📄 Category

health systems and quality improvement

104 papers

Improving health systems means finding smarter ways to deliver care, reduce errors, and ensure patients receive the best possible treatment. This field explores how hospitals and clinics can function more effectively, focusing on the practical changes that lead to better outcomes for everyone involved. It is less about discovering new drugs and more about refining the everyday processes that keep our healthcare networks running smoothly.

At Gist.Science, we track every new preprint in this category from medRxiv to bring you the latest research immediately. Our team processes these papers to provide both detailed technical summaries for experts and clear, plain-language explanations for anyone interested in how healthcare can improve. We believe that understanding these systemic changes is vital for building a more resilient future.

Below are the latest studies and insights from the health systems and quality improvement community, sorted by their recent submission dates.

📄 health systems and quality improvement

Characterizing the leadership of family medicine registrars of Kamuzu University of Health Sciences: Perspectives of healthcare workers engaged in bedside teaching

This qualitative study of family medicine registrars at Kamuzu University of Health Sciences reveals that while they demonstrate strong clinical leadership and interpersonal skills, their effectiveness is hindered by unclear role boundaries, insufficient mentorship, and limited involvement in decision-making, highlighting the need for targeted improvements in their leadership training.

Majo, T., Mambo, F., Makwero, M. K., Kwaitana, D.2026-02-28
📄 health systems and quality improvement

Psychometric evaluation of The Index of Myalgic Encephalomyelitis Symptoms (TIMES). Part II: Criterion-related and discriminant validity, test-retest reliability and minimal detectable difference.

This study validates the Index of Myalgic Encephalomyelitis Symptoms (TIMES) as a valid, reliable, and sensitive assessment tool for measuring symptom severity in ME/CFS patients, demonstrating strong criterion-related and discriminant validity, excellent test-retest reliability, and a defined minimal detectable difference.

Tyson, S. F., Horton, M. C., Fleming, R.2026-02-27
📄 health systems and quality improvement

International healthcare experts' consensus on the key requirements of a potential international patient safety learning system: a modified online Delphi study

Through a two-round modified Delphi study involving 21 international healthcare experts, this research establishes a consensus-based framework defining the purposes, key functions, and feasibility of a global Patient Safety Learning System, while generating novel criteria for identifying incidents of international concern to guide future implementation by organizations like the WHO.

Qasem, J., Edwards, A., Wood, F., Carson-Stevens, A.2026-02-27
📄 health systems and quality improvement

Evidence of Unreliable Data and Poor Data Provenance in Clinical Prediction Model Research and Clinical Practice

This paper warns that widely used clinical prediction models based on two popular Kaggle datasets lack verifiable data provenance and appear to be fabricated, leading to potentially unreliable research and clinical applications, and calls for mandatory data provenance reporting to safeguard patient care.

Gibson, A. D., White, N. M., Collins, G. S., Barnett, A.2026-02-26
📄 health systems and quality improvement

Health system and epidemiological determinants of mortality in acute lymphoblastic leukemia in the Brazilian Amazon

This retrospective cohort study of 393 patients in the Brazilian Amazon reveals that the high mortality rate (48.5%) from acute lymphoblastic leukemia is primarily driven by age-related vulnerability and structural health system barriers, such as the centralization of specialized services, rather than baseline sociodemographic characteristics.

Sousa, I. V., Magalhaes-Gama, F., Oliveira, B. S., Oliveira, E. Y. C., Ghedini, J. G. S., Carvalho, L. P. A., Fonseca, J (…)2026-02-25
📄 health systems and quality improvement

Disease burden outpaces essential diagnostic test availability for Neglected Tropical Diseases in India

A cross-sectional assessment of 332 public health facilities in India reveals a critical mismatch where diagnostic availability for most Neglected Tropical Diseases remains low and poorly aligned with local disease burden, particularly at peripheral primary care levels, despite high programmatic prioritization for malaria.

Mustafa, Z., Chakraborty, B., Laskar, A. A., Kumar, R., Kumar, V., Arora, K., Barbhuiya, A. H., Singh, L. M., Shil, K. (…)2026-02-22
📄 health systems and quality improvement

Graph-Augmented Retrieval for Digital Evidence-Based Medical Synthesis: A Proof-of-Concept Study on Topology-Aware Mechanistic Narrative Generation

This study presents a topology-aware, graph-augmented retrieval framework that enhances digital evidence-based medical synthesis by integrating mechanistic axis decomposition and graph auditing to improve the precision, traceability, and causal coherence of biomedical narrative generation beyond traditional similarity-driven methods.

Buscemi, P., Buscemi, F.2026-02-19
📄 health systems and quality improvement

'We need to highlight as a community that these are avoidable': Exploring clinician perspectives on healthcare access and avoidable admissions in inflammatory bowel disease

This study reveals that while disease progression is the primary cause of unplanned inflammatory bowel disease (IBD) admissions, clinicians identify significant systemic failures—including missed outpatient opportunities, specialist delays, and resource constraints—as key drivers of avoidable hospitalizations, underscoring the urgent need for investment in rapid-access pathways and service integration.

Hawkins, R. L., Lee, M., Sampson, F. C., Hind, D., Lobo, A.2026-02-18