Risk Management and Healthcare Policy最新文献

{"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}

{"title":"Public Awareness About Frailty Prevention and Possible Association Between Frailty and Disability: A Cross-Sectional Study in Saudi Arabia.","authors":"Ahmed M Ashour, Maan H Harbi, Nasser M Alorfi, Fahad S Alshehri, Saad M Wali, Mohammed M Aldurdunji","doi":"10.2147/RMHP.S516785","DOIUrl":"10.2147/RMHP.S516785","url":null,"abstract":"<p><strong>Background: </strong>Frailty, a condition characterized by diminished physiological reserves, is a significant public health concern globally, particularly due to its association with adverse outcomes such as hospitalization, dependence, and mortality. Despite the importance of early detection and prevention, public awareness about frailty remains insufficient, especially in Saudi Arabia.</p><p><strong>Objective: </strong>The purpose of this study was to assess public awareness of frailty and its association with disability, focusing on the socio-demographic factors that influence awareness.</p><p><strong>Methods: </strong>A cross-sectional study design was employed with 1000 participants from urban and rural regions of Saudi Arabia. Data was collected using a structured questionnaire to evaluate their knowledge, attitudes, and perceptions regarding frailty awareness, particularly around its prevention strategies.</p><p><strong>Results: </strong>A total of 1000 respondents participated in the survey. The majority of participants were males aged 18 to 39. The results indicated significant predictors of frailty awareness, including gender, education level, income, health status, and self-rated health. Frailty preventive techniques were more likely to be known by men, those with greater education, higher income, and better health.</p><p><strong>Conclusion: </strong>The findings highlight the need for targeted public health campaigns to improve awareness, especially among underrepresented groups. Addressing socio-demographic factors in future interventions may reduce frailty risks and support health promotion and prevention efforts in Saudi Arabia.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"1713-1720"},"PeriodicalIF":2.7,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12108992/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144163866","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":"Predicting Postoperative Blood Transfusion in Elderly Patients Undergoing Total Hip and Knee Arthroplasty Using Machine Learning Models.","authors":"Dan Liang, Yiming Pang, Jingrui Huang, Xianda Che, Raorao Zhou, Xueting Ding, Chunfang Wang, Litao Zhao, Yichen Han, Xueqin Rong, Pengcui Li","doi":"10.2147/RMHP.S503286","DOIUrl":"10.2147/RMHP.S503286","url":null,"abstract":"<p><strong>Purpose: </strong>With the aging population, the demand for total hip arthroplasty (THA) and total knee arthroplasty (TKA) has risen significantly. Elderly patients, especially those over 70 years, face a higher risk of perioperative bleeding and transfusion, increasing morbidity and mortality. Accurate transfusion risk prediction is vital for optimizing perioperative blood management. Traditional models often fail to capture complex factor interactions, whereas machine learning enhances predictive accuracy. This study aimed to develop predictive models for postoperative transfusion in elderly patients undergoing THA or TKA, identify key risk factors, and create an online prediction tool.</p><p><strong>Patients and methods: </strong>We retrospectively analyzed 1,520 elderly patients who underwent THA (659) or TKA (861). The Least Absolute Shrinkage and Selection Operator (LASSO) method was used for variable selection. The dataset was randomly split into training (70%) and testing (30%) sets. Five models-Logistic Regression (LR), Random Forest (RF), Support Vector Machines (SVM), K-Nearest Neighbors (KNN), and Naive Bayes (NB)-were developed and validated. Ten-fold cross-validation and grid search optimized model parameters. Model performance was evaluated using AUC, accuracy, precision, sensitivity, specificity, and F1 score. SHapley Additive exPlanations (SHAP) were applied to assess variable importance. An online tool was developed based on the models.</p><p><strong>Results: </strong>Nineteen variables were retained. RF, LR, and SVM showed superior performance with AUC values exceeding 0.90. RF achieved the best results, with an accuracy of 0.86, precision of 0.80, specificity of 0.91, F1-score of 0.78, and sensitivity of 0.76. SHAP analysis highlighted intraoperative blood loss, hypertension, and postoperative drainage volume as major predictors.</p><p><strong>Conclusion: </strong>The developed models and online tool support personalized transfusion risk assessment, optimizing perioperative management, optimizing blood utilization, and enhancing patient outcomes.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"1697-1711"},"PeriodicalIF":2.7,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12103858/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144144514","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":"Improving Nutritional Status in Chronic Heart Failure Patients: Effectiveness of a Transtheoretical Model-Based Stepwise Nutritional Management Program.","authors":"Dejing Yuan, Yuan Xue, Yuefei Zhou","doi":"10.2147/RMHP.S509402","DOIUrl":"10.2147/RMHP.S509402","url":null,"abstract":"<p><strong>Objective: </strong>To explore the nutritional status of chronic heart failure (CHF) patients and evaluate the effect of a transtheoretical model-based stepwise nutritional management program on nutritional improvement.</p><p><strong>Methods: </strong>This study conducted a retrospective analysis of 100 chronic heart failure (CHF) patients admitted to our hospital from March 2023 to May 2024. After applying inclusion and exclusion criteria, the patients were divided into an observation group and a control group. The observation group received a stepwise nutritional management program based on the transtheoretical model (TTM), while the control group received routine care. Nutritional improvement and clinical effects were compared between the two groups.</p><p><strong>Results: </strong>Among the 100 CHF patients, 27% had good nutritional status, 42% were at nutritional risk, and 31% had malnutrition. No significant differences in baseline data were found between the two groups (P > 0.05). After the intervention, the observation group showed significantly lower B-type natriuretic peptide (BNP) levels and higher left ventricular ejection fraction (LVEF) levels compared to the control group (P < 0.05). Psychological scores (Self-Rating Depression Scale (SDS) and Self-Rating Anxiety Scale (SAS)) in the observation group were also significantly lower than those in the control group (P < 0.05). Additionally, serum total cholesterol (TC) and triglycerides (TG) levels were lower in the observation group (P < 0.05), and levels of prealbumin, transferrin, hemoglobin, and albumin were higher (P < 0.05). The Minnesota Living with Heart Failure Questionnaire (MLHFQ) scores in the observation group were significantly lower than in the control group (P < 0.05).</p><p><strong>Conclusion: </strong>The nutritional status of CHF patients is generally poor, and the transtheoretical model-based stepwise nutritional management program can effectively improve their nutritional status, enhance cardiac function, improve quality of life, and alleviate psychological burden. This intervention is promising for clinical practice.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"1683-1695"},"PeriodicalIF":2.7,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12103193/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144144497","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 Coupled Coordination of Digital Economy and Public Health Services in China and Its Influencing Factors.","authors":"Kunyu Chen, Zili Ding, Qunshan Tao, Rui Fu, Wangwang Zhu","doi":"10.2147/RMHP.S508245","DOIUrl":"10.2147/RMHP.S508245","url":null,"abstract":"<p><strong>Background: </strong>The coordinated development of the digital economy and public health services is essential for integrating the \"Digital China\" and \"Healthy China\" strategies and accelerating the modernization of the public health system. However, substantial regional disparities persist, necessitating a systematic evaluation of the coupling and coordination between these two domains, along with the identification of key influencing factors to support evidence-based policymaking.</p><p><strong>Methods: </strong>This study utilizes panel data from 30 Chinese provinces spanning 2012-2021. The entropy-weighted Technique for Order Preference by Similarity to Ideal Solution (TOPSIS) method is employed to quantify the levels of digital economy development and public health services. A coupling coordination model is employed to evaluate the degree of coordinated development between these sectors, whereas a panel Tobit model serves to identify the key influencing factors.</p><p><strong>Results: </strong>The overall trajectory of China's digital economy and public health services exhibits an upward yet fluctuating trend. The degree of coupling coordination has progressed from a state of near imbalance to a marginally coordinated phase, although it remains relatively low. Spatially, the eastern regions exhibit a higher degree of coordination, whereas the central and western regions primarily experience imbalances characterized by a lagging digital economy. Furthermore, the coupling coordination degree demonstrates a significant spatial positive correlation. Economic development is identified as the primary driver of improved coordination, whereas factors such as population density and health status exert inhibitory effects to some extent.</p><p><strong>Conclusion: </strong>To enhance overall coordination and achieve regional balance, policymakers should tailor development strategies to local resource endowments, optimize the synergy between the digital economy and public health services, and refine collaborative mechanisms.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"1651-1668"},"PeriodicalIF":2.7,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12101459/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144144493","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}