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

{"title":"Digital Leadership Enhances Employee Empowerment, Techno-work Engagement, and Sustainability: SEM Analysis in Public Healthcare.","authors":"Ali Nawaz Khan, Yumei Wang, Naseer Abbas Khan, Ali Ahmad","doi":"10.1177/00469580251317653","DOIUrl":"10.1177/00469580251317653","url":null,"abstract":"<p><p>The rapid digital transformation in the public healthcare sector demands effective digital leadership to improve organizational performance. This study investigates the impact of digital leadership on employee empowerment and its subsequent effects on techno-work engagement and sustainability performance within public healthcare institutions in Pakistan. A survey-cum questionnaire method was employed for 334 respondents of employees of public healthcare institutions in the Punjab Province of Pakistan. It used structured questionnaires to measure digital leadership, sense of empowerment, techno-work engagement, and sustainability performance. Structural Equation Modeling (SEM) was performed on data to examine the proposed relationships among the variables. The findings of SEM showed that digital leadership positively influences employees' sense of empowerment. Empowerment significantly predicted techno-work engagement and sustainability performance. Techno-work engagement also positively affected sustainability performance. Mediation analysis revealed that the sense of empowerment mediates the relationship between digital leadership and both techno-work engagement and sustainability performance. The findings demonstrate that digital leadership enhances employee empowerment, which in turn boosts techno-work engagement and sustainability performance in the public healthcare sector. Organizations should promote digital leadership practices to empower employees and achieve sustainable outcomes.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"62 ","pages":"469580251317653"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11803676/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143366806","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":"Association Between Physical Function and Edentulism in Older Adults: Findings from the Indonesian Family Life Survey 2014.","authors":"Rieski Prihastuti, Daisuke Hinode, Makoto Fukui, Omar M M Rodis, Yoshizo Matsuka","doi":"10.1177/00469580251317643","DOIUrl":"10.1177/00469580251317643","url":null,"abstract":"<p><p>This study aimed to determine the association between physical function and edentulism among older adults. The fifth wave of Indonesian Family Life Survey (IFLS-5) data was used. Physical function was evaluated through physical performance, physical capability, and appendicular skeletal muscle mass (ASM). Edentulous was found in 10.96% of 2554 older adults. Low physical performance (OR 2.02, 95% CI 1.32-3.09; <i>P</i> = .001) was shown to be associated with edentulism in the 60 to 69 age group. In the 70 to 79 age group, both low physical performance (OR 1.62, 95% CI 1.04-2.53; <i>P</i> = .033) and 1 dependency in ADL/IADL (OR 1.75, 95% CI 1.02-2.98; <i>P</i> = .04) were significantly associated with edentulism. Two or more dependencies in ADL/IADL (OR 4.02, 95% CI 1.15-13.99; <i>P</i> = .029) demonstrated significant association with edentulism in older adults ≥80 years. These findings highlighted the importance of maintaining natural teeth and improving oral health during the aging process.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"62 ","pages":"469580251317643"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11851746/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143493978","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":"Community Health Worker Requirements to Accelerate Progress Towards Universal Health Coverage in Africa: An Overview of Contemporary Estimates and Implications of Full-Time Versus Part-Time Working Arrangements.","authors":"James Avoka Asamani, Sunny C Okoroafor, Kasonde Mwinga","doi":"10.1177/00469580251323381","DOIUrl":"10.1177/00469580251323381","url":null,"abstract":"<p><p>Primary health care is the most effective approach to achieving universal health coverage (UHC) and ensuring health security. In this approach, community health workers play a crucial role by delivering a comprehensive array of preventive, promotive, and curative services. Their contributions are vital in addressing health inequities, ensuring that all individuals have access to essential health services. By empowering these workers, we can foster a more equitable health system that meets the diverse needs of communities. African leaders are pursuing a 2 million community health worker agenda, but there are lingering questions about how to set targets of the density of community health workers needed in countries to achieve the sustainable development goals. By examining the implications of empirical estimates and incorporating nuances of working hours of community health workers, we find a wide range of density from 11.2 to 59.5 community health workers per 10 000 population depending on country context and the community health worker's working arrangements. If community health workers are not full-time workers and work between 30% and 65% of their time, the current shortage of community health workers is between 580 000 and 954 500. However, if all the existing community health workers were to be employed full-time, the needs-based shortage of community health workers would shrink significantly to just 210 000. These should be considered ordered guesses and not planning targets for countries. Countries are encouraged to use the available health workforce planning tools to estimate its context-appropriate requirements for community health workers as part of the broader health workforce planning.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"62 ","pages":"469580251323381"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11851756/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484797","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 Program for Reinforcing Lifestyle Change Motivation and Lifestyle Behavior to Prevent Dementia in Community-Dwelling Middle-Aged and Older Adults: Applying the Health Belief Model.","authors":"Hyunseo An, Ickpyo Hong, Dae-Sung Han, Hae Yean Park","doi":"10.1177/00469580251324046","DOIUrl":"10.1177/00469580251324046","url":null,"abstract":"<p><p>This study aimed to explore the applicability of a dementia prevention lifestyle change program based on the Health Belief Model in the community. A total of 9 participants were included in this study. The participants completed a 10-session program using the KEEP strategy. Assessments, qualitative interviews, and a 4-week follow-up were conducted to evaluate the effectiveness of the program. Lifestyle change motivation significantly improved, particularly perceived benefits (<i>P</i> = .018) and self-efficacy (<i>P</i> = .034). Lifestyle behaviors also significantly improved, including cognitive, social, and health-promoting activities (<i>P</i> = .016, 0.011, and 0.027, respectively). Multifaceted lifestyles showed significant improvements in physical activity and activity participation (<i>P</i> = .008 and 0.011, respectively). Depression significantly decreased (<i>P</i> = .018). The postintervention interviews revealed high participant satisfaction and positive changes in dementia prevention motivation and behaviors. The 4-week follow-up showed that most participants successfully implemented the plans. The dementia prevention lifestyle change program based on the Health Belief Model is effective and applicable in the community, demonstrating significant improvements in various health-related aspects.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"62 ","pages":"469580251324046"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11898025/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143607187","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":"Content Analysis of Food and Beverage Advertisements on TV, Radio, and Billboards in Iran.","authors":"Maryam Amini, Delaram Ghodsi, Mehrnoosh Shafaatdoost, Mohadese Borazjani, Maryam Aghayan, Nastaran Shariatzadeh","doi":"10.1177/00469580251314775","DOIUrl":"10.1177/00469580251314775","url":null,"abstract":"<p><p>Food advertising may influence food preferences and consumption. Due to these advertisements' role in health, the present study has updated the data available on television and radio food advertisements in Iran until 2020. Meanwhile, food advertisements on billboards have been analyzed for the first time. All programs broadcast on two TV and radio channels were downloaded and saved 24 h daily for one week (November 10-16th, 2020). Also, on November 15th billboards located on the busy highways of Tehran were photographed. Validated protocols analyzed the advertisements. A total of 6026 advertisements were analyzed, including 4287 on TV, 1545 on radio, and 194 on billboards. The total duration of TV and radio advertising was 48.6 h. Food products were the most displayed advertisements on TV, radio, and billboards (33.6%). Overall, \"condiments\" and \"desserts\" were the most frequently advertised food products among all the studied media (20% and 17%, respectively). The most common advertising appeal included \"High quality\" on TV and billboards and \"Stimulation of profiteering and profit-seeking\" on the radio. Advertising violation based on Iran's regulations, Nutrient profile model for the marketing of food and non-alcoholic beverages to children in the WHO Eastern Mediterranean Region, and International Network for Food and Obesity / Non-communicable Diseases (NCDs) Research Monitoring and Action Support (INFORMAS) was reported to be 13%, 74%, and 51%, respectively. Food products ranked the highest among all the advertisements. A clear violation of domestic and international advertising regulations was observed which given the high share of food advertising in the studied media, could endanger public health. This study supports the need for stricter regulations and adherence to international standards to improve nutritional status.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"62 ","pages":"469580251314775"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11770774/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"End Users' Perspective of Digital Logistics Management Information System (eLMIS) Performance at Public Health Facilities of Amhara Region, Ethiopia.","authors":"Zelalem Tilahun Mekonen, Denny J Cho, Naoufel Cheikhrouhou, Karl Blanchet, Teferi Gedif Fenta","doi":"10.1177/00469580251319086","DOIUrl":"10.1177/00469580251319086","url":null,"abstract":"<p><p>The healthcare supply chain relies on real-time logistics Management Information System (LMIS). Despite Ethiopia's adoption of a digital LMIS in 2009, ongoing evaluation of software, infrastructure, and sustainability remains essential for improving performance from users' and health system's perspectives. The study aimed to evaluate the performance of the facility version of digital LMIS at public health facilities in the Amhara Region, Ethiopia. An institution-based cross-sectional study was used. Out of 102 surveyed facilities, only 37 implemented the digital LMIS. Data was collected using interviewer-administered questionnaires. Out of 37 facilities using digital LMIS, 28 (75.7%) were functional. The average frequency of use across 27 sub-dashlets was 3.13 ± 0.67 out of 4. End users rated the digital LMIS performance as 3.21 ± 0.43 out of 5 (64.2%). Significant differences in LMIS performance related to organizational support were found due to varying end users' experience and internet access (<i>P</i>-value < .05). The digital LMIS performance from end users' perspective was 64.2%, with significant differences in agreement related to health system and organizational support, influenced by internet access and users' experience.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"62 ","pages":"469580251319086"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11851738/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494333","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":"Psychosocial Experiences of Pregnant Adolescent Girls: A Qualitative Phenomenological Study in a Rural District in Ghana.","authors":"Evelyn Sunnu, Kennedy Diema Konlan, Bernice Dery","doi":"10.1177/00469580251325437","DOIUrl":"10.1177/00469580251325437","url":null,"abstract":"<p><p>Adolescent pregnancies are associated with several psychosocial challenges. This study explored the psychosocial experiences of pregnant adolescents in a rural District in the Volta Region of Ghana. The participants were 16 pregnant adolescents purposively sampled from 3 communities. Individual in-depth interviews were used for data collection and analyzed using the thematic analysis method. An inductive approach was used to identify emerging central themes from the sub-themes by merging the codes delving deep into the contents and grouping similar statements. Six themes and 14 sub-themes were identified and included (1) meanings attached to the pregnancy/feelings at the first discovery of pregnancy, (2) reaction from parents, friends, neighbors, and sexual partner/boyfriend, (3) participation in social activities in the community, (4) source of support, (5) challenges during pregnancy, and (6) perception of the antecedents to the pregnancy. The factors associated with an adolescent girl getting pregnant were ignorance, promise of marriage, lack of awareness, lack of knowledge on contraceptive use, and nature of interpersonal relationships with friends. Adolescents' reaction to the news of pregnancy was a feeling of dislike and unpleasantness. The adolescent's immediate thoughts of the pregnancy were to terminate the pregnancy. The type of interpersonal relationship with adolescents' parents, friends, and neighbors was strained. The sexual partners were the major sources of financial and resource support. Healthcare providers must use targeted intervention to train, educate, and support adolescents and parents to address psychosocial concerns arising from pregnancies. Future studies should quantify the magnitude of the psychosocial burden of teenage pregnancy. This can lead to developing and testing interventions to prevent or mitigate the liability of teenage pregnancy in the district.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"62 ","pages":"469580251325437"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11898027/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606740","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":"Broad Support Among Stakeholders for Collaboration Between Traditional Bonesetters and Formal Healthcare: A Qualitative Study in a Resource-Limited Setting.","authors":"Joost Binnerts, Thom C C Hendriks, Nneka Buzugbe, Jovine Okoth, Carolina Torres Perez-Iglesias, Nefti Bempong-Ahun, Geoffrey Ibbotson, William J Harrison, Claude Martin, Michael Edwards, Erik Hermans, Bwire Chirangi","doi":"10.1177/00469580251325031","DOIUrl":"10.1177/00469580251325031","url":null,"abstract":"<p><p>Extremity fractures are increasingly common in Sub-Saharan Africa. In many resource-limited settings, patients with fractures have historically sought out traditional bonesetters (TBSs) and continue to do so, in part due to the undercapacity of existing orthopedic facilities. This qualitative study investigates key stakeholder perspectives on intersectoral collaboration between the formal healthcare system and TBSs in treating extremity fractures in the Rorya district, Tanzania. We combined focus group discussions and semi-structured interviews with four key stakeholder groups: patients with previous fractures, TBSs, hospital staff, and local government representatives. Questions concerned stakeholder experience, advantages of TBS and hospital care, perspectives on collaboration, and potential facilitators and/or barriers. Transcripts were analyzed using thematic analysis and inductive coding. Between June 2022 and August 2023, 35 TBSs, 9 patients with previous fractures, 5 hospital staff members, and 2 government representatives were interviewed. Participants unanimously recognized the need for collaboration between TBSs and hospitals. Identified barriers included TBSs' motivation for hospital referral, poor customer care at hospitals, and limited understanding of fracture management in hospitals by TBSs and patients. Implementation of a collaborative triage and referral system was most commonly suggested. This study summarized all relevant perspectives on intersectoral collaboration. A combined approach of a joint triage and referral system, augmented by community education and TBS training, may enhance the quality and accessibility of fracture care and potentially serve as a model for regions facing similar challenges. Further research is needed to evaluate the feasibility and effectiveness of such initiatives in practice.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"62 ","pages":"469580251325031"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11948548/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722377","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 Association Between the Quality of Care Provided by Family Members and the Quality of Their Relationship With the Care Receiver in Dementia: A Mixed-methods Observational Study.","authors":"Chiara Carparelli, Jan R Oyebode, Gerard A Riley","doi":"10.1177/00469580241307798","DOIUrl":"10.1177/00469580241307798","url":null,"abstract":"<p><p>Research suggests that the quality of care provided by family members may be influenced by the quality of relationship they have with the person living with dementia. The study investigated this in the context of assisting with daily activities. The quality of the relationship was assessed using the conceptual framework of relationship continuity/discontinuity which focuses on whether the carer experiences their relationship as continuous or discontinuous with the pre-dementia relationship. Thirty spousal carers completed the <i>Birmingham Relationship Continuity Measure</i>. Participants were also interviewed about how they provide care for their partner's daily activities. Passages consistent with a more person-centered approach were identified, and the total number of these in each transcript was used as the measure of care quality. There was a significant correlation between questionnaire scores and the number of person-centered passages: Those reporting greater continuity more frequently described using a person-centered approach. Findings were consistent with earlier research suggesting associations between the quality of the relationship and the quality of care. The concept of relationship continuity suggests ways in which relationship and care quality are connected, and these suggestions could be used to develop interventions to help family carers provide better care.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"62 ","pages":"469580241307798"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11773529/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054382","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":"Outcomes of Age-Friendly Health Systems: Return to Clinic After 4Ms Care Delivery.","authors":"Grace Q Armstrong, Heba M Aldossary, Jessica Bingham, Lilia Pino, Anne Pohnert, Mary A Dolansky, Nicholas K Schiltz","doi":"10.1177/00469580241309194","DOIUrl":"https://doi.org/10.1177/00469580241309194","url":null,"abstract":"<p><p>The Age-Friendly Health System (AFHS) movement continues to grow in the United States as more health systems implement the 4Ms framework. Despite this growth, there are relatively few studies that evaluate outcomes related to AFHS implementation. This study assessed patient satisfaction with AFHS by analyzing the rate at which patients returned to the clinic for future health care, serving as a measure of quality. A retrospective cohort design using electronic health record (EHR) data obtained from patients 65 years of age and older who received care at a large national network of convenient care clinics in the U.S. (<i>N</i> = 987,197) between January 2021 and March 2024. We assessed the level of AFHS 4Ms care received by these individuals in relation to their subsequent visit back to the clinic through descriptive statistics, a time-to-event analysis using the Kaplan-Meier cumulative incidence approach, and a Cox proportional Hazards model, adjusted for age, race, sex, prior appointments, and number of ICD-10 code diagnoses. Throughout the study period, patients who received complete AFHS 4Ms care exhibited greater rates of returning to the convenient care clinic compared to those who received partial or no 4Ms 4Ms care. Kaplan-Meier curves demonstrated that the cumulative probability of returning to the clinic was higher in patients that received 4Ms over time, compared to patients that did not receive 4Ms. Results from the Cox Proportional Hazards model demonstrated a risk ratio of 3.91 (<i>p</i> < .001) of returning to the clinic, after adjustment. The results indicate that patients are more likely to seek additional care in the future at the same health system when they receive complete 4Ms care, possibly due to increased satisfaction with care. As patient satisfaction is an indicator of quality care, this finding can further inform and spread the AFHS movement.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"62 ","pages":"469580241309194"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11707770/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142959179","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}