Dialogues in health最新文献

{"title":"Socio-economic and insurance factors in preventive care: A two-stage weighted structural analysis","authors":"Florent Nkouaga","doi":"10.1016/j.dialog.2025.100243","DOIUrl":"10.1016/j.dialog.2025.100243","url":null,"abstract":"<div><div>This study investigates the key determinants influencing the utilization of preventive health services among insured individuals in the United States following the implementation of the Affordable Care Act (ACA). Leveraging nationally representative data from the 2024 Financial Inclusion Survey, the research employs weighted logistic regression and Structural Equation Modeling (SEM) to analyze how perceived insurance coverage quality, access to a primary care physician, financial knowledge, and experiences with healthcare costs are associated with the uptake of no-cost preventive care. The findings reveal that individuals who report higher satisfaction with their insurance coverage, maintain ongoing relationships with primary care providers, and demonstrate greater financial literacy are more likely to engage in preventive health behaviors. Notably, while cost-related barriers are initially associated with increased utilization, their direct influence diminishes when financial knowledge is accounted for, highlighting the mitigating role of financial literacy. The SEM approach further clarifies the complex interplay between latent constructs such as perceived coverage quality and cost experiences, showing that these factors interact with each other and with other determinants to shape preventive care decisions. Importantly, once these structural and informational dimensions are considered, traditional demographic variables — such as race and gender — lose statistical significance, underscoring the greater impact of systemic and educational factors. These results suggest that policies aimed solely at eliminating financial barriers may be insufficient to maximize preventive care participation. Instead, fostering trust in insurance coverage, strengthening primary care relationships, and enhancing financial literacy are critical strategies for increasing preventive service utilization. By addressing the informational, relational, and economic dimensions of healthcare access, policymakers and stakeholders can more effectively promote preventive health engagement and advance population health outcomes.</div></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"7 ","pages":"Article 100243"},"PeriodicalIF":0.0,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145264888","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of thyroid disorders in a tertiary care hospital in Al Batinah North Governorate, Oman","authors":"Vijaya Marakala ,&nbsp;Gulam Saidunnisa Begum ,&nbsp;Salima Al Maqbali ,&nbsp;Elham Said Ahmed Al Risi","doi":"10.1016/j.dialog.2025.100246","DOIUrl":"10.1016/j.dialog.2025.100246","url":null,"abstract":"<div><h3>Objectives</h3><div>To assess the prevalence and demographic distribution of thyroid dysfunction in the Al Batinah North Governorate, Oman, and to examine associations between thyroid hormone levels and lipid profiles.</div></div><div><h3>Methods</h3><div>This retrospective observational study was conducted at Sohar Hospital, a major referral centre in Al Batinah North. Electronic medical records of 40,390 patients who underwent thyroid function testing between 2020 and 2024 were reviewed. The prevalence of subclinical and overt hypothyroidism and hyperthyroidism, demographic distribution (age, gender), and associations between thyroid hormone levels and lipid profiles were analyzed. Only the first thyroid panel per patient was included to avoid duplication.</div></div><div><h3>Results</h3><div>Of the 40,390 patients, 78.7 % were euthyroid, 13.9 % had subclinical hypothyroidism, 3.4 % had subclinical hyperthyroidism, 2.1 % had overt hyperthyroidism, and 2.0 % had overt hypothyroidism. Thyroid dysfunction was more prevalent among females (67.5 %) than males (32.5 %). Hypothyroidism was most frequent in individuals aged 0–17 years, while hyperthyroidism was more common in adults aged 36–50 years. A statistically significant inverse correlation was observed between free thyroxine (FT4) and serum lipid levels (cholesterol: <em>r</em> = −0.12, <em>p</em> &lt; 0.001; triglycerides: <em>r</em> = −0.10, p &lt; 0.001).</div></div><div><h3>Conclusions</h3><div>Thyroid dysfunction, particularly subclinical hypothyroidism, was common in this hospital-based Omani cohort and disproportionately affected females. Associations with lipid abnormalities were statistically significant but weak. Findings should be interpreted with caution due to the retrospective design, hospital-based sampling, and incomplete adjustment for confounders. Population-based studies are required to establish true prevalence and long-term metabolic outcomes.</div></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"7 ","pages":"Article 100246"},"PeriodicalIF":0.0,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145264738","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Role of comprehensive HIV knowledge as a mediator between receiving HIV information during antenatal care visits and positive attitudes toward people living with HIV among reproductive-age women in Bangladesh","authors":"Chowdhury Abdullah Al Asif ,&nbsp;Md. Abul Kalam ,&nbsp;Nayla Ferdousi Haque ,&nbsp;Sabrina Karim ,&nbsp;Lima Rahman ,&nbsp;Muhammad Imran ,&nbsp;Paul Bouey ,&nbsp;Rounak Khan ,&nbsp;Mohammad Rifat Haider","doi":"10.1016/j.dialog.2025.100245","DOIUrl":"10.1016/j.dialog.2025.100245","url":null,"abstract":"<div><h3>Objective</h3><div>Comprehensive knowledge of HIV transmission and positive attitudes toward people with HIV (PWH) are key to HIV prevention and care. This study assessed the potential mediational role of comprehensive HIV knowledge between receiving HIV information during antenatal care (ANC) visits and positive attitudes toward PWH among reproductive-age women in Bangladesh.</div></div><div><h3>Methods</h3><div>We analyzed the 2019 Multiple Indicator Cluster Survey data (<em>N</em> = 5118). Comprehensive HIV knowledge scale (9-item; Cronbach's alpha = 0.706) and Attitudes toward PWH scale (2-item; Cronbach's alpha = 0.84) were constructed. Receiving HIV information was a dichotomous variable (yes/no). A multivariable structural equation model was controlled for age, ethnicity, education, rural/urban residence, media exposure, marital status, wealth index, and division. All analyses were performed using Stata 18.0.</div></div><div><h3>Results</h3><div>After adjusting for sociodemographic characteristics, receiving HIV transmission knowledge during ANC was not associated with positive attitudes toward PWH (B = 0.06, <em>p</em> = 0.101). Receiving HIV information was positively associated with comprehensive HIV knowledge (B = 0.39; <em>p</em> &lt; 0.0.001), and comprehensive HIV knowledge was positively associated with positive attitudes toward PWH (B = 0.13; <em>p</em> &lt; 0.001). The indirect effect of comprehensive HIV knowledge on the relationship between receiving HIV information during ANC and positive attitudes toward PWH was statistically significant (B = 0.05, <em>p</em> &lt; 0.001).</div></div><div><h3>Conclusion</h3><div>Given the mediational role of comprehensive HIV knowledge between receiving HIV information and positive attitudes toward PWH, providing HIV information during ANC should be a routine practice to capture the teachable moments to prevent HIV transmission.</div></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"7 ","pages":"Article 100245"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145264889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Overhearing hushed voices: Using unobtrusive methods to uncover the work-related sentiments of people with epilepsy","authors":"Asha Rao,&nbsp;Surendra Sarnikar","doi":"10.1016/j.dialog.2025.100244","DOIUrl":"10.1016/j.dialog.2025.100244","url":null,"abstract":"<div><h3>Purpose</h3><div>Despite high unemployment and discrimination, disability is often overshadowed by race and gender in workplace diversity discussions. This study sought to uncover the work-related sentiments of people with epilepsy (PWE) in their own voices. Epilepsy is a stigmatized invisible disability wherein first-person accounts are difficult to uncover because of stigma. Hence, the discussion on accommodation, inclusion and access for PWE is driven by others, rather than people with epilepsy. By hearing from PWE, workplace solutions can be more relevant to their needs</div></div><div><h3>Design</h3><div>We use unobtrusive data mining of discussions by PWE by studying anonymous posts on the Epilepsy Foundation community forum over a 16-year period. We examine their sentiments, beliefs, and emotions impacting work for people with epilepsy (PWE), and analyzed perceptions of discrimination to understand what organizations can do better to be inclusive and supportive at work</div></div><div><h3>Findings</h3><div>We found that PWE sentiments around work were more positive compared to nonwork sentiments. Their work sentiments were analytical, achievement oriented and associated with positive emotions. Work was associated with love and affiliation. However, PWE posts were broadly also more anxious, health centered and tentative reflecting their fears around their health and stigma in employment</div></div><div><h3>Originality</h3><div>This study is unique in using unobtrusive data mining techniques to analyze the challenges faced by people with disabilities. To our knowledge, there is no such study of adults with epilepsy and the workplace. The methodology used reduces response bias. Questions about disability are difficult to answer for people who face stigma around their disability.</div></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"7 ","pages":"Article 100244"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145264737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors influencing well-being among first-generation students of color pursuing graduate-level degrees in public health: A qualitative study","authors":"Kimberly Wu ,&nbsp;Sunshine Best ,&nbsp;W. Marcus Lambert ,&nbsp;Shokufeh Ramirez ,&nbsp;Christine M. Arcari ,&nbsp;Katherine P. Theall ,&nbsp;Dovile Vilda","doi":"10.1016/j.dialog.2025.100242","DOIUrl":"10.1016/j.dialog.2025.100242","url":null,"abstract":"<div><div>Diversifying the public health workforce is essential for improving services to all communities. First-generation students of color (FGSOC) are a population who may face unique academic, financial, and health barriers when pursuing graduate-level degrees in public health. This study explored the needs and experiences of 25 recent FGSOC graduates from graduate-level public health programs through interviews. Participants were recruited through snowball and quota sampling to prioritize individuals identifying as Black, Hispanic/Latine, and American Indian/Native Alaskan. Five main themes were developed using reflexive thematic analysis: (1) lived experiences facilitate FGSOC interest in public health, (2) challenges of navigating structural barriers of academic institutions, (3) interplay of support to meet needs and complete graduate degrees, (4) impact of limited resources on health, and (5) coping strategies for maintaining health. Subthemes were also identified and include participants' firsthand experience with health disparities in their families and communities, the additional effort needed to uncover and navigate academic “hidden curricula,” and the importance of cultivating a network to meet emotional and academic needs during their training. Findings highlight how FGSOC are driven by formative experiences to pursue public health, yet face structural barriers and multiple priorities that strain their well-being during their graduate training. Recommendations informed by study findings and existing literature are organized across the following domains: institutional accountability and investment, financial education and transparency, career development and workforce readiness, accessible mental health resources, and food security.</div></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"7 ","pages":"Article 100242"},"PeriodicalIF":0.0,"publicationDate":"2025-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145218945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gaza: Between global silence and the double standards of justice","authors":"Imad Asmar","doi":"10.1016/j.dialog.2025.100240","DOIUrl":"10.1016/j.dialog.2025.100240","url":null,"abstract":"","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"7 ","pages":"Article 100240"},"PeriodicalIF":0.0,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145121176","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Asthma-related school absenteeism: Prevalence, disparities, and the need for comprehensive management: A systematic review and meta-analysis","authors":"Magda Mubarak Merghani ,&nbsp;Ragaa Gasim Ahmed Mohmmed ,&nbsp;Khaled Mohammed Al-Sayaghi ,&nbsp;Nawal Saad M. Alshamrani ,&nbsp;Eltayeb Mohammed Awadalkareem ,&nbsp;Hassan Shaaib ,&nbsp;Ahmed Alharbi ,&nbsp;Athbah AlKabi ,&nbsp;Sumayah Faqihi ,&nbsp;Adil Abdalla ,&nbsp;Hammad Ali Fadlalmola","doi":"10.1016/j.dialog.2025.100239","DOIUrl":"10.1016/j.dialog.2025.100239","url":null,"abstract":"<div><h3>Background</h3><div>Asthma, affecting 11.6–13.7 % globally, significantly impacts children's education, causing 47.5 % absenteeism, disturbed sleep, and frequent ER visits. These issues, alongside environmental triggers, medication side effects, and socioeconomic factors, hinder academic performance. Racial disparities in healthcare access accentuate the problem, with minorities receiving less preventive care. Family dynamics also play a role, as caregivers often keep children home fearing severe episodes. This review estimates the prevalence of asthma-related absenteeism, acute care needs, preventive drug use, and hospitalizations, emphasizing the need for comprehensive school-based asthma management to improve outcomes.</div></div><div><h3>Methods</h3><div>We searched for relevant articles up to March 2025 from PubMed, Scopus, Web of Science, and the Cochrane Library. Two independent reviewers extracted data from the selected studies, including baseline information, outcomes, prevalence, risk factors, preventive drug use, ED admission, and hospitalization rates. All data analyses were performed using R version 4.3.3.</div></div><div><h3>Results</h3><div>We collected 5879 records after excluding 4242 duplicates. Thorough screening resulted in the retrieval of 24 entries eligible for inclusion in our review. Our analysis revealed a prevalence of asthma-related absenteeism of 29 %, with absenteeism among asthmatic students being 3.08 times higher than non-asthmatic students (<em>p</em> = 0.0040). The average duration of asthma-related absenteeism was 4.15 days (<em>p</em> = 0.0068). The rate of preventive drug use, ED admissions, and hospitalization were estimated to be 39 %, 24 %, and 7 %, respectively.</div></div><div><h3>Conclusion</h3><div>This review highlighted a high burden of asthma-related school absenteeism. While some included studies reported higher burden among Black children, our review did not statistically analyze these disparities. These findings emphasize the need for school-based prevention strategies and policies that address disparities in healthcare access.</div></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"7 ","pages":"Article 100239"},"PeriodicalIF":0.0,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145104961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Home-learning environment and cognitive and academic outcomes among children aged 4–8 years: A cross-sectional study from South India","authors":"Eunice Lobo ,&nbsp;Debarati Mukherjee ,&nbsp;Pradeep Kumar Choudhury ,&nbsp;Giridhara Rathnaiah Babu ,&nbsp;Prashanth Nuggehalli Srinivas ,&nbsp;Onno C.P. van Schayck","doi":"10.1016/j.dialog.2025.100238","DOIUrl":"10.1016/j.dialog.2025.100238","url":null,"abstract":"<div><h3>Purpose</h3><div>Home-learning environment is critical for cognitive and academic outcomes; yet its impact during the 4–8 years' period remains underexplored, especially in the Global South. This study examines the relationship between the home-learning environment and children's fluid intelligence and early language numeracy outcomes in urban poor households in Bangalore, South India.</div></div><div><h3>Methods</h3><div>We analysed data from 940 mother-child dyads from the MAASTHI birth cohort when children were 4–8-years old. The Family Care Indicators (FCI) tool assessed the home-learning environment, Raven's Coloured Progressive Matrices (RCPM) measured children's fluid-intelligence, and the preschool Annual Status of Education Report (ASER) tool measured literacy-numeracy skills. Multilevel linear regression models, adjusted for household, maternal, and child factors, were used to examine the associations.</div></div><div><h3>Results</h3><div>Higher levels of parental education, maternal Intelligence Quotient, and lower maternal depressive symptoms were significantly associated with better cognitive and early language outcomes. A stimulating home-learning environment characterized by the availability of ≥6 age-appropriate books, higher levels of caregiver engagement, and higher overall home environment scores (FCI-Total) was linked to better non-verbal fluid intelligence and early language scores during 4–8 years of age. However, these factors were not significantly associated with numeracy.</div></div><div><h3>Conclusion</h3><div>This study underscores the sustained benefits of a stimulating home-learning environment in urban poor settings on children's cognitive and academic outcomes between 4 and 8 years of age. Our results reinforce the need for interventions that promote caregiver engagement and access to a variety of books and toys to optimize child outcomes in marginalized settings.</div></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"7 ","pages":"Article 100238"},"PeriodicalIF":0.0,"publicationDate":"2025-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145018473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pregnant asylum seekers' perspective on mental health screening: A qualitative study","authors":"E. Soldati ,&nbsp;A.E.H. Verschuuren ,&nbsp;I.R. Postma ,&nbsp;W. Veling ,&nbsp;E.I. Feijen-de Jong ,&nbsp;J. Stekelenburg","doi":"10.1016/j.dialog.2025.100236","DOIUrl":"10.1016/j.dialog.2025.100236","url":null,"abstract":"<div><h3>Purpose</h3><div>Psychiatric disorders are prevalent among pregnant asylum seekers and can have adverse effects on both the individual and newborns. There is limited research on the perspectives of pregnant asylum seekers on mental health screening. This study investigates whether pregnant asylum seekers consider the Refugee Health Screener 15 (RHS-15) suitable and acceptable as a mental health screening test.</div></div><div><h3>Methods</h3><div>Eight participants filled out the RHS-15. Semi-structured interviews were conducted in which mental health screening and the acceptability and suitability of the RHS-15 to screen for mental health disorders were discussed. Two researchers performed an inductive thematic analysis.</div></div><div><h3>Results</h3><div>Three themes were identified: ‘Importance of mental health screening’, ‘Talking about mental health’ and ‘Use of the RHS-15’. Participants recognized how their past experiences and seeking asylum during pregnancy rendered them more susceptible to mental health conditions. Screening was considered important since participants valued talking about mental health with their midwife, but they would not initiate this conversation. Barriers and enablers to these discussions included a language barrier, cultural differences, family support, practical barriers, relationship with healthcare providers and limited access to and unfamiliarity with the Dutch healthcare system. Our participants considered the RHS-15 a suitable instrument for mental health screening.</div></div><div><h3>Conclusions</h3><div>Pregnant asylum seekers are often marginalized and underserved and experience high rates of psychiatric disorders. Our participants considered mental health screening in the perinatal period acceptable and necessary. Further research should focus on the implementation of the RHS-15 as a screening tool for perinatal care in this population.</div></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"7 ","pages":"Article 100236"},"PeriodicalIF":0.0,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144931564","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cracking the code: Pioneering early detection and management of breast cancer in the Brazilian public healthcare system","authors":"Arn Migowski ,&nbsp;Ruffo Freitas-Junior ,&nbsp;Jose Bines ,&nbsp;Angela Marie Jansen ,&nbsp;Angélica Nogueira-Rodrigues ,&nbsp;Maria del Pilar Estevez-Diz ,&nbsp;Mariana Rico-Restrepo ,&nbsp;Gayatri Sanku ,&nbsp;André Mattar","doi":"10.1016/j.dialog.2025.100235","DOIUrl":"10.1016/j.dialog.2025.100235","url":null,"abstract":"<div><div>Breast cancer (BC) remains a significant health concern in Brazil, particularly within its public healthcare system, the Unified Health System, known by its Portuguese acronym “SUS”, with early detection being one of the main challenges. A review of literature and policy documents was conducted to evaluate the performance and challenges of BC screening and early diagnosis in SUS. Brazilian experts in BC early detection attended a three-day meeting to discuss the challenges of SUS's existing early detection program and provide recommendations for surmounting them. The study identified that Brazil's current opportunistic BC screening model perpetuates issues with access to screening and regional disparities, while also generating low effectiveness and inefficiency. It also highlights several causes of delays in early diagnosis and treatment. The conclusions suggest an urgent need for an organized national BC screening program, in addition to the implementation of early diagnosis strategies, with multifaceted interventions, including urgent referral guidelines for suspected cases, training of key health professionals, patient navigation, and one-stop breast clinics. Implementing these changes could alleviate the economic strain on the healthcare system while improving patient outcomes.</div></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"7 ","pages":"Article 100235"},"PeriodicalIF":0.0,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144987926","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}