Inquiry-The Journal of Health Care Organization Provision and Financing最新文献

{"title":"Special Collection on Community-Led Strategies to Reduce Gun Violence: Developing Evidence for Policy and Practice: An Editorial.","authors":"Jeffrey A Butts, Caterina G Roman","doi":"10.1177/00469580251405401","DOIUrl":"10.1177/00469580251405401","url":null,"abstract":"","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"63 ","pages":"469580251405401"},"PeriodicalIF":2.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12905091/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146183424","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":"An Integrative Analysis of Behavioral, Psychological, and Smartphone Use Factors Associated With Sleep Quality: A Cross-Sectional Study of Saudi Undergraduate Students.","authors":"Manal Ali Almalki, Manal A Ahmed, Ali M Alzahrani, Asim Mehmood, Holly C Felix, Raghad Almalki, Bashair Alhashemy, Hatun Musawi","doi":"10.1177/00469580251413526","DOIUrl":"10.1177/00469580251413526","url":null,"abstract":"<p><p>Sleep quality is a critical component of student well-being and academic performance. This study aimed to examine the association between demographic characteristics, health and mental behaviors, smartphone usage, and sleep quality among undergraduate students at Jazan University in Saudi Arabia. A cross-sectional web-based survey was conducted between April and June 2023. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI). The questionnaire included demographic data, health behaviors (exercise, diet, stimulant intake, smoking, qat use), anxiety levels, and smartphone usage patterns. Data were analyzed using descriptive statistics, t-tests, ANOVA, and multivariable linear regression. A total of 1564 students participated. Demographic variables were not significantly associated with sleep quality. However, poor sleep quality was significantly associated with several factors. Students who exercised less (mean PSQI = 8.19 vs 7.67; <i>P</i> = .003) or followed an unhealthy diet (8.10 vs 7.33; <i>P</i> = .001) reported worse sleep. High intake of stimulants, such as coffee (>3 times/day: β = 1.08, <i>P</i> = .021), tea, and soft drinks, was also linked to poorer sleep. Anxiety showed a clear dose-response effect, with mild, moderate, and severe anxiety associated with PSQI increases of 0.89, 2.27, and 3.43 points, respectively (all <i>P</i> < .001). Evening (β = .52, <i>P</i> = .016) and bedtime (β = .42, <i>P</i> = .029) smartphone use further predicted worse sleep quality, independent of total usage time. Sleep quality among undergraduate students is primarily influenced by modifiable lifestyle and psychological factors. Interventions promoting healthier routines, reducing stimulant intake, managing anxiety, and improving digital habits are essential to support student well-being.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"63 ","pages":"469580251413526"},"PeriodicalIF":3.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12855736/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146088028","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":"A Qualitative Inquiry to Understand the Impact of a Facility Dog on Hospital Workers' Perceived Organizational Support.","authors":"Jaskiran Baweja, Jason B Coe, Maziha Kamal, Janine Noorloos, Marianne Saragosa, Behdin Nowrouzi-Kia, Basem Gohar","doi":"10.1177/00469580261417528","DOIUrl":"10.1177/00469580261417528","url":null,"abstract":"<p><p>Health systems are under pressure due to staffing shortages and retention challenges, exacerbated by COVID-19. Its negative impact on hospital staff's well-being, coupled with limited support, highlights the need for more innovative organizational solutions to improve retention. Recognizing this, an Ontario hospital became the first in Canada to employ a full-time facility dog to support hospital staff in distress. This qualitative study aimed to explore the experiences of hospital staff with a facility dog and its impact on the staff's perceived organizational support. One-on-one, semi-structured interviews were conducted with clinical, non-clinical and volunteer staff at the hospital. Data were audio-recorded, transcribed, de-identified, and then thematically analyzed. The sample comprised 27 participants, including 13 clinical and 12 non-clinical employees, and 2 volunteers, with the majority identifying as women (77.78%). The results revealed the following themes: (1) the facility dog offers a unique type of support that is distinct and innovative from currently available support; (2) the facility dog's presence has made positive organizational changes; (3) the facility dog provides a short-term relief that may be limited to some staff roles; (4) a sense of pride in being leaders by introducing such program to a Canadian hospital; (5) the need for organizational improvements beyond the facility dog. Participants perceived the facility dog as having a positive, although short-term, impact, particularly among non-clinical employees. The results suggest that while the dog can improve perceived organizational support, additional long-term initiatives are needed to maintain these perceptions and support over time.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"63 ","pages":"469580261417528"},"PeriodicalIF":3.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12855729/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146097576","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":"Corrigendum to: \"A Systematic Review on the Effectiveness of the Cure Violence Approach\".","authors":"","doi":"10.1177/00469580261452775","DOIUrl":"10.1177/00469580261452775","url":null,"abstract":"","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"63 ","pages":"469580261452775"},"PeriodicalIF":3.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13319562/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148347399","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":"Factors Associated With Burnout in Perioperative Nurses: A Cross-Sectional Study of Type D Personality, Clinical Competence, Occupational Stress, and Coping.","authors":"Da Yoon Kwon, Hyuk Joon Kim, Hye Young Kim","doi":"10.1177/00469580261478035","DOIUrl":"10.1177/00469580261478035","url":null,"abstract":"<p><p>IntroductionPerioperative nurses are exposed to high levels of occupational stress and psychological strain owing to the complexity of surgical care. Burnout in this group not only undermines individual well-being but also compromises patient safety and care quality. This study aimed to examine the relationships between Type D personality, perioperative clinical competence, occupational stress, coping strategies, and burnout, and to identify factors associated with burnout among perioperative nurses.MethodsThis cross-sectional, correlational study was conducted with 199 perioperative nurses recruited through an online convenience survey from tertiary hospitals in South Korea. Data were collected using self-administered online questionnaires administered between March and April, 2022. The analyses included descriptive statistics, independent t-tests, one-way ANOVA with Scheffé's post-hoc tests, chi-square tests, Fisher's exact tests, ANCOVA, Pearson's correlations, and hierarchical multiple regression.ResultsAmong the participants, 69.8% were identified with a Type D personality. The mean scores were 137.56±14.72 for perioperative clinical competence, 2.64±0.41 for occupational stress, 17.29±2.93 for problem-focused coping, 26.06±3.77 for emotion-focused coping, 28.59±4.93 for dysfunctional coping, and 64.47±11.99 for burnout. Hierarchical regression revealed that age, career length, subjective health status, Type D personality, perioperative clinical competence, occupational stress, and dysfunctional coping collectively accounted for 49.4% of the adjusted variance in burnout.ConclusionBurnout among perioperative nurses was significantly associated with Type D personality, clinical competence, occupational stress, and coping strategies. Targeted interventions addressing these modifiable factors may help reduce burnout among perioperative nurses.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"63 ","pages":"469580261478035"},"PeriodicalIF":3.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13458328/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148708517","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":"Health Insurance Coverage and Access to Care Among Older Immigrants: Evidence from the National Health Interview Survey, 2020 to 2023.","authors":"Momna Rani, Dale E Yeatts","doi":"10.1177/00469580261421981","DOIUrl":"10.1177/00469580261421981","url":null,"abstract":"<p><p>Health insurance coverage is essential to improving preventative health services and decreasing financial burdens for older immigrants; however, disparities remain among different insurance kinds. This study analyzes the influence of private, public, and uninsured coverage on healthcare access and financial vulnerability among elderly immigrants in the United States, a population disproportionately impacted by socioeconomic and administrative obstacles. This cross-sectional study used data from the National Health Interview Survey (NHIS) covering 2020 to 2023 sourced from IPUMS, focusing on foreign-born persons aged 60 years and older. Weighted logistic regression models and propensity score adjustments were used to assess the associations between insurance type (private, Medicare, Medicaid, or uninsured) and 3 outcomes: access to regular care, financial strain, and unmet need due to cost. Analyses addressed age, sex, education, and economic status as confounding through using survey weights and complex design alterations. Results indicate that people with private insurance had significantly higher chances of having an ongoing source of care (OR = 1.54, 95% CI = 0.98-2.42) and decreased odds of having unmet healthcare demands (OR = 0.59, 95% CI = 0.39-0.90) compared to the uninsured population. Medicare coverage had a positive association with regular medical treatment (OR = 2.21, 95% CI = 1.34-3.64). No significant correlations have been identified between insurance type and financial strain. Gender and age variations persisted, with women showing somewhat reduced odds of receiving regular care. The findings demonstrate that health insurance coverage improves access to preventive care however does not eliminate financial stress among senior immigrants. Policy efforts must enhance fair coverage, address obstacles to Medicaid and Medicare access, and integrate culturally appropriate care for aging immigrant populations.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"63 ","pages":"469580261421981"},"PeriodicalIF":3.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12976404/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147437846","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":"Can a Low-Budget Questionnaire Support Improved Health Service Accessibility and Sustainability: Results from an Exploratory Study.","authors":"Stefan Hellstrand, Leif Sundberg, Jon Karlsson, Roy Tranberg, Ulla Hellstrand Tang","doi":"10.1177/00469580261468784","DOIUrl":"10.1177/00469580261468784","url":null,"abstract":"<p><p>IntroductionIn sustainable development, time is a physically limited resource affecting economic and social sustainability. In healthcare systems, the time of healthcare staff is linked to economic constraints, while the time patients spend travelling and receiving treatment affects social sustainability, including access to healthcare services. Reducing time costs in healthcare may contribute to several of the 17 Sustainable Development Goals (SDGs) within Agenda 2030. This exploratory study aimed to: (i) probe whether a low-budget questionnaire combined with standardised data processing could estimate time costs for patients, their employers, and healthcare personnel associated with a healthcare visit; (ii) generate initial estimates of sustainability impacts of time costs, in physical and monetary terms.MethodsThe study explored whether this low-budget approach could generate results of sufficient quality to inform choices aimed at improving healthcare accessibility. Patients with diabetes attending a healthcare facility for therapeutic footwear completed a questionnaire regarding time spent travelling and treatment. Healthcare staff time was recorded. Results were analysed and presented in physical and monetary terms.ResultsThe questionnaire generated information that was processed into estimates of parameters of strategic importance for choices supporting sustainability and access in healthcare systems in urban and rural areas. For the 101 patients included, the total time used was 360.6 hours, of which 23% represented employers' time, 49% patients' private time, and 28% healthcare staff time. The total estimated monetary value of time consumed was SEK 142,911 (USD 13,466), with 33% related to employers' time, 13% to patients' time, and 54% to healthcare staff time. The estimated mean cost per visit ranged from SEK 1,233 (USD 116.2) to SEK 1,944 (USD 183.2).ConclusionsThe low-cost questionnaire and data-processing approach appears promising for estimating time costs for patients, employers, and healthcare staff, thereby supporting decisions aimed at improving healthcare accessibility and sustainability.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"63 ","pages":"469580261468784"},"PeriodicalIF":3.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13369407/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148439078","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":"Retraction: Leveraging Artificial Intelligence for Substance Use Prevention Among Adolescents: A Systematic Review of Emerging Evidence.","authors":"","doi":"10.1177/00469580261481982","DOIUrl":"10.1177/00469580261481982","url":null,"abstract":"","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"63 ","pages":"469580261481982"},"PeriodicalIF":3.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13519212/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148814877","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":"Medical Students' Readiness for Medical Artificial Intelligence (AI).","authors":"Albena Gayef, Gökhan Ilgaz","doi":"10.1177/00469580261418133","DOIUrl":"10.1177/00469580261418133","url":null,"abstract":"<p><p>Artificial intelligence offers students more personalised and adaptive learning, which encourages educators to better understand students' learning processes. This study aims to determine the readiness levels of medical faculty students in medical artificial intelligence and to examine whether these levels vary based on gender and class year. The study was conducted with 322 medical students. Research data were collected using the \"Medical Artificial Intelligence Readiness Scale for Medical Students.\" Results showed that medical students rated themselves as moderate in the \"cognition\" and \"vision\" dimensions, slightly higher in the \"ability\" and \"ethics\" dimensions, and overall at a \"neutral\" level in medical artificial intelligence readiness. Compared to females, males showed significant differences at a \"small effect\" level in cognition, ability factors and overall scores. Regarding class levels, significant differences were found between 2nd graders and both 5th and 6th graders, favouring the 2nd graders at an \"intermediate effect\" level. In the cognition dimension, there was also a significant difference between the 2nd and 4th grades in favour of the 2nd grade and at the level of \"small effect.\" In order to increase medical artificial intelligence readiness of students, it is important to comprehensively include the subject in the medical school curriculum and to develop it according to needs. In future research, long-term follow-up studies aimed at improving medical students' education in the field of medical artificial intelligence (AI) are considered to be very beneficial. Furthermore, future studies should also consider potential changes in medical AI readiness that may occur over time.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"63 ","pages":"469580261418133"},"PeriodicalIF":3.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12924919/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146222155","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":"Utilization of Complementary and Alternative Medicine Among Patients with Cancer: A Cross-Sectional Study.","authors":"Sushant Paudel, Nabin Pathak, Rajeev Shrestha, Prerok Regmi, Simit Sapkota, Sunil Shrestha","doi":"10.1177/00469580261433164","DOIUrl":"10.1177/00469580261433164","url":null,"abstract":"<p><p>The use of complementary and alternative medicine (CAM) is rapidly increasing for various non-communicable diseases, including cancer, presenting a complex challenge. However, few studies have examined CAM utilization in Nepal. A cross-sectional, quantitative, descriptive study design was conducted in a cancer-specialized hospital in Nepal to determine the use of CAM using a 29-item survey questionnaire designed to collect data on demographic and clinical characteristics and CAM utilization practices, based on the existing literature. Descriptive statistics and multivariate binary logistic regression were conducted in SPSS version 29 to identify significant influencing factors, with <i>P</i>-values < 0.05 considered statistically significant. Out of 101 participants, more than half (56.4%) used it for over a year. The commonly observed CAM was naturopathy and herbal products (such as <i>amala, tulushi</i>, aleovera, barley & wheat grass) (53.4%) and dietary supplements (43.6%). Majority of CAM users perceived it as effective (88.1%) and helpful in mostly alleviating nausea (76.4%). In multivariate analysis, only the use of yoga and meditation was independently associated with planning to continue CAM use (AOR: 8.939; 95% CI: 1.68-47.567). Majority of the patients with cancer were using CAM for more than a year, with naturopathy and herbal products among the highest modalities of CAM. The prolonged use of CAM among patients underscores the need to further educate patients on its long-term consequences, along with patient safety.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"63 ","pages":"469580261433164"},"PeriodicalIF":3.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13009986/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147500663","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}