BMC Health Services Research最新文献

{"title":"Assessing inequality of opportunity in access to maternal healthcare services in pakistan: A quantitative attempt.","authors":"Jawad Rahim Afridi, Sajjad Ahmad Jan, Muhamad Farhan Asif","doi":"10.1186/s12913-025-13312-5","DOIUrl":"10.1186/s12913-025-13312-5","url":null,"abstract":"<p><strong>Background: </strong>Maternal healthcare services are an important goal in SDGs around the world. Persistent inequalities and gaps in maternal healthcare access are strongly linked to poor maternal health outcomes. This study aims to evaluate inequality of opportunity in access to maternal healthcare services by assessing the contributions of circumstances and efforts to these inequalities. Additionally, it analyzes the key determinants influencing the utilization of maternal healthcare services in Pakistan.</p><p><strong>Method: </strong>Using data from the Pakistan Demographic Health Surveys (2012-13 and 2017-18), the research examines determinants of MHCS access, focusing on circumstances and efforts and their contribution to IO. This study uses the human opportunity index, Shapley decomposition index, and logistic regression.</p><p><strong>Result: </strong>The Human Opportunity Index findings indicate notable improvements in antenatal care (from 25.70% in 2013 to 37.78% in 2018) and skilled birth attendance (from 38.97 to 55.73%), while postnatal care coverage declined significantly (from 35.56 to 22.56%) over the same period, underscoring the need for increased policy attention to postnatal services. Decomposition analysis reveals that the main circumstantial factors contributing to inequality are place of residence, region, and household wealth, while factors like the husband's education and proximity to healthcare facilities play a minor role. Efforts such as women's education, exposure to mass media, and women's autonomy in health decisions have a significant impact on the inequality in MHCS access. Binary logistic regression analysis indicates that the probability of accessing MHCS varies by region, with women in Sindh having higher odds compared to those in Khyber Pakhtunkhwa (KP) and Balochistan. Urban women are more likely to receive skilled birth attendance and postnatal care than rural women. Women with basic education and decision-making power regarding their health are more likely to use MHCS. The study emphasizes the need for targeted interventions to address these disparities and improve maternal healthcare outcomes in Pakistan.</p>","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"25 1","pages":"1167"},"PeriodicalIF":3.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12403915/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144941742","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":"Study on regional disparities and influencing factors of public health service supply in China from the perspective of fairness.","authors":"Shengjiao Zhu, Jinsi Liu, Zhihua Wang, Shixiang Chen","doi":"10.1186/s12913-025-13292-6","DOIUrl":"10.1186/s12913-025-13292-6","url":null,"abstract":"<p><strong>Background: </strong>The public health service supply level is an essential factor affecting public health, and fairness is vital in distributing public health services. The spatiotemporal differences in public health services have attracted academic attention. However, few studies have systematically analyzed regional disparities and their influencing factors from a fair perspective. Therefore, this paper aims to explore the spatiotemporal distribution of public health service supply in China and its influencing factors from the standpoint of fairness.</p><p><strong>Methods: </strong>First, based on the panel data of 31 provinces in China from 2010 to 2023, this paper constructs an objective evaluation index system for the supply level of public health services. Secondly, through the empirical analysis of the Dagum Gini coefficient, the temporal and spatial differences in the supply of public health services are explored. Regional disparities are analyzed from the perspective of fairness. Finally, the Tobit model is used to examine the impact of factors such as the proportion of the elderly population, the level of economic development, and demographic factors on the fairness of public health service supply.</p><p><strong>Results: </strong>The study found that China's public health service supply has improved significantly since the new medical reform. However, there are still large differences between different regions, and the problem of unbalanced development within the region is prominent. The eastern coastal areas show a \"polarization\" trend, with hot spots and weak areas in public health service supply coexisting. Simultaneously, Tobit regression confirms that the deepening of aging and improving economic development significantly drive the supply of public health services.</p><p><strong>Conclusions: </strong>The government should reasonably allocate public health resources according to the actual conditions of each region to achieve a \"trickle-down effect.\" Especially in underdeveloped areas, the government should achieve fairness in service supply through precise policies. Concurrently, a cross-regional counterpart support mechanism should be established to promote soft power support, such as talent and technology. Medical and health services should be provided to the elderly and vulnerable groups through medical care and health industry models. Finally, relying on \"Internet + medical health\" to break down resource barriers and build a digital service platform covering the entire urban and rural areas to achieve fair distribution of public health resources and a \"diffusion effect\".</p>","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"25 1","pages":"1172"},"PeriodicalIF":3.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12403309/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144941772","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":"Associations between home- and community-based services (HCBSs) and depressive symptoms in older adults: a nationally representative cross-sectional survey in China.","authors":"Yifang Chen, Xinyi Zuo","doi":"10.1186/s12913-025-12993-2","DOIUrl":"https://doi.org/10.1186/s12913-025-12993-2","url":null,"abstract":"","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"25 1","pages":"1115"},"PeriodicalIF":3.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12400599/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144941411","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":"Correction: Exploring family physicians' experiences with electronic prescribing platforms in primary healthcare centers in Hail, Saudi Arabia: a qualitative study.","authors":"Bader Alshoumr, Abdullah Alkhalaf, Hend Alkwai, Yazed S Alsowaida, Ghaliah Alfehaid, Badr Alnasser","doi":"10.1186/s12913-025-13429-7","DOIUrl":"10.1186/s12913-025-13429-7","url":null,"abstract":"","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"25 1","pages":"1163"},"PeriodicalIF":3.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12400585/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144941678","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":"Using human centred design and human factors to support a rapid health information technology patient safety response.","authors":"Selvana Awad, Rachel Begg, Thomas Loveday, Melissa T Baysari","doi":"10.1186/s12913-025-13293-5","DOIUrl":"10.1186/s12913-025-13293-5","url":null,"abstract":"<p><strong>Background: </strong>Human centred design (HCD) and human factors (HF) approaches can support the safe design and redesign of Health Information Technologies (HITs). Safety issues associated with HITs can occur due to complex sociotechnical and contextual factors which dynamically impact safety. An effective rapid HIT patient safety response could resolve issues before patient harm occurs.</p><p><strong>Aim: </strong>To describe, evaluate, and generate recommendations for optimising the application of HCD and HF methods by non-HF experts during a rapid statewide HIT patient safety response.</p><p><strong>Methods: </strong>In response to reported safety issues with a HIT, HCD and HF approaches were used by non-HF experts during site visits to understand the issues, contextual differences between sites and gather preliminary feedback on proposed redesign options to mitigate the issues. This quality improvement study involved two 45-minute focus groups with 7 staff who conducted the site visits to understand what worked well, what did not work well, and any lessons learnt relating to the application of HCD and HF informed data collection approaches during this patient safety response.</p><p><strong>Results: </strong>Outcomes from the site visits were reported to be variable. However, the overall data collection approach was considered effective in gathering useful information. Participants explained that key outcomes of the approach used included improved understanding of the issues and contributing contextual factors, effective engagement with sites and users, and increased team collaboration and job satisfaction among the data collection team. Participants identified factors that influenced the effectiveness of site visits including data collection approaches (e.g., individual vs group data collection), the circumstances on the day (e.g., time and availability of frontline staff), contextual factors (e.g., the nature of the unit/setting) and factors related to the data collection team (e.g., selection of team members involved). Recommendations have been provided to optimise future rapid HIT patient safety responses.</p><p><strong>Conclusion: </strong>Data collection approaches informed by HCD and HF methods are useful for understanding and addressing HIT safety concerns requiring rapid responses, even when applied by non-HF experts. Ideally, methods should be applied flexibly and involve seeking insights from frontline users in their own environments.</p>","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"25 1","pages":"1169"},"PeriodicalIF":3.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12403536/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144941882","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":"The access to colorectal cancer screening in Thai average-risk population: a situational study.","authors":"Siriphan Phamornpon, Thitipong Tankumpuan, Ketsarin Utriyaprasit, Cherdsak Iramaneerat","doi":"10.1186/s12913-025-13435-9","DOIUrl":"10.1186/s12913-025-13435-9","url":null,"abstract":"","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"25 1","pages":"1164"},"PeriodicalIF":3.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12400776/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144941948","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":"Acceptance, use and challenges of digital prevention for arterial hypertension - a qualitative study among patients with high blood pressure in Germany.","authors":"Eileen Wengemuth, Dunja Bruch, Susann May, Felix Muehlensiepen, Sebastian Spethmann","doi":"10.1186/s12913-025-13284-6","DOIUrl":"https://doi.org/10.1186/s12913-025-13284-6","url":null,"abstract":"<p><strong>Background: </strong>Arterial hypertension is one of the leading causes of premature death worldwide. In the care of patients with hypertension, digital tools - such as apps or wearables - can potentially help in prevention to facilitate lifestyle changes or to improve blood pressure control. In hypertension care in Germany, digital applications are only sporadically used by patients and recommended by physicians. This study, therefore, investigates the following questions: What preventive measures do hypertension patients use to manage their condition? What barriers can be identified? How is the use and acceptance of digital technologies for behavioural prevention?</p><p><strong>Methods: </strong>We conducted semi-structured interviews with 31 patients with arterial hypertension in Germany. The interviews were conducted either in person or by phone and were analysed using Qualitative Content Analysis.</p><p><strong>Results: </strong>Some interviewees use digital tools for prevention regularly, while others never do. Others have used them in the past or occasionally. Several facilitators and barriers to health behaviours and the use of digital tools were identified. These include the interviewees' comorbidities, their routines, habits and preferences, as well as their attitude towards technological innovations. Their work situation, their financial resources and the support - or lack thereof - they receive from physicians and from their social environment also play a role. Furthermore, there are differences in the attribution of responsibility among the interviewees. While some attribute responsibility for health to the individual, others emphasise the relevance of aggravating and supportive conditions.</p><p><strong>Conclusions: </strong>The findings indicate which factors influence the use of digital prevention tools by patients with hypertension. As described in the context of the digital divide and the inequality paradox of prevention, socioeconomic factors play a significant role in both health behaviour and the use of digital prevention tools. Some patients with hypertension may benefit from the use of digital prevention tools if appropriate conditions are created. During implementation, care should be taken to avoid exacerbating existing inequalities.</p><p><strong>Trial registration: </strong>DRKS00029761 (registration date july 27th 2022).</p>","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"25 1","pages":"1161"},"PeriodicalIF":3.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12400765/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144941758","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":"Investigating impact of theory of planned behavior-based educational intervention on HIV screening among healthcare staff.","authors":"Zahra Derakhshan, Mohammad Ali Omidian, Tayebeh Rakhshani, Farzaneh Ghaleh Golab, Ali Khani Jeihooni","doi":"10.1186/s12913-025-13401-5","DOIUrl":"10.1186/s12913-025-13401-5","url":null,"abstract":"<p><strong>Background: </strong>Healthcare staff are among the most vulnerable groups at risk of HIV infection. The present study aims to evaluate the impact of theory of planned behavior (TPB)-based educational intervention on HIV screening among healthcare staff in Firouzabad.</p><p><strong>Methods: </strong>This quasi-experimental study was conducted on 160 healthcare staff in Firouzabad, 2024. Participants were selected using multistage sampling method (cluster and random) and randomly assigned to either the intervention or control group (n = 80 per group). The intervention group received TPB-based educational intervention in five in-person sessions, each lasting 60 min. Data were collected using a standardized questionnaire based on TPB, which was completed by both groups before and two months after the intervention. Data were analyzed using SPSS 27.0 through statistical tests, including paired t-test, independent samples t-test, Chi-squared and McNemar test.</p><p><strong>Results: </strong>After the educational intervention, 72 individuals (90%) from the intervention group and 27 individuals (33.75%) from the control group intended to perform HIV screening. The McNemar test results indicated that this difference was statistically significant (P = 0.001). Furthermore, the results revealed that 64 individuals (80%) from the intervention group and 22 individuals (27.5%) from the control group performed HIV screening two months after the educational intervention, and a statistically significant difference was observed between the two groups (P = 0.001).</p><p><strong>Conclusion: </strong>The current study demonstrated that an educational intervention based on the Theory of Planned Behavior significantly improved the intention of undergoing HIV screening among Firouzabad healthcare professionals, in addition to the actual conduct of screening behaviors. The intervention resulted in statistical significance in terms of changes in attitudes, subjective norms, and perceived behavioral control, all of which together resulted in a noticeable rise in the participants' screening activity. These results suggest that the Theory of Planned Behavior can be a helpful construct in the creation of focused educational efforts directed at the promotion of essential preventive health behaviors, like HIV screening, among key risk occupational groups. While the results are promising in terms of the population of this study, further investigations are needed in order to determine the long-term durability of the acquired behaviors as well as the broader generalizability of the intervention in different healthcare settings.</p>","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"25 1","pages":"1170"},"PeriodicalIF":3.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12403553/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144941218","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":"Standard precautions perception and practice among health workers in the obstetrics-gynecology department of a referral hospital in Cameroon.","authors":"Fabrice Zobel Lekeumo Cheuyem, Emilia Enjema Lyonga, Innocent Takougang","doi":"10.1186/s12913-025-13448-4","DOIUrl":"10.1186/s12913-025-13448-4","url":null,"abstract":"","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"25 1","pages":"1165"},"PeriodicalIF":3.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12400657/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144941689","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":"Consultation time and communication patterns in outpatient care: an observational study in South Korea.","authors":"Minjung Lee, Bumjo Oh, Myoungsoon You","doi":"10.1186/s12913-025-13431-z","DOIUrl":"https://doi.org/10.1186/s12913-025-13431-z","url":null,"abstract":"","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"25 1","pages":"1159"},"PeriodicalIF":3.0,"publicationDate":"2025-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12398989/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144941646","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}