Frontiers in health services最新文献

{"title":"Implementation of singing groups for postnatal depression: experiences of participants and professional stakeholders in the SHAPER-PND randomised controlled trial.","authors":"Emeline Han, Rachel Davis, Tayana Soukup, Alexandra Bradbury, Julie Williams, Maria Baldellou Lopez, Lorna Greenwood, Rebecca Bind, Carolina Estevao, Tim Osborn, Hannah Dye, Kristi Priestley, Lavinia Rebecchini, Katie Hazelgrove, Manomani Manoharan, Anthony Woods, Nikki Crane, Andy Healey, Paola Dazzan, Nick Sevdalis, Carmine M Pariante, Daisy Fancourt, Ioannis Bakolis, Alexandra Burton","doi":"10.3389/frhs.2025.1582517","DOIUrl":"https://doi.org/10.3389/frhs.2025.1582517","url":null,"abstract":"<p><strong>Background: </strong>There is a rapidly growing evidence base for the effectiveness of creative health interventions in improving mental health, but few studies have explored implementation and scaling of these interventions. The aim of this study was to evaluate the perceived acceptability, appropriateness, and feasibility of a ten-week singing group programme (Breathe Melodies for Mums (M4M)) for mothers experiencing symptoms of postnatal depression (PND) and their babies as well as the programme ingredients that affected these implementation outcomes.</p><p><strong>Methods: </strong>A mixed methods design was adopted. Quantitative data was collected via the Acceptability of Intervention Measure (AIM), Intervention Appropriateness Measure (IAM), and Feasibility of Intervention Measure (FIM) from 109 intervention participants at 6, 20, and 36 weeks and analysed descriptively. Qualitative semi-structured interviews were conducted with 22 programme participants and 15 professional stakeholders involved in implementing the programme. Qualitative data were analysed using framework analysis.</p><p><strong>Results: </strong>Quantitative results showed high levels of acceptability, appropriateness, and feasibility among M4M participants, with median scores of 5/5 achieved on the AIM, IAM and FIM at 20 and 36-week follow up. Qualitative results gave insights into the ingredients of M4M that made the programme acceptable, appropriate, and feasible to participants and professional stakeholders. These included \"project\" ingredients (dose, design, content), \"people\" ingredients (social composition, activity facilitation), and to a lesser extent, \"context\" ingredients (setting, project set-up). While participant and stakeholder experiences were largely positive, some challenges and suggestions for improvement were also identified, including broadening recruitment strategies to reach more women.</p><p><strong>Conclusion: </strong>M4M was highly acceptable, appropriate, and feasible to participants and stakeholders. By identifying the \"core\" ingredients that facilitated implementation success and strategies to address implementation barriers, these findings have important implications for future implementation and scale-up of M4M and similar creative health programmes.</p><p><strong>Clinical trial registration: </strong>identifier (NCT04834622).</p>","PeriodicalId":73088,"journal":{"name":"Frontiers in health services","volume":"5 ","pages":"1582517"},"PeriodicalIF":1.6,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12271174/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144676719","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":"Patient satisfaction and health services in two public hospitals in Mogadishu, Somalia: a cross-sectional study.","authors":"Abdifatah Abdullahi Jalei, Yahye Sheikh Abdulle Hassan, Abdifetah Ibrahim Omar, Mohamed Abdi Ali","doi":"10.3389/frhs.2025.1552322","DOIUrl":"https://doi.org/10.3389/frhs.2025.1552322","url":null,"abstract":"<p><strong>Introduction: </strong>Healthcare system performance widely recognizes patient satisfaction as a pivotal measure that directly influences both the quality of care and health outcomes. It reflects patients' experiences and perceptions of healthcare delivery, which are essential for identifying gaps and implementing improvements in health services. In conflict-affected regions like Somalia, understanding the factors that shape patient satisfaction is crucial for optimizing healthcare delivery and building trust between healthcare providers and patients. This study investigates patient satisfaction and its provider-related determinants at Banadir and De Martino hospitals in Mogadishu, Somalia.</p><p><strong>Methods: </strong>A cross-sectional study was conducted from May to August 2023, involving 384 adult patients (aged 18 years and older) seeking outpatient healthcare services at two public hospitals in Mogadishu, Somalia. Data were collected using structured questionnaires and analyzed using STATA 16 software.</p><p><strong>Results: </strong>Of the 384 participants, 58.6% were under 30 years of age, and 88% were female. The overall patient satisfaction rate was 53.13%. While 61.98% of patients were unsatisfied with accessibility, but 73.70% were satisfied with the humanness of care. Most participants were married (68.2%) and illiterate (62.2%). Significant associations were found between patient satisfaction and education level (<i>p</i> = 0.009), as well as income (<i>p</i> < 0.001). Other demographic factors did not significantly influence satisfaction levels.</p><p><strong>Discussions: </strong>The study found a modest patient satisfaction with public hospitals in Mogadishu. The lowest domain score was for continuity of care, while the highest was for humanness of care. These findings provide crucial baseline data for enhancing service quality and patient-centered care in Somalia's conflict-affected urban healthcare settings.</p>","PeriodicalId":73088,"journal":{"name":"Frontiers in health services","volume":"5 ","pages":"1552322"},"PeriodicalIF":1.6,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12271107/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144676720","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":"Doctors should choose communication strategies based on the patient's attitude toward disease and healthcare workers: a study in Jiangsu, China.","authors":"Fangjing Zheng, Aicui Lin","doi":"10.3389/frhs.2025.1520628","DOIUrl":"10.3389/frhs.2025.1520628","url":null,"abstract":"<p><strong>Objective: </strong>We aimed to determine patients' expectations regarding curing their disease and potential communication preferences with healthcare providers, by analyzing factors such as education level, age, type of medical visit, and residential region, so as to assist healthcare workers in managing communication more effectively.</p><p><strong>Methods: </strong>A sampling survey was conducted involving 1,155 patients across nine public tertiary hospitals in Jiangsu Province, China. The survey questionnaire results were verified and organized, after which chi-square tests and <i>Z</i>-tests were conducted to analyze the responses to each question across different groups.</p><p><strong>Results: </strong>Among the educated population, the proportion of patients who believe that diseases can definitely be cured tends to decrease as the level of educational increases. Similarly, this proportion also tends to decrease with an increase in economic development across different regions. The proportion of patients who believe that they should fulfill their obligations during the treatment process but lacked understanding of how to do so also exhibits a similar trend. Adults under the age of 50, as well as outpatient and emergency patients, are more willing to cooperate with medical treatment, but often lack knowledge about how to do so.</p><p><strong>Conclusion: </strong>Healthcare workers should select communication strategy that are suitable for patients considering their age, education, type of medical visit, and residential region and provide appropriate cure expectations to prevent communication issues.</p>","PeriodicalId":73088,"journal":{"name":"Frontiers in health services","volume":"5 ","pages":"1520628"},"PeriodicalIF":1.6,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12267278/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144661180","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":"Social resource as a critical and overlooked factor for patient safety in low-resource settings.","authors":"Hilary Edgcombe, Gatwiri Murithi, Mary Mungai, Stephen Okelo, Sassy Molyneux, Helen Higham, Mike English","doi":"10.3389/frhs.2025.1625409","DOIUrl":"10.3389/frhs.2025.1625409","url":null,"abstract":"<p><p>Clinicians, NGOs, funders and academics (among others) in global health are accustomed to discussion of the \"low-resource setting\". Commonly, the resources implicit in this term are physical (equipment, drugs) and infrastructural (electricity, water and sanitation) in nature. Human resources are well recognised as scarce in this context too, and the focus in most \"workforce\" research is on the number, distribution and/or training of healthcare workers. In this article, we make the case for closer examination of \"social resource\" as necessary to patient safety and distinct from simple enumeration of available/trained personnel. We use the clinical specialty of anaesthesia as a case study, identifying the different ways in which social resource is necessary to enable safe practice for anaesthesia providers, and the potential challenges to accessing social resource relevant in the low- and middle-income context. Finally, we suggest ways in which social resource for anaesthesia professionals in LMICs might be meaningfully investigated, with a view to improving its priority and access for safe anaesthesia care worldwide.</p>","PeriodicalId":73088,"journal":{"name":"Frontiers in health services","volume":"5 ","pages":"1625409"},"PeriodicalIF":1.6,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12267222/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144661181","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":"Trends in visits to a 24-hour walk-in crisis mental health centre during the COVID-19 pandemic.","authors":"Jocelyne Lemoine, Depeng Jiang, Tanvi Vakil, James M Bolton, Jennifer M Hensel","doi":"10.3389/frhs.2025.1416164","DOIUrl":"10.3389/frhs.2025.1416164","url":null,"abstract":"<p><strong>Introduction: </strong>The sudden onset of the COVID-19 pandemic in the spring of 2020 introduced new stressors and exacerbated existing ones, which for many negatively impacted mental health or aggravated prior mental illness. As such, access to crisis care services was necessary and potentially increased, alongside public fears about virus contagion and stay-at-home public health orders. In Manitoba, Canada, visit rates were examined at a 24-hour mental health Crisis Response Centre (CRC) that offered in-person and virtual crisis assessments in a stepped care model during the COVID-19 pandemic.</p><p><strong>Methods: </strong>All visits from the three years prior to the pandemic until September 28, 2022 were retrieved from the electronic patient record. Mean weekly visits had the pandemic not occurred were predicted with an autoregressive integrated moving average model and compared with observed rates.</p><p><strong>Results: </strong>Total pre-pandemic CRC visits (14,280) decreased 22.1%-11,122 total post-pandemic CRC visits. Visit rates remained lower than predicted throughout the observation period, with the total number of visits reduced by an average of 34.1 per week (<i>p</i> < .001) during the first pandemic wave, and that gap narrowing to an average of 18.9 visits per week (<i>p</i> = 0.001) during the fourth wave. Thirteen percent of pandemic visits were virtual; highest during the first wave (average of 34.1% of visits per week) and decreased to an average of 5.6% of visits per week during the last measured period.</p><p><strong>Discussion: </strong>Further investigation is necessary to better understand this sustained pattern of reduced service utilization as we move beyond the pandemic.</p>","PeriodicalId":73088,"journal":{"name":"Frontiers in health services","volume":"5 ","pages":"1416164"},"PeriodicalIF":1.6,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12263651/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144651406","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":"Learning from the implementation of person-centred care: a meta-synthesis of research related to the Gothenburg framework.","authors":"Emma Forsgren, Caroline Feldthusen, Sara Wallström, Ida Björkman, Jana Bergholtz, Febe Friberg, Joakim Öhlén","doi":"10.3389/frhs.2025.1589502","DOIUrl":"10.3389/frhs.2025.1589502","url":null,"abstract":"<p><strong>Introduction: </strong>While research has shown promising effects of person-centred care (PCC) in a variety of settings, it remains to be systematically implemented in practice. Publications exist on conceptual frameworks for PCC implementation, as well as identified barriers and enablers, but a comprehensive overview of lessons learned from PCC implementation efforts is lacking. The aim of this study therefore is to synthesize research-based empirical knowledge on implementation of PCC using the theoretical foundation of the Gothenburg framework.</p><p><strong>Method: </strong>Interpretive meta-synthesis, using the theoretical framing of the Gothenburg framework for PCC, and implementation science in the context of healthcare services in Sweden.</p><p><strong>Results: </strong>The results illuminate that PCC implementation includes three interrelated categories of strategies, more precisely: strategies connected towards creating and safeguarding a person-centred work and care culture, strategies in connection to leaders and change agents, and strategies focused on learning activities and adaption to setting. An ideal of co-creation in partnership is prominent, and both top-down approaches (such as policy) as well as bottom-up approaches (activities/methodologies/tactics) created within services are at play. Implementation strategies are both deliberate and emergent during the implementation process.</p><p><strong>Discussion: </strong>The synthesis connects to available implementation research in that it highlights the importance of care culture, connected leadership at different levels, and learning activities. While patients and family carers are included as partners in intervention research, their role as leaders and actors for change in implementation efforts is not explicitly described.</p><p><strong>Conclusion: </strong>The combination of deliberate and emergent strategies, movements from top-down and bottom-up in combination with the ideal of co-creation at all levels demonstrates the complexities and iterative nature of PCC implementation. By illustrating this complexity and providing examples of handling practical issues, this study contributes to deeper insights on PCC implementation.</p>","PeriodicalId":73088,"journal":{"name":"Frontiers in health services","volume":"5 ","pages":"1589502"},"PeriodicalIF":1.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12259557/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144644295","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":"Make America Healthy Again: a medico-legal and public health analysis of a politicized health initiative.","authors":"Camilla Cecannecchia","doi":"10.3389/frhs.2025.1632180","DOIUrl":"10.3389/frhs.2025.1632180","url":null,"abstract":"","PeriodicalId":73088,"journal":{"name":"Frontiers in health services","volume":"5 ","pages":"1632180"},"PeriodicalIF":1.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12259660/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144644296","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":"Correction: External relationships as implementation determinants in community-engaged, equity-focused COVID-19 vaccination events.","authors":"Ramey Moore, Jennifer Callaghan-Koru, Jennifer L Vincenzo, Susan K Patton, Marissa J Spear, Sheldon Riklon, Eldon Alik, Alan Padilla Ramos, Stephanie Takamaru, Pearl A McElfish, Geoffrey M Curran","doi":"10.3389/frhs.2025.1650412","DOIUrl":"https://doi.org/10.3389/frhs.2025.1650412","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.3389/frhs20241338622.].</p>","PeriodicalId":73088,"journal":{"name":"Frontiers in health services","volume":"5 ","pages":"1650412"},"PeriodicalIF":1.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12259622/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144644294","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":"Concurrent use and association of patient-reported experience and outcome measures in psychiatric and substance use disorder care: a scoping review.","authors":"Marte Karoline Råberg Kjøllesdal, Hilde Hestad Iversen, Lina Harvold Ellingsen-Dalskau","doi":"10.3389/frhs.2025.1620809","DOIUrl":"10.3389/frhs.2025.1620809","url":null,"abstract":"<p><strong>Background: </strong>Patient reported experience measures (PREMs) provide patients` perspectives on health care services received, while generic Patient reported outcome measures (PROMs) reflect their subjective well-being or quality of life. The relationship between these measures is not well understood.</p><p><strong>Aims: </strong>To assess concurrent use and relationship of PREMs and PROMs In psychiatric and substance use disorder care, to inform how they best can be used concurrently in measuring quality of care from the patient perspective.</p><p><strong>Methods: </strong>Scoping review following Joanna Briggs Institute guidelines and adhering to the PRISMA extension for Scoping Reviews. Searches were carried out in Medline, CINAHL, Web of Science, Cochrane database of systematic reviews, Embase, and APA PsycInfo. Two researchers independently screened all articles published in English or Scandinavian languages and extracted information using a pre-defined template. Refence lists of included articles were screened for additional studies.</p><p><strong>Results: </strong>Four articles were included, three from psychiatric care and one from substance use disorder treatment. Four different PREMs measures and three generic PROMs measures were used. Each study found PREMs measures to be associated with generic PROMs, but the strength of the associations varied from weak to strong.</p><p><strong>Conclusion: </strong>Existing studies suggest that patient reported experiences are related to quality of life and well-being among patients in psychiatric and substance use disorder care. This study highlights a critical gap in the understanding of how PREMs and PROMs may interact in these patient populations. Despite limited research on their concurrent use, our findings offer preliminary insights into their potential to support patient-centred care.</p>","PeriodicalId":73088,"journal":{"name":"Frontiers in health services","volume":"5 ","pages":"1620809"},"PeriodicalIF":1.6,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12256552/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144638870","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":"Physician group practice in China's healthcare reform: a national survey on physicians' perspectives and implementation challenges.","authors":"Rui Fan, Qing Meng, Long Zhang, Chao Liu, Li Han, Meng Liu, Leiyu Shi","doi":"10.3389/frhs.2025.1574388","DOIUrl":"10.3389/frhs.2025.1574388","url":null,"abstract":"<p><strong>Background: </strong>The physician group (PG) model, while well-established in the United States, is a relatively recent healthcare delivery innovation in China. Despite rapid growth in PG registrations, comprehensive understanding of physicians' perspectives remains limited.</p><p><strong>Objective: </strong>To investigate Chinese physicians' perspectives and concerns regarding the PG model and identify factors influencing their support for its implementation.</p><p><strong>Methods: </strong>A cross-sectional online survey was conducted among 535 Chinese physicians between October-November 2024. The survey assessed participants' views on PG advantages, concerns, and overall support. Data analysis included descriptive statistics and variance analyses to explore correlations between physicians' characteristics and their perspectives.</p><p><strong>Results: </strong>Key facilitators for PG development included \"New career direction outside the existing system\" (75.1%) and \"Improved income levels\" (74.4%). Major concerns comprised \"Policies restricting physician mobility\" (69.7%) and \"Lack of support from hospital managers\" (57.8%). Overall support for PGs was moderate (3.710 ± 1.241). Administrative position holders showed significantly higher support than non-administrative staff (<i>p</i> = 0.004), and longer work experience correlated positively with support (<i>p</i> = 0.037). Hospital level and specialty area showed no significant influence on support levels.</p><p><strong>Conclusion: </strong>This first systematic study of Chinese physicians' perspectives on PGs reveals moderate support driven by career development and income opportunities, while highlighting regulatory and institutional barriers. Results suggest the need for stable policies, enhanced income frameworks, and targeted support for early career physicians-who currently show less support than experienced physicians-to facilitate successful PG implementation in China.</p>","PeriodicalId":73088,"journal":{"name":"Frontiers in health services","volume":"5 ","pages":"1574388"},"PeriodicalIF":1.6,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12256541/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144638871","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}