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

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End Users' Perspective of Digital Logistics Management Information System (eLMIS) Performance at Public Health Facilities of Amhara Region, Ethiopia. 终端用户对埃塞俄比亚阿姆哈拉地区公共卫生机构数字物流管理信息系统(eLMIS)绩效的看法
IF 1.7 4区 医学
Inquiry-The Journal of Health Care Organization Provision and Financing Pub Date : 2025-01-01 DOI: 10.1177/00469580251319086
Zelalem Tilahun Mekonen, Denny J Cho, Naoufel Cheikhrouhou, Karl Blanchet, Teferi Gedif Fenta
{"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}
引用次数: 0
Psychosocial Experiences of Pregnant Adolescent Girls: A Qualitative Phenomenological Study in a Rural District in Ghana. 怀孕少女的心理社会经验:加纳农村地区的定性现象学研究。
IF 1.7 4区 医学
Inquiry-The Journal of Health Care Organization Provision and Financing Pub Date : 2025-01-01 Epub Date: 2025-03-12 DOI: 10.1177/00469580251325437
Evelyn Sunnu, Kennedy Diema Konlan, Bernice Dery
{"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}
引用次数: 0
Broad Support Among Stakeholders for Collaboration Between Traditional Bonesetters and Formal Healthcare: A Qualitative Study in a Resource-Limited Setting. 利益相关者对传统接骨师和正规医疗保健合作的广泛支持:资源有限环境下的定性研究。
IF 1.7 4区 医学
Inquiry-The Journal of Health Care Organization Provision and Financing Pub Date : 2025-01-01 Epub Date: 2025-03-27 DOI: 10.1177/00469580251325031
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
{"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}
引用次数: 0
Suboptimal Quality of Health Care and Associated Socioeconomic Factors Among Cancer Survivors During the COVID-19 Pandemic: A Cross-Sectional Study. COVID-19大流行期间癌症幸存者的次优医疗质量和相关社会经济因素:一项横断面研究
IF 1.7 4区 医学
Inquiry-The Journal of Health Care Organization Provision and Financing Pub Date : 2025-01-01 Epub Date: 2025-04-24 DOI: 10.1177/00469580251330361
Erica S Stephens, Jun Tao, Jereme Corbin, Aimée R Kreimer, Jennifer K McGee-Avila, Michelle Doose, Siddharth Roy, Meredith S Shiels, Jaimie Z Shing
{"title":"Suboptimal Quality of Health Care and Associated Socioeconomic Factors Among Cancer Survivors During the COVID-19 Pandemic: A Cross-Sectional Study.","authors":"Erica S Stephens, Jun Tao, Jereme Corbin, Aimée R Kreimer, Jennifer K McGee-Avila, Michelle Doose, Siddharth Roy, Meredith S Shiels, Jaimie Z Shing","doi":"10.1177/00469580251330361","DOIUrl":"10.1177/00469580251330361","url":null,"abstract":"<p><p>We described disruptions in cancer-related healthcare appointments and perceived quality of healthcare during the COVID-19 pandemic and identified predictors, including socioeconomic factors, of perceived quality of healthcare among cancer survivors. In this cross-sectional study, we used 2021 Health Information National Trends Survey-Surveillance, Epidemiology, and End Results data from Iowa, Greater Bay Area (California), and New Mexico cancer registries. Among cancer survivors who visited a healthcare provider in the past 12-months (N = 1130), we reported weighted prevalence of disruptions in (cancelled and/or changed to telehealth) routine cancer screening, disruptions in cancer treatment or follow-up, and perceived quality of healthcare, by registry. Using logistic regression, we identified predictors associated with perceived quality of healthcare, adjusting for sex and age. Among cancer survivors with scheduled appointments, 25.0% (Iowa) to 39.6% (California) reported disrupted cancer screening and 16.6% (Iowa) to 33.9% (California) reported disrupted treatment or follow-up related to their cancer diagnosis. 12.5% (Iowa) to 22.5% (New Mexico) of survivors perceived suboptimal quality of healthcare. Survivors with disrupted cancer screening, lower education and income, longer wait times for results, did not spend enough time with their doctor, and did not receive assistance with health uncertainty had increased odds of perceiving suboptimal quality of healthcare (odds ratio range = 2.64-19.31). Disruptions in cancer screening, lower socioeconomic status, and negative patient experiences were associated with poorer perceived quality of healthcare. Continued efforts are needed to address existing disparities to ensure equitable access to quality of healthcare post-pandemic.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"62 ","pages":"469580251330361"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12035164/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144050769","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}
引用次数: 0
Mapping Mental Health of Seafarers Post-COVID-19: A Gaussian Graphical Model of Depression, Anxiety, and Maritime Working Conditions. 绘制covid -19后海员的心理健康状况:抑郁、焦虑和海上工作条件的高斯图形模型
IF 2.3 4区 医学
Inquiry-The Journal of Health Care Organization Provision and Financing Pub Date : 2025-01-01 Epub Date: 2025-09-16 DOI: 10.1177/00469580251371386
Fırat Sivri, Özkan Uğurlu, Eduardo Blanco-Davis, Nihan Şenbursa, Jin Wang
{"title":"Mapping Mental Health of Seafarers Post-COVID-19: A Gaussian Graphical Model of Depression, Anxiety, and Maritime Working Conditions.","authors":"Fırat Sivri, Özkan Uğurlu, Eduardo Blanco-Davis, Nihan Şenbursa, Jin Wang","doi":"10.1177/00469580251371386","DOIUrl":"10.1177/00469580251371386","url":null,"abstract":"<p><p>This cross-sectional study examines the levels of depression and anxiety experienced by seafarers working in countries bordering the Black Sea in the post-COVID-19 period; it also evaluates the effects of these mental conditions on socio-demographic variables, problems encountered in ship and port environments during the pandemic, and career planning. Analyzes were conducted using the Beck Depression Inventory-II (BDI-II) and Generalized Anxiety Disorder-7 (GAD-7) scales. Additionally, a Gaussian Graphical Model (GGM) was used to analyze the interaction between psychological outcomes and working conditions and career planning. Findings reveal that, compared to pre-pandemic levels, depression and anxiety levels remain high. According to the results, 38.8% of participants show signs of depression, and 56.7% exhibit symptoms of anxiety. Anxiety levels are higher among officers and those with less maritime experience. GGM analysis shows that while the direct effects of COVID-19 have diminished, interactions between shipboard and port-related challenges persist. Strong relationships were observed between stressful working conditions on board, excessive alcohol consumption, and pressure from superiors. Port-related issues such as feeling isolated at port and pressure from port authorities emerged as key bridging variables in the network. Ship-related issues have a greater impact on seafarers' well-being in the working conditions compared to port-related issues; however, port-related issues should also be addressed through appropriate interventions. A weak association was also found between the intention to discontinue working on board and the level of anxiety. Based on these findings, it is recommended to systematically address workplace tension due to work pressure, implement onboard psychological monitoring, provide targeted support for junior officers, integrate mental health training in maritime academies, improve leadership and workload balance, and include psychosocial indicators in post-contract evaluations.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"62 ","pages":"469580251371386"},"PeriodicalIF":2.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12441286/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145071094","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}
引用次数: 0
Trends and Contributing Factors in Medication Home Delivery Incidents in Community Pharmacies Before and After COVID-19: A Retrospective Analysis. 2019冠状病毒病疫情前后社区药房送药上门事件的趋势及影响因素:回顾性分析
IF 2.3 4区 医学
Inquiry-The Journal of Health Care Organization Provision and Financing Pub Date : 2025-01-01 Epub Date: 2025-09-30 DOI: 10.1177/00469580251375868
Beatrice Onwuka, Paola A Gonzalez, Benoit Aubert, Denis O'Donnell, Neil J MacKinnon, Carla Beaton, James R Barker
{"title":"Trends and Contributing Factors in Medication Home Delivery Incidents in Community Pharmacies Before and After COVID-19: A Retrospective Analysis.","authors":"Beatrice Onwuka, Paola A Gonzalez, Benoit Aubert, Denis O'Donnell, Neil J MacKinnon, Carla Beaton, James R Barker","doi":"10.1177/00469580251375868","DOIUrl":"10.1177/00469580251375868","url":null,"abstract":"<p><p>This study examines medication home delivery incidents reported in community pharmacies before and after the onset of the COVID-19 pandemic. Medication home delivery incidents are defined as medication errors that occur during the transportation of medication to patients outside the pharmacy through shipping, courier, or pharmacy delivery services. The objective was to analyze trends over time and identify contributing factors to inform patient safety improvements. A retrospective analysis was conducted on medication home delivery incidents reported to a national Community Pharmacy Incident Reporting system, Pharmapod (a Think Research company). Reports from 4091 community pharmacies across 10 provinces and 2 Territories were reviewed, covering the period from January 1, 2019, to January 27, 2022. A total of 156 medication home delivery incidents were identified and analyzed. Of the 156 incidents, 55 (35%) occurred pre-COVID and 101 (65%) post-COVID. The most frequent incident type was delivery to the incorrect patient, which decreased from 52.8% to 32.7%. In contrast, privacy breaches increased significantly from 29.2% to 41.6%. Contributing factors include staffing distribution, lack of quality control or independent checks, environmental distraction, operational workflow gaps, and insufficient staff training. Medication home delivery incidents increased following the onset of the COVID-19 pandemic, revealing emerging safety risks in pharmacy delivery practices. The shift in incident types and contributing factors highlights the need for improved verification protocols, enhanced privacy protections, and dedicated staff training. As home delivery services continue to expand, these findings underscore the importance of system-level interventions to safeguard medication safety in the community pharmacy setting.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"62 ","pages":"469580251375868"},"PeriodicalIF":2.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12489187/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145202196","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}
引用次数: 0
Assessing the Impact of Health Education on Physical Measurements of Children in Bangladesh: A Non-Randomized Controlled Trial. 评估健康教育对孟加拉国儿童体格测量的影响:一项非随机对照试验。
IF 2.3 4区 医学
Inquiry-The Journal of Health Care Organization Provision and Financing Pub Date : 2025-01-01 Epub Date: 2025-10-16 DOI: 10.1177/00469580251382037
Aivey Sadia Alam, Rahman Md Moshiur, Ahmed Ashir, Hawlader Mohammad Delwer Hossain, Moriyama Michiko
{"title":"Assessing the Impact of Health Education on Physical Measurements of Children in Bangladesh: A Non-Randomized Controlled Trial.","authors":"Aivey Sadia Alam, Rahman Md Moshiur, Ahmed Ashir, Hawlader Mohammad Delwer Hossain, Moriyama Michiko","doi":"10.1177/00469580251382037","DOIUrl":"https://doi.org/10.1177/00469580251382037","url":null,"abstract":"<p><p>Children remain vulnerable to several diseases posing a significant threat to their lives, while inequitable access to regular physical measurement, healthcare services and resources is unsteady. Therefore, this study aims to evaluate the physical measurements and effects of health education on changes in the physical measurements of children in Bangladesh. A non-randomized controlled trial and pre- and post-test design, conducted in Chandpur, Bangladesh, from September 2021 to September 2022. The school-aged children were enrolled and allocated into the intervention group (IG) and control group (CG), while the IG received 9 months of school nurse-based health education. Data were collected by a questionnaire and physical measurements such as vital signs, height, weight, body mass index, mid-upper arm circumference measurement, triceps and subscapular skinfold, vision screen, and blood test. A total of 455 children completed the study. Among them, 107 (53.2%) and 94 (46.8%) were 7 to 8 years old in IG and CG, respectively. In IG, 140 (53.2%) and in CG 123 (46.8%) children were female. Since several physical assessments differed at baseline, repeated measures ANCOVA was performed with endline data as the dependent variable, group as a fixed factor, and baseline data as a covariate. The mean of the participants' body height, weight, BMI, MUAC and skinfolds were greater among IG than the CG, which were statistically significant (<i>P</i> < .001). Systolic blood pressure was significantly lower in the IG than in the CG (<i>P</i> = .023), while diastolic blood pressure did not differ significantly (<i>P</i> = .120). Integrating regular physical assessments and evidence-based health education by school nurses can reduce health challenges. For the sustainability of school-based health initiatives, establishing a continuous monitoring system and engaging parents, teachers, and local health authorities is needed to assess whether these health benefits persist over time.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"62 ","pages":"469580251382037"},"PeriodicalIF":2.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145304407","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Outcomes of Age-Friendly Health Systems: Return to Clinic After 4Ms Care Delivery. 老年人友好型卫生系统的结果:在4分钟的护理后返回诊所。
IF 1.7 4区 医学
Inquiry-The Journal of Health Care Organization Provision and Financing Pub Date : 2025-01-01 DOI: 10.1177/00469580241309194
Grace Q Armstrong, Heba M Aldossary, Jessica Bingham, Lilia Pino, Anne Pohnert, Mary A Dolansky, Nicholas K Schiltz
{"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":"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}
引用次数: 0
Adaptation of the Medical Student Stress Factor Scale Into Turkish: Validity and Reliability Study. 医学生压力因子量表在土耳其语中的适应性:效度与信度研究。
IF 1.7 4区 医学
Inquiry-The Journal of Health Care Organization Provision and Financing Pub Date : 2025-01-01 Epub Date: 2025-07-19 DOI: 10.1177/00469580251356131
İrem Akova, Ezgi Ağadayı, Nagehan Ekici Koşaroğlu, Gamze Gündoğdu
{"title":"Adaptation of the Medical Student Stress Factor Scale Into Turkish: Validity and Reliability Study.","authors":"İrem Akova, Ezgi Ağadayı, Nagehan Ekici Koşaroğlu, Gamze Gündoğdu","doi":"10.1177/00469580251356131","DOIUrl":"10.1177/00469580251356131","url":null,"abstract":"<p><p>Few studies assessing stress symptoms are specific to medical education, and even fewer are designed to determine which stressors affect medical students. It was aimed to adapt the Medical Student Stress Factor Scale (MSSF) into Turkish and to provide a valid and reliable tool to determine stress caused by medical education in medical students. Between January and May 2024, 632 medical students participated. The Depression Anxiety Stress Scale-21 (DASS-21), the MSSF, and a sociodemographic data form were used. The MSSF is a 7-point Likert-type scale with 28 items. Although individual item scores range from 1 to 7, the total and subscale scores are calculated by averaging item scores, resulting in an overall score range from 1 to 7. Test-retest, Cronbach α, Davis technique, exploratory and confirmatory factor analyses (EFA and CFA), Pearson correlation, and descriptive analyses were used. The scale's Cronbach's alpha was .937, and the Kaiser-Meyer-Olkin (KMO) coefficient was .935. The sphericity results of the Bartlett test were <i>x</i><sup>²</sup> = 9302.227, <i>P</i> < .001. In the CFA analysis, GFI = 0.814, CFI = 0.840, <i>x</i><sup>²</sup>/df = 3.108, and RMSEA = 0.081 were determined. The MSSF total and subscale scores were positively correlated with all DASS-21 subscales (<i>P</i> < .001), supporting the construct validity of the Turkish version of the scale. It was found that the validity and reliability analyses of the Turkish version of the MSSF were satisfactorily met.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"62 ","pages":"469580251356131"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12276474/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144668972","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}
引用次数: 0
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. 痴呆症患者家庭成员提供的护理质量与其与护理对象的关系质量之间的关系:一项混合方法观察性研究
IF 1.7 4区 医学
Inquiry-The Journal of Health Care Organization Provision and Financing Pub Date : 2025-01-01 DOI: 10.1177/00469580241307798
Chiara Carparelli, Jan R Oyebode, Gerard A Riley
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