Risk Management and Healthcare Policy最新文献

{"title":"Unheard Struggles: Exploring Health-Related Quality of Life Determinants and Coping Mechanisms Among Children with Hearing Loss from Parents and Caregivers Perspective.","authors":"Ayoob Lone","doi":"10.2147/RMHP.S515485","DOIUrl":"https://doi.org/10.2147/RMHP.S515485","url":null,"abstract":"<p><strong>Purpose: </strong>Childhood hearing loss is an emerging public health concern. This study aimed to compare the quality of life (QOL) and coping strategies between children with and without hearing loss. It also explored the impact of coping strategies on the QOL of children with hearing loss.</p><p><strong>Methods: </strong>The study included 95 children with hearing loss and 107 healthy controls aged 6-18 years, recruited from special education schools. QOL was evaluated using the SF-12 health survey, and coping strategies were assessed with the Brief COPE inventory. Data analysis was conducted using descriptive and inferential statistics.</p><p><strong>Results: </strong>Children with hearing loss reported lower QOL scores in areas such as role functioning, emotional well-being, mental health, and physical health. They were more likely to use maladaptive coping strategies like denial, behavioral disengagement, and self-blame, whereas healthy children favored adaptive strategies like self-distraction, emotional support, and positive reframing. Problem-focused coping showed a positive association with role functioning (r = 0.46, <i>p</i> < 0.01), emotional roles (r = 0.18, <i>p</i> < 0.05), and mental health (r = 0.19, <i>p</i> < 0.05). Sociodemographic factors, including grade level and rural residence, significantly influenced QOL, with children in rural areas (OR = 4.66; <i>p</i> = 0.03) and lower grades (OR = 8.89; <i>p</i> = 0.05) facing greater challenges. Multiple regression analysis revealed a significant relationship between the self-distraction and physical component summary score (<i>p</i> = 0.01). Self-distraction (<i>p</i> = 0.01) and the acceptance coping strategy (<i>p</i> = 0.02) had a notable effect on the mental summary score of SF-12 scores of children with hearing loss.</p><p><strong>Conclusion: </strong>This study concluded that children with hearing impairment showed poor quality of life and these children use maladaptive coping strategies to combat with the stress caused by hearing loss. Early detection, community awareness, and customized support programs are crucial to enhancing the QOL of children with hearing loss and minimizing the condition's long-term impact.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"1241-1255"},"PeriodicalIF":2.7,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11993120/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144057464","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 Impact of Individual Mandate and Income on Private Health Insurance Enrollment: A State-Level Analysis on Individual Behavior Change.","authors":"Hyunji Kim, Jinyoung Cha, Jaeyoung Jang, Ahreum Han, Dongjin Oh, Keon-Hyung Lee","doi":"10.2147/RMHP.S501240","DOIUrl":"https://doi.org/10.2147/RMHP.S501240","url":null,"abstract":"<p><strong>Introduction: </strong>Health insurance, vital for improved health outcomes and reduced financial burdens, faced challenges within the market system due to adverse selection and the risk of a death spiral. This led to the Affordable Care Act (ACA) introducing the Individual Mandate in 2014. After the penalty under the Individual Mandate had been repealed, several states have kept regulative measures to encourage individuals to keep health insurance.</p><p><strong>Methods: </strong>This study analyzed the impact of individual mandates in four states and D.C. on private health insurance enrollment using pooled cross-sectional data from the Integrated Public Use Microdata Series (IPUMS) USA. The dataset included 4,524,753 non-elderly individuals (ages 19 to 64) from 2019 to 2021. A logistic regression model was employed to estimate the likelihood of having private health insurance, with the individual mandate as a state-level binary variable and income as a continuous predictor. Interaction effects between income and the mandate were examined. To further interpret the results, marginal effects were calculated to quantify the impact of the individual mandate and income on the probability of private health insurance enrollment.</p><p><strong>Results: </strong>The study revealed a positive association between the individual mandate regulation and increased private health insurance enrollment. Additionally, income exhibited a positive influence on enrollment in private health insurance coverage. Notably, when considering the moderating effect of income, the mandate had a more pronounced impact on lower-income individuals, resulting in a 0.885% decrease in the probability of having private health insurance for every 10k increase in individual income.</p><p><strong>Conclusion: </strong>The findings highlight that individuals in the mandated states are more likely to have private health insurance, addressing adverse selection issues and stabilizing the health insurance market. However, the mandate disproportionately affects lower-income individuals, suggesting the need for additional financial assistance to sustain enrollment. Policymakers should consider complementary support programs, such as subsidies and cost-sharing reductions, to mitigate financial burdens and ensure broader coverage. Maintaining an individual mandate alongside targeted financial policies can contribute to a more equitable and sustainable healthcare system.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"1229-1239"},"PeriodicalIF":2.7,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11992991/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144027297","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":"An Investigation into the Current Landscape, Challenges, and Training Imperatives of Clinical Research Among Anesthesiologists in China.","authors":"Yingjie Du, Ruirong Chen, Lili Wu, Quan Chen, Tiankuo Yu, He Li, Guyan Wang","doi":"10.2147/RMHP.S513667","DOIUrl":"https://doi.org/10.2147/RMHP.S513667","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to investigate the status of anesthesiologists in clinical research in China, identify challenges, and propose strategies to improve research quality and anesthesiology services.</p><p><strong>Materials and methods: </strong>A cross-sectional online survey was conducted among registered clinical anesthesiologists in China from April to May 2023. The questionnaire, which was developed by a multidisciplinary team following a workshop, covered sociodemographic characteristics, clinical research status, skills, motivations, challenges, and training needs. Data were analyzed using descriptive statistics, chi-square tests, and logistic regression to examine the factors associated with research publications.</p><p><strong>Results: </strong>Of the 878 analyzed respondents, 85.08% showed positive attitudes towards clinical research, yet the publication rates were low (59.68% in Chinese, 14.24% in English). Professional title promotions (78.70%) and solving clinical problems (69.48%) were the primary motivators. The respondents reported needing training in statistical analysis (74.69%), research design (73.86%), and topic selection (72.34%). The self-reported deficiencies included ability (73.01%), time (69.93%), and funding (60.71%). Significant differences (<i>P</i><0.01) existed between publishers and non-publishers regarding age, education, title, research experience, training, and hospital characteristics. Educational background, professional title, research experience, and training were identified as independent factors that influenced publication rates.</p><p><strong>Conclusion: </strong>This study identified major obstacles in anesthesiologists' research engagement, including time constraints, skill deficits, and funding issues, despite high interest. Career advancement was the primary motivation for the study. This study emphasizes the need for enhanced training in statistics and research designs. Factors such as education, title, experience, and training independently impact publication output.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"1217-1227"},"PeriodicalIF":2.7,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11992470/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144049648","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":"Application of Quality Control Circle in Improving Early Rehabilitation Intervention Rate of Stroke Patients.","authors":"Jiayu Wang, Linglong Xia, Naixi Zheng, Tingting Sun, Hua Xu, Cijie Huang, Jiajia Yue, Shaohua Qi","doi":"10.2147/RMHP.S502704","DOIUrl":"https://doi.org/10.2147/RMHP.S502704","url":null,"abstract":"<p><strong>Purpose: </strong>Early rehabilitation after stroke can improve the prognosis of patients and enhance the effectiveness and quality of rehabilitation. Whether Quality Control Circle (QCC), as a quality management method, can be used to improve the early rehabilitation intervention rate of stroke patients has not been reported. This study aimed to investigate the effectiveness of QCC in increasing the early rehabilitation intervention rate of stroke patients, providing a reference program for quality improvement in rehabilitation medicine.</p><p><strong>Methods: </strong>The study was conducted based on a repeated measurement design. QCC was applied to improve the early rehabilitation intervention rate of stroke patients at Zhongshan Hospital (Xiamen), Fudan University from August to December 2023. The QCC activities were conducted following the standardized sequence of theme selection, activity planning, current situation grasping, goal setting, analysis, countermeasure formulation, countermeasure implementation and review, effect confirmation, standardization, review and improvement. The effect of the QCC was evaluated by comparing the changes in the early rehabilitation intervention rate of stroke patients before and after the QCC in 9 months.</p><p><strong>Results: </strong>The early rehabilitation intervention rate of stroke patients before QCC was (45.23 ± 12.10) %, the rate after QCC was (59.55 ± 18.17) %, and demonstrated statistically significant improvement (t=3.667, P=0.006).</p><p><strong>Conclusion: </strong>Applying the method of QCC can improve the early rehabilitation intervention rate of stroke patients, which will help to improve the quality of rehabilitation medicine.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"1209-1216"},"PeriodicalIF":2.7,"publicationDate":"2025-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11980804/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058485","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":"Evaluation of Nosocomial Infection Management Efficiency Based on the Data Envelopment Analysis Model.","authors":"Jin Wang, Gan Wang, Chaoyi Qi","doi":"10.2147/RMHP.S520382","DOIUrl":"10.2147/RMHP.S520382","url":null,"abstract":"<p><strong>Background: </strong>This study used data envelopment analysis (DEA), to assess relative efficiency of infection control in different clinical departments of the hospital for performance evaluation purposes.</p><p><strong>Methods: </strong>All wards and departments from January to December 2022 were selected as decision units, and five input and two output indicators related to infection prevention and control were determined using DEA. Pure technical efficiency was evaluated using the Banker-Charnes-Cooper (BCC) model.</p><p><strong>Results: </strong>In the study, the input-output indexes of the 27 clinical departments varied significantly. The average values of technical efficiency, pure technical efficiency, scale efficiency, and comprehensive benefit were 0.987, 0.995, 0.992, and 0.980, respectively. Among the 27 departments, 52% exhibited constant returns to scale, 44% showed increasing returns to scale, and 4% had decreasing returns to scale. In the context of DEA, 44% of the departments were classified as highly efficient, indicating that their input-output ratios had reached an optimal state. Meanwhile, 56% of the departments were identified as non-DEA efficient, suggesting that there was room for improvement in their input-output efficiency.</p><p><strong>Conclusion: </strong>The improvement of input-output indexes of non-DEA effective clinical departments was defined by the BCC model. Use of DMUs could improve the efficiency of inventory control by optimizing the allocation of inventory control resources and refining inventory control measures.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"1197-1208"},"PeriodicalIF":2.7,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11977550/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143813185","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 Assessment of an Educational Intervention Toward Rational Antibiotic Use Among Community Pharmacists in Nepal.","authors":"Sajala Kafle, Nisha Jha, Pathiyil Ravi Shankar, Shital Bhandary, Subish Palaian","doi":"10.2147/RMHP.S493340","DOIUrl":"https://doi.org/10.2147/RMHP.S493340","url":null,"abstract":"<p><strong>Introduction: </strong>Educating community pharmacists (CPs) is an important step in promoting rational use of antibiotics. In this study, authors assessed the impact of an educational intervention on knowledge, attitude, and practice (KAP) related to rational antibiotic use among selected CPs in Kathmandu valley, Nepal and also obtained qualitative feedback.</p><p><strong>Methods: </strong>An educational intervention was conducted among 162 CPs. Antimicrobial resistance (AMR) and its causes, strategies to contain resistance and the role of community pharmacists in reducing AMR were discussed followed by problem solving exercises. Their KAP were assessed before (baseline), posttest (immediately after the intervention), and retention (2 weeks after the intervention) using a pre-validated tool. The quantitative data were analyzed using appropriate tests (p < 0.05). Semi-structured qualitative interviews were conducted after the follow-up, among six CPs to obtain their perspectives on the intervention and their role in combating AMR.</p><p><strong>Results: </strong>The majority (n = 118; 72.84%) had a \"Diploma in Pharmacy\" qualification. The median (IQR) knowledge scores were 9 (1), 9 (2), and 10 (0) during the pretest, post-test, and retention, respectively (maximum score 10), p < 0.001. The attitude score improved from 25 (5.25) pretest to 27 (5.25) posttest (maximum score 35), p < 0.001. The intervention also increased practice scores [25 (6)] pretest to [27 (6)] posttest, (maximum score 30) p < 0.001. Sixty-one CPs (37.6%) mentioned that patients had no time and budget to visit physicians, and 42 (25.92%) mentioned that CPs were competent to treat common infections. Total KAP scores improved significantly among different subgroups of respondents after the intervention. This was retained during follow-up. Participants perceived the intervention program to be useful. Heavy competition, the presence of many community pharmacies, and pharmacy shopping by patients were mentioned as challenges by CPs.</p><p><strong>Conclusion: </strong>A positive outcome on the KAP scores and positive feedback suggests the potential benefits of a future larger-scale educational intervention.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"1181-1195"},"PeriodicalIF":2.7,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11980678/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058430","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 Prognostic Factors for Drilling Drainage Surgery in Patients with Hypertensive Intracerebral Hemorrhage and Development of a Predictive Nomogram.","authors":"Jinliang Gu, Liqiang Dai, Wei Hu, Chengjin Xie, Xueyin Ren, Jinxing Huang","doi":"10.2147/RMHP.S502982","DOIUrl":"10.2147/RMHP.S502982","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the influencing factors affecting prognosis in patients undergoing drilling drainage surgery for hypertensive intracerebral hemorrhage (HICH) and to construct a nomogram predictive model.</p><p><strong>Methods: </strong>Clinical data of 247 patients with HICH admitted to our hospital between October 2020 and February 2024 were retrospectively analyzed. Patients were divided into a modeling cohort (173 cases) and a validation cohort (74 cases). The modeling group was separated into a good prognosis group and a poor prognosis group based on postoperative prognosis.</p><p><strong>Results: </strong>Among the 173 patients in the modeling cohort, 19 patients (10.98%) experienced poor prognosis. Multivariate logistic regression analysis showed that age, preoperative GCS score, diabetes history, systolic blood pressure, diastolic blood pressure, pulmonary infection and postoperative hematoma volume were the risk factors for the prognosis of drilling drainage surgery for patients with HICH (P<0.05). The AUC of the modeling group and validation group was 0.962 and 0.946, and the H-L test showed <i>χ</i> ²=7.105 and 7.246, with P<0.05 for both, indicating favorable consistency of the model. Decision curve analysis (DCA) showed high clinical utility of the nomogram model within the probability threshold range of 0.05 to 0.93.</p><p><strong>Conclusion: </strong>Age, preoperative GCS score, history of diabetes, systolic blood pressure, diastolic blood pressure, pulmonary infection and postoperative hematoma volume are key prognostic factors affecting outcomes after drilling drainage surgery in HICH patients. The established nomogram model based on these variables accurately predicts the risk of poor postoperative prognosis and can serve as an effective clinical reference tool.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"1159-1169"},"PeriodicalIF":2.7,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11977565/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143813184","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":"Optimizing Strategies for Managing Difficult Intravenous Access.","authors":"Ahmed Alaaeldin Saad, Mecit Can Emre Simsekler, Sundos Ahmed, Rawaa Ouda, Omar Khaddam, Mohamed Sanousi, Mini Benny, Hani Abdalla Sunbati, Deanne Kashiwagi, Ahmad Al Rifai, Masood Ahmad, Siddiq Anwar","doi":"10.2147/RMHP.S500340","DOIUrl":"10.2147/RMHP.S500340","url":null,"abstract":"<p><strong>Background: </strong>Difficult intravenous (IV) access (DIVA) remains a significant challenge in healthcare, leading to treatment delays, patient discomfort, and adverse outcomes. Contributing factors include patient conditions (eg, obesity, dehydration, anatomical variations) and provider-related challenges (eg, inadequate training, improper technique). Addressing DIVA requires a structured, data-driven approach.</p><p><strong>Purpose: </strong>This study examines the root causes of IV access complications, their prevalence, and distribution across healthcare settings. It evaluates the impact of an escalation pathway and data-driven strategies to improve IV success rates, provider training, and process standardization.</p><p><strong>Patients and methods: </strong>A retrospective analysis was conducted on 311 DIVA patients at Sheikh Shakhbout Medical City (SSMC), Abu Dhabi, UAE, over seven months (June-December 2023). Data were obtained from electronic medical records (EMR) and Intensive Care Outreach Nurse (ICON) consultation forms. A novel IV escalation pathway and documentation system facilitated data collection on patient demographics, IV access reasons, and primary diagnoses.</p><p><strong>Results: </strong>Among ICON-assisted patients, 74.6% had a known DIVA history, with cancer and renal disease being common conditions. ICONs achieved a first-attempt success rate of 68.8%, underscoring the need for improved floor nurse training. The most frequent IV access indications were medication administration, antibiotics, laboratory tests, and analgesia. Additionally, 57.3% of ICON consultations occurred outside standard hours, highlighting resource allocation challenges.</p><p><strong>Conclusion: </strong>Structured escalation pathways, advanced nurse training, and data-driven decision-making are critical in addressing DIVA. Recommendations include a dedicated IV access team, ultrasound-guided cannulation, and predictive analytics to identify high-risk patients, ultimately enhancing patient outcomes and healthcare efficiency.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"1147-1157"},"PeriodicalIF":2.7,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11977548/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143813188","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":"Risk Assessment and Prevention of Venous Thromboembolism in Critically Ill Patients in Tibet: A Prospective Cohort Study with Historical Controls.","authors":"Ji Qiong, Yanmei Gu, Jampa Dekyi, Dawa, Phurbu Tsring, Min Zhao, Xin Wang, Guangming Li, Haixia Liu","doi":"10.2147/RMHP.S490160","DOIUrl":"10.2147/RMHP.S490160","url":null,"abstract":"<p><strong>Objective: </strong>Venous thromboembolism (VTE) is a significant concern in critically ill patients. However, the incidence and risk factors of VTE in high-altitude regions like Tibet remain unclear. This study aimed to assess the effectiveness and safety of standardized anticoagulation therapy in preventing VTE among intensive care unit (ICU) patients in Tibet.</p><p><strong>Methods: </strong>This prospective controlled study included 78 patients in the treatment group receiving low molecular weight heparin (LMWH) and 56 patients in the control group without standardized VTE prophylaxis. VTE incidence, risk factors, and safety outcomes were compared between the two groups. Patients were followed up for a minimum of one week after ICU discharge to assess VTE outcomes.</p><p><strong>Results: </strong>The incidence of VTE was significantly lower in the treatment group (35.9%) compared to the control group (42.9%, p<0.05). Risk factors for VTE included mechanical ventilation. The most common VTE type observed was deep vein thrombosis (DVT), with pulmonary embolism (PE) occurring less frequently. No significant bleeding events were observed in the treatment group.</p><p><strong>Conclusion: </strong>Standardized LMWH prophylaxis effectively reduces VTE incidence in critically ill patients in Tibet without increasing bleeding risk. Regular risk assessment and appropriate prophylaxis should be implemented in high-altitude ICU settings.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"1171-1179"},"PeriodicalIF":2.7,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11974561/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804853","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 Implications of Risk Communication Strategies in Diminishing Adversities of Misinformation and Disinformation Against Hepatitis Vaccination in Global South.","authors":"Miqdad Mehdi, Syed Hassan Raza, Muhammad Yousaf, Bingqiang Li, Umer Zaman, Sohail Riaz","doi":"10.2147/RMHP.S501423","DOIUrl":"10.2147/RMHP.S501423","url":null,"abstract":"<p><strong>Background and purpose: </strong>Concern over the low hepatitis immunization rates is growing. It is generally believed that misinformation and disinformation are the main barriers to the success of mass immunization campaigns. This study intends to investigate the matter of online misinformation and disinformation about hepatitis vaccination and its implications.</p><p><strong>Material and methods: </strong>The researchers employed a cross-sectional research design vis-à-vis a web-based survey method to collect data. Data were collected from a nationally representative sample of 1931 internet users across Pakistan. Participation in the study was voluntary. Data collection continued for four months, from Mar 1, 2024, to Jun 30, 2024.</p><p><strong>Results: </strong>The \"results\" of structural equation modeling show that misinformation and disinformation substantially structure risk perception regarding hepatitis, which, in turn, impacts problem recognition, involvement recognition, and constraint recognition. Besides, the outcomes uncovered that the chain of problem identification impacts situational motivation, which drives risk communication behaviors. Also, these risk communication behaviors are closely linked to individuals' motivation to receive the hepatitis vaccine.</p><p><strong>Conclusion: </strong>This research concludes that managing misinformation and disinformation via strategically designed, valid, and reliable digital interventions improves the public's active response regarding willingness to get vaccinated against hepatitis. This study contributes to increasing public acceptance of the hepatitis vaccine by utilizing reliable and valid digital interventions to achieve a more active public health response.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"1133-1145"},"PeriodicalIF":2.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11971963/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143797100","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}