BMC Health Services Research最新文献

{"title":"Why do female sex workers disengage from targeted reproductive and sexual health services? Experiences from the Sisters with a Voice programme in Zimbabwe.","authors":"Fortunate Machingura, Thomas Hartney, Galven Maringwa, Jasper Maguma, Sikhululiwe Mkwananzi, Rumbidzai Chipwere, Tariro Chinozvina, Primrose Matambanadzo, Gracious Madimutsa, Memory Makamba, Jeffrey Dirawo, M Sanni Ali, Sarah Bourdin, Triantafyllos Pliakas, Amon Mpofu, Owen Mugurungi, Brian Rice, Andrew Phillips, James R Hargreaves, Frances M Cowan","doi":"10.1186/s12913-025-12870-y","DOIUrl":"https://doi.org/10.1186/s12913-025-12870-y","url":null,"abstract":"","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"25 1","pages":"915"},"PeriodicalIF":2.7,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144558973","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":"Assessment of quality of maternal and newborn care and its determinants: a national study of primary health care facilities in Nigeria.","authors":"Toluwani Oluwatola, Saheed Dipo Isiaka, Oluomachukwu Omeje, Folake Oni, Olugbemisola W Samuel, Sidney Sampson, Hilda Ebinim, Oluwadamilare Olatunji, Oluwafisayo Ayodeji, Dolapo Ajibola, Stallone Ngobua, Oluwafunmilayo Dehinbo, Helen Ukoh, Leyira Ken-Aminikpo, Segun Adenipekun, Hilary I Okagbue","doi":"10.1186/s12913-025-12957-6","DOIUrl":"https://doi.org/10.1186/s12913-025-12957-6","url":null,"abstract":"<p><strong>Background: </strong>Reducing the global burden of maternal morbidity and mortality necessitates focusing on the quality of maternal and newborn care (MNC). This study aimed to assess the quality of MNCs among 25,840 public primary healthcare centers (PHCs) across Nigeria, analyze subnational variations, and determine the influence of contextual variables on the quality of care (QoC) by PHCs.</p><p><strong>Methods: </strong>Data from a nationwide PHC assessment conducted in 2022 were utilized to create the composite index of care for PHC facilities in Nigeria. Summary statistics were then generated for the composite of care scores across PHC facilities. Subnational differences in QoC among the 36 states and the Federal Capital Territory and the influence of four contextual variables (Basic Health Care Provision Fund-status of PHC, activity of ward development committees, implementation of quality improvement plan, and activity of facility management committees) on QOC were determined using a one-way analysis of variance and multiple linear regression respectively.</p><p><strong>Results: </strong>PHCs in Nigeria had QoC scores ranging from 0.06-4.0 and a mean QoC score of 2.07. There were significant variations in the mean PHC facility QoC across states, with Katsina and Ondo states having the lowest (1.35) and highest (2.98) QoC, respectively. The regression model showed that the contextual variables analyzed accounted for 31.5% of the variation in QoC, with varying statistically significant relationships with the QoC.</p><p><strong>Conclusion: </strong>The quality of maternal and newborn healthcare in Nigeria's PHC facilities is unsatisfactory, with noticeable subnational variation in the QoC. To achieve significant improvements in the quality of care provided by PHC facilities in the country, targeted interventions, such as empanelment of more PHCs as BHCPF facilities, strengthening implementation of quality improvement plans and strengthening activities of ward development committees, and facility management committees, are required to improve the quality of maternal and newborn care, and reduce maternal and infant mortality rates.</p>","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"25 1","pages":"921"},"PeriodicalIF":2.7,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144558875","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":"Day care and inpatient cataract patient satisfaction with in-patient services at a Jiangsu public tertiary A hospital.","authors":"Jun Zhang, Dong Zhou, Jie Zhu, Jinye Zhu, Xi Zou, Zhinan Liu, Guohua Deng","doi":"10.1186/s12913-025-13027-7","DOIUrl":"https://doi.org/10.1186/s12913-025-13027-7","url":null,"abstract":"","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"25 1","pages":"906"},"PeriodicalIF":2.7,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144558877","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":"Gender differences in health-seeking behaviour: insights from the National Health and Morbidity Survey 2019.","authors":"Devi Shantini Rata Mohan, Suhana Jawahir, Adilius Manual, Nur Elina Abdul Mutalib, Sarah Nurain Mohd Noh, Iqbal Ab Rahim, Jabrullah Ab Hamid, Awatef Amer Nordin","doi":"10.1186/s12913-025-13020-0","DOIUrl":"https://doi.org/10.1186/s12913-025-13020-0","url":null,"abstract":"<p><strong>Background: </strong>Health-seeking behaviour involves actions taken by individuals who feel unwell to seek remedies and varies based on cognitive and non-cognitive factors like sex, age, socioeconomic status, and access to healthcare. Gender roles significantly impact health outcomes with the COVID-19 pandemic further accentuating the gender disparity in public health compliance. Using secondary data from a national health survey, this article aims to assess the gender-based characteristics and factors influencing health-seeking behaviour among the population in Malaysia.</p><p><strong>Methods: </strong>This study was a secondary data analysis of the NHMS 2019, a cross-sectional national health survey using Andersen's Behavioural Model. It evaluated factors influencing self-medication and treatment-seeking based on socio-demographics, enabling conditions, and perceived health needs. Descriptive statistics and logistic regression models were conducted to identify factors influencing health-seeking behaviour among men and women.</p><p><strong>Results: </strong>This study analysed the health-seeking behaviours of 10,933 Malaysian adults, representing 19.7 million people. The overall prevalence of sickness was 16.1% (95% CI = 14.8-17.4), with higher rates in women (18.1%; 95% CI = 95% CI = 16.3-19.9). Among those who were sick, 56.4% (95% CI = 52.9-60.0) sought professional treatment while 23.0% (95% CI = 19.8-26.2) self-medicated. Regression analysis showed that urban women and those rating their health poorly were more likely to seek professional care, while Chinese, those with no formal education, and retiree women were more likely to self-medicate. Among males, those with long-term condition are more likely to seek treatment while students were less likely to self-medicate compared to private employees.</p><p><strong>Conclusion: </strong>The study reveals significant gender and sociodemographic disparities in health-seeking behaviour amongst Malaysian men and women. The factors that influence these health-seeking behaviour is unique for each gender. This emphasises the importance of targeted interventions which are gender-sensitive to address structural inequities and achieve equitable healthcare utilisation across all demographic groups in Malaysia.</p>","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"25 1","pages":"900"},"PeriodicalIF":2.7,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144558885","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":"Determinants of implementation of child-parent psychotherapy to treat early childhood trauma: a reflexive analysis.","authors":"Silje Marie Haga, Heidi Jacobsen, Thomas Engell","doi":"10.1186/s12913-025-12937-w","DOIUrl":"https://doi.org/10.1186/s12913-025-12937-w","url":null,"abstract":"","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"25 1","pages":"907"},"PeriodicalIF":2.7,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144558878","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":"Differences in cause-specific mortality between healthcare workers and all other employees in Lithuania, 2011-2019.","authors":"Povilas Kavaliauskas, Domantas Jasilionis, Audrius Dulskas, Evaldas Kazlauskas, Giedre Smailyte","doi":"10.1186/s12913-025-13006-y","DOIUrl":"https://doi.org/10.1186/s12913-025-13006-y","url":null,"abstract":"","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"25 1","pages":"914"},"PeriodicalIF":2.7,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144558879","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":"Exploring the link between healthcare organizational culture and provider work satisfaction: a systematic review.","authors":"Muhammad Ridzwan Rafi'i, Shahrul Azhar Md Hanif, Faiz Bin Daud","doi":"10.1186/s12913-025-12973-6","DOIUrl":"https://doi.org/10.1186/s12913-025-12973-6","url":null,"abstract":"<p><strong>Background: </strong>Organizational culture and work satisfaction are fundamental domains important for a good working environment and are closely linked to employees' work performance and well-being in healthcare environments. Although organizational culture is critical, research on how and what domains affect work satisfaction in the healthcare sector remains scattered. By combining the literature, this review will offer significant insights into which factors significantly influence work satisfaction in the healthcare sector. It will also map the literature on this subject, identifying key patterns, gaps, and inconsistencies that can direct future research directions.</p><p><strong>Methods: </strong>Our review complied with the Systematic Review and Meta-Analysis Statement's Preferred Reporting Items. This review used three databases for the literature search (PubMed, Scopus, and Web of Science). The literature search focused on more recent published studies between 2014 and 2024, and the search was conducted in November 2024. Two authors evaluated the bias of studies using a risk of bias template, a critical appraisal tool for use in JBI Systematic Reviews, to assess the risk of bias and the paper's quality. Studies were analyzed and compiled based on the classification of work satisfaction and the direction of the relationship.</p><p><strong>Results: </strong>Six themes of value related to organizational culture were formulated among the included studies to synthesize their associations with work satisfaction. The themes tied to organizational culture were 1) continuous communication, 2) organizational leadership, 3) teamwork, 4) employee involvement in decision-making, 5) employee recognition, and 6) autonomy.</p><p><strong>Conclusion: </strong>Implementing strategies tailored to each theme may increase work satisfaction, foster improved organizational performance, increase retention, and improve the quality of patient care. This may serve as a crucial element in forthcoming healthcare system reforms, aiming to harmonize the requirements of providers and recipients alike.</p>","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"25 1","pages":"904"},"PeriodicalIF":2.7,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144558884","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 a training program for community health officers on neurological disorders: insights from the Karnataka brain health initiative.","authors":"Mohammed Farhan Ansari, Deenadayalan Boopalan, Ganagarajan Inbaraj, Sarath Govindaraj, Rajani Parthasarathy, Girish N Rao, Rehan Shahed, Faheem Arshad, Suvarna Alladi","doi":"10.1186/s12913-025-12549-4","DOIUrl":"https://doi.org/10.1186/s12913-025-12549-4","url":null,"abstract":"<p><strong>Background: </strong>Neurological disorders pose a substantial burden on India's healthcare system, contributing significantly to disability and mortality. In rural areas, where access to specialists availability is limited, Community Health Officers (CHOs) play a crucial role in bridging the gap in care. However, the lack of structured training programs for CHO's in neurological disorder management highlights an urgent need for targeted capacity-building interventions. This study evaluates the impact of a structured training program on the knowledge and skills of CHOs in managing common neurological disorders under the Karnataka Brain Health Initiative (KaBHI).</p><p><strong>Methods: </strong>The quasi-experimental study was conducted across three districts in Karnataka-Chikkaballapura, Kolar, and Bengaluru South. A total of 295 CHOs participated in a two-hour training program delivered by expert neurologists, covering headache, epilepsy, stroke, and dementia through lectures, discussions, and case-based scenarios. Pre- and post-training knowledge assessments using a standardized multiple-choice questionnaire evaluated the program's impact. Feedback from participants was collected to assess training quality.</p><p><strong>Results: </strong>Of the 295 participants, 280 completed both pre- and post-training assessments. Significant improvements were observed in knowledge scores across all disorders, with a mean score increase from 57.46 ± 16.4 to 75.79 ± 12.9 (mean difference: 18.3, p<0.001). The program was effective regardless of prior clinical experience, indicating its adaptability. Feedback highlighted high satisfaction with the training's structure, content, and delivery.</p><p><strong>Conclusion: </strong>This study provides strong evidence that structured training programs can significantly enhance CHOs' ability to diagnose and manage neurological disorders, particularly in resource-limited settings. Beyond immediate knowledge gains, these findings highlight the broader potential for integrating similar capacity-building initiatives for neurological care into national healthcare programs, such as the Ayushman Bharat Mission and Health and Wellness Centers (HWCs). By equipping frontline healthcare providers with specialized skills, such programs can improve early diagnosis, facilitate timely intervention, and enhance patient outcomes, ultimately reducing the burden of neurological disorders at the primary care level. Future phases of KaBHI, implemented state-wide, will focus on ensuring long-term sustainability by refining and expanding this training model to address a wider range of neurological conditions and strengthening its integration into primary healthcare frameworks.</p>","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"25 1","pages":"924"},"PeriodicalIF":2.7,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144558912","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":"Changes and backlogs in the provision and utilization of essential health services in Afghanistan during and after the COVID-19 pandemic.","authors":"Narges Neyazi, Ali Mirzazadeh, Abdul Ghani Ibrahimi, Ahmad Mirwais Ahmadzai, Jamshed Ali Tanoli","doi":"10.1186/s12913-025-13093-x","DOIUrl":"https://doi.org/10.1186/s12913-025-13093-x","url":null,"abstract":"<p><strong>Introduction: </strong>Afghanistan is a low-income country where providing essential healthcare services is lifesaving for millions. The COVID-19 pandemic, the government and the international aid changes have affected the overburdened and fragile health system and put a risk on universal health coverage in Afghanistan. In this study, we aim to study the changes and backlogs to the essential health services during and after COVID-19 pandemic (Feb 2020 to Sep 2022) in Afghanistan.</p><p><strong>Method: </strong>A cross-sectional study of health facilities was conducted in nine provinces of Afghanistan. A randomly selected 165 public and private primary care centers and hospitals in 49 districts were studied. A WHO standardized questionnaire was used for this survey. Trained staff met the facility managers in person and completed the questionnaire by individual interviews during September 2022.</p><p><strong>Result: </strong>Hospitals located mostly in urban areas (n = 39, 65%) and clinics were located mostly in rural areas (n = 74, 71.1%) and governed by the government and the NGOs (76.6% of hospitals and 84.7% of clinics). The average number of staff per facility was 118 (SD = 180) for hospitals and 16(SD = 7) for clinics. 27 (46.5%) of hospitals and 44 (41.9%) of clinics reported that they experienced a higher outpatient service utilization in the previous month, compared to the month before. nearly half of the backlogs during the pandemic were related to routine preventive services such as annual check-ups antenatal care, and childhood immunization (55.0% for hospitals, and 45.7% for clinics). prioritizing high risk patients (86.7%), promoting self-care interventions wherever appropriate (75.0%), redirecting patients to alternative healthcare facilities (73.3%), providing all care in a single visit for multiple morbidities (60.0%), and providing home-based care for certain patients (58.3%) in hospitals. However, the most used strategies in clinics were prioritizing high risk patients (93.3%), redirecting patients to alternative healthcare facilities (75.2%), and providing home-based care for certain patients (66.7%).</p><p><strong>Conclusion: </strong>The pandemic exacerbated existing health inequities and hindered progress toward Universal Health Coverage (UHC). Health facilities employed various strategies to cope with the disruptions, such as prioritizing high-risk patients, promoting self-care, and redirecting patients to alternative facilities. However, the increased cost of transportation and health services, along with limited availability of medicines, remained significant barriers to healthcare access.</p>","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"25 1","pages":"923"},"PeriodicalIF":2.7,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144558876","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":"Dignified care and associated factors among adult patients admitted to Jimma Medical Center, south west Ethiopia, 2023.","authors":"Midhagsaa Dhinsa Kitila, Abiru Neme Negewo, Asresu Feleke Bate, Birhanu Muleta Bayecha, Birhanu Wogane Ilala, Merga Garoma Jatu, Misganu Diriba Olana, Mesfin Beharu Deme","doi":"10.1186/s12913-025-12995-0","DOIUrl":"https://doi.org/10.1186/s12913-025-12995-0","url":null,"abstract":"<p><strong>Background: </strong>Dignified care is treating patients as being of worth in a respectful way, considering them as valued individuals. It enhances overall patient well-being, satisfaction, psychological comfort, and confidence. Even though necessary, little is known about dignified care in Ethiopia, particularly in Jimma. Analyzing dignified care helps healthcare providers and program managers to design better strategies. Therefore, this study assesses dignified care and associated factors among adult patients admitted to Jimma Medical Center in Oromia Regional State, southwestern Ethiopia.</p><p><strong>Methods: </strong>A facility-based, cross-sectional study design was employed among 422 patients. A simple random sampling technique was utilized to recruit study participants. The magnitude of dignified care was assessed through interviewer-administered structured tools. Binary and multivariable logistic regression was conducted to identify factors associated with dignified care; a P-value < 0.05 at 95% CI was used to declare a statistically significant association.</p><p><strong>Results: </strong>The finding revealed that 50.90% (95% CI: 45.97-55.75%) of patients had adequate dignified care. Good care provider-patient relationships [AOR = 2.92; 95% CI (1.79-4.75); p < 0.001], having primary education [AOR = 4.87; 95% CI (1.34-17.76); p = 0.016], being female [AOR = 0.18; 95% CI (0.11-0.30); p < 0.001], living in rural areas [AOR = 0.45; 95% CI (0.21-0.96]; p = 0.049] and being 18-24 years old [AOR = 3.48; 95% CI (1.48-8.15); p = 0.004] were statistically associated with dignified care.</p><p><strong>Conclusion: </strong>Nearly half of the study participants received adequate dignified care. Much more is expected from the local administration, healthcare providers, program managers, and community to address the gaps seen in the area of therapeutic relationships, educational level, gender effects, living conditions, and developmental age-related issues, as all of them highly decide the level of dignified care.</p>","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"25 1","pages":"916"},"PeriodicalIF":2.7,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144558880","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}