Provider Recommendation Research Articles

Clinical and Programmatic Considerations for Enhancing Developmentally Informed Care in Psychosis Risk Programs for Youths.

A national and global focus on expanding identification and treatment of youths who are at clinical high risk for psychosis (CHR-P) highlights an urgent need to develop clinical services for this population; however, questions remain regarding program structures and treatment approaches in CHR-P clinics. The authors of this Open Forum expand on previous recommendations and argue that a focus on enhancing developmentally informed care should serve as a central principle for structuring macrolevel service policies and programs as well as person-specific treatment approaches. The authors discuss developmental considerations in program planning and service provision and offer recommendations for providers and other stakeholders to enhance developmentally informed care for individuals at CHR-P.

Factors Associated with Adherence to Diabetic Retinopathy Screening Among Patients Attending a Nurse-Led Community Clinic in Australia: A Qualitative Study.

Background/Objectives: Despite the availability of screening services, the rate of diabetic retinopathy (DR) screening continues to be suboptimal in Australia, necessitating improvement. However, improving DR screening rates requires a more comprehensive understanding of the factors influencing adherence to the screening recommendations. This study aimed to explore the factors that influence adherence to DR screening among people with diabetes attending a community screening clinic in Australia. Methods: This qualitative study included purposively patients with diabetes recruited from a nurse-led community screening clinic in Australia. Semi-structured interviews were conducted to explore barriers and enablers impacting patient adherence to DR screening recommendations. The interview data were analyzed thematically using NVivo based on the socio-ecological model, with salience identified by the frequency of the theme. Results: A total of 22 participants completed the interview, including 10 females with a mean age of 60 ± 16.2 years. The interviews identified several factors that improved adherence to DR screening guidelines, including (a) knowledge of the connection between DR and diabetes and the importance of the screening, (b) the care provider's recommendations, and (c) pre-booked appointments and automatic invitations. Beyond these factors, clinic staff interactions, family support, fear of vision loss, flexible clinic hours, and transportation accessibility also facilitate DR screening adherence. Conclusions: The present study identified key multi-level factors influencing adherence to DR screening. While these findings from a single clinic provide valuable insights to inform screening strategies, larger multi-center studies are needed to validate their broader applicability across diverse healthcare settings and populations.

The Impact of Domestic Violence and Sexual Assault on Family Dynamics and Child Development: A Comprehensive Review.

This review synthesizes current research on domestic violence and sexual assault, focusing on their short-term and long-term effects on family dynamics, particularly on the development and well-being of children and adolescents. The article employs a curated body of literature, including surveys, reviews, program evaluations, and international health reports, to elucidate the direct and collateral damage caused by such trauma within families. The review critically examines the intersecting consequences of abuse, including immediate psychological distress and long-term socio-economic and educational disruptions for affected youths. Additionally, the review examines structural impediments and cultural intricacies that shape reporting practices and access to support services. The role of civil legal aid and victim advocacy in promoting survivor safety and justice is discussed, supported by findings from service evaluation studies. The review also addresses the exacerbating effects of the Coronavirus pandemic on domestic violence rates and service provision, noting increased occurrences of domestic abuse and decreased pursuit of urgent care and support, highlighting research conducted from the pandemic's start through 2023. Emergent studies reveal a rise in domestic abuse occurrences and a decline in urgent care and support pursuit, emphasizing the need for adapted intervention strategies. The review offers evidence-based recommendations for policymakers, healthcare providers, and community organizations, stressing the necessity of persistent and collaborative efforts to address and prevent domestic violence. The ultimate goal is to advocate for a stronger international response to repair harm and prevent future occurrences, ensuring a safer environment for all family members, particularly children and adolescents.

An evaluation of parents' and caregivers' preferences managing fever in children based on experiences in using ibuprofen and paracetamol: A systematic review.

This review aims to investigate parents' preference for and use of Ibuprofen and Paracetamol in managing and treating children's fevers as well as the factors influencing their decision-making and practices. Parents globally face concern over managing children's fever, seeking relief while ensuring safety, often relying on accessible medications like Paracetamol and Ibuprofen. The review included quantitative studies involving parents and caregivers managing fever in children aged 0-17years. Studies published in English or in other languages with an English language version from January 2000 to March 2024 were included, excluding hospital-based or healthcare professional-managed studies. Searches were conducted using MEDLINE, PubMed, SCOPUS, and CINAHL databases using specific search strategies. Titles and abstracts were screened online, and full reports were obtained for any publication considered useful for this overview. Methodological quality was assessed independently by two reviewers using the JBI critical appraisal instrument. Data extraction was performed in Excel, and statistical meta-analysis was undertaken using JBI SUMARI software. Approximately 27.4% of participants utilized Ibuprofen, while 64.3% opted for Paracetamol. Subgroup analyses revealed that 29.8% and 63.2% administered Ibuprofen and Paracetamol to children under five. Additionally, 20.3% alternated between these medications. Syrup emerged as the preferred mode of administration, with prominent parental involvement in dosage determination. Factors influencing medication choices included efficacy, safety profile, age, weight, ease of administration, and healthcare provider recommendations. The prevalence of Ibuprofen and Paracetamol usage for pediatric fever management varies significantly. Parental involvement is prominent, guided by factors like efficacy and healthcare provider recommendations. Understanding these dynamics is crucial for informed decision-making and optimizing pediatric medication practices. This review highlights the importance of enhancing parental education on antipyretic use, emphasizing safe dosage practices and clear communication with healthcare providers. Healthcare professionals should address misconceptions and provide tailored guidance, fostering more effective and safer fever management strategies for children.

A socioecological taxonomy of determinants to colorectal cancer screening in black men: Insights from a mixed-methods systematic review.

In the United States, African/Black American (henceforth Black) men face significantly higher mortality rates from colorectal cancer (CRC) compared to other gender, racial, and ethnic groups. Although CRC is preventable and treatable with early detection, screening rates among Black men remain low. This study aimed to synthesize existing literature on the barriers and facilitators (determinants) of CRC screening to offer guidance to primary care teams in their efforts to improve screening uptake. We performed a comprehensive systematic review of full-text, peer-reviewed studies published in English to explore the various determinants influencing CRC screening among Black men. Using key terms like "Black or African American," "male," and "colorectal cancer screening," we searched databases including PubMed, PsychInfo, CINAHL, and Embase, published between 2009 and 2022. The search identified 1235 articles, with 54 meeting the inclusion criteria. Most studies were cross-sectional, examining determinants across the socioecological system. Key barriers included a lack of CRC screening knowledge, poor patient-provider communication, lack of access to screening, and medical mistrust stemming from systemic racism. Significant facilitators included aging, receiving a provider recommendation, having social support, and effective culturally appropriate outreach strategies. Key themes and significant findings from the review provide actionable strategies for primary care teams. These include enhancing knowledge about CRC screening within the patient population, improving patient-provider interactions, and reducing barriers to accessing screening. Future research should aim to develop culturally appropriate and collaborative preventive care strategies to improve screening adherence and CRC-related outcomes.

Evaluating the implementation of person-centred care and simulation-based learning in a midwifery education programme in the Democratic Republic of Congo: a study protocol

ABSTRACT Background Investing in midwives educated according to international standards is crucial for achieving Sustainable Development Goals in maternal and newborn health. Applying a person-centred care approach and using simulation-based learning to improve the learning experience for midwifery students may enhance the quality of childbirth care. This protocol describes a study evaluating the implementation of person-centred approach and simulation-based learning in childbirth as part of a midwifery education programme at the Evangelical University in Africa, DRC. Methods The research will be exploratory and guided by an implementation research framework. Ethical approval has been obtained. Facilitators working at the programme’s five clinical practice sites will be trained in: 1) Introducing person-centred childbirth care using a training programme called‘Mutual Meetings’; and 2) integrating simulation-based learning, specifically by using the three courses: Essential Care of Labor, Bleeding after Birth, and Vacuum Extraction. Data will include interviews with midwifery students, facilitators and clinical preceptors, and maternal and neonatal outcomes from birth registers. Discussion By integrating a validated and culturally adapted person-centred care training programme and simulation-based learning into a midwifery education programme and clinical practice sites, the findings from the study anticipate an improvement in the quality of childbirth care. Training facilitators in these methodologies aim to effectively mitigate maternal and neonatal adverse outcomes. The findings are expected to provide valuable recommendations for governments, policymakers, and healthcare providers in the DRC and beyond, contributing to significant improvements in midwifery education and aligning with global health priorities, including the Sustainable Development Goals. Trial registration The study was registered retrospectively with the ISRCTN registry on the 23rd of February 2024. The registration number is: ISRCTN10049855.

A Socioecological Approach to Support the Transition to Adult Care for Youth With Medical Complexity: Family Perspectives and Recommendations

ABSTRACTIntroductionThe transition from paediatric to adult health care (i.e., ‘health care transition’) poses many challenges for youth with medical complexity (YMC) and their families. YMC need specific approaches to supporting transition, tailored to individual youth and family contexts. In this study, we examine the contextual factors influencing families' transition experiences and describe their recommendations for improving the experience.MethodsWe conducted a qualitative explanatory case study in Ontario, Canada. We completed 21 interviews with 17 participants (11 mothers, 2 fathers, 2 YMC, 2 siblings) from 11 families of YMC. Six YMC (55%) were under 18 years of age (pre‐transfer) and five (45%) were aged 18 years and older (post‐transfer). Analytic approaches included reflexive thematic analysis and directed content analysis.FindingsParticipants described how the interplay of personal and environmental factors impacted their transition experiences. Recommendations for health care providers focused on providing instrumental and psychological support, advocacy and care continuity. Families expressed a need for better access to information and support from primary care providers. System‐level recommendations included streamlining transition processes, improving adult health care services and expanding community supports. A socioecological model is presented to guide health care providers and decision makers in assessing and tackling the challenges faced by YMC and their families during transition.ConclusionFindings highlight the complexity and scope of issues surrounding the transition to adult care for YMC in Ontario, with evidence of major gaps in services across multiple sectors and settings. Ongoing efforts are needed to move evidence into practice and advocate for more equitable and responsive care for YMC during the transition and beyond.Patient or Public ContributionThe research team included two parent co‐researchers with lived experience, who contributed to protocol refinement, funding acquisition, recruitment, findings interpretation and ongoing knowledge translation efforts.

The Effectiveness of Telemedicine Technology in Supporting Health Access in Remote Areas Post-Pandemic

The COVID-19 pandemic highlighted the critical need for effective healthcare delivery systems, especially in remote areas with limited access to medical services. Telemedicine technology emerged as a transformative tool during this period, enabling healthcare providers to continue offering essential services despite physical distancing measures. This paper investigates the effectiveness of telemedicine in supporting healthcare access in remote areas post-pandemic. Using a qualitative approach, the study conducts a comprehensive literature review, analyzing academic articles, reports, and case studies from the last five years to evaluate the impact of telemedicine on healthcare delivery in underserved regions. The research identifies key benefits such as increased accessibility to healthcare services, reduced healthcare costs, and the ability to offer specialized care remotely. However, it also highlights challenges such as technological barriers, digital literacy, and concerns related to patient privacy and data security. The findings suggest that while telemedicine has proven to be effective in improving healthcare access, its success is contingent on addressing these challenges through adequate infrastructure, digital literacy programs, and regulatory frameworks. This study concludes by offering recommendations for policymakers and healthcare providers to enhance telemedicine adoption, ensuring that its potential to support health access in remote areas is fully realized. The paper emphasizes the importance of integrating telemedicine into broader healthcare systems to foster long-term sustainability and inclusivity in healthcare delivery.

Strategi Menghadapi Persaingan Usaha

Businesses in the beauty sector are currently experiencing very rapid growth, giving rise to tight competition. Technological developments and social media influence people's needs and desires in the field of beauty. Situations like this require entrepreneurs in the beauty sector to have a strategy to face competition. Laila MUA has problems implementing effective strategies to face increasingly tight business competition. The aim of this research is to find out the strategies or methods used by Laila MUA in facing business competition. Provide recommendations for effective strategies for Laila MUA to increase their competitive ability in the beauty business. The research uses qualitative descriptive analysis. Data sources were obtained from primary data by conducting non-participant observation, unstructured direct interviews and documentation. Meanwhile, secondary data was obtained from literature that supports this research. The results show that Laila MUA needs to 1) Increase knowledge and skills. (2) Update portfolio (3) Live streaming, hold giveaways (4) Collaborate with other professionals (5) Improve service quality (6) Create packages and promotions (7) Increase use of digital technology (8) Sterilize make-up tools and products used (9) Additional services, before the ceremony or reception (10) Attending industry events, beauty exhibitions and professional meetings. Conclusion: Strategy recommendations include: Improving skills and knowledge, building an attractive portfolio, utilizing social media, collaborating with other professionals, improving customer service, creating packages and promotions, increasing reviews and testimonials, maintaining cleanliness and quality, offering additional services, build networks and reputation. Suggestions: develop innovation and creativity in products and services, digital technology and adapt to the changing business environment. Keywords: strategy, business competition, MUA

Arthritis Management: Patient-Reported Health Care Provider Screening, Counseling, and Recommendations for Physical Activity.

Little is known about the recency, correlates, and content of health care provider (HCP) counseling about physical activity (PA) among adults with arthritis. We analyzed data from the Porter Novelli FallStyles cross-sectional survey of noninstitutionalized US adults. Among adults with arthritis, we assessed the recency of HCP counseling about PA; counseling content, including PA assessment/screening and advice/counseling; and recommendations. Data were weighted by sex, age, household income, race and ethnicity, household size, education, census region, and metropolitan status. Among adults with arthritis (n = 1,113), 16.8% received HCP counseling within the past 6 months, 9.6% received counseling between 6 months and a year ago; 27.7% received HCP counseling more than a year ago; 30.4% never received HCP counseling; and 15.5% did not recall. Prevalence of HCP counseling about PA was higher for those reporting obesity (prevalence ratio [PR] = 1.3) and chronic pain (PR = 1.2), compared with those without these conditions. The most and least common content of HCP counseling were assessment of PA level (74.7%) and receiving a physical activity prescription (6.1%), respectively. The most frequent recommendations for PA type were flexibility exercises (40.1%), aerobic activities (39.8%), specific modalities of PA (eg, swimming, walking, dancing; 38.1%), and muscle-strengthening exercises (36.6%). Only 4.4% received a recommendation for arthritis-appropriate PA programs. HCP counseling about PA among adults with arthritis for arthritis symptom management is lacking in frequency, actionable content, and recommendations to engage in evidence-based PA interventions. Dissemination and implementation of policies and programs facilitating frequent high-quality HCP counseling and recommendation to PA programs for arthritis remains a public health priority.

Health, beliefs, and faith: HPV vaccine uptake intent among Catholic, Evangelical, and mainline protestant parents

ABSTRACT The HPV vaccine has the potential to prevent nearly 92% of HPV-related cancer cases, yet its uptake remains suboptimal. While well-documented barriers to HPV vaccine uptake include inadequate knowledge and lack of provider recommendation, religious preferences have emerged as another crucial factor influencing vaccination decisions. This study examined the interrelatedness of religion, beliefs, and HPV vaccination uptake among children among Catholic, Evangelical, and Mainline Protestant parents. A nationally representative survey was conducted among 1,068 U.S. parents from one of three major Christian denominations: Catholic, Evangelical, or Mainline Protestant. We examined the extent to which demographic factors, constructs from the Health Belief Model (perceived severity, susceptibility, benefits, barriers, self-efficacy, and cues to action), and faith-based support variables contributed to HPV vaccination decisions among parents from the specified religious denominations. Among the surveyed parents, 72.3% indicated that their child had received the HPV vaccine, revealing a substantial but incomplete uptake rate. Notably, no statistically significant differences were observed in vaccination rates across the three denominational groups. Perceived HPV vaccine benefits (p < .001), perceived barriers (p < .001) and perceived self-efficacy (p = .013) were strongly associated. Parents reporting that their child’s healthcare provider asked them about the vaccine (p < .001) and those more receptive to faith-based support for HPV vaccination (p = .049) were more likely to report child HPV vaccine uptake. To enhance HPV vaccine uptake among the examined religious denominations, strengthening provider-parent communication regarding the HPV vaccine and fostering partnerships between healthcare providers and supportive religious congregations can serve as powerful levers for promoting vaccination acceptance and compliance.

Balancing privacy and public health: The impact of South Africa's cannabis legalization

The Cannabis for Private Purposes Act, enacted in South Africa in 2024, marks a significant shift in national drug policy by legalizing private cannabis use while aiming to balance individual privacy rights with public health and safety. This paper examines the Act’s impacts on socioeconomic dynamics, public health, and crime within South Africa, a context shaped by poverty, inequality, and strained healthcare resources. The study highlights potential economic benefits, such as job creation and formal market opportunities, alongside risks, including increased pressure on mental health services and complex implications for crime and gender-based violence. Drawing from government reports, recent studies, and international case comparisons, the analysis reveals how legalization might reduce the burden on the criminal justice system while also introducing challenges in public safety and healthcare capacity. The findings emphasize the need for robust governance frameworks that prioritize health system preparedness, social protections, and crime prevention. The discussion provides targeted policy recommendations for government agencies, healthcare providers, and law enforcement, addressing the importance of public education, regulatory oversight, and mental health support. This study offers valuable insights into the nuanced consequences of cannabis legalization in an emerging economy, contributing to global discussions on drug policy. By aligning policy with the realities of public health and safety, South Africa can leverage the potential benefits of legalization while mitigating its social costs.

Exploring Technological Factors and Cloud Accounting Adoption in MSMEs: A Comprehensive TAM Framework

The adoption of cloud accounting technology among micro, small, and medium enterprises (MSMEs) is becoming increasingly vital for enhancing corporate efficiency and sustainability. However, the adoption rate requires enhancement due to several obstacles, including insufficient digital literacy (DLC) and technological complexity (CX). This study aims to identify the factors influencing the adoption of cloud accounting in MSMEs using TAM framework. This research encompassed 307 participants from MSMEs in Indonesia, with data gathered via surveys and analyzed with the Structural Equation Model—Partial Least Squares (SEM-PLS). DLC and compatibility (CO) substantially affect the perceived ease of use (PE) and usefulness (PU) of cloud accounting technology. Meanwhile, relative advantage (RA) positively impacts PE but does not significantly influence PU. CX greatly influenced users’ intention (INT) to embrace cloud accounting. These findings highlights the crucial role of TAM and indicate that enhancing DLC and CO alongside current business practices is essential to promoting technology adoption. This study provides practical recommendations for policymakers and technology providers to improve the use of digital technologies among MSMEs.

RECOMMENDATIONS TO IMPROVE EMPLOYEE PERSONAL ATTITUDE TOWARD REPORTING PATIENT SAFETY INCIDENTS

Background: Patient Safety Incidents (PSI) in hospitals are adverse events that need to be reported for effective identification and risk management, aiming to prevent reoccurrence of incidents. However, not all incidents are documented, as evidenced by the discrepancy in the number of phlebitis reported by employees as well as Infection IPCLN at three hospitals. Aims: Provide recommendations to improve employee Personal Attitude towards reporting PSI at three hospitals owned by Company A. Methods: The method adopted was a cross-sectional research design; data were collected from three hospitals owned by company A and tested using multiple logistic regression statistics tests. Data on Phlebitis reported from January to July 2018 at three hospitals owned by Company A was used. Furthermore,135 respondents were taken from the service installations of the three hospitals. The Lameshow formula and proportional random sampling are applied to determine the sample. Results: The variables of error orientation (p = 0.001; β = 0.349), behavioral belief (p = 0.008; β = 0.234), and perceived behavioral control (p = 0.003; β = 0.222) had a positive and significant effect on the personal attitude of employees reporting PSI. Conclusion: Two approaches were recommended to improve the personal attitude of employees in reporting PSI. Keywords: Hospital, Patient safety incidents, Personal attitude, Underreporting

A systemic evaluation of COVID-19 vaccination drives in LICs, LMICs, UMICs, and HICs: Preparedness for future pandemics.

The COVID-19 pandemic has significantly impacted global healthcare systems. Vaccination is an effective strategy to battle the disease. Policies and distribution frameworks have varied widely across countries. The paper aims to highlight the global vaccination trends in these nations, based on their economic classification, which will illuminate key takeaways that will allow for better pandemic management policies. A list of the most populated countries across each income slab was drawn up, and information on their vaccination campaigns was collected from national government portals and official health department websites of these countries in a structured manner. Data collected for the attributes was qualitatively described and converted into binary responses for quantitative analysis. ANOVA test, Chi-square test, and regression models were employed. A consistent decreasing trend was noted in the percentage of the population vaccinated as the spectrum from higher-income countries to lower-income countries was traversed for all dose statuses. Fewer types of vaccines were available in the lower-income countries. Though compliance with the CDC vaccination strategies guide was largely noted, a linear regression univariate analysis of vaccination drive parameters carried out for single-dose vaccination yielded statistically significant results for medical provider vaccine standardization (P-value = 0.002), vaccination requirements (P-values <0.001), and provider recommendation. (P-values <0.001) Vaccine hesitancy was not dependent on economic status. Concerted global initiatives like vaccine donation would assist efforts in mitigating disease spread. Prompt busting of baseless anti-vaccine narratives and strengthening healthcare infrastructure to meet national requirements should be given due importance.

Examining provider perspectives surrounding cultural competencies: An integrative review.

This review explores the provider perspectives regarding cultural competency to pinpoint common themes that emerge from the existing literature. Cultural competency is vital in healthcare and remains a burgeoning area of interest in the healthcare landscape. Nevertheless, achieving mastery of these competencies remains challenging as health inequities persist that affect the care received by minority populations. This integrative review analyzed themes of provider perspectives regarding cultural competency. Relevant studies were retrieved from PubMed and CINAHL and other articles were obtained through manual searches. Only articles that explored nurse/ provider perspectives were considered. Four major themes were extracted including culturally sensitive communication perspectives, provider attitudes, identified barriers and recommendations for improvement. Subthemes for culturally sensitive communication perspectives include problematic terminology and overgeneralizations, while subthemes developed for provider attitudes include discomfort, judgment, disbelief, unawareness and awareness. Provider-identified barriers to cultural competency included subthemes of language differences, lack of training, resource constraints and resistance to change. Recommendations for improving cultural competency included recognizing knowledge gaps, developing strategies to increase knowledge and finally obtaining organizational and leadership support. Developing culturally sensitive communication skills is critical to delivering culturally competent care. Provider attitudes are affected by insufficient training, judgment and awareness levels. Negative attitudes could contribute to resistance to change. Provider recommendations to improve cultural competency include the development of a consistent, comprehensive and mandatory training program that identifies specific knowledge gaps. Organizational and leadership support at policy and local levels were necessary to propel meaningful and lasting change.

Sun Exposure Awareness and Sunscreen Use Among College Students in Saudi Arabia: A Cross-Sectional Analysis.

Excessive sun exposure is a significant risk factor for various skin conditions, including sunburn, premature aging, and skin cancer. This study aimed to assess the awareness, attitudes, and practices regarding sun exposure and sunscreen use among college students in Saudi Arabia. A cross-sectional study was conducted with 388 college students from various disciplines. Data were collected using a structured questionnaire covering demographic information, awareness, and practices related to sun exposure and sunscreen use. Descriptive statistics and chi-square tests were employed to analyze the data. This study comprised 209 (53.9%) females and 179 (46.1%) males, with the majority aged between 18 and 23 years. Formal education on sun exposure dangers was lacking in43.0%(167) of participants. The most recognized consequences of excessive sun exposure were sunburn (313, 80.6%) and skin cancer (289, 74.4%). Factors influencing sunscreen use included weather conditions and healthcare provider recommendations. Males were significantly less likely to use sunscreen compared to females. First-year students and participants without formal education on sun exposure were less likely to use sunscreen regularly. Despite awareness of the risks associated with excessive sun exposure, sunscreen use among college students in Saudi Arabia is inconsistent and influenced by various factors, including gender and education level.

Тенденції розвитку цифрової грамотності персоналу медичних установ

The main trends and applied aspects of the formation of digital literacy of the personnel of communal enterprises in the field of health care in modern conditions are highlighted and recommendations for its improvement are provided. In the article, the authors used the following methods: theoretical generalization - to reveal the essence of digital competences and literacy; of analysis and synthesis - to assess the staff structure, to conduct an analysis of the level of digital literacy of the staff, a sociological method - to survey the level of digital literacy of employees of a utility company in the field of health care; generalization - when formulating conclusions and recommendations. The proven hypothesis is that there is a direct relationship between the capabilities and abilities and skills of employees of medical institutions and it significantly affects the determination of their ownership of digital work tools. Taking into account the results of the conducted research, it is proposed to take a number of measures to improve the development of digital literacy of the staff of medical institutions: organize targeted training, organize trainings, courses and seminars for the development of digital skills; provide conditions for self-study using distance resources and educational platforms; implement training and professional development programs that promote continuous learning and adaptation to new technologies. The results of this study are of interest to local self-government bodies and specialized departments of the state government, subjects of communal entrepreneurship in the field of providing medical services, who seek to improve the system of digital literacy of the personnel of medical institutions, to increase the level of providing digital services in the field of health care in accordance with the conditions competitive environment and ensure the growth of the technological level of enterprises in the medical field. At the same time, the results can help researchers of higher education institutions to improve tools for the dissemination of digital innovations and knowledge in the field of digitization of personnel management. This study emphasizes the peculiarities of the formation of digital literacy of the personnel of medical institutions in the structure of the national economy at the level of public utilities. The identification of digitization trends in the budget sphere and a number of non-profit enterprises in the process of reforming the health care sector allowed to outline various strategies for ensuring effective training and skill development of hospital staff. Provide recommendations to the founders and owners of utility companies in the medical field regarding the development of digital literacy development programs for all staff at the local level.

Harnessing predictive analytics to enhance medication adherence: A strategic model for public health impact

This review paper explores the critical role of predictive analytics in enhancing medication adherence, a significant challenge impacting global public health and healthcare systems. Medication non-adherence is linked to increased healthcare costs, poor health outcomes, and reduced quality of life for patients. By leveraging predictive analytics, healthcare providers can identify patients at risk of non-compliance, enabling targeted interventions that address individual barriers to adherence. The paper outlines a strategic framework for integrating predictive analytics into healthcare systems, emphasizing the importance of data sources, algorithm selection, and patient engagement. Furthermore, it discusses the broader implications of improved medication adherence for public health, including potential reductions in healthcare costs and enhancements in system efficiency. The conclusion offers strategic recommendations for policymakers and healthcare providers, highlighting the need for further research and technological advancements in predictive analytics to fully realize its potential in improving medication adherence. This review underscores the importance of data-driven decision-making in healthcare and its role in fostering a culture of adherence that benefits patients and communities alike.

Understanding unmet family planning needs and unplanned pregnancies in Malaysian women

This study presents a comprehensive analysis of unmet family planning needs among Malaysian women and their correlation with unplanned pregnancies. Leveraging a rigorous qualitative library research approach, this investigation delves into peer-reviewed literature, government reports, and international publications to identify key socio-cultural, economic, health and educational factors hindering women’s reproductive health choices. Despite Malaysia’s progress in reproductive health, significant disparities persist, particularly among marginalised women in rural and low-income communities. Limited contraceptive knowledge, cultural stigmas, and insufficient healthcare access emerge as critical barriers. By meticulously examining data sources such as the Technical Report of the National Health and Morbidity Survey (NHMS) 2022, this study highlights the urgent need for policy reforms and targeted interventions to enhance reproductive health education and expand access to diverse contraceptive options. This research directly aligns with Sustainable Development Goals (SDGs) 3 and 5, aiming to improve reproductive health outcomes and promote gender equality. By empowering women to make informed reproductive choices, this study contributes to a more equitable and sustainable future for Malaysia. The findings provide actionable recommendations for policymakers and healthcare providers to address systemic gaps and reduce unplanned pregnancies, ultimately fostering equitable access to family planning services for all Malaysian women.