This study introduces a model designed to improve the strategic readiness of private hospitals in Amman by incorporating strategic competencies as an independent variable and using a healthcare information system as a mediator. Targeting private hospitals with over 140 beds, the research included a population of 3263 employees across various managerial levels. Data collection methods involved interviews and electronic questionnaires, resulting in a sample size of 344. Statistical analyses comprised exploratory and confirmatory factor analysis, structural equation modeling, and hypothesis testing with SMART PLS 3.3.3 software. The results indicated medium levels of both strategic competencies and healthcare information systems, while strategic readiness was found to be low. Nevertheless, the proposed model showed a direct positive effect of strategic competencies on strategic readiness, with the healthcare information system acting as a significant partial mediator. Evaluation metrics included the arithmetic mean, standard deviation, and path analysis. This model surpasses traditional methods by effectively linking strategic competencies and information systems to enhance strategic readiness, providing a strong framework for improving hospital responses to crises and dynamic changes. The study suggests focusing on enhancing and developing strategic competencies and integrating a comprehensive healthcare information system to optimize hospital operations and increase readiness.

Rural sub-Saharan Africa faces limited medical access, healthcare worker shortages, and inadequate health information systems. Mobile health (mHealth) technologies offer potential solutions but remain underdeveloped in these settings. This review aims to explore the sociocultural context of mHealth adoption in rural sub-Saharan Africa to support sustainable implementation. A comprehensive Enhancing Transparency in Reporting the Synthesis of Qualitative Research (ENTREQ) search was conducted in databases like PubMed, MEDLINE, and African Journals Online, covering peer-reviewed literature from 2010 to 2024. Qualitative studies of mHealth interventions were included, with quality assessed via the Critical Appraisal Skills Program (CASP) checklist and data synthesized using a meta-ethnographic approach. Out of 892 studies, 38 met the inclusion criteria. Key findings include sociocultural factors like community trust influencing technology acceptance, local implementation strategies, user empowerment in health decisions, and innovative solutions for infrastructure issues. Challenges include privacy concerns, increased healthcare worker workload, and intervention sustainability. While mHealth can reduce healthcare barriers, success depends on sociocultural alignment and adaptability. Future interventions should prioritize community co-design, privacy protection, and sustainable, infrastructure-aware models.

The COVID-19 pandemic prompted global crises and enforced strict measures like the Movement Control Order (MCO) in Malaysia, significantly impacting societal norms, particularly affecting secondary school students. The current study employs a qualitative methodology to determine how COVID-19 affects the life stress experienced by secondary school students. Secondary school students were recruited in Sabah, Malaysia, from April to August 2022, after Malaysia entered the endemic phase on 1 April 2022. As part of a larger survey, students were asked to respond to an open-ended question about life stressors they face as a result of the pandemic COVID-19 or during home-based teaching and learning (PdPR). A total of 1069 secondary school students from various backgrounds were included in the study. However, only 714 students responded to the open-ended question. The pattern of meaning across the texts was determined using Birks and Mills’s method of multilevel coding. The students’ perspectives on life stressors were classified into five broad categories: restriction stress, emotional stress, online study stress, family-related stress, and others-related stress. Restriction stress, which refers to being confined at home, restricted movement, hampered family, friendship, and outdoor activities, and no freedom were rated as the most significant life stressors associated with the COVID-19 pandemic by students. This research provides valuable insights for policymakers, educators, and parents, emphasizing the profound effect of pandemic-induced restrictions on student life and the essential role of targeted interventions in fostering resilience among students.

The existing studies on the association between the built environment and health mainly concentrates on urban areas, while rural communities in China have a huge demand for a healthy built environment, and research in this area remains insufficient. There is a lack of research on the health impact of the built environment in rural communities in China, where there is a significant demand for advancements in the healthy built environment. Exploring the Influence of built environment satisfaction on self-rated health outcomes in New-type village communities has positive significance for advancing research on healthy village community. This paper selects four new-type village communities as typical cases, which are located in the far suburbs of Shanghai, China. A questionnaire survey was conducted on individual villagers, and 223 valid questionnaire samples were obtained. A PLS-SEM model was developed using survey data to examine how built environment satisfaction influences dwellers’ self-rated health while taking into account the mediating function of the perceived social environment. Moreover, multi-group analysis was performed based on age. The results show that built environment satisfaction indirectly influences residents self-rated health through its impact on perceived social environment. The research also discovered that the relationship between built environment satisfaction, social environment satisfaction and self-rated health is not influenced by age as a moderating factor. The research offers new insights for the planning and design of new-type village community from a health perspective.

Objective: This study investigates the influence of tobacco prices on consumption habits among 200 smokers in Lisbon, Portugal, focusing on generational preferences and perceptions of tobacco taxes. Methods: A cross-sectional survey was conducted using a quantitative approach. Participants were categorized by generational cohort, and data on tobacco consumption types, awareness of tobacco taxes, and opinions on tax increases were collected. Statistical analyses were used to explore relationships and predictors. Results: Findings reveal that 46.5% of participants favored heated tobacco, 37.0% smoked cigarettes, and 16.5% consumed other types like roll-your-own tobacco and electronic cigarettes. Significant generational differences were observed, with older cohorts predominantly smoking cigarettes (51.5%), while Generation Z showed a preference for heated tobacco (55.2%). Most smokers (79.5%) were aware of tobacco taxes, with diverse opinions on their purpose: revenue generation (44.0%), consumption reduction (44.5%), and indifference (11.5%). Despite this awareness, 60.5% reported no change in consumption habits due to tax increases. Conclusion: The study underscores the complexity of tobacco consumption behaviors influenced by price and generational factors. While heated tobacco gains popularity among younger smokers, traditional cigarettes remain prevalent among older cohorts. The findings highlight challenges in tobacco control policies, suggesting a need for comprehensive strategies integrating price measures with targeted educational and cessation interventions to effectively reduce tobacco use across different generations.

An exhaustive analysis and evaluation of fertility indicators in a society including many ethnic groups might provide valuable insights into any discrepancies. This study aims to systematically analyse the fertility rates over specific periods and investigate the differences in levels and patterns between local and expatriate women in Saudi Arabia using the existing data. This analysis used data from credible sources published by the General Authority for Statistics in the Saudi census 2022. The calculation of period fertility indicators started with the most straightforward rates and advanced to more complex ones, followed by a comprehensive description of the advantages and disadvantages of each. The aim was to ascertain fluctuations in fertility rates and analyse temporal patterns. Multiple studies consistently show that the fertility rate among expats in Saudi Arabia is lower than that among Saudi native women. However, the reason for this discrepancy still needs to be discovered since the definitive effect of contraceptive techniques has yet to be confirmed. Moreover, the reproductive trends that have occurred since the early 1980s will persist, although with additional precautions in place.