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

{"title":"Impact of Amputation on a Patient's Relationship to Their Diabetes.","authors":"Justine Cazorla, Soumia Sebaihi, Lucie Salomon du Mont, Fiona Ecarnot, Stéphane Sanchez","doi":"10.1177/00469580261463985","DOIUrl":"10.1177/00469580261463985","url":null,"abstract":"<p><p>AimsLower-extremity amputation is one of the most dramatic and severe complications of diabetes, with substantial human and financial repercussions. Our objective was to determine if the onset of a severe complication, such as amputation, would change a patient's perception of their diabetes and whether the complication would alter the patient's behavior regarding its management.MethodsThis qualitative research used semi-structured interviews with inductive thematic analysis. By comparing the emerging categories with the existing literature, an explanatory model was formulated in response to the research question.ResultsA person with diabetes progresses through multiple phases before developing new habits. Amputation, a life-changing event, can lead to a re-examination of one's lifestyle. The risks of setback are numerous, along with a sense of discouragement which can lead to protective behaviors by allowing the individual to give up responsibility for their health.ConclusionsThe role of the provider is to intervene at key moments of discouragement to limit or minimize a setback in self-management behavior. Long-term support for these patients cannot be the sole responsibility of general practitioners. In a context of limited resources, maintaining organizational coherence among different providers is crucial.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"63 ","pages":"469580261463985"},"PeriodicalIF":3.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13469522/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148727431","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 Relationship of Light Touch, Vibration, Muscle Strength, and Endurance With Balance, Gait, and Falling in Individuals With Multiple Sclerosis.","authors":"Gülsüm Demir, Fatma Erdeo, Ali Ulvi Uca, Neslihan Altuntaş Yılmaz","doi":"10.1177/00469580261422580","DOIUrl":"10.1177/00469580261422580","url":null,"abstract":"<p><p>Multiple sclerosis is a progressive neurological disorder characterised by sensory and motor impairments. This study was conducted to investigate the relationship between lower extremity sensation, muscle strength and endurance, balance, gait, and risk of falling in patients with MS. Light touch sensation (LTS) was evaluated using the Semmes-Weinstein monofilament test (threshold: ≥2/3 correct responses). Vibration sensation was tested using a 128 Hz vibration fork. Muscle strength was measured in Newtons using a hand-held dynamometer, and core muscle endurance was assessed using a pressure biofeedback device. Static balance was assessed using the single leg stand test (SLST), dynamic balance using the Y balance test (YBT), gait by the footprint method, and fall risk using the Falls Efficacy Scale-International (FES-I). Back extensor muscle strength showed a significant correlation with non-dominant YBT performance (<i>P</i> = .030). Abdominal muscle strength correlated with SLST performance (eyes open/closed), while lower extremity strenght correlated with both SLST and YBT outcomes (<i>P</i> < .05). Gait parameters were significantly related to trunk and lower extremity strength (<i>P</i> < .05). Back extensors, hip flexors, gluteus maximus, and hamstring muscle strength were associated with fall risk (<i>P</i> < .05). Importantly, LTS showed a positive association with YBT scores and a negative association with risk of falling (<i>P</i> < .05). Sensory and motor factors interactively contribute to balance, gait, and fall risk in MS. To reduce the risk of falls and improve functional outcomes in MS, a targeted rehabilitation programme combining sensory and motor assessments is required.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"63 ","pages":"469580261422580"},"PeriodicalIF":3.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13018701/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147516902","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":"Workplace Environment, Gender Inclusion, and Perceived Well-Being Among Women Seafarers: An Ecological Mixed-Method Study.","authors":"Angelica Borja di Filippo, Damaris Sánchez Rojas, Inga Bartuseviciene, Natalia Calderon-Rivera","doi":"10.1177/00469580261428378","DOIUrl":"10.1177/00469580261428378","url":null,"abstract":"<p><p>Women remain significantly underrepresented in the Merchant Marine workforce, and little empirical research has examined how gendered occupational settings influence their perceived well-being. Guided by Bronfenbrenner's Ecological Systems Theory, this mixed-methods study explored how individual experiences, organizational culture, and policy frameworks interact to shape gender inclusion and occupational well-being among Colombian women seafarers. Seventeen officers (73.9% of the accessible population) completed a descriptive survey and in-depth interviews. Quantitative data profiled demographic and professional characteristics, while qualitative narratives revealed experiences of restricted technical duties, harassment, and limited institutional support within male-dominated environments. Despite these barriers, participants demonstrated strong agency and adaptive coping strategies that sustained professional engagement. Findings highlight that perceived well-being is shaped by micro-level personal factors, meso-level organizational dynamics, and macro-level regulatory contexts. The study contributes to Gender Equity and Occupational Health scholarship by linking individual experiences to institutional and regulatory environments and recommends gender-responsive maritime training, independent reporting mechanisms, and integrated mental-health policies to promote equitable and sustainable seafaring careers.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"63 ","pages":"469580261428378"},"PeriodicalIF":3.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13009981/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147488559","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":"Statistical Analysis of Maternal Health Disparities Among Working Women and Housewives: A Cross-Sectional Study on Pregnancy-Related Issues, Safe Childbirth, and Maternal Mortality.","authors":"Muhammad Atif, Gohar Ayub, Irum Afridi, Muhammad Farooq, Muhammad Shafiq, Muhammad Ilyas, Zia Ur Rahman Rasikh","doi":"10.1177/00469580261436635","DOIUrl":"10.1177/00469580261436635","url":null,"abstract":"<p><p>Maternal health remains a critical public health concern, particularly in developing countries where disparities persist across different socioeconomic and occupational groups. Working women and housewives often face different levels of access to healthcare, stress, and awareness, all of which can influence pregnancy outcomes. Understanding these factors is essential for developing targeted interventions and policies that improve maternal health outcomes for all women. This study analyzes data from Pakistan Maternal Mortality Survey 2019, which employed a multistage, multiphase cluster sampling to ensure nationally representative estimates of maternal health indicators. In this study, chi-square test, multinomial regression, and clustering techniques were utilized to identify the leading causes of maternal mortality. The results of this study reveal significant differences in maternal health outcomes between working women and housewives in Pakistan. Among the 1177 maternal deaths, 532 (45.20%) were working women, while 645 (54.80%) were housewives. Working women experienced higher rates of seizures (47.62%), chest pain (46.81%), and stress-related conditions, while housewives frequently reported weight loss (52.38%), general abdominal pain, and health issues associated with household environments, such as exposure to polluted water. The principal determinants of maternal death among working women included unhealthy lifestyles, job-related anxiety, and frequent travel. In contrast, maternal health complications among housewives were largely attributed to asthma, carelessness during domestic chores, and lack of exercise. The study highlights the importance of targeted interventions, including better workplace policies for working women and awareness programs for housewives.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"63 ","pages":"469580261436635"},"PeriodicalIF":3.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13070190/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147647606","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":"Medicaid Managed Care Procurement Reveals Systematic Overemphasis of Technology and Equity Performance Claims Across 32 States.","authors":"Sanjay Basu, Alex Fleming, John Morgan, Rajaie Batniji","doi":"10.1177/00469580261444608","DOIUrl":"10.1177/00469580261444608","url":null,"abstract":"<p><p>Medicaid managed care serves 86 million beneficiaries at $376 billion annually, yet evidence that managed care delivery improves outcomes remains inconclusive, with nearly 40% of Medicaid acute care visits attributable to ambulatory care-sensitive conditions. State procurement processes create principal-agent relationships where managed care organizations (MCOs) make performance commitments before contract award, but no research has systematically evaluated whether MCO commitments align with state priorities. We assembled 265 procurement documents from 32 states (2017-2024), extracting 1666 text files. Using retrieval-augmented generation (a method that grounds AI outputs in retrieved document passages) with large language model analysis, we extracted 372 283 performance claims classified into 6 thematic domains. Two doctoral-level coders validated a stratified random sample (Cohen's kappa: 0.86, 95% CI: 0.81-0.91). We calculated per-file normalized concordance ratios (MCO claims per document divided by state requirements per document, controlling for document volume) and conducted stratified analyses by document type. MCOs systematically overemphasized technology claims (normalized concordance ratio: 53.9, median: 28.2) and health equity claims (ratio: 22.0, median: 10.3) relative to state requirements, while underemphasizing chronic disease management (ratio: 15.8) and workforce development (ratio: 14.2). Post-pandemic increases in health equity (10.3-fold) and technology claims were driven primarily by state contract and scoring documents rather than MCO proposals. Only 6 states had sufficient paired data for concordance analysis. Medicaid procurement documents reveal systematic thematic divergence between MCO performance claims and state priorities. The observed patterns may reflect strategic positioning, normal negotiation dynamics, or evolving state procurement frameworks. Given that Medicaid beneficiary outcomes remain poor despite widespread managed care adoption, procurement reforms requiring measurable, time-bound performance commitments could improve alignment between organizational claims and care delivery.Short Article Summary - Layperson TermsWhen states hire insurance companies to manage Medicaid health coverage for low-income Americans, the companies make extensive promises about what services they will provide, but this study found they systematically overpromise on politically popular topics like technology and health equity while undercommitting to everyday care like managing diabetes or having enough doctors in their network. States should require insurance companies to back up their promises with specific numbers and deadlines rather than accepting vague commitments that sound good but don't translate into better care for the ~80 million Americans who depend on Medicaid.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"63 ","pages":"469580261444608"},"PeriodicalIF":3.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13111894/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147730846","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":"Prevalence of Multidrug-Resistant Organisms During Hospitalization and Its Association with Patient's Functional Status at Discharge: A Retrospective Cohort Study.","authors":"Sara Guglielmi, Luca Vedovelli, Adriano Santarossa, Sabrina Marconato, Jessica Longhini, Matteo Danielis","doi":"10.1177/00469580261438321","DOIUrl":"10.1177/00469580261438321","url":null,"abstract":"<p><p>Multidrug-resistant organisms (MDROs) represent a growing global threat due to resistance to multiple antibiotics, limited treatment options, longer hospitalizations, higher costs, and increased mortality. Although the clinical impact of MDROs is well recognized, their effect on patients' functional recovery remains understudied. This study aimed to determine the prevalence of MDRO infections across hospital settings and examine their association with changes in functional status. A retrospective cohort study analyzed 30 428 adult hospitalizations from 2020 to 2023 in a 294-bed hospital in northern Italy. Demographic data, hospitalization characteristics, MDRO status, and Barthel Index scores at admission and discharge were collected. A multilevel linear regression model examined the effect of MDRO infection on Barthel variation, adjusting for age, sex, discharge area, and length of stay. MDRO infections occurred in 2.4% of hospitalizations (n = 732), mainly in medical and surgical wards, with the highest prevalence in medical and rehabilitation areas. The most common pathogens were ESBL-producing Enterobacteriaceae and vancomycin-resistant enterococci. Patients without MDRO infection showed greater improvement in Barthel scores than those with infection (+3.081; <i>P</i> < .001). Functional improvements were highest in rehabilitation and neurology, whereas medical and surgical wards showed declines. Each additional hospital day was associated with a modest increase in functional independence. Age and sex were not significantly related to functional change. MDRO infections are independently associated with reduced functional recovery, underscoring their clinical and rehabilitative burden and highlighting the need for integrated infection control and early rehabilitation strategies.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"63 ","pages":"469580261438321"},"PeriodicalIF":3.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13111886/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147789698","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":"Determinants of Life Expectancy in the European Union: A Panel Data Analysis.","authors":"Valentin Marian Antohi, Monica Laura Zlati, Costinela Fortea, Ionut Marius Croitoru, Iuliana Oana Mihai, Teodora Odett Breaz","doi":"10.1177/00469580261486900","DOIUrl":"10.1177/00469580261486900","url":null,"abstract":"<p><p>IntroductionLife expectancy represents one of the most comprehensive indicators of population health and healthcare system performance. This study investigates the economic, demographic, and mortality-related determinants of life expectancy across six European Union Member States from a health economics perspective.MethodsOECD data for six European Union Member States (Romania, Bulgaria, Latvia, Germany, Italy, and Spain) covering the period 2011-2021 were analyzed using panel-data fixed-effects models with Driscoll-Kraay robust standard errors. Countries were included to capture substantial heterogeneity in economic development, demographic dynamics, and health system performance within the European Union. Variables exhibiting conceptual overlap or strong multicollinearity with life expectancy, including general population size indicators, were excluded during model refinement to improve interpretability and estimation robustness. Four complementary model specifications were estimated to separately evaluate the effects of economic development, demographic renewal, and mortality burden.ResultsMortality-related indicators displayed the strongest statistical associations with life expectancy. General mortality burden and potential years of life lost due to accidents were negatively associated with longevity, although these relationships should be interpreted in light of the conceptual proximity between mortality-based measures and life expectancy. GDP per capita remained positively associated with life expectancy, although its explanatory power declined after mortality and demographic variables were incorporated, suggesting diminishing marginal returns of economic development. The crude birth rate, interpreted as a proxy for broader demographic resilience rather than a direct determinant of longevity, maintained a positive association with life expectancy across the full-sample model specifications.ConclusionSustainable improvements in life expectancy depend less on economic growth alone and more on reducing preventable mortality, strengthening preventive healthcare, and promoting demographic resilience. By interpreting avoidable mortality as both a public health challenge and a structural economic cost, the study provides evidence to support integrated health, demographic, and economic policies aimed at reducing health disparities across European Union Member States.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"63 ","pages":"469580261486900"},"PeriodicalIF":3.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148978788","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}

{"title":"Associations Between Coping Strategies, Perceived Social Support, and Substance Use Among Individuals in Saudi Arabia: A Cross-Sectional Study.","authors":"Alaa Nabil Mahsoon, Ali Fahad Alzahrani, Alzubair Alshamkhi, Muteb Abdullah Alzahrani, Omar Durhum AlBaqami, Loujain Sharif, Khalid Sharif","doi":"10.1177/00469580261477861","DOIUrl":"10.1177/00469580261477861","url":null,"abstract":"<p><p>IntroductionSubstance use is an important public health concern in Saudi Arabia. Coping strategies and perceived social support may be associated with substance-use patterns, but these relationships remain underexplored among individuals who report substance use in the Saudi context. This study aimed to examine substance-use patterns and their associations with coping dimensions, perceived social support, and selected sociodemographic characteristics among individuals in Saudi Arabia.MethodsA cross-sectional correlational design was used with 237 individuals who reported current or past substance use. Coping was assessed using the Brief COPE subscales, and perceived social support was measured using the Multidimensional Scale of Perceived Social Support. Data were analyzed using chi-square tests, Mann-Whitney U tests, and Spearman's correlation coefficients.ResultsMost participants were male (88.2%), Saudi (85.2%), single (87.3%), and aged 22-26 years (43.5%). The most commonly reported substances were tobacco cigarettes (40.5%), hashish (14.8%), heroin (11.8%), pregabalin/Lyrica (11.4%), methamphetamine (10.5%), and amphetamine (10.5%). The most frequently reported age category for first substance use was 19-23 years (35.4%). Males reported significantly higher perceived social support than females on the MSPSS total score (47.84 ± 18.19 vs. 38.00 ± 14.10, p = 0.003). Tobacco cigarette use was associated with higher problem-focused coping (18.45 ± 5.59 vs. 15.79 ± 5.81, p < 0.001), emotion-focused coping (27.54 ± 8.30 vs. 24.37 ± 8.43, p = 0.006), and avoidant coping (17.76 ± 5.18 vs. 15.21 ± 5.18, p < 0.001). Perceived social support was positively correlated with problem-focused coping (r = 0.342, p < 0.001), emotion-focused coping (r = 0.377, p < 0.001), and avoidant coping (r = 0.260, p < 0.001).ConclusionPerceived social support and coping responses were associated with substance-use patterns in this sample. Culturally responsive and gender-sensitive approaches that consider social support and coping responses may be useful in substance-use prevention and care.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"63 ","pages":"469580261477861"},"PeriodicalIF":3.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13473774/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148763183","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 Landscape of Centralization in Endovascular Care for Peripheral Arterial Disease: A National Cross-Sectional Study.","authors":"Zrinka Biloglav, Stipe Radoš, Ivana Škrlec, Petar Medaković, Ivan Padjen, Blanka Glavaš, Josip Ćurić, Nika Miladin, Jelena Marušić, Gordana Ivanac, Slavica Kovačić","doi":"10.1177/00469580261481968","DOIUrl":"10.1177/00469580261481968","url":null,"abstract":"<p><p>IntroductionPeripheral arterial disease (PAD) is highly prevalent among cardiovascular diseases. However, the distribution and volume of endovascular diagnostic and therapeutic procedures among institutions have not been thoroughly investigated. This study aimed to determine the number and types of endovascular procedures performed in patients with PAD, both overall and by county, as well as to compare institutional volumes and procedural trends.MethodsWe analyzed interventions performed between 2017 and 2020, including the type of admission, diagnostic procedure group, procedure type, and institution. Institutions were categorized as high-volume if they performed more than 200 procedures annually.ResultsThere was a total of 13,533 procedures. Percutaneous transluminal angioplasty (PTA) with balloon and single-stent PTA with balloon were the most performed interventions. Routine inpatient procedures were more frequent than those performed in day hospitals and increased through 2019, followed by a decline in 2020. The mean annual number of interventions per institution was 96.73 in university hospitals and university hospital centers, 18.12 in general hospitals, and 52.75 in private hospitals. High-volume centers included University Hospital Merkur, Clinical Hospital Center Rijeka, Dubrava University Hospital, and University Hospital Centre Zagreb. The ratio of single-stent to multiple-stent procedures varied across institutions and over time. In general hospitals, single-stent procedures were performed 2.5 times more frequently than multiple-stent procedures. At Clinical Hospital Center Zagreb, this ratio was 6.4-fold higher compared with other university hospitals.ConclusionThe findings of this cross-sectional study suggest centralization of endovascular PAD interventions in higher-level institutions, with lower procedural volumes in smaller centers. Substantial variability in clinical practice patterns may indicate a lack of integrated care pathways, absence of cost-effectiveness frameworks, and limited use of standardized quality indicators.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"63 ","pages":"469580261481968"},"PeriodicalIF":3.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13500957/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148802011","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":"Development and Feasibility Test of Web-Based \"Sejolikasmaran\" Learning Platform as an Alternative to Digital Antenatal Classroom.","authors":"Elit Pebryatie, Neli Nurlina, Rinela Padmawati, Azra Hudaya, Md Shahgahan Miah","doi":"10.1177/00469580261479234","DOIUrl":"10.1177/00469580261479234","url":null,"abstract":"<p><p>BackgroundAntenatal education is essential for promoting healthy lifestyle behaviors during pregnancy. However, traditional face-to-face classes are often limited by rigid schedules and restricted access. Digital learning platforms offer new opportunities to improve preventive care, support self-management, and increase health literacy among expectant parents. This study aimed to develop and assess the feasibility of <i>Sejolikasmaran</i>, a web-based learning platform designed to support healthy pregnancy practices, enhance emergency preparedness, and foster childbirth readiness through flexible and interactive digital antenatal education.MethodsThe platform was developed following a research and development framework adapted from the Borg and Gall model. Feasibility was assessed by 11 experts and 23 pregnant women. Quantitative measures-usefulness, ease of use, ease of learning, and user satisfaction-were evaluated using a modified USE Questionnaire. User interactions were systematically monitored with a structured observation checklist, and qualitative user experiences were examined through thematic analysis.ResultsExpert evaluations demonstrated high feasibility across all assessed domains, with mean scores of 6.81 for usefulness, 6.78 for ease of learning, 6.74 for ease of use, and 6.88 for overall satisfaction. Similarly, pregnant participants provided positive assessments, with mean scores ranging from 6.56 to 6.66. Qualitative analysis identified several core strengths of the platform: comprehensive content, lifestyle-oriented features (such as prenatal yoga), interactive modules, and real-time consultation capabilities. Areas identified for technical improvement included navigation flow and login functionality.ConclusionSejolikasmaran demonstrates strong feasibility and usability as a digital antenatal education tool. The platform offers a scalable supplement to traditional care, provided that technical infrastructure is optimized and digital disparities are addressed to ensure equitable access for all users.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"63 ","pages":"469580261479234"},"PeriodicalIF":3.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13494343/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148801754","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}