BMC Health Services Research最新文献

{"title":"How can a community of practice support healthcare professionals navigating new roles? a case study of genetic counsellors employed to work in medical specialities.","authors":"Trang Thu Do, Alison McEwen, Melissa Martyn, Clara Gaff, Belinda Dawson-McClaren","doi":"10.1186/s12913-025-12440-2","DOIUrl":"https://doi.org/10.1186/s12913-025-12440-2","url":null,"abstract":"<p><strong>Background: </strong>Communities of Practice (CoPs) have been implemented in healthcare settings to enhance knowledge translation and facilitate the implementation of new practices. However, their role in supporting healthcare professionals transitioning to new environments remains under-researched. This study examines a CoP designed for genetic health professionals in Australia who were employed to support the integration of genomics in medical specialities. Informed by the i-PARIHS framework, we explore how the facilitation of a CoP external to the implementation setting can support health professionals implementing innovative practices.</p><p><strong>Methods: </strong>Data was collected through qualitative interviews with 14 genetic counsellors participating in the CoP through different stages of their new roles, 35 discussion and reflection logs, and workshop and meeting notes. Thematic analyses were carried out to capture the patterns and process of facilitation performed by this CoP, resulting in five overarching themes.</p><p><strong>Results: </strong>Participants highlighted the unique role of the CoP in forging peer connection and providing emotional support in new environments with a high degree of uncertainty and limited peer support. Through CoP sessions and associated professional development workshops, they benefited from ongoing knowledge acquisition about good practices and innovations. The CoP served as an effective space for identifying and solving problems collectively or escalating emergent issues. Additionally, the CoP helped participants build inter-personal skills to overcome relational challenges and improved communication with non-genetic colleagues about genomics. Critical reflection emerged as both a practice and an impact of the CoP, enabling participants to redefine their roles and adopt future-oriented thinking for the genetic counselling profession.</p><p><strong>Conclusion: </strong>The collaborative environment fostered by the CoP offered significant benefits to genetic professionals, facilitating their transition to new practice settings and supporting essential knowledge and skill development crucial for their success in introducing genomics in speciality patient care.</p>","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"25 1","pages":"314"},"PeriodicalIF":2.7,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143498795","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":"Is non-conveyance solo-ambulances a useful mean to meet the increasing demand for emergency medical services in Denmark?","authors":"Frederikke Amalie Møller, Mads Lillethorup Persson, Elisabeth Larsen Engholm, Penille Horsbøl Kirkegaard Jensen, Ulla Vaeggemose, Tine Bennedsen Gehrt","doi":"10.1186/s12913-025-12448-8","DOIUrl":"https://doi.org/10.1186/s12913-025-12448-8","url":null,"abstract":"<p><strong>Background: </strong>The growing demand for acute medical assistance creates an increasing pressure on emergency medical services (EMS) and emergency departments. This calls for initiatives to prevent avoidable admissions. A novel non-conveyance solo-ambulance was introduced in the Central Denmark Region; the Prehospital Visitation Unit (PVU). We investigated patient characteristics and prehospital management by the PVU, while exploring employee perspectives on the implementation process and how they perceived their expanded role and responsibilities working with the PVU.</p><p><strong>Methods: </strong>This mixed-methods study had a convergent parallel design. Patient data was collected on all patients assessed by the PVU between April 1st 2022 and April 1st 2023. Furthermore, 19 semi-structured interviews with paramedics, EMS dispatchers and technical dispatchers partaking in the operation of the PVU were conducted. Interviews were analyzed using thematic analysis with an inductive approach, drawing on principles from grounded theory.</p><p><strong>Results: </strong>Throughout the study period, the PVU served 1510 patients (median age: 60, IQR: 33-77). Among these, 83.6% were assigned an urgency level B, indicating acute, but not life-threatening, situations. Patients presented with a broad range of complaints, including a high number of patients with non-specific complaints. Paramedics completed treatment on-scene for 29.1% of all patients, spending a median time of 49 min (IQR: 33-64) on-scene. In the interviews, four themes were identified: (1) The implementation strategy had gaps, but was supported by ongoing adjustments, (2) Facilitating a patient-centered approach for the benefit of the patient and the system, (3) Community partnership and internal collaboration enabled paramedics as healthcare facilitators, and (4) Flexible workflows were needed to maintain professional agency.</p><p><strong>Conclusions: </strong>The PVU seems to offer a valuable alternative within the EMS, particularly for patients with non-specific complaints and conditions manageable at a lower level of care. Strong collaboration allowed paramedics to take on a facilitating role, creating appropriate pathways and providing patient-centered care. However, for successful implementation, ongoing adjustments were required, particularly in maintaining the professional autonomy of the healthcare professionals. As prehospital EMS increasingly respond to non-acute medical needs, initiatives like the PVU can play an important role in meeting growing demands.</p>","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"25 1","pages":"307"},"PeriodicalIF":2.7,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143498805","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 barriers to accessing antenatal care at the primary health care center level of a tertiary hospital in Lebanon: a qualitative study.","authors":"Carla El Alam, Linda Abou-Abbas, Mohamad Shafic Ramadan, Michèle Kosremelli Asmar","doi":"10.1186/s12913-025-12444-y","DOIUrl":"10.1186/s12913-025-12444-y","url":null,"abstract":"<p><strong>Background: </strong>Access to antenatal care (ANC) is vital for improving maternal and neonatal outcomes. However, barriers to ANC remain a challenge, particularly in resource-limited settings such as Lebanon. This study examines the barriers pregnant women in Lebanon face when accessing ANC at a primary healthcare center (PHCC) in a public tertiary hospital located in Beirut, Lebanon.</p><p><strong>Methods: </strong>This qualitative study explored the perspectives of 17 pregnant women receiving ANC at the Rafic Hariri University Hospital (RHUH) PHCC. Semi-structured interviews were conducted to gather in-depth insights into their experiences with ANC services. Verbatim transcripts of the interviews were analyzed using an inductive-deductive thematic approach, identifying several barriers to ANC at the PHCC level. Levesque's framework was used to identify key barriers to antenatal care across five dimensions of access, providing a structured approach to understanding challenges in service utilization at the study site.</p><p><strong>Results: </strong>The key barriers to accessing ANC services identified in the study include cultural influences, inadequate health literacy, and financial constraints, which delayed care-seeking and fostered mistrust between pregnant women and healthcare providers. Systemic inefficiencies such as long wait times, overcrowding, and poorly organized appointment processes further limited accessibility, while discrimination and communication barriers reduced engagement in care. Additionally, logistical challenges like time constraints, transportation issues, and staff shortages exacerbated by employee strikes, along with the ongoing economic crisis, affected both the affordability and quality of ANC services at RHUH.</p><p><strong>Conclusion: </strong>Improving health literacy, streamlining service delivery, and enhancing patient-provider communication are key recommendations. Future efforts should focus on strengthening financial support, addressing logistical barriers, and regularly updating strategies to adapt to evolving challenges, ensuring equitable access to maternal care.</p>","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"25 1","pages":"304"},"PeriodicalIF":2.7,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143490578","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":"Development of a self-management behavior assessment scale for liver cancer patients from ethnic minorities.","authors":"Beijia Liu, Jun Chen, Xue Zhao, Qian Gui, Ying Lin, Bingrong He, Lixia Zhang, Lijuan Feng, Yin Zhang, Anyun Yu, Meiling Liu, Xiaoli Tang, Guiyu Huang","doi":"10.1186/s12913-025-12272-0","DOIUrl":"https://doi.org/10.1186/s12913-025-12272-0","url":null,"abstract":"<p><strong>Background: </strong>Liver cancer poses significant health challenges worldwide, particularly for ethnic minority populations, who often face barriers such as cultural differences, limited health literacy, and inadequate access to healthcare, contributing to poorer self-management and treatment outcomes. Existing self-management tools do not adequately address the unique needs of ethnic minority liver cancer patients, necessitating the development of a culturally tailored assessment scale.</p><p><strong>Methods: </strong>Grounded in the Health Belief Model, this study developed a self-management behavior assessment scale specifically for ethnic minority liver cancer patients. The scale was constructed using a comprehensive literature review, semi-structured qualitative interviews with 11 ethnic minority liver cancer patients, and two rounds of expert consultation via the Delphi method. The initial item pool was refined through expert input to ensure relevance and cultural sensitivity.</p><p><strong>Results: </strong>Through literature review and semi-structured qualitative interviews with 11 ethnic minority liver cancer patients, four key dimensions were identified: health behavior management, disease perception and cognition, psychological and emotional regulation, and information acquisition and decision-making participation. These dimensions and items were further refined through two rounds of expert consultation using the Delphi method, ensuring the scale's cultural relevance and content validity. As a result, a self-management behavior assessment scale was developed, consisting of four dimensions and 31 items tailored to the specific needs of ethnic minority liver cancer patients.</p><p><strong>Conclusion: </strong>This newly developed scale provides a culturally sensitive tool to assess self-management behaviors in ethnic minority liver cancer patients. It has the potential to enhance patient care by identifying culturally specific barriers to effective self-management. Further research is needed to validate the scale's reliability and applicability in broader patient populations.</p>","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"25 1","pages":"315"},"PeriodicalIF":2.7,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143498773","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":"What influences the people's trust on public healthcare system in Bihar, India? A mixed methods study.","authors":"Atul Kumar, Edukondal Palle, Prakash Babu Kodali, Kavumpurathu Raman Thankappan","doi":"10.1186/s12913-025-12395-4","DOIUrl":"https://doi.org/10.1186/s12913-025-12395-4","url":null,"abstract":"<p><strong>Background: </strong>Lack of trust in healthcare systems results in underutilization, non-adherence to medications, poor healthcare outcomes, and catastrophic health expenditure. Literature on people's trust on public health care system is limited in India. This study aims to examine the people's trust in public healthcare system in Bihar and explore the factors influencing it.</p><p><strong>Methods: </strong>We conducted the study employing a sequential explanatory design. A door-to-door survey of 360 adults (mean age 45 years, men 65%) selected through multi-stage random sampling from two districts of Bihar was conducted employing \"public healthcare system trust scale\". It was followed up with 16 in-depth interviews of purposively selected respondents with a low-level of trust. Survey data were analyzed using binary logistic regression analysis and adjusted odds ratios (AOR) were computed. Qualitative interviews were analyzed employing thematic analysis.</p><p><strong>Results: </strong>Majority of the participants (76.1%; 95% CI = 71.5-80.3) had low level of trust in public healthcare system, and 27.2% (CI = 22.8-32.0) preferred public healthcare service providers. Younger age of up to 45 years (AOR = 5.68, 95% CI = 2.61-12.37, p < 0.001), residing in East Champaran district (AOR = 7.61, 95%CI = 3.67-15.77, p < 0.001), and suffering from chronic disease (AOR = 2.47, 95% CI = 1.09-5.61, p = 0.037) were significantly more likely to report a low-level of trust in public healthcare system. Thematic analysis yielded six themes namely i) inadequacy of health services, ii) poor quality of services, iii) poor health systems process and management, iv) lack of trust building dialogue, v) previous negative experiences with public facilities and, vi) corona virus disease (COVID)-19 eroding trust on healthcare system.</p><p><strong>Conclusion: </strong>People's trust on public healthcare system in Bihar is low. Public health care system in the state needs to improve focusing on adequacy, quality, health system process and management and trust building dialogue.</p>","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"25 1","pages":"309"},"PeriodicalIF":2.7,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143498725","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":"Comprehensive evaluation of technical support capacity for occupational disease surveillance and assessment of CDCs in Sichuan Province, China.","authors":"Yumin Li, Xia Li, Li Lin, Enfei Jiang","doi":"10.1186/s12913-025-12451-z","DOIUrl":"https://doi.org/10.1186/s12913-025-12451-z","url":null,"abstract":"<p><strong>Background: </strong>When the health administration department re-assumed the responsibilities for occupational safety and health supervision and management in 2018, the Chinese government allocated special funds annually to the Centers for Disease Control and Prevention (CDCs) at all levels to enhance their capacity to monitor occupational diseases and hazardous factors. Thus, the CDCs' technical support capacity for occupational disease surveillance and assessment (TSCODSA) has garnered increasing attention. Against this backdrop, we aimed to develop a comprehensive evaluation model to assess the CDCs' TSCODSA, taking the municipal and county-level CDCs in Sichuan Province as an example.</p><p><strong>Methods: </strong>In 2023, a survey was conducted on the municipal and county-level CDCs across 21 cities (including three autonomous prefectures) in Sichuan Province. Technique for Order Preference by Similarity to an Ideal Solution (TOPSIS) was used to evaluate the TSCODSA of these CDCs, combined with the Rank Sum Ratio (RSR) method for classification. The obstacle degree model was used to analyze the primary factors influencing their capacity.</p><p><strong>Results: </strong>Among the 21 cities of Sichuan Province, only 4 cities (19.05%) had a \"good\" rating for the TSCODSA, while the remaining 17 cities (80.95%) were classified as either \"medium\" or \"poor\". Cities with \"good\" ratings for the TSCODSA of CDCs were predominantly concentrated in the Chengdu Plain Economic Zone, while cities with \"poor\" ratings were mainly concentrated in the Northeast Sichuan Economic Zone. Obstacle degree analysis revealed that core capacity building and human resources constitute significant barriers impacting the capacity levels of CDCs across cities.</p><p><strong>Conclusion: </strong>The overall TSCODSA level of CDCs in Sichuan Province is relatively low, with pronounced disparities in support capability across different economic zones, indicating imbalanced development. The evaluation system proposed in this study effectively reflects the level of TSCODSA of CDCs in various cities of Sichuan Province.</p>","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"25 1","pages":"301"},"PeriodicalIF":2.7,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143490573","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 factors influencing the timely intravitreal anti-VEGF treatment in patients with diabetic macular edema: a qualitative interview study using the COM-B model.","authors":"Shu Li, Jiani Pan, Yan Xu, Zhengyue Dai, Qiong Fang","doi":"10.1186/s12913-025-12379-4","DOIUrl":"https://doi.org/10.1186/s12913-025-12379-4","url":null,"abstract":"<p><strong>Purpose: </strong>To explore the factors influencing the untimely receipt of intravitreal anti-vascular endothelial growth factor (VEGF) injections in patients with diabetic macular edema (DME), based on the capability, opportunity, and motivation-behavior (COM-B) model.</p><p><strong>Design: </strong>An exploratory qualitative study was conducted with semi-structured interviews with DME patients who had received at least one injection of anti-VEGF therapy within one year. The COM-B model was utilized to guide both data collection and analysis.</p><p><strong>Results: </strong>Themes and subthemes were identified. Psychological capability for timely intravitreal anti-VEGF treatment included lack of relevant knowledge and choice of more convenient treatments. Social opportunity included no mention of intravitreal anti-VEGF therapy and effective doctor-patient communication; physical opportunity included unavailability of anti-VEGF and high treatment costs. Reflective motivation included lack of confidence in the efficacy and unmet expectations; automatic motivation included fear of injections, and fear of blindness.</p><p><strong>Conclusion: </strong>This study identified the facilitators and barriers that influenced the timely intravitreal anti-VEGF injections, which lays the foundation for the development of future interventions.</p>","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"25 1","pages":"302"},"PeriodicalIF":2.7,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143490628","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":"Developing a comprehensive model of home-based long-term care for older people in Iran: a multi-method study.","authors":"Khorshid Mobasseri, Shabnam Ghasemyani, Rahim Khodayari-Zarnaq, Ahmad Kousha","doi":"10.1186/s12913-025-12434-0","DOIUrl":"10.1186/s12913-025-12434-0","url":null,"abstract":"<p><strong>Introduction: </strong>With the increasing aging population, the demand for care that fosters independence in older adults is rising. Complications from hospitalization and the preference for aging in place highlight the need for geriatric home care systems. This study aims to develop a comprehensive home-based care model specifically for Iranian seniors and evaluate its feasibility.</p><p><strong>Methods: </strong>This study employed a multi-phase approach in Iran. It began with a mixed-methods analysis, including a survey on caregiver reliance, followed by qualitative interviews to identify challenges in home care services. Phase 2 involved a scoping review of home care frameworks from various countries. In Phase 3, an initial model was created based on previous findings and relevant documents in Iran. In the fourth phase, feedback was gathered from an expert panel selected through purposive sampling, with discussions recorded and concluding at saturation. The feedback was then integrated into the final model. Additionally, in a Delphi study, experts evaluated the model components using a four-point Likert scale, calculating the content validity index (CVI) for each item. A CVI of 79% or higher indicated validity, and continuous feedback led to iterative refinements.</p><p><strong>Results: </strong>Following the design of the initial model, an expert panel convened with 15 participants to review the framework. The final model comprises seven key components: leadership and governance, legislative framework, financial framework, human resource management system, information management system, and control and monitoring system. Results from the Delphi study indicated that with a CVI exceeding 80%, this model is deemed a valid framework for delivering home-based care.</p><p><strong>Conclusion: </strong>This study presents a comprehensive model that serves as a valuable guide for policymakers seeking to implement integrated home care with professional oversight. By doing so, it aims to enhance the quality of care and improve stakeholder satisfaction.</p>","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"25 1","pages":"298"},"PeriodicalIF":2.7,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11846254/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143476248","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":"Forms of distributed leadership - a case study of six workplaces in eldercare.","authors":"Andrea Eriksson, Monica Andersson Bäck, Magdalena Elmersjö, Gunnar Gillberg","doi":"10.1186/s12913-025-12417-1","DOIUrl":"10.1186/s12913-025-12417-1","url":null,"abstract":"<p><strong>Background: </strong>The concept of distributed leadership has been addressed in previous research, but few studies link their analysis to current and comparative empirical studies on processes and conditions enabling or hindering the development of distributed leadership. This specific study aims to identify and analyze mechanisms that enable or hinder the development of distributed leadership among employees in eldercare.</p><p><strong>Methods: </strong>This is a case study based on six specific workplaces in eldercare in Sweden in different ways aiming to work toward an organization that emphasizes trust and distribution of power. A realistic evaluation framework was used to understand the different workplace program theories regarding distributed leadership. Key mechanisms and how they interact with contextual factors in each case were analyzed. Comparative analyses were performed, identifying key processes in terms of realizing distributed leadership.</p><p><strong>Results: </strong>Analyzing the program theories in the respective cases showed that they have different orientations influenced by different motives for distributed leadership, which also interact with how distributed leadership was manifested and realized. The results point specifically to the importance of the mechanism formalization processes, participatory approaches to implementation, vertical sense-making, and horizontal sense-making for the development of distributed leadership.</p><p><strong>Conclusions: </strong>The result points to that regardless of the path for achieving distributed leadership adopted by the various workplaces studied, the common denominator for those succeeding in distributing leadership is the development of a relational agency based on shared visions, a shared understanding of roles, and responsibilities, a learning approach and a dialogue-oriented relationship between management and employees. Another critical aspect is having sufficient resources to make taking on more responsibilities attractive.</p>","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"25 1","pages":"300"},"PeriodicalIF":2.7,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11847337/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143476250","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":"Factors influencing the level of patients' satisfaction with mental healthcare delivery in Tamale Metropolis: a multicentre cross-sectional study.","authors":"Mariama Alhassan Dokurugu, Gifty Apiung Aninanya, Mustapha Alhassan, Robert Kokou Dowou, Dennis Bomansang Daliri","doi":"10.1186/s12913-025-12432-2","DOIUrl":"10.1186/s12913-025-12432-2","url":null,"abstract":"<p><strong>Introduction: </strong>Patient satisfaction is crucial in mental healthcare and its impact on treatment outcomes. Despite the global burden of mental disorders, there are limited research on client satisfaction, especially in Ghana. This study aimed to investigate factors influencing patient satisfaction with mental health care in the Tamale Metropolis.</p><p><strong>Methods: </strong>A multicentre cross-sectional study was conducted involving 382 mental health service users in selected health facilities in the Tamale metropolis. A semi-structured questionnaire adapted from Patients Satisfaction Questionnaire (PSQ-18) was used to collect data on patients' satisfaction with the mental health service. Data were analyzed using SPSS version 20 and both descriptive and inferential analysis was done.</p><p><strong>Results: </strong>Overall, 54.7% of service users were satisfied with the mental health care received. Participants aged 20-29 years and those aged 50-59 years were significantly less likely to be satisfied compared to participants below 20 years. Residents of peri-urban (AoR = 0.03; 95% CI = 0.01-0.19) and rural areas (AoR = 0.02; 95% CI = 0.00-0.16) were less likely to report satisfaction than urban residents. Unmarried (AoR = 0.73; 95% CI = 0.01-0.77) and uneducated participants (AoR = 0.76; 95% CI = 0.01-0.91) were less likely to be satisfied with the mental health service. Financial factors and long waiting times were associated with decreased satisfaction. Access challenges, perceived provider attentiveness, and stigma within health facilities further reduced satisfaction odds.</p><p><strong>Conclusion: </strong>There is a fundamentally favorable level of reception for mental health treatments, as evidenced by the fact that over half of the participants were satisfied with them. The findings indicate that there is still more room for improvement, especially when it comes to tackling systemic barriers and demographic variations to improve overall client experiences. Ghana Health Service and other partners should put in place interventions to enhance the delivery of mental health services.</p>","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"25 1","pages":"299"},"PeriodicalIF":2.7,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11846403/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143476249","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}