Access Services Research Articles

Correlates of adverse outcomes of adolescent pregnancy in Sidama region, Ethiopia. An unmatched case-control study

IntroductionAdolescent pregnancy has received little attention, despite being it is the leading cause of maternal mortality and morbidity in low-income countries, including Ethiopia. Sidama regional state is one of the regions in Ethiopia that has high rates of adolescent pregnancy. This study aimed to identify factors related to adverse outcomes of adolescent pregnancy, in the Sidama region, Ethiopia. MethodsA hospital-based unmatched case-control study was conducted among 120 cases and 240 controls of pregnant adolescents. Structured interviews and patient record reviews were used to examine the potential correlates and adverse outcomes of adolescent pregnancy. Using binary logistic analysis, adjusted odds ratio (AOR) with 95% confidence intervals, were computed to identify factors related to adverse outcomes of adolescent pregnancies. ResultsA monthly income below the poverty level (AOR: 3.40; 95% CI, 1.21–9.58), lack of antenatal care follow-up (AOR: 4.22; 95% CI, 1.97–9.04), experiencing gender-based violence (AOR: 2.03; 95% CI, 1.16–3.57), and referral to a specialized health facility (AOR: 2.79; 95% CI,1.39, 5.62) were associated with higher odds of adverse pregnancy outcomes. ConclusionSeveral socio-economic and health care system-related determinants are associated with adverse outcomes of adolescent pregnancy. Therefore, it is crucial to improve free and accessible maternal health care services for adolescents, focusing on education, challenging social norms that condone gender-based violence as well as enhancing the referral system to lessen the burden of adverse outcomes of adolescent pregnancy.

Is Mental Health Worse in Medical Students than in the General Population? A Cross-Sectional Study.

Background and Objectives: In recent years, there has been a notable increase in university students experiencing severe mental illness. The transition to university life can be demanding, leading to mental health disorders. Persistent stress and anxiety can cause demotivation, difficulties with concentration, cognitive impairment, and reduced academic performance. Mental health issues can also impact social relationships and overall well-being. This cross-sectional study aims to investigate the mental health of medical students and compare it with the mental health of the non-student population. Materials and Methods: The survey collected demographic information such as age and gender. Participants were questioned about their self-perceived mental distress, diagnosed mental disorders, and history of therapy for mental distress. Various validated assessment tools were utilized to assess mental health and quality of life. Results: Medical students exhibit a higher self-perception of mental symptoms that does not translate into a significantly higher prevalence of diagnosed mental disorders. Medical students experience higher levels of anxiety and subclinical depressive symptoms and lower quality of life. Female participants reported lower QoL scores and higher levels of anxiety symptoms compared with male participants. While the prevalence of mental disorders did not differ significantly between genders (except for clinical anxiety), females tended to perceive a higher burden of mental health challenges. Conclusions: By addressing mental health issues among medical students, especially females, institutions can create a more supportive and conducive learning environment. Encouraging open conversations about mental health and providing accessible mental health services can help in destigmatizing mental health challenges and promoting early intervention when needed.

Community Inclusion Experiences While Establishing Community Mental Health Clubhouses in Taiwan: Perspectives from Mental Health Professionals.

Community inclusion is a human right for all people, including people with mental illness. It is also an important part of individualized support to enable people experiencing mental illness to live in their preferred communities and to recover. In Taiwan, no study has investigated the social experiences of healthcare professionals. To fill this knowledge gap and inform ongoing mental health system strengthening, this study examined the not-in-my-backyard (NIMBY) phenomenon observed while establishing community mental health clubhouses in Taiwan and corresponding experiences of community inclusion. Data were collected through semi-structured interviews of 16 purposively sampled frontline healthcare professionals from Taiwanese mental health clubhouses. Data were analyzed using qualitative content analysis. Two themes were identified: "NIMBY phenomenon: Community residents' resistance to clubhouses" and "Measures adopted by the clubhouse for community inclusion". Two categories with eleven subcategories emerged. The findings demonstrate the following conclusions. First, the NIMBY phenomenon is related to the stigmatization and discrimination faced by individuals with mental disorders in society. Second, in Asian societies, mental disorders are associated with a particular social and cultural context. Third, the fear and rejection of individuals with mental disorders deepen their social exclusion. Forth, community mental health clubhouse models employ seven strategic approaches to community inclusion, listed as follows: capacity building for individuals, direct interaction with the public through community activities, provision of community services, life skills training, repairing and managing neighborhood relationships, assisting individuals in obtaining community employment, and conducting social education for community residents. Clearly, we need to combat social exclusion of people with mental illness and promote inclusive and accessible services and systems across sectors.

Wheeled repair alliance: Rolling out wheelchair repair and maintenance in community bicycle shops

ABSTRACT The increasing population of wheelchair users in the United States highlights the importance of access to reliable and affordable wheelchair maintenance and repair. Having a well-maintained mobility device is essential to living a safe, healthy, and social life as a wheelchair user. Unfortunately, access to these services is limited. This study aims to address this need by developing and evaluating a workshop program designed to teach basic wheelchair maintenance skills to bike shop employees, allied health professionals, and wheelchair users themselves. The workshops covered key wheelchair maintenance tasks. Pre and post workshop surveys assessed participants’ confidence in basic maintenance and repair skills and overall satisfaction with the workshop. Workshop participants reported increased confidence in all maintenance skills following the workshops and bike shop employees expressed increased confidence in their ability to work with and provide resources for wheelchair users. This study highlights that community-based workshops may help to enhance confidence in wheelchair maintenance skills, potentially aiding in bridging the gap in affordable and accessible repair services. The Wheeled Repair Alliance has the potential to empower wheelchair users and improve their quality of life. Further research should consider increasing the precision of measurements and assessing long-term outcomes related to wheelchair maintenance and repair.

Everyday mobility and citizenship: a living lab approach

ABSTRACT In the context of a living lab that aimed to reduce everyday car use, citizens in a newly established semi-urban residential area in Sweden were asked to travel less by car, try mobility and accessibility services, and to reason about travelling and their own role in a future sustainable transport system. By analysing the participants’ written reports about mobility practices and mobility citizenship, collected through a living lab app, the paper explores links between everyday mobility and mobility citizenship. The analysis, which is based on theories on citizenship and mobility and social practice theory, shows that the participants’ reports provided context-specific knowledge regarding everyday mobility and citizenship. The participants expressed both knowledge about and engagement in their local environment. This opens new ways to understand, explore and make use of mobility citizenship, in research and in practice.

Cultural institutions as knowledge-intensive public organisations (KIPOs) and their role: how digitalisation can change them providing sustainable and accessible public services

PurposeThis exploratory research seeks to clarify the role of cultural organisations as knowledge-intensive public organisations (KIPOs) and the trend of digital content creation in museum sectors and national strategies through a country case study. It aims to provide a deeper understanding and analysis of museums' roles as KIPOs, specifically focusing on their digitalisation and digital content development for service delivery. Digital technology utilisation in the museum sector has amplified the significance of digital content, not only because of the increasing use of digital technologies among the public but also because it provides attractive new content to appeal to customers, as well as more efficient knowledge management and knowledge reproduction tools for KIPOs. Thus, this paper analyses digital content creation in the museum sector and policy frameworks to provide insights into the role of museums as KIPOs by utilising digital technologies.Design/methodology/approachWe conducted literature review on six keywords, combination of “cultural institution”, “museum”, “digitalization”, “digital content”, and “ICT” to understand the digitalisation of museums amongst academic papers, then used a case study to figure out the common issues as well as case-specific features of these digital offerings through analysis of the digital platforms of museums. Specifically, we choose the case of South Korea, its national strategies and budget allocations and the museum sectors in the country. Thus, the secondary data analysis was provided by the official channels, such as documents from government agencies, media sources, such as articles from newspapers and magazines and academic works of literature, such as papers in scientific journals.FindingsThis paper reveals the research trend in museums' digitalisation, especially through the case study, how the South Korean government has argued digital content development in museum sectors through their national strategies and budget allocations, and the trend of museums' digital offerings since 2021. This paper thus presents a novel contribution to the field by delving into the research trend in digitalisation and digital content development in the museum sector and analysing the South Korean government's national strategies and budget allocation in this context. The literature review shows that the digitalisation of museums has increased research interest in the last few years in limited areas. South Korea has allocated budgets and policies to encourage digital content creation in museums, and this study identifies an increase in digital content creation in the museum sector.Research limitations/implicationsThe paper chose one-country case study, that of South Korea; thus, there are representative limitations and thus in terms of generalisation of the results. Further research with case studies from other countries and comparative studies are required.Practical implicationsThis study highlights the importance of digitalisation and digital content development in the museum sector through government policies, strategies and financial investment.Social implicationsIt highlights the importance of digitalisation and the introduction of digital contents amongst museums to gain new visitors and change the relationship between the institutions and the customers.Originality/valueIt deals with the digitalisation of museums as KIPOs and it is a new and relevant topic per se. This study enhances the understanding of the museum sector’s digital content development and national policies to support its activities. It provides insights into the utilisation of digital technologies in cultural institutions for digital service delivery in public organisations.

Sustainable Tourism Industry in Indonesia through Mapping Natural Tourism Potential: Taxonomy Approach

Rembang Regency is located on the north coast of Java Island, Central Java Province, Indonesia, which has many beaches ideal for tourism activities. Even though it has the charm of beaches, natural tourist destinations are still the primary choice compared to cultural and artificial sites. However, limited studies exist regarding standard indicators for assessing natural tourism potential in Rembang Regency, which is essential for identifying potential tourist locations. This research focuses on grouping indicators of natural tourism potential based on six main aspects: attractions, amenities, accommodation, activity, accessibility, and ancillary services, environment in tourist areas, and human resources considerations. A taxonomic model will be utilized to develop a procedure for determining natural tourism potential, including indicator weighing via a hierarchical analysis. The findings will yield a taxonomy model aiding information and knowledge management, fostering information sharing and utilization. Moreover, the established procedures will facilitate an accurate and efficient determination of natural tourism potential. This research aims to contribute to sustainable natural tourism management in Rembang Regency, preserving nature while enhancing the tourist experience.

AI-HybridChain: Picturized authentication and DRL based access control method with secure two fold revocation for ensuring cloud computing security

The Internet of Things is susceptible to seepage of private information during the data sharing. To circumvent this problem, access control and secure data sharing have been familiarized in cloud- IoT which is prevalent now days due to it storage and data access services. An intrusion detection implementation defends the veracity of the data sharing confining record are stored in a data base by recognizing when something changed unpredictably so that security and privacy are major anxieties. Therefore, it is crucial to develop the security apparatus that perceive and mitigate any feasible attack in cloud security services. In this paper, we proposed secure access control method with two-fold revocation for ensuring cloud computing security by hybrid blockchain (AI-Hybrid chain). Initially, all the users and services are registered their credentials to Secure Agent (SA) and provides image-based user authentication. Then, SA provides a long-term secret key which is generated by Improved Advanced Encryption Standard (IAES) algorithm, both user and service credentials are encrypted and stored in cloud chain. After that, gateway verifies the incoming requests are legitimate or illegitimate. For verifying the incoming packets, the proposed work utilizes Di-Fuzzy Inference System (Di-FIS) based on effective metrics. Further, legitimate request is optimally classified as sensitive and non-sensitive request for achieving secure service allocation using Tomtit Flock Optimization algorithm (TFO) based on optimal features. Once the service is allocated to users, we perform novel access control mechanism based on role and attribute of the users, the trust can be validated using Transfer Learning based Double Deep Q Network (TL-DDQN). Furthermore, virtual firewall is deployed in the cloud environment for analyzing the user storage request traffic as normal validated using Transfer Learning based Double Deep Q Network (TL-DDQN). Furthermore, virtual firewall is deployed in the cloud environment for analyzing the user storage request traffic as normal and malicious based on Contractive Residual Network (Con-ResNet). The implementation of proposed work is conducted by Network Simulator – 3.26 and the performance of the proposed AI-Hybrid chain model is itemized based on various performance metrics in terms of attack detection rate, overhead, success ratio, throughput, traffic rate, delay, response time and unauthorized access.

International business and decentralized finance

AbstractOver the last decade, the green shoots of a new economic order have emerged as decentralized technologies challenge traditional financial systems. Decentralized finance (DeFi) holds the potential to transform international business (IB) by offering accessible financial services across borders, disrupting traditional intermediaries, and promoting financial inclusion. While traditional fintech has challenged banks, DeFi operates outside legacy systems, leveraging blockchain technology and smart contracting to introduce a new range of products and services that provide first-movers with an upper hand to both expand their business across the globe as well realize cost savings on existing business. Despite offering advantages like efficiency, transparency, and security, DeFi faces regulatory uncertainties and scalability, adoption, and stability concerns. Our study explores how DeFi can seamlessly integrate into the IB space while addressing these challenges. In addition to offering insights for investors, multinational firms, and regulators, we also lay the groundwork for future IB research in the fintech domain. As the DeFi innovation unfolds, understanding and harnessing its potential can empower stakeholders to engage responsibly and effectively in this transformative landscape.

Breast Cancer Screening Awareness and Associated Factors Among Saudi Females: A Cross-Sectional Study in Jeddah, Saudi Arabia (2024).

Breast cancer (BC) represents a major health concern for women globally, including those in Saudi Arabia. Awareness and early detection through screening practices are vital measures in improving BC outcomes. This study aims to assess the awareness and associated factors of BC screening among Saudi females in Jeddah, Saudi Arabia. A cross-sectional study was conducted in 2024 among Saudi females aged 18 and above, residing in Jeddah. Data was collected using a structured questionnaire that included sections on demographic characteristics, Breast Cancer Awareness Measure (Breast CAM), knowledge, and factors influencing participation in screening programs. The collected data was analyzed using IBM SPSS Statistics. The study, consisting of 454 participants, found that half of them rarely or never checked their breastsand many were not confident about noticing any changes in their breasts. There was a strong awareness of the Ministry of Health's (MOH) BC screening program, but most were uncertain about the age at which screenings should start and end. Only a small percentage reported receiving an invitation for breast screening and an even smaller percentage have participated in the screening. Significant associations were found between higher awareness of BC signs, a monthly family income of over 20,000, and being medically free (p-value <0.05). The study found a significant gap in BC awareness and screening practices among females in Jeddah, Saudi Arabia. This underlines the importance of targeted health education and awareness programs, as well as accessible and affordable screening services, to improve early detection and outcomes for BC.

Advancing Healthcare Through Artificial Intelligence: Opportunities, Challenges and Future Directions

Advancing Healthcare Through Artificial Intelligence: Opportunities, Challenges and Future Directions

Digital Forms for All: A Holistic Multimodal Large Language Model Agent for Health Data Entry

Digital forms help us access services and opportunities, but they are not equally accessible to everyone, such as older adults or those with sensory impairments. Large language models (LLMs) and multimodal interfaces offer a unique opportunity to increase form accessibility. Informed by prior literature and needfinding, we built a holistic multimodal LLM agent for health data entry. We describe the process of designing and building our system, and the results of a study with older adults (N =10). All participants, regardless of age or disability status, were able to complete a standard 47-question form independently using our system---one blind participant said it was "a prayer answered." Our video analysis revealed how different modalities provided alternative interaction paths in complementary ways (e.g., the buttons helped resolve transcription errors and speech helped provide more options when the pre-canned answer choices were insufficient). We highlight key design guidelines, such as designing systems that dynamically adapt to individual needs.

Facilitators of and Barriers to the Use of a Digital Self-Management Service for Diagnostic Testing: Focus Group Study With Potential Users.

Health care lags in digital transformation, despite the potential of technology to improve the well-being of individuals. The COVID-19 pandemic has accelerated the uptake of technology in health care and increased individuals' willingness to perform self-management using technology. A web-based service, Directlab Online, provides consumers with direct digital access to diagnostic test packages, which can digitally support the self-management of health. This study aims to identify the facilitators, barriers, and needs of Directlab Online, a self-management service for web-based access to diagnostic testing. A qualitative method was used from a potential user's perspective. The needs and future needs for, facilitators of, and barriers to the use of Directlab Online were evaluated. Semistructured focus group meetings were conducted in 2022. Two focus groups were focused on sexually transmitted infection test packages and 2 were focused on prevention test packages. Data analysis was performed according to the principles of the Framework Method. The Consolidated Framework for Implementation Research was used to categorize the facilitators and barriers. In total, 19 participants, with a mean age of 34.32 (SD 14.70) years, participated in the focus groups. Important barriers were a lack of privacy information, too much and difficult information, and a commercial appearance. Important facilitators were the right amount of information, the right kind of tests, and the involvement of a health care professional. The need for a service such as Directlab Online was to ensure its availability for users' health and to maintain their health. According to the participants, facilitators and barriers were comprehension of the information, the goal of the website, and the overall appearance of the service. Although the service was developed in cocreation with health care professionals and users, the needs did not align. The users preferred understandable and adequate, but not excessive, information. In addition, they preferred other types of tests to be available on the service. For future research, it would be beneficial to focus on cocreation between the involved medical professionals and users to develop, improve, and implement a service such as Directlab Online.

A study on the promotion of broadcasting for persons with disabilities using new media, focusing on the visually or hearing impaired

This study aimed to use YouTube to predict the impact of broadcasting promotion methods for individuals with disabilities. A survey was conducted on Korean males and females over the age of 19, using the “KBS National Panel,” leading to the observation that promotion of broadcasting for persons with disabilities on YouTube is found most effective in the “Education/Learning” genre of highly “trustworthy” influencers; as for the respondents who are over 60s and white-collar workers, in genres such as “Education/Learning” and “Culture/Performance,” the promotion effect of broadcasting for persons with disabilities was high. In the case of PR for males, there should be more attention to “Friendliness” compared to females, and it was assumed that the “Life/DIY” genre would be more effective. An efficacious promotional strategy for public broadcasting directed towards individuals with disabilities will ultimately augment comprehension of persons with disabilities community among those without disabilities. Furthermore, recognizing broadcasting for persons with disabilities as a media access service available for use by individuals without disabilities as required will contribute to the diversification of the multi-layered utilization of broadcasting content.

Primary Care Enhanced Access Services and the Association With Nonurgent Pediatric Emergency Department Utilization and Child Opportunity Index.

This study aims to examine the association between primary care practice characteristics (enhanced access services) and practice-level rates of nonurgent emergency department (ED) visits using ED and practice-level data. Survey data suggest that enhanced access services within a child's primary care practice may be associated with reduced nonurgent ED visits. We performed a cross-sectional analysis of nonurgent ED visits to a tertiary pediatric hospital in Western Pennsylvania with nearly 85,000 annual ED visits. We obtained patient encounter data of all nonurgent pediatric ED (PED) visits between January 2018 and December 2019. We identified the primary care provider at the time of the study period. For each of the 42 included offices, we determined the number of unique children in the office with a nonurgent PED visit, allowing us to determine the percentage of children in the practice with such a visit during the study period. We then stratified the 42 offices into low, intermediate, and high tertiles of nonurgent PED use. Using Kruskal-Wallis tests, logistic regression, and Pearson χ 2 tests, we compared practice characteristics, enhanced access services, practice location Child Opportunity Index 2.0, and PED visit diagnoses across tertiles. We examined 52,459 nonurgent PED encounters by 33,209 unique patients across 42 outpatient offices. Primary care practices in the lowest ED visit tertile were more likely to have 4 or more evenings with office hours (36% vs 14%, P = 0.04), 4 or more evenings of weekday extended hours (43% vs 14%, P = 0.05), and at least 1 day of any weekend hours (86% vs 29%, P = 0.01), compared with practices in other tertiles. High PED use tertile offices were also associated with lower Child Opportunity Index scores. Primary care offices with higher nonurgent PED utilization had fewer enhanced access services and were located in neighborhood with fewer child-focused resources.

Attributional styles are associated with care burden in geriatric depression: older adults and their caregivers in Taiwan

BackgroundGiven the rising prevalence of depression among older adults and the associated increase in caregiving responsibilities, understanding factors influencing caregiver burden is crucial. Previous research has not extensively explored the impact of caregivers’ attributional styles, that is, how individuals interpret the causes of life events, on their care burden.AimThis study examined the relationship between caregivers’ attributional styles and their care burden for older patients with depression.MethodsThis cross-sectional study enrolled older adults aged ≥ 65 years diagnosed with depression and their caregivers. Depression was diagnosed according to the DSM-V criteria for Major Depressive Disorder or Persistent Depressive Disorder. Caregivers completed the Chinese Depression Caregiver Burden Scale (CDCBS) to assess care burden, the Hamilton Depression Rating Scale (HAM-D) to evaluate patient symptom severity, the Center for Epidemiological Studies Depression Scale (CES-D) for measuring caregivers’ depression, and the Chinese Depression Patient Caregiver Attribution Style Scale (CDPCAS) to assess attributional styles. Hierarchical regression analysis was used to identify the factors independently associated with the caregiver’s subjectively assessed care burden.ResultsThe sample included 146 caregivers of geriatric patients with depression. Most depression patients were women (74.7%) with a mean age of 74.3 years, whereas the mean age of caregivers was 57.7 years. Hierarchical regression analysis identified that caregivers’ gender (β = − 0.14, p = .044), educational level (β = 0.19, p = .008), caregivers’ own depression assessed by the Center for Epidemiological Studies Depression Scale (β = 0.41, p < .001), and attributional styles, particularly manipulation (β = 0.29, p < .001) and illness/stress attributional style (β = 0.23, p = .002) as independent factors associated with care burden. Patient symptom severity assessed using the Hamilton Depression Scale was not significantly correlated with care burden after controlling for attributional styles.ConclusionsCertain attributional styles, particularly the manipulation and illness/stress attributional styles, significantly increased self-reported care burden. These findings highlight the need for educational resources to change the attribution style, along with support systems and accessible mental health services for caregivers to potentially ease the care burden.

Smartening Local Energy in Europe: A Comparative Analysis of Three Cases and Their Implications for Supporting Transformative Governance Practices

Achieving global sustainability goals, while maintaining or increasing access to energy services, calls for agile and many-faceted responses. The pursuit of ‘smart local energy systems’ is one such response that involves a paradigm shift, taking the concept of an energy system away from large-scale power plants and fuel stores towards more flexible configurations to harness renewable energy flows, with highly distributed physical assets, actors, skills and controls. Smart local energy requires citizens, industry, utilities and government bodies to collaborate and learn together in order to develop effective modes of governing that meet sustainability goals and provide reliable, accessible energy services. In this article, we introduce practical implications of creating more localised energy systems with the aid of digital technologies. We then analyse three emerging European energy communities in terms of their actors, activities and alliances, to build an understanding of governance practices within and beyond the communities that are capable of fostering transformative change towards sustainability. From this, we argue that maintaining progress towards smart local energy systems requires transformative governance within and beyond initiatives. It requires local governance arrangements that are agile and responsive to new actors and activities as well as to broader external circumstances.

User factors affecting the use of digital services in five European regions and countries

Digitalisation has great potential to reduce costs, improve access and enhance user experience. However, it could also increase inequality, with some people struggling to access and use digital services. It is important to understand who is likely to be excluded in this way and why. This can help to identify groups at particular risk of digital exclusion, inform efforts to overcome the barriers, and develop more inclusive digital services. This paper introduces a set of five linked datasets examining a range of user factors affecting the use of digital services. The datasets focus on the use of digital mobility services, but the data is useful in understanding the use of other digital services as well. The user factors considered include technology access, use and competence and attitudes towards digital technology. The datasets were the results of surveys in five European regions and countries (Germany, Italy, Barcelona Metropolitan Area, Flanders and the Netherlands). Samples were taken of the adult (age 16+) population with a total of 3,454 participants.

New Technological Trends and Application in Libraries: An Overview

The introduction of new technological trends has had a significant impact on the performance of libraries. These trends have transformed the way libraries operate and provide services to their users. The paper also provides an overview of the effects of these technological trends on library performance. Frankly, these trends represent advancements in information technology, communication, automation, artificial intelligence, data analytics, and more. Besides, they have the potential to disrupt traditional practices, improve efficiency, enhance user experiences, and create new opportunities for growth and development. The results also proved the key effects of new technological trends on library performance to be access to digital resources, online catalogs, and discovery systems, remote access and virtual services, digital preservation, data management, and research support, collaborative and social technologies, mobile apps and virtual services, and data-driven decision making. The paper also highlights the challenges faced by libraries in adopting these new technologies. The conclusion emphasized the importance of embracing technological advancements to enhance library services, and one of the recommendations was that libraries should provide regular training opportunities to their staff to keep them updated on the latest technologies and their applications in library services.

Mining heritage gone wrong: A study of disappointed tourists at China’s national mine parks

ABSTRACT Mine parks are a late twentieth-century addition to the global heritage repertoire. To date, most studies of visitor experiences at mining heritage sites focus on tourists who appreciate their outings. Yet mine parks do not satisfy all those who visit. What goes wrong for those who visit these destinations and feel disappointed, and how do they express their displeasure? We answer this question by scrutinising the online negative reviews of tourists from seven Chinese national mine parks. Our analysis indicates ‘disgruntled tourists’ want the sites of former resource extraction to include a sight and meet their expectations for hospitable, accessible, and knowledgeable service. When mine parks fail to deliver, they become disappointed, dissatisfied, and angry. They overwhelmingly articulate their unhappiness using a language of ‘lack’ or deficiency and talking about ‘value for money’. The reviews further suggest that disappointed visitors write online reviews to vent negative emotions, warn other tourists, and punish site staff. Drawing on the broader literature on mining tourism, heritage tourism, and visitor experiences, we indicate strategies that mining heritage professionals could use to remedy disgruntled tourists’ sense of deficiency, while also contributing to scholarly discussions about what makes tourism meaningful.