","authors":"Chingiz Karibdzhanov","doi":"10.1108/IJHCQA-11-2025-0205","DOIUrl":"https://doi.org/10.1108/IJHCQA-11-2025-0205","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Purpose: &lt;/strong&gt;Healthcare systems in transitional economies frequently fail to translate formally adopted strategies into consistent patient-centered care. This persistent disconnect between strategic intent and frontline execution is conceptualized in this study as the Strategic Implementation Fidelity Gap. This paper introduces the concept of whether differences in strategic implementation fidelity are associated with measurable variations in patient-perceived service quality in public healthcare organizations.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Design/methodology/approach: &lt;/strong&gt;A comparative cross-sectional study was conducted in two state-owned healthcare institutions in Almaty, Kazakhstan: a hospital characterized by higher implementation fidelity and a polyclinic with lower fidelity. Service quality was assessed using the SERVQUAL model, reconceptualized here as a behavioral indicator of strategic execution. Non-parametric analysis was applied to compare service quality gaps across five dimensions.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Findings: &lt;/strong&gt;The findings reveal significant negative service quality gaps in both institutions, with the largest deficiencies consistently observed in empathy and responsiveness. Crucially, the institution with higher implementation fidelity demonstrated a significantly smaller overall SERVQUAL gap (p = 0.003), indicating that differences in execution capacity translate directly into measurable differences in patient experience.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Research limitations/implications: &lt;/strong&gt;This study provides compelling evidence; however, its findings should be interpreted in light of the following limitations. Cross-Sectional Design: The study employed a cross-sectional design, collecting data at a single point in time. While this allows for statistical comparison between institutions, it limits the ability to establish definitive cause-and-effect relationships or track the dynamic evolution of the Strategic Implementation Fidelity Gap over time. Future research should utilize longitudinal designs to assess the impact of implemented managerial protocols. Perceptual Data Dependency: The research relies primarily on patient-perceived quality data (SERVQUAL), which is inherently subjective. Although this is a crucial measure of service quality, the scope does not include the perspectives of healthcare providers or objective clinical outcome data. Generalizability: The sample was restricted to two public healthcare institutions in a single large city (Almaty, Kazakhstan). Therefore, the generalizability of the results to diverse regional healthcare settings or other transitional economies should be approached with caution.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Practical implications: &lt;/strong&gt;Strategic Resource Rebalancing: The results offer a clear rationale for healthcare decision-makers to strategically rebalance investments. Priorities must shift from sole reliance on structural assets to rigorous development and control of managerial and staff protocols,","PeriodicalId":47455,"journal":{"name":"INTERNATIONAL JOURNAL OF HEALTH CARE QUALITY ASSURANCE","volume":" ","pages":"1-10"},"PeriodicalIF":2.2,"publicationDate":"2026-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147934603","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":"Medical students' intention to adopt electronic health records to improve the quality of healthcare.","authors":"Gabriel Jamal Peazang Ibrahim, Augustine Adomah-Afari","doi":"10.1108/IJHCQA-01-2026-0027","DOIUrl":"https://doi.org/10.1108/IJHCQA-01-2026-0027","url":null,"abstract":"<p><strong>Purpose: </strong>While Ghana has a national digital health strategy, the readiness of its future healthcare workforce remains under-examined. This study assesses factors influencing the intention to adopt EHRs to improve the quality of healthcare among final-year students at the University of Ghana Medical School, a cohort representing the vanguard of this digital transition.</p><p><strong>Design/methodology/approach: </strong>A quantitative cross-sectional survey was conducted among the entire cohort of 199 students. A structured questionnaire, based on the Technology Acceptance Model was used to collect data on socio-demographic characteristics, perceived usefulness perceived ease of use and intention to adopt Electronic Health Records Data were analysed using descriptive statistics, Chi-square tests, and multivariable logistic regression. The level of significance was accepted at p < 0.05 at a 95% Confidence Interval.</p><p><strong>Findings: </strong>A response rate of 95.5% (190/199) was achieved. A substantial majority of students (89%) expressed a positive intention to adopt Electronic Health Records (EHRs). In bivariate analysis, significant factors associated with adoption intention included being male (cOR = 3.016, p = 0.039), awareness of EHR features (cOR = 4.194, p = 0.006), perceiving EHRs as extremely useful (cOR = 9.33, p = 0.008), and prior EHR-specific training (cOR = 3.82, p = 0.02). However, after multivariable adjustment, none of these associations retained statistical significance, and general digital literacy was not independently associated with adoption intention (p = 0.055).</p><p><strong>Originality/value: </strong>The findings suggest a need for continued research to foster universal Electronic Health Records (EHRs) adoption among healthcare providers to improve health care through technology.</p>","PeriodicalId":47455,"journal":{"name":"INTERNATIONAL JOURNAL OF HEALTH CARE QUALITY ASSURANCE","volume":" ","pages":"1-16"},"PeriodicalIF":2.2,"publicationDate":"2026-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147934541","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":"Nursing care during the COVID-19 pandemic from the perspective of hospitalized children: a cross-sectional study.","authors":"Mukaddes Demir Acar, Abdullah Sarman, Şule Çiftçi Ünal","doi":"10.1108/IJHCQA-03-2025-0022","DOIUrl":"https://doi.org/10.1108/IJHCQA-03-2025-0022","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to understand how children experienced nursing care while staying in the hospital during the COVID-19 pandemic and to explore the feelings they had during this time.</p><p><strong>Design/methodology/approach: </strong>A descriptive study was conducted with children receiving inpatient care in pediatric units during the pandemic. Information was gathered through child-friendly interviews and questionnaires that focused on their experiences and perceptions of nursing care.</p><p><strong>Findings: </strong>Children generally reported that their basic physical needs were well addressed. However, many felt that emotional support and opportunities to talk about their feelings were limited. A large proportion of children expressed worry and emotional distress related to being hospitalized during the pandemic.</p><p><strong>Research limitations/implications: </strong>The findings reflect children's experiences in a single healthcare setting and do not include the perspectives of nurses or family members. Future research could benefit from including multiple viewpoints and broader healthcare contexts.</p><p><strong>Practical implications: </strong>The results highlight the importance of giving greater attention to children's emotional and psychological needs during hospitalization. Nurses may benefit from using simple communication strategies and supportive activities to help children express their feelings, especially during public health crises.</p><p><strong>Social implications: </strong>By directly listening to children's voices, this study emphasizes the importance of respecting children's rights in healthcare settings and ensuring that their emotional well-being is considered alongside physical care.</p><p><strong>Originality/value: </strong>This study provides insight into children's own views of nursing care during an unprecedented global health crisis. By focusing on children's lived experiences, it offers valuable guidance for improving child-centered and holistic nursing care in challenging situations.</p><p><strong>Highlights: </strong></p>","PeriodicalId":47455,"journal":{"name":"INTERNATIONAL JOURNAL OF HEALTH CARE QUALITY ASSURANCE","volume":" ","pages":"1-14"},"PeriodicalIF":2.2,"publicationDate":"2026-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147934473","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":"Examining citizen loyalty in primary healthcare in Bangladesh: the role of service quality, trust and satisfaction.","authors":"Mohammad Nur Ullah, Nahida Shaulin","doi":"10.1108/IJHCQA-03-2025-0029","DOIUrl":"10.1108/IJHCQA-03-2025-0029","url":null,"abstract":"<p><strong>Purpose: </strong>The factors that influence citizen loyalty toward Union Health and Family Welfare Centers are examined in this study, with particular attention paid to the connections among service quality, public trust, satisfaction and loyalty in the provision of primary healthcare.</p><p><strong>Design/methodology/approach: </strong>Using a structured survey and a quantitative approach, this study collected data from 439 respondents. The study uses structural equation modeling to identify both direct and indirect effects among the constructs, providing important new information on the factors determining citizen loyalty.</p><p><strong>Findings: </strong>The results show that in public healthcare, service quality affects citizen loyalty indirectly through public trust (PT) and satisfaction (SA), rather than directly. Public trust emerged as the strongest driver of long-term engagement, while satisfaction served as a key mediator. These findings challenge traditional SQ-loyalty models and highlight the need to include mediating constructs in public health research to better capture loyalty dynamics.</p><p><strong>Research limitations/implications: </strong>The theoretical ramifications call for a rethinking of loyalty models to take nonlinear and contextual linkages into consideration.</p><p><strong>Practical implications: </strong>The practical implication offers strategic recommendations for healthcare policymakers and administrators, advocating for a focus on enhancing public trust and satisfaction as core elements in citizen loyalty initiatives.</p><p><strong>Originality/value: </strong>This study is original and new, having a substantial contribution to the primary healthcare scholarship by providing a model that can inform policy interventions aimed at fostering sustainable, citizen-centered healthcare services.</p>","PeriodicalId":47455,"journal":{"name":"INTERNATIONAL JOURNAL OF HEALTH CARE QUALITY ASSURANCE","volume":" ","pages":"117-133"},"PeriodicalIF":2.2,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145514647","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 trust in mandatory telemedicine use during COVID-19: a modified health belief model approach.","authors":"Seungjae Shin, Won-Jun Lee","doi":"10.1108/IJHCQA-07-2025-0084","DOIUrl":"10.1108/IJHCQA-07-2025-0084","url":null,"abstract":"<p><strong>Purpose: </strong>This study explores the determinants of trust in telemedicine when its use was mandated during the COVID-19 pandemic in South Korea. It extends the health belief model by incorporating two service related constructs: service quality and perceived cost.</p><p><strong>Design/methodology/approach: </strong>An online survey was conducted with 288 individuals who were confirmed COVID-19 patients and required to use telemedicine services during isolation. Partial least squares structural equation modeling was applied to examine the relationships between health beliefs including perceived severity, perceived susceptibility and self-efficacy, service perceptions such as service quality and perceived cost, trust in telemedicine and behavioral intention to use telemedicine services.</p><p><strong>Findings: </strong>The results showed that self-efficacy, service quality and perceived cost positively influenced trust in telemedicine. In contrast, perceived severity and perceived susceptibility did not have a meaningful impact. Trust was found to be a key factor in shaping patients' intention to continue using telemedicine services. Overall, the proposed model was supported, highlighting the importance of confidence and service related perceptions in building trust under mandatory usage conditions.</p><p><strong>Originality/value: </strong>This study provides empirical evidence on trust formation under mandatory telemedicine use, a scenario rarely explored in the literature. It demonstrates that trust is primarily driven by users' self-efficacy and service perceptions rather than by health risk perceptions, offering practical guidance for enhancing remote care engagement during policy enforced use conditions.</p>","PeriodicalId":47455,"journal":{"name":"INTERNATIONAL JOURNAL OF HEALTH CARE QUALITY ASSURANCE","volume":" ","pages":"105-116"},"PeriodicalIF":2.2,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145379223","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":"Privacy awareness, attitudes and affecting factors of patients hospitalized in general surgery clinic.","authors":"Rana Can Özdemi̇r, Meryem Türkan Işik, Duygu Kaynarpınar","doi":"10.1108/IJHCQA-08-2025-0127","DOIUrl":"10.1108/IJHCQA-08-2025-0127","url":null,"abstract":"<p><strong>Purpose: </strong>The right to privacy is an important value in medical ethics. This study was aimed at determining privacy-related attitudes and awareness of inpatients receiving health services in health institutions and revealing the affecting factors.</p><p><strong>Design/methodology/approach: </strong>In this descriptive, cross-sectional study, 194 patients hospitalized in the general surgery department of a university hospital were included. Data were collected using a two-part questionnaire. In the first part of the questionnaire, questions on the participant's descriptive characteristics and their knowledge about the subject were included. The second part included the \"Patient Privacy Awareness and Attitude Scale.\"</p><p><strong>Findings: </strong>The mean age of the participants was 47.60 ± 16.47 years. Of them, 60.8% were women, 83.0% were knowledgeable about patient privacy and 90.2% had heard of the concept of patient rights. A significant relationship was determined between the participants' awareness of patient privacy, and variables such as age, education level, financial status and knowledge about privacy.</p><p><strong>Research limitations/implications: </strong>In this study, the majority of the participants were knowledgeable of patient privacy. Almost all of them thought that healthcare personnel were careful about patient privacy. While medical interventions were implemented, it was observed that the participants' body privacy-related awareness levels were high.</p><p><strong>Practical implications: </strong>Patients' awareness of privacy is extremely important. Informational privacy is as important as physical privacy. Patients' awareness of privacy is extremely important. Informational privacy is as crucial as physical privacy. Patients' awareness of patient rights and privacy is crucial during the healthcare process.</p><p><strong>Social implications: </strong>Patient rights are the embodiment of fundamental human rights within the context of the right to health. A heightened patient awareness of their rights is effective in increasing satisfaction with healthcare services. This study is believed to be effective in raising patient awareness of privacy.</p><p><strong>Originality/value: </strong>This study aimed to determine the privacy attitudes and influencing factors of patients in a surgical clinic. Privacy is an important value in medical practice.</p>","PeriodicalId":47455,"journal":{"name":"INTERNATIONAL JOURNAL OF HEALTH CARE QUALITY ASSURANCE","volume":" ","pages":"89-104"},"PeriodicalIF":2.2,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145453634","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":"Expression of concern: Role of a hospital accreditation program in developing a process management system: a qualitative study.","authors":"","doi":"10.1108/IJHCQA-10-2025-0172","DOIUrl":"10.1108/IJHCQA-10-2025-0172","url":null,"abstract":"","PeriodicalId":47455,"journal":{"name":"INTERNATIONAL JOURNAL OF HEALTH CARE QUALITY ASSURANCE","volume":" ","pages":"167"},"PeriodicalIF":2.2,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145716329","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}