Provision Of Health Care Services Research Articles

One Medicine for All

Innovation in pharmaceutical science has become a particular concern for individual health. For a long time, the practice of "One-Size-Fits-All" medication has been common in healthcare services worldwide, making analytical methods crucial to drug analysis in biological matrices. Suitable methods for determining drug levels in biological matrices aim to prevent medication dosage errors. Every person's condition is different, and their diseases vary, caused by genetics, environment, and lifestyle. Personalized medicine is often described as "the right patient, the right drug, at the right dose, at the right time." This study used a qualitative literature review method, where sources or literature in national and international journals were searched through online media. The analysis results explain that the role of the biological environment is more significant than others in vector-borne diseases, and the role of the genetic nucleus is more significant than others in hereditary diseases. Due to the numerous ecological interactions, we can often change the spread of disease by changing certain aspects of human interaction with their environment without direct intervention in the cause of the disease. The implementation of the science from "Bench to bedside" and "From clinic to community" assumes the provision of long-distance healthcare services by healthcare professionals using information technology, where the implementation of telemedicine (Systematic Review) in healthcare services is crucial, considering some of the problems that arise from manual services. One of the technical implementations of telemedicine is to optimize personalized medicine, which also involves implementing pharmacogenetics approaches in hospitals.

Intelligence Amplification-Based Smart Health Record Chain for Enterprise Management System

Medical service providers generate many healthcare records containing sensitive and private information about a patient’s health. The patient can allow healthcare service providers to generate healthcare data, which can be stored with healthcare service providers. After some time, if the patient wants to share the healthcare records of one healthcare service provider with another, we can quickly exchange the healthcare record using our approaches. The challenges faced by healthcare service providers are healthcare record sharing, tampering, and insurance fraud. We have developed Health Record Chain for Sharing Medical Data using the modified SHA-512 algorithm. We have evaluated our methods, and our method outperforms in terms of storage cost and total time consumption for health record sharing. The proposed model takes 130 ms to share 100,000 records, 32 ms faster than traditional methods. It also resists various security attacks, as verified by an automated security protocol verification tool.

Stakeholder engagement in the pooled procurement program in Ghana

Abstract Objective The article explores stakeholders’ engagement before the implementation of the pooled procurement program (PPP) and the challenges encountered by the National Catholic Health Service (NCHS). Method The article used a qualitative research approach and a multiple case study design to solicit the views of healthcare service providers and policymakers within the NCHS. Key findings The article revealed that the National Catholic Health Secretariat (the secretariat) advocated through the Ghana Catholic Bishops Conference through the bishop responsible for health. Subsequently, the Diocesan Directors, managers, accountants, suppliers and storekeepers of all health facilities were engaged to understand their respective roles before implementing the PPP. The challenges faced came from all institutions that played a crucial role in the smooth running of the PPP. These institutions were the hospitals, suppliers, Food and Drugs Authority (FDA), National Health Insurance Scheme (NHIS) and the secretariat. The findings indicated that some managers in the hospitals were not committed to the program. Whereas, some suppliers purposely weakened the position of some other suppliers after awarding tenders by carrying their commodities directly to the hospitals and reducing the price marginally. The challenge from the NHIS perspective was the payment delays. The FDA was not proactive with post-market surveillance to check substandard commodities in the hospitals. However, in the secretariat, the deficiency was the weak systems to monitor real-time activities of the PPP at the hospitals. Conclusion The article suggests that to ensure the right synergies to meet organizational objectives, the NCHS is advised to increasingly focus on identifying and sustaining the PPP by communicating with other stakeholders to achieve their mutual needs. Such a process would allow the more knowledgeable design of resource needs and allocation of scarce resources to their areas of interest.

Healthcare services gap analysis: a supply capture and demand forecast modelling, Dubai 2018–2030

BackgroundHealth systems aim to provide a range of services to meet the growing demand of Dubai's heathcare system aims to provide a range of services to meet the growing demand of its population health needs and to ensure that standards of easy access, quality, equity and responsiveness are maintained. Dubai Health Authority (DHA) uses health services planning tools to assess the health needs of its population and sets priorities and effective regulatory strategies to achieve equilibrium of supply and demand of healthcare services and ensure adequate healthcare services are available, in terms of both quality and quantity. This study aims to measure the gap between demand and supply in health care services in Dubai at the baseline and to forecast the gap size and type (according to medical specialty, key medical planning units and geographical area) till 2030. The specific consequential aim includes identification of appropriate strategic directions for regulation, licensing, policies, insurance.MethodologyThe supply of healthcare services, professionals and medical equipment is captured through a census of all healthcare facilities licensed for practice in the Emirate of Dubai. The demand is estimated using a need based approach, where demand for episodes of medical care are estimated by age and gender and aligned to the internationally defined diagnosis related groups (IR-DGRs). The estimated episodes are then forecasted into the future, until 2030, using three scenarios of population growth (high, medium and low) for the emirate of Dubai. The captured supply and forecasted demand has been categorized into eight key health-planning units (KPUs) to allow for understanding of the population healthcare service needs by main service categories. Using a software for health services planning, a gap analysis between supply and demand is conducted till year 2030.ResultsThe results revealed a current and expected undersupply and oversupply for some healthcare services by medical specialty and geographical area of the Emirate. By 2030, the largest gaps exists in acute beds, which would require 1,590 additional beds, for acute-same day beds, an additional 1575 beds, for outpatient consultation rooms, an additional 2,160 consultation rooms, for emergency department, an additional 107 emergency bays, and for long-term care and rehabilitation beds, an additional 675 beds. The top specialty needs for these categories include cardiology, orthopedics, rheumatology, psychiatry, pediatric medicine & surgery, gastroenterology, hematology & oncology, renal medicine, primary care, respiratory medicine, endocrinology, rehabilitation and long-term care.ConclusionsThere is an existing and growing requirement to support the healthcare services capacity needs for the top service lines and geographical areas with the largest gaps. Future licensing is required to ensure that new facilities are geographically distributed in a balanced way, and requests for licensing that create or augment oversupply should be avoided.

Challenges in heart failure care in four European countries: a comparative study.

In Europe, more than 15 million people live with heart failure (HF). It imposes an enormous social, organizational and economic burden. As a reaction to impending impact on healthcare provision, different country-specific structures for HF-care have been established. The aim of this report is to provide an overview and compare the HF-care approaches of Germany, Ireland, the Netherlands and the UK, and to open the possibility of learning from each other's experience. A mixed methods approach was implemented that included a literature analysis, interviews and questionnaires with HF-patients and caregivers, and expert interviews with representatives from healthcare, health service research and medical informatics. The models of HF-care in all countries analyzed are based on the European Society of Cardiology guidelines for diagnosis and treatment of HF. Even though the HF-models differed in design and implementation in practice, key challenges were similar: (i) unequal distribution of care between urban and rural areas, (ii) long waiting times, (iii) unequal access to and provision of healthcare services, (iv) information and communication gaps and (v) inadequate implementation and financing of digital applications. Although promising approaches exist to structure and improve HF-care, across the four countries, implementation was reluctant to embrace novel methods. A lack of financial resources and insufficient digitalization making it difficult to adopt new concepts. Integration of HF-nurses seems to be an effective way of improving current models of HF-care. Digital solutions offer further opportunities to overcome communication and coordination gaps and to strengthen self-management skills.

P16 Patient reported outcomes of cancer survivors with radiation induced fibrosis

Abstract Introduction This study aims to better understand the lived experience of head and neck cancer survivors who suffer from radiation induced fibrosis (RIF). Recording the lived experience of RIF will better inform us on the use of autologous fat grafting (AFG) as a therapy. Methods A focus group (n=5, M=3, F=2) was facilitated, centred around the impact of RIF on head/neck function, appearance, emotional and psychological wellbeing, and socio-economic aspects of participant's lives. Participants discussed the wider issues of cancer survivorship, patient education, and healthcare service provision. Coding and thematic analysis of the verbatim audio transcript was undertaken. We compared this data to currently available patient reported outcome measures, notably the University of Washington Quality of Life Questionnaire (UW-QOL) and modified our survey to encompass these experiences. Results Eight main themes were highlighted, listed in order of importance to patients; 1-Physical head and neck functions 2-Relationship with healthcare providers 3-Socioeconomic aspects of life 4-Appearance 5-Psychological and emotional wellbeing 6-Freedom and independence 7-External/Personal knowledge and sources of information for patients 8-Pain. Quantitative validation of our modified questionnaire, based on these results, and distribution to a wider patient cohort has further demonstrated the severity of symptoms experienced by these cancer survivors. Conclusion There is a clear unmet need for long-term support and novel treatments for this patient group. Future research should focus on treatments such as AFG, which could improve functional outcomes, appearance and emotional wellbeing in RIF patients.

An evaluation of the introduction of telehealth for remote antenatal and postnatal contacts in Bangladesh and Lao People's Democratic Republic during the COVID-19 pandemic.

From 2020, COVID-19 spread rapidly around the globe and continues to have a major impact on health system functioning, with a disproportionate impact on low- and middle-income countries (LMIC). Reduced service utilisation and coverage of essential childbirth interventions is likely impacting maternal and newborn morbidity and mortality. Telehealth has been identified as an important tool in the continued provision of essential healthcare services. The aim of this study was to explore the experience and impact of implementing telehealth services for the provision of remote antenatal (ANC) and postnatal (PNC) contacts in regions of Bangladesh and Lao People's Democratic Republic through 100 semi-structured interviews with health service leaders and providers, and childbearing women who organised, provided, or were the recipients of ANC and PNC telehealth during the COVID-19 pandemic response. The findings showed that a sudden pivot from face-to-face to telehealth services posed both health system and provision of care challenges. Health systems lacked funding to support telehealth and the infrastructure needed for service changes; however, some were able to work with key maternal child health departments within Ministries of Health to find the resources to implement the services. Health providers found telehealth beneficial during the pandemic response but identified a lack of training, guidance, and support as a barrier to changing practice. Childbearing women reported being fearful of accessing care at health services due to COVID-19, and whilst they appreciated the telehealth contacts, many continued to prefer face-to-face delivery of ANC and PNC care. Telehealth, however, was a good alternative in a time when face-to-face care was not possible. Considerations for post-pandemic broader implementation or scale-up of telehealth for routine antenatal and postnatal maternity care provision include the need for further research on issues such as accessibility, acceptability, quality of care, and sustainability of service provision.

Classification of reviews of e-healthcare services to improve patient satisfaction: Insights from an emerging economy

The COVID-19 pandemic has brought in many unique challenges and opportunities for patient care, and one is online healthcare practices. Patient satisfaction with online consultation is primary importance as online healthcare practices are evolving with time. Although previous research has examined how patient satisfaction with online doctor services can be further improved, there has been scant research on the satisfaction with online doctor services concerning Indian patients. Within the framework of service science theories, this study examines satisfaction and sentiments of Indian patients with online doctor services from multiple perspectives. A total of 38019 patient online feedback for 343 doctors was used for understanding patient sentiments. The sentiment analysis classified the reviews of the patients on online doctor consultation services. The finding suggests that healthcare service providers consider a systemic approach that includes core health services along with technical and marketing factors to proactively improve online patient satisfaction.

With or without Hijab this is not the problem.

Many debates and news regarding not providing healthcare services to female patients based on wearing hijab were raised following the woman, life, freedom movement in Iran. In this editorial, the author first has an overview of the cases in which the doctor is ethically allowed to choose her patient, then recommend not to refuse patients based on wearing hijab, putting forward this argument that it can enhance social polarization and make discrimination in access to health care based on hijab a matter of concern to the society which in turn can cause distrust in the medical profession especially in Iran’s current situation. In addition, this editorial emphasizes that the Council of Medicine as the patient advocate should prevent the government limiting the access of women without hijab to health care services.

The prevalence of professional burnout among dentists: a systematic review and meta-analysis

ABSTRACT Professional burnout refers to mental weariness caused by occupational stress. However, there is a lack of systematic studies on the prevalence of professional burnout among dentists. The purpose of this study was to investigate the prevalence of professional burnout among dentists. Databases including PubMed, PsycINFO, Embase, Cochrane, and Web of Science were systematically searched from inception to 28 October 2021. The random-effects model and forest plots were used to assess the pooled prevalence of professional burnout among dentists. A total of 15 studies with a total of 6038 study subjects were included in the meta-analysis, and the overall professional burnout among dentists was 13% (95%CI: 6–23). Subgroup analysis suggested a high prevalence of burnout in Europe, and the least in the Americas. The pooled burnout prevalence in cross-sectional surveys was significantly lower than that in longitudinal studies. In addition, the overall burnout prevalence in the last decade was significantly lower than that of a decade ago. This meta-analysis demonstrated that the prevalence of burnout was relatively low among dentists, and there was a downward trend. Therefore, it is important to continue to pay close attention to the mental health of dentists and effectively prevent and treat professional burnout to better maintain the provision of health care services.

An empirical investigation on the impact of attitudes towards organ donation in India

Background: Organ shortage is a global issue and it is imperative to take steps to bridge this gap. In the Indian context, despite its demographic dividend, the rate of organ donation has been abysmally low. This emphasizes a need to demystify the antecedents of organ donation intention among the Indian population. Methods: Using a cross-sectional research design and adopting a post-positivism research philosophy, this study identified 259 respondents by adopting a purposive sampling approach and data on knowledge of organ donation was collected using a structured, pretested questionnaire. Results: Awareness of organ donation law in India is low on specific issues and respondents from the health science & medicine discipline scored better on knowledge about organ donation. The findings show that most participants had heard about organ donation and had a favourable attitude toward it. The primary sources of information on organ donation were television and newspapers, and healthcare service providers. A complementary partial median is established (β = .217, t = 5.889, p < .001) which implies that willingness to discuss with family significantly mediates the association between attitude towards organ & tissue donation and willingness to sign the donor card. Conclusion: This study revealed that there is a general awareness of organ and tissue donation among the Indian population, but they lack clarity on certain specific issues. Mass media has to be effectively used to build awareness campaigns revolving around enhancing knowledge on a specific issue and building acceptance of the concept of organ and tissue donation.

Necrotising Fasciitis During the COVID-19 Pandemic: An Australian Hospital Network Experience

BackgroundThe clinical presentations of diseases and the provision of global healthcare services have been negatively affected by the COVID-19 pandemic. Our study aimed to determine the impact of this global pandemic on presentations of necrotising fasciitis (NF).MethodsA retrospective study was conducted of adult patients with NF in South West Sydney Local Health District from January 2017 to October 2022. An analysis of sociodemographic and clinical outcomes was performed comparing the COVID-19 cohort (2020–2022) and the pre-COVID-19 cohort (2017–2019).ResultsSixty-five patients were allocated to the COVID-19 cohort, and 81 patients were in the control cohort. The presentation to hospitals of the COVID-19 cohort was significantly delayed compared to the control cohort (6.1 vs. 3.2 days, P < 0.001). Patients of the age group of 40 years and younger experienced prolonged operative time (1.8 vs. 1.0 h, P = 0.040), higher number of operations (4.8 vs. 2.1, P = 0.008), and longer total length of stay (LoS) (31.3 vs. 10.3 days, P = 0.035) during the pandemic. The biochemical, clinical, or post-operative outcomes of two groups were not significantly different.ConclusionThis multi-centre study showed that the COVID-19 pandemic delayed presentations of NF but did not result in any significant overall changes in operative time, ICU admissions, LoS, and mortality rate. Patients aged less than 40 years in the COVID-19 group were likely to experience prolonged operative time, higher number of operations, and greater LoS.

Hospital’s Challenges in Providing Healthcare Services to Medical Tourists: A Phenomenological Study at the National Level

Background: Hospitals play a crucial role in providing medical services to medical tourists and their satisfaction; however, they face many problems in this field. Objectives: This study aimed to explain hospitals’ challenges in providing healthcare services to medical tourists. Methods: In this qualitative-phenomenological study conducted in 2021, data were collected through semi-structured interviews, purposive sampling, and the participation of 21 key informants involved in hospitals and medical tourism industries in six large cities in Iran. They were then analyzed using the thematic analysis method with the MAXQDA-10 software. Results: Hospital challenges were included in 165 final codes. The six main ones were governance and leadership, financing, human resources, technology-equipment-medicine, information systems, and service delivery. Three categories of structure, process, and outcomes related to medical tourism were also identified. Conclusions: Improving the information and communication infrastructure, developing the activities of facilitator companies, updating the standards of the International Patient Department (IPD), compiling guidelines related to insurance, and setting tariffs are suggestions that can help reduce the existing challenges.

Die hausärztliche Versorgung während der COVID-19-Pandemie: eine Fragebogenerhebung unter Hausärzt*innen und Medizinischen Fachangestellten zu ihrer Perspektive auf Veränderungen, Bedarfe und Belastungen

IntroductionThe coronavirus pandemic did not only result in changes in the provision and utilization of health care services in general practice but also in an increased workload for physicians and medical practice assistants. The VeCo practice study retrospectively explores the experiences of both professional groups two years after the start of the pandemic. MethodsIn March and April 2022, general practitioners and medical practice assistants in the three German federal states of Berlin, Brandenburg and Thuringia were asked to complete a paper-based questionnaire. Results657 general practitioners and 762 medical practice assistants completed the questionnaire. Both professional groups agreed to statements indicating a reduction in regular health care provisions. Nevertheless, 74% of the physicians and 82.9% of the medical practice assistants considered the health care provided to their patients during the pandemic as good. This was only possible through considerable additional effort and stress. While more than half of both groups reported that work was still enjoyable, three quarters of both groups stated that the challenges arising from the pandemic outstripped their capacity. Both groups would like to receive more recognition from society (medical practice assistants 93.2%, general practitioners 85.3%) and from their patients (87.7% and 69.9%, respectively). DiscussionGeneral practitioners and medical practice assistants reduced regular health care provision but were still able to maintain a good quality of care for their patients during the pandemic. It became clear that more appreciation and adequate financial compensation are necessary to ensure long-term sustainability of GP care. ConclusionThe subjective view of general practitioners and medical practice assistants on their health care provision shows that appreciation and adequate financial renumeration, particularly when working under most difficult conditions, are necessary to increase the attractiveness of a career in general practice, for both physicians and medical practice assistants.

AB017. SOH23ABS_195. Outcomes of B3 breast lesions during the coronavirus disease 2019 (COVID-19) pandemic

Background: Classification plays an integral role in the diagnosis and management of breast cancer. Breast imaging is classified in accordance with the British Society of Breast Radiologists (BSBR). B3 refers to lesions that demonstrate intermediate malignancy features. Lesions that are highly suspicious of malignancy are graded as B5. The coronavirus disease (COVID) pandemic has greatly impacted upon the provision of essential diagnostic services in healthcare. Our aim was to investigate outcomes of B3 lesions before and after the COVID-19 pandemic in our institution.

Understanding the Value of Hierarchical Medical Care through Telemedicine Practices During the Pandemic

&lt;p&gt;Covid-19 Pandemic 三年多來，台灣至今有超過1000 萬人確診，及1 萬多人不幸逝世！隨著病毒的突變，和防疫政策的調整，民眾、醫界乃至台灣社會都接受著不同的考驗和試煉。尤其是2022 年的Omicrone ，在半年多有超過1000 萬民眾的大規模感染。然而台灣的社會並沒有人心浮動，遑論社會動亂；經濟發展如常，GDP依舊上升。這除了台灣人民優異的健康素質，堅靭的醫界體系功不可沒！大醫院在原本急、重、難、罕的醫療照顧之外，更負責COVID重症病患的收治；基層醫療也不遑多讓，除了持續提供一般疾病、慢性病照護、疫苗接種之外，更承擔輕症確診者的遠距判讀、遠距診療及遠距居家照顧；醫院、診所分工合作，充分展現了分級醫療的價值，共同守護了台灣人民的健康，也成為全球的典範。&lt;/p&gt; &lt;p&gt;&amp;nbsp;&lt;/p&gt;&lt;p&gt;Since the outbreak of the COVID-19 pandemic 3 years ago, the total number of confirmed COVID-19 cases in Taiwan has exceeded 10 million and over 10,000 people have died from the disease. Following the mutations of the virus and the adjustments made to pandemic prevention policies, Taiwan citizens, the medical field, and Taiwan&amp;rsquo;s society have overcome and continue to face different challenges. During the prevalence of the Omicron variant in 2022, over 10 million citizens were infected within 6 months. Taiwanese people have shown unwavering resilience in the face of pandemic, let alone the possibility of social unrest. Instead, economic development continued as normal and Taiwan&amp;rsquo;s GDP continued to grow. In addition to Taiwan citizen&amp;rsquo;s excellent health literacy, the contributions of Taiwan&amp;rsquo;s firm and robust medical care system plays a crucial role in controlling the pandemic. Large-scale hospitals not only provide health care services for patients with acute, severe, difficult-to-treat, and rare diseases, but also shoulder the responsibility to receive and treat patients with severe COVID-19 symptoms. Similarly, the primary level of the medical care system not only continue to provide services, including offering care for common and chronic diseases and vaccination, but also contributing to the telemedicine diagnosis, treatment, and home-based care for patients with mild symptoms of COVID-19. The division of labor between hospitals and clinics comprehensively demonstrates the value of hierarchical medical care, which jointly safeguards the health of Taiwanese people and serves as a global paradigm.&lt;/p&gt; &lt;p&gt;&amp;nbsp;&lt;/p&gt;

Literature Review: The Effectiveness of Electronic Medical Records (RME) On Hospital Service Quality

Health Information System is a systematic way of managing information at all levels of government to provide healthcare services to the community. In providing services to the community, the health information system is a systemic management of information at all levels of government. Every healthcare facility in Indonesia must maintain electronic medical records based on Permenkes No. 24/2022. This shows that the role of Health Information Systems is needed in a health system. However, using electronic medical records (EMR) in Indonesian healthcare facilities must be uniformly and sufficiently implemented, so it cannot provide accurate and timely data. This study aims to assess the implementation of EMR in Indonesian hospitals. This study used the literature review method by reviewing 15 journal articles published between 2016 and 2022, retrieved through Google Scholar. The results showed that several hospitals in Indonesia had implemented EMR; some hospitals have effectively implemented it and benefit from the implementation of EMR, such as improving the efficiency of time and effort in providing health services to patients. Patients also receive better medical care. The study findings aim to encourage all healthcare facilities to optimize the use of EMR to enhance healthcare services.

Knowledge into Action: Preliminary Results of an Assessment of Clinicians’ Intention to Use Inlow’s 60-second Diabetic Foot Screen

In 2022, Wounds Canada updated Inlow's 60-second Diabetic Foot Screen tool to increase its functionality and, ultimately, its ease of use in clinical practice. The new version was launched at a workshop held at the Diabetes Canada national conference in Calgary, Alberta in November 2022. As a part of continuing professional development (CPD) the workshop focused on the understanding of the importance and role of diabetic foot screening in the diabetes care setting, developing skills and knowledge about when and how to screen for diabetic foot disease and understanding how to implement the diabetic foot care pathway through use of the tool. CPD encompasses the multiple educational and developmental activities that healthcare and social service professionals undertake to maintain and enhance their knowledge, skills, performance and relationships in the provision of health care and social services. Thus, as part of the processes we assessed the impact of CPD activities on participants' intentions to use Inlow's 60-second Diabetic Foot Screen after the workshop. These preliminary results illustrate the potential of using the CPD-REACTION tool, a theoretically validated questionnaire, in CPD activities for Inlow's 60-second Diabetic Foot Screen. This can improve its implementation, its scaling, and ultimately its impact on clinical practice across all care settings and on population health.

City 5.0: Citizen involvement in the design of future cities

A citizen-centric view is key to channeling technological affordances into the development of future cities in which improvements are made with the quality of citizens’ life in mind. This paper proposes City 5.0 as a new citizen-centric design paradigm for future cities, in which cities can be seen as markets connecting service providers with citizens as consumers. City 5.0 is dedicated to eliminating restrictions that citizens face when utilizing city services. Our design paradigm focuses on smart consumption and extends the technology-centric concept of smart city with a stronger view on citizens’ roadblocks to service usage. Through a series of design workshops, we conceptualized the City 5.0 paradigm and formalized it in a semi-formal model. The applicability of the model is demonstrated using the case of a telemedical service offered by a Spanish public healthcare service provider. The usefulness of the model is validated by qualitative interviews with public organizations involved in the development of technology-based city solutions. Our contribution lies in the advancement of citizen-centric analysis and the development of city solutions for both academic and professional communities.

Collaborative Governance of Public Health: A Cultural and Ethical Perspective on Predicting Citizens' Trust in Public Health Services During Medical Emergencies

Over the years, citizens' expectations of the healthcare sector have increased, especially after the sudden outbreak of COVID-19. Additionally, citizens are becoming more conscious of having a healthier lifestyle based on several environmental and economic issues prevailing worldwide. Hence, empirically testing the predictors of providing excellent public healthcare services and enhancing the resultant citizens' trust in such services is of utmost significance. Simultaneously, the critical role of healthcare workers' capacity in providing quality services to patients in public health institutions and improving healthcare services to develop citizens' trust needs has been considered in this study. Based on a quantitative survey, the current study collected data from 460 individuals regarding three collaborative governance practices and resultant improved public healthcare services. The results revealed the significance of all three collaborative governance of public health practices. Citizen participation was the most impactful, followed by democratic accountability and procedural legitimacy. The study results are valuable to practitioners, policymakers, healthcare service providers, and governments. Among the recommendations are that collaborative governance practices should be developed, the healthcare system should be decentralized to provide the best services to citizens, and public healthcare workers' capabilities should be improved by providing proper training.