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Background: The purpose of this study was to develop the Hospital-Stakeholder Collaboration (HSC) Tool and Hospital Performance Factor (HPF) Tool to explore stakeholder perception and value for hospital service improvement.
Methods: This exploratory mixed-method study involved three steps: initial tool development (Step 1), validity testing (Step 2), and module development (Step 3). In Step 1, qualitative data collection through literature reviews, focus group discussions, and interviews with hospital management experts led to the creation of the preliminary tools. Step 2 involved qualitative analysis by α 5-member expert panel, followed by quantitative analysis with 36 respondents for validity (Pearson correlation, α = 0.05) and reliability (Cronbach's Alpha, α = 0.6) tests. Step 3 encompassed the final module development.
Results: The HSC tool contains 6 domains and the HPF tool contains 4 perspectives. The 6 HSC domains were: 1) stakeholder identification, 2) interactive dialogue, 3) commitment, 4) planning, 5) implementation, 6) change in action and behavior. The 4 HPF perspectives were: 1) stakeholder perspective, 2) financial perspective, 3) internal business process, and 4) staff and organizational capacity. The values of the HSC tool validity and reliability tests were around 0,0046 and around 0,995, respectively. Additionally, the values of the HPF tool validity and reliability tests were around 0,0062 and around 0,995, respectively.
Conclusion: This study offers a practical tool for needs assessment for the improvement of service by analyzing direct feedback from hospital stakeholders and measuring hospital performance factors.
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http://dx.doi.org/10.4314/ejhs.v33i6.18 | DOI Listing |
Appetite
August 2025
Department of Psychology, University of Nebraska-Lincoln, Lincoln, NE, USA. Electronic address:
Purpose: Although emerging evidence suggests that deprivation and unpredictability, two unique dimensions of early adversity, may be associated with eating, this association has not been examined across key developmental periods with robust measurement of dietary quality and eating behaviors. This study aims to examine the unique effect that experience of early deprivation and unpredictability may have on later eating across adolescence.
Methods: Participants in this longitudinal study were 337 children (51 % female) initially recruited between ages 3 and 6.
Semin Fetal Neonatal Med
August 2025
Department of Pediatrics, Children's Healthcare of Atlanta/Emory University, Atlanta, GA, USA. Electronic address:
Congenital diaphragmatic hernia (CDH) is associated with high neonatal morbidity and mortality, often due to complex cardiovascular physiology and ventricular dysfunction. Echocardiography is a critical tool for assessing cardiac anatomy, ventricular performance, pulmonary hypertension, and shunt dynamics in both the prenatal and postnatal periods. Early echocardiographic evaluation can identify high-risk physiologic phenotypes and guide targeted interventions, yet optimal timing and frequency remain uncertain.
View Article and Find Full Text PDFClin Proteomics
August 2025
Department of Gastrointestinal Surgery, Taizhou Hospital, Wenzhou Medical University, 150 West Gate Street, Linhai, Zhejiang, China.
Background: Increasing evidence highlights the crucial role of antibody-dependent cellular phagocytosis (ADCP) in colorectal cancer (CRC). However, how to use ADCP-related genes to predict prognosis in CRC and guide treatment remains unelucidated.
Methods: Gene expression profiles and clinical data information on CRC were sourced from the Cancer Genome Atlas (TCGA) database.
Sci Rep
August 2025
Department of Public Health, College of Medicine and Health Sciences, Debre Markos University, Debre Markos, Ethiopia.
Respiratory distress is one of the most common problems that neonates encounter within the first few days of life and is a regular cause of admission to both term and preterm infants. Limited evidence exists on the incidence and predictors of this serious public health problem in resource-limited settings such as Ethiopia. To assess the incidence and evaluate predictors of respiratory distress among neonates admitted to neonatal intensive care units (NICU) at West Gojjam Zone public hospitals, Northwest Ethiopia, in 2024.
View Article and Find Full Text PDFJ Behav Health Serv Res
August 2025
West Virginia University School of Public Health, One Medical Center Drive, P.O. Box 9190, Morgantown, WV, 26506, USA.
The objective of this study was to describe the clinical experiences associated with billing for short-term residential care for substance use disorder (SUD) under a Medicaid managed care organization (MCO) payment structure requiring prior authorization. The authors conducted a qualitative analysis of focus group data collected from residential adult services (RAS) facilities staff in West Virginia between 2020 and 2022. These primary data were derived from 17 semi-structured focus groups across 11 distinct RAS facilities, which included 28 administrators, 23 clinicians, and 10 peer recovery support specialists, and were recorded and transcribed before being coded.
View Article and Find Full Text PDF