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

{"title":"Relationship Between Cardiometabolic Index and Incident Frailty in Middle-Aged and Older Adults: A Cohort Study.","authors":"Zhenyou Liu, Qingyuan Wang, Jin Zhang, Xiuyi Chen, Yidan Zhu","doi":"10.1177/00469580261476278","DOIUrl":"10.1177/00469580261476278","url":null,"abstract":"<p><p>IntroductionThe cardiometabolic index (CMI), a comprehensive indicator for assessing body fat distribution and serum lipid level, has been found to be associated with biological aging. But the potential relationship between CMI and incident frailty remains unclear. Herein, we designed this study to delve into the relationship between CMI and frailty incidence in adults aged 45 years or older.MethodsData were obtained from the China Health and Retirement Longitudinal Study (CHARLS). Participants were categorized into quartiles (Q1-Q4) according to CMI levels. Multivariable logistic regression model and restricted cubic spline (RCS) analyses were performed to evaluate the connection between CMI and incident frailty risk. In addition, we conducted subgroup and interaction analyses to investigate heterogeneity across distinct subgroups.ResultsA total of 6200 participants were enrolled in our study, with an average age of 57.92 ± 8.57 years, 48.64% males. During a 7-year follow-up, 1166 (18.81%) participants developed frailty, and the incidence showed an increasing trend from Q1 to Q4. The fully adjusted odds of developing frailty increased by 1% for per 1-SD increment in CMI (OR = 1.02, 95% CI:1.00-1.03, P = 0.005). The participants with the highest CMI quartile (Q4) had a significantly elevated risk of developing frailty compared to those in the lowest CMI group (Q1) (OR = 1.06, 95% CI:1.02-1.09, P < 0.001). Subgroup analyses demonstrated consistent results across various subgroups (P for interaction > 0.05). The RCS analysis confirmed a positive association of CMI with incident frailty, and nonlinear relationship was observed (P for overall < 0.001, P for nonlinear = 0.012).ConclusionHigher CMI levels were associated with an increased likelihood of developing frailty. Given its accessibility, CMI may have potential value as a population-level marker for frailty risk assessment.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"63 ","pages":"469580261476278"},"PeriodicalIF":3.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13458330/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148708488","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":"Individualised Empowerment in Secondary Cardiac Rehabilitation in Patients With Coronary Heart Disease: A Qualitative Study.","authors":"Xiaojuan Ding, Jing Bai, Weixing Jiang, Yunxia Li, Sanming Zhang","doi":"10.1177/00469580261427100","DOIUrl":"10.1177/00469580261427100","url":null,"abstract":"<p><p>Young and middle-aged patients with coronary heart disease who have undergone percutaneous coronary intervention often find it difficult to participate in secondary cardiac rehabilitation. This study examines patient experiences in cardiac rehabilitation using health empowerment theory as a framework. Purposive sampling was used to collect data through semi-structured interviews, which were analysed using Colaizzi's phenomenological approach. Five themes emerged from the data: (1) Personal growth, (2) Self-acceptance, (3) Life Purpose and motivation, (4) Social support, and (5) Utilisation of social services. The findings are consistent with all dimensions of health empowerment theory. The results of the study emphasise the importance of individualised empowerment and highlight the need to address the requirements for cardiac rehabilitation benefits, providing a new perspective for improving cardiac rehabilitation intervention programmes.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"63 ","pages":"469580261427100"},"PeriodicalIF":3.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13010011/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147470356","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":"Gendered Structural Inequality and Folk Illness Among New Mothers: An Autoethnography of <i>Shutika</i>.","authors":"Shuma Banik, Bipin Adhikari","doi":"10.1177/00469580261468781","DOIUrl":"10.1177/00469580261468781","url":null,"abstract":"<p><p>IntroductionThis article explores <i>Shutika</i>, a folk illness from the Barak Valley region in India, through both emic and etic perspectives. <i>Shutika</i> lacks a biomedical equivalent but carries deep cultural significance, reflecting how communities interpret suffering and healing. Situating <i>Shutika</i> within broader South Asian and global health discourses underscores the importance of recognising such illnesses as expressions of socio-cultural and political realities.MethodsAn autoethnographic approach was employed to capture the lived experience of <i>Shutika</i>. The emic perspective is conveyed through the author's narrative as a daughter observing her mother's illness, providing insight into local interpretations of causality, diagnosis, and cure. The co-author's etic perspective contextualises <i>Shutika</i> within medical anthropology and global health.ResultsThe emic and the etic account reveals <i>Shutika</i> as both a physical and social affliction rooted in gendered expectations and structural inequality of traditional interpretation of illness.Traditional healing practices offered meaning and comfort beyond biomedical explanation.DiscussionThe paper highlights the need for medical pluralism and collaboration between biomedical and traditional systems. <i>Shutika</i> emerges as a symbol of marginalised knowledge systems, calling for epistemic flexibility and culturally grounded approaches to global health.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"63 ","pages":"469580261468781"},"PeriodicalIF":3.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13365650/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148431569","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":"Benmelstobart Plus Anlotinib Is Unlikely to Be Cost-Effective for Advanced Renal Cell Carcinoma: An Integrated Disease Burden and Cost-Effectiveness Analysis.","authors":"Haiyan Xu, Liejiong Wang, Ying Lou, Zhaoqi Qiu, Feng Xuan","doi":"10.1177/00469580261440346","DOIUrl":"10.1177/00469580261440346","url":null,"abstract":"<p><p>Kidney cancer (KC) is an important public-health challenge in China. Although benmelstobart plus anlotinib (BEN + AL) improves survival compared with sunitinib (SUN) for advanced renal cell carcinoma, its economic value in the Chinese healthcare system remains uncertain. Epidemiological trends in KC incidence and disability-adjusted life years (DALYs) in China from 1990 to 2023 were assessed using Global Burden of Disease 2023 data, including joinpoint regression, decomposition analysis, age- and sex-specific patterns. A partitioned survival model was developed to compare BEN + AL with SUN, informed by the phase 3 ETER100 trial. Outcomes included total costs, life-years (LYs), quality-adjusted life years (QALYs), and incremental cost-effectiveness ratios (ICERs) at a willingness-to-pay (WTP) threshold of $ 26 896 per QALY. Sensitivity and scenario analyses were conducted to assess model stability. From 1990 to 2023, incident KC cases in China increased from 19 500 to 61 323, with the age-standardized incidence rate rising from 1.99 to 3.24 per 100 000, particularly among males. DALYs nearly doubled from 326 005 to 582 244, while the age-standardized DALY rate remained stable. Decomposition analysis showed that incidence growth was driven mainly by epidemiological change and population aging, whereas increases in DALYs were largely attributable to aging, partially offset by epidemiological improvements. In the base-case cost-effectiveness analysis, BEN + AL yielded higher effectiveness (4.67 LYs and 3.48 QALYs) than SUN (3.81 LYs and 2.73 QALYs) but at markedly higher cost ($ 192 292.58 vs $ 11 400.59), resulting in an ICER of USD 240 961.36 per QALY. Sensitivity and scenario analyses consistently showed ICERs exceeding the WTP threshold, with progression-free survival value and benmelstobart cost emerged as the primary influencing factors. While the burden of KC in China continues to rise, particularly due to population aging, BEN + AL is unlikely to be cost-effective as first-line therapy for advanced renal cell carcinoma under current pricing.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"63 ","pages":"469580261440346"},"PeriodicalIF":3.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13070163/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147640924","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 C-reactive Protein-Triglyceride-Glucose Index in Relation to Liver Disease.","authors":"Jinming Fang, Ling Liu","doi":"10.1177/00469580261433444","DOIUrl":"10.1177/00469580261433444","url":null,"abstract":"<p><p>To investigate the predictive value of the C-reactive protein-triglyceride-glucose index (CTI) for liver disease events in a community-based middle-aged and older population. Based on data from 5 waves of the China Health and Retirement Longitudinal Study (CHARLS) database, this study utilized data from the 2011 and 2015 waves, which included blood samples. A time-dependent Cox regression model was employed to analyze the association between CTI and the risk of liver disease events. Rigorous model testing, along with robustness and heterogeneity analyses, were conducted. A total of 733 incident liver disease events were documented during the follow-up period. After full adjustment for confounding factors, each 1-unit increment in CTI was significantly associated with a 21.0% increased risk of liver disease (Hazard Ratio [HR] = 1.210, 95% Confidence Interval [CI]: 1.109-1.321). In addition, each quartile increase in baseline CTI was associated with a statistically significant 12.2% elevated risk of incident liver disease. This association remained robust in sensitivity analyses after excluding events with potential reverse causality and replacing biomarkers. Subgroup analyses further identified consistent patterns of this association across different populations. This study is the first to demonstrate, within a nationally representative community-based cohort of middle-aged and older adults, that the CTI is an independent and robust predictor of incident liver disease. As a composite metabo-inflammatory marker, the CTI model exhibited slightly better model fit (lower AIC/BIC) and marginally higher discriminatory ability (C-index) than the single-marker models of TyG index and CRP alone. It can be utilized to identify high-risk individuals in middle-aged and older populations, providing a novel epidemiological tool for the early warning of liver disease.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"63 ","pages":"469580261433444"},"PeriodicalIF":3.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13014010/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147505464","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":"Intersecting Factors Impacting the Health and Wellbeing of a Resettled Yazidi Refugee Community: A Qualitative Study.","authors":"Shujie Chen, Nicola Wiseman, Kelly Hogan-Buckingham, Elizabeth Laverty, Hai Phung","doi":"10.1177/00469580261438078","DOIUrl":"10.1177/00469580261438078","url":null,"abstract":"<p><p>Refugees, or humanitarian migrants, often experience profound health disadvantages stemming from disrupted healthcare access, interrupted education, and systemic barriers to integration. For the Yazidi community resettled in Toowoomba, Queensland, these challenges are compounded by trauma and limited support systems. This study, part of a broader community-based project, explores the multi-layered factors shaping their health and wellbeing, with the aim of informing culturally responsive and sustainable support strategies. Utilising a qualitative design, we conducted semi-structured interviews (n = 23) and focus groups (n = 24) with service stakeholders and Yazidi community members. Hybrid inductive-deductive thematic analysis of transcripts was informed by the PRECEDE-PROCEED model, enabling the categorisation of health determinants into predisposing, enabling, and reinforcing factors relevant to health planning and evaluation. Five interrelated themes emerged: mental health and trauma, social integration, health literacy, language proficiency, and access to sustained funding and resources. This study illuminates the lived experiences and health needs of a high-burden refugee community in regional Australia. Findings underscore the importance of trauma-informed care, culturally tailored health education, language services, and gender-sensitive psychosocial support. The resilience demonstrated by the Yazidi community offers a foundation for designing inclusive, community-driven health interventions. These insights are critical for professionals seeking to address health disparities and promote equity.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"63 ","pages":"469580261438078"},"PeriodicalIF":3.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13080197/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147663550","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":"Bridging the Gap: A Triple Helix Perspective on Interventions to Strengthen Seafarers' Mental Health.","authors":"Inga Bartusevičienė, Farzana Yasmin","doi":"10.1177/00469580261453288","DOIUrl":"10.1177/00469580261453288","url":null,"abstract":"<p><p>IntroductionSeafarers face substantial mental health challenges related to isolation, high workloads, and limited access to support, with 77% of surveyed seafarers reporting at least one mental health problem such as sleep disorders, anxiety, or loneliness onboard.MethodsDrawing on the Triple Helix model, through a weighted ratio indicator analysis, this study examines how three stakeholder groups, seafarers, employers, and psychological service providers, perceive seafarers' mental health challenges and the availability and use of support interventions, based on an online questionnaire completed by 106 respondents (48 seafarers, 44 employers, 14 service providers).ResultsFindings reveal marked misalignment between stakeholders' understanding of psychological safety, low utilization of available mental health services, and a pronounced imbalance between demand for psychological support and its supply and uptake in employers.ConclusionThe study's major contribution is to demonstrate, through an integrated supply-demand analysis, where gaps arise between seafarers' needs, market offerings, and employers' implementation practices, and to propose evidence-based recommendations for strengthening regulatory frameworks, enhancing stakeholders' dialog and collaboration, and contextualizing appropriate training and service provision to strengthen psychological safety and mental well-being at sea.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"63 ","pages":"469580261453288"},"PeriodicalIF":3.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13263513/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148229117","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 Conceptual Framework of Digital Therapeutic Alliance in Internet-Based Cognitive-Behavioral Therapy: A Qualitative Study.","authors":"Mengyao Yi, Ashley Hagaman, Lloyd Goldsamt, Shufang Sun, Mengshu Li, Xianhong Li","doi":"10.1177/00469580261436993","DOIUrl":"10.1177/00469580261436993","url":null,"abstract":"<p><p>The therapeutic alliance is a well-established predictor of psychotherapy outcomes. With the advancement of digitization, guided internet-based cognitive behavioral therapy (ICBT) has demonstrated effectiveness. However, the conceptual framework of the digital therapeutic alliance (DTA) within ICBT remains conceptually underdeveloped. Data were collected from a guided ICBT program in China. We conducted virtual individual semi-structured in-depth interviews among a purposive sample of intervention recipients (young sexual minority men, n = 20), and all implementers (counselors and supervisors, n = 6). Data were analyzed using qualitative template analysis. A DTA framework was developed with 4 key components: roles, interactions, characteristics, and influencing factors. Clients typically initiate the counseling process through online materials and assignments, treating the digital platform as a \"safe space,\" \"invisible friend,\" \"warm harbor,\" or \"repository of knowledge and tools.\" Counselors serve as guides and provide professional support asynchronously. High frequency of interaction and emotional connection via phone calls strengthened DTA. \"Being client-driven,\" \"fostering an equal relationship,\" and \"being difficult to establish but easy to terminate\" were identified as characteristics. Influencing factors included client-related aspects (eg, motivation), counselor-related elements (eg, response timeliness), and platform-related considerations (eg, trust, confidentiality). This study develops a DTA conceptual framework, elaborating on the roles, interactions, characteristics, and influencing factors among clients, counselors, and digital platforms in guided ICBT. Findings inform strategies to enhance engagement, counselor training, and platform design in digital psychosocial interventions.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"63 ","pages":"469580261436993"},"PeriodicalIF":3.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13077144/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147655375","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 Review on Teledermatology in Saudi Arabia: Framework, Barriers, and Opportunities.","authors":"Fajer M Alzamil, Haytham A Sheerah, Ahmed Arafa, Dalal M AlBassam, Abdulrahman A Alsarari, Abdulmajeed Y Alahdal, Elham A Alghamdi, Abdulatif M AlBassam, Doaa A Rajeh, Abdullah A Bensaeed, Ehab Elkady, Yasir Almuzaini, Fahad A Alamri","doi":"10.1177/00469580251405998","DOIUrl":"10.1177/00469580251405998","url":null,"abstract":"<p><p>Teledermatology has become an important tool for expanding access to dermatologic care, especially in geographically large countries such as Saudi Arabia. Saudi Arabia's digital transformation and the shortage of dermatologists in rural regions have created favorable conditions for the adoption of teledermatology. Several platforms now provide virtual dermatology consultations. This narrative review aimed to explore teledermatology's current status, acceptance, barriers, and future directions in Saudi Arabia. The literature indicates that both dermatologists and patients are generally receptive to teledermatology, particularly for follow-up care; however, concerns about the lack of physical examination and reduced interpersonal interaction persist. A SWOT (Strengths, Weaknesses, Opportunities, and Threats) analysis revealed that Saudi Arabia's strong digital infrastructure, high smartphone penetration, and alignment with Vision 2030 are major strengths supporting teledermatology expansion. Key weaknesses include regulatory and reimbursement gaps, limited digital literacy, and the lack of dermatology-specific guidelines. Opportunities lie in extending services to underserved areas and integrating artificial intelligence, whereas threats include cultural resistance, cybersecurity risks, and potential inequities in digital access. In conclusion, teledermatology in Saudi Arabia is rapidly developing and shows considerable promise; however, its sustainability will depend on targeted investment, regulatory reforms, and efforts to promote equitable access.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"63 ","pages":"469580251405998"},"PeriodicalIF":3.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13145032/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147789695","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":"Fundamental Values in Nursing Care: The Person's Perspective.","authors":"Ivo Cristiano Soares Paiva, Cláudia Patrícia da Costa Brás, Marília Maria Andrade Marques da Conceição E Neves, Rogério Manuel Clemente Rodrigues, Rosa Cristina Correia Lopes, Isabel Maria Pinheiro Borges Moreira","doi":"10.1177/00469580261427656","DOIUrl":"10.1177/00469580261427656","url":null,"abstract":"<p><p>Person-centered care requires nurses to integrate the values of people receiving care into nursing practice to promote ethical, humanized care and improved therapeutic outcomes. Despite its relevance, limited evidence identifies which values people themselves consider fundamental and how these values are perceived as integrated into nursing care. In this study, values are understood broadly, encompassing ethical, relational, and professional dimensions. This study aimed to identify the fundamental values of people receiving care, the values they expect from nurses, and the perceived factors influencing the integration of these values into nursing care. The research question was: which values do people consider fundamental for integration into nursing care, and which factors influence this process? A qualitative, descriptive, exploratory study was conducted following the Consolidated Criteria for Reporting Qualitative Research. The study included a convenience sample of 11 participants hospitalized within the previous 6 months. Data were collected through semi-structured interviews, audio-recorded and transcribed verbatim. Content analysis followed Mayring's approach, including systematic coding, categorization, and thematic abstraction. Ethical approval was obtained, informed consent was secured, and anonymity was guaranteed. Four interrelated themes emerged. These addressed fundamental personal values, values expected from nurses, nurses' attributes facilitating therapeutic relationships, and perceived organizational and individual factors influencing value integration. Core values emphasized dignity, respect, empathy, privacy, competence, honesty, beneficence, affection, and humanization. Influencing factors included resource constraints, workload, professional awareness, training, vocation, and institutional philosophy. Integrating people's values into nursing care is essential for ethical, humanized, person-centered practice. Effective integration depends on nurses' commitment and supportive organizational conditions, including resources, leadership, and alignment with person-centered principles. Future research should examine nurses' perspectives and organizational strategies.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"63 ","pages":"469580261427656"},"PeriodicalIF":3.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13319766/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148354679","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}