Journal Description
Healthcare
Healthcare
is an international, scientific, peer-reviewed, open access journal on health care systems, industry, technology, policy, and regulation, and is published semimonthly online by MDPI. Ocular Wellness & Nutrition Society (OWNS) is affiliated with Healthcare and its members receive discounts on article processing charges.
- Open Access— free for readers, with article processing charges (APC) paid by authors or their institutions.
- High Visibility: indexed within Scopus, SCIE and SSCI (Web of Science), PubMed, PMC, and other databases.
- Journal Rank: JCR - Q2 (Health Care Sciences and Services) / CiteScore - Q2 (Leadership and Management)
- Rapid Publication: manuscripts are peer-reviewed and a first decision is provided to authors approximately 20.5 days after submission; acceptance to publication is undertaken in 2.7 days (median values for papers published in this journal in the first half of 2024).
- Recognition of Reviewers: reviewers who provide timely, thorough peer-review reports receive vouchers entitling them to a discount on the APC of their next publication in any MDPI journal, in appreciation of the work done.
- Companion journals for Healthcare include: Trauma Care and European Burn Journal.
Impact Factor:
2.4 (2023);
5-Year Impact Factor:
2.5 (2023)
Latest Articles
Cost-Effectiveness Analysis of Pneumococcal Vaccines in the Pediatric Population: A Systematic Review
Healthcare 2024, 12(19), 1950; https://doi.org/10.3390/healthcare12191950 (registering DOI) - 29 Sep 2024
Abstract
Objectives: Pneumococcal disease, caused by Streptococcus pneumoniae, is the leading cause of mortality in children worldwide. The tremendous direct cost of hospital admissions and significant indirect costs from productivity loss contribute considerably to its economic burden, with vaccination being the only efficient
[...] Read more.
Objectives: Pneumococcal disease, caused by Streptococcus pneumoniae, is the leading cause of mortality in children worldwide. The tremendous direct cost of hospital admissions and significant indirect costs from productivity loss contribute considerably to its economic burden, with vaccination being the only efficient protection against the illness. Our study aims to summarize the cost-effectiveness of the pneumococcal conjugate vaccine (PCV) implemented in the pediatric population. Methods: Employing the online databases PubMed, Embase, and Medline, we looked for economic evaluations from 2018 until March 2024. The Incremental Cost-Effectiveness Ratios (ICER) and Quality-Adjusted Life Years (QALY) were the primary outcomes for measuring the cost-effectiveness of PCVs. A 28-item CHEERS 2022 checklist was applied to assess the quality of the collected studies. Results: Of the 16 papers found, 9/16 discussed the lower-valent vaccines (PCV13, PCV10) and 7/16 examined the higher-valent vaccines (PCV20, PCV15). PCV13 and PCV10 involved greater costs and generated more QALY compared to no vaccination. Both PCV15 and PCV20 averted substantial healthcare costs and yielded greater quality of life than PCV13. Additionally, PCV20 was a dominant strategy compared to PCV15. Conclusions: Utilizing PCV13 is a very cost-effective option compared to not getting vaccinated. Transitioning from PCV13 to PCV20 would result in higher QALY gain and more cost-saving than switching to PCV15.
Full article
(This article belongs to the Special Issue Cost, Economics and Databases of Pharmaceutical Drugs in Public Health: Second Edition)
►
Show Figures
Open AccessArticle
The Effects of the Expansion of Dental Care Coverage for the Elderly
by
Yang Zhao and Beomsoo Kim
Healthcare 2024, 12(19), 1949; https://doi.org/10.3390/healthcare12191949 (registering DOI) - 29 Sep 2024
Abstract
Background: Expanding dental care coverage for the elderly is globally recommended but not widely implemented due to its high costs and intangible benefits. Methods: This study examined the impact of such an expansion in Korea using the imputation-based method proposed by Borusyak et
[...] Read more.
Background: Expanding dental care coverage for the elderly is globally recommended but not widely implemented due to its high costs and intangible benefits. Methods: This study examined the impact of such an expansion in Korea using the imputation-based method proposed by Borusyak et al. We analyzed data from the Korea National Health and Nutrition Examination Survey (2007–2019) on dental service utilization and chewing ability among older adults. Results: The policy resulted in a 13.5% increase in partial denture use and a 60.5% increase in dental implants among those aged 65 and above. These changes corresponded with reductions in severe chewing difficulty by 23.3% and 13.0%, respectively. No significant changes were observed in full denture use. The price elasticity of demand for partial dentures and dental implants was estimated to be −0.19 and −0.86, respectively. Conclusions: These findings underscore the critical role of affordability in enhancing the utilization of dental implants among the elderly and highlight the importance of appropriately expanding dental insurance coverage to improve oral health outcomes in this population.
Full article
Open AccessArticle
Patient-Reported Outcomes of Depression and Fibromyalgia Symptoms Do Not Predict Non-Inflammatory versus Inflammatory Diagnoses at Initial Rheumatology Consultation
by
Arne Schäfer, Magdolna Szilvia Kovacs, Axel Nigg and Martin Feuchtenberger
Healthcare 2024, 12(19), 1948; https://doi.org/10.3390/healthcare12191948 (registering DOI) - 29 Sep 2024
Abstract
Objective: The objective of this study was to assess the potential value of patient-reported outcomes (PROs) of depression, fibromyalgia symptoms, and pain in predicting non-inflammatory vs. inflammatory diagnoses in rheumatology patients. Methods: This retrospective, single-center study evaluated electronic health record (EHR) data from
[...] Read more.
Objective: The objective of this study was to assess the potential value of patient-reported outcomes (PROs) of depression, fibromyalgia symptoms, and pain in predicting non-inflammatory vs. inflammatory diagnoses in rheumatology patients. Methods: This retrospective, single-center study evaluated electronic health record (EHR) data from adults who were seen for their first rheumatology consultation and subsequently received a diagnosis of an inflammatory (e.g., rheumatoid arthritis or spondyloarthritis) or non-inflammatory (e.g., osteoarthritis or fibromyalgia) condition. The PROs evaluated included depressive symptoms (Patient Health Questionnaire-2 [PHQ-2]), fibromyalgia symptom severity (FM SS), and pain. Results: A total of 3669 patients were evaluated, including patients with (n = 984; 26.82%) and without (n = 2685; 73.18%) inflammatory rheumatologic disease, of whom 141 (3.8%) had fibromyalgia. The non-inflammatory subgroup reported higher FM SS scores, and the inflammatory subgroup had higher pain and inflammatory markers. Bivariate models based on PHQ-2 and FM SS had a very low specificity (0.3%) for predicting non-inflammatory conditions, resulting in the misclassification of >99% of inflammatory cases. Adding pain, inflammatory markers, and other relevant EHR variables increased specificity but still resulted in a high level of misclassification. Conclusions: The PROs evaluated in this study are not suitable for predicting non-inflammatory vs. inflammatory rheumatologic disease, even when combined with other EHR variables.
Full article
(This article belongs to the Special Issue New Challenges in Health Care Services among Patients with Musculoskeletal Pain)
►▼
Show Figures
Figure 1
Open AccessArticle
Development and Usability Assessment of Virtual Reality- and Haptic Technology-Based Educational Content for Perioperative Nursing Education
by
Hyeon-Young Kim
Healthcare 2024, 12(19), 1947; https://doi.org/10.3390/healthcare12191947 (registering DOI) - 29 Sep 2024
Abstract
►▼
Show Figures
Background/Objectives: In perioperative nursing practice, nursing students can engage in direct, in-person clinical experiences in perioperative environments; however, they face limitations due to infection and contamination risks. This study aimed to develop and evaluate educational content for perioperative clinical practice for nursing students
[...] Read more.
Background/Objectives: In perioperative nursing practice, nursing students can engage in direct, in-person clinical experiences in perioperative environments; however, they face limitations due to infection and contamination risks. This study aimed to develop and evaluate educational content for perioperative clinical practice for nursing students using virtual reality (VR) and haptic technology. Methods: The program, based on the Unity Engine, was created through programming and followed the system development lifecycle (SDLC) phases of analysis, design, implementation, and evaluation. This program allows nursing students to engage in perioperative practice using VR and haptic technology, overcoming previous environmental limitations and enhancing practical and immersive experiences through multi-sensory stimuli. Results: Expert evaluations indicated that the developed content was deemed suitable for educational use. Additionally, a usability assessment with 29 nursing students revealed high levels of presence, usability, and satisfaction among the participants. Conclusions: This program can serve as a foundation for future research on VR-based perioperative nursing education.
Full article
Figure 1
Open AccessArticle
Depression, Anxiety, and Psychological Resilience in Healthcare Workers during the Pandemic (COVID-19)
by
Elif Yöyen, Tülay Güneri Barış and Fatih Bal
Healthcare 2024, 12(19), 1946; https://doi.org/10.3390/healthcare12191946 (registering DOI) - 28 Sep 2024
Abstract
Background/Objectives: The aim of this study is to examine the relationship between depression, anxiety, and psychological resilience variables with working conditions and various demographic variables in healthcare professionals who are actively involved in the pandemic process. Methods: This study included 1440 healthcare workers
[...] Read more.
Background/Objectives: The aim of this study is to examine the relationship between depression, anxiety, and psychological resilience variables with working conditions and various demographic variables in healthcare professionals who are actively involved in the pandemic process. Methods: This study included 1440 healthcare workers in different professions in two state hospitals accepted as pandemic hospitals. The research data were collected with the Sociodemographic Data Form, Hospital Anxiety and Depression Scale (HAD), and Psychological Resilience Scale (PRS). Independent samples t-test, one-way analysis of variance (ANOVA), and descriptive analyses were used to analyze the data. Results: As a result of the analyses, female participants had higher anxiety scores than male participants; healthcare professionals working as nurses, midwives, and health officers had higher anxiety scores than other healthcare professionals; those with less professional experience had higher anxiety scores than those with more professional experience; and those who had long hours of contact with COVID-19-positive patients (8 h or more per day) had higher anxiety scores than those with less contact. Single female healthcare workers reported higher depression symptoms than married female healthcare workers, those with children reported higher depression symptoms than those without children, and those with average professional experience (6–10 years) reported higher depression symptoms than those with more experience. Being single, having children, and having an average number of shifts (working at night) caused an increase in psychological resilience. Conclusions: The results of the study may contribute to the structuring of health policies to protect and support the mental health of healthcare workers in ongoing and future pandemic processes.
Full article
(This article belongs to the Special Issue Mental Health of Health Care Workers in the COVID-19 Era)
Open AccessArticle
Transcutaneous Electrical Acupoint Stimulation for Elders with Amnestic Mild Cognitive Impairment: A Randomized Controlled Pilot and Feasibility Trial
by
Wenjing Xu, Zichun Ding, Heng Weng, Junyu Chen, Wenjing Tu, Yulei Song, Yamei Bai, Shuxia Yan and Guihua Xu
Healthcare 2024, 12(19), 1945; https://doi.org/10.3390/healthcare12191945 (registering DOI) - 28 Sep 2024
Abstract
►▼
Show Figures
Background: Amnestic mild cognitive impairment (aMCI) is an important window of opportunity for early intervention and rehabilitation in dementia. The aim of this study was to investigate the feasibility and effect of delivering transcutaneous electrical acupuncture stimulation (TEAS) intervention to elders with aMCI.
[...] Read more.
Background: Amnestic mild cognitive impairment (aMCI) is an important window of opportunity for early intervention and rehabilitation in dementia. The aim of this study was to investigate the feasibility and effect of delivering transcutaneous electrical acupuncture stimulation (TEAS) intervention to elders with aMCI. Methods: A total of 61 aMCI patients were randomly allocated into the intervention group (receiving a 12-week TEAS) and control group (receiving health education). The feasibility outcomes included recruitment rate, retention rate, adherence rate, and an exploration of patients’ views and suggestions on the research. The effective outcomes included cognitive function, sleep quality, and life quality, which were measured by the Montreal cognitive assessment scale (MoCA), auditory verbal learning test—Huashan version (AVLT-H), Pittsburgh sleep quality index (PSQI), and quality of life short-term-12 (QoL SF-12). Results: The recruitment rate, retention rate, and adherence rate were 67.35%, 92.42%, and 85.29%, respectively. Most aspects of the research design and administration of the TEAS intervention were acceptable. The quantitative analysis suggests that compared with the control group, the scores of MoCA, AVLT-H, and SF-12 (mental component summary) were significantly better (p < 0.05); however, the differences were not statistically significant in PSQI and SF-12 (physical component summary) (p > 0.05). Conclusions: The findings demonstrated that the study was feasible. TEAS awas possible for enhancing cognitive function and mental health in people with aMCI.
Full article
Figure 1
Open AccessArticle
The Associations between Depression and Sugar Consumption Are Mediated by Emotional Eating and Craving Control in Multi-Ethnic Young Adults
by
Austin J. Graybeal, Jon Stavres, Sydney H. Swafford, Abby T. Compton, Stephanie McCoy, Holly Huye, Tanner Thorsen and Megan E. Renna
Healthcare 2024, 12(19), 1944; https://doi.org/10.3390/healthcare12191944 (registering DOI) - 28 Sep 2024
Abstract
Background/Objectives: Individuals with mental health conditions such as depression are vulnerable to poor dietary habits, potentially due to the maladaptive eating behaviors often used to regulate negative emotion. However, the specific dietary components most associated with depression, as well as the mediating roles
[...] Read more.
Background/Objectives: Individuals with mental health conditions such as depression are vulnerable to poor dietary habits, potentially due to the maladaptive eating behaviors often used to regulate negative emotion. However, the specific dietary components most associated with depression, as well as the mediating roles of emotion regulation and other eating behaviors, remains ambiguous in young adults. Methods: For this cross-sectional evaluation, a total of 151 (86 F, 65 M; BMI: 22.0 ± 5.1 kg/m2; age: 21.4 ± 2.5 y) multi-ethnic participants (50 White, 36 Black, 60 Asian, and 5 White Hispanic) completed a digital 24-h dietary recall and self-reported measures of depressive symptoms, emotional regulation, and eating behaviors. LASSO regression was used to identify the dietary variables most associated with each subscale and to remove extraneous dietary variables, and multiple regression and mediation analyses were conducted for the remaining variables. Results: Out of >100 dietary factors included, only added sugar in the combined sample (p = 0.043), and relative sugar in females (p = 0.045), were retained and positively associated with depressive symptoms. However, the relationships between depression and added and relative sugar intake were mediated by craving control and emotional eating, respectively. Individuals with higher added sugar intake (p = 0.012–0.037), and females with higher relative sugar intake (p = 0.029–0.033), had significantly higher odds of risk for major depression disorder and the use of mental health medications. Conclusions: Added and relative sugar intake are significantly associated with depressive symptoms in young adults, but these relationships may be mediated by facets of emotional dysregulation, such as emotional eating and craving control.
Full article
(This article belongs to the Special Issue The Impact and Relationship of Lifestyle Behaviors and Mental Health)
►▼
Show Figures
Figure 1
Open AccessArticle
Insights into Pharmacists’ Participation in Professional Certification Programs in Saudi Arabia
by
Ammar Y. Alhuzli, Mohammed B. Alzahrani, Ahmed J. Althobaiti, Abdullah S. Alshammari, Adnan Alharbi, Mahmoud Elrggal, Nasser M. Alorfi, Foud O. Bahamdain, Walaa Alnemari, Mohammed Alrashed, Abdulmalik S. Alotaibi and Mohammed A. Alnuhait
Healthcare 2024, 12(19), 1943; https://doi.org/10.3390/healthcare12191943 (registering DOI) - 28 Sep 2024
Abstract
Introduction: Professional certification programs play a crucial role in helping pharmacists develop specialized skills and establish their expertise in the field. This study explores how pharmacists in Saudi Arabia engage with these programs by examining their levels of awareness, attitudes, and participation. It
[...] Read more.
Introduction: Professional certification programs play a crucial role in helping pharmacists develop specialized skills and establish their expertise in the field. This study explores how pharmacists in Saudi Arabia engage with these programs by examining their levels of awareness, attitudes, and participation. It also identifies the key barriers and motivators that influence their decision to pursue certification. Methods: An online survey was conducted among pharmacists in Saudi Arabia to assess participants’ knowledge of certification programs, their perceived benefits, the actual participation rates, and their preferences regarding certification areas and assessment methods. Results: Out of 394 participating pharmacists, around 47% had never participated in a professional certification program, and about 27% of our sample were unaware of such programs in Saudi Arabia. Financial constraints and a lack of awareness were noted as the primary barriers to participation. Almost 55% showed an interest in Clinical Pharmacy Specialties certification, while 54% were inclined toward Pharmacy Management and Leadership certifications. A preference for practical assessments in certification programs was suggested by 55% of participants. Conclusions: This study highlights a significant need for increased awareness and accessibility to professional certification programs among pharmacists in Saudi Arabia. Addressing participation barriers is vital to foster professional development and meet the healthcare sector’s evolving demands in Saudi Arabia.
Full article
(This article belongs to the Special Issue Advancing Healthcare Excellence: On-the-Job Training, Professional Competence, and Skills Development)
►▼
Show Figures
Figure 1
Open AccessArticle
Clinical Health Psychology Perspectives in Diabetes Care: A Retrospective Cohort Study Examining the Role of Depression in Adherence to Visits and Examinations in Type 2 Diabetes Management
by
Rossella Messina, Jacopo Lenzi, Simona Rosa, Maria Pia Fantini and Paolo Di Bartolo
Healthcare 2024, 12(19), 1942; https://doi.org/10.3390/healthcare12191942 (registering DOI) - 27 Sep 2024
Abstract
Background: Depression in type 2 diabetes mellitus (T2DM) impacts glycemic control and complications. This study examines the influence of depression on compliance with recommended annual diabetes assessments in patients within the Local Healthcare Authority of Romagna. From a clinical health psychology perspective, understanding
[...] Read more.
Background: Depression in type 2 diabetes mellitus (T2DM) impacts glycemic control and complications. This study examines the influence of depression on compliance with recommended annual diabetes assessments in patients within the Local Healthcare Authority of Romagna. From a clinical health psychology perspective, understanding how depression influences patients’ engagement in managing their conditions is crucial. This insight can help improve healthcare services by ensuring they address mental health needs and thereby enhance treatment effectiveness and overall patient outcomes. Methods: This retrospective cohort study included residents of Romagna with incident T2DM from 2015 to 2017, followed from 1 January 2018 to 31 December 2022. Depression was identified via hospital discharge records or antidepressant prescriptions. Adherence to diabetes care guidelines was measured using the Guideline Composite Indicator (GCI). Results: The study included 13,285 patients, with a mean age of 61.1 years. Prevalence of post-diabetes depression increased from 3.0% in 2018 to 8.9% in 2022. Initial analyses showed higher GCI rates among patients with depression. However, propensity-score adjustment revealed that by 2021–2022, patients with pre-diabetes depression had 5% lower compliance rates (p-value ≤ 0.05). Older adults with depression had reduced adherence, while younger adults with post-diabetes depression had higher adherence rates. Conclusions: Depression significantly affects adherence to diabetes care guidelines in T2DM patients, particularly among older adults. Integrated care models addressing both diabetes and depression are crucial for improving health outcomes.
Full article
(This article belongs to the Special Issue Psychosocial Aspects in Chronic Conditions: Implications for Clinical Practice and Healthcare Delivery)
►▼
Show Figures
Figure 1
Open AccessArticle
Assessing the Relationships between Physical Activity, a Healthy Life, and Personal Happiness in European Union Countries
by
Gabriel Ioan Mangra, Mădălina Giorgiana Mangra, Claudiu George Bocean and Anca Antoaneta Vărzaru
Healthcare 2024, 12(19), 1941; https://doi.org/10.3390/healthcare12191941 - 27 Sep 2024
Abstract
Background: Maintaining a physically active lifestyle is a determinant factor of a healthy life and personal happiness. Meanwhile, physical inactivity remains a significant issue, resulting in negative consequences for public health. Objectives: This paper investigates the relationships between physical activity, physical inactivity, a
[...] Read more.
Background: Maintaining a physically active lifestyle is a determinant factor of a healthy life and personal happiness. Meanwhile, physical inactivity remains a significant issue, resulting in negative consequences for public health. Objectives: This paper investigates the relationships between physical activity, physical inactivity, a healthy life, life expectancy, and personal happiness in European Union (EU) countries. Methods: This empirical study uses an artificial neural network and cluster analysis to analyze and interpret data from 27 EU countries. Artificial neural network analysis enables the assessment of the relationships between physical activity and inactivity, a healthy life, and personal happiness, while cluster analysis identifies groups of EU countries based on physical activity, healthy life, and personal happiness indicators. Results: The results show significant positive links between physical activity and improvements in healthy living and personal happiness. Conclusions: This study highlights considerable variations among EU countries regarding the levels of physical activity, healthy living, and personal happiness, emphasizing the importance of promoting physical activity to enhance public health and overall well-being. The findings suggest the need to develop customized policies that address country-specific factors and promote an active lifestyle.
Full article
(This article belongs to the Special Issue Effects of Physical Activity on Physical and Psychological Health)
►▼
Show Figures
Figure 1
Open AccessReview
Recent Developments in the Non-Pharmacological Management of Children’s Behavior Based on Distraction Techniques: A Concise Review
by
Jieyi Chen, Ke Deng, Dikuan Yu, Cancan Fan, Limin Liu, Haijing Gu, Fang Huang and Yongbiao Huo
Healthcare 2024, 12(19), 1940; https://doi.org/10.3390/healthcare12191940 - 27 Sep 2024
Abstract
Oral diseases and conditions affect children’s oral health and negatively influence their overall health. Early detection and intervention are important in mitigating these negative consequences. However, dental fear and anxiety (DFA) regarding dental procedures often hinder children from seeking necessary dental care. Non-pharmacological
[...] Read more.
Oral diseases and conditions affect children’s oral health and negatively influence their overall health. Early detection and intervention are important in mitigating these negative consequences. However, dental fear and anxiety (DFA) regarding dental procedures often hinder children from seeking necessary dental care. Non-pharmacological behavior management strategies, such as distraction techniques, are commonly adopted to manage children’s behaviors. Distraction techniques have been developed rapidly in recent years and are widely accepted by both health professionals and parents due to their noninvasive and low-cost nature. This concise review aims to summarize current distraction techniques applied during dental treatments, especially for children. The most commonly reported techniques for children are audio distraction, audio-visual distraction, tactile distraction, olfactory distraction, and gustatory distraction. Audio distraction techniques involving music and storytelling help children relax. Audio-visual distraction techniques help to divert children’s attention from the dental treatment. Tactile stimuli can reduce the transmission of pain signals. Olfactory stimuli can help children feel comfortable and relaxed. Gustatory distraction involving sweet substances can create a positive environment. These distraction techniques effectively reduce DFA in children and improve their satisfaction with dental procedures. As technology continues to develop, further research is needed to provide more robust, evidence-based guidance for dentists using distraction techniques.
Full article
(This article belongs to the Special Issue Prevention and Management of Oral Diseases among Children)
Open AccessArticle
Trends and Patterns of ICU E-Referrals in Saudi Arabia during 2020–2021: Results from the National Saudi Medical Appointments and Referrals Centre
by
Abdullah A. Alharbi, Nawfal A. Aljerian, Hani A. Alghamdi, Meshary S. Binhotan, Ali K. Alsultan, Mohammed S. Arafat, Abdulrahman Aldhabib, Ahmed I. Aloqayli, Eid B. Alwahbi, Mohammed A. Muaddi and Mohammed K. Alabdulaali
Healthcare 2024, 12(19), 1939; https://doi.org/10.3390/healthcare12191939 - 27 Sep 2024
Abstract
►▼
Show Figures
Background/Objectives: Intensive care unit (ICU) e-referrals are an important indicator for exploring potential deficiencies in critical care resources. This study aimed to examine the epidemiology and patterns of ICU e-referrals across all regions of Saudi Arabia during the COVID-19 pandemic using routinely collected
[...] Read more.
Background/Objectives: Intensive care unit (ICU) e-referrals are an important indicator for exploring potential deficiencies in critical care resources. This study aimed to examine the epidemiology and patterns of ICU e-referrals across all regions of Saudi Arabia during the COVID-19 pandemic using routinely collected data from April 2020 to December 2021. Methods: This descriptive epidemiological study analyzed data from the Saudi Medical Appointments and Referrals Centre (SMARC). This study reveals novel regional ICU e-referral patterns for critical cases using national unique digital health data, adding insights beyond the existing literature. Variables included age, sex, referral timing, reason, specialty, and region of origin. Descriptive statistics and mapping of administrative areas were performed based on e-referral request rates per 10,000 population. Results: During the study period, 36,619 patients had ICU e-referral requests. The mean age was 54.28 years, with males constituting 64.81% of requests. Out-of-scope e-referrals comprised 71.44% of requests. Referrals related to medical specialties, such as cardiology and pulmonology, were the most common (62.48%). Referral patterns showed peaks in July–August 2020 and May 2021. The Northern Border and Albaha areas had the highest request rates per population, potentially reflecting a higher proportion of severe cases requiring ICU-level care compared to other regions. Conclusions: The temporal pattern and geographic distribution of ICU e-referrals mirrored previously reported critical COVID-19 cases in Saudi Arabia. Preventive measures and vaccination programs contributed to a significant decline in ICU e-referral requests, suggesting a positive impact on controlling severe COVID-19 cases. Population-adjusted analysis revealed regional disparities, highlighting the importance of considering population size in healthcare resource management and policy.
Full article
Figure 1
Open AccessArticle
Complementary Musical Intervention for Patients in Palliative Care in Spain: A Randomized Controlled Trial
by
Inmaculada Valero-Cantero, María Ángeles Vázquez-Sánchez, José Luis Casals-Sánchez, Milagrosa Espinar-Toledo, Juan Corral-Pérez and Cristina Casals
Healthcare 2024, 12(19), 1938; https://doi.org/10.3390/healthcare12191938 - 27 Sep 2024
Abstract
Background: Patients with advanced cancer often endure a heavy burden of symptoms, both in quantity and intensity. Complementary therapies offer potential relief in this challenging scenario. Increasing the number of randomized controlled trials provides a unique opportunity to generate rigorous data, which can
[...] Read more.
Background: Patients with advanced cancer often endure a heavy burden of symptoms, both in quantity and intensity. Complementary therapies offer potential relief in this challenging scenario. Increasing the number of randomized controlled trials provides a unique opportunity to generate rigorous data, which can be used to establish causal relationships and evaluate interventions; hence, nurses can strengthen evidence-based practices, leading to better patient outcomes and quality of care. Our study aimed to evaluate the impact of a 7-day pre-recorded music intervention on cancer symptoms and satisfaction in advanced-stage cancer patients receiving palliative care at home. Methods: This multicenter, double-blind, randomized, controlled clinical trial involved 80 Spanish cancer patients receiving palliative care at home, and was conducted from July 2020 to November 2021. The intervention group (n = 40) received self-selected pre-recorded music for 30 min daily over 7 days. The control group (n = 40) received pre-recorded basic health education sessions of equal duration and frequency. Symptoms and patient satisfaction were assessed before and after the intervention using the Edmonton Symptom Assessment System and the Client Satisfaction Questionnaire, respectively. Results: Comparing the intervention with the control group, significant improvements were observed in various symptoms: total symptom burden (p < 0.001), pain (p = 0.001), fatigue (p = 0.007), depression (p = 0.001), anxiety (p = 0.005), drowsiness (p = 0.006), appetite (p = 0.047), well-being (p ≤ 0.001), and sleep (p < 0.001); additionally, patient satisfaction was higher in the intervention group (p < 0.001). Conclusions: The 7-day pre-recorded music intervention reduced both physical and psychological symptoms in advanced-stage cancer patients receiving home-based palliative care, demonstrating significant alleviation of overall symptom burden and increased satisfaction with healthcare.
Full article
(This article belongs to the Special Issue Improving the Quality of Nursing: Focus on Palliative Care and End-of-Life Care)
►▼
Show Figures
Figure 1
Open AccessArticle
Switching from Cigarettes to Heated Tobacco Products in Japan—Potential Impact on Health Outcomes and Associated Health Care Costs
by
Joerg Mahlich and Isao Kamae
Healthcare 2024, 12(19), 1937; https://doi.org/10.3390/healthcare12191937 - 27 Sep 2024
Abstract
Background: Japan’s rising health expenditure, driven by an aging population, coincides with growing demands for increased spending. Reducing smoking-related costs could alleviate the burden on the health care system. Despite efforts to promote smoking cessation, success has been limited, indicating a need for
[...] Read more.
Background: Japan’s rising health expenditure, driven by an aging population, coincides with growing demands for increased spending. Reducing smoking-related costs could alleviate the burden on the health care system. Despite efforts to promote smoking cessation, success has been limited, indicating a need for strategies beyond cessation. Methods: Using a status quo simulation based on hospital resource data from the Japanese Ministry of Health, Labor, and Welfare, we examine the impact of heated tobacco products (HTPs) on the prevalence of four smoking-attributable diseases (chronic obstructive pulmonary disease, ischemic heart disease, stroke, and lung cancer) and the related direct health care costs. The baseline scenario assumes a 50% switch from combustible cigarettes to HTPs, with a 70% risk reduction. A sensitivity analysis was conducted to assess the effects of parameter variations. Results: If 50% of smokers replaced combustible tobacco products with HTPs, 12 million patients could be averted equivalent to JPY 454 billion in health care savings. Prefectures located in the north and south of Japan would benefit the most. Conclusions: Considering the heterogeneous prevalence rates, a one-size-fits-all tobacco control approach is ineffective. Japan should prioritize cost-efficient measures that promote public health and economic benefits. Encouraging smokers to switch to reduced-risk products, raising awareness of health risks, and adopting a harm-based taxation model can drive positive change. Public–private partnerships can further enhance harm reduction efforts. With a combination of tax reforms, revised regulations, collaborations, and ongoing research, Japan can create a more effective and comprehensive approach to tobacco control.
Full article
(This article belongs to the Section Health Policy)
►▼
Show Figures
Figure 1
Open AccessArticle
Emotional Intelligence as Critical Competence in Nurses’ Work Performance: A Cross-Sectional Study
by
Petros Galanis, Aglaia Katsiroumpa, Ioannis Moisoglou, Konstantina Derizioti, Parisis Gallos, Maria Kalogeropoulou and Vasiliki Papanikolaou
Healthcare 2024, 12(19), 1936; https://doi.org/10.3390/healthcare12191936 - 27 Sep 2024
Abstract
Background/Objectives: Emotional intelligence may help nurses to cope with demanding work environments where the need to improve the quality and safety of the care provided, as well as the care of the chronically ill, prevails. Although it is well known that emotional intelligence
[...] Read more.
Background/Objectives: Emotional intelligence may help nurses to cope with demanding work environments where the need to improve the quality and safety of the care provided, as well as the care of the chronically ill, prevails. Although it is well known that emotional intelligence is positively related to work performance, the literature on nurses is limited. The aim of our study was to examine the impact of emotional intelligence on work performance in a sample of nurses in Greece. Methods: We conducted a cross-sectional study with 318 nurses. We collected data from a convenience sample of nurses during January 2024. Since we conducted an online survey through social media, our sample could not be representative of all nurses in Greece. For instance, older nurses may be underrepresented in our study due to limited access on social media. We measured emotional intelligence with the Trait Emotional Intelligence Questionnaire-Short Form (TEIQue-SF) and work performance with the Individual Work Performance Questionnaire (IWPQ). We created multivariable linear regression models adjusted for sex, age, educational level, and work experience. We followed the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines. Results: We found that the four streams of emotional intelligence (i.e., well-being, self-control, emotionality, sociability) increased nurses’ work performance. In particular, we found a positive relationship between well-being and task performance (adjusted beta = 0.210, 95% CI = 0.140 to 0.281, p-value < 0.001) and contextual performance (adjusted beta = 0.135, 95% CI = 0.050 to 0.221, p-value = 0.002). Similarly, there was a positive relationship between self-control and task performance (adjusted beta = 0.136, 95% CI = 0.030 to 0.241, p-value = 0.012). Additionally, sociability increased task performance (adjusted beta = 0.223, 95% CI = 0.151 to 0.295, p-value < 0.001) and contextual performance (adjusted beta = 0.198, 95% CI = 0.111 to 0.286, p-value < 0.001). Moreover, emotionality (adjusted beta = −0.198, 95% CI = −0.319 to −0.076, p-value = 0.002) and sociability (adjusted beta = −0.133, 95% CI = −0.221 to −0.044, p-value = 0.003) reduced counterproductive work behavior. Conclusions: Our multivariable models identified a positive impact of emotional intelligence on nurses’ work performance. Nurse managers and healthcare organizations should adopt appropriate interventions to improve nurses’ emotional intelligence. Enhancing emotional intelligence among nurses can improve work performance and, thus, healthcare outcomes. Moreover, higher levels of emotional intelligence may empower nurses’ compassion and resilience, fostering a supportive work environment. In this context, the well-being of both nurses and patients may improve.
Full article
(This article belongs to the Special Issue Towards Holistic Healthcare: Advancing Nursing and Medical Education)
Open AccessPerspective
Emerging Evidence Supports Broader Definition of Chairside Behavior Guidance and Familial Compliance
by
Paul S. Casamassimo
Healthcare 2024, 12(19), 1935; https://doi.org/10.3390/healthcare12191935 - 27 Sep 2024
Abstract
Background and Objectives: Behavior management as a set of clinical techniques to induce desirable clinical treatment and subsequent compliance behaviors in children and families varies internationally based on professional training, access to care, health literacy, and societal norms. This report proposes non-typical diagnostic
[...] Read more.
Background and Objectives: Behavior management as a set of clinical techniques to induce desirable clinical treatment and subsequent compliance behaviors in children and families varies internationally based on professional training, access to care, health literacy, and societal norms. This report proposes non-typical diagnostic considerations of additional inherent behavioral conditions and familial and social qualifiers that may help predict success both at the chairside and in compliance with home self-care behaviors to reduce caries susceptibility. Methods: A review of the medical and dental literature provides ample support for the consideration of changing characteristics of both the patient and the environment. Results: The current recommendations for choice of behavior guidance in direct clinical care, as used in the USA, often fall short of efficacy for a variety of reasons including the provider limitations, the extent and difficulty of treatment, and most recently appreciated, the complexity of negative childhood experiences, subclinical behavioral disorders, and immutable negative determinants of health outside the dental setting affecting interaction with health professionals. These same factors, such as family dysfunction and societal stresses, also impact compliance with out-of-clinic preventive efforts that many oral health care providers rely upon to help mitigate treatment limitations in reaching children. There are also behavioral elements of compliance and attitudes toward health that dentists need to recognize. Conclusions: A broader, more inclusive concept of behavior guidance to include factors beyond those typically associated with a dental patient affecting treatment and compliance with preventive behaviors may be beneficial. Every population and patient will have differing characteristics and require individualized care.
Full article
(This article belongs to the Special Issue Oral Health Status of Children and Adolescents)
Open AccessArticle
Exploration of Food Attitudes and Management of Eating Behavior from a Psycho-Nutritional Perspective
by
Anca Mihaela Dicu, Lavinia Denisia Cuc, Dana Rad, Andreea Ioana Rusu, Andrea Feher, Florin Lucian Isac, Daniel Manate, Annamaria Pallag and Florentina Simona Barbu
Healthcare 2024, 12(19), 1934; https://doi.org/10.3390/healthcare12191934 - 27 Sep 2024
Abstract
Background/Objectives: This study investigates the relationship between food attitudes and the management of eating behavior from a psycho-nutritional perspective, with a focus on the Health Belief Model (HBM). The objective was to explore how emotional food cravings influence different aspects of eating behavior
[...] Read more.
Background/Objectives: This study investigates the relationship between food attitudes and the management of eating behavior from a psycho-nutritional perspective, with a focus on the Health Belief Model (HBM). The objective was to explore how emotional food cravings influence different aspects of eating behavior and dietary attitudes, and to identify indirect pathways through which these cravings affect attitudes toward dieting behaviors. Methods: Data were collected from 659 participants using validated scales that assessed dieting tendencies, bulimia and food preoccupation, culinary behaviors, food preoccupation, expectations of positive outcomes, and emotional food cravings. Descriptive statistics, Pearson’s correlations, and network analysis were employed to uncover significant associations among these variables. A sequential mediation analysis was conducted using SPSS PROCESS Macro Model 6 to identify indirect pathways. Results: The analysis revealed significant associations among the variables. Emotional food craving had a negative indirect effect on dieting attitudes through bulimia tendencies (effect size: −0.523) and a positive indirect effect through food preoccupation (effect size: 0.1006). These results highlight the complex interplay between emotional food cravings, bulimia tendencies, and food preoccupation in shaping dieting attitudes. Conclusions: The findings emphasize the complex dynamic between emotional food cravings, bulimia tendencies, and food preoccupation, and their collective impact on dieting attitudes. This study provides insights into potential intervention strategies aimed at improving eating habits by addressing emotional food cravings and their indirect effects on dietary behavior.
Full article
(This article belongs to the Special Issue Food, Health and Society: Determinants of Eating Behavior)
►▼
Show Figures
Figure 1
Open AccessArticle
In the Shadow of the Pandemic: Examining Therapists’ Perceptions of Work-Related Stress in the Late Stages of the COVID-19 Pandemic in Germany
by
Smilla Johann, Megan Evans, Rike Böttcher, Nadine Muller, Barbara Buchberger, Charbel El Bcheraoui and Heide Weishaar
Healthcare 2024, 12(19), 1933; https://doi.org/10.3390/healthcare12191933 - 26 Sep 2024
Abstract
Background/Objectives: The previous literature has identified increased work-related stress among healthcare workers (HCWs) during the COVID-19 pandemic. This study analyzes work-related perceived stress experienced by therapists during the COVID-19 pandemic in Germany to identify potential for supporting this crucial group of HCWs in
[...] Read more.
Background/Objectives: The previous literature has identified increased work-related stress among healthcare workers (HCWs) during the COVID-19 pandemic. This study analyzes work-related perceived stress experienced by therapists during the COVID-19 pandemic in Germany to identify potential for supporting this crucial group of HCWs in future health crises. Methods: Survey data on stress, measured through the Perceived Stress Scale 4, among HCWs (therapists n = 612, nurses n = 501, and doctors n = 461) were analyzed using descriptive statistics, and data from four semi-structured interviews and seven focus group discussions with therapists were analyzed using thematic content analysis. Data were collected from March to September 2022. Results: Therapists reported similar stress levels to other HCWs, with the reporting of perceived stress differing between work contexts. Eight stressors were identified through the thematic analysis: (1) concerns about maintaining the quality of care, (2) uncertainty about the future, (3) workload, (4) interactions with colleagues and patients, (5) PPE, (6) the risk of infection, (7) insufficient information flow, and (8) the lack of public and political recognition. Conclusions: This study emphasizes the distinct challenges that therapists experienced during the COVID-19 pandemic. By identifying the factors that contributed to the stress experienced, the study can inform targeted support strategies which can enhance therapists’ work, ultimately contributing to sustaining essential healthcare services during public health crises.
Full article
(This article belongs to the Special Issue Emotional Stress of Healthcare Professionals in Work)
►▼
Show Figures
Figure 1
Open AccessArticle
Eating Habits Related to Pregnancy, Body Perception, Attractiveness and Self-Confidence
by
Wioleta Faruga-Lewicka, Wiktoria Staśkiewicz-Bartecka, Patrycja Janiszewska, Martina Grot and Marek Kardas
Healthcare 2024, 12(19), 1932; https://doi.org/10.3390/healthcare12191932 - 26 Sep 2024
Abstract
►▼
Show Figures
Background: Pregnancy is a period of many changes in a woman’s life, including those related to eating habits, taking care of health and fitness, as well as esthetic and psychological considerations. Methods: The study was conducted between January 2021 and December 2022. A
[...] Read more.
Background: Pregnancy is a period of many changes in a woman’s life, including those related to eating habits, taking care of health and fitness, as well as esthetic and psychological considerations. Methods: The study was conducted between January 2021 and December 2022. A questionnaire was used to conduct the study, the questions of which concerned eating habits, as well as perceptions of one’s body and changes in appearance during pregnancy. Respondents filled out the questionnaire twice. The first survey was in the first two weeks after the doctor’s confirmation of pregnancy and after the end of pregnancy, up to a maximum of 2 months after delivery. The purpose of the study was to evaluate changes in women’s eating habits during pregnancy compared to before pregnancy to analyze the impact of pregnancy on women’s body perception and attractiveness and self-confidence; furthermore, the study aimed to analyze the body mass index (BMI) of women before pregnancy and to compare weight gain during pregnancy depending on the initial BMI, taking into account different age groups. The values of measurable parameters were presented using the arithmetic mean, median, dominant and standard deviation. Non-measurable parameters were presented using percentages. The Chi2 test of homogeneity was used to examine differences between groups. Results: During pregnancy, respondents mostly ate five meals a day, increased the amount of vegetables and fruits in their diets, and ate their meals without rushing (defined as slowly, calmly and without measuring the time left until the end of the meal break). Respondents reduced their coffee intake during pregnancy, while they increased their water intake to about 2 L a day. In the survey, about 2% of respondents followed a weight-loss diet during pregnancy. Respondents who were more likely to take body circumference measurements equally often monitored their daily energy intake. Conclusion: Women changed their eating habits during pregnancy to healthier ones compared to before pregnancy. The women’s eating habits and well-being were also not affected by their age. Also, there was no significant relationship between eating habits and well-being in pregnant women, regardless of their age. The study may assist medical staff in promoting healthier eating habits and tailoring psychological support, which is crucial for the well-being of pregnant women.
Full article
Figure 1
Open AccessArticle
Dietary Habits, Awareness, and Knowledge among Polish Healthcare Providers and Healthcare Students
by
Magdalena Kurnik-Łucka, Dominika Grońska, Iga Salwa, Julia Niedbałowska, Kamil Paweł Skowron, Katarzyna Anna Dyląg, Elżbieta Rząsa-Duran, Marcin Wojnarski, Agnieszka Pac and Krzysztof Gil
Healthcare 2024, 12(19), 1931; https://doi.org/10.3390/healthcare12191931 - 26 Sep 2024
Abstract
Background/Objectives: Nutrition plays a significant role in preventive medicine, as up to 80% of chronic diseases could be avoided by adhering to healthy dietary principles. The aim of our study was to identify dietary habits, awareness, and nutrition knowledge in a random
[...] Read more.
Background/Objectives: Nutrition plays a significant role in preventive medicine, as up to 80% of chronic diseases could be avoided by adhering to healthy dietary principles. The aim of our study was to identify dietary habits, awareness, and nutrition knowledge in a random sample of Polish healthcare students and professionals. Methods: Initially, a total screened sample consisted of 1287 respondents, yet the actual response/participation rate was 634/1287. A validated questionnaire for the Polish population, the Dietary Habits and Nutrition Beliefs Questionnaire (KomPAN), was used for the assessment. Results: The majority of respondents were females (84.2% of medical students and 87.2% of healthcare professionals), current non-smokers (79.6% of medical students and 85.2% of healthcare professionals), and had a normal waist circumference (76.3% of medical students and 63.1% of healthcare professionals). Both clinical dieticians and students studying clinical dietetics received significantly different scores of dietary indexes (pro-healthy pHDI-10 and non-healthy nHDI-14) vs. respective groups of respondents. Both healthcare students and professionals who self-reported better nutritional knowledge indeed yielded significantly better results in the dietary indexes as well as nutritional knowledge scores. The nutrition knowledge score was positively correlated with pHDI-10 and negatively correlated with nHDI-14, BMI, age, and waist circumference. Conclusions: Our results illustrate lifestyle trends among Polish healthcare students and professionals, and such results should encourage the development of evidence-based dietary policies targeting healthcare providers. High-quality continuing nutrition education should be obligatorily provided to all healthcare providers to enhance their dietary awareness as well as ensure high quality of care and outcomes achieved by the Polish healthcare system.
Full article
Journal Menu
► ▼ Journal Menu-
- Healthcare Home
- Aims & Scope
- Editorial Board
- Reviewer Board
- Topical Advisory Panel
- Instructions for Authors
- Special Issues
- Topics
- Sections & Collections
- Article Processing Charge
- Indexing & Archiving
- Editor’s Choice Articles
- Most Cited & Viewed
- Journal Statistics
- Journal History
- Journal Awards
- Society Collaborations
- Conferences
- Editorial Office
Journal Browser
► ▼ Journal BrowserHighly Accessed Articles
Latest Books
E-Mail Alert
News
Topics
Topic in
Behavioral Sciences, COVID, EJIHPE, Societies, IJERPH, Healthcare
Cultural Differences and Migrant Mental Health in the Age of COVID-19
Topic Editors: Vsevolod Konstantinov, Andrés Alexis Ramírez CoronelDeadline: 30 September 2024
Topic in
Cancers, Diagnostics, IJMS, Radiation, Safety, Healthcare
Ionizing and Non-ionizing Radiation: Advances in Healthcare, Environmental Safety and Occupational Radiation Protection
Topic Editors: Marco D'Arienzo, Andrea Malizia, Gian Marco ContessaDeadline: 31 October 2024
Topic in
Behavioral Sciences, EJIHPE, Healthcare, Social Sciences, Sustainability
Global Mental Health Trends
Topic Editors: Naiara Ozamiz-Etxebarria, Nahia Idoiaga-Mondragon, Maitane Picaza Gorrotchategi, Idoia Legorburu Fernandez, Israel AlonsoDeadline: 20 November 2024
Topic in
Cancers, Children, Diseases, Healthcare, JCM
Children’s Diseases, Family Management, and Quality of Life
Topic Editors: Robert Śmigiel, Anna RozensztrauchDeadline: 19 December 2024
Conferences
Special Issues
Special Issue in
Healthcare
Reducing the Cost of Healthcare
Guest Editor: Christopher TompkinsDeadline: 30 September 2024
Special Issue in
Healthcare
New Insights into Understudied Phenomena in Healthcare
Guest Editors: José Manuel Hernández Padilla, Cayetano Fernández-SolaDeadline: 30 September 2024
Special Issue in
Healthcare
Pharmacy Practice and Administration—3rd Edition
Guest Editor: Georges AdunlinDeadline: 30 September 2024
Special Issue in
Healthcare
Rehabilitation Program for Orthopedic and Neurological Patients
Guest Editors: Kaux Jean-François, Markos SgantzosDeadline: 30 September 2024
Topical Collections
Topical Collection in
Healthcare
Health Care and Services for Elderly Population
Collection Editor: Hideki Nakano
Topical Collection in
Healthcare
Aging and Chronic Disease: Experiences, Holisitic Care and Quality of Life
Collection Editor: Jose Granero-Molina