BMC Health Services Research最新文献

{"title":"Publisher Correction: Investigating family members' experiences of the implementation and effectiveness of a youth-focused suicide aftercare service: a qualitative study.","authors":"Marianne Webb, Hannah Richards, Michelle Lamblin, Dzenana Kartal, Pemma Davies, Natasha Swingler, Jo Robinson","doi":"10.1186/s12913-025-13238-y","DOIUrl":"10.1186/s12913-025-13238-y","url":null,"abstract":"","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"25 1","pages":"966"},"PeriodicalIF":3.0,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12281810/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144688854","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":"Cost of type 2 diabetes mellitus management for households in Northern India - an econometric analysis.","authors":"Kanika Bansal, Meena Rajput, Rajesh Rajput","doi":"10.1186/s12913-025-13040-w","DOIUrl":"10.1186/s12913-025-13040-w","url":null,"abstract":"<p><strong>Aim: </strong>To estimate the economic burden of type 2 Diabetes Mellitus management and its influencing variables, on urban households in North India.</p><p><strong>Methods: </strong>A community-based prospective, observational, cost-of-illness study was carried out from the patient's perspective, in urban Rohtak, Haryana. Probit, GLM (log link with gamma) and two-part regression techniques were used to model predictors of cost estimates.</p><p><strong>Results: </strong>Catastrophic health expenditure (CHE) due to T2DM management, was experienced by 10.14% of patients, and 19.59% faced impoverishment. The normalized poverty gap increased by 4.34% post-payment for T2DM as compared to pre-payment. The total cost was ₹17,113 per annum and out-of-pocket payments were ₹10,424. Direct medical cost formed the biggest portion i.e., 54.65% of total cost, whereas direct non-medical cost was 6.26%, and indirect cost was 39.09%. Majority of the total spending was attributed to drugs (42.39%). Insulin therapy, complications, socio-economic status and age at diagnosis were the most common significant predictors of economic burden.</p><p><strong>Conclusions: </strong>The economic burden of diabetes in India is substantial, driven by both direct medical costs and indirect costs such as lost productivity. This high cost is responsible for significant CHE, impoverishment and deepening poverty gap. The study underscores the urgent need for comprehensive and cost-effective management strategies to mitigate the long-term economic impact of T2DM on urban households.</p>","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"25 1","pages":"965"},"PeriodicalIF":2.7,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12281953/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144681938","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":"What impact did the COVID-19 pandemic have on hospital complaints? A 7-year retrospective study in a Swiss public hospital.","authors":"Angela Greco, Riccardo Bocci, Hans Stricker, Stefano Lucchina","doi":"10.1186/s12913-025-13144-3","DOIUrl":"10.1186/s12913-025-13144-3","url":null,"abstract":"","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"25 1","pages":"968"},"PeriodicalIF":3.0,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12285185/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144688855","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":"A systematic review of prescription errors in paediatric care.","authors":"G D Hannibal, Nvnn Vithanage, M T Madhushika, T K Sinhabahu, I Kankananarachchi, Plgc Liyanage","doi":"10.1186/s12913-025-13109-6","DOIUrl":"10.1186/s12913-025-13109-6","url":null,"abstract":"","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"25 1","pages":"967"},"PeriodicalIF":3.0,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12281725/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144688851","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: EGHRIN conclusions on pandemic preparedness: no whole-of-society approach without society.","authors":"Marie Stockman, Antonio Plasència, Heidi Larson, Leesa Lin, Ana Antic, Janharmen Drost, Guenter Froeschl, Jolene Skordis, Anne-Mieke Vandamme","doi":"10.1186/s12913-025-13226-2","DOIUrl":"10.1186/s12913-025-13226-2","url":null,"abstract":"","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"25 1","pages":"963"},"PeriodicalIF":2.7,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12281961/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144681936","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":"Implementing LGBTQ-affirmative CBT: study protocol for an effectiveness-implementation trial at 90 LGBTQ community centers.","authors":"John E Pachankis, Danielle Chiaramonte, Hunter T Baldwin, Corey Prachniak, Deborah S Levine, Shawn Van, Rebekah J Hobbs, Hadley Ankrum, Lauren J Wilkins, Tyler D Harvey, Audrey Harkness, Skyler D Jackson, Em Matsuno, Zachary A Soulliard, Briana S Last, Julian Burger, Molly Delehant, Xin Zhou, Ashley K Hagaman, Dennis H Li, Brian Mustanski","doi":"10.1186/s12913-025-13136-3","DOIUrl":"10.1186/s12913-025-13136-3","url":null,"abstract":"<p><strong>Background: </strong>Sexual and gender minorities (SGM) experience among the largest mental health disparities of any population. One driver has been the lack of evidence-based practices (EBPs) addressing the distinct mechanisms underlying SGM's risk. LGBTQ-affirmative cognitive-behavioral therapy (CBT) is among the only EBPs specifically for SGM mental health. LGBTQ community centers represent an ideal implementation setting for LGBTQ-affirmative CBT given their wide reach. Although direct training of mental health providers at LGBTQ community centers by experts has been shown to improve providers' LGBTQ-affirmative CBT skills, it is unclear how such training should be optimally delivered. This paper describes the protocol of a trial that seeks to compare the effectiveness of three training strategies for implementing LGBTQ-affirmative CBT, identify center-level moderators of implementation success, and examine the impact of the three strategies on client mental health through theory-informed organizational and provider mechanisms.</p><p><strong>Methods: </strong>This hybrid type III effectiveness-implementation trial will randomize 90 centers to receive one of three additive strategies for implementing LGBTQ-affirmative CBT: [1] a suite of self-paced digital learning materials (Materials Only condition); [2] these materials plus weekly live webinar training for 12 weeks (Direct Training condition); or [3] the above plus one year of supervision from a local supervisor who will receive expert consultation in a train-the-trainer format (Local Supervision condition). The primary outcome will be provider fidelity assessed via simulated practice. Implementation determinants (e.g., center resources, provider/client characteristics), mediators (e.g., implementation climate, provider self-efficacy), and other outcomes (e.g., intervention adaptation, sustainment) will be captured using a mixed-methods design. Clinical effectiveness outcomes (i.e., client mental and behavioral health symptoms) will be assessed through client surveys among a subset of 15 centers.</p><p><strong>Discussion: </strong>Now that LGBTQ-affirmative CBT has shown efficacy across several trials and generated high demand, research is needed to determine nationwide implementation strategies. This study will identify optimal means through which to implement this treatment innovation in the US's large network of LGBTQ community centers, thereby producing generalizable guidance for EBP implementation across low-resource settings nationwide in which mental health disparities populations are likely to seek treatment.</p><p><strong>Trial registration: </strong>NCT05890404 (05/25/2023), https://clinicaltrials.gov/study/NCT05890404 .</p>","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"25 1","pages":"962"},"PeriodicalIF":2.7,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12278521/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144681949","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: Healthy Lives 5 Axis Scale for individuals with complex health and social needs: assessment of validity and reliability.","authors":"Henry White, Peter Gonzalez, Sagi Shashar, Zoe Silver, Hannah Scott, Victor Novack","doi":"10.1186/s12913-025-13228-0","DOIUrl":"10.1186/s12913-025-13228-0","url":null,"abstract":"","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"25 1","pages":"964"},"PeriodicalIF":2.7,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12282011/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144681937","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":"Emotional intelligence and its associated factors among case team leaders in health centers of East Gojam Zone, Northwest Ethiopia: an institutional based cross-sectional study.","authors":"Endalew Minwuye Andargie, Seblewongel Gebretsadik Sertsewold, Tamiru Minwuye Andargie, Haimanot Wubale Tewabe, Asrat Kassaw, Yonas Fissha Adem, Wubshet D Negash","doi":"10.1186/s12913-025-13125-6","DOIUrl":"10.1186/s12913-025-13125-6","url":null,"abstract":"<p><strong>Introduction: </strong>Poor emotional intelligence (EI) among healthcare leaders resulted in ineffective communication and collaboration, misunderstandings and conflicts with team members, poor decision-making process, increased stress and burnout, reduced patient satisfaction and, decreased team performance. Thus, this study is aimed to assess EI and associated factors among case team leaders in the public health centers of East Gojam Zone, Northwest Ethiopia.</p><p><strong>Method: </strong>An institution-based cross-sectional study was performed in the East Gojam Zone among 395 case team leaders selected by a simple random sampling method. EI was measured with 40 five-point Likert items. A structured self-administered questionnaire was used to collect the data. Data was entered into Epi-Data version 4.6 and exported further into STATA version 14.0 for analysis. Multi-variable binary logistic regression model was employed to determine factors associated with EI, and statistical significance was detected with P-value < 0.05 and 95% CI.</p><p><strong>Result: </strong>EI among case team leaders was low among 180 (45.6%), and high 215 (54.4%). Factors associated with EI were age with 35-39 years old [AOR = 1.21; 95% CI: (1.03-1.65)], training on EI [AOR = 1.50; 95% CI: (1.35-1.69)], 4-6 years of working experience [AOR = 1.19; 95% CI: (1.15-1.54)] & greater or equal to six years [AOR = 1.48; 95% CI: (1.36-1.59)], those who have Master and above educational status [AOR = 1.32; 95% CI: (1.18-1.75)], having stressor in the last six months [AOR = 0.75; 95% CI: (0.32-0.98)].</p><p><strong>Conclusion and recommendation: </strong>This study evidenced that larger proportion of case team leaders in the health centers of East Gojam Zone had high EI. Those case team leaders with the age of 35-39 years old, Master degree holders, trained on EI, hadn't history of stressor in the last six months, and those who had working experience of above four years were identified as having high EI in the study area. Training on EI and stress management in the clinical setting should also be deliberated in the prospect policies.</p>","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"25 1","pages":"960"},"PeriodicalIF":2.7,"publicationDate":"2025-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12275426/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144666938","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":"Human resources for health during COVID-19: a qualitative analysis of strategies and challenges in Iran.","authors":"Aref Lotfiyan, Seyed Saeed Tabatabaee, Javad Moghri","doi":"10.1186/s12913-025-13111-y","DOIUrl":"10.1186/s12913-025-13111-y","url":null,"abstract":"<p><strong>Background: </strong>The COVID-19 pandemic has imposed unprecedented challenges on healthcare systems worldwide, significantly impacting human resources for health (HRH). This study aims to explore and analyze the policies related to HRH in Iran during the pandemic from the perspective of health experts.</p><p><strong>Methods: </strong>A qualitative study employing framework analysis was conducted. Data were collected through semi-structured, face-to-face interviews with 18 health experts from Mashhad, Iran, selected via purposive sampling. Interviews were analyzed using thematic analysis guided by the Walt and Gilson policy triangle framework, focusing on policy context, content, process, and actors.</p><p><strong>Results: </strong>Five main themes emerged: shortage of human resources, motivation of human resources, supportive facilities, financial support, and workforce valuation. Severe staffing shortages, exacerbated by high infection rates among healthcare workers, led to prolonged shifts and compromised care quality. Strategies to address these issues included staff redeployment, volunteer recruitment, and improvement of digital health services. However, insufficient financial incentives and unmet promises of job security diminished motivation, while a lack of supportive facilities and psychological assistance heightened staff burnout.</p><p><strong>Conclusion: </strong>The study reveals severe challenges for Iran's healthcare workforce during COVID-19, such as staff shortages, low motivation, and insufficient support, impacting healthcare delivery and worker well-being. It calls for robust policies, including strategic recruitment, enhanced training, and motivational support. Engaging frontline staff is crucial to building a resilient health system, ensuring preparedness for future crises.</p>","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"25 1","pages":"961"},"PeriodicalIF":2.7,"publicationDate":"2025-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12275368/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144666939","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 hidden dangers in routine medical complaints: uncovering patient harm.","authors":"Shaoting Luo, Xueting Chen, Xinyu Wen, Boyu Yao, Cui Wang, Qingbin Li, Wei Wang, Lianyong Li, Yong Zhang","doi":"10.1186/s12913-025-13105-w","DOIUrl":"10.1186/s12913-025-13105-w","url":null,"abstract":"<p><strong>Background: </strong>Patient harm incidents (PHI) significantly impact healthcare quality and outcomes. Despite technological advances, predicting and managing these incidents remains challenging. This study aims to develop a predictive model to distinguish the genuine PHI from medical complaints and non-harmful events.</p><p><strong>Methods: </strong>A retrospective study was conducted using data collected from January 2014 to December 2023, encompassing patient interactions, treatments, and complaints in the authors' institution. Variables considered included demographic details, clinical factors, and complaint characteristics. The predictive model was developed using least absolute shrinkage and selection operator (LASSO) regression and validated via a split-sample method. Model performance was evaluated using the area under the receiver operating characteristic curve (AUC), calibration plots, the Hosmer-Lemeshow test, and decision curve analysis.</p><p><strong>Results: </strong>The study included 987 medical complaints, of which 361 involved PHI. Using LASSO and logistic regression analyses, the model identified key predictors of PHI including the choice of treatment methods, healthcare providers' professional behavior, and the nature of the complaints. The model achieved an AUC of 0.917 (95% CI: 0.895-0.939) in the training set and 0.904 (95% CI: 0.870-0.938) in the test set. Model performance was further supported by calibration and decision curve analysis results.</p><p><strong>Conclusion: </strong>The predictive model shows promise in identifying PHI from service complaints within our hospital. Key predictors, such as treatment decisions and healthcare providers' professional conduct, appear to play a notable role in patient safety. By utilizing this model, healthcare facilities may enhance their ability to identify and address factors that could contribute to PHI.</p>","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"25 1","pages":"957"},"PeriodicalIF":2.7,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12272998/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144666940","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}