UNASSIGNED: The absence of a coordinated approach to health and social care compromises the ability of health systems to provide universal, equitable, high-quality, and financially sustainable care. Transferring evidence-based practices focused on digitally-enabled integrated care to new contexts can overcome this challenge if implementation is satisfactory. This paper presents the scaling-out methodology that JADECARE has designed to spread effective innovative practices across Europe.
UNASSIGNED: The scaling-out methodology pretends to guide the Next Adopters in the transfer and adoption of practices, whereas increasing their implementation capacity and providing an evaluation framework to assess impact and success.
UNASSIGNED: JADECARE scaling-out effort is based on guiding principles found in the literature such as the balance between fidelity to the original practice and the degree of adaptation required to fit the new context, the need for capacity building in implementation to bridge the gap between research and routine practice and the focus on explaining why, for whom and in what circumstances an intervention works.
UNASSIGNED: The JADECARE scaling-out methodology is theory-driven and pragmatic and aims to facilitate the transfer of complex interventions across different contexts.

UNASSIGNED: Our study investigated women\'s access to governmental healthcare in the Jazan region of the KSA. Our purpose is to provide a comprehensive analysis of the determinates of women\'s perceptions of their own access to healthcare, considering various demographic factors, family life, and gender role beliefs.
UNASSIGNED: We conducted a hierarchical regression analysis using data from a sample of 494 women. The first model included nationality, education, age, rurality, and other sociodemographic factors. The second model included the variables from the first model as well as self-ratings of physical and mental health and regular exercise. The third model included the variables from the first two models in addition to satisfaction with family life and gender role beliefs.
UNASSIGNED: Our analysis revealed that age, nationality, employment, and having good physical and mental health, and satisfaction with family life positively predicted women\'s perceptions of their access to healthcare. Adherence to traditional gender roles, however, predicted less accessibility.
UNASSIGNED: Policymakers could use the outcomes of our study to enhance women\'s healthcare accessibility in Jazan region. The results could enhance the development and transformation of healthcare and women\'s health issues, particularly in understudied rural Saudi regions.
UNASSIGNED: يعتبر تسهيل الوصول للخدمات الصحية ركيزة أساسية لأهداف المملكة الاستراتيجية 2030 الخاصة بالبعد الصحي والتي ترتبط ببرنامج تحول القطاع الصحي. هدفت هذه الدراسة إلى التعرف على سهولة الوصول لخدمات الرعاية الصحية الحكومية على عينة من النساء في منطقة جازان، في المملكة العربية السعودية. هدفنا هو تقديم تحليل شامل للعوامل المؤثرة في سهولة وصول المرأة لخدمات الرعاية الصحية على عينة قوامها 494 سيدة يقمن في منطقة جازان. بالإضافة إلى ذلك، سعت هذه الدراسة إلى التعرف على العوامل الاجتماعية والديموغرافية التي تؤثر في سهولة الوصول للخدمات الصحية ودور الرضا عن الحياة الأسرية والتصورات الخاصة بالأدوار الاجتماعية للجنسين وأثرها في سهولة الوصول للخدمات.
UNASSIGNED: تم إجراء تحليل الانحدار الهرمي حيث شمل النموذج الأول الجنسية، التعليم، العمر، مكان الإقامة (المدينة أو منطقة نائية)، العمل، والعوامل الاجتماعية والديموغرافية الأخرى. وتضمن النموذج الثاني العوامل الديموغرافية بالإضافة إلى التقييمات الذاتية للصحة البدنية والعقلية وممارسة التمارين الرياضية بانتظام. أما النموذج الثالث فقد تضمن جميع المتغيرات السابقة بالإضافة إلى مقدار الرضا عن الحياة الأسرية والتصورات الخاصة بالأدوار الاجتماعية للجنسين.
UNASSIGNED: كشف التحليل الانحدار الهرمي أن مكان الإقامة، والعمر، والجنسية، والعمل، والصحة البدنية، والعقلية الجيدة، وممارسة الرياضة تتنبأ بسهولة حصول المرأة على خدمات الرعاية الصحية. وكانت المتغيرات المهمة الأخرى هي الرضا عن الحياة الأسرية، والذي تنبأ بقدر أكبر من سهولة الوصول لخدمات الرعاية الصحية، بينما أوضحت نتائج الدراسة أن الميل إلى التمسك بالأدوار التقليدية للجنسين يتنبأ بصعوبة الوصول لخدمات الرعاية الصحية.
UNASSIGNED: تتمتع النساء اللواتي يقمن في المدينة بسهولة أكبر في الوصول لخدمات الرعاية الصحية مقارنة بالنساء المقيمات بالقرى والمناطق النائية. رضى المرأة عن علاقاتها العائلية يساهم بشكل ما في تسهيل وصولها لخدمات الرعاية الصحية. كما إن النساء اللواتي يؤمن بالأدوار الاجتماعية التقليدية للجنسين قد يجدن صعوبة في الوصول للخدمات الصحية. يمكن لواضعي السياسات في وزارة الصحة استخدام نتائج هذا البحث لتعزيز سهولة الوصول إلى خدمات الرعاية الصحية للنساء في منطقة جازان. كما يمكن أن تعزز نتائج هذا البحث في تطوير برنامج تحول القطاع الصحي، وتحديداً فيما يخص صحة المرأة خاصة في منطقة جازان وقراها وضواحيها والتي تستقطب اهتماماً ملحوظا من الباحثين وصانعي القرار.

The health care industry is experiencing a transformative shift from traditional fee-for-service models to value-based care (VBC), emphasizing improved patient outcomes, enhanced quality, and reduced costs. While Centers for Medicare & Medicaid Services Innovation Center models focus on financial and quality outcomes, a critical opportunity for reform lies in organizational culture. VBC signifies a cultural and systemic evolution aligned with the quintuple aim of enhancing equitable patient outcomes, improving quality, reducing costs, and prioritizing provider well-being. Cultural impacts play a pivotal role in this transformation.

UNASSIGNED: To explore and understand KSA\'s fundamental healthcare system reform, the potential changes and challenges, and their impacts on major stakeholders.
UNASSIGNED: To gain in-depth insights into healthcare leaders\' perspectives regarding healthcare system reform in KSA, a qualitative research approach was used. Ten participants from diverse backgrounds were selected, representing various sectors in KSA: private, public, executive, consulting, and regulatory. This study was conducted between august 2022 and June 2023.
UNASSIGNED: The findings revealed four key themes that shed light on healthcare system transformation in KSA and its effects: healthcare system reform, the impact of corporatization/privatization on healthcare providers, the impact of corporatization/privatization on health insurance, and the impact of corporatization/privatization on the workforce. Furthermore, the findings indicated that the ongoing transformation of the public sector toward privatization in KSA faces various challenges that affect most, if not all, stakeholders in the sector. However, the private sector possesses several strengths that can aid in addressing the challenges associated with the rapid transformation of the system. These strengths include familiarity with the market, robust financial management, extensive experience in coding and billing payers and insurance companies, efficient decision-making processes, flexibility, and maturity.
UNASSIGNED: The study facilitated comprehensive insights into the transformation of KSA\'s healthcare system and the public sector\'s shift toward corporatization/privatization. The sector must enhance its capabilities by establishing specialized units and recruiting talent. Further studies are also needed to gain a deeper understanding of the obstacles hindering the transformation.
UNASSIGNED: استكشاف وفهم التحول في نظام الرعاية الصحية في المملكة العربية السعودية، والتغييرات والتحديات المحتملة، وتأثيراتها على أصحاب المصلحة الرئيسيين.
UNASSIGNED: للحصول على رؤى متعمقة حول وجهات نظر قادة الرعاية الصحية فيما يتعلق بالتحول في نظام الرعاية الصحية في المملكة العربية السعودية، تم استخدام نهج البحث النوعي. تم اختيار عشرة مشاركين من خلفيات متنوعة، يمثلون مختلف القطاعات في المملكة العربية السعودية: القطاع الخاص، العام، التنفيذي، الاستشاري، والتنظيمي. أجريت هذه الدراسة في الفترة ما بين أغسطس 2022 ويونيو 2023.
UNASSIGNED: كشفت النتائج عن أربعة محاور رئيسية تلقي الضوء على تحول نظام الرعاية الصحية في المملكة العربية السعودية وآثاره: إصلاح نظام الرعاية الصحية، وتأثير الخصخصة/المأسسة على مقدمي الرعاية الصحية، وتأثير الخصخصة/المأسسة على التأمين الصحي، وتأثير الخصخصة/المأسسة على القوى العاملة. علاوة على ذلك، أشارت النتائج إلى أن التحول المستمر للقطاع العام نحو الخصخصة في المملكة العربية السعودية يواجه تحديات مختلفة تؤثر على معظم، إن لم يكن جميع، أصحاب المصلحة في هذا القطاع. ومع ذلك، يمتلك القطاع الخاص العديد من نقاط القوة التي يمكن أن تساعد في مواجهة التحديات المرتبطة بالتحول السريع للنظام. تشمل نقاط القوة هذه الإلمام بالسوق، والإدارة المالية القوية، والخبرة الواسعة في البرمجة وإعداد الفواتير لدافعي التأمين وشركات التأمين، وعمليات اتخاذ القرار الفعالة، والمرونة، والنضج.
UNASSIGNED: سهلت الدراسة الحصول على رؤى شاملة حول تحول نظام الرعاية الصحية في المملكة العربية السعودية وتحول القطاع العام نحو التحول إلى شركات/الخصخصة. ويجب على القطاع تعزيز قدراته من خلال إنشاء وحدات متخصصة وتوظيف المواهب. هناك حاجة أيضا إلى مزيد من الدراسات للحصول على فهم أعمق للعقبات التي تعوق التحول.

UNASSIGNED: Numerous forums both domestically and internationally have discussed integration of allopathic and traditional healthcare. In South Africa, using traditional child healthcare is popular practice. If properly controlled, integrating this aspect of traditional child-health with allopathic healthcare may be advantageous to communities that use both healthcare systems. Allopathic and traditional healthcare remain separate organisations in South Africa despite efforts and discussions to integrate them.
UNASSIGNED: The study sought to explore the integration of traditional and allopathic child healthcare from the perspectives of children\'s caregivers and traditional healthcare practitioners.
UNASSIGNED: The study was conducted in a semi-urban area in the city of Tshwane.
UNASSIGNED: An exploratory qualitative research study was conducted using semi-structured interviews to collect data from 11 traditional healthcare practitioners and 15 children\'s caregivers who were sampled using snowball and convenient sampling respectively.
UNASSIGNED: The participants expressed their understanding of the usage of traditional healthcare practitioners in the care of children as well as their support for integration, and further indicated its necessity. Religion and its effects in health-seeking behaviour were cited as a factor in why there has not been greater integration between the two healthcare systems.
UNASSIGNED: The undocumented and undisclosed use of traditional healthcare potentially hinders the delivery of therapeutic healthcare. As such, integrating the two systems is essential to ensure patients\' safety.
UNASSIGNED: This article highlights understanding of culture congruence and safe child healthcare that may be brought forward by the integration of the two healthcare systems.

This perspective paper provides a comprehensive examination of artificial intelligence (AI) in healthcare, focusing on its transformative impact on clinical practices, decision-making, and physician-patient relationships. By integrating insights from evidence, research, and real-world examples, it offers a balanced analysis of AI\'s capabilities and limitations, emphasizing its role in streamlining administrative processes, enhancing patient care, and reducing physician burnout while maintaining a human-centric approach in medicine. The research underscores AI\'s capacity to augment clinical decision-making and improve patient interactions, but it also highlights the variable impact of AI in different healthcare settings. The need for context-specific adaptations and careful integration of AI technologies into existing healthcare workflows is emphasized to maximize benefits and minimize unintended consequences. Significant attention is given to the implications of AI on the roles and competencies of healthcare professionals. The emergence of AI necessitates new skills in data literacy and technology use, prompting a shift in educational curricula towards digital health and AI training. Ethical considerations are a pivotal aspect of the discussion. The paper explores the challenges posed by data privacy concerns, algorithmic biases, and ensuring equitable access to AI-driven healthcare. It advocates for the development of comprehensive ethical frameworks and ongoing research to guide the responsible use of AI in healthcare. Conclusively, the paper advocates for a balanced approach to AI adoption in healthcare, highlighting the importance of ongoing research, strategic implementation, and the synergistic combination of human expertise with AI technologies for optimal patient care.

UNASSIGNED: Saudi Vision 2030 emphasizes women\'s empowerment and their increased participation in the workforce, particularly in healthcare. This study explores perceptions of Saudi women healthcare practitioners in leadership roles across various healthcare settings.
UNASSIGNED: A national cross-sectional online survey was conducted, guided by the Leadership Effectiveness Model. It assessed the perceptions of Saudi women health practitioners in leadership positions within the country\'s healthcare context. Survey questions were adapted from validated surveys. Women classified as \"Consultants\" by the Saudi Commission for Health Specialties were invited to participate. Descriptive statistics and content analysis were used for analysis. A total of 119 Saudi women consultants participated.
UNASSIGNED: Most were physicians (85%) in the Western region (46%) and reported being in leadership roles. Leadership positively impacted their career growth but negatively affected leisure activities. Career progression challenges included further studies (35%) and work-life balance (31%). Leadership commitment to supporting women was seen as crucial (63%). Analysis of responses to Vision 2030 yielded themes like \"advancement\", \"opportunities\", and \"empowerment\". Saudi Vision 2030, combined with evolving organizational cultures and policies, is creating opportunities for women to excel in leadership roles.
UNASSIGNED: National strategies, combined with workplace norm changes and supportive policies, can foster greater representation of qualified women in elite healthcare leadership positions.

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Utilizing technology to precisely quantify Parkinson\'s disease motor symptoms has evolved over the past 50 years from single point in time assessments using traditional biomechanical approaches to continuous monitoring of performance with wearables. Despite advances in the precision, usability, availability and affordability of technology, the \"gold standard\" for assessing Parkinson\'s motor symptoms continues to be a subjective clinical assessment as none of these technologies have been fully integrated into routine clinical care of Parkinson\'s disease patients. To facilitate the integration of technology into routine clinical care, the Develop with Clinical Intent (DCI) model was created. The DCI model takes a unique approach to the development and integration of technology into clinical practice by focusing on the clinical problem to be solved by technology rather than focusing on the technology and then contemplating how it could be integrated into clinical care. The DCI model was successfully used to develop the Parkinson\'s disease Waiting Room of the Future (WROTF) within the Center for Neurological Restoration at the Cleveland Clinic. Within the WROTF, Parkinson\'s disease patients complete the self-directed PD-Optimize application on an iPad. The PD-Optimize platform contains cognitive and motor assessments to quantify PD symptoms that are difficult and time-consuming to evaluate clinically. PD-Optimize is completed by the patient prior to their medical appointment and the results are immediately integrated into the electronic health record for discussion with the movement disorder neurologist. Insights from the clinical use of PD-Optimize has spurred the development of a virtual reality technology to evaluate instrumental activities of daily living in PD patients. This new technology will undergo rigorous assessment and validation as dictated by the DCI model. The DCI model is intended to serve as a health enablement roadmap to formalize and accelerate the process of bringing the advantages of cutting-edge technology to those who could benefit the most: the patient.