Risk Management and Healthcare Policy最新文献

{"title":"Analysis of the Current Status of Self-Management Behaviors and Factors Affecting Self-Management in Elderly Empty Nesters with Comorbid Hypertension and Type 2 Diabetes Mellitus, a Cross-Sectional Study From the Community.","authors":"Fang Li, Yuzhong Cao, Xuejuan Xie, Mengwei Li, Tengteng Cheng","doi":"10.2147/RMHP.S515019","DOIUrl":"10.2147/RMHP.S515019","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to investigate disease self-management and its influencing factors among empty nesters with comorbid hypertension and type 2 diabetes mellitus in the Chinese community.</p><p><strong>Patients and methods: </strong>A questionnaire was administered to 385 empty nesters in the community with comorbid hypertension and type 2 diabetes mellitus, including general information about the patients, the conditions of hypertension and type 2 diabetes mellitus, and self-management scores. The results were analysed using independent samples <i>t</i>-test, one-way ANOVA and multiple linear regression.</p><p><strong>Results: </strong>Disease self-management ability among 360 empty nesters in the community with comorbid hypertension and type 2 diabetes mellitus was low to moderate level. The results of the multiple linear regression analysis showed that age, education, healthcare payment method, and systolic blood pressure were common influences on self-management of the two diseases; hypertension classification, body mass index, and 2-hour postprandial blood glucose were influences on self-management of hypertension; and diabetes treatment method and residence mode were influences on self-management of type 2 diabetes mellitus.</p><p><strong>Conclusion: </strong>Primary healthcare providers need to pay close attention to the self-management skills of empty nesters with comorbid hypertension and type 2 diabetes mellitus in the community, especially in terms of disease monitoring and dietary management. Effective self-management health education, including sustained and effective lifestyle interventions, should be provided as early as possible for those living alone, newly diagnosed, less educated, and with limited healthcare resources, and the addition of elements of Chinese medicine health management, can also be considered to play a role in integrating prevention and treatment.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"2361-2375"},"PeriodicalIF":2.7,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12258231/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144638757","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":"Awareness, Knowledge, Attitude, and Source of Information on HIV Infection Among College Students.","authors":"Caixia Zheng, Qingyun Tang, Jianyong Zeng, Huiqun Zhong, Hongyan Xie, Hongjie Ou","doi":"10.2147/RMHP.S529797","DOIUrl":"10.2147/RMHP.S529797","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the college students' awareness, knowledge, attitude, and source of information on human immunodeficiency virus (HIV).</p><p><strong>Methods: </strong>This is a multicenter study with 490 college students participated in the questionnaire survey. Among them, 261 are medical students and 229 are non-medical students. A questionnaire was used to collect socio-demographic data and investigate the awareness of and knowledge about HIV infection, the practice of preventive measures, and sources of HIV-related information.</p><p><strong>Results: </strong>There is no significantly different on self-report awareness of HIV infection between medical and non-medical students (P = 0.919). However, a higher proportion of non-medical students misunderstand the HIV transmission routes. For the sources of knowledge, non-medical students were more likely to obtain from the Internet (P=0.029), TV medias (P=0.027) and others (P=0.032). The proportion of medical students acquiring HIV-related knowledge from doctors was significantly higher (P<0.001). A higher percentage of non-medical students indicated a lack of HIV knowledge and expressed a need for more HIV related education (P=0.002). Non-medical students expressed a preference for HIV education that covers a broader spectrum of HIV-related knowledge (P=0.046), indicating a desire for more comprehensive understanding beyond basic HIV-related awareness. In contrast, medical students indicated a preference for more frequent sessions with longer durations (P=0.038).</p><p><strong>Conclusion: </strong>Medical students were significantly more aware of HIV related knowledge than the non-medical students. Our research can provide relevant data support for further improving the methods and content of health education for young people.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"2323-2333"},"PeriodicalIF":2.7,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12256779/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144638758","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":"Rational Analysis of the Utilization of Pentoxifylline in a Tertiary Hospital: Central Hospital Affiliated to Shandong First Medical University.","authors":"Yuanyuan Zheng, Yanhui Yin, Hong Liu, Wenwen Gao, Qian Wang","doi":"10.2147/RMHP.S517679","DOIUrl":"10.2147/RMHP.S517679","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate the rational use, safety, and economic implications of pentoxifylline in a hospital setting and provide recommendations for its appropriate clinical application.</p><p><strong>Methods: </strong>A retrospective analysis was conducted on 322 patients discharged from September to December 2020, who received pentoxifylline. Data were collected from the hospital information system, and the rationality of prescriptions was assessed based on drug instructions and guidelines. Adverse drug reactions (ADRs) were analyzed using CTCAE criteria. Economic evaluations included defined daily dose cost (DDDc) and incremental cost-effectiveness ratio (ICER) analyses.</p><p><strong>Results: </strong>The rational prescription rate for pentoxifylline was 38.51%, with the main irrationalities observed in indications (31.82%), dosage and usage (21.21%), contraindications (47.98%), and drug combinations (40.40%). Adverse reactions were reported in 12 cases (3.73%), primarily involving the nervous (75.00%) and digestive systems (41.67%). Most ADRs were mild (58.33%) or moderate (41.67%), with no severe cases observed. The DDDc of pentoxifylline was 143.4 yuan. Cost-effectiveness analysis demonstrated strong economic viability, with ICER values of 55.7 yuan per percentage point improvement in ulcer healing rate and 9.0 yuan per additional meter of pain-free walking distance, significantly below the willingness-to-pay threshold.</p><p><strong>Conclusion: </strong>Pentoxifylline demonstrates cost-effectiveness and manageable safety risks but has a low rational prescription rate, highlighting the need for improved clinical practices. Enhanced collaboration between pharmacists and medical staff, alongside stricter adherence to guidelines, is essential to optimizing its utilization.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"2335-2350"},"PeriodicalIF":2.7,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12256049/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144627847","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":"Exploring Influencing Factors on Health Literacy Knowledge and Experience Among Healthcare Providers: A Cross-Sectional Study.","authors":"Fadi Khraim, Rami A Elshatarat, Carolyn Wolsey, Jessie Johnson, Dina Schnurman, Lisa Thornton, Fadwa Alhalaiqa, Mohammed Al-Hassan, Amal Al-Farsi","doi":"10.2147/RMHP.S504064","DOIUrl":"10.2147/RMHP.S504064","url":null,"abstract":"<p><strong>Introduction: </strong>Health literacy is a critical factor in improving healthcare outcomes and patient self-care practices. Healthcare providers play a vital role in supporting patients with diverse health literacy levels.</p><p><strong>Objective: </strong>This cross-sectional study aims to explore the factors influencing health literacy knowledge and experience among healthcare providers in Qatar.</p><p><strong>Methods: </strong>A structured questionnaire, including sociodemographic and work-related data, was administered to a diverse sample of healthcare providers, including physicians, nurses, and other allied health practitioners from a single institution in Qatar. The Health Literacy Knowledge and Experience Scale-2 was used to evaluate participants' health literacy knowledge and experience. The study employed a web-based survey and involved 121 healthcare providers. Descriptive statistics, <i>t</i>-tests, and analysis of variance were utilized for data analysis.</p><p><strong>Results: </strong>The study revealed that age and profession significantly influenced health literacy knowledge among healthcare providers. Healthcare providers in the age group 20-39 years had higher health literacy knowledge scores. In contrast, nationality/race significantly affected health literacy experience, with Arabic participants reporting higher scores of health literacy experience. The study also found that healthcare providers who had taken formal courses related to health literacy demonstrated higher health literacy experience scores.</p><p><strong>Conclusion: </strong>This study contributes to the understanding of factors influencing health literacy knowledge and experience among healthcare providers in Qatar. The findings emphasize the importance of addressing age, nationality/race, and formal training in health literacy to enhance the capacity of healthcare providers in supporting patients with varying health literacy levels. Healthcare policies should aim to integrate formal health literacy training among healthcare providers in order to enhance healthcare delivery and improve patient self-care practices.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"2297-2311"},"PeriodicalIF":2.7,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12255246/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144627846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association of Comprehensive Nursing with Respiratory Outcomes in Patients Undergoing Tracheostomy After Traumatic Brain Injury.","authors":"Xi-Juan Gu, Yan Le, Xiao-Mei Hu, Zhi-Hui Lu","doi":"10.2147/RMHP.S516115","DOIUrl":"10.2147/RMHP.S516115","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the application of comprehensive nursing in patients undergoing tracheostomy after traumatic brain injury.</p><p><strong>Methods: </strong>A retrospective analysis was conducted on 87 patients with traumatic brain injury who underwent tracheostomy in our hospital, divided into a control group (n=43), which received standard nursing care, and an intervention group (n=44), which received comprehensive nursing care. The intervention effects of the two groups were compared.</p><p><strong>Results: </strong>The perioperative indicators in the intervention group were lower than those in the control group. Systolic blood pressure (SBP) and diastolic blood pressure (DBP) levels in the intervention group decreased 2 weeks after surgery, while peripheral capillary oxygen saturation (SpO₂) levels in the control group increased 2 weeks after surgery; the daily sputum volume in the intervention group was higher than that in the control group, and the suction frequency and duration were lower in the intervention group than in the control group; Glasgow Outcome Scale (GOS) score was higher and Neurological Deficit Scale (CSS) score, Acute Physiology and Chronic Health Evaluation II (APACHE II) score, and Visual Analog Scale (VAS) score were lower in the intervention group than in the control group after intervention; the incidence of complications in the intervention group was lower than that in the control group (P<0.05).</p><p><strong>Conclusion: </strong>Comprehensive nursing for patients undergoing tracheostomy after traumatic brain injury can promote patient recovery.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"2287-2296"},"PeriodicalIF":2.7,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12241660/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144610374","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":"Analysis of the Clinical Symptom Improvement and Recurrence Rate in Chronic Suppurative Otitis Media Patients Treated with Combination Therapy: Combination of Ofloxacin and Dexamethasone.","authors":"Feng Sun, Mingqiu Liu, Yongli Qi, Wenjing Qi, Junyi Li","doi":"10.2147/RMHP.S520505","DOIUrl":"10.2147/RMHP.S520505","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the clinical symptom improvement and recurrence rate of chronic suppurative otitis media (CSOM) patients treated with a combination therapy regimen (combination of ofloxacin and dexamethasone).</p><p><strong>Methods: </strong>Based on the treatment regimen, patients were divided into two groups: the control group was treated with dexamethasone, while the treatment group received a combination of ofloxacin and dexamethasone. The clinical symptom improvement, hearing evaluation, pathogen clearance rate, inflammatory marker detection, adverse reactions, recurrence rate and recurrence rate post-treatment were compared between the two groups.</p><p><strong>Results: </strong>There were no significant differences in the baseline clinical data between the two groups (P > 0.05). The overall clinical efficacy of the treatment group was significantly higher than that of the control group (P < 0.05). After treatment, the improvements in air conduction (AC) and air-bone gap (ABG) in the treatment group were significantly greater than those in the control group (P < 0.05). The time for the resolution of tympanic membrane congestion and the healing of perforations was shorter in the treatment group compared to the control group (P < 0.05). The pathogen clearance rate in the treatment group was significantly higher than in the control group (P < 0.05). After treatment, levels of inflammatory markers IL-8, TGF-β1, and PCT in the treatment group were significantly lower than those in the control group (P < 0.05).</p><p><strong>Conclusion: </strong>The combination therapy of ofloxacin and dexamethasone significantly improves the clinical symptoms, reduces the recurrence rate, and lowers the incidence of adverse reactions in chronic suppurative otitis media patients. It shows significant clinical efficacy with improved hearing outcomes, and is worthy of clinical promotion. However, this study still has certain limitations, such as the possibility of introducing selection bias. In the future, prospective clinical trials with multiple centers and large samples can be conducted.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"2275-2285"},"PeriodicalIF":2.7,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12236466/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592995","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":"National Healthcare Transformation Program in Saudi Arabia: Awareness of the New Models of Care Among Health Professionals.","authors":"Mohammed A Althuwaybi, Thamir M Alshammari, Shabana Tharkar, Abdulaziz A Alodhayani, May Al-Muammar, Mahmoud Abulmeaty, Khalid M Almutari","doi":"10.2147/RMHP.S509155","DOIUrl":"10.2147/RMHP.S509155","url":null,"abstract":"<p><strong>Objective: </strong>This study investigated the level of awareness of the new Models of Care (MoC) implemented under Vision 2030's National Transformation program among healthcare professionals in the Al-Qassim region of Saudi Arabia.</p><p><strong>Methods: </strong>A cross-sectional approach was employed to collect data from 323 healthcare professionals, including physicians and nurses, through an online survey designed to evaluate their awareness of six distinct models of care and their respective components.</p><p><strong>Results: </strong>A significant majority (63.5%) of healthcare providers demonstrated a high level of overall awareness of the MoC. Factors such as holding a higher university degree (p = 0.007), being a physician (p = 0.018), possessing greater work experience (p = 0.017), and having undergone training (p < 0.000) were found to be significantly correlated with increased awareness of the overall model of care. Participants exhibited a strong awareness of preventive care (91%), urgent care (84%), chronic disease care (84%), and mother and childcare (70%) models, whereas awareness of elective (54.8%) and palliative care (55.4%) was notably lower. Both overall and specific awareness levels of MoC were significantly linked to the training received on the subject.</p><p><strong>Conclusion: </strong>The findings indicate a good understanding of the MoC. However, there is substantial potential for improving awareness through structured training programs. Consequently, healthcare policymakers must prioritize the development of structured training programs through training and reinforcement that address all six MoC components.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"2259-2274"},"PeriodicalIF":2.7,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12232948/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585728","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":"Health Risk Behaviors and Associated Factors Among Hajj 2024 Pilgrims: A Multinational Cross-Sectional Study.","authors":"Osama Samarkandi, Fahad Abdulrahman Alamri, Jumanah Alhazmi, Ghadah Sulaiman Alsaleh, Kwather Atteyah Alsehdwei, Lames Alabdullatif, Waleed Alazmy, Anas Khan","doi":"10.2147/RMHP.S521097","DOIUrl":"10.2147/RMHP.S521097","url":null,"abstract":"<p><strong>Background and objective: </strong>The Hajj, a massive annual pilgrimage to Mecca, attracts over 2 million participants. The physically demanding rituals, extreme heat, and crowding increase the risk of injuries worsen chronic conditions, and facilitate infectious disease transmission. Therefore, this study aims to assess the risk behavior and associated factors among pilgrims during the Hajj season of 2024.</p><p><strong>Methods: </strong>A cross-sectional study was conducted among pilgrims during the Hajj season from June 25 to July 30, 2024. The data were randomly collected from departures at Jeddah's King Abdulaziz International Airport and analyzed using the Statistical Package for the Social Sciences (SPSS).</p><p><strong>Results: </strong>Out of the 1183 pilgrims, 47.5% were male (n=562). The mean age was 54.98±13.96. Risky behaviors were common among pilgrims: 26.9% (n = 318) did not use umbrellas in direct sunlight, and 49.6% preferred walking over using transportation. Additionally, 51.7% did not take prescribed medication, and 59.9% did not seek urgent care for severe symptoms. The mean risk-taking behavior score was 3.24±1.05, with 36.6% of pilgrims exhibiting high-risk behavior and 63.4% exhibiting low-risk behavior. Significant associations were found between risk behavior and education (χ² = 96.502, p < 0.001), nationality (χ² = 69.681, p < 0.001), and certain health conditions (asthma, hearing and vision impairment, and heart disease). Multiple linear regression identified gender (B=0.218, SE=0.059, CI=0.102 to 0.334, p<0.001), education (B=-0.044, SE=0.019, CI=-0.082 to -0.006, p=0.023), nationality (B=-0.168, SE=0.024, CI=-0.215 to -0.122, p<0.001), presence of vision impairment (B=-3.177, SE=1.429, CI=-5.981 to -0.372, p=0.026), and heart disease (B=2.118, SE=1.013, CI=0.130 to 4.106, p=0.037) as predictors of risky behavior (p<0.001).</p><p><strong>Conclusion: </strong>Minor risk behaviors among pilgrims can lead to increased morbidity, mortality, and logistical challenges. Guidance promoting healthy practices before and during the pilgrimage is essential to mitigate these risks and reduce adverse outcomes.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"2233-2245"},"PeriodicalIF":2.7,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12229237/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144577050","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":"Patient Safety Leaders' Perception of Patient Safety Practices in Eight Asia-Pacific Countries: Survey Based on the Global Patient Safety Action Plan Framework.","authors":"Jacob Yongsu Ahn, Mabel Wan Chi Sim, Zann Sue Ting Foo, Kok Hian Tan","doi":"10.2147/RMHP.S487580","DOIUrl":"10.2147/RMHP.S487580","url":null,"abstract":"<p><strong>Introduction: </strong>This study aim was to assess patient safety leaders' perception of patient safety practices in the Asia-Pacific region based on Strategic Objectives of the Global Patient Safety Action Plan (GPSAP) Framework.</p><p><strong>Methodology: </strong>A self-assessment survey tool with quantitative and qualitative components was sent to patient safety leaders from 25 healthcare facilities in 17 countries participating in the Global Action for Leaders & Learning Organizations on Patient Safety (GALLOPS) initiative, the majority of which were from LMICs in the Asia-Pacific region. The survey, based on the GPSAP's 7 strategic objectives, covered 35 patient safety areas. Each area was rated on a scale from 1 (not established) to 5 (strongly established with good practices). The mean score of each strategic area, strategic objective, and overall strategic objective establishments were calculated. Good and sub-optimal practices of GALLOPS-participating countries were identified and tabulated according to GPSAP-defined patient safety strategies.</p><p><strong>Results: </strong>A total of 15 self-rated responses were received from patient safety leaders of 8 GALLOPS-participating Asia-Pacific countries' healthcare facilities. The overall mean scores of the establishment level of all self-assessed strategic objectives were: Singapore (3.84), Malaysia (3.66), South Korea (3.56), India (3.20), Sri Lanka (3.09), Indonesia (2.48), Nepal (2.12), Maldives (1.94). The total mean score of the establishment level of all healthcare facilities' strategic objectives was 2.99. Strategic Objective 3 - Safety of clinical processes had the highest mean score of 3.41, while Strategic Objective 4 - Patient and family engagement and Strategic Objective 7 - Synergy, partnership and solidarity had 2.60 and 2.72, having two lowest mean scores for all countries' healthcare facilities, respectively.</p><p><strong>Conclusion: </strong>Our study revealed substantial differences in perception of patient safety practices across healthcare facilities of Asia-Pacific countries and across the strategic objectives. This helped to establish a baseline of patient safety landscape in Asia-Pacific and represented opportunities for promoting equity and sustainability in healthcare as well as improving patient safety system and culture.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"2217-2231"},"PeriodicalIF":2.7,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12230327/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585729","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":"Time Series Analysis of Daily Bed Costs and Consumption Ratio of Inpatients with CHD in a Children's Hospital in Chengdu.","authors":"Honglin Yang, Siyu Xiang, Yuwei Yang","doi":"10.2147/RMHP.S522080","DOIUrl":"https://doi.org/10.2147/RMHP.S522080","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to examine the evolving trends in daily bed costs and the ratios of consumables costs for inpatients with congenital heart disease (CHD) at a pediatric hospital in Chengdu from 2019 to 2024 and to project these metrics for the year 2025.</p><p><strong>Methods: </strong>Utilizing SPSS version 23.0, we employed exponential smoothing and ARIMA models to analyze the daily bed cost data of CHD inpatients from 2019 to 2023, constructing predictive models accordingly. The annual data for 2024 were forecasted and subsequently compared with actual values to assess model accuracy. Visualization of Mean Absolute Percentage Error (MAPE) charts was conducted to identify the optimal model, which was then utilized to predict daily bed costs and consumables cost ratios for 2025.</p><p><strong>Results: </strong>Between 2019 and 2023, both daily bed costs and consumables cost ratios for CHD patients exhibited a consistent annual increase. A decline was noted in 2024, with projections for 2025 suggesting increases to approximately 5,600 CNY and 47%, respectively.</p><p><strong>Conclusion: </strong>For operational recommendations, it is advised that the hospital prioritizes the management of high-value consumables in CHD care and considers piloting disease-specific cost accounting within cardiovascular departments. From a policy perspective, there is an urgent need to optimize China's existing medical insurance payment system for pediatric hospitals to address the rising healthcare costs.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"2247-2257"},"PeriodicalIF":2.7,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12230755/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585730","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}