Frontiers in health services最新文献

{"title":"Negative vaccine sentiments on South African social media platforms before the COVID-19 pandemic: a mixed methods study.","authors":"Michelle M Matsangaise, Rosemary J Burnett, Zeenat Ismail, Johanna C Meyer","doi":"10.3389/frhs.2025.1578992","DOIUrl":"10.3389/frhs.2025.1578992","url":null,"abstract":"<p><strong>Introduction: </strong>During the pre-pandemic era, negative vaccine sentiments did not feature in South African publications reporting on infant vaccination uptake. In contrast, vaccine hesitancy is an established driver of suboptimal COVID-19 vaccine uptake in South Africa, suggesting that the COVID-19 pandemic increased vaccine hesitancy in South Africa. This study used data from a social media tracking project to investigate vaccine sentiment expressed on South African social media platforms in the pre-pandemic era.</p><p><strong>Methods: </strong>This mixed-methods study analysed South African social media [Twitter (now X); online news forums; microblogs] posts mentioning vaccine-related words from 1 December 2016-31 May 2017. Content analysis was used to assign vaccine sentiment, and thereafter a step-wise thematic content analysis of negative sentiment posts was conducted using NVivo12®.</p><p><strong>Results: </strong>Of 10,997 posts about human vaccines, 16.2% expressed negative vaccine sentiments. Specific vaccines were discussed in 35.9% of posts, with human papillomavirus (HPV) vaccines attracting the most negative sentiments (31.9% of all negative posts). The majority of negative posts included links to articles emanating from other countries, predominantly the USA. Five themes were identified: Vaccine safety; autism; vaccine effectiveness; conspiracy theories; and philosophical/religious objections.</p><p><strong>Discussion: </strong>Relatively high levels of pre-existing negative sentiments toward vaccines were expressed in the pre-pandemic era, with HPV vaccines attracting the most negative comments. These results provide a baseline for comparison to post-pandemic social media studies and may prove useful for measuring the impact in South Africa of global policies introduced to limit the spread of vaccine mis- and disinformation.</p>","PeriodicalId":73088,"journal":{"name":"Frontiers in health services","volume":"5 ","pages":"1578992"},"PeriodicalIF":1.6,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12162709/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144303821","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":"Strategies to improve recruitment to multicomponent group programs for overweight and obesity: a systematic review.","authors":"Inanna Reinsperger, Sarah Wolf, Ingrid Zechmeister-Koss","doi":"10.3389/frhs.2025.1404181","DOIUrl":"10.3389/frhs.2025.1404181","url":null,"abstract":"<p><strong>Objective: </strong>Multicomponent programs are recommended for the treatment of children, adolescents, and adults with overweight or obesity. However, program providers often face difficulties reaching their target groups. This systematic review aimed at identifying recruitment strategies for multicomponent overweight and obesity programs in group settings and at summarizing barriers and facilitators for participation.</p><p><strong>Methods: </strong>We searched electronic databases (MEDLINE, CINAHL, The Cochrane Library, PsycInfo, Web of Science) and included primary studies reporting on recruitment strategies for multicomponent group programs for children, adolescents, and adults with overweight or obesity. All study designs were eligible for inclusion. Study characteristics, recruitment strategies as well as barriers and facilitators were extracted from the included articles, summarized in a table format, and synthesized narratively.</p><p><strong>Results: </strong>Of the 1,082 articles identified through the systematic literature search, 16 studies met the inclusion criteria and were included in the analysis. Eleven focused on children and adolescents, and five on adults. Recruitment strategies were categorized into active (e.g., referral by health professionals, direct contact) and passive methods (e.g., media advertising, flyers, posters). In most studies, a combination of several active and passive methods was applied or recommended. For socioeconomically disadvantaged groups, some targeted strategies were identified, e.g., recruitment in specific locations or through trained peers. Several possible barriers to recruitment were mentioned in the included studies, e.g., stigmatization, lack of time and resources of the healthcare staff, organizational barriers, lack of motivation of potential participants.</p><p><strong>Conclusion: </strong>This systematic review identified several active and passive strategies for recruiting children, adolescents, and adults with overweight and obesity into multicomponent group programs. The overview of possible recruitment methods is a valuable decision support to be used by program providers when designing new or adapting existing programs.</p>","PeriodicalId":73088,"journal":{"name":"Frontiers in health services","volume":"5 ","pages":"1404181"},"PeriodicalIF":1.6,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12159834/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144287352","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":"Corrigendum: Evaluation of COVID-19 vaccine implementation in a large safety net health system.","authors":"Jennifer C Chen, Griselda Gutierrez, Rachel Kamran, Jill Terry, Armenui Telliyan, Camilo Zaks, Savanna L Carson, Arleen Brown, Karen Kim","doi":"10.3389/frhs.2025.1627499","DOIUrl":"https://doi.org/10.3389/frhs.2025.1627499","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.3389/frhs.2023.1152523.].</p>","PeriodicalId":73088,"journal":{"name":"Frontiers in health services","volume":"5 ","pages":"1627499"},"PeriodicalIF":1.6,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12159607/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144287351","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":"Does the fairness of healthcare resource allocation affect utilization efficiency?-an empirical study based on China's provincial panel data.","authors":"Anying Xu, Haibin Wei","doi":"10.3389/frhs.2025.1409421","DOIUrl":"https://doi.org/10.3389/frhs.2025.1409421","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to measure the fairness and efficiency of healthcare resource allocation in 31 provinces and cities in China from 2014-2019 and explore the relationship between the fairness and efficiency of healthcare resource allocation in China.</p><p><strong>Methods: </strong>The Theil index and data envelopment analysis are used to evaluate the fairness and efficiency of healthcare resource allocation in the studied provinces and cities from 2014-2019. The DEA method, including the BCC model for static efficiency analysis and the Malmquist index for dynamic efficiency analysis, provides a comprehensive assessment of healthcare resource allocation efficiency. The Tobit model is employed to analyze the influencing factors.</p><p><strong>Results: </strong>The measurement results of fairness indicate that regional disparities are the main factor contributing to the unfairness of healthcare resource allocation in China. Among them, the regional differences in total assets are more pronounced. The results also show that the overall efficiency of healthcare resource allocation has improved during the period of 2014-2019, and low technological level is a major factor affecting the efficiency. Furthermore, considering the dimensions of regional development level, total healthcare resource quantity, and fairness in resource allocation, the study reveals that population density, urbanization rate, number of beds, total assets, fairness in the allocation of healthcare technical personnel, and fairness in the allocation of total assets significantly impact the efficiency of healthcare resource allocation in China.</p><p><strong>Conclusion: </strong>The fairness of healthcare resource allocation does have certain impacts on the utilization efficiency of healthcare services. The most important finding is that the fairness in the allocation of healthcare technical personnel has the highest positive impact on the efficiency of healthcare resource allocation. Additionally, the fairness in the allocation of total healthcare assets may decrease its utilization efficiency to some extent. Based on these findings, corresponding improvement strategies and recommendations for optimizing healthcare resource allocation are proposed.</p>","PeriodicalId":73088,"journal":{"name":"Frontiers in health services","volume":"5 ","pages":"1409421"},"PeriodicalIF":1.6,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12149101/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144268027","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":"Re-conceptualizing implementation outcomes of health innovations as modes or attributes: an integrated framework.","authors":"Zuhur Balayah, Charitini Stavropoulou, Harry Scarbrough, Amit Nigam, Alexandra Ziemann","doi":"10.3389/frhs.2025.1373429","DOIUrl":"10.3389/frhs.2025.1373429","url":null,"abstract":"<p><p>The implementation of innovations in practice is challenging and often produces disappointing outcomes. Although the reasons for this are multifaceted, part of the challenge derives from the lack of consensus on how such implementation outcomes should be conceptualized and measured. In this review, we used a meta-ethnographic approach to enhance our theoretical conceptualization of implementation outcomes. By situating such outcomes within the overall process of implementation, we were able to unpack them analytically as the product of two major components, which we term \"modes\" and \"attributes,\" respectively. Modes comprise engagement, active implementation, and integration to foreground focal implementation outcomes. The attributes associated with the modes comprise implementation depth, implementation breadth, implementation pace, implementation adaptation, and de-implementation to indicate the features of the modes of implementation outcomes. Taken together, our analysis based on modes and attributes provides an integrated framework of implementation outcomes. The proposed framework enhances our understanding of the way in which implementation outcomes have been conceptualized in previous literature, enabling us to clarify the relations and distinctions between them in terms of translatability and complementarity. The proposed framework thus extends the conceptualization of implementation outcomes to better align with the complex reality of implementation practice, offering useful insights to researchers, practitioners, and policymakers.</p>","PeriodicalId":73088,"journal":{"name":"Frontiers in health services","volume":"5 ","pages":"1373429"},"PeriodicalIF":1.6,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12142051/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144251166","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":"Telemedicine for under-resourced patients with systemic lupus erythematosus: a qualitative study exploring the views and experiences of patients and their healthcare team.","authors":"Savannah Bowman, Sandeep K Agarwal, Keshia C Ferguson, Maryjo J Maliekel, Maria A Lopez-Olivo, Maria E Suarez-Almazor, Maria I Danila, Jinoos Yazdany, Sebastian Bruera","doi":"10.3389/frhs.2025.1503881","DOIUrl":"10.3389/frhs.2025.1503881","url":null,"abstract":"<p><strong>Objectives: </strong>There is scarce knowledge on the benefits, limitations, and acceptance of telemedicine in patients with systemic lupus erythematosus (SLE), particularly in those from under-resourced groups. We aimed to assess the experiences and views on telemedicine of people with SLE, clinicians, and nursing staff from a safety net healthcare system in Harris County, Texas, defined as a hospital network that primarily serves low-income, uninsured, and vulnerable populations.</p><p><strong>Methods: </strong>We conducted semi-structured 1:1 in-person interviews of patients with SLE and their clinical team members, in Harris County, Texas. Using Levesque's conceptual framework for healthcare access, semi-structured interviews and content analysis were used to explore benefits and limitations of telemedicine in under-resourced patients with SLE. Interview content was coded using inductive and deductive approaches. Data collected proceeded until thematic saturation was reached. Themes and subthemes were identified and visualized.</p><p><strong>Results: </strong>Fourteen interviews were conducted. The participants included six patients with SLE, three rheumatologists, two nurses, two medical assistants, and one rheumatology fellow. All participants had previously participated in telemedicine visits. One hundred and fifty-one codes were identified. Five key themes emerged from the analysis, including: (1) Access and Convenience, (2) Technological and Linguistic Barriers, (3) Economic Considerations, (4) Quality of Care and Disease Outcomes, and (5) Implementation of Telemedicine. Analysis showed that telemedicine could improve access to care and adherence to clinic visits by reducing the barriers associated with socioeconomic factors. On the other hand, barriers to telemedicine included digital literacy, concern about negative impact on physician-patient relationship, and language discordance.</p><p><strong>Conclusion: </strong>There is an opportunity to improve access to care in patients with SLE, particularly from under-resourced backgrounds, by leveraging the benefits of telemedicine with respect to access to care, while addressing the barriers to successful implementation.</p>","PeriodicalId":73088,"journal":{"name":"Frontiers in health services","volume":"5 ","pages":"1503881"},"PeriodicalIF":1.6,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12137260/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144236028","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":"Fostering continuous quality improvement in a European rare disease network.","authors":"Olivia K C Spivack, Willemijn F E Irvine, Steffen Husby, Tomas Wester, René M H Wijnen","doi":"10.3389/frhs.2025.1609018","DOIUrl":"10.3389/frhs.2025.1609018","url":null,"abstract":"<p><strong>Background: </strong>The European Reference Network for rare Inherited Congenital Anomalies (ERNICA) is a clinical network dedicated to improving the quality of care for patients with rare and complex digestive and gastrointestinal diseases, many of whom require surgery in early life. The network brings together clinicians, researchers and patient representatives from 22 countries in Europe. By pooling expertise, ERNICA is able to facilitate improvement initiatives that may not otherwise be possible. However, describing the desired quality of care and transferring it to local practice remains a challenge, complicated by our low-prevalence patient population, multidisciplinary clinical involvement and heterogeneous European context. In an attempt to mitigate these challenges, and foster a system of continuous quality improvement, we present the \"ERNICA quality cycle\".</p><p><strong>Main body: </strong>The ERNICA quality cycle is comprised of five steps: (1) Describing the desired quality of care (2) Promoting guideline implementation (3) Measuring quality of care (4) Evaluating clinical practice (5) Conducting research. It offers a structured, continuous and collaborative approach to the improvement of care for patients with rare and complex digestive and gastrointestinal diseases. Evaluating the approach, through qualitative process evaluation, will be critical to capturing learning points.</p><p><strong>Conclusions: </strong>The ERNICA quality cycle holds tremendous potential for improving the quality of care for patients with rare and complex conditions, both within ERNICA and for other European Reference Networks.</p>","PeriodicalId":73088,"journal":{"name":"Frontiers in health services","volume":"5 ","pages":"1609018"},"PeriodicalIF":1.6,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12139210/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144236027","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":"Advancing equity in global health: a call for collaborative research partnerships.","authors":"Mirlene Perry, Kim Madundo, Shanti Narayanasamy, Brandon Knettel","doi":"10.3389/frhs.2025.1541472","DOIUrl":"10.3389/frhs.2025.1541472","url":null,"abstract":"<p><p>Addressing global health challenges require collective efforts and equitable partnerships that share knowledge and resources across borders. It also requires equitable partnerships among local researchers and research participants to prevent reproducing decolonization within country. This perspective explores the multifaceted nature of partnerships in global health, examine the benefits of equitable partnerships, highlights challenges like power imbalances but also newer efforts to decolonize global health research. It also advocates for a more ethical approach in global health research to address structural inequities and promote long-term sustainability in global health initiatives across the global South.</p>","PeriodicalId":73088,"journal":{"name":"Frontiers in health services","volume":"5 ","pages":"1541472"},"PeriodicalIF":1.6,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12133907/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227853","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":"Target product profiles for digital health technologies including those with artificial intelligence: a systematic review.","authors":"Trystan B Macdonald, H D Jeffry Hogg, Jacqueline Dinnes, Lucy Verrinder, Gregory Maniatopoulos, Sian Taylor-Phillips, Bethany Shinkins, J Kevin Dunbar, Ameenat Lola Solebo, Hannah Sutton, John Attwood, Michael Pogose, Rosalind Given-Wilson, Felix Greaves, Carl Macrae, Russell Pearson, Adnan Tufail, Xiaoxuan Liu, Alastair K Denniston","doi":"10.3389/frhs.2025.1537016","DOIUrl":"10.3389/frhs.2025.1537016","url":null,"abstract":"<p><p>Digital health technologies (DHTs), including those incorporating artificial intelligence (AI), have the potential to improve healthcare access, efficiency, and quality, reducing gaps between healthcare capacity and demand. Despite prioritisation in health policy, the adoption of DHTs remains limited, especially for AI, in part due to complex system requirements. Target product profiles (TPPs) are documents outlining the characteristics necessary for medical technologies to be utilised in practice and offer a way to align DHTs' research and development with health systems' needs. This systematic review examines current DHT TPPs' methodologies, stakeholders, and contents. A total of 14 TPPs were identified, most targeted at low- and middle-income settings and communicable diseases. Only one TPP outlined the requirements for an AI device specifically. In total, 248 different characteristics were reported across the TPPs identified and were consolidated down to 33 key characteristics. Some considerations for DHTs' successful adoption, such as regulatory requirements or environmental sustainability, were reported inconsistently or not at all. There was little standardisation in TPP development or contents, and limited transparency in reporting. Our findings emphasise the need for guidelines for TPP development, could help inform these, and could be used as a basis to develop future DHT TPPs. <b>Systematic Review Registration</b>: https://www.researchprotocols.org/2024/1/e50568/authors.</p>","PeriodicalId":73088,"journal":{"name":"Frontiers in health services","volume":"5 ","pages":"1537016"},"PeriodicalIF":1.6,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12131871/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144217800","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":"An iterative approach to evaluating impact of CTSA projects using the translational science benefits model.","authors":"Kera Swanson, Nicole A Stadnick, Isaac Bouchard, Zeying Du, Lauren Brookman-Frazee, Gregory A Aarons, Emily Treichler, Maryam Gholami, Borsika A Rabin","doi":"10.3389/frhs.2025.1535693","DOIUrl":"10.3389/frhs.2025.1535693","url":null,"abstract":"<p><strong>Introduction: </strong>Demonstrating the relevance and impact of translational research across diverse settings is crucial making the research-to-practice pipeline more efficient. The Translational Science Benefits Model (TSBM) is a framework used to report societal and health impacts of clinical and translational research.</p><p><strong>Methods: </strong>A four-phase process was used to co-develop 12 TSBM Impact Profiles aimed at evaluating the impact of clinical and translational research and disseminating this information among diverse audiences. Content analysis was used to understand common and unique themes related to the TSBM domains and benefits across 12 projects.</p><p><strong>Results: </strong>Across the 12 TSBM Impact Profiles, TSBM benefits covered all four TSBM domains (Clinical, Community, Economic, and Policy), with a notable focus on Clinical and Community-related benefits. TSBM Impact Profiles took an average of 9 h to complete, with each phase taking 1-3 h to complete. Common themes included Clinical Innovation and Care Integration, Advancing Health Equity and Accessibility, Community and Stakeholder Engagement, and Policy and Systems-Level Change. Three case exemplars that contextualize findings from the content analysis are presented.</p><p><strong>Conclusion: </strong>This work validates and extends the processes originally developed by the creators of the TSBM and offers a process-oriented example of its successful application at an external institution & CTSA hub. Co-creating TSBM Impact Profiles and documenting their development ensured that information was synthesized for broad dissemination and accessibility. Results highlight an effective process for capturing a multitude of impacts and benefits across diverse research projects with future efforts aimed at expanding the application of this method.</p>","PeriodicalId":73088,"journal":{"name":"Frontiers in health services","volume":"5 ","pages":"1535693"},"PeriodicalIF":1.6,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12129897/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144217799","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}