Discover health systems最新文献

{"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}

{"title":"The work-lives of Canadian Registered Dietitians during the COVID-19 pandemic: a descriptive analysis of survey data","authors":"S. Hewko, Julia Freeburn","doi":"10.1007/s44250-024-00124-3","DOIUrl":"https://doi.org/10.1007/s44250-024-00124-3","url":null,"abstract":"","PeriodicalId":72826,"journal":{"name":"Discover health systems","volume":"17 22","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141816310","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":"Stakeholders’ perspectives on the status of diabetic retinopathy and diabetes health service management systems in Uganda","authors":"Joseph K. B. Matovu, M. Kakinda, Stanley Bubikire, Karen Kilberg, Silvio Paolo Mariotti","doi":"10.1007/s44250-024-00121-6","DOIUrl":"https://doi.org/10.1007/s44250-024-00121-6","url":null,"abstract":"","PeriodicalId":72826,"journal":{"name":"Discover health systems","volume":" 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141826956","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}