BMC Health Services Research最新文献

{"title":"Exploring health workers' perspectives on factors affecting patient experience in emergency caesarean section response time: a qualitative study in hospitals in Makassar City, Indonesia.","authors":"Ayu Rizky Ameliyah, Stang Stang, Irwandy Irwandy, Fridawaty Rivai, Muhammad Arsyad","doi":"10.1186/s12913-025-13294-4","DOIUrl":"https://doi.org/10.1186/s12913-025-13294-4","url":null,"abstract":"<p><strong>Background: </strong>The achievement of an emergency caesarean response time of ≤ 30 min in Indonesia is still far below the target. This can impact the patient experience. This study aims to explore the factors causing delays in emergency caesarean response time and quality improvement strategies to address this issue.</p><p><strong>Method: </strong>This qualitative study was conducted in five hospitals in the city of Makassar, Indonesia, from November 2024 to January 2025. The phenomenological approach, along with in-depth interviews, was employed in this research. Data were collected through semi-structured interviews. A total of 14 healthcare workers were interviewed using purposive sampling, consisting of obstetricians, general practitioners, midwives, and nurses, and the data were analyzed using thematic analysis. The inclusion criteria for selecting informants are healthcare professionals who possess knowledge and expertise in the field of emergency cesarean sections, as well as having at least two years of work experience handling patients with such cases in hospitals.</p><p><strong>Results: </strong>This study identifies four main factors that can impact the patient experience in achieving emergency caesarean response time, namely: system factors, patient and family factors, staff factors, and internal hospital policy factors. This study also produces quality improvement strategies to achieve emergency caesarean response times across various health professions, such as the importance of patient and family education, emotional support, the need for comprehensive hospital facilities to ensure the smooth operation of emergency caesarean procedures, the need for periodic performance evaluations of healthcare workers regarding response time achievements and most importantly the availability of documented, socialized, and actively used standard operating procedures by all healthcare workers.</p><p><strong>Conclusion: </strong>This study provides a comprehensive understanding of the factors that cause delays in achieving emergency cesarean response times. This can have both positive and negative impacts on the patient experience. Therefore, policy support and commitment from various health professions are essential for the successful implementation of achieving emergency cesarean response times in Indonesia.</p>","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"25 1","pages":"1293"},"PeriodicalIF":3.0,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145224778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of per diem payment on medical expenditure, service efficiency, and quality of care for patients with mental disorders: an interrupted time series study.","authors":"Yuanping Pan, Zhiyong Liu","doi":"10.1186/s12913-025-13419-9","DOIUrl":"https://doi.org/10.1186/s12913-025-13419-9","url":null,"abstract":"","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"25 1","pages":"1298"},"PeriodicalIF":3.0,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145224888","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementation status of the free newborn care program in Gandaki Province, Nepal.","authors":"Nabina Koirala, Kamala Rana Magar, Urmila Baral, Bidhya Banstola, Khim Bahadur Khadka","doi":"10.1186/s12913-025-13515-w","DOIUrl":"https://doi.org/10.1186/s12913-025-13515-w","url":null,"abstract":"<p><strong>Background: </strong>In line with the Nepal Every Newborn Action Plan, the Government of Nepal has implemented the Free Newborn Care Program (FNCP) since 2016. As per the program guidelines, Specialized Newborn Care Units (SNCU) are established in hospitals to care for sick newborns. This study aims to explore the implementation status of free newborn healthcare services in Gandaki Province.</p><p><strong>Methodology: </strong>An exploratory descriptive qualitative design was adopted for the study, which was conducted from August to October 2022. The study involved 114 exit client interviews and 12 key informant interviews, 6 focused group discussions, and onsite observations of 12 health institutions in the 11 districts of Gandaki Province. The researchers used thematic analysis techniques to analyze and report the findings.</p><p><strong>Results: </strong>All institutions with SNCUs have achieved the level of infrastructure outlined by the FNCP guidelines. A shortage of doctors and nurses, and high staff turnover were prevalent. Insufficient training for nurses and short retention of trained personnel have been identified as major challenges. Commitment to following care standards can strengthen existing quality assurance efforts. There are perceived inadequacies in packages regarding medicines, supplies, and incentives. Even though the out-of-pocket expense was Nepalese Rupees 3000 (Inter Quartile Range (IQR) 1975-6125), comprising 60% (IQR 50-75) of total newborn care, 93% of the clients were satisfied.</p><p><strong>Conclusion: </strong>Despite noticeable areas for improvement, the Free Newborn Care Program has successfully provided health services to families requiring critical newborn care. Key recommendations to improve its implementation include establishing sustainable onsite mentoring programs, policy measures for linking free newborn care with health insurance schemes, and monitoring mechanisms to ensure protocol adherence and quality assurance.</p>","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"25 1","pages":"1305"},"PeriodicalIF":3.0,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145224898","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Applying an implementation science lens to understand physician-level variation in patient length of stay in internal medicine.","authors":"Diya Srinivasan, Ruoxi Wang, Surain B Roberts, Lauren Lapointe-Shaw, Terence Tang, Sarah Abigail Birken, Alexandra Harris, Noah M Ivers, Fabiana Lorencatto, Nicola McCleary, Justin Presseau, Geneviève Rouleau, Mina Tadrous, Simona C Minotti, Fahad Razak, Amol Verma, Laura Desveaux","doi":"10.1186/s12913-025-13304-5","DOIUrl":"https://doi.org/10.1186/s12913-025-13304-5","url":null,"abstract":"<p><strong>Background & objectives: </strong>Length of Stay (LoS) is a critical quality metric and focus of improvement efforts in healthcare. Successfully managing LoS depends on understanding the drivers of variation amenable to change. This study aims to (1) characterize physician-level variation in LoS; (2) identify physician actions associated with LoS; and (3) explore the individual-, team-, and hospital-level factors influencing this variation to generate hypotheses for further study.</p><p><strong>Methods: </strong>This mixed-methods comparative case study approach examined six General Internal Medicine (GIM) departments in Toronto, Ontario. Physician-level variation in LoS was calculated using a random-intercept negative binomial regression model and sensitivity analysis. Semi-structured interviews and ethnographic observations were conducted and analyzed using the AACTT Framework (Action-Actor-Context-Target-Time), the Consolidated Framework for Implementation Research (CFIR), and the Theoretical Domains Frameworks (TDF). Hospitals with the lowest and highest physician-level variation in LoS were compared.</p><p><strong>Results: </strong>Physician-level variation in LoS ranged from 1.7 to 7.0%, which-though modest numerically-represents meaningful differences in physician decision-making not explained by patient complexity, and no significant hospital-level effect was observed. Qualitative analysis from 12 observations and 67 interviews (32 GIM physicians and residents, 35 nurses and other health professionals) identified eight discrete physician actions influencing LoS, along with five individual-level factors and five team- and hospital-level factors. The nature of these factors was different when comparing hospitals with the lowest and highest variation. Organizational culture and perceptions of the patient population shaped physician perceptions of their professional role, while GIM departmental culture, structural characteristics, and communication networks informed physician beliefs about team capabilities and consequences of action (or inaction).</p><p><strong>Conclusion: </strong>This study highlights the complex interplay between physician actions and factors influencing physician-level variation in LoS. Interventions that target physicians but do not attend to team and hospital factors are likely insufficient to achieve sustained improvements in LoS. Aligning individual-level feedback and environmental restructuring with organizational values and needs of the patient population may offer a more promising approach to sustained improvement.</p>","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"25 1","pages":"1292"},"PeriodicalIF":3.0,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145224809","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Priority setting in critical care: a multicriteria approach to ranking access to Intensive Care Unit beds.","authors":"Ana Flávia A Dos Santos, Lucas A Dos Santos, Talita D C Frazão, Amanda G de Assis, Maiko S C de Oliveira, João F da Costa Júnior, Patrícia Angélica T da S Ferro, Ricardo P de Souza","doi":"10.1186/s12913-025-12647-3","DOIUrl":"https://doi.org/10.1186/s12913-025-12647-3","url":null,"abstract":"<p><strong>Background: </strong>There is a situation in public health services where there is a high demand for services but not enough capacity to meet that demand. Within the critical care landscape in Brazil, there exists a significant disparity: of the total of 45,848 beds in intensive care units, only 49% are accessible to the Unified Health System (Sistema Único de Saúde - SUS), while the remaining 51% are exclusively allocated to a mere 23% of the population. Therefore, multicriteria decision analysis has the potential to be utilized as a tool in the decision-making process since it has been stated as a tool that promotes transparency and brings rationality to the decision-making process. The objective of this study was to create a multi-criteria model that can assist in the allocation of beds in Adult Intensive Care Units in the state of Rio Grande do Norte, Brazil.</p><p><strong>Methods: </strong>A twelve-step framework was used to carry out the decision-aiding process. The PROMETHEE I and II methods were employed to build the multicriteria model. Three stages were followed: problem structuring, preference modeling and aggregation, and finalization. The decision problem was approached from the perspective of the P.γ ranking problem in which six clinical vignettes based on actual patients were ranked in order of preference, defined by the decision-maker's preference system.</p><p><strong>Results: </strong>Two pre-orders were recommended: a partial one, in which four pairs of actions were incomparable with each other; and a complete one, in which relationships between each pair of alternatives were described. The sensitivity analysis revealed considerable robustness of the model because of the range of the stability interval.</p><p><strong>Conclusion: </strong>The partial ranking proposed by PROMETHEE I showed that Patient 6 outranks all the patients within the set of alternatives. When the complete ranking was generated, aided by PROMETHEE II, Patient 6 remained as the alternative that outranks all the others. Therefore, considering the resource-constrained scenario, Patient 6 was recommended to be admitted. The proposed model formalized the decision-making process of prioritizing access to Adult Intensive Care Unit beds, ensuring transparency and rationality by structuring all relevant factors.</p>","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"25 1","pages":"1294"},"PeriodicalIF":3.0,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145224877","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Healthcare workers' perception of quality of care rendered to people living with HIV and non-communicable diseases at an urban district hospital in KwaZulu Natal, South Africa: a mixed mode study.","authors":"Althea Rajagopaul, Mergan Naidoo","doi":"10.1186/s12913-025-13487-x","DOIUrl":"https://doi.org/10.1186/s12913-025-13487-x","url":null,"abstract":"","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"25 1","pages":"1302"},"PeriodicalIF":3.0,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145224943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quality and outcomes framework achievement and unplanned admissions for cardiovascular disease.","authors":"Bo Hou, Sian Reece, Rachael H Moss, Jamilla Hussain, Tom Lawton, Michael McCooe, Kuldeep Sohal, Sohail Abbas, Tim Doran, Trevor Sheldon, Josie Dickerson","doi":"10.1186/s12913-025-13227-1","DOIUrl":"https://doi.org/10.1186/s12913-025-13227-1","url":null,"abstract":"<p><strong>Background: </strong>Unplanned hospital admissions are costly and disproportionately affect people who are socioeconomically disadvantaged and from an ethnic minority group. A national primary care pay-for-performance scheme, the Quality and Outcomes Framework (QOF), was introduced in England in 2004 to financially incentivise general practices to meet a range of performance indicators, but the QOF's impact on unplanned hospital admissions remains unclear. We examined the association between unplanned hospital admissions for cardiovascular disease (CVD), individual-level characteristics and achievement of key QOF indicators for CVD at the patients' registered general practice.</p><p><strong>Methods: </strong>This study used the Connected Bradford dataset, which links individual-level primary and secondary care data. Our analytical sample included 508,977 patients registered with a Bradford District general practice from 2017 to 2019. Logistic regression was used to estimate associations between achievement of relevant QOF indicators and unplanned admissions for cardiovascular diseases, adjusting for individual-level differences in age, sex, ethnicity, socioeconomic status and pre-existing health conditions.</p><p><strong>Results: </strong>Significantly reduced odds of unplanned CVD hospital admissions were associated with attending a practice with higher achievement rates for QOF indicators relating to atrial fibrillation management (OR 0.97, p < 0.001), diabetes management (OR 0.98, p = 0.002), and smoking cessation (OR 0.98, p = 0.038). Conversely, increased odds of unplanned admission were associated with higher achievement for QOF indicators relating to antiplatelet or anticoagulation medication (OR 1.06, p < 0.001) and blood pressure control for diabetic patients (OR 1.02, p = 0.03). Individual-level characteristics significantly associated with increased risk of unplanned admission included living in the most deprived fifth of neighbourhoods (OR 2.00, p < 0.001) and having Pakistani ethnicity (OR 1.65, p < 0.001). Primary care diagnoses of hypertension (OR 1.79, p < 0.001), diabetes (OR 1.56, p < 0.001), chronic cardiac disease (OR 2.79, p < 0.001), and stroke (OR 1.6, p < 0.001) were all statistically significant and associated with higher odds of unplanned admissions for CVD.</p><p><strong>Conclusions: </strong>We found mixed evidence for an association between practice-level QOF achievement and unplanned hospital admissions for CVD. There were large ethnic and socioeconomic inequalities in unplanned admissions for cardiovascular disease. Supporting general practices to appropriately improve their achievement of key cardiovascular disease related QOF indicators and reducing socioeconomic inequalities might likely reduce the number of unplanned hospital admissions.</p>","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"25 1","pages":"1297"},"PeriodicalIF":3.0,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145224907","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Spectator medicine in the men's international Ice Hockey World Championships in 2022 and 2023.","authors":"Ville Bister, Kerttu J Toivo, Timo H Hänninen, Collins Hart, Markku P Tuominen","doi":"10.1186/s12913-025-13504-z","DOIUrl":"https://doi.org/10.1186/s12913-025-13504-z","url":null,"abstract":"","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"25 1","pages":"1301"},"PeriodicalIF":3.0,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145224615","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis and actions after laboratory errors in a Chinese university hospital.","authors":"Ying Guo, Wei Dai, Yongmei Jiang, Xiaojuan Liu","doi":"10.1186/s12913-025-13320-5","DOIUrl":"https://doi.org/10.1186/s12913-025-13320-5","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Diagnostic errors pose a critical threat to patient safety, heavily relying on accurate laboratory medicine. However, research specifically addressing laboratory errors (LEs) remains limited globally. This study aimed to categorize LEs, identify their root causes, and develop targeted interventions within a large, specialized hospital in China, where systemic factors amplify their potential impact.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;A retrospective quality improvement study was conducted in the ISO 15,189 and CAP-accredited Department of Medical Laboratory at a women and children's hospital. Eighty-three documented LEs (51 general, 32 transfusion-specific) from March 2016 to April 2023 were analyzed. Errors were captured via internal incident reporting and hospital risk management systems. LEs were classified using five criteria: responsibility attribution (exclusively lab, extra-lab, conjoint, undetermined), testing phase (preanalytical, analytical, postanalytical), error type, preventability (using a cognitive psychology framework: cognitive vs. noncognitive), and patient impact. Root cause analysis and corrective actions were tracked.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Among the 51 general LEs, the preanalytical phase was most error-prone (51.0%), primarily due to specimen collection (29%) and request procedure errors (22%). Analytical (4%) and postanalytical (18%) phases had fewer errors. Responsibility analysis showed 20% exclusively lab-originated, 60% extra-lab-originated, and 16% conjoint. Cognitive errors dominated preventable incidents. Environmental/infrastructure (6%) and Laboratory Information System (LIS) errors (14%) were significant concerns. Separately, among 32 transfusion-related errors, clinical physicians bore primary responsibility in 51%, with common issues being improper specimen collection (22%) and non-evidence-based orders (16%). Corrective actions (e.g., workflow optimization, staff training, improved communication, LIS upgrades like an electronic critical value notification system, facility relocation) led to significant reductions in preanalytical errors over time. Improvements were achieved cost-effectively.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;Preanalytical errors are the most prevalent LEs, often originating outside the laboratory. Cognitive errors are highly preventable. Implementing targeted interventions based on systematic error classification and root cause analysis-including technological solutions (e.g., electronic alerts, LIS improvements), workflow simplification, enhanced training (especially for non-laboratory personnel in transfusion contexts), and interdepartmental communication-significantly reduces LEs and enhances laboratory quality management. Continuous monitoring and context-specific strategies are crucial, especially in large healthcare systems. Study limitations include potential underreporting and limited generalizability beyond specialized women and children's hospita","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"25 1","pages":"1296"},"PeriodicalIF":3.0,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145224783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acceptability of home-based HPV self-sampling for cervical cancer screening among users and providers in the West region of Cameroon: a cross-sectional study.","authors":"Alida Manoëla Datchoua Moukam, Nasteha Salah, Gilles W Tankeu Happi, Loïc D Djommo Metchehe, Sophie Lemoupa Makajio, Ania Wisniak, Jessica Sormani, Bruno Kenfack, Pierre Vassilakos, Antoine Socpa, Patrick Petignat, Nicole C Schmidt","doi":"10.1186/s12913-025-13467-1","DOIUrl":"https://doi.org/10.1186/s12913-025-13467-1","url":null,"abstract":"<p><strong>Background: </strong>The World Health Organization's 90-70-90 goal aims to eliminate cervical cancer (CC) as a public health issue, with a target of up to 70% of women screened by 2030. However, many countries, including Cameroon, are far from achieving this goal. Home-based human papillomavirus (HPV) self-sampling is a promising approach to improve participation rates. The main objective of this study was to explore the acceptability and feasibility of home-based HPV self-sampling in the West region of Cameroon.</p><p><strong>Methods: </strong>A quantitative, descriptive, cross-sectional study conducted between January 11 and February 05, 2024, was embedded in a cluster-randomised controlled trial comparing home- vs. hospital-based CC screening. Women eligible for CC screening, male partners or close relatives, community leaders, and healthcare professionals (HCPs) living in Dschang health district responded to a structured questionnaire. Simple and multivariate analyses were performed to assess the association between acceptability of home-based HPV self-sampling, CC screening practices, and sociodemographic factors such as education, professional status, residence, and income. Preferences for implementation (e.g., seasonal timing) were also explored.</p><p><strong>Results: </strong>A total of 556 participants (300 women, 70 male partners, 153 HCPs, and 33 community leaders) were recruited. Overall, 77.5% of participants expressed favourable attitudes toward home-based HPV self-sampling, with acceptability rates of 73.7% for women, 65.7% for men, 90% for community leaders, and 87.6% for HCPs. Previous CC screening was reported by 33% of women, and was significantly associated with being over 40 years old (aOR = 2.1, p = 0.007), with a monthly income of > 50,000 XAF (aOR = 2.2, p = 0.049), and having good knowledge of CC (aOR = 2.6, p = 0.001). Morning screening implementation was preferred by most participants, with 60% favouring year-round screening. More than 70% preferred face-to-face communication of HPV test results from SMS or phone calls, at hospitals for women (63%), men (50%), and HCPs (65.4%); while community leaders preferred home disclosure.</p><p><strong>Conclusion: </strong>Home-based HPV self-sampling was highly accepted across all study groups and was unaffected by sociodemographic factors. Previous screening practices were associated with age, income, and knowledge. Home-based HPV self-sampling screening can address access disparities to CC screening. Community involvement in planning and implementing these programs is essential to ensure their success.</p><p><strong>Trial registration: </strong>Ethical Cantonal Board of Geneva, Switzerland (CCER, N°202100085), (ClinicalTrials.govID NCT06166420 / 20231204) and the National Ethics Committee for Human Health Research in Cameroon (N°2023/09/1579/CE/CNERSH/SP).</p>","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"25 1","pages":"1303"},"PeriodicalIF":3.0,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145224815","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}