BMC Health Services Research最新文献

{"title":"Acceptance and perceived usefulness of digital health services in the management of chronic urticaria: a survey of patients and physicians.","authors":"Michael Hindelang, Alexander Zink, Johannes Knitza, Robert Darkow, Martin Welcker, Tilo Biedermann, Susann May, Felix Muehlensiepen","doi":"10.1186/s12913-025-13043-7","DOIUrl":"10.1186/s12913-025-13043-7","url":null,"abstract":"","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"25 1","pages":"894"},"PeriodicalIF":2.7,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144551873","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":"The impact of good governance on organizational health with the mediating role of organizational accountability: considering the influence of demographic and organizational variables.","authors":"Taiebeh Taheri, Mohammad Amerzadeh, Ahad Alizadeh, Rohollah Kalhor","doi":"10.1186/s12913-025-12921-4","DOIUrl":"10.1186/s12913-025-12921-4","url":null,"abstract":"","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"25 1","pages":"892"},"PeriodicalIF":2.7,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144551889","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":"Primary health care performance measurement at the service delivery level in Indonesia: a scoping review.","authors":"Dewi Amila Solikha, Danielle C Butler, Ery Setiawan, Rosemary J Korda, Matthew Kelly","doi":"10.1186/s12913-025-12955-8","DOIUrl":"10.1186/s12913-025-12955-8","url":null,"abstract":"<p><strong>Background: </strong>Indonesia has endeavoured to strengthen primary health care (PHC), a task requiring comprehensive measurement of PHC performance which remains a challenge. This scoping review aims to describe PHC performance measurement pertaining to service delivery in Indonesia and identify what has not been measured.</p><p><strong>Methods: </strong>We conducted a scoping review, following the Preferred Reporting Items for Systematic Reviews Extension for Scoping Reviews guideline. We mapped the measurement used in the included studies to the WHO/UNICEF PHC measurement framework at the service delivery level. Our analysis involved process (domains: models of care, systems for improving quality, resilient health facilities and services) and output (domains: access and availability, quality care) indicators, 38 in total. These indicators are broadly categorised in the WHO/UNICEF framework based on their feasibility and relevance for measuring PHC performance as either Tier 1 - measurable in most contexts, or Tier 1 global - important for global monitoring, or Tier 2 - difficult to measure or requiring further assessment.</p><p><strong>Results: </strong>Of the 4,831 studies initially identified, 33 were included in this review. The domains of PHC performance assessed included access and availability, models of care, and quality care. No studies reported on the domains: systems for improving quality, or resilient health facilities and services. Overall, 18/38 of the WHO/UNICEF framework indicators were not measured: 1 of 3 Tier 1 global indicators (admissions for ambulatory care sensitive conditions (ACSC)), 4 of 11 Tier 1 indicators, and 13 of 24 Tier 2 indicators. Few studies utilised instruments that have been designed for national reporting, and time-trend analysis was limited.</p><p><strong>Conclusions: </strong>This study identified measurement gaps in PHC service delivery performance in Indonesia. Addressing these gaps, by developing a more comprehensive monitoring framework that incorporates unmeasured domains and indicators, adapting relevant global measurement instruments to the Indonesian context, and conducting time trend analyses, may contribute to improve PHC performance monitoring and support Indonesia PHC transformation agenda. These potentially offer insights for other countries with similar setting.</p>","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"25 1","pages":"898"},"PeriodicalIF":2.7,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144551884","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":"Assisted partner notification as a strategy to enhance Pre-Exposure Prophylaxis (PrEP) screening and uptake - results from a prospective cohort study in Lilongwe, Malawi.","authors":"Tapiwa Munthali, Angella Masano, Jane S Chen, Wiza Kumwenda, Claire Pedersen, Kenneth Chinthenga, Edward Jere, Esther Mathiya, Beatrice Ndalama, Naomi Nyirenda, Naomi Bonongwe, Maganizo B Chagomerana, Mina C Hosseinipour, Irving F Hoffman, Mitch Matoga, Sarah E Rutstein","doi":"10.1186/s12913-025-13038-4","DOIUrl":"10.1186/s12913-025-13038-4","url":null,"abstract":"<p><strong>Background: </strong>Pre-exposure prophylaxis (PrEP) prevents HIV acquisition but strategies are needed to improve uptake among high-risk groups. Assisted partner notification (aPN), proven for HIV case-finding, may expand PrEP services to sexual partners of sexually transmitted infection (STI) patients. While passive (index-led) partner notification for STI treatment receipt is standard, offering an assisted strategy may increase linkage to PrEP for HIV vulnerable partners who may otherwise be missed. This study explored the feasibility and outcomes of integrating aPN into PrEP programs at an STI clinic in Malawi.</p><p><strong>Methods: </strong>Between March 2022 and January 2023, this prospective cohort study enrolled men and women presenting for STI services who were initiating PrEP (index PrEP user) and their referred sexual partners. Using World Health Organization-recommended aPN methods, recent (within last 6 months) sexual partners named by index participants were traced via phone or in-person. We assessed demographic characteristics of index participants and referred partners, tracing outcomes, and PrEP initiation among partners.</p><p><strong>Results: </strong>174 index PrEP user participants were enrolled, most were male (109/174; 63%) with median age of 27 years (IQR 22, 32). The 174 index participants were asked to provide contact information for their partners, 69 of whom did. These 69 participants named 101 sexual partners (57% female). Partners were named as primary partners (53%), casual partners (41%), or sex workers (6%). Tracing efforts were employed for 52 partners with phone tracing yielding a 57% contact success and physical tracing yielding a 10% contact success. 58 partners (including those not traced) presented at the clinic for screening. Most presenting partners were female (39/58; 67%) and the median age was 28 years (IQR 23, 31). Among the presenting partners, 34/58 were eligible for PrEP, and 31/34 (91%) initiated PrEP. 20 of 55 named partners who agreed to testing were HIV positive, with 20% of these newly diagnosed during PrEP screening.</p><p><strong>Conclusions: </strong>aPN, including passive notification, effectively identifies and links at-risk partners of persons initiating PrEP to HIV prevention services, achieving high rates of PrEP uptake among eligible presenting partners, though less than half of index PrEP users named partners for tracing. Notably, phone tracing was more effective than physical tracing, but phone number availability was limited. This study highlights the potential of aPN in expanding PrEP access and strengthening HIV prevention efforts among persons seeking STI services.</p><p><strong>Trial registration: </strong>This trial is registered on 5 October, 2023 at ClinicalTrials.gov NCT05307991 .</p>","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"25 1","pages":"890"},"PeriodicalIF":2.7,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144551798","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":"Beyond access: assessing WASH service delivery models in healthcare facilities of North Mecha, Dera, and Farta, Ethiopia.","authors":"Abireham Misganaw Ayalew","doi":"10.1186/s12913-025-13002-2","DOIUrl":"10.1186/s12913-025-13002-2","url":null,"abstract":"","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"25 1","pages":"888"},"PeriodicalIF":2.7,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144551800","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":"\"A child with severe pneumonia cannot feed, causing malnutrition\": exploring health worker and caregiver perspectives and practices for mitigating malnutrition among children with severe pneumonia, a case of Uganda.","authors":"Damalie Nalwanga, Robert Opika Opoka, Andrew Sentoogo Ssemata, Lawrence Kakooza, Andrew Kiggwe, Victor Musiime, Sarah Kiguli","doi":"10.1186/s12913-025-13014-y","DOIUrl":"10.1186/s12913-025-13014-y","url":null,"abstract":"<p><strong>Background: </strong>Severe pneumonia remains the leading cause of morbidity and mortality among children worldwide. Severe pneumonia causes death during hospitalization, and survivors are prone to malnutrition after discharge from the hospital. The World Health Organization and United Nations International Children's Fund recommend 'continued' feeding following a severe pneumonia illness without specific recommendations on nutritional support. This recommendation could influence health workers' and caregivers' nutritional practices. This study aimed to explore the perspectives and practices of health workers and caregivers for mitigating malnutrition among children with severe pneumonia.</p><p><strong>Methods: </strong>We conducted a cross-sectional qualitative study between June and November 2021 among health workers and caregivers of children hospitalized with severe pneumonia at Mulago National Referral Hospital in Kampala, Uganda. The data were collected via focus group discussions involving 17 caregivers and key informant interviews with 12 health workers and were analyzed via the content-thematic analysis approach. Both manual coding and Atlas Ti software were used to support the analysis.</p><p><strong>Results: </strong>Health workers and some caregivers were aware that severe pneumonia predisposes children to malnutrition to various degrees, citing reduced appetite, difficulty breathing, persistent vomiting, and increased metabolic demands as pathways. Caregivers increased breastfeeding and utilized nutrient-rich foods to prevent malnutrition, while health workers applied caregiver education and tailored pneumonia management strategies, including following available guidelines and working with nutritionists.</p><p><strong>Conclusion: </strong>Severe pneumonia is recognized among health workers and some caregivers as a risk factor for malnutrition. However, mitigating strategies are not uniformly practiced by caregivers and could be enhanced by effective health education and sensitization. More specific guidelines could further reinforce the beneficial practices of health workers managing children with severe pneumonia who are not severely malnourished, and improve treatment outcomes.</p>","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"25 1","pages":"896"},"PeriodicalIF":2.7,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144551872","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":"Drug utilization pattern among type II diabetic patients in Palestine.","authors":"Murad Abualhasan, Mai Awad, Waleed Sweileh","doi":"10.1186/s12913-025-13028-6","DOIUrl":"10.1186/s12913-025-13028-6","url":null,"abstract":"<p><strong>Background: </strong>Diabetes mellitus is a common metabolic disorder marked by hyperglycemia. Studying the use of anti-diabetic medications is essential for promoting proper drug use and improving healthcare planning.</p><p><strong>Objective: </strong>This study aims to examine the drug utilization patterns and prescribing practices among Type 2 Diabetic Patients in Palestine. Specifically, it seeks to identify the most commonly prescribed medications, evaluate adherence to clinical guidelines, and assess factors influencing drug utilization at diabetes healthcare centers operated by the Ministry of Health (MOH) in Palestine.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted among 400 randomly selected patients with T2DM attending diabetic clinics in the northern and central regions of the West Bank, Palestine. Data on prescribing patterns and medication adherence were collected through patient interviews, and ethical guidelines were strictly followed throughout the study.</p><p><strong>Results: </strong>The study found that metformin was the most frequently prescribed initial therapy for patients with T2DM. Medication adherence was notably high, with 68% of patients consistently taking their medications as directed, although 24% reported occasionally forgetting to do so. Approximately 90% of patients followed the prescribed dosage exactly as instructed. There were no statistically significant differences in metformin prescribing patterns across the regions; prescriptions for glimepiride varied significantly (p = 0.01). Combination therapies were also commonly used.</p><p><strong>Conclusion: </strong>This research can enhance our understanding of diabetes treatment methods, patient adherence, and the factors influencing prescription decisions. Ultimately, this will support the development of more effective strategies for diabetes management.</p>","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"25 1","pages":"891"},"PeriodicalIF":2.7,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144551803","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":"Factors influencing the implementation of interventions for symptoms of posttraumatic stress disorder among hospital-based nurses and physicians during the COVID-19 pandemic: a scoping review.","authors":"Deliah Katzmarzyk, Daniela Holle, Martina Roes","doi":"10.1186/s12913-025-13005-z","DOIUrl":"10.1186/s12913-025-13005-z","url":null,"abstract":"<p><strong>Background: </strong>In the field of posttraumatic stress disorder (PTSD) among nurses and physicians working in an acute hospital setting, various investigations have been conducted on the prevalence of PTSD during the COVID-19 pandemic rather than on the implementation of PTSD-related interventions to improve the mental health of health care workers. It is known that implementation faces challenges, such as social restrictions or the dynamic of the pandemic itself. However, for successful implementation under these conditions, identifying barriers and facilitators is inevitable before using tailored implementation strategies. The following research question was addressed: What are the barriers/facilitators in the implementation of PTSD-related interventions for nurses and physicians working in an acute hospital setting during the COVID-19 pandemic?</p><p><strong>Methods: </strong>Using a scoping review approach, we conducted systematic literature searches from February to May 2023 in MEDLINE via PubMed and PsychINFO/CINAHL via EBSCO. We included primary studies (protocols), and concept articles focused on influencing factors in the implementation of PTSD-related interventions for nurses and physicians working in an acute hospital setting during the COVID-19 pandemic. We performed data analysis in MaxQDA via evaluative content analysis using the Consolidated Framework of Implementation Research (CFIR).</p><p><strong>Results: </strong>A total of 19 studies were included. Most of them used an empirical approach to evaluate the intervention during its development or adaptation process. The identified factors were mainly neutral factors that emerged from the inner setting and individuals as the intervention's target group. The management, the nurses, and the physicians as innovation recipients themselves, and the connection between the inner and outer settings could influence the implementation of PTSD-related interventions.</p><p><strong>Conclusion: </strong>With these results, decision-makers in organizations in health care systems can be encouraged to implement interventions to improve PTSD among hospital-based nurses and physicians under pandemic conditions. Future research needs to focus on conducting implementation studies to evaluate influencing factors and investigate whether these factors enable or hinder the implementation of PTSD-related interventions.</p>","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"25 1","pages":"885"},"PeriodicalIF":2.7,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144551806","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":"Studying an educational intervention and its impact on health-related quality of life and fasting blood glucose levels among patients with type 2 diabetes mellitus in rural China.","authors":"Shaofan Chen, Kristina Burström, Bo Burström, Dongfu Qian","doi":"10.1186/s12913-025-13075-z","DOIUrl":"10.1186/s12913-025-13075-z","url":null,"abstract":"<p><strong>Background: </strong>Type 2 diabetes mellitus (T2DM) remains a major public health challenge in rural China, where healthcare access and health literacy are limited. Although primary healthcare (PHC) plays a key role in chronic disease management, evidence on the long-term effects of educational interventions in rural settings is scarce. This study, part of the initiative \"Studying the Vertical Integration Strategy of Chronic Disease Service Based on Multiple Incentive Mechanisms in Rural China\" (2015-2017), evaluated the impact of a structured educational intervention on fasting blood glucose (FBG) trajectories and health-related quality of life (HRQoL) among rural T2DM patients.</p><p><strong>Methods: </strong>A quasi-experimental study was conducted in two rural counties in Jiangsu Province, enrolling 784 patients (389 intervention, 395 control) from township health center registries. Over 24 months, the intervention group received bi-monthly education sessions, home visits, and enhanced provider training, while the control group received routine care. Outcomes were measured at baseline (2015) and two follow-ups (2016, 2017). FBG levels and HRQoL (assessed via EQ-5D-3 L, EQ-VAS, and Paretian Classification of Health Change [PCHC]) were analyzed using difference-in-differences (DID) models and multinomial logistic regression.</p><p><strong>Results: </strong>After adjusted for potential confounding factors, the intervention group exhibited a slower FBG increase compared to controls (DID: -0.65, 95% CI: -1.13 to -0.17), despite an overall upward trend in both groups. HRQoL improvements were significant in the intervention group, with greater gains in mobility (84.7% vs. 86.0% reporting \"no problems\" in 2017, p < 0.001), pain/discomfort (62.3% vs. 55.4%, p < 0.001), and anxiety reduction (80.7% vs. 78.5%, p < 0.001). The PCHC analysis revealed intervention participants were 1.83 times more likely to improve (95% CI: 1.29-2.59) and had 83% lower risk of deterioration (OR: 0.17, 95% CI: 0.09-0.34) versus controls.</p><p><strong>Conclusion: </strong>Structured educational interventions embedded in rural PHC systems effectively attenuated glycemic deterioration and enhanced multidimensional well-being in T2DM patients. However, continued FBG elevation signals the need for more comprehensive strategies, integrating digital tools and workforce reforms.</p><p><strong>Trial registration: </strong>ISRCTN13319989 (Date: 31/07/2019).</p>","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"25 1","pages":"884"},"PeriodicalIF":2.7,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144551888","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":"Investigating community mental health services' responses to racial trauma during the 2024 UK far-right riots.","authors":"Chloe Torkington, Amanda Anderson, Chris Millar","doi":"10.1186/s12913-025-13036-6","DOIUrl":"https://doi.org/10.1186/s12913-025-13036-6","url":null,"abstract":"","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"25 1","pages":"881"},"PeriodicalIF":2.7,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144551808","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}