BMC Health Services Research最新文献

{"title":"Barriers to primary health care: perspectives of marginalized Roma women and healthcare professionals.","authors":"Jana Marosnikova Plavnicka, Zuzana Dankulincova Veselska, Daniela Filakovska Bobakova","doi":"10.1186/s12913-025-13482-2","DOIUrl":"10.1186/s12913-025-13482-2","url":null,"abstract":"","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"25 1","pages":"1284"},"PeriodicalIF":3.0,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12492820/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145211495","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":"Medication-related burden variation across chronic conditions: a population-based cross-sectional survey.","authors":"Heidi Mikkola, Emma Aarnio, Katri Hämeen-Anttila, Marja Airaksinen, Maarit Dimitrow, Leena Saastamoinen","doi":"10.1186/s12913-025-13402-4","DOIUrl":"10.1186/s12913-025-13402-4","url":null,"abstract":"<p><strong>Background: </strong>Medication therapy is an important healthcare intervention for patients with chronic conditions. Managing their own medication can place a burden known as medication-related burden (MRB) on the patients. The burden can vary among chronic conditions due to diverse medication and management needs. This study aimed to examine the variation in MRB across different chronic conditions in the adult general population.</p><p><strong>Methods: </strong>This study was an online population-based cross-sectional survey conducted in 2021 representing Finnish adults aged 18-79 years. MRB was measured using a 13-item MRB instrument with a 5-point Likert scale, which is based on the 'Patients' lived experience with medicines' (PLEM) model. The instrument was divided into five dimensions: burden of medication routines; burden of medication characteristics; burden of adverse drug reactions; medication-related social burden; and healthcare-associated medication burden. The respondents were considered to have experienced MRB if they strongly agreed with at least one of the 13 items. Pearson's chi-square test was used for bivariate analyses between MRB and chronic conditions. Logistic regression analyses were performed to identify chronic conditions associated with MRB when adjusted for sociodemographic and health-related variables.</p><p><strong>Results: </strong>Of the 2,081 respondents, 1,323 (63.6%) reported having at least one diagnosed chronic condition and using at least one prescription medication, thus forming the study population. Of them, 43.5% reported experiencing MRB. According to the multiple logistic regression model, diabetes (OR 1.77), heart disease (OR 1.53), rheumatic disease or other musculoskeletal disorders (OR 1.42), or other unspecified chronic conditions (OR 1.55) were associated with MRB (p < 0.05) when adjusted for demographic and health-related variables. The dimensions that contributed the most to MRB were the healthcare-associated medication burden (26.7%) and the burden of adverse drug reactions (21.5%).</p><p><strong>Conclusions: </strong>MRB is rather common among people with chronic conditions, the prevalence varying according to the conditions. MRB was associated with diabetes, heart disease, and rheumatic disease. Identifying chronic conditions that increase the likelihood of MRB enables allocation of healthcare resources and planning of interventions to patients with those specific illnesses.</p>","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"25 1","pages":"1283"},"PeriodicalIF":3.0,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12492796/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145211506","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":"Barriers and solutions in cross-sector care for metastatic prostate cancer patients in Germany: a qualitative study on radioligand therapy.","authors":"Carolin Schenzle","doi":"10.1186/s12913-025-13540-9","DOIUrl":"10.1186/s12913-025-13540-9","url":null,"abstract":"","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"25 1","pages":"1281"},"PeriodicalIF":3.0,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12490126/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145211502","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":"Developing a behaviour identification method for healthcare waste management: a case study of hospital waste management in Australia.","authors":"Lena Jungbluth, Janette Wright, Peter Bragge, Denise Goodwin","doi":"10.1186/s12913-025-13463-5","DOIUrl":"10.1186/s12913-025-13463-5","url":null,"abstract":"","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"25 1","pages":"1288"},"PeriodicalIF":3.0,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12492881/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145211500","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":"Prevalence and characteristics of medical and rehabilitation utilization among Canadians with arthritis from 2001 to 2018: a cross-sectional population-based study.","authors":"Sheilah Hogg-Johnson, Dan Wang, Jessica J Wong, Silvano A Mior, Pierre Côté","doi":"10.1186/s12913-025-13471-5","DOIUrl":"10.1186/s12913-025-13471-5","url":null,"abstract":"","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"25 1","pages":"1290"},"PeriodicalIF":3.0,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12492576/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145211518","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":"User-needs based app for patients with inflammatory bowel disease: development and usability study.","authors":"Mijeong Park, Jisan Lee, Jae Hee Cheon, Nagyeom Yoon, Junghan Yu, Hyoseung Nam","doi":"10.1186/s12913-025-13323-2","DOIUrl":"10.1186/s12913-025-13323-2","url":null,"abstract":"<p><strong>Background: </strong>As digital healthcare solutions evolve, mobile applications (apps) have become essential tools for managing chronic conditions. Inflammatory Bowel Disease (IBD), including Crohn's disease and ulcerative colitis, is a chronic, rare disease that requires lifelong management. Mobile apps can help IBD patients by providing tools for self-monitoring and improving shared decision-making with healthcare professionals.</p><p><strong>Objective: </strong>This study aimed to develop a digital healthcare app specifically designed to meet the unique needs of IBD patients. The app sought to enhance self-management capabilities while improving the quality of communication between patients and healthcare providers through comprehensive usability evaluations.</p><p><strong>Methods: </strong>The study followed a four-step process: (1) Design of six core features based on patient needs and expert feedback; (2) Development of the app's architecture, database, and interface as an initial concept version, followed by testing and deployment; (3) Heuristic evaluation with 15 experts, a four-week usability test with 20 IBD patients, and focus group interviews to gather feedback; and (4) Refinement and upgrade of the app to version 1.0 based on usability test results and further feedback.</p><p><strong>Results: </strong>The results of this study followed these steps: 1. Incorporating feedback from IBD patients and experts, the core features of the app were designed to include a Personalized Health Summary, Symptom Tracking, and Medication Adherence Monitoring using Patient-Reported Outcomes (PROs). 2. A prototype version of \"WITH-Jang\" was developed, integrating these key features and undergoing initial testing. 3. Usability testing was conducted with 15 experts and 20 IBD patients to assess effectiveness and identify areas for improvement. 4. Based on the evaluation results, the app was refined with a simplified and intuitive UI and an updated \"My Health Summary\" page, leading to the release of WITH-Jang 1.0.</p><p><strong>Conclusions: </strong>The WITH-Jang app supports proactive self-health management by addressing the core needs of IBD patients. It visualizes symptom and medication data and enhances communication between patients and healthcare providers, enabling personalized care and shared decision-making, making it a valuable tool for chronic disease management.</p><p><strong>Trial registration: </strong>KCT0010068, December 19, 2024.</p>","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"25 1","pages":"1285"},"PeriodicalIF":3.0,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12492853/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145211561","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":"Advocacy to action for cervical cancer elimination in the state of Assam: a narrative review of the government policies and the latest report of NCDIR survey.","authors":"Debabrata Barmon, Anita Nath, Aparajita, Jagannath D Sharma, Ravi Kannan, Shah Alam, Adity Sharma","doi":"10.1186/s12913-025-13475-1","DOIUrl":"10.1186/s12913-025-13475-1","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Assam is the state of north-eastern region of India and is called the 'cancer capital' of the country. There have been accelerated developments in the field of cancer care in the state of Assam in recent times. Though the highest burden of cervical cancer is found in the northeast region, no government- initiated specific programme for cervical cancer elimination has been developed. The strategies implemented at various health care level is mostly derived from the 'umbrella' initiatives of NPCDCS. Due to unique cervical cancer profile of the state, there is a need to fill in the data gaps that needs to be investigated and reported and possible solutions should be outlined to optimise the continuum of care.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Aims and objectives: &lt;/strong&gt;In this article, we have reviewed the government policies related to cervical cancer and their implementation at various level of health care system of Assam. Primary objective was to report the gap existing for implementation of cervical cancer prevention and treatment strategies in the state of Assam and secondary objective was to outline possible interventions to optimize the delivery of cervical cancer screening.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methodology: &lt;/strong&gt;The relevant articles related to government policies were searched on electronic database including Pubmed, national and state-level government websites on health welfare programmes and reports of NCDIR. The data for quantification of gap in cervical cancer services and awareness was extracted from the NCDIR survey conducted as a part of cancer research in the North East Region (CaRes NER), a multidisciplinary programme for preventing and controlling cancer in the north-eastern states run by ICMR-NCDIR, Bengaluru.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Timeline of development in the field of cancer care has been summarised in this review under the headings of government initiatives so far for cancer care and its reflection in Assam, call for cervical cancer elimination and its implications in Assam, the current situation in the state of Assam, recent developments in cancer care field in Assam. The quantification of the gaps in cervical cancer care in the state of Assam is based on data from NCDIR survey. Among 2,817 respondents, fewer than a quarter were aware of cancer screening for major cancers, with no specific data available on awareness of cervical cancer. The majority of respondents reported learning about cancer through media or friends and family, while health awareness camps contributed minimally. Only 0.8% were aware of the HPV vaccine, and 0.2% expressed hesitation in discussing cancer. Notably, none of the respondents had undergone cervical cancer screening by any method. In terms of healthcare infrastructure, less than 10% of surveyed Primary Health Centers (PHCs) and none of the Community Health Centers (CHCs) or District Hospitals provided cancer screening services. Fewer than a quarter of PHCs had counseling ser","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"25 1","pages":"1291"},"PeriodicalIF":3.0,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12492600/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145211542","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":"Patient satisfaction with mental health services in Ethiopia: a systematic review and meta-analysis.","authors":"Haile Amha, Yilkal Dagnaw Melesse, Getnet Gedif, Aysheshim Asnake Abneh, Atsede Alle Ewunetie, Abebaw Abeje Muluneh, Anteneh Lamesgen, Asmamaw Getnet","doi":"10.1186/s12913-025-13499-7","DOIUrl":"10.1186/s12913-025-13499-7","url":null,"abstract":"","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"25 1","pages":"1271"},"PeriodicalIF":3.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12487552/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145205344","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":"Understanding the experience of clinicians and non-clinical staff in Integrated Virtual Care, a hybrid primary care program in rural Ontario, Canada: a qualitative study.","authors":"Shawna Cronin, Kush Patel, Antoine St-Amant, Jonathan Fitzsimon","doi":"10.1186/s12913-025-13501-2","DOIUrl":"10.1186/s12913-025-13501-2","url":null,"abstract":"<p><strong>Background: </strong>Current physician shortages are exacerbated in rural areas, worsening access to primary care. In Renfrew County, Ontario, the Integrated Virtual Care (IVC) program addresses this by attaching patients to a family physician working predominantly off-site, supported by an interprofessional healthcare team at a local clinic. Patients receive a hybrid of in-person and virtual care, based on their individual clinical needs and preferences. Limited evidence exists regarding the experiences of clinicians and non-clinical staff working in hybrid teams, with some members working off-site. This study explored the experiences of family physicians, interprofessional health providers (IHP), and non-clinical staff (clerical staff, managers, and leaders) working in a hybrid primary care program.</p><p><strong>Methods: </strong>We conducted a qualitative descriptive study using one-on-one semi-structured interviews with clinicians (physicians and interprofessional team) and non-clinical staff working in the IVC program. Interview questions addressed satisfaction, team communication, collaboration, technology use, and rapport with patients. Transcripts were analyzed thematically using an inductive approach. Themes and quotes were then charted by participant type: physician, interprofessional health provider (IHP), and non-clinical staff.</p><p><strong>Results: </strong>Sixteen participants (10 clinicians and six non-clinical staff) were interviewed. Five themes were generated, describing their experiences within the IVC program: support for IVC and meeting community needs, importance and role of interprofessional and non-clinical teams, IVC as a developing model: early program experiences, ongoing logistical challenges, and varied views on strengths and benefits. After charting themes by participant type, we identified a number of diverging views among the three groups, with perceived program benefits being more pronounced for physicians.</p><p><strong>Conclusions: </strong>Understanding the experiences of clinicians and non-clinical staff, which emphasized community ties, roles of clinical and non-clinical teams, and supportive leadership environments, can inform improvements to programs that combine interprofessional primary care teams and virtual technologies to enhance access to primary care in rural areas.</p>","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"25 1","pages":"1274"},"PeriodicalIF":3.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12487192/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145205420","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":"Identification of the implementation influencing factors of the organized breast cancer screening in Ordos city: from caregivers' perspectives.","authors":"Ziting Cai, Hanyue Ding, Sumeng Wang, Huijiao Yan, Na Cao, Yongdong Zhang, Youlin Qiao, Chen Wang","doi":"10.1186/s12913-025-13289-1","DOIUrl":"10.1186/s12913-025-13289-1","url":null,"abstract":"<p><strong>Background: </strong>An organized breast cancer screening program has been introduced by the local government in Ordos City since 2010. Women between 35 and 64 years are eligible to be screened freely at local maternal and child healthcare hospitals. The screening coverage rate in Ordos City is relatively higher than the national average level. However, the overall breast cancer detection rate remains low. This study aims to identify contextual influencing factors of this program from local maternal and child healthcare hospitals' perspectives and provide suggestions for screening service improvement in Ordos City.</p><p><strong>Methods: </strong>We conducted a qualitative study to evaluate the implementation of the organized breast cancer screening program from maternal and child healthcare hospitals' perspectives in Ordos City. Four domains (outer setting, inner setting, individuals, and process) and nine constructs were selected for evaluation under the instruction of the Consolidated Framework for Implementation Research (CFIR). CIFR constructs were rated in both valence and strength factors. The interview scripts were coded and themes were generated by using content analysis. Data obtained were interpreted and described by tables and charts.</p><p><strong>Results: </strong>A total of 28 individuals participated in our study. We found that the implementation of the organized breast cancer screening in Ordos City went well. Policies & laws, partnerships & connections, performance-measurement pressure, implementation leads, teaming, and engaging constructs holistically facilitated the implementation performance. Available resources varied and this construct chiefly displayed a neutral impact. Access to knowledge & information and doing constructs were considered to negatively influence the implementation performance. Political commitment to cervical cancer elimination, multisectoral collaboration, specialized leadership, and structured screening teams were the main factors promoting the screening progress. Inconsistent referrals, underqualified professional competence of primary health workers, and non-interoperable electronic systems were the main barriers to screening performance.</p><p><strong>Conclusions: </strong>We recommend that Ordos City further facilitates the prompt referral for imaging and biopsy, promotes the capacity building of primary health workers, and strengthens the construction of electronic systems. Future quantitative studies are necessary to comprehend the knowledge and attitudes of caregivers and target population toward breast cancer screening. Interviews with other stakeholders, such as policymakers and target population, are also needed.</p>","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"25 1","pages":"1260"},"PeriodicalIF":3.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12487500/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145205374","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}