Risk Management and Healthcare Policy最新文献

{"title":"Effect of Quality Control Circle Activities on Reducing the Failure Rate of Surgical Instrument Pre-Treatment.","authors":"Yandan Wang, Xiulan Zhou, Yanqiu Zhu, Yuanmei Dan, Zeping Huang, Ling Xiang","doi":"10.2147/RMHP.S520770","DOIUrl":"https://doi.org/10.2147/RMHP.S520770","url":null,"abstract":"<p><strong>Background: </strong>The quality of surgical instrument cleaning can affect patient safety. Pre-treatment is a key step in cleaning. This study investigated the effect of quality control circle (QCC) activities on reducing the failure rate of surgical instrument pre-treatment.</p><p><strong>Methods: </strong>A QCC with a topic of reducing the failure rate of surgical instrument pre-treatment was established within the central sterile supply department of our hospital in January 2023. The failure rates of surgical instrument pre-treatment before and after the QCC activities were compared after problem investigation, target setting, critical factor analysis, root cause validation, and development and implementation of countermeasures.</p><p><strong>Results: </strong>The failure rate of surgical instrument pre-treatment decreased significantly from 2.9% (46/1568) to 1.1% (11/989) after the implementation of QCC activities, with a statistically significant difference (χ² = 2157, <i>P</i> < 0.001).</p><p><strong>Conclusion: </strong>QCC activities provide a structured approach to analyzing the root causes of failures in surgical instrument pre-treatment and develop countermeasures, thereby improving the quality of instrument cleaning and ensuring patient safety. QCC activities could also improve team cohesion and develop staff's problem-solving skills.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"1837-1845"},"PeriodicalIF":2.7,"publicationDate":"2025-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12155372/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276812","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":"Impact of Safety Risk Defense Mechanism in Operating Room Nursing on Quality and Risk Incidents.","authors":"Haiyan Liao, Lihua Lou","doi":"10.2147/RMHP.S508662","DOIUrl":"10.2147/RMHP.S508662","url":null,"abstract":"<p><strong>Objective: </strong>To explore the application effect of a nursing model based on safety risk defense mechanism management in operating room nursing and its impact on nursing quality and the occurrence of risk incidents.</p><p><strong>Methods: </strong>From November 2022 to December 2023, 200 patients who underwent surgical treatment and received nursing care in the operating room of our hospital were selected as research subjects. During this period, the nursing model in our hospital's operating room was changed. Based on the time differences, the patients were divided into a control group and an observation group, with 100 cases in each group. The control group adopted the previous conventional nursing model, while the observation group adopted the nursing model based on safety risk defense mechanism management. The nursing quality scores and the occurrence of risk incidents were compared between the two groups.</p><p><strong>Results: </strong>The nursing quality scores of the observation group were significantly higher than those of the control group, P<0.05. The management effect of the observation group was significantly better than that of the control group, with higher satisfaction and lower complaint rates, P<0.05. The occurrence rate of risk incidents in the observation group was significantly lower than that in the control group, P<0.05. The scores in various aspects of risk control in the observation group were significantly higher than those in the control group, P<0.05.</p><p><strong>Conclusion: </strong>The nursing model based on safety risk defense mechanism management can significantly improve the quality of operating room nursing, reduce the occurrence of nursing risk incidents, and enhance patient satisfaction. It is worthy of clinical promotion and application.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"1827-1835"},"PeriodicalIF":2.7,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12149271/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144267953","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":"Loneliness and Frailty Among Older Adults Receiving Home Healthcare: A Cross-Sectional Study.","authors":"Özge Tuncer, Ayça Asma Sakallı","doi":"10.2147/RMHP.S519431","DOIUrl":"10.2147/RMHP.S519431","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study is to investigate the relationship between loneliness and frailty in older people and to provide a scientific basis for improving the quality of healthcare and social services offered to older people.</p><p><strong>Patients and methods: </strong>This cross-sectional study included individuals aged 65 years and over who were receiving home healthcare services in two cities in western Turkey. Convenience sampling was used. Eligibility criteria were age ≥65 years, receiving home healthcare services, adequate cognitive function, and voluntary participation. The Loneliness Scale for the Elderly (LSE) and the Clinical Frailty Scale were administered. Statistical analyses included <i>t</i>-tests, chi-square tests, ANOVA, Kruskal-Wallis tests, and Spearman correlation analysis.</p><p><strong>Results: </strong>A total of 533 participants were included, with 288 from Center 1 and 245 from Center 2. Overall, 62.7% of participants reported experiencing loneliness. Participants in Center 2 had significantly higher loneliness scores compared to Center 1. A weak but significant positive correlation was found between frailty and loneliness scores (Spearman's rho = 0.175, p<0.001).</p><p><strong>Conclusion: </strong>This study demonstrated a weak but significant association between loneliness and frailty among older adults receiving home healthcare. Loneliness was influenced by marital status, polypharmacy, and physical independence, which also contributed to frailty.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"1809-1825"},"PeriodicalIF":2.7,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12149280/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144267954","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":"Inequalities in Mild Cognitive Impairment Risk Among Chinese Middle-Aged and Older Adults: Insights from an Integrated Learning Model.","authors":"Shengxian Bi, Dandan Guo, Huawei Tan, Yingchun Chen, Gang Li","doi":"10.2147/RMHP.S519049","DOIUrl":"10.2147/RMHP.S519049","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to address inequalities in mild cognitive impairment (MCI) risk among Chinese middle-aged and older adults by developing an integrated learning framework to predict MCI risk and identify key contributing factors.</p><p><strong>Methods: </strong>Using CHARLS data of 4626 participants, we developed a convolutional neural network-bidirectional long short-term memory-attention (CNN-BiLSTM-Attention) model to capture the temporal and spatial features of MCI progression. SHAP (Shapley Additive Explanations) analysis quantified feature importance and enhanced interpretability, while mediation analysis explored causal pathways, particularly focusing on the role of education. Model performance was compared with eight other frameworks, including LSTM-based models, using Receiver Operating Characteristic (ROC) curves and classification metrics.</p><p><strong>Results: </strong>The CNN-BiLSTM-Attention model demonstrated relatively promising predictive performance (AUC: 0.7317), with moderately high sensitivity (0.6902) and a high negative predictive value (NPV) of 0.9414. Education emerged as the most critical predictor, followed by Instrumental Activities of Daily Living (IADL) and gender. Mediation analysis revealed that education influenced MCI risk indirectly through health insurance, social interaction, physical activity, and depression.</p><p><strong>Conclusion: </strong>We present an interpretable, data-driven framework for predicting MCI risk while uncovering key inequality factors, particularly the pivotal role of education. The model's robust performance and interpretability highlight its potential to inform public health strategies and interventions aimed at addressing inequalities in dementia risk.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"1793-1808"},"PeriodicalIF":2.7,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12145101/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144251029","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":"Assessment of the Real-Time Photoelectric Detection Device (TruScreen) in Screening for Cervical Precancerous Lesions in Middle-Aged Women: An Observational Study.","authors":"Songkun Gao, Yichang Tian, Fang Song, Jiandong Wang","doi":"10.2147/RMHP.S524022","DOIUrl":"10.2147/RMHP.S524022","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the efficacy of a real-time photoelectric element (TruScreen) for identifying cervical precancerous lesions in middle-aged women.</p><p><strong>Methods: </strong>We conducted a retrospective analysis of data collected from 100 women aged 25-55 years who underwent colposcopy at Beijing Obstetrics and Gynecology Hospital between June and July 2018. We obtained the results of the ThinPrep cytologic test/HPV tests and TruScreen tests conducted before colposcopy as well as the histopathological results from postoperative multi-site biopsies. Patients were divided into two groups based on histopathological findings: CIN II or higher, and CIN I. We analyzed the diagnostic efficacy of different testing methods, alone and in combination, for cervical precancerous lesions.</p><p><strong>Results: </strong>TruScreen demonstrated good specificity (74.4%) and sensitivity (86.4%) for detecting CIN II or higher lesions, superior to those of TCT alone (sensitivity, 81.8%; specificity, 38.2%) and HPV testing alone (sensitivity, 81.8%; specificity, 28.2%). When different testing methods were combined, the sensitivity of TCT+HR-HPV, TruScreen+HR-HPV, and TruScreen+HR-HPV+TCT reached 100%, while the highest specificity was observed with TruScreen+HR-HPV (25.6%).</p><p><strong>Conclusion: </strong>TruScreen showed high accuracy and specificity for screening cervical precancerous lesions in middle-aged women. The sensitivity and specificity can be improved when combined with HR-HPV test and TCT test. TruScreen has low sampling requirements for clinicians and does not require laboratory doctors or pathologists equipped with PCR equipment to verify. Given its minimal dependence on medical conditions, TruScreen can be considered a potential supplementary screening tool for cervical precancerous lesions.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"1783-1791"},"PeriodicalIF":2.7,"publicationDate":"2025-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12136061/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227745","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":"Heterogeneity and Influencing Factors of Demoralization Syndrome in Elderly Maintenance Hemodialysis Patients: A Latent Profile Analysis.","authors":"Yao Huang, Hong Zhang, Lan Yang, Xinmei Xing, Xiangying Lv","doi":"10.2147/RMHP.S519281","DOIUrl":"10.2147/RMHP.S519281","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this study is to explore the potential categories of demoralization syndrome (DS) in elderly maintenance hemodialysis (MHD) patients, analyze the characteristic differences among different categories of MHD patients, and identify the independent influencing determinants of these characteristic differences.</p><p><strong>Methods: </strong>From April to October 2024, a total of 350 elderly MHD patients from three hospitals in Baoding City, Hebei Province were selected using convenience sampling. General information questionnaires and the Chinese version of the DS scale were used for data collection. Latent profile analysis was conducted using Mplus 8.3, and differences in characteristics among different categories of these patients were compared using SPSS 27.0.</p><p><strong>Results: </strong>These elderly MHD patients with DS were classified into three potential categories: low-level group (18.26%), medium-level group (45.78%), and high-level group (35.96%). Average monthly household income, hemodialysis duration, complications, and self-management ability were found to be predictive determinants influencing the latent profile categories of DS in elderly MHD patients (all p<0.05).</p><p><strong>Conclusion: </strong>Elderly MHD patients with DS may be categorized into three groups, with distinct characteristic differences among these categories. Based on the three identified DS sub-types (low/moderate/high), we recommend stratified interventions tailored to each group's characteristics.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"1773-1782"},"PeriodicalIF":2.7,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12132496/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144217676","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":"Psychometric Properties of the Barriers to and Facilitators of Implementing the Sepsis Six Care Bundle (BLISS-1) Questionnaire.","authors":"Dania Bani Hamad, Mohammad Rababa, Raeda Abu Ali, Hala ALeasa","doi":"10.2147/RMHP.S517386","DOIUrl":"10.2147/RMHP.S517386","url":null,"abstract":"<p><strong>Background: </strong>Sepsis, a severe medical condition caused by a dysregulated host response to infection, accounts for 20% of global fatalities. While simplifying early sepsis treatment with the Sepsis Six care bundle has been shown to reduce mortality by 46.6%, multiple barriers often prevent clinical nurses from adhering to sepsis care recommendations. Identifying these barriers is essential to eliminating them, and thus the Sepsis Six Care bundle (BLISS-1) questionnaire was developed to identify the barriers to and facilitators of nurses' implementation of the Sepsis Six care bundle while caring for sepsis patients. The current study assessed the psychometric properties of the BLISS-1 questionnaire to evaluate its validity and reliability.</p><p><strong>Purpose: </strong>This study assessed the psychometric properties of the BLISS-1 questionnaire.</p><p><strong>Methods: </strong>A total of 180 clinical nurses working in different critical care units at a selected University Hospital participated in a cross-sectional, descriptive study. Data were collected using the BLISS-1 Questionnaire, used to assess the perceived barriers to and facilitators of Sepsis Six performance. Descriptive statistics, Cronbach's alpha reliability analysis, and Promax rotation EFA were performed to assess the validity and reliability of the questionnaire.</p><p><strong>Results: </strong>The BLISS-1 questionnaire has strong internal consistency, with Cronbach's alpha values of 0.978 for perceived barriers and 0.976 for perceived importance. Factor analysis revealed that key barriers included skepticism about the protocol's clinical efficacy and operational challenges such as limited training and insufficient resources.</p><p><strong>Conclusion: </strong>This study revealed the BLISS-1 questionnaire to be highly reliable. Focused education, appropriate resource allocation, and supporting policies are needed to increase nurses' adherence to the Sepsis Six protocol and, hence, improve patient outcomes.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"1761-1771"},"PeriodicalIF":2.7,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12126116/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200916","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":"Understanding the Utilization of Tertiary Hospitals by Mild Disease Patients: Travel Cost Method Analysis.","authors":"Seokmin Ji, Sewon Park, Mankyu Choi, Munjae Lee","doi":"10.2147/RMHP.S506111","DOIUrl":"10.2147/RMHP.S506111","url":null,"abstract":"<p><strong>Purpose: </strong>Tertiary hospital utilization for patients with mild diseases creates inefficiencies in medical utilization for medical consumers and providers, collapses the healthcare delivery system, and has negative consequences for the public health system. This study aims to identify the factors that lead to the selection of tertiary hospitals and the medical needs of patients with mild diseases. We evaluate the value of using medical institutions by comparing and analyzing regional and individual patient characteristics.</p><p><strong>Methods: </strong>The travel cost method based on the travel cost incurred according to the consumer's temporal choice, was used to evaluate the medical use. We considered data from Ajou University Hospital from 2017 to 2022. The variables used for travel costs are travel costs, time costs, and medical costs. The Quantum Geographic Information System(QGIS) network analysis was used to calculate travel costs and time costs, and independent sample <i>t</i>-tests and analysis of variance (ANOVA) were used to compare the evaluated values between groups.</p><p><strong>Results: </strong>The analysis revealed that travel costs were the highest for patients with diabetes. Regarding personal characteristics, men exhibited higher rates than women, and individuals under 65 years of age and those receiving type 2 medical benefits demonstrated higher travel costs. Travel costs and outpatient visit rates for mild diseases exhibited a direct proportional relationship. We compared the total economic value assessed for each type of mild disease and found the highest value for diabetes patients with the highest number of outpatient visits.</p><p><strong>Conclusion: </strong>These findings highlight the importance of incorporating patient segmentation into policy formulation to alleviate the overcrowding of patients with mild diseases in tertiary care hospitals. Furthermore, they advocate adopting a primary care-centered approach to enhance the healthcare delivery system and address imbalances in community healthcare resources.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"1747-1760"},"PeriodicalIF":2.7,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12125545/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200917","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":"Impact of Implementing Checklist Management Combined with SOP on Nursing Quality Among ENT Surgery Nurses.","authors":"Liyan Ren, Li Han, Fumin Ping, Yanli Yin, Tao Liang, Fang Wang","doi":"10.2147/RMHP.S508787","DOIUrl":"10.2147/RMHP.S508787","url":null,"abstract":"<p><strong>Objective: </strong>Ear, nose and throat (ENT) surgeries require meticulous nursing care due to their complexity and risk of complications. Traditional nursing models often lack the standardization needed to ensure consistent quality and patient safety. This study aimed to explore the application and effectiveness of checklist management combined with Standard Operating Procedures (SOP) in ENT surgery nursing and its impact on nursing quality improvement.</p><p><strong>Methods: </strong>This was an experimental study using a pretest-posttest control group design. A total of 200 patients undergoing ENT surgery in the Otolaryngology Department of our hospital from April 2023 to April 2024 were randomly divided into control group and intervention group, including 100 cases in each group. The control group received conventional nursing management, while the intervention group was subjected to checklist management combined with SOP. The intervention outcomes, nursing quality scores, and incidence of surgery-related adverse events were compared between the two groups.</p><p><strong>Results: </strong>The baseline characteristics of the two groups showed no significant differences, indicating comparability (P>0.05). After the nursing intervention, the intervention group demonstrated better outcomes than the control group, with lower Tinnitus Handicap Inventory (THI) scores (P<0.05). The intervention group also showed higher General Comfort Questionnaire (GCQ) scores, indicating better comfort levels (P<0.05). The incidence of device-related adverse events in the intervention group was significantly lower than that in the control group (P<0.05). Additionally, the intervention group had higher physician satisfaction scores (P<0.05), higher patient satisfaction scores (P<0.05), better management effectiveness scores (P<0.05), and significantly improved nursing quality scores compared to the control group (P<0.05).</p><p><strong>Conclusion: </strong>Checklist management combined with SOP demonstrates excellent effectiveness in ENT surgery nursing, enhancing patient comfort and satisfaction, significantly improving nursing quality, reducing the incidence of device-related adverse events, and substantially increasing physician satisfaction. It holds great potential for clinical application.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"1735-1746"},"PeriodicalIF":2.7,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12118487/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144175952","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":"Temporal Trends in the Burden of Disease for Male Infertility from 1990 to 2021 in the BRICS.","authors":"Ran Xu, Xin-Jun Wang, Qing-Cheng Lin, Yan-Ting Zhuang, Qing-Ying Zhou, Nai-Fen Xu, Ding-Qin Zheng","doi":"10.2147/RMHP.S506211","DOIUrl":"10.2147/RMHP.S506211","url":null,"abstract":"<p><strong>Background: </strong>Over the past three decades, male infertility has become a significant burden on global public health. As an international organization with nearly half of the world's population, BRICS plays a crucial role in global health. This study investigates the trend of male infertility burden in BRICS countries from 1990 to 2021, providing valuable information for prevention and treatment strategies.</p><p><strong>Methods: </strong>Data on male infertility in BRICS countries were obtained from the Global Burden of Disease database. Joinpoint regression, decomposition analysis, and prediction models were applied to analyze the data and assess the disease burden trends.</p><p><strong>Results: </strong>The global prevalence of male infertility has worsened significantly between 1990 and 2021, with projections indicating this trend will continue for the next 15 years. While this global trend is based on data from a range of countries, the results of this study specifically focus on the BRICS countries. In these countries, while China and the Russian Federation have had high prevalence rates, improvements were observed over the past 30 years. India and Brazil, though unable to control male infertility in this period, have managed to halt its worsening in recent years. South Africa experienced substantial fluctuations from 2001 to 2015, with further significant changes projected in the next 15 years.</p><p><strong>Conclusion: </strong>This study provides valuable insights into the evolving burden of male infertility in BRICS countries. It underscores the importance of targeted prevention and treatment strategies for these countries based on national and global trends.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"1721-1733"},"PeriodicalIF":2.7,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12120253/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144183561","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}