Literature Collection

BACKGROUND: Somatic syndrome is one of the remarkably prevalent issues in primary health care and subspecialty settings. We aimed to elucidate multidimensional associations between somatic symptoms with major mental problems and personality traits in the framework of the quantile regression model with a Bayesian approach. METHODS: A total of 4763 employees at Isfahan University of Medical Sciences and Health Services in Isfahan province, Iran, filled out four validated questionnaires including Hospital Anxiety and Depression Scale (HADS), NEO Questionnaire, General Health Questionnaire (GHQ) and PHQ-15 for somatic symptom severity. In addition, Functional Gastrointestinal Disorders (FGIDs) were determined using Rome IV criteria. Exploratory Factor Analysis (EFA) and Bayesian regularized quantile regression with adaptive LASSO penalization were applied for reduced dimension of somatic symptoms and variable selection and parameter estimation, respectively. RESULTS: The 25 major somatic symptoms were grouped into four factors including general, upper gastrointestinal, lower gastrointestinal and respiratory by EFA. Stress, depression, and anxiety had significant effects on all of the four extracted factors. The effect of anxiety in each four extracted factors was more than stress and depression. Neuroticism and agreeableness had significant effects on all of the four extracted factors, generally (p < 0.05). CONCLUSIONS: Given the high prevalence of somatic symptoms and psychosomatic complaints in correlation with the diverse range of mental co-morbidities, developing more detailed diagnostic tools and methods is crucial; nonetheless, it seems that providing better interdisciplinary approaches in general medical practice is groundwork.

OBJECTIVES: This research aims to explore the factors that hinder professionals in delivering integrated care for children under 5 in temporary accommodation (TA) and understand their experiences of collaboration during the pandemic to inform recommendations. DESIGN: Semistructured qualitative interviews. SETTING: England, UK. PARTICIPANTS: 45 professionals working across health, housing, education and non-profit sectors in England. Purposive and snowball sampling was employed to recruit a representation of key professionals across England. Those not eligible to take part in the study included people who did not work with families and/or children in TA settings. OUTCOME MEASURES: To explore cross-sector learnings that are applicable to improving integrated care and to tailor recommendations to the needs of families and children under 5 experiencing homelessness in the UK today. RESULTS: This study highlights the complex, multilevel barriers that professionals face when delivering integrated care to children under 5 in TA. Findings are organised using a framework that distinguishes between practice-level, organisational and systemic challenges. From siloed working practices and limited training to staffing shortages and restrictive data-sharing policies, these challenges collectively hinder service continuity and collaboration. CONCLUSIONS: Although this project was conducted during the COVID-19 pandemic, the challenges identified reflect deeper, long-standing issues in service delivery. As services continue to recover and prepare for future crises, these insights remain highly relevant and can inform more resilient, integrated recovery plans to support children in TA beyond the pandemic context. Addressing these barriers, through improved collaboration, training and data-sharing, is key to strengthening care for this vulnerable population.

BACKGROUND: Preventive medicine is essential for improving population health and reducing health care costs. Team-based care (TBC) is increasingly recognised as a promising approach to enhance outcomes for chronic diseases and improving care experiences. However, a comprehensive review of TBC in preventive medicine is lacking. AIM: This scoping review aimed to provide an overview of currently available TBC models in preventive care, including their composition, structure and delivery methods. Additionally, it sought to explore the qualitative outcomes such as perceptions of patients and health care providers, along with TBC-related processes. METHODS: Following the Arksey and O'Malley Framework, relevant articles were searched and selected from databases including PubMed, MEDLINE, Embase, CINAHL, Scopus and PsycINFO, covering records published from inception to March 2023. Relevant data from the selected articles were then extracted and synthesised. Studies implementing TBC approaches for preventive health services were included. RESULTS: A total of 6779 titles and abstracts were screened; 92 studies were included in the final analysis. Preventive health services focused on disease screening, vaccination, maternal and child health, and chronic disease care. The TBC models used varied (including multidisciplinary teams and patient-centred homes). The common outcomes were TBC delivery, implementation, health care providers' perceptions of TBC practices, their roles as well as patients' satisfaction. CONCLUSION: While TBC is widely implemented in preventive medicine, significant variability exists in team organisation across conditions and settings. Future research should focus on systematically evaluating the applicability and efficacy of currently available TBC models in different preventive care settings.