Frontiers in health services最新文献

{"title":"Correction: 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.2025.1663804","DOIUrl":"https://doi.org/10.3389/frhs.2025.1663804","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.3389/frhs.2025.1559443.].</p>","PeriodicalId":73088,"journal":{"name":"Frontiers in health services","volume":"5 ","pages":"1663804"},"PeriodicalIF":2.7,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12336264/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144823340","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":"Editorial: Mental health services for occupational trauma: decreasing stigma and increasing access, volume 2.","authors":"Warren N Ponder, Natalie Mota, Shay-Lee Bolton","doi":"10.3389/frhs.2025.1663204","DOIUrl":"10.3389/frhs.2025.1663204","url":null,"abstract":"","PeriodicalId":73088,"journal":{"name":"Frontiers in health services","volume":"5 ","pages":"1663204"},"PeriodicalIF":2.7,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12336273/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144823342","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":"Redefining respite for family caregivers: lessons learned from the COVID-19 pandemic.","authors":"Rebecca L Utz, Hannah L Mundinger, Amber Thompson, Gail L Towsley, Kara B Dassel, Alex Terrill, Alycia A Bristol","doi":"10.3389/frhs.2025.1611360","DOIUrl":"10.3389/frhs.2025.1611360","url":null,"abstract":"<p><strong>Introduction: </strong>Respite care is provided to caregivers through in-home respite providers, drop-off day centers, and institutional or overnight facilities, where the caregiver can take a break or get time-away, while the care-recipient is provided with personal care, companionship, and/or supervision. During the global COVID-19 pandemic (2020+), these types of formal respite services were disrupted, leaving caregivers with little to no access to respite. This study aimed to understand how caregivers accessed and achieved respite when respite services were not readily available, and how their experiences during and following the unprecedented global public health crisis have influenced and informed the way that caregivers achieve the needed and desired respite.</p><p><strong>Methods: </strong>This study integrates several sources of qualitative and descriptive data collected via electronic surveys and semi-structured interviews with family caregivers and respite providers over the past several years (from 2019 to 2024).</p><p><strong>Results: </strong>The following themes were identified: (a) disruption and loss of formal respite services resulted in caregiver isolation, as well as acute and protracted stress, (b) personal networks and shared caregiving arrangements provide opportunities for informal respite, (c) respite is associated improved caregiver wellbeing, but caregivers often are hesitant to use respite (d) daily activities and routines can provide a form of respite for caregivers, (e) family caregivers showed resilience and adaptability in the face of COVID-19 challenges, revealing the potential benefit of taking \"short breaks\" throughout the day to achieve a feeling of respite.</p><p><strong>Discussion and conclusions: </strong>These qualitative, descriptive insights provide a blueprint for a reimagined definition of caregiver respite, where respite is conceptualized as an outcome or benefit that caregivers seek and can create on their own, rather than only defining respite as a formal service provided to caregivers by outside organizations. In the face of significant workforce shortages that threaten the widespread availability and access to formal respite services, a re-imagined model of respite has the potential to better meet the respite needs and wishes of family caregivers, and maximize the benefit of short-breaks when formal respite services may not be available.</p>","PeriodicalId":73088,"journal":{"name":"Frontiers in health services","volume":"5 ","pages":"1611360"},"PeriodicalIF":2.7,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12331696/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144818413","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 sustainability in low-resource settings: development and validation of a sustainability tool for evidence-based interventions and programs.","authors":"Chisom Obiezu-Umeh, Divya S Subramaniam, Ucheoma Nwaozuru, Titilola Gbaja-Biamila, Lateef Akeem Blessing, Thembekile Shato, David Oladele, Lisa R Hirschhorn, Enbal Shacham, Hong Xian, Oliver Chukwujekwu Ezechi, Juliet Iwelunmor","doi":"10.3389/frhs.2025.1618400","DOIUrl":"10.3389/frhs.2025.1618400","url":null,"abstract":"<p><strong>Introduction: </strong>Despite substantial research and growing evidence on effectiveness, the longer-term benefits of proven healthcare interventions and programs have not been fully explored due to challenges sustaining such efforts. Existing sustainability measures developed in high-income countries may not reflect determinants unique to the sustainability of interventions in low- and middle-income countries (LMICs), including African countries. To address this gap, our study developed a Sustainability Tool to Assess Evidence-Based Interventions and Programs (STEPS), which provides a theory-based measure that can be used to assess multilevel determinants of sustainability from the perspective of frontline health workers, service providers, or implementation practitioners.</p><p><strong>Methods: </strong>STEPS domains and the initial scale item pool were generated based on a review of existing literature on sustainability in the African region. Two rounds of expert reviews were conducted with 12 experts from nine African countries, providing ratings and feedback on the relevancy of each item. Then, face validity was conducted among ten healthcare workers involved in implementing interventions and programs in Nigeria. Content validity metrics and consensus methods were used to remove redundancy, reducing the final scale to 31 items. Subsequently, we piloted STEPS among 256 healthcare workers in Nigeria directly involved in implementing evidence-based programs and/or interventions. Data were analyzed using exploratory factor analysis (EFA) to identify the underlying factor structure, followed by reliability analysis.</p><p><strong>Results: </strong>The EFA indicated that a four-factor 31-item structure best fits the data (Kaiser Criterion of eigenvalues >1, confirmed by scree plot, and interpretability). The four subscales are: (1) intervention characteristics (2) organizational capacity, (3) implementation context and values, and 4) socio-cultural and community context. The Cronbach's alpha for the subscales ranged from 0.83 to 0.95. Overall, STEPS demonstrated adequate content validity and excellent internal consistency for the overall scale with a Cronbach's alpha of 0.97.</p><p><strong>Conclusion: </strong>Our research findings contribute to the implementation science literature by providing future researchers or programmers a means to assess factors associated with the long-term delivery and subsequent benefits of evidence-based interventions and programs in African settings. STEPS provides a context-relevant tool for assessing sustainability in the African context and other LMICs.</p>","PeriodicalId":73088,"journal":{"name":"Frontiers in health services","volume":"5 ","pages":"1618400"},"PeriodicalIF":2.7,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12328286/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144801120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Physician perceptions and understanding of pet ownership in healthcare compliance and patient well-being: a one health investigation.","authors":"Faith Kipnis, Emily McCobb, Megan K Mueller, Meera Gatlin, Catharina A Armstrong","doi":"10.3389/frhs.2025.1620640","DOIUrl":"10.3389/frhs.2025.1620640","url":null,"abstract":"<p><strong>Introduction: </strong>Pets contribute positively to human mental and physical health outcomes but can also impose financial obligations and personal responsibilities that may impede pet owners from accessing healthcare services, especially by restricting access to inpatient and long-term care. This preliminary study investigates the complex interplay between pet ownership and healthcare access and compliance through the perspective of physicians, exploring how pets influence their patients' health.</p><p><strong>Methods: </strong>An online survey was designed and distributed to physicians in Massachusetts, USA. The survey collected information about participant demographics and their experiences and beliefs surrounding how pets influence physician-client relationships, healthcare access and compliance, and human-animal interactions.</p><p><strong>Results: </strong>Of 16 physicians surveyed from various specialties, 25% noted that they believe pets can be a barrier to accessing treatment or services among their patients. Many of the participants (56%) reported that they had experienced a patient who declined or resisted recommended treatments or services due to concerns about their pet. The most commonly reported barrier to healthcare was being unable to find pet care. Most participants (63%) agreed that a low or no-cost boarding facility could be an effective solution to address pet-related concerns among their patients. All participants reported that they believe that owning pets has psychosocial benefits.</p><p><strong>Discussion: </strong>Findings from this study indicate that there is a gap in resources available to patients with pet-related concerns that may prevent them from accessing healthcare services and that there is a need for more research on the role of pets in healthcare access and compliance.</p>","PeriodicalId":73088,"journal":{"name":"Frontiers in health services","volume":"5 ","pages":"1620640"},"PeriodicalIF":2.7,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12325250/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144796309","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":"Towards a universal implementation of labor companionship: a synthesis of the policy and facility environment of eight low-and-middle income countries.","authors":"Soha El-Halabi, Andrea Barnabas Pembe, Alexandre Dumont, Ana Pilar Betrán, Charles Kaboré, Effie Chipeta, Guillermo Carroli, Helle Mölsted Alvesson, Hussein Kidanto, Jean-Paul Dossou, Kristi Sidney Annerstedt, Lenka Beňová, Mechthild M Gross, Peter Waiswa, Pisake Lumbiganon, Quoc Nhu Hung Mac, Meghan A Bohren, Claudia Hanson","doi":"10.3389/frhs.2025.1550473","DOIUrl":"10.3389/frhs.2025.1550473","url":null,"abstract":"<p><strong>Background: </strong>Labor companionship, the presence of a woman's person of choice during childbirth, has benefits to both woman and baby and is recommended by the World Health Organization since 2012. However, implementation remains sub-optimal, especially in low-and-middle-income countries (LMICs). This study aimed to understand the maturity of labor companionship implementation in eight low-and-middle income countries with focus on the policy and facility environment.</p><p><strong>Methods: </strong>This was a multi-country study nested in two hospital-based implementation research studies: Action Leveraging Evidence to Reduce perinatal mortality and morbidity in Sub-Saharan Africa (ALERT) study and the QUALIty DECision-making by women and providers for appropriate use of caesarean section (QUALI-DEC) study. We included 48 hospitals from eight countries: Argentina, Burkina Faso, Thailand and Viet Nam (QUALI-DEC) and four from each of Benin, Malawi, Tanzania and Uganda (ALERT). We used data from (i) a document review, including national policy documents and (ii) health facility readiness assessment, including physical layouts of maternity wards, all collected between December 2019 and April 2021. Our analysis included two steps, (1) a structured data abstraction with coding to pre-defined categories to analyse the national polices and available resources on a facility level which informed the (2) categorization of implementation maturity in three implementation phases modelled by the framework by Bergh et al. and the logic model developed by Bohren et al.</p><p><strong>Results: </strong>Three of the eight countries lacked any national-level companionship policies, four had some mentioning and only one had detailed guidance on roles of labor companions and implementation guidelines. The physical outlines of maternity wards varied greatly, and lack of space was one of the main implementation barriers to all countries except Argentina. We classified Benin, Thailand and Viet Nam in the pre-implementation phase because of missing guidelines and limited implementation; Burkina Faso, Malawi, Uganda and Tanzania in the early implementation phase; and Argentina in the institutionalization phase where policies and facility resources were conducive.</p><p><strong>Conclusion: </strong>Successful implementation was supported by concrete and contextualized implementation guidance. To move to high implementation levels, supporting policies, guidelines and structural changes in the maternity wards are needed.</p>","PeriodicalId":73088,"journal":{"name":"Frontiers in health services","volume":"5 ","pages":"1550473"},"PeriodicalIF":2.7,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12325283/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144796210","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":"Oral health policy model for Turkey: how to deliver preventive services?","authors":"Ayşegül Doğan, Serap Durukan Köse","doi":"10.3389/frhs.2025.1513688","DOIUrl":"10.3389/frhs.2025.1513688","url":null,"abstract":"<p><strong>Background: </strong>Oral health is considered a neglected area in Turkey. To date, therapeutic services have dominated the provision of oral health care, while preventive services have been underfunded and inconsistently delivered. This study aims to elicit the need for the integration of preventive oral health services into the Turkish public health system by revealing the viewpoints of dentists, citizens, health managers and experts in Turkey.</p><p><strong>Methods: </strong>A snowball sampling method was used, and qualitative semi-structured interviews were conducted with 47 participants. Data were collected between April and August 2023. Both content and descriptive analyses were conducted, with content analysis performed using the MAXQDA 2023 software.</p><p><strong>Results: </strong>The codes were grouped into three main themes: opinions on the provision of preventive oral and dental health services, opinions about family dentistry, current problems in oral and dental health services in Turkey. Results indicate that there is an urgent need to provide preventive oral health services in a systematic way and that the public is unaware of oral health. Provision of oral health services within primary health care services should be presented through the family dentistry system.</p><p><strong>Conclusion: </strong>A roadmap for integrating preventive oral health services into the Turkish public health system was developed, incorporating preventive practices targeting both individuals and communities, using a public health approach.</p>","PeriodicalId":73088,"journal":{"name":"Frontiers in health services","volume":"5 ","pages":"1513688"},"PeriodicalIF":2.7,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12321786/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790872","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 role of cultural values and norms in the adoption and implementation of foreign innovations in health service delivery in China.","authors":"Wenxing Wang, Jeroen van Wijngaarden, Martina Buljac-Samardžić, Joris van de Klundert","doi":"10.3389/frhs.2025.1401641","DOIUrl":"10.3389/frhs.2025.1401641","url":null,"abstract":"<p><strong>Background: </strong>In pursuit of the ambitious and large scale 2009 national health reform objectives, China has turned to the introduction and implementation of foreign best practices in health service delivery. While it is well known that cultural differences may significantly impact the adoption and implementation of innovations, there is little specific knowledge on how these impact foreign health service innovations adopted in China. Our aim is therefore to identify which cultural norms and values affect the adoption and implementation of foreign innovations in health service delivery in the Chinese context and how.</p><p><strong>Methods: </strong>We interviewed a variety of respondents (government officials, directors, doctors, consultants, researchers) involved in the adoption and implementation of foreign health service delivery organizations from China (<i>n</i> = 10) and from The Netherlands (<i>n</i> = 9), with which China has built long-standing cooperation on exchanging innovations in health service delivery. A semi-structured interview guide was used. The interviews were transcribed verbatim, translated (Chinese into English) and coded, using both thematic and open codes.</p><p><strong>Results: </strong>Identified values and norms related to health and care, health services and professionals, and organizational dynamics respectively. Some act as potential barriers to the adoption of innovations (e.g., the body must be treated with respect), some play a facilitating role (e.g., eagerness to learn from other cultures), and some can be either a facilitator or a barrier depending on the circumstances or the views of our respondents (e.g., filial piety, longevity is valued over quality of life).</p><p><strong>Conclusions: </strong>Innovations in primary and elderly care that are nurse-led and focus on new service concepts emphasizing personalized care, experience cultural barriers in China. Meanwhile more structural and technical innovations especially in a hospital setting are strongly facilitated by Chinese cultural characteristics. While the national culture has a significant impact on foreign innovations in China, the interactions of those innovations with the local cultural context at meso- and micro- levels additionally plays an important role.</p>","PeriodicalId":73088,"journal":{"name":"Frontiers in health services","volume":"5 ","pages":"1401641"},"PeriodicalIF":2.7,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12313577/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144777066","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 role of dietitians and physiotherapists in the prevention of non-communicable diseases in Italian communities: lessons from orthopaedic care to strengthen community initiatives.","authors":"Matteo Briguglio, Thomas W Wainwright, Claudio Cordani","doi":"10.3389/frhs.2025.1634923","DOIUrl":"10.3389/frhs.2025.1634923","url":null,"abstract":"","PeriodicalId":73088,"journal":{"name":"Frontiers in health services","volume":"5 ","pages":"1634923"},"PeriodicalIF":2.7,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12313626/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144777067","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":"Mentorship among healthcare researchers: a social network analysis.","authors":"Bo Kim, Erin A Pleasants, Jennifer L Sullivan, Amy M Linsky","doi":"10.3389/frhs.2025.1514379","DOIUrl":"10.3389/frhs.2025.1514379","url":null,"abstract":"<p><strong>Introduction: </strong>Mentorship is an active workplace relationship between a mentor and a mentee, aimed at mutual career advancement, which is vital for both employee growth and organizational success. To improve their mentorship structures and processes, organizations must first assess their current practices. Thus, we developed and conducted a cross-sectional survey to evaluate mentorship among employees at a two-site federally funded health services research center.</p><p><strong>Methods: </strong>We surveyed Center investigators and other employees (henceforth \"staff\"), gathering data on mentors, mentees, mentoring relationships, and satisfaction with the Center's mentoring infrastructure. We used social network analysis to examine both formal and informal mentoring relationships and assessed the association of employee connectedness in these networks with reported satisfaction.</p><p><strong>Results: </strong>There were 120 respondents (62.2% response rate). A greater percentage of investigators, compared to staff, had at least one formal mentor (55.8% vs. 25.0%) and one formal mentee (57.7% vs. 10.3%), and investigators had more informal mentors within the Center than staff (4.94 vs. 3.59, <i>p</i> = 0.0485). Investigators reported higher satisfaction with mentorship compared to staff (6.63 vs. 5.25, <i>p</i> = 0.002) and had more formal mentoring relationships with other investigators than staff had with other staff (0.06 vs. 0.01 degree centrality, <i>p</i> < 0.0001). Combining formal and informal mentorship across both investigators and staff, compared to formal mentorship alone, showed fewer degrees of separation (1.32 vs. 3.41 mean distance, <i>p</i> < 0.0001). For the combined formal and informal mentorship network across both investigators and staff, satisfaction with mentoring was associated with having more connections with network members who were connected with each other (<i>r</i> = 0.998, <i>p</i> < 0.0001).</p><p><strong>Discussion: </strong>To foster connections among employees, research organizations may create opportunities for open communication and collaborative problem-solving. Our survey and findings are timely given the growing emphasis on mentorship's importance for successful careers, motivated employees, and workplace productivity.</p>","PeriodicalId":73088,"journal":{"name":"Frontiers in health services","volume":"5 ","pages":"1514379"},"PeriodicalIF":2.7,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12310661/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144762558","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}