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New Insights into Understudied Phenomena in Healthcare
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New Insights into Understudied Phenomena in Healthcare

A special issue of Healthcare (ISSN 2227-9032).

Deadline for manuscript submissions: 30 September 2024 | Viewed by 15182

Special Issue Editors

Dr. José Manuel Hernández Padilla

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Guest Editor
Department of Nursing, Physiotherapy and Medicine, University of Almeria, 04120 Almeria, Spain
Interests: aging; healthy aging; aged 80 and over; questionnaire design; quantitative research; educational techniques; pedagogy
Special Issues, Collections and Topics in MDPI journals
Dr. Cayetano Fernández-Sola

E-Mail Website
Guest Editor
Department of Nursing, Physiotherapy and Medicine, University of Almeria, 04120 Almeria, Spain
Interests: end-of life care; terminal care; qualitative research; transients and migrants; sexology–gender studies
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Healthcare is a complex and dynamic phenomenon. Understanding health as a complete state of well-being has introduced previously unfamiliar challenges to healthcare professionals. Alongside changes in paradigm positions, the emergence of new diseases, the use of new technologies, the research into new therapeutic approaches and the development of new disciplines in healthcare all contribute to emerging understudied phenomena. Unfortunately, understudied phenomena have received little attention in healthcare research. Whether these phenomena have traditionally been irrelevant for healthcare disciplines or have recently emerged as a consequence of the advancements in healthcare, it is clear that they require new insights into how we understand them.

Various research approaches, methodologies and designs can improve our understanding of understudied phenomena in healthcare. Therefore, we invite colleagues from all healthcare disciplines to submit papers using qualitative, quantitative or mixed-methods approaches. As an example, submitted papers could focus, on new insights into our understanding of understudied populations’ healthcare needs, analyzing the characteristics and/or effects of innovative care programmes delivered for understudied populations, or describing ground-breaking educational interventions to improve healthcare professionals’ competence to care for understudied populations.

You may choose our Joint Special Issue in International Journal of Environmental Research and Public Health.

Dr. José Manuel Hernández Padilla
Dr. Cayetano Fernández-Sola
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Healthcare is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2700 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • emerging diseases
  • new technologies
  • innovative healthcare approaches
  • rare diseases
  • innovative research methods
  • social dimension of health
  • patient rights
  • demographic challenges
  • understudied populations
  • vulnerable populations
  • gender issues

Published Papers (10 papers)

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Research

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21 pages, 866 KiB  
Article
Cross-Sectional Study of the Professional Quality of Life of Palliative Care Professionals during the COVID-19 Pandemic
by Adrià Campos i Arnal, Laura Galiana, Javier Sánchez-Ruiz and Noemí Sansó
Healthcare 2024, 12(1), 4; https://doi.org/10.3390/healthcare12010004 - 19 Dec 2023
Viewed by 825
Abstract
Background: The display of compassionate care by palliative care professionals is of the utmost importance to the patients, their families, and even to their own professional well-being. Lately and, especially due to the emergence of the COVID-19 pandemic, palliative care professionals have been [...] Read more.
Background: The display of compassionate care by palliative care professionals is of the utmost importance to the patients, their families, and even to their own professional well-being. Lately and, especially due to the emergence of the COVID-19 pandemic, palliative care professionals have been subjected to greater pressures stemming from their work environment, organizational standpoint, and emotional sense of view. Not only have these factors made it harder for professionals to deliver compassionate care to their patients, but they have also decreased their overall well-being. The aim is to study how sociodemographics, workplace characteristics, internal resources, and the COVID-19 pandemic-derived pressures have affected the professionals’ capacity to perform compassionate care and their well-being while at the same time exploring the relationship between compassionate care and well-being. Methods: This study used a cross-sectional design with data gathered from Spanish palliative care professionals. The final sample was formed by 241 participants. They were surveyed about compassion, professional quality of life, well-being, sociodemographic data, working conditions, self-care, and coping with death competence, and the impact of the COVID-19 pandemic. The analyses used were descriptive statistics, bivariate tests, and the construction of a structural equation model. Results: Compassion was predicted by the ability to control their workload and the ability to cope with death. Burnout was predicted by age, workload, workload control, self-care, material resources, and changes in teamwork. Moreover, compassion, age, workload control, and changes in teamwork and self-care were shown to significantly predict compassion satisfaction. When it comes to compassion fatigue, different variables were shown to predict it, those being compassion, control over the workload, social self-care, and the ability to cope with death. Conclusions: Having a healthy lifestyle and an adequate social support system is key to maintaining professional well-being in the case of palliative care professionals. Inner resources such as the ability to perform self-care and the capacity to cope with death are of vital importance to taking care of these professionals. Thus, it would be beneficial to establish training programs focused on these aspects in the myriad of sanitary centers that perform these tasks, as these abilities are necessary to withstand the work-related pressures and, at the same time, be able to provide compassionate care for patients. Full article
(This article belongs to the Special Issue New Insights into Understudied Phenomena in Healthcare)
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15 pages, 304 KiB  
Article
Young Women’s Attitudes and Concerns Regarding Pornography and Their Sexual Experiences: A Qualitative Approach
by Mónica Fernández-Ruiz, Olga María López-Entrambasaguas, Jose Manuel Martínez-Linares and José Granero-Molina
Healthcare 2023, 11(21), 2877; https://doi.org/10.3390/healthcare11212877 - 01 Nov 2023
Viewed by 1379
Abstract
This study explores female university students’ attitudes toward and concerns about pornography, based on their experience watching it and on sexual encounters with men. It used a qualitative descriptive design. Individual semi-structured interviews were conducted with 22 participants between March and April 2020. [...] Read more.
This study explores female university students’ attitudes toward and concerns about pornography, based on their experience watching it and on sexual encounters with men. It used a qualitative descriptive design. Individual semi-structured interviews were conducted with 22 participants between March and April 2020. Thematic data analysis was performed using COREQ reporting guidelines. Three themes emerged from the data: (1) the sexual learning process, (2) the role of pornography in women’s sexuality, and (3) sexual experiences. Participants reported how they learned about sexuality and how pornography influenced sexual experiences. Self-esteem issues and societal norms regarding hair removal and difficulty saying “no” to unwanted or humiliating sexual practices were found. The young women were not comfortable with women’s representations in mainstream pornography. They blamed pornography for negative sexual experiences and claimed it influenced them and young men. Participants usually assumed submissive roles during sex and permitted aggressive sexual behaviors. The study reveals valuable information on how young women learn about sex and their difficulty in refusing unwanted sexual activities and even aggressive practices. Sexual education programs should include assertiveness training to improve sexual health, consent, and well-being. Full article
(This article belongs to the Special Issue New Insights into Understudied Phenomena in Healthcare)
24 pages, 314 KiB  
Article
Impact of COVID-19 Infection on Health-Related Quality of Life, Work Productivity and Activity Impairment by Symptom-Based Long COVID Status and Age in the US
by Manuela Di Fusco, Joseph C. Cappelleri, Laura Anatale-Tardiff, Henriette Coetzer, Alon Yehoshua, Mary B. Alvarez, Kristen E. Allen, Thomas M. Porter, Laura Puzniak, Ashley S. Cha-Silva, Santiago M. C. Lopez and Xiaowu Sun
Healthcare 2023, 11(20), 2790; https://doi.org/10.3390/healthcare11202790 - 21 Oct 2023
Cited by 1 | Viewed by 1593
Abstract
COVID-19 infection adversely impacts patients’ wellbeing and daily lives. This survey-based study examined differences in patient-reported COVID-19 symptoms, Health-Related Quality of Life (HRQoL) and Work Productivity and Activity Impairment (WPAI) among groups of patients defined based on age and symptom-based long COVID status. [...] Read more.
COVID-19 infection adversely impacts patients’ wellbeing and daily lives. This survey-based study examined differences in patient-reported COVID-19 symptoms, Health-Related Quality of Life (HRQoL) and Work Productivity and Activity Impairment (WPAI) among groups of patients defined based on age and symptom-based long COVID status. Symptomatic, COVID-19-positive US outpatients were recruited from 31 January–30 April 2022. Outcomes were collected via validated instruments at pre-COVID, Day 3, Week 1, Week 4, Month 3 and Month 6 following infection, with changes assessed from pre-COVID and between groups, adjusting for covariates. EQ-5D-5L HRQoL and WPAI scores declined in all groups, especially during the first week. Long COVID patients reported significantly higher symptoms burden and larger drops in HRQoL and WPAI scores than patients without long COVID. Their HRQoL and WPAI scores did not return to levels comparable to pre-COVID through Month 6, except for absenteeism. Patients without long COVID generally recovered between Week 4 and Month 3. Older (>50) and younger adults generally reported comparable symptoms burden and drops in HRQoL and WPAI scores. During the first week of infection, COVID-19-related health issues caused loss of 14 to 26 work hours across the groups. These data further knowledge regarding the differential impacts of COVID-19 on clinically relevant patient groups. Full article
(This article belongs to the Special Issue New Insights into Understudied Phenomena in Healthcare)
20 pages, 316 KiB  
Article
Nurses’ Perceptions Regarding Their Professional Commitment and Development during the COVID-19 Pandemic
by Pedro Ángel Caro-Alonso, Beatriz Rodríguez-Martín, Julián Rodríguez-Almagro, Carlos Chimpén-López, Cristina Romero-Blanco, Ignacio Casado-Naranjo, Alberto Bermejo-Cantarero and Fidel López-Espuela
Healthcare 2023, 11(19), 2659; https://doi.org/10.3390/healthcare11192659 - 30 Sep 2023
Viewed by 989
Abstract
Introduction: During the pandemic, nurses have undergone a high level of professional burnout, suffering emotional exhaustion, depersonalization, and lack of personal realization. Objective: The object of this study is to understand in depth, through a phenomenological study of Giorgi, the perceptions on commitment [...] Read more.
Introduction: During the pandemic, nurses have undergone a high level of professional burnout, suffering emotional exhaustion, depersonalization, and lack of personal realization. Objective: The object of this study is to understand in depth, through a phenomenological study of Giorgi, the perceptions on commitment and professional development of frontline nurses during the first and second waves of the COVID-19 pandemic. Method: Qualitative study designed and analyzed using Giorgi’s phenomenological focus. For data collection, semi-structured interviews were utilized in a theoretical sample of frontline nurses who worked in public hospitals of Extremadura and Madrid, Spain, until saturation of data. The interviews were conducted between the months of May and December 2020 following an outline of topics. The analysis was based on the phenomenological focus of Giorgi and was supported by the software Atlas-Ti 8.0. Results: A total of 14 nurses participated in this study. Two main themes emerged to explain the perceptions of the nurses: (1) the professional commitment of the nurses during the pandemic and (2) the effects of the pandemic on professional development; seven subcategories were also identified. Conclusion: The social and professional development of nurses is important. If nurses feel that they are quality professionals, this will enable them to protect their psychosocial health and increase professional commitment toward their patients in difficult situations such as pandemics. The results of this study may serve as a guide for better understanding the problems and needs of nurses as healthcare providers. This may help administrators in the generation of solutions for the establishment of a safe and reliable work environment, which will in turn promote a healthcare system that can efficiently respond to future catastrophes. Full article
(This article belongs to the Special Issue New Insights into Understudied Phenomena in Healthcare)
16 pages, 283 KiB  
Article
Bulgarian General Practitioners’ Communication Styles about Child Vaccinations, Mainly Focused on Parental Decision Making in the Context of a Mandatory Immunization Schedule
by Veronika Dimitrova, Savina Stoitsova, Gergana Nenova, Maria Martinova, Milena Yakimova, Vanya Rangelova, Irina Georgieva, Ivo Georgiev, Stefka Krumova, Antoaneta Minkova, Nadezhda Vladimirova and Lubomira Nikolaeva-Glomb
Healthcare 2023, 11(18), 2566; https://doi.org/10.3390/healthcare11182566 - 17 Sep 2023
Viewed by 962
Abstract
The communication practices of general practitioners in relation with vaccines have not been a topic of wide scientific interest. In this article, we outline them in the context of Bulgaria. A representative, cross-sectional, quantitative, face-to-face survey was conducted among 358 Bulgarian general practitioners [...] Read more.
The communication practices of general practitioners in relation with vaccines have not been a topic of wide scientific interest. In this article, we outline them in the context of Bulgaria. A representative, cross-sectional, quantitative, face-to-face survey was conducted among 358 Bulgarian general practitioners in 2022 using simple random sampling. We conducted an exploratory factor analysis using questions about the role of the GPs, which measure models of communication. Based on the factor analysis, we distinguished four communication styles. They were called: active communicator, restrictive communicator, informing communicator, and strained communicator. One-way ANOVA and the T-test were carried out to explore the connections between factor scores (communication styles) and other variables. One of the most important results in the study was that the informing physician (emphasizing the choice of the parents) was the most common model in Bulgaria. This is somewhat contradictory, because of the mandatory status of most vaccines. We found connections between the communication styles and other variables—such as the type of settlement, having a hesitant parent in the practice, recommendations of non-mandatory vaccines, and experience with vaccine-preventable diseases. On the basis of the factor analysis and analysis of relationships with other variables, we reached the conclusion that in Bulgaria, hesitant parents are not sufficiently involved in active, effective communication about vaccines by GPs. Full article
(This article belongs to the Special Issue New Insights into Understudied Phenomena in Healthcare)
11 pages, 1062 KiB  
Article
Academic Stress in University Students: The Role of Physical Exercise and Nutrition
by Montserrat Monserrat-Hernández, Juan Carlos Checa-Olmos, Ángeles Arjona-Garrido, Remedios López-Liria and Patricia Rocamora-Pérez
Healthcare 2023, 11(17), 2401; https://doi.org/10.3390/healthcare11172401 - 26 Aug 2023
Cited by 2 | Viewed by 4193
Abstract
The university experience can cause academic stress that, in turn, can lead to comorbidities. Students increasingly face demands and challenges that require a large amount of physical and psychological resources. These circumstances can make them experience physical and mental fatigue, lower their interest [...] Read more.
The university experience can cause academic stress that, in turn, can lead to comorbidities. Students increasingly face demands and challenges that require a large amount of physical and psychological resources. These circumstances can make them experience physical and mental fatigue, lower their interest in studying, and even lead them to lose control over their academic performance and health. The objective of this work is to determine the relationship between the practice of physical exercise, eating patterns, and academic stress among university students. A questionnaire was administered to 742 students using non-probabilistic sampling. The mean age was 21.24 (DT = 3.8), and 20.1% were men and 79.4% were women. To identify academic stress, the Stress Manifestation Scale of the Students Stress Inventory (SSI) subscale was used; the Mediterranean Diet Score was applied for eating patterns, and the practice of exercise was measured by weekly hours of exercise. The results show that there is a relationship between academic stress and physical exercise, but not with adherence to the Mediterranean Diet. However, there is a relationship between the consumption of “unhealthy” foods exceeding the recommendations for the Spanish population and academic stress. In short, physical activity and diet are variables that are related to psychological well-being. Therefore, they should constitute the backbone of actions designed by university managers to eliminate or reduce stress suffered by students. Finally, the work demonstrates the need to create new scales that consider not only the foods that help alleviate stress but also their portions. Full article
(This article belongs to the Special Issue New Insights into Understudied Phenomena in Healthcare)
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Review

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15 pages, 607 KiB  
Review
Sexuality in Women with Fibromyalgia Syndrome: A Metasynthesis of Qualitative Studies
by José Granero-Molina, María del Mar Jiménez-Lasserrotte, Iria Dobarrio-Sanz, Matías Correa-Casado, Carmen Ramos-Rodríguez and Patricia Romero-Alcalá
Healthcare 2023, 11(20), 2762; https://doi.org/10.3390/healthcare11202762 - 19 Oct 2023
Cited by 1 | Viewed by 1158
Abstract
Fibromyalgia syndrome (FMS) is a nonarticular rheumatic syndrome which presents as chronic musculoskeletal pain, stiffness and body aches. FMS affects approximately 2.5% of the population, mostly women. FMS causes physical and psychological problems and reduces quality of life. The objective of this study [...] Read more.
Fibromyalgia syndrome (FMS) is a nonarticular rheumatic syndrome which presents as chronic musculoskeletal pain, stiffness and body aches. FMS affects approximately 2.5% of the population, mostly women. FMS causes physical and psychological problems and reduces quality of life. The objective of this study is to identify qualitative evidence about experiences of women diagnosed with FMS about their sexuality. Methods: Metasynthesis of qualitative studies. The search included articles published between 2000 and June 2023 on the PubMed, WOS, CINAHL, SCOPUS, and SCIELO databases. Results: 450 articles were found through the initial search, of which, only nine fulfilled the criteria and were included in the thematic synthesis. From this analysis, three main themes emerged: (1) “I want to, but I can’t”: FMS causes a shift in feminine sexuality. (2) Resetting sex life and intimacy. (3) Taking charge of a “new sexuality.” Conclusions: Women with FMS suffer from limitations of their sexuality that affect their partner. Pain, stiffness and a loss of desire make sexual encounters difficult. Becoming aware of this and striving not to lose their sexuality is key to coping with this problem. Women and their sexual partners can change roles and encourage communication, games, foreplay or touching. The use of lubricants, physical exercise and complementary therapies, along with social, professional and partner support, are key to coping with FMS. Full article
(This article belongs to the Special Issue New Insights into Understudied Phenomena in Healthcare)
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Other

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13 pages, 777 KiB  
Brief Report
The Healthspan Project: A Retrospective Pilot of Biomarkers and Biometric Outcomes after a 6-Month Multi-Modal Wellness Intervention
by Elizabeth Chun, Annie Crete, Christopher Neal, Richard Joseph and Rachele Pojednic
Healthcare 2024, 12(6), 676; https://doi.org/10.3390/healthcare12060676 - 18 Mar 2024
Viewed by 1044
Abstract
Wellness-centric proactive healthcare is increasingly sought after, with individuals frequently embracing complementary modalities to achieve this goal. In this six-month study, healthy adult participants (n = 25) received specific therapies, including whole-body cryotherapy, infrared sauna, and photobiomodulation, along with guidance on physical activity, [...] Read more.
Wellness-centric proactive healthcare is increasingly sought after, with individuals frequently embracing complementary modalities to achieve this goal. In this six-month study, healthy adult participants (n = 25) received specific therapies, including whole-body cryotherapy, infrared sauna, and photobiomodulation, along with guidance on physical activity, diet, and alcohol intake. Serum biomarkers were measured for all participants, while a subset also received biometric assessments for body composition (n = 10) and heart rate variability (n = 7). Over the course of the study (mean (SD) follow-up days = 174 (130)), participants exhibited significant improvements in health. LDL cholesterol (−9.77 (15.43) md/dL) and hsCRP (−1.75 (2.66) mg/L) decreased significantly (p < 0.05). HbA1c increased slightly (p < 0.05), but the effect size was small (0.12 (0.13)%). The body composition subset lost overall body weight (−3.29 (3.75) kg), primarily body fat, while preserving lean muscle mass (p < 0.05). Heart rate variability increased for those with existing cardiovascular risk factors (p < 0.05). In conclusion, participation in the multimodal Healthspan protocol is associated with substantial improvements in health-related biomarkers and biometrics. Full article
(This article belongs to the Special Issue New Insights into Understudied Phenomena in Healthcare)
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14 pages, 595 KiB  
Systematic Review
Absenteeism of Healthcare Personnel in the COVID-19 Era: A Systematic Review of the Literature and Implications for the Post-Pandemic Seasons
by Helena C. Maltezou, Caterina Ledda and Nikolaos V. Sipsas
Healthcare 2023, 11(22), 2950; https://doi.org/10.3390/healthcare11222950 - 12 Nov 2023
Viewed by 1214
Abstract
This systematic review aimed to assess COVID-19-associated absenteeism among healthcare personnel (HCP). PubMed was searched on 4 February 2023. Inclusion criteria were the presentation of original data on COVID-19-associated absenteeism among HCP. Exclusion criteria were absenteeism associated with burnout, mental health illness, post-COVID [...] Read more.
This systematic review aimed to assess COVID-19-associated absenteeism among healthcare personnel (HCP). PubMed was searched on 4 February 2023. Inclusion criteria were the presentation of original data on COVID-19-associated absenteeism among HCP. Exclusion criteria were absenteeism associated with burnout, mental health illness, post-COVID syndrome, or child-care. Nineteen articles were identified; fifteen concerned almost exclusively the first pandemic year. Hospitals accounted for most data. There was heterogeneity across studies in terms of presentation of absenteeism data. Before COVID-19 vaccines became available, COVID-19 was a major driver of HCP absenteeism with excess costs, while the mean duration of absenteeism ranged from 5.82 to 33 days per episode of absence. Determinant factors of absenteeism rates were department of employment, high-risk exposure, age, profession, and work experience of HCP, suspected COVID-19, SARS-CoV-2 testing, SARS-CoV-2 positivity, and return-to-work strategy. Two studies demonstrated that COVID-19 vaccination significantly reduced the burden of absenteeism. Routine testing of asymptomatic HCP and use of personal protective equipment also significantly ameliorated absenteeism. In conclusion, COVID-19 has been a major driver of HCP absenteeism. Research is needed to assess how COVID-19 will impact HCP in the next years, considering the new SARS-CoV-2 variants, the co-circulation of other respiratory viruses, and the newer COVID-19 vaccines. Networks are needed to survey morbidity and absenteeism among HCP in real-time and guide vaccination policies. Full article
(This article belongs to the Special Issue New Insights into Understudied Phenomena in Healthcare)
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8 pages, 266 KiB  
Brief Report
Interpersonal Characteristics and Binge Eating among Patients Pursuing Bariatric Surgery
by Rawan Salameh-Dakwar, Roni Elran-Barak, Yara Zahra-Zeitoun, Gidon Soroka, Dvir Froylich, Ahmad Assalia and Yael Latzer
Healthcare 2023, 11(21), 2836; https://doi.org/10.3390/healthcare11212836 - 27 Oct 2023
Viewed by 834
Abstract
Background: Preoperative binge eating behavior has been associated with difficulties in weight loss maintenance among patients pursuing bariatric surgery. However, limited data exists on the relationship between interpersonal difficulties and binge eating. Objectives: To identify interpersonal factors linked with binge eating among bariatric [...] Read more.
Background: Preoperative binge eating behavior has been associated with difficulties in weight loss maintenance among patients pursuing bariatric surgery. However, limited data exists on the relationship between interpersonal difficulties and binge eating. Objectives: To identify interpersonal factors linked with binge eating among bariatric surgery candidates. Setting: One hundred and seventeen adult bariatric surgery candidates (BMI = 42.2 ± 5.2) from three different hospitals completed questionnaires on the day of their bariatric committee meeting for operation approval. Methods: Binge eating was assessed using the Questionnaire on Eating and Weight Patterns-5 (QEWP-5) as a dichotomous variable. Self-esteem was measured using the Rosenberg Self-Esteem Scale (RSES), and interpersonal characteristics were evaluated using the short version of the Inventory of Interpersonal Problems (IIP-32). Sociodemographic variables (age, gender, income, education) and BMI were considered as confounders. Results: Approximately 25% of bariatric surgery candidates reported experiencing binge eating episodes within the previous three months. Participants with binge eating exhibited significantly lower self-esteem and more interpersonal difficulties, particularly in the domains of aggressiveness and dependence, compared to those without binge eating. Logistic regression analysis revealed that aggressiveness was a significant predictor of binge eating in this sample. Conclusions: This study is the first, to the best of our knowledge, to investigate the relationship between interpersonal difficulties and binge eating among bariatric surgery candidates. The findings highlight the significant contribution of aggressiveness to binge eating and emphasize the importance of clinicians assessing patients’ interpersonal functioning, particularly with regard to aggressiveness, as a factor that may contribute to the maintenance and occurrence of binge eating behaviors. Full article
(This article belongs to the Special Issue New Insights into Understudied Phenomena in Healthcare)
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