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- New
- Research Article
- 10.1016/j.resplu.2026.101382
- Jul 1, 2026
- Resuscitation plus
- Kathleen Parthey + 7 more
Web-based versus simulation-based refresher training in newborn life support: A randomized multicenter noninferiority controlled trial.
- New
- Research Article
- 10.1016/j.actpsy.2026.107209
- Jul 1, 2026
- Acta psychologica
- Qianmei Zhong + 4 more
Current status and determinants of artificial intelligence-related anxiety among healthcare professionals: A cross-sectional survey study.
- New
- Research Article
- 10.1002/cam4.71959
- Jul 1, 2026
- Cancer medicine
- Christopher P Dall + 9 more
Studies assessing the impact of advanced practice providers (APPs), including nurse practitioners and physician assistants, have demonstrated a similar quality of care for patients admitted to the hospital for medical diagnoses. However, no studies have examined the relationship between APP integration and morbidity after cancer surgery. This study assesses the relationship between APP staffing intensity and patient outcomes following major abdominal cancer surgery. We used 100% national Medicare data (2010-2019) to assess the link between APP staffing intensity and surgical outcomes for patients undergoing major abdominal cancer surgery, including cystectomy, colectomy, hepatectomy, esophagectomy, gastrectomy, and pancreatectomy. The primary exposure was the ratio of APPs per 100 hospital beds, and patients were empirically divided into tertiles. Outcomes included readmission rates and length of stay, adjusted for patient and hospital level factors. As a secondary outcome, we measured 30-day perioperative mortality. We analyzed 326,547 colectomy patients, 50,400 cystectomy patients, 14,112 esophagectomy patients, 27,152 gastrectomy patients, 15,225 hepatectomy patients, and 46,287 pancreatectomy patients. Surgery at centers with the most advanced practice providers per beds (i.e., the highest tertile) was associated with shorter length of stays for most surgery types analyzed. Unadjusted 30-day readmissions tended to be lower in patients undergoing more complex procedures, such as esophagectomy (21.5% vs. 24.3%; p = 0.006) but not for the less complex operations studied, such as colectomy (13.6% vs. 13.5%; p = 0.22). However, clinical differences in outcomes were lost on analyses controlling for patient and hospital factors (IRR length of stay: 0.98-1.01; p = 0.002-087) (OR readmissions: 0.86-1.01; p = 0.003-0.80). The relationship between hospital APP staffing intensity and surgical outcomes was varied and heterogenous. However, differences in outcomes were primarily explained by hospital factors. More work is needed to determine process measures associated with the deployment of inpatient APPs.
- New
- Research Article
- Jul 1, 2026
- Mymensingh medical journal : MMJ
- T Akter + 7 more
Acute haemorrhagic strokes are most common in people with hypertension, which causes high morbidity and mortality in Bangladesh. In this study, we investigated that whether serum potassium level is associated with risk of haemorrhagic strokes in hypertensive patients or not. We conducted a cross-sectional descriptive study that was carried out in the Department of Medicine and Neurology of Mymensingh Medical College Hospital, Mymensingh from December 2019 to May 2020. Total 100 patients (Mean age: 59.5±15 years, 58% male and 42% female) of hypertension with acute haemorrhagic stroke were enrolled in this study considering inclusion (both sex, CT scan proven stroke) and exclusion criteria (patients with congestive cardiac failure, conn's syndrome and kidney diseases). Our results showed that significant number of patients (34.0%) had potassium imbalance, with hypokalaemia (k+ <3.5) present in 31.0% study patients and hyperkalaemia (k+ >5) found in 3.0% patients. The present study also revealed that majority of patients having potassium imbalance had lower ICH score. From these findings we can conclude that hypokalemia may be responsible for subsequent increase in hemorrahagic stroke incidents in hypertensive patients. However, association between severity of acute hemorrahagic stroke and potassium imbalance was found not significant.
- New
- Research Article
- Jul 1, 2026
- Mymensingh medical journal : MMJ
- U K M Ara + 7 more
Precise pre-operative diagnosis of any coronary or cardiac anomalies in Tetralogy of fallot (TOF) patients can minimize intra-operative and postoperative complications. In such cases time appropriate alternative surgical approaches may be required to consider, thus the consequent morbidity and mortality can be reduced. The study attempted to observe the TOF patients to assess the pattern of associated coronary and cardiac anomalies among them. This cross sectional study was carried out in the departments of Paediatric Cardiology in three tertiary level hospitals in Dhaka, Bangladesh, from January 2018 to December 2018. Seventy two diagnosed cases of TOF, who went for cardiac catheterization in the respective hospitals, aged between one to eighteen years (1 to 18) were recruited. Cardiac catheterization and angiography was performed via femoral route following the standard protocol. Angiographic findings of cardiac catheterization of each patient was monitored and recorded. Data analysis was carried out using SPSS software, version 22.0. Among the TOF patients, associated coronary anomalies were present in 9 patients (12.5%) and associated cardiac anomalies were present in 52 patients (72.22%). Single associated cardiac anomaly was present in 47.22% patients and multiple associated cardiac anomalies were present in 25.0%. The presentations of coronary artery anomalies were as such right coronary artery arising from non-coronary sinus or from high up posteriorly or from LAD or from left coronary sinuses in 2.78% cases each and there was 1.39% cases of single coronary ostium from non-coronary sinus. The presentation of associated cardiac anomalies showed that, major aortopulmonary collateral artery (MAPCA) was the most common associated cardiac anomalies found in 65.27% of the TOF patients in this study. Atrial septal defect and right aortic arch was found in 22.2% and 11.10% of the TOF patients respectively. Patent ductus arteriosus and persistent left superior vena cava- each was present among 4.20% of the patients. Right pulmonary artery stenosis, supravalvular pulmonary stenosis, left pulmonary artery stenosis, aorto-pulmonary window, pulmonary atresia- each was present in 1.40% of the patients. Among the cardiac anomalies, the patent ductus arteriosus and persistent left superior vena cava was statistically significantly associated with coronary anomalies in this study (p<0.05). Anomalous coronary artery and associated cardiac lesions are common among the patients with TOF in Bangladesh. Coronary artery anomalies are significantly associated with other cardiac anomalies namely PDA and persistent left superior vena cava (PLSVC). Large scale multicenter study is further required, to understand the co-existence of coronary and cardiac anomalies among TOF patients to actualize more scrutinized diagnostic and surgical outline for better treatment outcome among these patients.
- New
- Research Article
- 10.1177/03008916261451688
- Jun 30, 2026
- Tumori
- Andrea Remo + 4 more
Hereditary cancer genetics is increasingly recognized as an integral component of cancer care, contributing to treatment, early detection, and risk reduction strategies for patients and their relatives. In this context, several hereditary cancer programs, databases, recommendations, and guidelines have been implemented within the Italian National Health System and at hospital level. However, independent and specific quality indicators for hereditary tumor management are still lacking, limiting the ability to evaluate activities across individual centers. To address this gap, AIFET (Associazione Italiana Familiarità ed Ereditarietà Tumori) has established a dedicated scientific committee for the development of such quality indicators. Here, for the first time to our knowledge, we present a set of 37 quality indicators derived from a national Italian survey. The indicators were organised into four sections: General indicators (applicable to all syndromes), specific to hereditary breast and ovarian cancer, specific to colorectal cancer and polyposis, specific to melanoma predisposition. By promoting consistency across centres, this model may not only enhance the quality of care nationally but also foster collaboration with European institutions toward shared standards in hereditary cancer management.
- New
- Research Article
- 10.1172/jci207391
- Jun 30, 2026
- The Journal of clinical investigation
- Tingfei Gu + 19 more
B cell maturation antigen (BCMA) is a key therapeutic target in multiple myeloma (MM), yet its whole-body in vivo distribution and role in disease assessment remain incompletely defined. We aimed to evaluate the safety, diagnostic performance, and clinical utility of a novel BCMA-targeted PET tracer, 68Ga-PFBC01, in patients with plasma cell disorders. We conducted a single-center, prospective, single-arm phase I trial (ClinicalTrials.gov NCT06717113). Fifty patients underwent 68Ga-PFBC01 PET/CT, including 40 with paired 18F-FDG PET/CT for head-to-head comparison. Primary outcomes included diagnostic performance (sensitivity, specificity, PPV, NPV, and inter-reader agreement). Secondary outcomes included correlations with clinical biomarkers, treatment response assessment, impact on clinical decision-making, and safety. 68Ga-PFBC01 PET/CT demonstrated superior diagnostic performance compared with 18F-FDG PET/CT (sensitivity 96.9% vs 84.6%; specificity 71.4% vs 60.0%). Quantitative PET-derived tumor burden correlated with M protein (R = 0.325, P = 0.026), free light chains (R = 0.340-0.437, P ≤ 0.015), soluble BCMA (R = 0.433, P = 0.050), and bone marrow plasma cells (R = 0.682, P < 0.001). Imaging findings altered clinical management in multiple cases, enabling both therapy escalation and de-escalation. Blood-pool uptake strongly correlated with soluble BCMA (R = 0.899, P < 0.001) and overall disease burden (R = 0.736, P < 0.001). No serious tracer-related adverse events were observed; two patients (4%) experienced mild events. 68Ga-PFBC01 PET/CT provides biologically specific, whole-body assessment of MM, outperforming 18F-FDG and enabling integrated evaluation of tumor burden and systemic disease activity, with direct implications for clinical decision-making. gov NCT06717113. National Natural Science Foundation of China (82472018, 82402320) to Prof. Lei Kang, 82402320 to Dr. Tianyao Wang); Beijing Nova Program (20240484725) to Prof. Lei Kang; National High Level Hospital Clinical Research Funding (Interdisciplinary Research Project of Peking University First Hospital, 2024IR07, Scientific and Technological Achievements Transformation Incubation Guidance Fund Project of Peking University First Hospital, 2025CX38, 2024CX18) to Prof. Lei Kang.
- New
- Research Article
- 10.1002/ohn.70291
- Jun 29, 2026
- Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery
- Olivia Dunne + 35 more
Pediatric tracheostomy emergencies are high-acuity events requiring rapid, coordinated team-based care. This study assessed objective team performance and used in situ simulation to identify systems factors, including latent safety threats (LSTs) and resilience supports, that influence pediatric tracheostomy emergency readiness across diverse clinical settings. In situ simulations of pediatric tracheostomy emergencies (obstructed or partially dislodged tubes) were conducted across inpatient floors, critical care units, and emergency departments at 11 pediatric hospitals. Time to completion of critical actions was recorded using the NeoCHART+™ for PEAK-II mobile application. Structured debriefs identified LSTs and resilience supports at unit and hospital levels. Multivariable Cox proportional hazards models assessed predictors of time-critical actions (tube replacement, suction, first effective ventilation) and the percentage of critical actions completed. Sixty-seven baseline simulations were conducted across 11 institutions. Seventy-seven percent of teams replaced an identical tracheostomy tube within 5 minutes (median 188.4 seconds, [IQR 165.3, 204.6]). Teams reported a median of 3.2 LSTs per simulation (IQR 3.0, 4.0). Common LSTs included attempted ventilation through occluded tracheostomy tubes, unclear leadership, ambiguous role definitions, and non-standardized equipment locations. Teams with a RT and at institutions with a dedicated tracheostomy team performed time-critical actions faster. In situ simulation revealed LSTs, resilience supports, and performance variability that may influence effective pediatric tracheostomy emergency response at the systems level. Variability identified in systems factors and team performance can guide targeted interventions to improve pediatric tracheostomy emergency preparedness.
- New
- Research Article
- 10.1002/wjs.70476
- Jun 28, 2026
- World journal of surgery
- Alexander Habtemariam + 15 more
Access to safe, timely, and affordable surgical care remains a challenge in low- and middle-income countries (LMICs), where deficits in infrastructure and workforce are most acute at the district hospital level. From 2018 to 2024, Rwanda implemented its first National Surgical, Obstetric, and Anesthesia Plan (NSOAP) and prioritized decentralized surgical care. We aimed to conduct a post-implementation national assessment of surgical infrastructure, workforce, and service delivery at Rwanda's district and level 2 teaching (L2TH) hospitals. We conducted a nationwide cross-sectional survey of 43 hospitals, comprising all 34 district hospitals, and 9 L2TH in Rwanda from May-June 2025, using the WHO Situational Analysis Tool for Emergency and Essential Surgical Care (SAT-EESC). Five domain-specific informants per facility provided infrastructure, workforce, and service delivery data, complemented by facility walk-throughs and a review of operating room registers. In addition to descriptive data analysis, we compared rural and urban hospitals and mapped workforce distribution. All facilities had at least one functional operating room. Most facilities reported continuous electricity and running water, and oxygen cylinders were available at all times in 90.7% of facilities. Blood banks and oxygen concentrators were the least consistently available, reported as available at all times in 32.6% and 58.1% of facilities, respectively. The median facility-level surgeon, anesthesiologist, and obstetrician density was 0.71 per 100,000 population, and 14 hospitals had no specialist SAO cadre. Non-specialist cadres were widely available, with a median non-specialist surgical workforce density of 6.76 per 100,000 population. No statistically significant urban-rural workforce differences were observed, although rural facilities were significantly farther from next-level referral facilities. Rwanda's district and level 2 teaching hospitals demonstrate high infrastructure readiness. However, gaps persist in the distribution of the specialist workforce, diagnostics, and advanced surgical care capacity. The findings also highlight the importance of non-specialist cadres in sustaining district-level surgical service delivery.
- New
- Research Article
- 10.1186/s12913-026-14921-4
- Jun 27, 2026
- BMC health services research
- Xiaoyan Zhong + 5 more
Intravenous infusions are widely used in inpatient care, yet their overuse may increase safety risks, waste healthcare resources, and impose unnecessary burdens on patients. In China, where infusion use remains high, understanding the factors influencing efforts to reduce unnecessary intravenous infusion use is of clear clinical relevance. This study explored stakeholder perceptions, perceived barriers, and potential strategies for reducing unnecessary intravenous infusion use within the broader framework of standardised and rational infusion use. A qualitative study using semi-structured interviews was conducted with healthcare professionals and hospitalised patients. Purposive sampling ensured variation in participant roles, hospital levels, and demographic characteristics. Data were analysed using a hybrid qualitative approach, with inductive thematic analysis as the overarching framework and selected grounded theory coding procedures used to support code development, category construction, and theme refinement, rather than to generate a formal grounded theory. Stakeholders showed varying levels of awareness regarding national expectations for standardised and rational intravenous infusion use. References by participants to "reducing infusion use" were interpreted cautiously as indicating uneven understanding or dissemination of the broader rational-use policy framework, including the reduction of unnecessary infusion, rather than lack of awareness of a reduction-specific national target. Physicians' prescribing decisions were influenced by clinical considerations, patient expectations, and medical insurance audit pressures. Nurses generally viewed reducing unnecessary infusion use as beneficial for improving workflow and reducing workload. Pharmacists highlighted both their important role in promoting rational drug use and the challenges they faced, including staffing shortages, limited training opportunities, and role ambiguity in clinical collaboration. Patients expressed mixed attitudes toward intravenous infusions, with some favouring them because of their perceived rapid effects and limited awareness of potential risks. Across stakeholder groups, reducing unnecessary infusion use emerged as a negotiation between clinical need, patient expectations, policy and insurance audit pressures, and the uneven authority and capacity of different professional groups. Strategy-related findings, derived mainly from healthcare professional accounts and contextualised by patient accounts of expectations, risk awareness, and acceptability, concerned strengthened education and training, better policy alignment, pharmacist capacity building, clinical pathway development, and interdepartmental collaboration. This study identified key barriers to reducing unnecessary intravenous infusion use within the broader framework of standardised and rational infusion use in Chinese medical institutions and highlighted stakeholder-informed strategies for improvement. The findings may inform quality-improvement efforts to promote more rational intravenous infusion use. Further research is needed to evaluate the effectiveness of specific interventions in practice.
- New
- Research Article
- 10.1186/s12884-026-09514-2
- Jun 23, 2026
- BMC pregnancy and childbirth
- Min Du + 8 more
Labor neuraxial analgesia (NA) is considered the gold standard for labor pain management worldwide, yet its use remains low in China. This study aimed to evaluate the barriers and facilitators regarding the use of NA from the perspectives of pregnant women and their partners. A cross-sectional survey using a knowledge-attitude-practice (KAP) questionnaire was conducted in 13 hospitals from April to December 2022. A total of 1,164 pairs of pregnant women and their partners attending prenatal care clinics were recruited using a convenience sampling technique. Data were analyzed using univariate analysis and multivariable linear regression. Both pregnant women and their partners exhibited a lack of knowledge about NA, and online information and communicating with others were the primary ways to learn about NA. Multivariable regression indicated education level (B = 1.33, 95% confidence interval [CI]: 0.94-1.73), gestational age (B = 1.29, 95% CI: 0.96-1.63), hospital level 2 (B = 1.73, 95% CI: 0.73-2.73), level 3 (B = 2.11, 95% CI: 1.25-2.97), and parity (B = 1.32, 95% CI: 0.68-1.97) influenced pregnant women's knowledge. Similarly, education level (B = 1.04, 95% CI: 0.66-1.42) and gestational age (B = 0.68, 95% CI:0.33-1.03) were positively associated with their partners' knowledge. For pregnant women, annual income (B = 1.39, 95% CI: 0.72-2.05) and parity (B = -1.43, 95% CI: -2.71- -0.15) affected attitudes, while gestational age (B = 0.67, 95% CI: 0.23-1.11), annual income (B = 1.18, 95% CI: 0.57-1.79) and parity (B = -1.43, 95% CI: -2.61- -0.26) affected in practice. For partners, hospital level and age positively influenced attitudes and practice towards NA. Most concerns regarding NA were attributed to inadequate awareness and misconception about the safety of NA. Knowledge regarding NA was found to be inadequate among both pregnant women and their partners, while annual income, parity, hospital level and age were the influencing factors regarding attitudes and practice. Online hospital-based educational programs incorporating tailored information about NA could potentially improve the decision-making process of NA in China.
- New
- Research Article
- 10.1038/s41598-026-55786-1
- Jun 19, 2026
- Scientific reports
- Binbin Xu + 6 more
Understanding factors influencing nurses' knowledge of peripherally inserted central catheter (PICC) care is crucial for developing interventions to improve knowledge and ensure care quality. However, evidence remains limited in low-resource areas. This study aimed to examine factors influencing nurses' PICC care knowledge in Guizhou Province of China, and to explore potential differences across hospital levels. A cross-sectional study was conducted among 3528 nurses from 18 hospitals across nine cities in Guizhou, China. PICC care knowledge was assessed using a standardized questionnaire, and multiple linear regressions were used to identify influencing factors. The mean knowledge score was 48.67 ± 12.94, with 17.2% achieving a passing score (≥ 60). Higher scores were associated with higher professional titles, higher education, PICC care experience, workplace guidelines, prior training, self-reported training needs, and tertiary hospital employment (all p < 0.05). In secondary/primary hospitals, nurses' knowledge was significantly associated with professional title, educational level, PICC care experience, and prior training (all p < 0.05). In tertiary hospitals, nurses' knowledge was significantly associated with professional title, PICC care experience, workplace guidelines, and self-reported training needs (all p < 0.05). Nurses in Guizhou have suboptimal PICC care knowledge, with different factors associated with knowledge observed across hospital levels. Interventions are needed to improve nurses' PICC care knowledge and enhance care quality, with tailored strategies for tertiary versus secondary/primary hospitals.
- New
- Research Article
- 10.1016/j.jacr.2026.06.010
- Jun 19, 2026
- Journal of the American College of Radiology : JACR
- Hao Sun + 6 more
Prostate MRI Practices and PI-RADS Use in China's Mainland: A Nationwide Assessment and Opportunities for Standardization.
- Research Article
- 10.1186/s12913-026-14862-y
- Jun 18, 2026
- BMC health services research
- Yizhou Ren + 4 more
The financial burden of medical expenses for patients with bronchial and pulmonary malignancies in coal-abundant regions poses a significant challenge. This study examines the variations in medical costs among patients with diverse characteristics and analyzes the distribution of expenses across different healthcare settings, thereby laying the foundation for the rational management of medical expenditures. Additionally, this research evaluates the adequacy of local medical insurance systems in supporting patients with bronchial and pulmonary malignancies, offering insights to improve the equity of medical insurance coverage. A total of 4,930 hospitalized patients with bronchial and pulmonary malignant tumors were identified from the Changzhi Medical Insurance Center records between January 2018 and June 2022. After transforming the skewed quantitative data on total medical costs, we conducted a cost composition analysis and a single-factor analysis. A BP neural network was subsequently employed to identify the influencing factors and evaluate the medical security level. Among the total costs, the five highest sub-cost categories were drug costs (31.76%), diagnosis and treatment costs (22.10%), examination costs (21.10%), consumable costs (19.20%), and comprehensive medical service costs (3.45%). Gender, surgical intervention, patient transfer, and hospital level exerted statistically significant effects on total medical costs (P < 0.05); among these, the three most influential factors were length of hospital stay (0.245), hospital grade (0.208), and surgical intervention (0.165). The actual compensation ratio in secondary-level medical institutions (mean 78.81%) was higher than that observed in tertiary-level medical institutions (mean 68.85%). Drug and consumable costs accounted for the highest proportion of the total costs. It is an effective measure to reduce the economic burden of patients by controlling the use of drugs and consumables, effectively monitoring the proportion of drug expenditure and diagnosis and treatment costs, appropriately increasing the salary of nursing staff, reasonably shortening the length of hospital stay, and improving the fairness of medical insurance reimbursement rate.
- Research Article
- 10.1186/s40748-026-00268-5
- Jun 12, 2026
- Maternal Health, Neonatology and Perinatology
- Delelegn Tsegaye Zikie + 2 more
IntroductionExclusive breastfeeding during the first six months postpartum is essential for preventing unintended pregnancy. Lactational amenorrhea method (LAM) is a safe and effective natural family planning method that provides up to 98% protection when its three criteria are met. Inadequate knowledge of LAM and poor exclusive breastfeeding practices increase the risk of unintended pregnancy. This study assessed the association between exclusive breastfeeding practice and maternal knowledge of LAM and its associated factors among postpartum mothers in Northeast Ethiopia, 2023/24.MethodAn institution-based cross-sectional study design was employed. The study was conducted in four hospitals in Northeast Ethiopia. A total of 607 participants were included, and the study period was from March 2023 to June 30, 2023. Data were collected using standardized, interviewer-administered questionnaires. Multivariable logistic regression model was employed using SPSS version 26. Multicollinearity, sensitivity analysis and Hosmer–Lemeshow goodness-of-fit test were assessed. Variables with p-values less than 0.25 in the bivariable analysis were entered into multivariable logistic regression model to control for potential confounders. Finally, variables with p-values less than 0.05 at 95% CI were considered statistically significant.ResultThe prevalence of good exclusive breastfeeding practice was 68.4% (95% CI: 64.0–72.8%), while good maternal knowledge of the lactational amenorrhea method was 56.0% (95% CI: 50.7–61.2%). Maternal knowledge of LAM was significantly associated with exclusive breastfeeding practice (χ² = 5.378, p = 0.02). Factors significantly associated with exclusive breastfeeding practice included marital status (AOR: 0.5; 95% CI: 0.2–0.9), educational level (AOR: 2.0; 95% CI: 1.3–3.0), and reason for hospital visit (AOR: 0.45; 95% CI: 0.28–0.73). Factors associated with maternal knowledge of LAM were marital status (AOR: 4.0; 95% CI: 1.83–9.0), educational status (AOR: 1.8; 95% CI: 1.16–2.76), age (AOR: 0.42; 95% CI: 0.28–0.63), and hospital level (AOR: 1.5; 95% CI: 1.02–2.17).ConclusionTwo-thirds of participants had good exclusive breastfeeding practices, and 56% were knowledgeable about LAM. Marital status, educational level, and reason for hospital visit were significantly associated with exclusive breastfeeding practice. Structured postnatal education should be provided across all hospitals to improve exclusive breastfeeding practice.Clinical trial numberNot applicable.
- Research Article
- 10.1186/s12913-026-14850-2
- Jun 10, 2026
- BMC health services research
- Yaxin Zhao + 3 more
The Chinese government piloted the public hospital's compensation system reform in 2017. It is important for policymakers to understand how this reform has affected the health workforce's compensation and its structure. We evaluated the impact of the reform on health workers' compensation levels and structure. This nationwide study used panel data from the 2016-2017 China Health Workforce Compensation Reform Survey, covering 102 public hospitals and 111,204 health workers across 15 provinces. A difference-in-differences approach combined with propensity score matching was employed to estimate the reform's impact on compensation and its structure. Primary outcomes were the percentages of base salary and merit salary in total compensation, secondary outcomes included total, base, and merit salary. Following the reform, the percentages of base salary and merit salary increased by 3.54% and 0.53%, respectively. Total compensation, annual base salary, and annual merit salary increased by 1%, 13%, and 5%, respectively. Compensation levels and structure were associated with the average social wages of urban workers, consumer price index, hospital levels, education, nature of employment, qualifications and departments were found to be associated with compensation and its structure. General hospitals showed the largest increase in the percentage of base salary, while specialized hospitals had greater growth in merit salary. The reform also contributed to an increased performance salary structure for contract and short-tenure staff, although it did not significantly improve their total compensation. RPHCS has helped reshape salary structures for the health workforce, but has not yet to fully achieved the equity goal of "equal pay for equal work." Policymakers should refine performance evaluation systems and extend base salary protections to vulnerable groups to promote equitable compensation outcome. Not applicable.
- Research Article
- 10.1186/s12913-026-14880-w
- Jun 9, 2026
- BMC health services research
- Yongqi Han + 3 more
Mental disorders impose a substantial economic burden on patients, their families, and society. Although per-diem payment is commonly used for inpatient mental health services, the current per-diem payment standards for mental disorders remain relatively crude and fail to reflect the differences in actual resource consumption among patients with different characteristics. Therefore, this study analyzed the factors associated with per-diem inpatient costs among patients with mental disorders to provide evidence for the development of a refined case mix-based per-diem payment system suitable for mental health services provided in China. A total of 25,510 inpatients with mental disorders admitted to two hospitals in Chongqing between 2020 and 2024 were included in this study, and their demographic, clinical, and cost information collected. A univariate analysis and generalized linear model were used to identify the main factors associated with per-diem inpatient costs, and the Exhaustive CHi-squared Automatic Interaction Detection (E-CHAID) decision tree model was applied to construct a case-mix classification model for per-diem payments in mental health services. The generalized linear model showed that sex, age, insurance type, discharge mode, hospital level, readmission plan, inclusion in clinical pathways, surgical status, number of comorbidities, number of hospitalizations, length of stay (LOS), and principal diagnosis were significantly associated with per-diem inpatient costs. Upon the use of LOS, hospital level, insurance type, and number of comorbidities as splitting variables, 10 case-mix groups were generated. The grouping scheme demonstrated high reliability and robustness, with a reduction in variance of 0.43 and coefficients of variation of < 1 across all groups (0.20-0.59). The per-diem payment standards for the 10 groups were 120.06-658.16 yuan. LOS, hospital level, insurance type, and number of comorbidities were key factors for grouping inpatients with mental disorders, and the construction of a refined case mix-based per-diem payment system using the E-CHAID decision tree is a reasonable and appropriate approach.
- Research Article
- 10.1097/xcs.0000000000002064
- Jun 9, 2026
- Journal of the American College of Surgeons
- Lily Puterman-Salzman + 7 more
Impact of the Quebec Provincial Enhanced Recovery After Surgery Program on Postoperative Outcomes for Patients Undergoing Colorectal Operation.
- Research Article
- 10.1016/j.breast.2026.104835
- Jun 8, 2026
- The Breast : Official Journal of the European Society of Mastology
- Jacob Thurell + 6 more
Case-mix-adjusted benchmarking of long-term breast cancer\u2013specific mortality: Insights from a nationwide Swedish registry
- Research Article
- 10.1016/j.farma.2026.04.015
- Jun 8, 2026
- Farmacia hospitalaria : organo oficial de expresion cientifica de la Sociedad Espanola de Farmacia Hospitalaria
- Ana Álvarez-Yuste + 6 more
Cost-effectiveness of immune checkpoint inhibitors for non-small cell lung cancer in a third level hospital.