BMC Health Services Research

Thailand’s cesarean section rates continue to rise despite national mandates for evidence-based practice tools, such as the Robson classification. As the clinical effectiveness of these mandates remains limited, this study explored healthcare providers’ perceptions of evidence-based practice implementation and the barriers and facilitators influencing the use of clinical practice guidelines to ad…

Not applicable.

In alignment with the UN Sustainable Development Goal 3.8 on Universal Health Coverage, this study assesses the extent to which Türkiye’s health insurance system protected households from out-of-pocket (OOP) health expenditures before and during the Covid-19 pandemic. Despite the implementation of the Health Transformation Program and Universal Health Insurance, concerns remain about financial pr…

Two distinct mental health profiles were identified within a single health authority, highlighting a subgroup characterized by high distress, low resilience and lower job satisfaction. Targeted psychosocial and organizational interventions may be warranted to support this vulnerable group and sustain workforce wellbeing.

Abstract Background Breakthrough cancer pain (BTcP) is a significant pain subtype affecting 60%–90% of advanced cancer patients. It is characterized by sudden onset, high intensity, and unpredictability, severely impairing function and quality of life. Mobile health (mHealth) applications are emerging as tools for real-time pain monitoring and management, but evidence of their feasibility and eff…

In March 2024, Egypt enacted Law No. 87, permitting private sector management of public healthcare facilities. The timing of the law reflects the intersection of domestic challenges including fiscal pressure, institutional capacity constraints, and limitations in public health service delivery, and global policy influences, including neoliberal approaches to economic development. This study analy…

This study evaluates the costs and cost-effectiveness of latent tuberculosis infection (LTBI) testing and preventive treatment (TPT) strategies among close contacts of active tuberculosis (ATB) patients in China using a Markov model, with the aim of informing the optimization of national TPT strategies. A Markov model was developed to evaluate the cost-effectiveness of LTBI testing with purified …