Frontiers in health services最新文献

{"title":"Ultraviolet-C-based sanitization is a cost-effective option for hospitals to manage health care-associated infection risks from high touch mobile phones.","authors":"David C Cook, Matthew Olsen, Oystein Tronstad, John F Fraser, Adrian Goldsworthy, Rashed Alghafri, Simon J McKirdy, Lotti Tajouri","doi":"10.3389/frhs.2024.1448913","DOIUrl":"10.3389/frhs.2024.1448913","url":null,"abstract":"<p><p>Mobile phones have become essential tools for health care workers around the world, but as high touch surfaces, they can harbor microorganisms that pose infection risks to patients and staff. As their use in hospitals increases, hospital managers must introduce measures to sanitize mobile phones and reduce risks of health care-associated infections. But such measures can involve substantial costs. Our objective in this paper was to consider two mobile phone risk mitigation strategies that managers of a hypothetical hospital could implement and determine which involves the lowest cost. The first strategy required all staff to sanitize their hands after every contact with a mobile phone. The second involved the hospital investing in ultraviolet-C-based mobile phone sanitization devices that allowed staff to decontaminate their mobile phones after every use. We assessed each intervention on material and opportunity costs assuming both achieved an equivalent reduction in microbe transmission within the hospital. We found that ultraviolet-C devices were the most cost-effective intervention, with median costs of approximately AUD360 per bed per year compared to AUD965 using hand hygiene protocols. Our results imply that a 200-bed hospital could potentially save AUD1-1.4 million over 10 years by investing in germicidal ultraviolet-C phone sanitizers rather than relying solely on hand hygiene protocols.</p>","PeriodicalId":73088,"journal":{"name":"Frontiers in health services","volume":"4 ","pages":"1448913"},"PeriodicalIF":1.6,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11769977/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054143","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":"Enhancing healthcare cost transparency: assessing implementation challenges, criticisms, and alternative solutions.","authors":"Sonia Ali Malik","doi":"10.3389/frhs.2024.1379416","DOIUrl":"10.3389/frhs.2024.1379416","url":null,"abstract":"<p><p>The United States healthcare system grapples with a staggering estimated waste of $935 billion, with pricing failure contributing a substantial $240.5 billion. This paper explores an innovative solution to combat rapidly escalating healthcare costs by proposing measures that would complement the mandated disclosure of healthcare prices. The Centers for Medicare and Medicaid Services (CMS) introduced a significant rule for hospital pricing, effective January 1, 2021, aiming to enhance transparency and empower patients to make value-based decisions. However, this rule has faced criticisms on various policy grounds which this examination delves into. To address these concerns and enhance the effectiveness of price transparency, this paper suggests complementary and/or alternative strategies and solutions while also examining the engagement of enrollees in price transparency tools.</p>","PeriodicalId":73088,"journal":{"name":"Frontiers in health services","volume":"4 ","pages":"1379416"},"PeriodicalIF":1.6,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11769945/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054139","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 availability and functionality of medical equipment and the barriers to their use at comprehensive specialized hospitals in the Amhara region, Ethiopia.","authors":"Alem Endeshaw Woldeyohanins, Nigatu Mihretu Molla, Abibo Wondie Mekonen, Abrham Wondimu","doi":"10.3389/frhs.2024.1470234","DOIUrl":"10.3389/frhs.2024.1470234","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Public healthcare practices, particularly disease prevention, screening, diagnosis, treatment, and rehabilitation of patients, heavily rely on the availability and functionality of medical equipment. The absence of sufficient medical equipment and the malfunctioning of existing equipment impede the ability to provide effective healthcare services and directly affect patient rehabilitation, while the challenges related to medical equipment utilization are huge, especially in countries with limited resources such as Ethiopia. Therefore, this study aimed to assess the availability, functionality, and barriers associated with the use of medical equipment at public comprehensive specialized hospitals in Amhara Regional State, Ethiopia.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;A cross-sectional study design involving both quantitative and qualitative methods was conducted. Eight (&lt;i&gt;n&lt;/i&gt; = 8) &lt;i&gt;comprehensive&lt;/i&gt; specialized hospitals in the Amhara region were selected purposefully and included in this study. The data used to assess the availability and functionality of medical equipment items (&lt;i&gt;n&lt;/i&gt; = 78) listed by the Ethiopian Ministry of Health that are supposed to be available in all of the &lt;i&gt;comprehensive&lt;/i&gt; specialized hospitals were collected from 29 May to 18 June 2023. Self-administered structured questionnaires, observational checklists, and key informant interview guides were used to collect the necessary data. To analyze the quantitative data, descriptive statistics were employed, and qualitative data were analyzed using a thematic approach.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The study revealed that the availability of medical equipment in at least one hospital was 55.93% on average, and the availability of at least one piece of medical equipment in the surveyed hospitals was only 25.6%. The overall functional status of medical equipment was 74.68%. The present study also indicated that 75% of the surveyed facility's biomedical engineers did not receive on-the-job training regularly. Of the eight surveyed facilities, only one had spare parts and accessories for their medical equipment and the majority (87.5%) of the facilities did not have enough medical equipment storage space and did not have medical equipment policies. The qualitative findings of this study showed that issues with the utilization of the Medical Equipment Management Information System, a lack of spare parts and accessories, the absence of a well-equipped and standardized maintenance workshop, and insufficient operator training were the major challenges.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;This study revealed critical deficiencies in medical equipment availability, functionality, and barriers to maintenance at the surveyed facilities. Therefore, to improve healthcare service delivery, collaborative efforts and targeted interventions are essential in optimizing the availability and functionality of medical equipment at each and every health facilit","PeriodicalId":73088,"journal":{"name":"Frontiers in health services","volume":"4 ","pages":"1470234"},"PeriodicalIF":1.6,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11748297/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017469","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":"Care coordination for people living with serious mental illness: understanding the caregiver's perspective.","authors":"Pamela Obegu, Kayla Nicholls, Mary Alberti","doi":"10.3389/frhs.2024.1473235","DOIUrl":"10.3389/frhs.2024.1473235","url":null,"abstract":"<p><strong>Introduction: </strong>Family caregivers of people living with serious mental illness such as bipolar disorder, psychosis and schizophrenia, are continuously burdened with caregiving, following the complexities of navigating the mental health system for their loved ones. The aim of the study was to understand the perspectives of caregivers about care coordination for people living with serious mental illness, highlighting the current landscape and new directions across Canada.</p><p><strong>Methods: </strong>In this co-designed participatory qualitative research, caregivers of people living with serious mental illness, and service providers were engaged and purposively sampled across Canada.</p><p><strong>Results: </strong>The main findings of the study revealed care coordination as a key strategy to alleviate the burden of caregivers and enhance sustainable support for them. In complement with collaborative mental health care, care coordination can improve service delivery and strengthen the mental health system.</p><p><strong>Conclusion: </strong>Given the severity of bipolar disorder, psychosis and schizophrenia, it is important that we prioritize care for people living with these illnesses while providing support for their caregivers who bear the brunt of the otherwise fractured mental health system. Ultimately, collaboration between people and systems is how the mental health system can be much improved, and care coordinators serve as resourceful go-betweens in this 'collaborativerse'.</p>","PeriodicalId":73088,"journal":{"name":"Frontiers in health services","volume":"4 ","pages":"1473235"},"PeriodicalIF":1.6,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11747112/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017465","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: Medical residency in Portugal: a cross-sectional study on the working conditions.","authors":"José Chen-Xu, Bruno Miranda Castilho, Bruno Moura Fernandes, Diana Silva Gonçalves, André Ferreira, Ana Catarina Gonçalves, Maycoll Ferreira Vieira, Andreia M Silva, Fábio Borges, Mónica Paes Mamede","doi":"10.3389/frhs.2024.1545815","DOIUrl":"https://doi.org/10.3389/frhs.2024.1545815","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.3389/frhs.2023.1190357.].</p>","PeriodicalId":73088,"journal":{"name":"Frontiers in health services","volume":"4 ","pages":"1545815"},"PeriodicalIF":1.6,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11743355/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017466","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":"Access improvement in healthcare: a 12-step framework for operational practice.","authors":"Allen M Chen","doi":"10.3389/frhs.2024.1487914","DOIUrl":"10.3389/frhs.2024.1487914","url":null,"abstract":"<p><strong>Background: </strong>Access improvement is a fundamental component of value-based healthcare as it inherently promotes quality by eliminating chokepoints, redundancies, and inefficiencies which could hinder the provisioning of timely care. The purpose of this review is to present a 12-step framework which offers healthcare organizations a practical, thematic-based foundation for thinking about access improvement.</p><p><strong>Methods: </strong>This study was designed based on the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols (PRISMA-P) statement. A literature search of prospective peer-reviewed publications was undertaken to identify studies pertaining to healthcare access. Articles published from January 2014 to January 2024 were included. An interpretive synthesis was then presented.</p><p><strong>Results: </strong>A total of 469 peer-reviewed studies were identified. The most common diseases analyzed were related to general medicine/family practice (<i>N</i> = 75), surgical care (<i>N</i> = 51), health screening (<i>N</i> = 30), mental health (<i>N</i> = 27), cardiovascular disease (<i>N</i> = 17), emergency room/critical care (<i>N</i> = 15), and cancer (<i>N</i> = 7). The remaining 247 studies (53%) did not specifically report on any specialization. The core themes could be broadly categorized into the following: workforce adequacy, patient experience, physical space utilization, template optimization, scheduling efficiency, process standardization, cost transparency, physician engagement, and data analytics. Sixty publications (13%) focused at least in part on equity issues, structural racism, and/or implicit bias; and 25 publications (5%) addressed disparities in education, training, and/or technical literacy. Seventy-three publications (16%) focused either completely or in part on digital health as a means of access improvement.</p><p><strong>Conclusion: </strong>Based on this systematic review, a 12-step thematically based framework for approaching access improvement in healthcare was developed.</p>","PeriodicalId":73088,"journal":{"name":"Frontiers in health services","volume":"4 ","pages":"1487914"},"PeriodicalIF":1.6,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11739290/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017464","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":"Humanizing processes after harm part 1: patient safety incident investigations, litigation and the experiences of those affected.","authors":"Lauren Ramsey, Laura Sheard, Justin Waring, Siobhan McHugh, Ruth Simms-Ellis, Gemma Louch, Katherine Ludwin, Jane K O'Hara","doi":"10.3389/frhs.2024.1473256","DOIUrl":"10.3389/frhs.2024.1473256","url":null,"abstract":"<p><strong>Background: </strong>There is a growing international policy focus on involving those affected by healthcare safety incidents, in subsequent investigations. Nonetheless, there remains little UK-based evidence exploring how this relates to the experiences of those affected over time, including the factors influencing decisions to litigate.</p><p><strong>Aims: </strong>We aimed to explore the experiences of patients, families, staff and legal representatives affected by safety incidents over time, and the factors influencing decisions to litigate.</p><p><strong>Methods: </strong>Participants were purposively recruited via (i) communication from four NHS hospital Trusts or an independent national investigator in England, (ii) relevant charitable organizations, (iii) social media, and (iv) word of mouth to take part in a qualitative semi-structured interview study. Data were analyzed using an inductive reflexive thematic approach.</p><p><strong>Findings: </strong>42 people with personal or professional experience of safety incident investigations participated, comprising patients and families (<i>n</i> = 18), healthcare staff (<i>n</i> = 7), legal staff (<i>n</i> = 1), and investigators (<i>n</i> = 16). Patients and families started investigation processes with cautious hope, but over time, came to realize that they lacked power, knowledge, and support to navigate the system, made clear in awaited investigation reports. Systemic fear of litigation not only failed to meet the needs of those affected, but also inadvertently led to some pursuing litigation. Staff had parallel experiences of exclusion, lacking support and feeling left with an incomplete narrative. Importantly, investigating was often perceived as a lonely, invisible and undervalued role involving skilled \"work\" with limited training, resources, and infrastructure. Ultimately, elusive \"organizational agendas\" were prioritized above the needs of all affected.</p><p><strong>Conclusions: </strong>Incident investigations fail to acknowledge and address emotional distress experienced by all affected, resulting in compounded harm. To address this, we propose five key recommendations, to: (1) prioritize the needs of those affected by incidents, (2) overcome culturally engrained fears of litigation to re-humanize processes and reduce rates of unnecessary litigation, (3) recognize and value the emotionally laborious and skilled work of investigators (4) inform and support those affected, (5) proceed in ways that recognize and seek to reduce social inequities.</p>","PeriodicalId":73088,"journal":{"name":"Frontiers in health services","volume":"4 ","pages":"1473256"},"PeriodicalIF":1.6,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11739161/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017467","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 experience of an abstinence-based Indigenous residential treatment program in Northern Ontario: a descriptive qualitative study.","authors":"T N Marsh, C Eshakakogan, M Spence, K A Morin, P Oghene, A Goertzen, F Tahsin, G Gauthier, Dean Sayers, Alan Ozawanimke, Brent Bissaillion, D C Marsh","doi":"10.3389/frhs.2024.1387184","DOIUrl":"https://doi.org/10.3389/frhs.2024.1387184","url":null,"abstract":"<p><strong>Background: </strong>Indigenous peoples with substance use disorders (SUD) and intergenerational trauma (IGT) face complex healthcare needs. Therefore understanding Indigenous patient experiences is crucial for enhancing care delivery, fostering engagement, and achieving optimal outcomes, yet few studies explore the motivations for seeking, staying in, and utilizing treatment from an Indigenous perspective. The goal of this study was to understand the patient experience with an abstinence-based treatment model in a residential treatment setting.</p><p><strong>Methods: </strong>A qualitative thematic study was conducted between April 2018 and February 2020 at Benbowpka treatment centre in Blind River, Ontario, Canada. We evaluated the results of the abstinence-based model intervention from the patient's perspective. The Client Quality Assurance Survey tool was employed to gather this data. The data underwent thematic analysis to derive meaningful insights.</p><p><strong>Results: </strong>A total of 157 patients were interviewed. The results were categorized into three parts: (1) Critical events that encouraged participants to seeking treatment; (2) Benefits experienced by participants while they were in the program; (3) Participants take-aways and priorities after completing the program. Core themes emerged in each category and each theme is sub-categorized into quadrants of the Medicine Wheel. Firstly, there was a critical juncture that significantly impacted participants' lives that motivated them to seek treatment at the Benbowpka Treatment Centre. Second, during the study, participants admission to the Benbowopka Treatment Centre, the participants benefitted from a holistic program that addresses spiritual, physical, mental and emotional aspects of healing. Third, participants identified tangible ways in which they implement the skills they gained during the program in their daily lives. Overall, study demonstrates that clients benefitted from both the program activities and the traditional healing practices.</p><p><strong>Conclusion: </strong>This research identified that SUD Indigenous residential treatment programs need to include culture, healing practices, activities and relationships that are part of the treatment process. This study found that the cultural elements and healing practices of the program were highly valued by clients.</p>","PeriodicalId":73088,"journal":{"name":"Frontiers in health services","volume":"4 ","pages":"1387184"},"PeriodicalIF":1.6,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11703720/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142959605","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 association of workforce configurations with length of stay and charges in hospitalized patients with congestive heart failure.","authors":"Tremaine B Williams, Alisha Crump, Pearman Parker, Maryam Y Garza, Emel Seker, Taren Massey Swindle, Taiquitha Robins, Adrian Price, Kevin Wayne Sexton","doi":"10.3389/frhs.2024.1411409","DOIUrl":"https://doi.org/10.3389/frhs.2024.1411409","url":null,"abstract":"<p><strong>Introduction: </strong>Clinicians are the conduits of high-quality care delivery. Clinicians have driven advancements in pharmacotherapeutics, devices, and related interventions and improved morbidity and mortality in patients with congestive heart failure over the past decade. Yet, the management of congestive heart failure has become extraordinarily complex and has fueled recommendations from the American Heart Association and the American College of Cardiology to optimize the composition of the care team to reduce the health, economic, and the health system burden of high lengths of stay and hospital charges. Therefore, the purpose of this study was to identify the extent to which specific care team configurations were associated with high length of stay and high-charge hospitalizations of patients with congestive heart failure.</p><p><strong>Methods: </strong>This study performed a retrospective analysis of data extracted from the electronic health records of 3,099 patients and their hospitalizations from the Arkansas Clinical Data Repository. The data was analyzed using binomial logistic regression in which adjusted odds ratios reflected the association of specific care team configurations (i.e., combination of care roles) with length of stay and hospital charges.</p><p><strong>Results: </strong>Team configurations that included a nurse practitioner, registered nurse, care manager, and social worker were generally above the median length of stay and median charges when compared to team configurations that did not collectively include all of these roles. Patients with larger configurations (i.e., four or more different care roles) had higher length of stays and charges than smaller configurations (i.e., two to three different care roles). The results also validated the Van Walraven Elixhauser Comorbidity Score by finding that its quartiles were associated with length of stay and charges, an indicator of care demand based on patient morbidity.</p><p><strong>Conclusions: </strong>Cardiologists, alone, cannot shoulder the burden of improving patient outcomes. Care team configuration data within electronic health record systems of hospitals could be an effective method of isolating and tracking high-risk patients. Registered nurses may be particularly effective in advancing real-time risk stratification by applying the Van Walraven Elixhauser Comorbidity Score at the point of care, improving the ability of health systems to match care demand with workforce availability.</p>","PeriodicalId":73088,"journal":{"name":"Frontiers in health services","volume":"4 ","pages":"1411409"},"PeriodicalIF":1.6,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11702897/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017468","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":"A comparative study on person-centered care practice between public and private General Hospitals in Addis Ababa, Ethiopia.","authors":"Mierage Ali, Tesfaye Getachew Charkos","doi":"10.3389/frhs.2024.1482363","DOIUrl":"10.3389/frhs.2024.1482363","url":null,"abstract":"<p><strong>Background: </strong>Person-centered care practice has not yet been fully adopted in low- and middle-income nations such as Ethiopia. It focuses on improving several areas of patient-physician interaction. Despite Ethiopia's rapid growth in healthcare facilities, there is insufficient data available on care practices.</p><p><strong>Method: </strong>A facility-based comparative cross-sectional study was conducted in selected public and private general hospitals in Addis Ababa from May 26 to July 26, 2023. A multistage sampling technique was employed to select the study participants. The data were collected using an interviewer-administered structured questionnaire, entered into Epi Info-7, and exported to SPSS version 27 for analysis. Bivariate and multivariate logistic regression analyses were performed to identify significant factors associated with care practices.</p><p><strong>Results: </strong>A total of 848 patients were involved, with a response rate of 99.5%. The overall magnitude of good care practice was 52.8%, with 34.8% in public hospitals and 70.9% in private hospitals. Factors associated with good care practices in private hospitals included hospital attractiveness (AOR: 3.2; 95% CI: 1.6-6.5), ease of access to services (AOR: 12.1; 95% CI: 6.2-23.3), and privacy of access and care (AOR: 10.89; 95% CI: 5.60-21.19). In contrast, factors associated with good healthcare practices in public hospitals were perceived intimacy with the provider (AOR: 8.85; 95% CI: 4.50-17.43), privacy in accessing care (AOR: 12.1; 95% CI: 6.62-22.16), and the provision of medication information (AOR: 4.39; 95% CI: 2.40-8.03).</p><p><strong>Conclusion: </strong>Overall, 52.8% of participants rated person-centered care practices as good, with private hospitals in Addis Ababa (70.9%) demonstrating a higher prevalence of person-centered care practices compared to public hospitals (34.8%). The factors associated with healthcare practices in both public and private hospitals include hospital type, hospital attractiveness, ease of access to services, privacy in accessing care, perceived intimacy with the provider, and the provision of medication information. We recommend targeted improvements in public hospitals to enhance the quality of PCC.</p>","PeriodicalId":73088,"journal":{"name":"Frontiers in health services","volume":"4 ","pages":"1482363"},"PeriodicalIF":1.6,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11688472/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916512","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}