Frontiers in health services最新文献

{"title":"Trust, consistency and transparency: in-home respite needs and preferences of people living with dementia and their carers.","authors":"Caroline Grogan, Sarah Harriman, Elizabeth Martin, Rebecca Waite, Olivia Fisher","doi":"10.3389/frhs.2025.1550729","DOIUrl":"10.3389/frhs.2025.1550729","url":null,"abstract":"<p><strong>Purpose: </strong>To identify the needs, preferences, and perspectives of people living with dementia and their carers to inform design and implementation of an in-home respite service.</p><p><strong>Design/methodology: </strong>Exploratory, interpretivist, pre- implementation qualitative study using Consolidated Framework for Implementation Research.</p><p><strong>Participants: </strong>People living with dementia and carers.</p><p><strong>Data collection: </strong>Multi-person and individual semi-structured interviews.</p><p><strong>Findings: </strong>15 participants: Four people living with dementia, 11 carers. Carers are exhausted and want a say in the development and delivery of services. People living with dementia and carers need safety, trust in respite staff and in the organisation, consistency, additional supports, and clear, transparent communication.</p><p><strong>Future directions: </strong>Findings will inform in-home dementia respite models of care, better supporting family carers and people living with dementia to age-in-place. Recommendations: provide an orientation session; clear, transparent communication; provide/refer carers to wrap-around supports; ensure consistency including having consistent carers, arrival times, services provided and routines; emergency and scheduled options.</p>","PeriodicalId":73088,"journal":{"name":"Frontiers in health services","volume":"5 ","pages":"1550729"},"PeriodicalIF":1.6,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12279863/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692644","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":"Danish translation and cultural adaption of the Person-Centred Practice Inventory-Staff and Person-Centred Practice Inventory-Care questionnaires.","authors":"Elizabeth Rosted, Mette Kjerholt, Bibi Hølge-Hazelton, Tanya McCance, Brendan McCormack, Thora Thomsen","doi":"10.3389/frhs.2025.1559443","DOIUrl":"10.3389/frhs.2025.1559443","url":null,"abstract":"<p><strong>Background: </strong>Internationally, person-centred practice is a recognized standard of quality care influencing the experience of care for healthcare professionals, service users, families and care partners. To measure the experience from the perspectives of both caregivers and patients, the instruments Person-Centred Practice Inventory-Staff (PCPI-S) and the Person-Centred Practice Inventory-Care (PCPI-C) have been developed, which are both theoretically aligned with McCormack and McCance's person-centred framework. In this paper, we present translation and cultural adaption of the questionnaires into Danish.</p><p><strong>Methods: </strong>A model including translation and cultural adaption of both the PCPI-S and the PCPI-C questionnaires was used. The translation and cultural adaption took place from September 2021 to March 2022 and was conducted within the context of a Danish University Hospital.</p><p><strong>Results: </strong>Six steps were included in the translation and cultural adaption. Discrepancies were addressed and revised by the expert committee until a consensus was reached on a reconciled version.</p><p><strong>Conclusion: </strong>As person-centred practice is a recognized standard of quality influencing the experience of care for healthcare professionals, service users, families and care partners, it has been important to translate the questionnaires PCPI-S, a measure of staff's perception of person-centred practice, and PCPI-C, a measure of patients' perception of person-centred practice into Danish. Based on this, we now have a Danish instrument that may give the patients a voice by examining to what extent they experience person-centred care in our hospital. This will hopefully support learning and further development of a person-centred culture.</p>","PeriodicalId":73088,"journal":{"name":"Frontiers in health services","volume":"5 ","pages":"1559443"},"PeriodicalIF":2.7,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12277304/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144683736","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":"The rise of commodity care.","authors":"Jacy E Neczypor","doi":"10.3389/frhs.2025.1611746","DOIUrl":"10.3389/frhs.2025.1611746","url":null,"abstract":"<p><p>The commoditization of health care under the guise of advanced preventive services and data-driven performance optimization poses risks for patient care and lessons for health systems. This editorial defines and examines \"commodity care,\" a growing model of direct-to-consumer healthcare characterized by self-referral for advanced diagnostic imaging and/or serologic testing. Promoted as empowering and proactive preventive care, commodity care services frequently operate beyond established clinical guidelines and lack robust evidence to support their clinical utility. Despite appealing marketing claims, these services carry significant risks for patients, including overdiagnosis, false-positive results, and incidental findings that lead to unnecessary interventions that may cause physical, psychological, and financial harms. At the health system level, commodity care contributes to fragmented patient experiences, promotes low-value utilization of healthcare resources, and raises ethical and environmental concerns related to data stewardship and sustainability. Yet, the rising demand for these services also suggests a deeper dissatisfaction among patients with traditional care models, particularly around issues of access, responsiveness, and personalization. Whether driven primarily by shortcomings of conventional healthcare delivery or by shifting patient expectations, the expansion of commodity care warrants careful attention from clinicians, policymakers, and regulators. Defining commodity care is an imperative first step in understanding its implications. This editorial advocates for increased regulatory oversight and rigorous evaluation of emerging healthcare models that increasingly blur distinctions between clinical medicine and consumer-oriented services. Ultimately, the advancement of healthcare technology should support-not erode-the quality, value, and patient-centeredness of care.</p>","PeriodicalId":73088,"journal":{"name":"Frontiers in health services","volume":"5 ","pages":"1611746"},"PeriodicalIF":1.6,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12277246/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144683737","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":"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":"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":"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}