BMC Health Services Research最新文献

{"title":"The self-perceived role of tech champions in municipal healthcare services-a descriptive qualitative study.","authors":"Sissel Pettersen, Hilde Eide, Anita Berg","doi":"10.1186/s12913-025-12994-1","DOIUrl":"10.1186/s12913-025-12994-1","url":null,"abstract":"","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"25 1","pages":"856"},"PeriodicalIF":2.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12220061/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144538204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Access to preventive health assessments for people with intellectual disability: a systematic scoping review informed by the Levesque Access Framework.","authors":"Maddison Eveleigh, Jodie Bailie, Alison Laycock, Sally Hall Dykgraaf, Paul Caltabiano, Bradley Shea, Nicholas Lennox, Kanchana Ekanayake, Ross Stewart Bailie","doi":"10.1186/s12913-025-13060-6","DOIUrl":"10.1186/s12913-025-13060-6","url":null,"abstract":"<p><strong>Introduction: </strong>Access to preventive care is essential for addressing the stark health inequities between people with intellectual disability and the general population. Despite evidence that structured annual preventive health assessments in primary care can support the delivery of evidence-based care to people with intellectual disability, their uptake remains low. This scoping review synthesises the literature examining the multiple dimensions of access to health assessments to identify the supply- and demand-side factors that are impacting on people with intellectual disability's access to them.</p><p><strong>Methods: </strong>This scoping review followed JBI methodology. We systematically searched six databases on 15 February 2024 for relevant peer-reviewed empirical research. Two independent reviewers completed full-text screening and extracted data, mapping it to Levesque and colleagues' theoretical framework of access, which incorporates supply-side features of health systems and services, and demand-side characteristics of consumers and populations.</p><p><strong>Results: </strong>Of the 1639 identified publications, 40 met the inclusion criteria, all originating from six high-income countries. Most of the published research focused on supply-side factors, such as the availability and promotion of assessments by health services, practitioners' views on their effectiveness; communication challenges; and the provision of reasonable adjustments. Less frequently included were demand-side factors such as communication challenges between the practitioners and the person with intellectual disability, the health literacy both of people with intellectual disability and their carers/supporters, and the level of involvement in, and engagement with, the process by carers/supporters.</p><p><strong>Conclusion: </strong>This review systematically assesses the supply and demand-side factors impacting on access to health assessments for people with intellectual disability. Supply-side factors are well-documented, and findings on these factors show some consistency across multiple reviews, including this one. There is a need for further research to explore the perspective of practitioners who do not currently offer health assessments. Demand-side factors remain less explored than supply-side factors and warrant further investigation and research is needed to understand the perspectives of people with disability who do not currently access health assessments.</p>","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"25 1","pages":"867"},"PeriodicalIF":2.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12218937/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144538083","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"AI-driven healthcare innovations for enhancing clinical services during mass gatherings (Hajj): task force insights and future directions.","authors":"Ala'a Alquayt, Ohoud Aljuhani, Abdullah F Alharthi, Rahaf Alqahtani, Anas Khan, Ahmed Al-Jedai, Abdulqader Almoeen, Mohammed Alshennawi, Hisham A Badreldin, Abdulrhman Aljouie, Lubna A Alnasser, Abdulmajeed M Alshehri, Mohammed Y Alzahrani, Haifa A Alhaidal, Raghad Alhajaji, Salman Alotaibi, Esraa Z Redhwan, Fahad Alharthi, Badr G Alghamdi, Khalid Al Sulaiman","doi":"10.1186/s12913-025-13045-5","DOIUrl":"10.1186/s12913-025-13045-5","url":null,"abstract":"<p><strong>Background: </strong>Due to the high complexity of healthcare during mass gatherings (MG), the integration of Artificial Intelligence (AI) might be crucial. AI can enhance healthcare delivery, improve patient care, optimize resources, and ensure efficient management of the large-scale healthcare demands during Hajj. This paper aims to provide an overview of AI utilization specifically during Hajj and explore the potential role of AI-driven tools in healthcare and clinical services provided to pilgrims.</p><p><strong>Methods: </strong>A task force was formed and included experts healthcare providers, AI specialists, and members from the Saudi Society for Multidisciplinary Research Development and Education (SCAPE Society), Saudi Critical Care Pharmacy Research (SCAPE) platform, Saudi Society of Clinical Pharmacy (SSCP), policymakers, and frontline healthcare practitioners involved in Hajj. The task force first agreed on the framework and voting system, then organized into teams to draft content for specific domains. Consensus was reached using a voting system requiring over 80% agreement, and all task force members reviewed and finalized the drafts. The selection of AI specialists, policymakers, and frontline healthcare practitioners for the task force was based on their expertise and relevance to healthcare during Hajj.</p><p><strong>Results: </strong>The task force identified key focus areas: (1) Patient Care: AI tools for predictive analytics, triage, resource management, and virtual healthcare. (2) Healthcare Providers: AI in medical imaging, care delivery, provider-patient communication, and training. (3) Operational Management: AI for healthcare documentation and reducing administrative burden. (4) Healthcare Systems: AI for early detection and automation during Hajj. The task force constructed ten statements to guide future initiatives.</p><p><strong>Conclusion: </strong>Expanding the role of AI in healthcare during MGs will help optimize healthcare outcomes and utilization. Concerns about AI ethics and data security need to be addressed. Additional data is needed to address the gaps in the literature regarding AI's applicability in healthcare services during MGs.</p>","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"25 1","pages":"876"},"PeriodicalIF":2.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12220523/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144538085","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing the gap between policy and practice: community health workers' contributions to nutrition services in Sub-Saharan Africa.","authors":"Akriti Singh, Mahamadou Mansour Ndiath, Djeinam Toure, Romance Dissieka, Lennie Kyomuhangi Bazira, Carolyne Wanyonyi, Rolf Dw Klemm","doi":"10.1186/s12913-025-13044-6","DOIUrl":"10.1186/s12913-025-13044-6","url":null,"abstract":"<p><strong>Background: </strong>Community health workers (CHWs) are the backbone of healthcare service provision in Africa, particularly in delivering critical health and nutrition services. Despite their pivotal role, there is limited understanding of the alignment between CHW responsibilities as defined in national policies and the actual nutrition services they provide. This study aimed to compare the nutrition-related responsibilities assigned to CHWs in national policies with the nutrition services CHWs report delivering to women and children in six Sub-Saharan African countries: Guinea, Mali, Niger, Côte d'Ivoire, Democratic Republic of Congo (DRC), and Kenya.</p><p><strong>Methods: </strong>We combined structured interviews with 735 CHWs from six countries with a document review of national CHW policies and training manuals to assess the alignment between policy and practice in nutrition service delivery.</p><p><strong>Results: </strong>The policy documents revealed notable differences in the CHW scope of responsibilities across the six countries. Training for CHWs was inconsistently documented across countries. Financial compensation for CHWs was mentioned in policy documents from five out of six countries, though the nature and amount of compensation varied significantly. Among the CHWs surveyed, a high percentage (68-84%) reported receiving financial compensation. Most CHWs provided promotional services but were more likely to dispense preventive and curative commodities for children (e.g., Vitamin A, deworming, oral rehydration solution, and Zinc) than women (iron-folic acid, intermittent preventive treatment for Malaria). Service provision was closely linked to the training received. Discrepancies were noted between policy-defined responsibilities and reported service delivery, particularly in growth monitoring and promotion and management of wasting.</p><p><strong>Conclusions: </strong>This study found a critical need for stronger alignment between policy directives and CHW training and service provision. By informing policy reforms, standardizing training, and guiding resource allocation, our findings can strengthen CHW programs and improve delivery of lifesaving nutrition interventions to women and children-particularly in remote and underserved communities.</p>","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"25 1","pages":"838"},"PeriodicalIF":2.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12211232/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144538089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bridging the digital divide: Understanding COVID-19 diagnostic and vaccination experiences in a socioeconomically disadvantaged neighborhood in Sweden.","authors":"Rathi Ramji, Dipak Surie, Stefan Cirovic, Margareta Rämgård, Sergey Shleev, Anders Kottorp","doi":"10.1186/s12913-025-13033-9","DOIUrl":"10.1186/s12913-025-13033-9","url":null,"abstract":"","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"25 1","pages":"870"},"PeriodicalIF":2.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12220538/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144538093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"Teamwork is needed\": care management of patients receiving haemodialysis through the eyes of their nurses - a qualitative study.","authors":"Cansu Kosar Sahin, Esin Sevgi̇ Doğan, Özden Dedeli̇ Çaydam","doi":"10.1186/s12913-025-12968-3","DOIUrl":"10.1186/s12913-025-12968-3","url":null,"abstract":"","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"25 1","pages":"843"},"PeriodicalIF":2.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12210582/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144538152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A patient survey on outpatient physiotherapy services in Nepal: service received, and patients' recommendations.","authors":"Nishchal Ratna Shakya, Nistha Shrestha, Gillian Webb, Hellen Myezwa, Biraj Man Karmacharya, Ann-Katrin Stensdotter","doi":"10.1186/s12913-025-13055-3","DOIUrl":"10.1186/s12913-025-13055-3","url":null,"abstract":"<p><strong>Background: </strong>A global rising burden of non-communicable diseases and disability increases the need of and demand on physiotherapy. In Nepal, knowledge is lacking about provision and utilisation of physiotherapy. This study aimed to explore patients' perception about physiotherapy and the service received at their outpatient physiotherapy clinic. The rationale was to understand the needs and identify areas of potential improvement in service delivery.</p><p><strong>Methods: </strong>A cross-sectional survey with closed and open-ended questions was performed in the Bagmati province of Nepal at 29 health-centres of 6 districts including 20 patients per facility (n = 580). Descriptive and regression analysis were performed for closed ended questions and thematic content analysis used for the open-ended questions.</p><p><strong>Results: </strong>Among patients receiving physiotherapy, 55.3% were females and 48.1% belonged to the upper caste or advantaged ethnic groups, 76.4% were referred by doctors and 76.6% were paying out of pocket. Musculoskeletal (80.7%) and neurological (29.1%) conditions were most common with some comorbidity. The most frequent interventions were electrotherapy and resistance training (≈ 65%). Accessibility was explained by educational level, urban / rural area and travel time. Affordability was explained by age, mode of payment and treatment duration. Age, educational level, and mode of payment likewise explained satisfaction. Patients' recommendations for improving physiotherapy were clustered on nine: satisfaction, availability, equipment, awareness, service improvement, human resources, affordability, adequate space and proper counselling.</p><p><strong>Conclusion: </strong>Based on the findings, Nepal should target political priorities including infrastructure, quality system for evidenced practice and clinical conduct, rural development and availability for the poor.</p>","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"25 1","pages":"839"},"PeriodicalIF":2.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12211125/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144538154","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring healthcare workers' perceptions and experiences regarding post-traumatic stress disorder after 2 years of the last global pandemic.","authors":"Maryam Khazaee-Pool, Tahereh Pashaei, Fereshteh Yazdani, Koen Ponnet","doi":"10.1186/s12913-025-13004-0","DOIUrl":"10.1186/s12913-025-13004-0","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;The adverse mental health consequences of the coronavirus epidemic for healthcare workers (HCWs) affect the quality of care and patient satisfaction; HCWs need to maintain good mental health during and after an epidemic, especially in low-income countries like Iran, where human resources in the health care sector are insufficient. The aims of this study are to explore the perceptions and experiences of healthcare workers regarding post-traumatic stress disorder (PTSD) after 2 years of the last Global Pandemic.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;We conducted the present study in Mazandarn province, Iran, using a qualitative approach based on conventional content analysis. Participants were Iranian healthcare workers (HCWs) aged 30 and above, all with a history of post-traumatic stress disorder (PTSD) symptoms. Eligible candidates were selected through both purposive sampling (with maximum variation) and snowball sampling to ensure diversity in demographic characteristics and lived experience of phenomena. Data were collected through in-depth, semi-structured interviews, continuing until data saturation was reached. The interviews were analyzed using MAXQDA10 software, following the conventional content analysis approach as outlined by Graneheim and Lundman.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Our analysis yielded five main themes and 18 categories: [1] Helplessness, including six categories: physical consequences, psychological reactions, feeling of guilt, job-related consequences, social consequences, and lack of support; [2] poor risk management, encompassing four categories: inadequate vocational skills training, poor anger management, low sense of security, and hazardous work environments; [3] life and death experience, with two categories: hopelessness about life and the future, and witnessing unexpected deaths; [4] seeking support, comprising three categories: social support, psychological support, and organizational support, and [5] self-care, involving three categories: personal responsibility for health, maintaining a healthy lifestyle, and building resilience against PTSD.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;Our findings reveal a concerning picture of the mental health status of Iranian HCWs, particularly regarding the impact of the most recent pandemic. Many participants reported significant symptoms of stress, depression, anxiety, and PTSD, all of which profoundly affect their overall well-being. The most prominent themes identified were feelings of helplessness, inadequate risk management, encounters with life-and-death situations, and insufficient support systems. Alarmingly, several HCWs expressed intentions to leave their current positions or exit the healthcare profession altogether. Such trends pose a serious threat to the stability of Iran's healthcare system. Consequently, proactive, solution-oriented strategies must be developed-both at the national level and in collaboration with international stakehol","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"25 1","pages":"861"},"PeriodicalIF":2.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12219579/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144538185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Global perspectives on challenges, coping strategies, and future preparedness of nursing home staff during COVID-19: a systematic review and meta-synthesis.","authors":"Xiu-Fen Yang, Jia-Yi Guo, Wei-Si Peng, Bing-Dong Wang, Chao-Ran Qv, Si-Jia Zhou, Rui Sun, Lulu Liao, Wei-Wei Zhang, Ling-Yan Liu, Lian-Chi Ren, Lin Zou, Shi-Hai Xu","doi":"10.1186/s12913-025-12926-z","DOIUrl":"10.1186/s12913-025-12926-z","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;The global public health crisis caused by COVID-19 in late 2019 was unprecedented. Due to their vulnerable population, nursing homes are a key epidemic response area. This study described the challenges and coping strategies of nursing home staff during COVID-19 and proposed recommendations for future public health crises in nursing homes.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Method: &lt;/strong&gt;A meta-synthesis was performed to address the research question: What are the experiences of nursing home staff from the perspectives of COVID-19? From the beginning until August 31, 2024, searches were conducted in five international databases (CINAHL, PubMed, Web of Science, PsycINFO, and the Cochrane Library) and three Chinese databases (CNKI, VIP, and Wanfang). Two reviewers used the Joanna Briggs Institute's (JBI) qualitative research checklist to evaluate each manuscript. The findings were synthesized using pragmatic meta-aggregators.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The meta-synthesis included 22 qualitative studies and four mixed studies, which including 906 participants was analyzed to identify 268 findings that were organized into 15 categories and combined into three syntheses. Three synthesized findings were identified: Challenges (sub-findings: challenges implementing epidemic prevention and control, resource shortage, negative emotions, inadequate departmental communication and coordination, lack of support, physical strain); coping strategies (sub-findings: role adaptation and redefinition, innovative solutions and technology, work organisation and cooperation, positive psychological service, seeking community and organisational support, Improving infection prevention awareness), and suggestions for future preparedness (sub-findings: Enhancing communication and decision-making in response to COVID-19 changes, Optimizing material supply channels and physical space, and increasing medical related team and training).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion(s): &lt;/strong&gt;This study focuses on the COVID-19 experiences and coping strategies of nursing home staff. Key coping strategies include role transition and redefinition, with staff taking on additional tasks to ensure ongoing diagnosis and treatment; innovative concepts and technologies, such as remote healthcare and digital tools, reduce the risk of infection; and strengthening collaboration and cooperation, improving efficiency, and decreasing employee workload. Mental health services and social support can alleviate stress and promote health. Maintaining optimism among staff members necessitates community and organisational support, resources, and effective communication. The findings of this study have implications for nursing home practices and policies. Sanatoriums require PPE, medical supplies, and trained personnel. Encourage system and organisational transformation. Emergency preparedness and flexible workforce initiatives enhance organisational adaptability. Increase infection prevention awar","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"25 1","pages":"872"},"PeriodicalIF":2.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12217812/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144538189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Long-term trends in specialized outpatient health care utilization: an analysis in the context of a primary health care reform.","authors":"Hannes Kohnke, Andrzej Zielinski, Anders Beckman, Henrik Ohlsson","doi":"10.1186/s12913-025-12924-1","DOIUrl":"10.1186/s12913-025-12924-1","url":null,"abstract":"","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"25 1","pages":"879"},"PeriodicalIF":2.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12220664/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144538196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}