BMC Health Services Research最新文献

{"title":"Evaluating the implementation of the vignettes-based injury care process assessment tool in low- and middle-income countries settings.","authors":"John Whitaker, Leila Ghalichi, Alemayehu Amberbir, Agnieszka Ignatowicz, Tamlyn MacQuene, Derbew Fikadu Berhe, Zabin Wajidali, Debra Sithole, Anita Eseenam Agbeko, Eric Twizeyimana, Ngirabeza Oda Munyura, Komal Abdul Rahim, Senyo Gudugbe, Pascal Deeshini Aliu Alhassan, Pradeep Navsaria, Lucia D'Ambruoso, Junaid Razzak, Kathryn Chu, Justine Davies","doi":"10.1186/s12913-026-14424-2","DOIUrl":"https://doi.org/10.1186/s12913-026-14424-2","url":null,"abstract":"","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147761540","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":"First implementation of a collaborative care model for common mental disorders in primary care in France: fidelity of care manager intervention matters.","authors":"Nadia Younès, Esther Touitou-Burckard, Emma Ros, Pascal Clerc, Christine Passerieux, Julien Mousquès, Coralie Gandré","doi":"10.1186/s12913-026-14568-1","DOIUrl":"https://doi.org/10.1186/s12913-026-14568-1","url":null,"abstract":"<p><strong>Background: </strong>Care for common mental disorders relies on primary care, where they often remain undiagnosed and untreated. The collaborative care model (CoCM) is a team-based approach involving care managers (CMs) who work alongside general practitioners and remote psychiatrists to provide evidence-based mental healthcare. Between 2021 and 2023, a pilot study implemented the CoCM for the first time in France in four primary care practices with nurses with previous professional experience in psychiatry acting as the CMs. As part of the implementation research of this pilot, we analyzed the fidelity of the CM intervention to the original CoCM. We examined CM process of care metrics and explored their association with initial symptom severity and patient outcomes - an aspect rarely addressed in previous international implementation research on the CoCM.</p><p><strong>Methods: </strong>Using electronic medical records, we calculated several fidelity measures for CM intervention, including early intervention (time to first intervention), intensity of care (number of visits and intervention duration) and evidence-based care (type of care provided). We also examined potential variations according to initial symptom severity, in line with a stepped-care approach. Patient outcomes, particularly depression response and remission, were analyzed according to initial symptom severity and fidelity measures.</p><p><strong>Results: </strong>A total of 235 patients were included in the study. Overall, the care provided by CMs aligned with the original CoCM, in terms of early intervention, intensive care, and type of evidence-based care delivered. It was also adjusted according to patients' initial symptom severity, in particular for early intervention, in line with a stepped-care approach. Higher fidelity of the CM intervention to the CoCM - especially shorter time to treatment initiation and number of visits - was associated with better patient outcomes.</p><p><strong>Conclusions: </strong>The CoCM shows promise for improving the treatment of common mental disorders in French primary care within a stepped-care framework. Its extension will require ensuring high fidelity of the CM intervention to the model in real-world settings, as it appears crucial for achieving optimal patient outcomes. These findings also provide useful lessons for other countries implementing the CoCM.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147761548","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":"The quintuple aim as a framework for health system performance: a systematic review of empirical applications.","authors":"Oscar Espinosa, Alejandra Taborda, Marcia-Cristina Chavarriaga-Ríos, Martha-Liliana Arias, Gerson Bermont, Juan-Pablo Pérez-Bedoya","doi":"10.1186/s12913-026-14591-2","DOIUrl":"https://doi.org/10.1186/s12913-026-14591-2","url":null,"abstract":"","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147761106","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":"Does gender affect access to and utilization of rehabilitation services for persons with amputations in Southern Ethiopia?","authors":"Fekadu Elias Sadamo, Cliona O'Sullivan, Andreas Wladis, Arne Henning Eide, Cornelia Anne Barth","doi":"10.1186/s12913-026-14565-4","DOIUrl":"https://doi.org/10.1186/s12913-026-14565-4","url":null,"abstract":"","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147761428","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":"Impacts of medical insurance payment reform (DRG) on public medical institutions: evidence from pilot cities in China.","authors":"Kan Wu, Hanhong Jiang, Rui Luo, ManLing Nie, Wenli Liu, Jay Pan","doi":"10.1186/s12913-026-14579-y","DOIUrl":"https://doi.org/10.1186/s12913-026-14579-y","url":null,"abstract":"<p><strong>Background: </strong>In 2019, China selected 30 cities to pilot diagnosis-related group (DRG) payment reforms nationwide. This study describes the impact of DRG payment reforms on medical expenses, service quality, and efficiency across public hospitals in these pilot cities.</p><p><strong>Methods: </strong>One reform pilot city served as the policy implementation group, whereas an adjacent city without DRG reform served as the control group. Data on the demographic and sociological characteristics of inpatients, hospitalization expenses, medical quality, and information from medical records and annual reports of public hospitals in both cities from 2016 to 2022 were collected. A difference-in-differences model was used to analyze the net policy effect of DRG payment reform on medical expenses, quality, and efficiency.</p><p><strong>Results: </strong>During the observation period in the pilot city, the implementation of DRG payment reform was associated with reduced total hospitalization costs (β = -0.191, p < 0.01), particularly the diagnostic examination (β = -0.276, p < 0.01) and treatment (β = -0.476, p < 0.01) costs. Concurrently, the reform was correlated with a shortened length of stay (β = -1.625, p < 0.01) and decreased antibiotic usage (β = -0.089, p < 0.01). Heterogeneity analysis further indicated that the cost containment effect was more pronounced in secondary hospitals than in tertiary hospitals while showing no significant differences in quality-of-care or efficiency metrics. These associations aligned with theoretical expectations; however, further research is warranted to account for potential confounding factors and elucidate the specific pathways of hospital behavioral adjustments to establish causal mechanisms.</p><p><strong>Conclusion: </strong>This study indicated that the DRG payment reform might encourage hospitals to optimize medical cost management and adjust the cost structure. However, its impact on improving medical quality and efficiency was relatively limited. Attention should be paid to the potential behavioral responses that may arise from changes in the medical insurance payment method. It is recommended that when implementing the DRG reform, hospitals should strengthen supporting measures, optimize the utilization of insurance funds, improve the diagnosis and treatment process, and continuously monitor the balance between nursing quality and service efficiency.</p>","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147761561","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":"Contextual and landscape analysis of team-based care practices for hypertension management in Ghana, West Africa.","authors":"Thomas Hinneh, Dzifa Ahadzi, Samuel Byiringiro, Faith E Metlock, Oluwabunmi Ogungbe, Cheryl R Dennison Himmelfarb, Lawrence Appel, Fred Stephen Sarfo, Yvonne Commodore-Mensah","doi":"10.1186/s12913-026-14604-0","DOIUrl":"https://doi.org/10.1186/s12913-026-14604-0","url":null,"abstract":"","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147761159","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":"Resilience amid conflict: a qualitative study of perspectives on the provision of and experience with sexual and reproductive health services during war.","authors":"Tamar Kabakian-Khasholian, Lara Abi Jaoude, Dalia El Chaar, Ghada E Saad, Sohayla El Fakahany, Stephen J McCall, Faysal El-Kak","doi":"10.1186/s12913-026-14541-y","DOIUrl":"https://doi.org/10.1186/s12913-026-14541-y","url":null,"abstract":"","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147760708","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":"The economic burden of KCNT1-related disorders in the United States: insights from caregiver-reported and EMR-derived data.","authors":"Amanda Abuhl, Brad Bryan, Megan Wright, Allison Rosenberg, Justin West, Sarah Drislane","doi":"10.1186/s12913-026-14590-3","DOIUrl":"https://doi.org/10.1186/s12913-026-14590-3","url":null,"abstract":"","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147761110","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":"Trends in growth hormone utilization in Korea: a nationwide study from 2019 to 2023.","authors":"Jeong-Yeon Kim, Yeryeon Jung, Dohee Ahn, Ji Eun Yun","doi":"10.1186/s12913-026-14557-4","DOIUrl":"https://doi.org/10.1186/s12913-026-14557-4","url":null,"abstract":"","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147761141","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":"Caregiver-delivered telehealth community-based rehabilitation in Jordan: a pilot quasi-experimental study of service feasibility and functional outcomes.","authors":"Megan Young, Rawan AlHeresh, Sana Abu-Dahab, Joy Ko, Tri Vo, Sarah Hillegass, Helina Samson, Hadeel R Bakhsh","doi":"10.1186/s12913-026-14577-0","DOIUrl":"https://doi.org/10.1186/s12913-026-14577-0","url":null,"abstract":"","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147761164","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}