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  1. Male infertility has played an important role in childbearing in developing countries, including Iran. With the increasing use of mobile health and the need for self-care, this study aimed to design and evalua...

    Authors: Jalal Nikukaran, Alireza Fallahzadeh, Mahsa Kaffashpour yazdi, Seyed Ali Fatemi Aghda, Hossein Torkashvand, Reza Akbarzade, Meysam Fallahnezhad, Hadi karimi aqda, Rahime Tajvidi Asr and Shadi Hazhir
    Citation: BMC Health Services Research 2025 25:722
  2. The COVID-19 pandemic has raised concerns about continuity of care for chronic diseases such as diabetes, hypertension, and dyslipidemia. Although studies have documented declines in healthcare utilization, fe...

    Authors: Tomoki Ishikawa, Akihito Kako, Jumpei Sato, Junko Hattori, Hiromasa Yoshimoto, Masaru Kitsuregawa, Kazuo Goda, Yoshimitsu Takahashi, Takeo Nakayama and Naohiro Mitsutake
    Citation: BMC Health Services Research 2025 25:721
  3. Electronic medical record systems (EMRS) have transformed healthcare by improving quality, efficiency, and safety through centralized patient data and streamlined workflows. Challenges such as budget constrain...

    Authors: Hager Saleh, Cecilia Stålsby Lundborg and Megha Sharma
    Citation: BMC Health Services Research 2025 25:719
  4. Sleep quality is a crucial aspect that can affect the health, job performance, and safety outcomes of operating room employees. However, the social and work-environmental factors that predict sleep quality rem...

    Authors: Nilofar Pasyar, Masoume Rambod, Atefeh Abbasi and Mahdi Salmanpour
    Citation: BMC Health Services Research 2025 25:718
  5. Rural areas face unique and interconnected challenges that hinder both access to and quality of health and social services. In response, local communities are increasingly called to proactively engage in ident...

    Authors: Nicola Spezia, Sabina De Rosis and Sabina Nuti
    Citation: BMC Health Services Research 2025 25:716
  6. The prevalence of acquired brain injury (ABI) and mental health/substance use (MHSU) disorders is high amongst people experiencing homelessness, yet guidance for addressing these complex comorbidities is lacki...

    Authors: Cole J. Kennedy, Jasleen Grewal, Grace Warren, Julia Schmidt, Janelle Breese Biagioni and Mauricio A. Garcia-Barrera
    Citation: BMC Health Services Research 2025 25:715
  7. With population aging and the weakening of traditional family caregiving, home-based care services are becoming more important in China. However, little is known about residents’ service preferences during the...

    Authors: Zihan Ni, Xiuyuan Zhu, Jing Guo, Shiyu Xie, Shimeng Liu and Xiaoguang Yang
    Citation: BMC Health Services Research 2025 25:713
  8. Clear and precise instructions are essential for high-quality medication management. This study focuses on identifying usability and functionality of instructional materials on medicine handling and use produc...

    Authors: Henri Satokangas, Kirsi Kvarnström and Hanna M. Tolonen
    Citation: BMC Health Services Research 2025 25:712
  9. This study aims to evaluate the cost-effectiveness of Trastuzumab deruxtecan (T-DXd), compared to trastuzumab emtansine (T-DM1) as second-line treatments for human epidermal growth factor receptor 2 (HER2)-pos...

    Authors: Neda Yaghoubi, Behzad Fatemi, Razieh Ahmadi, Yalda Metghalchi, Bita Shahrami, Mohammad Vaezi and Soheila Rezaei
    Citation: BMC Health Services Research 2025 25:711
  10. Improving quality of sick child care is the primary aim of Integrated Community Case Management services and implementation fidelity is critical to translating an evidence-based intervention to practice. A com...

    Authors: Dawit Wolde Daka, Muluemebet Abera Wordofa and Mirkuzie Woldie
    Citation: BMC Health Services Research 2025 25:710
  11. Emergency medicine is a highly interdisciplinary field, and emergency nurses and physicians have high rates of burnout compared to other specialties. National and international agencies prioritize investments ...

    Authors: K. Jane Muir, Anish K. Agarwal, Daniela Golinelli, Karen B. Lasater, James Ballinghoff, Colleen Mattioni, Matthew D. McHugh and Linda H. Aiken
    Citation: BMC Health Services Research 2025 25:709
  12. The role of pharmacists and pharmacies has changed in Poland. Since 2021, a pharmacist can provide health services as part of pharmaceutical care. For this reason, we conducted an analysis of the perception of...

    Authors: Iwona Wrześniewska-Wal, Justyna Grudziąż-Sękowska, Kuba Sękowski, Jarosław Pinkas and Mateusz Jankowski
    Citation: BMC Health Services Research 2025 25:708
  13. Most medical responders are not adequately trained to recognize and treat maternal medical emergencies, including maternal cardiac arrest, and national credentialing standards do not exist. Obstetric Life Supp...

    Authors: Shayna D. Cunningham, Rogie Royce Carandang, Laurie S. Wood, Marcia Barry, Peggy Baker, Makayla Murphy, Cheryl K. Roth, Les R. Becker, Brook Thomson, Vincent Mosesso, Jacqueline Vidosh, John Phelps, Benjamin Sutton, James J. Grady, Kristen Annis-Brayne and Andrea Shields
    Citation: BMC Health Services Research 2025 25:707
  14. Completion of maternal health care (MHC) services during pregnancy, childbirth, and postnatal care is crucial for reducing maternal and newborn mortality. However, a low proportion of mothers achieve this cont...

    Authors: Polline Acirucan, Joyce Nankumbi, Tom Dennis Ngabirano and Patience Muwanguzi
    Citation: BMC Health Services Research 2025 25:706
  15. In this analysis we investigated the dynamics of original and generic immunosuppressive therapies prescribed to patients after organ transplantation, which are highly sensitive to generic drug conversion.

    Authors: Franziska Hörbrand, Daniela Stahn, Peter Killian, Larissa Weichenberger, Detlef Böhler and Peter Bramlage
    Citation: BMC Health Services Research 2025 25:705
  16. Social capital, the resources embedded in social networks, has been identified as a key determinant of sexual and reproductive health outcomes, yet its role in crisis contexts, particularly in shaping access t...

    Authors: Hannah Ireland, Nguyen Toan Tran, Robyn Drysdale and Angela Dawson
    Citation: BMC Health Services Research 2025 25:704
  17. In Togo, community health workers (CHWs) provide primary healthcare to people living more than 5 km from a health centre or who are geographically difficult to reach. This study presents the geographical cover...

    Authors: Kao Tanang Salaka, Anne Thomas, Abdoukarim Naba Mouchedou, Nicolas Voirin and Mélodie Leconte
    Citation: BMC Health Services Research 2025 25:703
  18. Differentiation of HIV services, a client-centered strategy, may improve care outcomes among adolescents and youth living with HIV (AYLHIV). Understanding health provider perceptions of barriers and facilitato...

    Authors: Nok Chhun, Dorothy I. Mangale, Kawango Agot, Winnie A. Owade, Julie Kadima, Jacinta Badia, James K. Kibugi, Pamela K. Kohler, Grace John-Stewart and Kristin Beima-Sofie
    Citation: BMC Health Services Research 2025 25:702
  19. Outpatient departments of tertiary children’s hospitals in China are often overcrowded. This study used a behavioral experiment to investigate the relationship between expectations and satisfaction levels to i...

    Authors: Hui Zhang, Junhua Tian, Yu Shi, Yuping Qian, Xuan Gao and Xiaowen Zhai
    Citation: BMC Health Services Research 2025 25:701
  20. Research impact is defined as an effect, change or benefit to the wider society or services beyond academia. Measuring impact demonstrates benefit and value for money of publicly-funded research. This study ev...

    Authors: Florence Cook, Nicky Gilbody, Jenny Hunt, Zoe Knight, Heulwen Sheldrick, Lisa Houghton, Caroline Ewers, Michael Caygill, Holly Speight, Irwin Nazareth and Roganie Govender
    Citation: BMC Health Services Research 2025 25:700
  21. Increased use of health data has the potential to improve both health care and health policies. Several recent policy initiatives at the European and German legislative levels aim to increase the primary and s...

    Authors: Caroline Dotter, Sonja Haug, Rainer Schnell, Georgios Raptis and Karsten Weber
    Citation: BMC Health Services Research 2025 25:699
  22. To investigate baseline characteristics associated with older citizens calling the medical helpline 1813 (MH1813) in Denmark and how these baseline characteristics were associated with triage outcomes in a sub...

    Authors: Sandra Mandrup Johansen, Fredrik Folke, Anette Lykke Hindhede, Rasmus Bo Hasselbalch, Kasper Iversen and Tom Møller
    Citation: BMC Health Services Research 2025 25:698
  23. This study aims to identify the dimensions and evolutionary pathways of China’s high-performing national healthcare system, as well as the interaction mechanisms between the digital and traditional healthcare ...

    Authors: Chong Feng, Feiyang Chen, Ziwei Ye and Fenling Zhang
    Citation: BMC Health Services Research 2025 25:697
  24. In Germany, type of health insurance is an important aspect of health care inequalities because there is a dual structure of statutory and private health insurance and there are incentives for a preferential t...

    Authors: Olaf von dem Knesebeck and Jens Klein
    Citation: BMC Health Services Research 2025 25:696
  25. Australian governments and the First Nations Coalition of Peaks, through the Closing the Gap reforms, have committed to build the Aboriginal and Torres Strait Islander community-controlled sector and increase ...

    Authors: Janya McCalman, Merissa Nona, Mandy Edwards, Lucresia Willett, Ruth Fagan, Vicki Saunders, Alexandra van Beek, Sandy Campbell, Mary Anne Furst and Luis Salvador-Carulla
    Citation: BMC Health Services Research 2025 25:695
  26. In January 2023 the Ontario Health Insurance Plan (OHIP) introduced a diagnostic code for post-COVID-19 condition (PCC). We used this code to estimate the incidence rate of PCC, to compare demographic and clin...

    Authors: Joseph S. Munn, Clare L. Atzema, Peter C. Austin, Stacey J. Butler, Lee Fidler, Xuesong Wang and Andrea S. Gershon
    Citation: BMC Health Services Research 2025 25:694
  27. Although Japan has successfully mitigated HIV infections, several issues related to the disease remain to be addressed. As the people living with HIV are aging, their medical care needs are expected to become ...

    Authors: Taketoshi Okita, Yosuke Inamoto, Keiko Yokota, Chiaki Kageyama, Jugo Hanai, Masazumi Yamaguchi and Takuma Shirasaka
    Citation: BMC Health Services Research 2025 25:693
  28. Breast cancer remains a major global health issue, with millions of cases diagnosed annually and limited diagnostic and treatment options, particularly in developing countries. This study aimed to evaluate the...

    Authors: Ghazaleh Mohammadi Mogharab, Reza Khajouei, Narges Norouzkhani, Zahra Esmaeili, Fatemeh Zahra Bagheri and Mohammad Reza Mazaheri Habibi
    Citation: BMC Health Services Research 2025 25:692
  29. The coronavirus disease 2019 (COVID-19) pandemic has had a significant impact on health systems worldwide, resulting in disruptions to essential health service delivery, such as routine immunizations, maternal...

    Authors: Najibeh Khoshmaram, Kamal Gholipour, Mostafa Farahbakhsh and Jafar Sadegh Tabrizi
    Citation: BMC Health Services Research 2025 25:691
  30. The COVID-19 pandemic exposed critical weaknesses within the healthcare sector in many countries, and intensifying pressure on managers and healthcare workers was immediate. Managers were faced with increased ...

    Authors: Linda Ahlstrom, Nanna Gillberg, Ewa Wikström, Helle Wijk, Ingibjörg H. Jonsdottir, Alessio Degl’Innocenti and Sara L. Fallman
    Citation: BMC Health Services Research 2025 25:690
  31. South Korea is reported to have higher levels of unmet medical needs (UMN) than other countries, particularly among the middle-aged adult population. Considering that this group constitutes a substantial porti...

    Authors: Jeewuan Kim, Seok-Min Ji, In-Sik Kim, Ha-Young Jang, Chang-Hyun Yoo, Jae-Hak Kim and Kyu-Min Kim
    Citation: BMC Health Services Research 2025 25:689
  32. Previous studies have shown that health insurance and financial burden affect satisfaction with healthcare. This study aims to examine the relationship between China’s outpatient pooling policies and healthcar...

    Authors: Heling Ai, Ariel Shensa and Faina Linkov
    Citation: BMC Health Services Research 2025 25:688
  33. Health is foundational for climate action, and integrating climate and health policies to achieve health equity is widely recognized. While there is a growing global momentum for collaborative health and clima...

    Authors: Sudeepa Khanal, Sushil Chandra Baral and Melanie Boeckmann
    Citation: BMC Health Services Research 2025 25:687
  34. Diabetes self-management education (DSME) has significant clinical benefits on diabetic glycemic control and reduction in the onset of complications. However, the economic benefits of DSME in older Medicare be...

    Authors: Gang Lv, Eric Chinaeke, Xiangxiang Jiang, Xiaomo Xiong, Jun Wu, Jing Yuan and Z. Kevin Lu
    Citation: BMC Health Services Research 2025 25:686
  35. In 2008, the Government of Ghana implemented a free maternal healthcare policy through the National Health Insurance Scheme to increase financial access to maternity care services and reduce perinatal and mate...

    Authors: Clement Kwame Serchim, Daniel Opoku, Richard Abeiku Bonney, Kwame Sarkodie. Safo, Samuel Kwabla Amegble, Nathaniel Nii Korley Kodi and Kofi Akohene Mensah
    Citation: BMC Health Services Research 2025 25:685
  36. Successful complex healthcare interventions require evaluations of acceptability. Acceptability is suggested to impact intervention implementation, uptake, adherence, intended outcomes, and overall effectivene...

    Authors: Maria Samuelsson, Marie-Louise Möllerberg and Merita Neziraj
    Citation: BMC Health Services Research 2025 25:684
  37. Learning Health Systems (LHS), in which continuous and equitable improvements support optimization of healthcare practices, outcomes, experience, and costs, offer enormous potential for health system transform...

    Authors: Marissa Bird, Maura MacPhee, James Shaw, Walter P. Wodchis, Lianne Jeffs, Tujuanna Austin, Frances Bruno, Balpreet Panesar, Élizabeth Côté Boileau, Robert J. Reid and Carolyn Steele Gray
    Citation: BMC Health Services Research 2025 25:683
  38. Inflammatory Bowel Disease (IBD) is an increasingly prevalent chronic condition that impacts the lives of patients and their relatives, and burdens healthcare systems. Redesigning care processes is warranted, ...

    Authors: Britt J.M. Thomassen, Evelien M.B. Hendrix, Zlatan Mujagic, Fabiënne G.M. Smeets, Marin J. de Jong, Tom J.G. Gevers, Govert Veldhuijzen, Daniëlle van der Horst, Menne Scherpenzeel, Gerard Dijkstra, Merel L. Kimman, Stephanie M.C. Ament and Marieke J. Pierik
    Citation: BMC Health Services Research 2025 25:681
  39. Access to timely mental healthcare relies on patients’ descriptions of their mental health problems. We therefore sought to better understand, from the patients’ perspective, how they communicate their need fo...

    Authors: Marit Nymoen, Marit Synnøve Lomeland, Eva Biringer, Mirjam Ekstedt, Øystein Hetlevik, Rod Sheaff, Olav Thorsen and Miriam Hartveit
    Citation: BMC Health Services Research 2025 25:680
  40. Post-acute care is rapidly developing in China; yet, a payment method for post-acute care has not been established. The Patient Driven Payment Model (PDPM) is a new case-mix system developed in the United Stat...

    Authors: Yue Xu, Mengjia Zhi, Ningjun Shao and Linlin Hu
    Citation: BMC Health Services Research 2025 25:679
  41. The Bangkoknoi Model Project (BANMOP)is a prospective cohort project and is guided by context-specific health databases to promote the sustainable health and well-being of people living in the Bangkoknoi distr...

    Authors: Naris Kitnarong, Weerasak Muangpaisan, Pennapa Kaweewongprasert, Sichon Luerithiphong, Suporn Apinuntavech, Boonying Manaboriboon, Pattarawalai Talungchit, Siwaporn Chainuvati, Varalak Srinonprasert, Sukree Kade, Kantamas Supamanee, Prasert Assantachai and Prasit Watanapa
    Citation: BMC Health Services Research 2025 25:678
  42. In most low-income countries (LICs), health is mainly financed by out-of-pocket (OOP) expenditures. However, it is claimed that this form of payment causes a massive burden on poor households. This study inves...

    Authors: John Massito and Gabriel Hinju
    Citation: BMC Health Services Research 2025 25:677
  43. Adolescents in foster care report high rates of mental health needs, yet intervention access remains limited. Substance use commonly co-occurs with mental health symptoms, but availability of substance use ser...

    Authors: Marina Tolou-Shams, Johanna B. Folk, Margareth V. Del Cid, Jannet Lara Salas, Alison Czopp, Juan Carlos Gonzalez, Tylia Lundberg, Erin Michelle Turner Kerrison, Martha Shumway, Ann Wrixon, Robert Salgado and Jill Duerr Berrick
    Citation: BMC Health Services Research 2025 25:676
  44. Considering children’s sensitive and developmental needs, pediatricians play a pivotal role in ensuring rational use of medicines (RUM), alongside healthcare systems, pharmacists and patients.

    Authors: Perihan Koçak Kavruk, Meltem Çiçeklioğlu and Şafak Taner
    Citation: BMC Health Services Research 2025 25:675
  45. Elderly individuals with chronic conditions or acute illnesses are major drivers of hospitalization, with frail patients frequently utilizing emergency department (ED) services. To ease this burden, many count...

    Authors: Karin Erwander, Kjell Ivarsson and Björn Agvall
    Citation: BMC Health Services Research 2025 25:674
  46. Despite the possible impacts of social media on oral health literacy, the specific challenges and opportunities in this particular setting remain underexplored. The current research objective was identify the ...

    Authors: Hossein Ghalavand, Sirous Panahi and Mohsen Nouri
    Citation: BMC Health Services Research 2025 25:673