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Background: In recent years, public health emergencies have become increasingly frequent, threatening human health. Accordingly, countries worldwide have attached great importance to optimizing their public health service systems. In China, physical education teachers are responsible for conducting health education in schools and improving students' health; however, China's health service supply is unbalanced and insufficiently developed. Therefore, this study constructed a health service competence model of Chinese physical education teachers to assess their contribution to the improvement of China's national public health system.
Methods: The qualitative data were primarily gathered through semi-structured interviews. Physical education teachers and researchers of physical education teachers from diverse regions of China (N = 48) were selected as participants using purposive sampling techniques. Grounded theory technical approach was employed to analyze the data through NVivo 11.0 software.
Results: The physical education teachers' health service competence model contained three dimensions: health service beliefs, basic health knowledge, and health service skills. Health service beliefs contained two categories: health service awareness and health service cognition. Basic health knowledge contained two categories: life health knowledge and sports health knowledge. Health service skills contained seven categories: health education skills, management skills, research skills, advocacy skills, emergency skills, organization skills, and alert skills.
Conclusion: This study's model provides a theoretical foundation for Chinese physical education teachers to transition to physical education and health teachers. Utilizing this model in teacher education can contribute to enhancing China's national public health service system.
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http://dx.doi.org/10.1186/s12889-024-21060-0 | DOI Listing |
JMIR Res Protoc
September 2025
Department of Health Services Research & Administration, College of Public Health, University of Nebraska Medical Center, Omaha, NE, United States.
Background: With the availability of more advanced and effective treatments, life expectancy has improved among patients with metastatic breast cancer (MBC), but this makes communication with their medical oncologist more complex. Some patients struggle to learn about their therapeutic options and to understand and articulate their preferences. Mobile health (mHealth) apps can enhance patient-provider communication, playing a crucial role in the diagnosis, treatment, quality of life, and outcomes for patients living with MBC.
View Article and Find Full Text PDFJMIR Res Protoc
September 2025
Gender and Women's Health Unit, Nossal Institute for Global Health, School of Population and Global Health, The University of Melbourne, Carlton, Australia.
Background: Assisted vaginal birth is a lifesaving procedure where health workers use special devices to expedite birth vaginally when some complications emerge, such as due to prolonged labor. When the use of assisted vaginal birth is possible and appropriate, it provides benefits over cesarean section. These benefits include shorter recovery, reduced hospital stays, lower risks of complications, cost savings, and greater likelihood of vaginal birth in future pregnancies.
View Article and Find Full Text PDFJMIR Res Protoc
September 2025
Institute of Higher Education and Research in Healthcare, Faculty of Biology and Medicine, University of Lausanne, Lausanne, Switzerland.
Background: In pediatric intensive care units, pain, sedation, delirium, and iatrogenic withdrawal syndrome (IWS) must be managed as interrelated conditions. Although clinical practice guidelines (CPGs) exist, new evidence needs to be incorporated, gaps in recommendations addressed, and recommendations adapted to the European context.
Objective: This protocol describes the development of the first patient- and family-informed European guideline for managing pain, sedation, delirium, and IWS by the European Society of Paediatric and Neonatal Intensive Care.
JAMA Intern Med
September 2025
Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts.
Importance: Hospitals have reported growing difficulty in discharging patients in a timely manner, often citing bottlenecks in postacute care. Medicare Advantage plans, now the dominant form of Medicare coverage, may contribute to these delays due to administrative and network constraints, yet national evidence is lacking.
Objective: To quantify changes in hospital length of stay for Medicare Advantage vs traditional Medicare beneficiaries.
JAMA Pediatr
September 2025
Department of Pediatrics, University of British Columbia, Vancouver, British Columbia, Canada.
Importance: Neonatal intensive care has advanced over recent decades, yet premature birth remains associated with increased neonatal mortality and morbidity.
Objective: To describe health service use, morbidity, and medication needs up to age 5 years in a contemporary cohort of children born preterm.
Design, Setting, And Participants: This population-based cohort study was conducted in British Columbia (BC), Canada, using health service and pharmacy data linked using provincial administrative databases.