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    5543 results match your criteria BMC Health Services Research[Journal]

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    A path analysis study of factors influencing hospital staff perceptions of quality of care factors associated with patient satisfaction and patient experience.
    BMC Health Serv Res 2017 Nov 16;17(1):739. Epub 2017 Nov 16.
    La Trobe University, Bundoora, Victoria, 3086, Australia.
    Background: Hospital staff are interested in information on patient satisfaction and patient experience that can help them improve quality of care. Staff perceptions of quality of care have been identified as useful proxies when patient data are not available. This study explores the organizational factors and staff attitudes that influence staff perceptions of the quality of the care they provide in relation to patient satisfaction and patient experience. Read More

    Identification of outliers and positive deviants for healthcare improvement: looking for high performers in hypoglycemia safety in patients with diabetes.
    BMC Health Serv Res 2017 Nov 16;17(1):738. Epub 2017 Nov 16.
    IIRECC - EUL 5M677, Louis Stokes Cleveland Department of Veterans Affairs Medical Center, 10701 East Blvd., Cleveland, OH, 44106, USA.
    Background: The study objectives were to determine: (1) how statistical outliers exhibiting low rates of diabetes overtreatment performed on a reciprocal measure - rates of diabetes undertreatment; and (2) the impact of different criteria on high performing outlier status.

    Methods: The design was serial cross-sectional, using yearly Veterans Health Administration (VHA) administrative data (2009-2013). Our primary outcome measure was facility rate of HbA1c overtreatment of diabetes in patients at risk for hypoglycemia. Read More

    Patient influence in home-based reablement for older persons: qualitative research.
    BMC Health Serv Res 2017 Nov 15;17(1):736. Epub 2017 Nov 15.
    Faculty of Health Science, Nord University, Postboks 1490, N-8049, Bodø, Norway.
    Background: Reablement services are rehabilitation for older people living at home, being person-centered in information, mapping and the goal-setting conversation. The purpose of this study was to gain knowledge about conversation processes and patient influence in formulating the patients' goals. There are two research questions: How do conversation theme, structure and processes appear in interactions aiming to decide goals of home-based reablement rehabilitation for the elderly? How professionals' communication skills do influence on patients' participation in conversation about everyday life and goals of home-based reablement?

    Methods: A qualitative field study explored eight cases of naturally occurring conversations between patients and healthcare professionals in a rehabilitation team. Read More

    Tobacco use and health insurance literacy among vulnerable populations: implications for health reform.
    BMC Health Serv Res 2017 Nov 15;17(1):729. Epub 2017 Nov 15.
    Department of Health Behavior and Policy, Virginia Commonwealth University, 830 E. Main St., 9th Floor, Richmond, Virginia, 23219, USA.
    Background: Under the Affordable Care Act (ACA), millions of Americans have been enrolling in the health insurance marketplaces. Nearly 20% of them are tobacco users. As part of the ACA, tobacco users may face up to 50% higher premiums that are not eligible for tax credits. Read More

    Repeat testing for chlamydia trachomatis, a "safe approach" to unsafe sex? a qualitative exploration among youth in Stockholm.
    BMC Health Serv Res 2017 Nov 15;17(1):730. Epub 2017 Nov 15.
    Department of Public Health Sciences, Karolinska Institutet, Tomtebodavägen 18 A, 171 77, Stockholm, Sweden.
    Background: Chlamydia trachomatis testing is offered to youth in Sweden, through a network of Youth Health Clinics, free at the point of care, in an attempt to bring down the prevalence and incidence of the infection. Nevertheless, infections rates have continued to rise during the past two decades and re-testing rates among youth for Chlamydia trachomatis has been reported to be high in Stockholm County. A few literature reports suggest that testing for sexually transmitted infections and the test result itself can have an undesirable impact on the sexual behaviour for the individual, i. Read More

    Declining amenable mortality: a reflection of health care systems?
    BMC Health Serv Res 2017 Nov 15;17(1):735. Epub 2017 Nov 15.
    Department of Public Health, Università Cattolica del Sacro Cuore, Largo Agostino Gemelli 8 - 00168, Rome, Italy.
    Background: Some studies have analyzed the association of health care systems variables, such as health service resources or expenditures, with amenable mortality, but the association of types of health care systems with the decline of amenable mortality has yet to be studied. The present study examines whether specific health care system types are associated with different time trend declines in amenable mortality from 2000 to 2014 in 22 European OECD countries.

    Methods: A time trend analysis was performed. Read More

    Health related quality of life of HIV/AIDS patients on highly active anti-retroviral therapy at a university referral hospital in Ethiopia.
    BMC Health Serv Res 2017 Nov 15;17(1):737. Epub 2017 Nov 15.
    Department of Pharmaceutical Chemistry, School of Pharmacy, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
    Background: Highly active antiretroviral therapy improves the longevity of patients living with HIV/AIDS. We conducted the study in order to assess health related quality of life of HIV/AIDS patients and the association of socio-demographic and disease related variables with health related quality of life.

    Methods: Health facility based cross-sectional study among 400 HIV/AIDS patients taking highly active anti-retroviral therapy from Gondar University referral hospital was conducted. Read More

    Low uptake of Aboriginal interpreters in healthcare: exploration of current use in Australia's Northern Territory.
    BMC Health Serv Res 2017 Nov 15;17(1):733. Epub 2017 Nov 15.
    Menzies School of Health Research, Charles Darwin University, Darwin, NT, Australia.
    Background: In Australia's Northern Territory, most Aboriginal people primarily speak an Aboriginal language. Poor communication between healthcare providers and Aboriginal people results in adverse outcomes including death. This study aimed to identify remediable barriers to utilisation of Aboriginal Interpreter services at the Northern Territory's tertiary hospital, which currently manages over 25,000 Aboriginal inpatients annually. Read More

    Seasonal influenza vaccination of healthcare workers: systematic review of qualitative evidence.
    BMC Health Serv Res 2017 Nov 15;17(1):732. Epub 2017 Nov 15.
    Centre for Reviews and Dissemination, University of York, York, YO10 5DD, UK.
    Background: Most countries recommend that healthcare workers (HCWs) are vaccinated seasonally against influenza in order to protect themselves and patients. However, in many cases coverage remains low. A range of strategies have been implemented to increase uptake. Read More

    What do Australian consumers, pharmacists and prescribers think about documenting indications on prescriptions and dispensed medicines labels?: A qualitative study.
    BMC Health Serv Res 2017 Nov 15;17(1):734. Epub 2017 Nov 15.
    Faculty of Pharmacy, University of Sydney, Sydney, Australia.
    Background: Documenting the indication on prescriptions and dispensed medicines labels is not standard practice in Australia. However, previous studies that have focused on the content and design of dispensed medicines labels, have suggested including the indication as a safety measure. The aim of this study was to investigate the perspectives of Australian consumers, pharmacists and prescribers on documenting the indication on prescriptions and dispensed medicines labels. Read More

    Differences in the prevalence of hospitalizations and utilization of emergency outpatient services for ambulatory care sensitive conditions between asylum-seeking children and children of the general population: a cross-sectional medical records study (2015).
    BMC Health Serv Res 2017 Nov 15;17(1):731. Epub 2017 Nov 15.
    Department of General Practice and Health Services Research, University Hospital Heidelberg, Im Neuenheimer Feld 130.3, 69120, Heidelberg, Germany.
    Background: Hospitalizations for ambulatory care sensitive (ACS) conditions are established indicators for the availability and quality of ambulatory care. We aimed to assess the differences between asylum-seeking children and children of the general population in a German city with respect to (i) the prevalence of ACS hospitalizations, and (ii) the utilization of emergency outpatient services for ACS conditions.

    Methods: Using anonymous account data, all children admitted to the University Hospital Heidelberg in 2015 were included in our study. Read More

    Social relations and healthcare utilisation among middle-aged and older people: study protocol for an implementation and register-based study in Denmark.
    BMC Health Serv Res 2017 Nov 15;17(1):728. Epub 2017 Nov 15.
    Unit for Health Services Research and Unit for Social Medicine, Department of Public Health, Center for Healthy Aging, University of Copenhagen, Copenhagen, Denmark.
    Background: While previous research establishes an association between social relations, health and use of healthcare services among older people, how to implement this knowledge in real-life settings has received much less attention. This study will explore the relationship between social relations, health and use of healthcare services in a Danish mid-life population sample. In addition, the study will explore individual and contextual factors affecting the implementation of a group-based life story intervention aimed at establishing and strengthening social relations among older people at nursing homes in Denmark. Read More

    The primary health care in the emirate of Abu Dhabi: are they aligned with the chronic care model elements?
    BMC Health Serv Res 2017 Nov 14;17(1):725. Epub 2017 Nov 14.
    Global Health and Tropical Medicine, Instituto de Higiene e Medicina Tropical, Universidade Nova de Lisboa, Lisbon, Portugal.
    Background: Abu Dhabi is the capital of the United Arab Emirates (UAE) and the largest of the seven emirates in terms of land mass and population. Abu Dhabi emirate has three different geographical regions: the Central Capital District, the Eastern Region, and the Western Region. The health system has been regulated by the Health Authority - Abu Dhabi (HAAD), and has been provided by the Abu Dhabi Health Services Company (SEHA), since 2007. Read More

    Distribution of essential medicines to primary care institutions in Hubei of China: effects of centralized procurement arrangements.
    BMC Health Serv Res 2017 Nov 14;17(1):727. Epub 2017 Nov 14.
    School of Health Management, Hubei University of Chinese Medicine, Wuhan, China.
    Background: Poor distribution of essential medicines to primary care institutions has attracted criticism since China adopted provincial centralized regional tendering and procurement systems. This study evaluated the impact of new procurement arrangements that limit the number of distributors at the county level in Hubei province, China.

    Methods: Procurement ordering and distribution data were collected from four counties that pioneered a new distribution arrangement (commencing September 2012) compared with six counties that continued the existing arrangement over the period from August 2011 to September 2013. Read More

    Descriptive study of interprofessional collaboration between physicians and osteopaths for the pediatric population in Quebec, Canada.
    BMC Health Serv Res 2017 Nov 14;17(1):726. Epub 2017 Nov 14.
    Department of Family Medicine and Emergency Medicine and School of Rehabilitation, Faculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, Quebec, Canada.
    Background: Osteopathy is an increasingly popular healthcare approach that uses a wide variety of therapeutic manual techniques to address pain and somatic dysfunction. In Quebec, Canada, osteopathy is the complementary medicine most often recommended by family physicians. However, factors fostering the development of interprofessional collaboration (IPC) between physicians and osteopaths are unknown. Read More

    Hospital choice in Germany from the patient's perspective: a cross-sectional study.
    BMC Health Serv Res 2017 Nov 13;17(1):720. Epub 2017 Nov 13.
    Institute for Health Services Research and Clinical Epidemiology, Philipps-Universität Marburg, Karl-von-Frisch-Strasse 4, 35043, Marburg, Germany.
    Background: In many countries health policy encourages patients to choose their hospital, preferably by considering information of performance reports. Previous studies on hospital choice mainly have focused on patients undergoing elective surgery. This study examined a representative sample of hospital inpatients across disciplines and treatment interventions in Germany. Read More

    Risk of falling among hospitalized patients with high modified Morse scores could be further Stratified.
    BMC Health Serv Res 2017 Nov 13;17(1):721. Epub 2017 Nov 13.
    Internal Medicine T Department, Chaim Sheba Medical Center, 5265601, Tel-Hashomer, Israel.
    Background: Falls during hospitalization harbor both clinical and financial outcomes. The modified Morse fall scale [MMFS] is widely used for an in-hospital risk-of-fall assessment. Nevertheless, the majority of patients at risk of falling, i. Read More

    Effect of having private health insurance on the use of health care services: the case of Spain.
    BMC Health Serv Res 2017 Nov 13;17(1):716. Epub 2017 Nov 13.
    Department of Economics, Faculty of Economics and Business, University of Cantabria (Spain), Avenue Los Castros, s/n, 39005, Santander, CP, Spain.
    Background: Several stakeholders have undertaken initiatives to propose solutions towards a more sustainable health system and Spain, as an example of a European country affected by austerity measures, is looking for ways to cut healthcare budgets.

    Methods: The aim of this paper is to study the effect of private health insurance on health care utilization using the latest micro-data from the European Community Household Panel (ECHP), the Spanish National Health Survey (SNHS) and the European Union Statistics on Income and Living Conditions (EU-SILC). We use matching techniques based on propensity score methods: single match, four matches, bias-adjustment and allowing for heteroskedasticity. Read More

    Impact of pharmacist-led medication management in care transitions.
    BMC Health Serv Res 2017 Nov 13;17(1):722. Epub 2017 Nov 13.
    Department of Practice and Pharmacy, UCL School of Pharmacy, London, UK.
    Background: When patients are discharged from hospital to home, it is a highlighted vulnerable period for which medication - related problems are prevalent. Researchers have proposed a telephone follow-up intervention as a means to reduce hospital readmissions. However, the outcome of the intervention with the engagement of pharmacists in managing patients' medicines after discharge has not been well explored. Read More

    Women's autonomy and maternal healthcare service utilization in Ethiopia.
    BMC Health Serv Res 2017 Nov 13;17(1):718. Epub 2017 Nov 13.
    School of Public Health, Taipei Medical University, 250 Wu-Hsing Street, Taipei City, Taiwan.
    Background: Most previous studies on healthcare service utilization in low-income countries have not used a multilevel study design to address the importance of community-level women's autonomy. We assessed whether women's autonomy, measured at both individual and community levels, is associated with maternal healthcare service utilization in Ethiopia.

    Methods: We analyzed data from the 2005 and 2011 Ethiopia Demographic and Health Surveys (N = 6058 and 7043, respectively) for measuring women's decision-making power and permissive gender norms associated with wife beating. Read More

    The impacts of implementation of National Essential Medicines Policies on primary healthcare institutions: a cross-sectional study in China.
    BMC Health Serv Res 2017 Nov 13;17(1):723. Epub 2017 Nov 13.
    School of Pharmaceutical Science, Peking University Health Science Center, 38 Xueyuan Road, Haidian District, Beijing, China.
    Background: In 2009, China implemented the National Essential Medicines Policies (NEMPs) as part of a new round of medical system reforms. This study aims to evaluate the impacts of the NEMPs on primary healthcare institutions and discuss the roles of the policies in the new healthcare reforms of China.

    Methods: The study selected a total of six representative provinces of China, generating a sample of 261 primary healthcare institutions from August to December in 2010. Read More

    Criteria for prioritization of HIV programs in Viet Nam: a discrete choice experiment.
    BMC Health Serv Res 2017 Nov 13;17(1):719. Epub 2017 Nov 13.
    Department of Health Services Research; CAPHRI, Maastricht University Medical Center, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, Netherlands.
    Background: With the decline in funding for Viet Nam's response to the HIV epidemic, there is a need for evidence on the criteria to guide the prioritization of HIV programs. There is a gap in the research on the relative importance of multiple criteria for prioritizing a package of interventions. This study elicits preferences and the trade-offs made between different HIV programs by relevant stakeholders and decision-makers in Viet Nam. Read More

    The effectiveness of community-based coordinating interventions in dementia care: a meta-analysis and subgroup analysis of intervention components.
    BMC Health Serv Res 2017 Nov 13;17(1):717. Epub 2017 Nov 13.
    University of Exeter Medical School, College House, St Luke's Campus, Heavitree Road, Exeter, EX1 2LU, UK.
    Background: Interventions aiming to coordinate services for the community-based dementia population vary in components, organisation and implementation. In this review we aimed to evaluate the effectiveness of community-based care coordinating interventions on health outcomes and investigate whether specific components of interventions influence their effects.

    Methods: We searched four databases from inception to April 2017: Medline, The Cochrane Library, EMBASE and PsycINFO. Read More

    Determinants of patterns of maternal and child health service utilization in a rural community in south eastern Nigeria.
    BMC Health Serv Res 2017 Nov 13;17(1):715. Epub 2017 Nov 13.
    Department of Community Medicine, University of Nigeria/University of Nigeria Teaching Hospital, Ituku Ozalla Campus, Enugu, Enugu State, Nigeria.
    Background: Women and children constitute a large proportion of any population. They are the most vulnerable to morbidity and mortality especially in developing countries. In many situations the problem of poor maternal and child health stems from the poor use of available services even when they are not of optimum quality. Read More

    An analysis on intersectional collaboration on non-communicable chronic disease prevention and control in China: a cross-sectional survey on main officials of community health service institutions.
    BMC Health Serv Res 2017 Nov 10;17(1):711. Epub 2017 Nov 10.
    Department of Medicine, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, China.
    Background: Our study aimed to design a tool of evaluating intersectional collaboration on Non-communicable Chronic Disease (NCD) prevention and control, and further to understand the current status of intersectional collaboration in community health service institutions of China.

    Methods: We surveyed 444 main officials of community health service institutions in Beijing, Tianjin, Hubei and Ningxia regions of China in 2014 by using a questionnaire. A model of collaboration measurement, including four relational dimensions of governance, shared goals and vision, formalization and internalization, was used to compare the scores of evaluation scale in NCD management procedures across community healthcare institutions and other ones. Read More

    Public-on-private dual practice among physicians in public hospitals of Tigray National Regional State, North Ethiopia: perspectives of physicians, patients and managers.
    BMC Health Serv Res 2017 Nov 10;17(1):713. Epub 2017 Nov 10.
    Yale University School of Public Health, New Haven, CT, USA.
    Background: Physicians who work in the private sector while also holding a salaried job in a public hospital, known as "dual practice," is one of the main retention strategies adopted by the government of Ethiopia. Dual practice was legally endorsed in Tigray National Regional State, Ethiopia in 2010. Therefore, the aim of this study was to explore the extent of dual practice, reasons why physicians engage in it, and its effects on public hospital services in this state in northern Ethiopia. Read More

    Expectations towards participation in easily accessible pain management interventions: a qualitative study.
    BMC Health Serv Res 2017 Nov 10;17(1):712. Epub 2017 Nov 10.
    Department of Public Health and Nursing, Norwegian University of Science and Technology, Postbox 8905, 7491, Trondheim, Norway.
    Background: People with chronic pain use a range of healthcare services, but they also report a high degree of dissatisfaction with treatments. One reason for dissatisfaction might be participants' expectations towards treatments. The aim of this study was to explore expectations of people with chronic pain towards participation in easily accessible pain management interventions delivered in public primary care. Read More

    Cost of illness of atrial fibrillation: a nationwide study of societal impact.
    BMC Health Serv Res 2017 Nov 10;17(1):714. Epub 2017 Nov 10.
    Bayer Sweden, Solna, Sweden.
    Background: The prevalence of atrial fibrillation is increasing rapidly; however, to date, population-based data are lacking on the attributable cost of illness of atrial fibrillation from a societal perspective, including both direct and indirect costs.

    Methods: The study was an incidence-based cost-of-illness study based on national registries covering the entire population of Denmark. We identified all patients with a first-time hospital diagnosis of atrial fibrillation between 2001 and 2012. Read More

    Telephone triage utilization among patients with limited English proficiency.
    BMC Health Serv Res 2017 Nov 9;17(1):706. Epub 2017 Nov 9.
    Division of Primary Care Internal Medicine, Department of Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.
    Background: Communication between patients with limited English proficiency (LEP) and telephone triage services has not been previously explored. The purpose of this study was to determine the utilization characteristics of a primary care triage call center by patients with LEP.

    Methods: This was a retrospective cohort study of the utilization of a computer-aided, nurse-led telephone triage system by English proficiency status of patients empaneled to a large primary care practice network in the Midwest United States. Read More

    "No generics, Doctor!" The perspective of general practitioners in two French regions.
    BMC Health Serv Res 2017 Nov 9;17(1):707. Epub 2017 Nov 9.
    Department of General Practice, University of the French West Indies, Pointe-à-Pitre, France.
    Background: Generic medicines are essential to controlling health expenditures. Their market share is still small in France. The discourse and practices of prescribers may play a major role in their use. Read More

    A longitudinal study looking at and beyond care recipient health as a predictor of long term care home admission.
    BMC Health Serv Res 2017 Nov 9;17(1):709. Epub 2017 Nov 9.
    University of Waterloo, 200 University Avenue West, Waterloo, ON, N2L 3G1, Canada.
    Background: The unpaid care provided by informal caregivers allows care recipients to live longer in their homes, which often results in fewer unnecessary long term care home (LTCH) admissions. Although the relationship between care recipient's health characteristics and institutionalization is well known, the influence of caregiver distress and caregiving coresidence and relationship on this outcome is less clear. This study examines the association of care recipient care needs, caregiver distress and caregiving coresidence and relationship with care recipient long term care home admission. Read More

    Predicting health-related quality of life in cancer patients receiving chemotherapy: a structural equation approach using the self-control model.
    BMC Health Serv Res 2017 Nov 9;17(1):710. Epub 2017 Nov 9.
    College of Nursing, The Catholic University of Korea, 222 Banpo-daero, Seocho-gu, Seoul, 06591, South Korea.
    Background: According to the self-control model, self-control works as a protective factor and a psychological resource. Although an understanding of the effect(s) of peripheral neuropathy on quality of life is important to healthcare professionals, previous studies do not facilitate broad comprehension in this regard. The purpose of this cross-sectional study was to test the multidimensional assumptions of quality of life of patients with cancer, with focus on their self-control. Read More

    The exploration of medical resources utilization among inguinal hernia repair in Taiwan diagnosis-related groups.
    BMC Health Serv Res 2017 Nov 9;17(1):708. Epub 2017 Nov 9.
    Superintendent Office, Tainan Municipal Hospital (Managed by Show Chwan Medical Care Corporation), No. 670, Chungde Rd, East Dist, Tainan City, 70173, Taiwan, Republic of China.
    Background: This study centered on differences in medical costs, using the Taiwan diagnosis-related groups (Tw-DRGs) on medical resource utilization in inguinal hernia repair (IHR) in hospitals with different ownership to provide suitable reference information for hospital administrators.

    Methods: The 2010-2011 data for three hospitals under different ownership were extracted from the Taiwan National Health Insurance claims database. A retrospective method was applied to analyze the age, sex, length of stay, diagnosis and surgical procedure code, and the change in financial risk of medical costs in IHR cases after introduction of Tw-DRGs. Read More

    "Helping my neighbour is like giving a loan…" -the role of social relations in chronic illness in rural Uganda.
    BMC Health Serv Res 2017 Nov 9;17(1):705. Epub 2017 Nov 9.
    Medical Research Council/Uganda Virus Research Institute, Entebbe, Uganda.
    Background: Understanding individuals' experience of accessing care and tending to various other needs during chronic illness in a rural context is important for health systems aiming to increase access to healthcare and protect poor populations from unreasonable financial hardship. This study explored the impact on households of access to free healthcare and how they managed to meet needs during chronic illness.

    Methods: Rich data from the life stories of individuals from 22 households in rural south-western Uganda collected in 2009 were analysed. Read More

    Role of mHealth applications for improving antenatal and postnatal care in low and middle income countries: a systematic review.
    BMC Health Serv Res 2017 Nov 7;17(1):704. Epub 2017 Nov 7.
    Department of Community Health Sciences, The Aga Khan University, Stadium Road, Karachi, 74800, Pakistan.
    Background: From 1990 to 2015, the number of maternal deaths globally has dropped by 43%. Despite this, progress in attaining MDG 5 is not remarkable in LMICs. Only 52% of pregnant women in LMICs obtain WHO recommended minimum of four antenatal consultations and the coverage of postnatal care is relatively poor. Read More

    Variability in market uptake of psychotropic medications in Europe reflects cultural diversity.
    BMC Health Serv Res 2017 Nov 6;17(1):702. Epub 2017 Nov 6.
    NIVEL, Netherlands Institute for Health Services Research, P. O. Box 1568, 3500 BN, Utrecht, the Netherlands.
    Background: In the last 20-30 years, many international studies have found substantial differences in the use of (older) psychotropic medication between European countries. The majority mentioned an important role for attitudes and beliefs towards psychotropic medication. So far, no studies have looked into the effects of cultural diversity on the use of new medications entering the market. Read More

    Correction to: factors affecting residents transition from long term care facilities to the community: a scoping review.
    BMC Health Serv Res 2017 Oct 30;17(1):694. Epub 2017 Oct 30.
    School of Nursing, University of Northern British Columbia, 3333 University Way, Prince George, BC, V2N 4Z9, Canada.

    The impact of patient advisors on healthcare outcomes: a systematic review.
    BMC Health Serv Res 2017 Oct 23;17(1):693. Epub 2017 Oct 23.
    University of California, San Francisco, 2120 University Avenue, Berkeley, CA, 94704, USA.
    Background: Patient advisory councils are a way for healthcare organizations to promote patient engagement. Despite mandates to implement patient advisory councils through programs like the Patient-Centered Medical Home (PCMH), there is a paucity of data measuring the impact of patients functioning in advisory roles. Our objective is to investigate whether patient engagement in patient advisory councils is linked to improvements in clinical quality, patient safety or patient satisfaction. Read More

    Trial and error: evaluating and refining a community model of HIV testing in Australia.
    BMC Health Serv Res 2017 Oct 10;17(1):692. Epub 2017 Oct 10.
    Centre for Population Health, Burnet Institute, Commercial Road, Melbourne, VIC, 3004, Australia.
    Background: The 2012 regulatory approval of HIV rapid point of care (RPOC) tests in Australia and a national strategic focus on HIV testing provided a catalyst for implementation of non-clinical HIV testing service models. PRONTO! opened in 2013 as a two-year trial delivering peer-led community-based HIV RPOC tests targeting gay, bisexual and other men who have sex with men (GBM), with the aim of increasing HIV testing frequency. Initial data suggested this aim was not achieved and, as part of a broader service evaluation, we sought to explore client acceptability and barriers to testing at PRONTO! to refine the service model. Read More

    Understanding collaborative care implementation in the Department of Veterans Affairs: core functions and implementation challenges.
    BMC Health Serv Res 2017 Oct 10;17(1):691. Epub 2017 Oct 10.
    Center for Healthcare Organization and Implementation Research, VA Boston Healthcare System, 150 South Huntington Ave, Jamaica Plain,, Boston, MA, 02130, USA.
    Background: The collaborative care model is an evidence-based practice for treatment of depression in which designated care managers provide clinical services, often by telephone. However, the collaborative care model is infrequently adopted in the Department of Veterans Affairs (VA). Almost all VA medical centers have adopted a co-located or embedded approach to integrating mental health care for primary care patients. Read More

    Erratum to: costs of major intracranial, gastrointestinal and other bleeding events in patients with atrial fibrillation - a nationwide cohort study.
    BMC Health Serv Res 2017 Oct 9;17(1):690. Epub 2017 Oct 9.
    Department of Clinical Epidemiology, Aarhus University Hospital, Olofs Palmes Allé 43-45, DK-8200, Aarhus N, Denmark.

    Factors affecting residents transition from long term care facilities to the community: a scoping review.
    BMC Health Serv Res 2017 Oct 4;17(1):689. Epub 2017 Oct 4.
    School of Nursing, University of Northern British Columbia, 3333 University Way, Prince George, BC, V2N 4Z9, Canada.
    Background: Long-term care facilities (LTCFs) are often places where persons with complex health needs that cannot be met in a community setting, reside and are cared for until death. However, not all persons experience continuous declines in health and functioning. For some residents who experience improvement in personal abilities and increased independence, transition from the LTCF to the community may be an option. Read More

    The quality of medical death certification of cause of death in hospitals in rural Bangladesh: impact of introducing the International Form of Medical Certificate of Cause of Death.
    BMC Health Serv Res 2017 Oct 2;17(1):688. Epub 2017 Oct 2.
    University of Melbourne Laureate Professor, School of Population and Global Health, University of Melbourne, Level 5, Building 379, 207 Bouverie St, Carlton, VIC, 3010, Australia.
    Background: Accurate and timely data on cause of death are critically important for guiding health programs and policies. Deaths certified by doctors are implicitly considered to be reliable and accurate, yet the quality of information provided in the international Medical Certificate of Cause of Death (MCCD) usually varies according to the personnel involved in certification, the diagnostic capacity of the hospital, and the category of hospitals. There are no published studies that have analysed how certifying doctors in Bangladesh adhere to international rules when completing the MCCD or have assessed the quality of clinical record keeping. Read More

    The challenge of complexity in evaluating health policies and programs: the case of women's participatory groups to improve antenatal outcomes.
    BMC Health Serv Res 2017 Sep 29;17(1):687. Epub 2017 Sep 29.
    Health Services Organisation Unit, Department of Public Health, Institute of Tropical Medicine, Antwerp, Belgium.
    Background: During the last years, randomized designs have been promoted as the cornerstone of evidence-based policymaking. Also in the field of community participation, Random Control Trials (RCTs) have been the dominant design, used for instance to examine the contribution of community participation to health improvement. We aim at clarifying why RCTs and related (quasi-) experimental designs may not be the most appropriate approach to evaluate such complex programmes. Read More

    Knowledge translation tools for parents on child health topics: a scoping review.
    BMC Health Serv Res 2017 Sep 29;17(1):686. Epub 2017 Sep 29.
    Department of Pediatrics, University of Alberta, 4-472 Edmonton Clinic Health Academy, 11405 87 Avenue, Edmonton, AB, T6G 1C9, Canada.
    Background: An emerging field of knowledge translation (KT) research has begun to focus on health consumers, particularly in child health. KT tools provide health consumers with research knowledge to inform health decision-making and may foster 'effective consumers'. Thus, the purpose of this scoping review was to describe the state of the field of previously published effectiveness research on child health-related KT tools for parents/caregivers to understand the evidence-base, identify gaps, and guide future research efforts. Read More

    Introducing leprosy post-exposure prophylaxis into the health systems of India, Nepal and Indonesia: a case study.
    BMC Health Serv Res 2017 Sep 29;17(1):684. Epub 2017 Sep 29.
    Department of Public Health, Erasmus MC, University Medical Center Rotterdam, Office Na 2219, Wytemaweg 80, 3015 CN, Rotterdam, The Netherlands.
    Background: Leprosy has a wide range of clinical and socio-economic consequences. India, Indonesia and Nepal contribute significantly to the global leprosy burden. After integration, the health systems are pivotal in leprosy service delivery. Read More

    Evaluating patient experiences in decentralised acute care using the Picker Patient Experience Questionnaire; methodological and clinical findings.
    BMC Health Serv Res 2017 Sep 29;17(1):685. Epub 2017 Sep 29.
    Østfold University College, Østfold Hospital Trust, P.O. Box 700, NO-1757, Halden, Norway.
    Background: Decentralised acute care services have, through the establishment of municipality acute wards (MAWs), been launched in Norway. The aim is to provide treatment for patients who otherwise would need hospitalisation. Currently there is a lack of studies investigating patient experiences in such services. Read More

    Disability, residential environment and social participation: factors influencing daily mobility of persons living in residential care facilities in two regions of France.
    BMC Health Serv Res 2017 Sep 29;17(1):683. Epub 2017 Sep 29.
    INSERM, CNRS, EHESS, Université Paris Descartes, CERMES3, 7 rue Guy Moquet, 94 800, Villejuif, France.
    Background: Despite the context of individualization of public policies and promotion of independent living, residential care facilities (RCFs) (called "établissements medico-sociaux" in France) still represent the main system used by disabled people. Through a study of their daily mobility, this article proposes a geographical approach to the examination of factors influencing the social participation of disabled persons with motor impairments who live in residential care facilities.

    Methods: The data were collected in three stages from several sources. Read More

    Determinants of effective vaccine coverage in low and middle-income countries: a systematic review and interpretive synthesis.
    BMC Health Serv Res 2017 Sep 26;17(1):681. Epub 2017 Sep 26.
    PATH, Seattle, USA.
    Background: Many children in low and middle-income countries remain unvaccinated, and vaccines do not always produce immunity. Extensive research has sought to understand why, but most studies have been limited in breadth and depth. This study documents existing evidence on determinants of vaccination and immunization and presents a conceptual framework of determinants. Read More

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