Frontiers in health services最新文献

{"title":"Building capacity and advancing collaboration in dissemination and implementation science: insights from a multi-institutional partner network.","authors":"Jing Li, Naomi Duffort, Ehsan Abdalla, Khalilah Brown, Sara Cooper, Sara L Davis, Thomas Dobbs, Kirsten Dorans, Karen Johnson, Kristine Ria Hearld, Peter T Katzmarzyk, Benjamin Springgate, Renee Heffron, Salisa Westrick, Michael Mugavero","doi":"10.3389/frhs.2026.1877155","DOIUrl":"10.3389/frhs.2026.1877155","url":null,"abstract":"<p><strong>Background: </strong>Dissemination and implementation (D&I) science is essential for translating evidence into practice, yet capacity remains uneven across Clinical and Translational Science Award (CTSA) hubs and networks. The University of Alabama at Birmingham Center for Clinical and Translational Science (CCTS) serves an 11-institution, multi-state Partner Network.</p><p><strong>Methods: </strong>We conducted a multi-phase assessment across the CCTS Partner Network. First, we performed qualitative interviews (April-June 2,025) with 18 stakeholders representing diverse roles and institutions to identify activities, barriers, and needs. Findings informed a needs assessment survey (February-March 2026) administered across the network (<i>N</i> = 202). Descriptive statistics summarized participant characteristics and priorities for training and consultation.</p><p><strong>Results: </strong>Qualitative findings revealed heterogeneous but growing D&I capacity, with gaps in training, infrastructure, and evaluation support. Participants reported limited formal training, strong demand for applied skills (e.g., study design, mixed methods, grant writing), and challenges in real-world implementation. Strong interest emerged in flexible, practice-oriented training and consultation services. Survey results reinforced these findings: although 49% of respondents identified as contributing to D&I, only 20% reported high expertise. Nearly half expressed strong interest in intensive short courses, particularly in frameworks, outcomes, and measurement. Consultation demand was high (77%), especially for study design, implementation strategies, and evaluation.</p><p><strong>Conclusions: </strong>There is strong engagement in D&I science, but gaps in expertise, infrastructure, and support persist. A coordinated strategy integrating structured training with centralized consultation and collaboration mechanisms is needed to strengthen D&I capacity. These findings informed implementation initiatives and illustrate a pragmatic approach that may inform D&I capacity-building efforts in other CTSA environments.</p>","PeriodicalId":73088,"journal":{"name":"Frontiers in health services","volume":"6 ","pages":"1877155"},"PeriodicalIF":2.6,"publicationDate":"2026-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13590565/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149018738","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: Equitable access to the COVID-19 vaccines in Africa (ECOVA) findings from a qualitative enquiry in Zimbabwe.","authors":"","doi":"10.3389/frhs.2026.1973708","DOIUrl":"https://doi.org/10.3389/frhs.2026.1973708","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.3389/frhs.2026.1549192.].</p>","PeriodicalId":73088,"journal":{"name":"Frontiers in health services","volume":"6 ","pages":"1973708"},"PeriodicalIF":2.6,"publicationDate":"2026-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13586808/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149009415","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: Scoping review of COVID-19 vaccines access, equity, hesitancy, and uptake in Kenya: lessons for the next pandemic.","authors":"Vincent Okungu, Stephen Mulupi, Grace Njeri Muriithi, Daniel Malik Achala, Elizabeth Adote, Chinyere Ojiugo Mbachu, Senait Alemayehu Beshaha, Chijioke Osinachi Nwosu, John Ele-Ojo Ataguba","doi":"10.3389/frhs.2026.1974455","DOIUrl":"https://doi.org/10.3389/frhs.2026.1974455","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.3389/frhs.2026.1648814.].</p>","PeriodicalId":73088,"journal":{"name":"Frontiers in health services","volume":"6 ","pages":"1974455"},"PeriodicalIF":2.6,"publicationDate":"2026-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13586849/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149009502","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: Vaccine equity in Africa: a rapid review of policy, legal and governance frameworks to improve research and development.","authors":"","doi":"10.3389/frhs.2026.1974743","DOIUrl":"https://doi.org/10.3389/frhs.2026.1974743","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.3389/frhs.2026.1678143.].</p>","PeriodicalId":73088,"journal":{"name":"Frontiers in health services","volume":"6 ","pages":"1974743"},"PeriodicalIF":2.6,"publicationDate":"2026-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13586707/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149009466","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: The COVID-19 vaccine procurement and supply chain in the Democratic Republic of Congo.","authors":"","doi":"10.3389/frhs.2026.1977737","DOIUrl":"https://doi.org/10.3389/frhs.2026.1977737","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.3389/frhs.2025.1681053.].</p>","PeriodicalId":73088,"journal":{"name":"Frontiers in health services","volume":"6 ","pages":"1977737"},"PeriodicalIF":2.6,"publicationDate":"2026-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13587033/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149009497","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":"Development of targeted strategies to enhance linkage and retention in HIV care among people living with HIV/AIDS in Mpumalanga province.","authors":"Thuso Charity Mafhungo, Mygirl Lowane, Linda Skaal","doi":"10.3389/frhs.2026.1929158","DOIUrl":"10.3389/frhs.2026.1929158","url":null,"abstract":"<p><strong>Background: </strong>Despite significant progress in HIV services, significant patient loss occurs at every stage of the HIV care continuum. While efforts made by the NDoH aim to combat the HIV epidemic and achieve the 95-95-95 targets, these targets cannot be reached unless PLHIV are effectively linked to and retained in care. This study aims to develop targeted strategies to improve linkage to and retention in HIV care among PLHIV in the Msukaligwa Sub-district, Mpumalanga Province.</p><p><strong>Methods: </strong>A convergent parallel mixed-methods design will be employed. The study will consist of four phases: (1) a scoping review to identify global strategies for improving HIV care outcomes; (2) a quantitative strand using descriptive cross-sectional and retrospective cohort designs with TIER.Net data (2020-2024) to assess linkage and retention patterns; (3) a qualitative exploratory study using semi-structured interviews with PLHIV and healthcare providers to explore lived experiences, barriers, and facilitators; and (4) development of an evidence-based, context-specific strategy. Quantitative data will be analysed using descriptive and inferential statistics, while qualitative data will undergo thematic analysis guided by the Socio-Ecological Model.</p><p><strong>Expected results: </strong>The study is expected to identify key individual, interpersonal, and health system factors influencing poor linkage and retention in HIV care. It will also highlight critical gaps along the HIV care continuum and provide insight into patient and provider perspectives.</p><p><strong>Conclusion: </strong>Findings from this study will inform the development of a tailored, evidence-based strategy to strengthen HIV care engagement in the Msukaligwa Sub-district. This may contribute to improved retention, viral suppression, and progress toward national and global HIV targets.</p>","PeriodicalId":73088,"journal":{"name":"Frontiers in health services","volume":"6 ","pages":"1929158"},"PeriodicalIF":2.6,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13582600/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148992922","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 misidentification and data integrity risks in ultrasound imaging: a case report using multi-framework incident analysis.","authors":"Benedicta Osei-Donkor, Abdallah Hassoun, Md Shafiqur Rahman Jabin","doi":"10.3389/frhs.2026.1872556","DOIUrl":"10.3389/frhs.2026.1872556","url":null,"abstract":"<p><strong>Background: </strong>Digital imaging workflows depend on accurate scheduling, patient identity reconciliation, and reliable metadata continuity to ensure safe image storage and retrieval. Disruptions in these processes may not directly affect image acquisition but can delay access to imaging information and pose significant patient safety risks.</p><p><strong>Objective: </strong>To examine a recurrent ultrasound workflow failure that compromised downstream image availability and to identify practical strategies for preventing recurrence.</p><p><strong>Methods: </strong>A retrospectively reported ultrasound incident was examined using a structured case report approach. The event was analyzed using the International Classification for Patient Safety, the Health Information Technology Classification System, the 18-step medical imaging workflow model, a mini-root cause analysis, and a structured risk-control matrix. These complementary frameworks were integrated to classify the incident, localize workflow failures, identify causal mechanisms, and develop preventive and corrective strategies.</p><p><strong>Results: </strong>The incident was classified as a health information technology-related technical and workflow failure with no confirmed patient harm but clear potential for delayed diagnosis and patient misidentification. The failure originated from missing bookings, modality worklist bypass, and manual patient identity entry, resulting in downstream interoperability failures that delayed image retrieval and interpretation. The mini-root cause analysis identified two interacting causal layers: execution-level workflow deviations and latent system vulnerabilities. Risk-control analysis demonstrated that recurrence was primarily driven by inadequate validation safeguards, weak workflow enforcement, and ineffective exception handling.</p><p><strong>Conclusion: </strong>This case demonstrates that seemingly minor workflow deviations can evolve into clinically significant patient safety risks despite technically successful image acquisition. The integrated multi-framework analytical approach provides a practical method for identifying latent sociotechnical vulnerabilities, informing targeted risk-control strategies, and strengthening the safety and resilience of digital imaging workflows.</p>","PeriodicalId":73088,"journal":{"name":"Frontiers in health services","volume":"6 ","pages":"1872556"},"PeriodicalIF":2.6,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13582320/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148992940","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: A qualitative analysis exploring barriers and enablers to distribution, delivery, and access to COVID-19 vaccines in Botswana.","authors":"","doi":"10.3389/frhs.2026.1972677","DOIUrl":"https://doi.org/10.3389/frhs.2026.1972677","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.3389/frhs.2025.1609056.].</p>","PeriodicalId":73088,"journal":{"name":"Frontiers in health services","volume":"6 ","pages":"1972677"},"PeriodicalIF":2.6,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13583423/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148992882","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":"From emergency adaptation to institutional resilience: a policy and practice review of Somalia's health system, 1991-2026.","authors":"Nor Haji Osman, Hamdi Mohamud Osman, Abdifatah Nour Rage, Abdiweli Mohamed Abdi, Mohamed Ismail Iman, Aweys Ahmed Moallim, Abdirahman Mohamed Jimale, Mohamed Ahmed Ali, Ismail Dahir Ahmed, Abdikarim Abdi Adam, Abdirahman Ahmed Mohamud, Siham Mohamed Dhakane, Osman Mohamed Mohamud","doi":"10.3389/frhs.2026.1934074","DOIUrl":"10.3389/frhs.2026.1934074","url":null,"abstract":"<p><p>Health-system resilience is a major policy concern in fragile and conflict-affected settings, where recurrent shocks intersect with chronic weaknesses in governance, financing, workforce, service delivery, information systems, and supply chains. This policy and practice review synthesizes 51 peer-reviewed and institutional sources published or issued between 1990 and 3 July 2026 to examine how Somalia's health system has responded to three decades of conflict, climatic emergencies, displacement, outbreaks, and humanitarian intervention. Sources were identified through targeted searches of PubMed/MEDLINE, Google Scholar, and authoritative institutional repositories and interpreted using the World Health Organization health-system building blocks and contemporary resilience concepts. The review distinguishes absorptive, adaptive, and transformative resilience from temporary emergency adaptation and donor-dependent response capacity using explicit decision rules concerning service continuity, duration, financing and ownership, integration into routine systems, and evidence of learning and accountability. Somalia has accumulated important resilience-enabling capacities, including community-based surveillance, outbreak-response learning, expansion of the District Health Information Software 2, national strategic planning, and the Community Health Strategy 2025-2029. However, chronic underfinancing, fragmented governance and service delivery, workforce shortages, weak supply chains, incomplete private-sector stewardship, inequitable access, and uneven primary health-care readiness continue to limit institutional resilience. The review proposes seven actionable priorities: a unified national resilience framework; predictable and aligned financing; primary health-care readiness and continuity planning; professionalized community health platforms; private-sector integration into regulation, referral, and reporting; climate-health, nutrition, and water, sanitation and hygiene preparedness; and an operational resilience dashboard linked to decision triggers and actor accountability. These priorities are policy inferences derived from Somalia-specific operational evidence, national strategies, and wider fragile-setting literature rather than causally proven interventions. Given binding fiscal and data constraints, implementation should be phased, costed, and begin with functions and indicators that can be sustained through existing routine systems. Somalia should therefore not yet be described as having a fully resilient health system. Durable resilience will depend on embedding recurrent emergency adaptations within financed, governed, measurable, equitable, and routinely functioning primary health-care and public-health institutions.</p>","PeriodicalId":73088,"journal":{"name":"Frontiers in health services","volume":"6 ","pages":"1934074"},"PeriodicalIF":2.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13574947/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148978849","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 person-centred model of HIV nursing care: translating principles into practice.","authors":"Michelle Croston, Steve Callaghan, Justine Mellor, Eileen Nixon","doi":"10.3389/frhs.2026.1819149","DOIUrl":"10.3389/frhs.2026.1819149","url":null,"abstract":"<p><p>This paper presents the development and application of a <i>Person-Centred Model of HIV Nursing Care</i> created by the National HIV Nurses Association (NHIVNA). The model responds to the evolving complexities of HIV care and the need to articulate and standardise the nursing contribution within the HIV care continuum. Developed collaboratively with people living with HIV, clinical nurse specialists, and academics, the model provides a structured, person-centred framework to guide high-quality nursing care across diverse clinical contexts.</p><p><strong>Objectives: </strong>The model aims to: Enhance care quality and patient experience through empathy, relational practice, and co-designed care.Support nurses' professional development and reduce variation in care.Promote workforce sustainability by fostering role clarity, engagement, and shared understanding of the nurse's value in the care pathway.</p><p><strong>Implementation: </strong>Grounded in McCormack and McCance's person-centred nursing framework, the model adapts these principles to the unique psychosocial dynamics of HIV care, including stigma and self-stigma. Central to the model is empathy and the therapeutic nurse-patient relationship, which enables open communication, psychological safety, and holistic care that addresses physical, emotional, and social dimensions of wellbeing. Implementation of the model of care is supported by a reflective learning workbook designed to integrate the model into clinical practice and continuous professional development. The workbook encourages reflective dialogue, shared learning, and professional growth, aligning with values-based leadership and person-centred culture.</p><p><strong>Conclusion: </strong>The paper concludes that embedding a person-centred approach within HIV nursing enhances care consistency, improves workforce morale, and builds a sustainable, compassionate culture capable of adapting to the future needs of people living with HIV.</p>","PeriodicalId":73088,"journal":{"name":"Frontiers in health services","volume":"6 ","pages":"1819149"},"PeriodicalIF":2.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13574964/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148978898","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}