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Discover Health Systems
ISSN 2731-7501 · Springer Nature · 162 artikel di indeks
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Artikel Jurnal
Developing a regional typology for precision public health using a methodological framework applied to India
Abstract Background National health programmes often apply uniform strategies that overlook regional variation in disease burden and ecological context. This paper introduces a planning framework that enables subnational health systems to design precision public health strategies aligned with local…
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Artikel Jurnal
Evaluation of knowledge and practices regarding pre-eclampsia among health care providers in the Northern regions of Ghana: a cross-sectional study
Abstract Background Pre-eclampsia (PE) is a pregnancy-related illness that usually manifests during the twentieth week of gestation and is characterized by elevated blood pressure and proteinuria. It causes damage to essential organs and is a major global cause of maternal morbidity and mortality…
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Time tracking multi-site implementation of an electronic health screening program in VHA
Abstract Background Understanding the resources needed to implement digital health tools is critical for effective and sustainable transformation. For example, knowledge pertaining to the number of staff and amount of time spent on implementation activities is critical for planning and funding…
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Transforming clinical medicine with multimodal artificial intelligence, agentic systems, and the model-context protocol: a perspective on future directions
Abstract This perspective explores the emerging integration of multimodal large language models (MLLMs), agentic artificial intelligence (AI) capabilities, and real-world healthcare infrastructure. Agentic AI refers to systems that can analyze and interpret complex data and autonomously perform…
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Effective communication and missed opportunities during family conferences of patients in ICU in Western Uganda
Abstract Background Effective communication in the intensive care unit (ICU), such as conferences between clinicians and family members as surrogate decision–makers, is key since patients frequently lack decision-making capacity because of the severity of their illness. However, there is little…
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Artikel Jurnal
The association of medical mistrust, clinical trial knowledge, and perceived clinical trial risk with willingness to participate in health research among historically marginalized individuals living in New York City
Abstract Medical mistrust, clinical trial knowledge, and clinical trial risk impact research participation, yet are rarely studied among racial and ethnic groups. Data were from a cross-sectional survey (n = 1,794). Multinomial logistic regression models examined associations of medical mistrust…
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Interpretable hybrid three tier LSTM model for accurate and transparent breast tumor classification in clinical decision support
Abstract The accurate classification of cancerous tumors is essential for early diagnosis and optimal treatment planning. However, traditional machine learning methods often struggle to model the complex and high-dimensional nature of biomedical data. Even though deep learning models have recorded…
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Systematic review of Government Health Policies and out-of-pocket medicine spending in India
Abstract Introduction Out-of-pocket expenses (OOPEs) are often regarded as the most inequitable method of paying for healthcare. In most of the countries, the majority of OOPE spent on healthcare is spent on medications, and in India, OOPE on medicines accounts for approximately 70% of total…
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Artikel Jurnal
Health professional perspectives on integrating substance use services into pediatric hospitals for adolescents with chronic medical conditions
Abstract Adolescents with chronic medical conditions (A-CMCs) are at elevated risk for alcohol and substance use (SU) and its adverse health consequences, yet screening and intervention remain limited in pediatric hospitals. This study identified barriers and facilitators to SBIRT implementation…
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A systematic review and meta-analysis on the utilization of ayush systems of medicine in India’s COVID response
Abstract Introduction The COVID-19 pandemic was unlike anything the world had ever seen, and the whole world grappled with this scourge. Although currently the COVID-19 pandemic is no longer a public health challenge, the unprecedented utilization and integration of Ayush therapeutics and…
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Transforming digital health using the internet of things for personalized interoperable and secure healthcare systems
Abstract The integration of the Internet of Things (IoT) into healthcare is enabling more connected, personalized, and data-driven medical services. This narrative review provides a comprehensive overview of healthcare IoT architectures, focusing on core components, including wearable and…
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Artikel Jurnal
Role of traditional healers in health and healthcare access: a multi stakeholder perspective from a tribal block of central India
Abstract Background Access to health care among tribes is a significant challenge. Traditional healers have acted as a major resource for healthcare provision since the earliest ages of humanity. Efforts to create an entry point through them require a detailed understanding of their role, beliefs…
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Artikel Jurnal
Patient-related violence in europe: a systematic literature review on prevention and management in the health system
Abstract Patient-related violence is a serious, often taboo problem in the health system. It can be physical, psychological, or structural and affects people of all ages. The causes are, among others, power imbalances, staff shortages and lack of sensitization in the health system. The consequences…
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Establishing a biospecimen repository of diverse populations in a network healthcare organization
Abstract Background The Sutter Health Biobank in Northern California, USA is a health system biorepository which collects, processes, stores, and distributes human blood samples to support precision medicine research and translational studies for individualized medicine. Methods The Sutter Health…
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A systemic longitudinal case study of the eMed GP at hand digital first primary care model
Abstract The shift toward digital-first healthcare models presents both opportunities and challenges for health systems worldwide. This case study critically examines the evolution of eMed GP at Hand (formerly Babylon GP at Hand) within the NHS, tracing its journey from an innovative digital…
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National trends in deaths with documented pressure injuries in the United States from 1999 to 2021
Abstract Aims This study examined long-term trends in the documentation of pressure injuries (PIs) on death certificates in the United States from 1999 to 2021. We evaluated demographic, geographic, and clinical patterns associated with PI documentation and explored whether state-level healthcare…
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Opportunities and barriers in the deployment of mobile diagnostic tools in rural Bangladesh
Abstract Rural areas in Bangladesh suffer from a critical shortage of physicians, limiting access to essential healthcare services. Although national policies have promoted digital health, the adoption of mobile diagnostic devices has remained limited due to inadequate infrastructure, high costs…
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Prevalence of errors in medical certification of maternal deaths in Zambia using a retrospective analysis of maternal death surveillance and response data from 2018 to 2022
Abstract Introduction Data on maternal mortality (MM) from many countries in Sub-Saharan Africa, are still not reliable partly due to inappropriate application of World Health Organisation International Statistical Classification of Diseases and Related Health Problems (WHO ICD) - MM. The WHO ICD -…
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Optimizing health system readiness for long-acting injectable PrEP implementation in adolescent care through a narrative review of organizational barriers and facilitators
Abstract Purpose Despite an expanding portfolio of HIV Pre-Exposure Prophylaxis (PrEP), from daily oral pills to newer long-acting injectables (LAI-PrEP), a significant implementation gap persists for youth. The introduction of these complex therapeutics challenges existing health system models…
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Artikel Jurnal
Prediction of insurance membership retention rates using machine learning: a case study of Tanzania’s improved community health insurance fund (iCHF)
Abstract Introduction Developing countries like Tanzania rely heavily on out-of-pocket (OOP) payments to finance health. Unfortunately, these OOP payments often expose patients to catastrophic health expenditures (CHE), which hinders progress toward universal health coverage (UHC). Tanzania…