Using Operational Analysis to Improve Access to Pulmonary Function Testing by Ada Ip, Raymond Asamoah-Barnieh, Diane P. Bischak, Warren J. Davidson, W. Ward Flemons, Sachin R. Pendharkar

“…Importantly, simple operational analysis can help to improve efficiency of health systems with little or no added financial investment.…”
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Behavioral intention to receive self-financed and fully-subsidized herpes zoster vaccines among community-living older adults in Hong Kong: A random telephone survey by Xue Liang, Erdi Gu, Doug H. Cheung, Danhua Ye, Fuk-Yuen Yu, Yuan Fang, Phoenix K.H. Mo, Zixin Wang

“…These findings highlight the need to promote HZ vaccination among older adults with similar health systems and immunization policies, even when vaccines are available for free to older adults.…”
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A Social Network Lens to Community Health Worker Influence and Impact by Reza Yousefi Nooraie, Deniz Naghibi, Ruthmarie Hernández-Torres, Paula Cupertino

“…In addition, the network interventions can aim for boundary-spanning and bridging activities, to facilitate the community’s access to health services and external resources, as well as bringing the community voice to health systems to influence priorities and policies. Similar to any other complex interventions, CHW network interventions should be fine-tuned and adapted to local and community needs, capacities, and network structures, and actively involve community members in the conceptualization, delivery, and evaluation.…”
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A response to criticism of the global mental health movement. How polarization can be overcome in theory and in west African social psychiatric practice by Michael Huppertz

“…There is indeed a great need for action, especially in countries with weak and underfunded health systems. The Movement for Global Mental Health (MGMH) is supported by strong organizations such as the WHO, academic institutions and NGOs. …”
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Towards a European health information system: The BRIDGE Health, InfAct and PHIRI projects by Martin Thißen, Angela Fehr, Aline Anton, Stefanie Seeling, Thomas Ziese

“…Background: National health systems in Europe are facing similar challenges – demographic change, a rising burden of disease due to chronic non-communicable diseases, and health inequalities. …”
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Cisplatin-Associated Ototoxicity: A Review for the Health Professional by Jessica Paken, Cyril D. Govender, Mershen Pillay, Vikash Sewram

“…It also sets the platform for effective dialogue towards policy formulation and strengthening of health systems in developing countries.…”
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Electronic Health Record Data Collection Practices to Advance Standardization and Interoperability of Patient Preferences for Interpretation Services: Qualitative Study by Krysta Heaney-Huls, Rida Shams, Ruth Nwefo, Rachel Kane, Janna Gordon, Alison M Laffan, Scott Stare, Prashila Dullabh

“…Key informant discussions with EHR developers, health systems, clinicians, a practice-based research organization, a national standards collaborative, a professional health care association, and Federal agency representatives filled in gaps from the narrative review. …”
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Gender differences in use of cigarette and non-cigarette tobacco products among adolescents aged 13–15 years in 20 African countries by Israel T. Agaku, Rose Sulentic, Adriana Dragicevic, Gibril Njie, Candace K. Jones, Satomi Odani, Tina Tsafa, Joy Gwar, Constantine I. Vardavas, Olalekan Ayo-Yusuf

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Evaluation of outcome relevance of quality indicators in the emergency department (ENQuIRE): study protocol for a prospective multicentre cohort study by Anna Slagman, Felix Greiner, Martin Möckel, Rainer Röhrig, Susanne Drynda, Wencke Schindler, Johannes Pollmanns, Dirk Horenkamp-Sonntag, Wiebke Schirrmeister, Ronny Otto, Jonas Bienzeisler, Saskia Drösler, Rolf Lefering, Jennifer Hitzek, Enno Swart, Felix Walcher

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Building a rights-based approach to nutrition for women and children: harnessing the potential of women’s groups and rights-based organizations in South Asia by Monica Shrivastav, Vani Sethi, Avishek Hazra, Zivai Murira, Roopal Jyoti Singh, Krishna Wagh, Anuradha Nair, Veronica Kamanga Njikho, Sapna Desai

“…These pathways include (i) income generation, (ii) agriculture, (iii) health and nutrition behavior change communication and participatory learning and action, (iv) advocating for rights to better health and social services, (v) food access, (vi) cash transfers, and (vii) strengthening service delivery and fostering convergence with health systems. We also note that women’s groups have the potential to implement integrated interventions through combined food-systems-rights pathways. …”
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Types of Road Traffic Accidents and Emergency Medical Care by Basri Lenjani, Agron Dogjani, Luljeta Abdullahu, Arlind Zeqiri, Dardan Lenjani, Bujar Imeri

“…Conclusions: Triage is essential in managing accidental situations and strengthening the primary, secondary, and tertiary health systems. To design clinical guidelines, algorithms, and triage protocols at the three levels of health care, all healthcare professionals should be educated and trained with continuing courses in triage, communication, and Basic Life Support -AED, ACLS, PHTLS, BTLS, and ATLS. …”
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The patient safety’s culture in the health staff of the Canoa Health Center by Jesús Alejandro Bajaña Romero, Mayra Leticia Ortiz Orobio

“…<p><strong>Foundation:</strong> the quality and safety in patient care is the service providers’ technical and ethical obligation through the processes and results transparency of the actions carried out by the aforementioned health systems.<br /><strong>Objective:</strong> to determine the patient safety’s culture in the health staff of the Canoa Health Center.…”
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The frequency of mutations in the penA, mtrR, gyrA and parC genes of Neisseria gonorrhoeae, the presence of tetM gene and antibiotic resistance/susceptibility: a systematic review... by Ana Clara Mendes, Renan Pedra de Souza, Diana Bahia

“…Infection surveillance and genetic studies are important for controlling the spread of the disease, which can improve the quality of life of infected people and reduce the financial burden on public health systems.…”
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Respectful Maternity Care during Childbirth among Women in a Rural Area of Northern India by Ravneet Kaur, Tejbeer Singh, Mani Kalaivani, Kapil Yadav, Sanjeev K. Gupta, Shashi Kant

“…Background: Respectful maternity care (RMC) is increasingly being accepted as an essential element for health systems. Every childbearing woman has a right to get dignified and respectful healthcare. …”
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Efficacy of Lockdowns in Africa by Daglous Makumbe

“…The catastrophic implications of the pandemic pushed states to the brink, compelling them to institute country lockdowns in a bid to flatten the curve of infections, avoid new ones and ensure that the health systems are not overwhelmed at any one point in time. …”
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Innovative models of healthcare delivery: an umbrella review of reviews by Frances Rapport, Jeffrey Braithwaite, Yvonne Zurynski, Peter D Hibbert, Kate Churruca, Louise A Ellis, Chiara Pomare, Robyn Clay-Williams, Stephanie Best, Janet C Long, Gaston Arnolda, Bróna Nic Giolla Easpaig, Zeyad Mahmoud, Mitchell N Sarkies, Hoa Mi Nguyen, Karen Hutchinson, Gilbert Thomas Knaggs, Katherine Maka, Elizabeth E Austin, Diana Fajardo Pulido, Sarah Hatem, Natalie Roberts, Emilie Francis Auton, Genevieve Dammery, Isabelle Meulenbroeks, Ann Carrigan, Mai-Tran Nguyen

“…Most of the included reviews reported evidence of comparable or improved care.Conclusions A consideration of local infrastructure and individual patient characteristics, such as health literacy, may be critical in determining the suitability of models of care for patients and their implementation in local health systems.Trial registration number 10.17605/OSF.IO/PS6ZU.…”
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Adolescent mental health in sub-Saharan Africa: crisis? What crisis? Solution? What solution? by Claire Hart, Shane A. Norris

“…Addressing adolescent mental health care across sub-Saharan Africa faces numerous challenges, including underfunded public health systems, a shortage of mental health professionals, barriers to access, and pervasive stigma. …”
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Surgical Practice in Resource‐Limited Settings: Perspectives of Medical Students and Early Career Doctors: A Narrative Review by BillSmith Anyinkeng Achanga, Christian Wabene Bisimwa, Victor Oluwafemi Femi‐Lawal, Nnoko Sona Akwo, Tohson Falake Toh

“…Conclusion Telesurgery, task shifting and sharing, high‐impact, low‐cost surgeries, and collaborations with more developed health systems could effectively bridge the gap in surgical availability in LMICs.…”
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Critical review of multimorbidity outcome measures suitable for low-income and middle-income country settings: perspectives from the Global Alliance for Chronic Diseases (GACD) res... by Najma Siddiqi, Meena Daivadanam, J Jaime Miranda, Trishul Siddharthan, John R Hurst, Rajesh Vedanthan, Gary Parker, Gina Agarwal, Shabbar Jaffar, Naomi Levitt, Niels H Chavannes, Pallab K Maulik, Patricio Lopez-Jaramillo, Kamran Siddiqi, Muralidhar M Kulkarni, Gillian Sandra Gould, Job F M van Boven, Kirsten Bobrow, M O Owolabi, Joan B Soriano, Erick Wan-Chun Huang, Shahirose Sadrudin Premji, Lijing Yan, Ricardo Araya, F Xavier Gómez-Olivé, Bruce J Kirenga, Rianne M J J van der Kleij, Laura Loli-Dano, Shane Norris, Josefien van Olmen, Antigona C Trofor

“…A 2018 Delphi exercise to develop a core-outcome set for multimorbidity research did not specifically address the challenges of multimorbidity in LMICs where the global burden is greatest, patterns of disease often differ and health systems are frequently fragmented. We, therefore, aimed to summarise and critically review outcome measures suitable for studies investigating mitigation of multimorbidity in LMIC settings.Setting LMIC.Participants People with multimorbidity.Outcome measures Identification of all outcome measures.Results We present a critical review of outcome measures across eight domains: mortality, quality of life, function, health economics, healthcare access and utilisation, treatment burden, measures of ‘Healthy Living’ and self-efficacy and social functioning.Conclusions Studies in multimorbidity are necessarily diverse and thus different outcome measures will be appropriate for different study designs. …”
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Characterization of Mortality from Diabetes Mellitus in Cienfuegos Province during the First Nine Months of 2020 by Isis Arelis Espinosa Salas, Sara Hernández Malpica, Lourdes Elena Duany Badell, Bárbara Zabala Enrique, Yusimí Cabada Martínez, Leticia Castro Morejón

“…<strong><br />Methods:</strong> a descriptive investigation was carried out on health systems and services based on a series of cases to characterize mortality from diabetes mellitus in Cienfuegos in the first nine months of 2020. …”
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