Discover health systems最新文献

{"title":"Understanding context: leveraging the pragmatic robust implementation sustainability model to inform the implementation of a community-based southeastern preconception counseling intervention to improve maternal health equity.","authors":"N D Hernandez-Green, K Berry, M D Haiman, A McDonald, O T O Farinu, E Harris, A Suarez, L Rollins, C Franklin, T Williams, L S Clarke, M P Fort, A G Huebschmann","doi":"10.1007/s44250-025-00257-z","DOIUrl":"10.1007/s44250-025-00257-z","url":null,"abstract":"<p><strong>Background: </strong>One major preconception risk driving poor childbirth outcomes in Black/African American women is cardiovascular health. Preconception counseling (PC) can reduce maternal health inequities, prevent fatal cardiovascular conditions, and improve the overall health of mothers before, during, and after pregnancy. This article examines contextual factors influencing the implementation of a community-based and culturally tailored PC intervention, ensuring equitable access amongst underserved populations.</p><p><strong>Methods: </strong>We used the Practical Robust Implementation Science Model (PRISM) to guide a mixed-methods assessment among community partner sites to inform the implementation of a PC intervention for Black adults in the Southeastern U.S. We developed a regional accountability board (RAB) of community stakeholders and conducted a partner site survey (n = 10) to identify organizational characteristics and group interviews with site staff and community members that receive services at our partner sites.</p><p><strong>Results: </strong>There was strong community and organizational buy-in for the PC intervention. Partner sites indicated moderate capability to implement PC; however, there was a need for enhanced infrastructure and organizational support for implementation, given limited experience providing PC and organizational funding, staff turnover, and lack of on-site medical services. Existing community trust and robust referral networks were major strengths among all sites.</p><p><strong>Conclusion: </strong>Collaborative community partnerships engaged throughout this process surfaced key community priorities, strengths, and needs for PC implementation. Using multiple methods to gather community data and feedback informed iterative revisions to the implementation plans that have positioned partner sites to deliver culturally congruent PC to at-risk communities.</p>","PeriodicalId":72826,"journal":{"name":"Discover health systems","volume":"4 1","pages":"71"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12166025/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144303780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Addressing skilled birth attendants' needs of primary healthcare facilities in Nigeria using the human resources for health solutions model.","authors":"Hilda Ebinim, Oluwadamilare Olatunji, Olugbemisola Samuel, Toluwani Oluwatola, Laura Hoemeke, Charity Chenge, Emediong Otu, Terver Orbunde, Miriamtherese Omanukwue, Sidney Sampson","doi":"10.1007/s44250-025-00239-1","DOIUrl":"10.1007/s44250-025-00239-1","url":null,"abstract":"<p><p>This study addresses the needs of skilled birth attendants (SBAs) of primary healthcare centers (PHCs) in Nigeria using the human resources for health (HRH) solutions model. A model analysis approach was adopted to understand existing frameworks in the global HRH landscape. An initial framework identification and contextualization were conducted to guide the analysis of the models identified in the literature. Relevant frameworks were identified, reviewed, and consolidated using the WHO HRH Action Framework (HAF). A total of 109 articles were included in the study after thorough screening out of which only nine (9) models of improving HRH planning and implementation in global health were reviewed. These were the Task Shifting/Sharing Model, Community Midwifery Model (CMM), Performance-Based Financing Model (PBF), Needs-Based Planning Model, Facilities-Based HRH Planning Model, Utilization-Based HRH Planning Model, Workforce Indicator Staffing Needs Model, USAID-Financing Innovations for Nutrition (FINFI) Model, and Micro-Learning Model. The proposed HRH solution model was adapted based on the gaps identified in all analyzed models. This study showed that there are different HRH models which address specific elements of the HRH value chain. However, these models are not comprehensive, therefore, tackling the challenges of SBA shortage in Nigeria would either require the integration of multiple models or the deployment of models in a phased approach which is what informed the proposed HRH solution model in addressing SBAs' needs of PHCs in Nigeria. We therefore recommend the implementation of the model.</p>","PeriodicalId":72826,"journal":{"name":"Discover health systems","volume":"4 1","pages":"59"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12116764/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144182980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Changing the way we do things: a qualitative exploration of culture change in clinical care and education before and during the COVID-19 pandemic in an academic health center.","authors":"Mollie C Marr, Karishma Patel, Rebecca A Harrison","doi":"10.1007/s44250-025-00241-7","DOIUrl":"10.1007/s44250-025-00241-7","url":null,"abstract":"<p><strong>Purpose: </strong>This study investigated the necessity of culture change in clinical care and medical education within a US academic hospital before and during the COVID-19 pandemic. It explored how the syndemics of COVID-19, racism, and the mental health crisis magnified the urgency of culture change in healthcare and aimed to understand the impact of these syndemics on healthcare and educational culture.</p><p><strong>Method: </strong>An 11-item survey with 8 open-ended questions was distributed to healthcare teams and trainees at a large academic medical center before (Dec 2019 to March 2020) and during the pandemic (Feb 2021 to April 2021). The survey examined need for culture change, where it has worked well, and factors contributing to successful culture change. Responses were analyzed and themes were generated by qualitative analysis.</p><p><strong>Results: </strong>The study revealed a strong focus on person-centered care before the pandemic with an emphasis on interdisciplinary care, communication, and safety. Within the pandemic, the focus shifted to COVID-19 safety, increased staffing and support, addressing health disparities and racism in healthcare, and use of telemedicine. As the pandemic evolved, burnout and mental health concerns became more prominent raising questions about the sustainability of culture changes..</p><p><strong>Conclusion: </strong>The study highlighted cultural shifts within healthcare and medical education magnified by syndemics. There is a growing emphasis on anti-racism, respect, and psychological safety. It emphasized the importance of understanding cultural shifts within institutions to drive effective culture change. Future research should explore different healthcare settings and post-pandemic culture changes. This study provided valuable insight into the landscape of culture change, clinical care, and education, especially in response to COVID-19 pandemic challenges.</p><p><strong>Supplementary information: </strong>The online version contains supplementary material available at 10.1007/s44250-025-00241-7.</p>","PeriodicalId":72826,"journal":{"name":"Discover health systems","volume":"4 1","pages":"68"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12141360/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144251152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Maternal and child health services at Hiwot Fana comprehensive specialized hospital, Harar, Eastern Ethiopia: a descriptive analysis based on hospital secondary data","authors":"Samrawit Abebaw, Helina Heluf, Abdi Amin, Ahmed Mohammed, Nega Assefa","doi":"10.1007/s44250-024-00126-1","DOIUrl":"https://doi.org/10.1007/s44250-024-00126-1","url":null,"abstract":"","PeriodicalId":72826,"journal":{"name":"Discover health systems","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141920870","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":"Comparison of explicit criteria for potentially inappropriate drug prescribing among the elderly: a narrative review","authors":"M. Vukoja, S. Mimica","doi":"10.1007/s44250-024-00102-9","DOIUrl":"https://doi.org/10.1007/s44250-024-00102-9","url":null,"abstract":"","PeriodicalId":72826,"journal":{"name":"Discover health systems","volume":"70 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141922268","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":"Testing asymptomatic mental health patients for COVID-19 overburdens hospital resources","authors":"Alirio Olmedo, Sonny I. Okundolor, Sheila Mallet-Smith, Rebecca Trotsky-Sirr, Catherine P. Canamar","doi":"10.1007/s44250-024-00125-2","DOIUrl":"https://doi.org/10.1007/s44250-024-00125-2","url":null,"abstract":"","PeriodicalId":72826,"journal":{"name":"Discover health systems","volume":"37 37","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141800320","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":"ICF-based multidisciplinary approach to rehabilitation of people with disabilities: perspective and current practices within the Health, Rehabilitation, Integration, and Research Center in Lebanon","authors":"Nour El-Hoda Saleh, Marwa Summaka, Hiba Zein, Sleiman Fneish, Rami Mazbouh, Fatima Hamieh, Ibrahim Naim","doi":"10.1007/s44250-024-00122-5","DOIUrl":"https://doi.org/10.1007/s44250-024-00122-5","url":null,"abstract":"","PeriodicalId":72826,"journal":{"name":"Discover health systems","volume":"22 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141810311","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":"Validation of the interdisciplinary Norwegian vision assessment tool KROSS in stroke patients admitted to hospital or rehabilitation services","authors":"Helle K. Falkenberg, I. Langeggen, Ragnhild Munthe-Kaas, Marianne Råen, G. Eilertsen, Torgeir Mathisen","doi":"10.1007/s44250-024-00123-4","DOIUrl":"https://doi.org/10.1007/s44250-024-00123-4","url":null,"abstract":"","PeriodicalId":72826,"journal":{"name":"Discover health systems","volume":"1 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141807296","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":"Distribution and determinants of healthcare costs for self-care behaviours among patients with type 2 diabetes across low-resource communities in Nepal","authors":"P. Dahal, L. Rawal, Z. Ademi, R. Mahumud, G. Paudel, C. Vandelanotte","doi":"10.1007/s44250-024-00117-2","DOIUrl":"https://doi.org/10.1007/s44250-024-00117-2","url":null,"abstract":"","PeriodicalId":72826,"journal":{"name":"Discover health systems","volume":"69 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141810369","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":"Assessment of community health workers activities in six districts of Zambézia Province, Mozambique","authors":"Cristolde Salomão, T. Sawadogo-Lewis, Réka Maulide Cane, António Júnior, Briana Stone, Júlia Sambo, Michael R. Diaz, Fernando Padama, Humberto Rodrigues, T. Roberton, Acácio Sabonete","doi":"10.1007/s44250-024-00113-6","DOIUrl":"https://doi.org/10.1007/s44250-024-00113-6","url":null,"abstract":"","PeriodicalId":72826,"journal":{"name":"Discover health systems","volume":"23 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141813168","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}