6,810 results match your criteria BMC Health Services Research[Journal]


Planning, implementation and operation of a personalized patient management system for subjects with first suspect of cancer (OnkoNetwork): system description based on a qualitative study.

BMC Health Serv Res 2019 Feb 21;19(1):131. Epub 2019 Feb 21.

Syreon Research Institute, Budapest, Hungary.

Background: OnkoNetwork is a recently established integrated care model with a personalized pathway system to manage patients with first suspect of a solid tumour in secondary care, that evolved as a regional initiative in Hungary. The primary aim of OnkoNetwork is the improvement of clinical outcomes via timely access to quality assured and defragmented healthcare services. The Horizon 2020 funded SELFIE project has selected OnkoNetwork for in-depth qualitative and quantitative evaluation. Read More

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http://dx.doi.org/10.1186/s12913-019-3957-9DOI Listing
February 2019

Non-participation in initial and repeated health risk appraisals - a drop-out analysis based on a health project.

BMC Health Serv Res 2019 Feb 21;19(1):130. Epub 2019 Feb 21.

Department of Neurobiology, Care Sciences and Society, Division of Physiotherapy, Karolinska Institutet, Huddinge, Sweden.

Background: Health risk assessment (HRAs) are commonly used by occupational health services (OHS) to aid workplaces in keeping their employees healthy, but for unknown reasons, many employees choose not to participate in the HRAs. The aim of the study was to explore whether demographic, lifestyle and health-related factors in employees are associated with non-participation in initial and repeated HRAs.

Methods: In an OHS-based health project, 2022 municipal employees were asked to participate in three repeated HRAs. Read More

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http://dx.doi.org/10.1186/s12913-019-3949-9DOI Listing
February 2019

Free and universal access to primary healthcare in Mongolia: the service availability and readiness assessment.

BMC Health Serv Res 2019 Feb 20;19(1):129. Epub 2019 Feb 20.

Department of Healthcare Administration, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, 466-8550, Japan.

Background: The government of Mongolia mandates free access to primary healthcare (PHC) for its citizens. However, no evidence is available on the physical presence of PHC services within health facilities. Thus, the present study assessed the capacity of health facilities to provide basic services, at minimum standards, using a World Health Organization (WHO) standardized assessment tool. Read More

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http://dx.doi.org/10.1186/s12913-019-3932-5DOI Listing
February 2019

Improved performance of district health systems through implementing health center clinical and administrative standards in the Amhara region of Ethiopia.

BMC Health Serv Res 2019 Feb 19;19(1):127. Epub 2019 Feb 19.

Amhara Regional State Health Bureau, Disease Prevention and Health Promotion Core Process, Bahir Dar, Ethiopia.

Background: Standards represent benchmarks against which improvements can be measured. In 2016, the Federal Ministry of Health developed and endorsed a set of standards entitled the Ethiopian Health Center Reform Implementation Guidelines (EHCRIGs). This study aims to assess the effects of planned interventions on performance and quality of services in primary health care units (PHCUs). Read More

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http://dx.doi.org/10.1186/s12913-019-3939-yDOI Listing
February 2019

Using information and communication technologies to involve patients and the public in health education in rural and remote areas: a scoping review.

BMC Health Serv Res 2019 Feb 19;19(1):128. Epub 2019 Feb 19.

Department of Family and Emergency Medicine, Faculty of Medicine, Laval University Laval, 1050 Avenue de la Médecine, Quebec City, G1V 0A6, Canada.

Background: Patient and public involvement (PPI) in health education is a practice whereby research and education are carried in collaboration 'with' patients and/or citizens, maintaining their role as a team member or expert. PPI in health education is of great interest for all stakeholders in the field, as it can make program development more relevant to the public and increase its utilization by the target population. However, little is known about how PPI should be implemented in different settings particularly in rural and remote areas. Read More

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http://dx.doi.org/10.1186/s12913-019-3906-7DOI Listing
February 2019

Determinants of inappropriate admissions of children to county hospitals: a cross-sectional study from rural China.

BMC Health Serv Res 2019 Feb 18;19(1):126. Epub 2019 Feb 18.

School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, Hubei, China.

Background: The incidence of inappropriate admissions in China has become the shackle of its' service supply system. This research aims to assess the level of children's inappropriate admissions to county hospitals in rural China and identify the characteristics and determinants of children's inappropriate admissions.

Methods: A retrospective review was conducted on data of children aged 0-14 years. Read More

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http://dx.doi.org/10.1186/s12913-019-3944-1DOI Listing
February 2019

Gaming the system to care for patients: a focused ethnography in Norwegian public home care.

BMC Health Serv Res 2019 Feb 14;19(1):121. Epub 2019 Feb 14.

Nord University, Universitetsalleén 11, 8049, Bodø, Norway.

Background: With its emphasis on cost-reduction and external management, New Public Management emerged as the dominant healthcare policy in many Western countries. The ability to provide comprehensive and customized patient-care is challenged by the formalized, task-oriented organization of home-care services. The aim of this study is to gain deeper understanding of how nurses and the patients they care for, relate to and deal with the organizational systems they are subjected to in Norwegian home care. Read More

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http://dx.doi.org/10.1186/s12913-019-3950-3DOI Listing
February 2019

Implementing a best-practice model of gestational diabetes mellitus care in dietetics: a qualitative study.

BMC Health Serv Res 2019 Feb 14;19(1):122. Epub 2019 Feb 14.

Cairns and Hinterland Hospital and Health Service and College of Healthcare Sciences, James Cook University, Cairns, 4870, Australia.

Background: Translating research into clinical practice is challenging for health services. Emerging approaches in implementation science recognise the need for a theory-driven approach to identify and overcome barriers to guideline adherence. However, many clinicians do not have the capacity, confidence, or expertise to realise change in their local settings. Read More

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http://dx.doi.org/10.1186/s12913-019-3947-yDOI Listing
February 2019

Is care really shared? A systematic review of collaborative care (shared care) interventions for adult cancer patients with depression.

BMC Health Serv Res 2019 Feb 14;19(1):120. Epub 2019 Feb 14.

Discipline of Psychiatry, School of Medicine, The University of Queensland, Herston, Qld, Australia.

Background: Collaborative care involves active engagement of primary care and hospital physicians in shared care of patients beyond usual discharge summaries. This enhances community-based care and reduces dependence on specialists and hospitals. The model, successfully implemented in chronic care management, may have utility for treatment of depression in cancer. Read More

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http://dx.doi.org/10.1186/s12913-019-3946-zDOI Listing
February 2019
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Design and methods of the 'monitoring outcomes of psychiatric pharmacotherapy' (MOPHAR) monitoring program - a study protocol.

BMC Health Serv Res 2019 Feb 14;19(1):125. Epub 2019 Feb 14.

Department of Clinical Pharmacy, Wilhelmina Hospital Assen, Assen, The Netherlands.

Background: At many outpatient departments for psychiatry worldwide, standardized monitoring of the safety of prescribed psychotropic drugs is not routinely performed in daily clinical practice. Therefore it is unclear to which extent the drugs used by psychiatric outpatients are prescribed effectively and safely. These issues warrant structured monitoring of medication use, (pre-existing) co-morbidities, effectiveness and side effects during psychiatric outpatient treatment. Read More

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http://dx.doi.org/10.1186/s12913-019-3951-2DOI Listing
February 2019

The prospectively-reported implementation update and score (PRIUS): a new method for capturing implementation-related developments over time.

BMC Health Serv Res 2019 Feb 14;19(1):124. Epub 2019 Feb 14.

VA Precision Monitoring (PRIS-M) QUERI, Richard L. Roudebush VA Medical Center, Indianapolis, Indiana, USA.

Background: Implementation of new programs within healthcare systems can be extraordinarily complex. Individuals within the same healthcare organization often have different perspectives on how implementation of a new program unfolds over time, and it is not always clear in the midst of implementation what issues are most important or how to address them. An implementation support team within the Veterans Health Administration (VHA) sought to develop an efficient method for eliciting an ongoing, detailed and nuanced account of implementation progress from multiple viewpoints that could support and inform active implementation of two new VHA programs. Read More

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http://dx.doi.org/10.1186/s12913-019-3927-2DOI Listing
February 2019

Qualitative assessment of South African healthcare worker perspectives on an instrument-free rapid CD4 test.

BMC Health Serv Res 2019 Feb 14;19(1):123. Epub 2019 Feb 14.

Wits Reproductive Health and HIV Institute (Wits RHI), Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.

Background: Accurate measurement of CD4 cell counts remains an important tenet of clinical care for people living with HIV. We assessed an instrument-free point-of-care CD4 test (VISITECT® CD4) based on a lateral flow principle, which gives visual results after 40 min. The test involves five steps and categorises CD4 counts as above or below 350 cells/μL. Read More

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http://dx.doi.org/10.1186/s12913-019-3948-xDOI Listing
February 2019

Evaluation of a collaborative care approach between general practitioners and clinical pharmacists in primary care community settings in elderly patients on polypharmacy in Slovenia: a cohort retrospective study reveals positive evidence for implementation.

BMC Health Serv Res 2019 Feb 13;19(1):118. Epub 2019 Feb 13.

Faculty of medicine Maribor, University of Maribor, Taborska ulica 8, 2000, Maribor, Slovenia.

Background: The population of developed countries is aging, leading to an increase in the use of medication in daily practice, which can lead to serious treatment costs and irrational polypharmacy. A collaborative care approach, such as providing medication review service provided by a clinical pharmacist (CP), is a possible way to reduce drug-related problems and irrational polypharmacy. The aim of this study was to determinate whether a CP's medication review service can improve the quality of drug prescribing in elderly patients treated with polypharmacy in primary care. Read More

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http://dx.doi.org/10.1186/s12913-019-3942-3DOI Listing
February 2019

Adherence to standard nursing protocols on nasogastric tube feeding in a secondary referral hospital in Ghana: comparing self-ratings by professional and auxiliary nurses.

BMC Health Serv Res 2019 Feb 13;19(1):119. Epub 2019 Feb 13.

Department of Midwifery, School of Nurising and Midwifery, University of Health and Allied Sciences, Ho, Ghana.

Background: Data on nurses' adherence to standard protocol on nasogastric (NG) tube feeding remain scanty in Ghana even though patients in critical medical conditions are routinely managed using this procedure. This study explored self-rated adherence to standard protocols on NG tube feeding among professional and auxiliary nurses and the perceived barriers impeding compliance to these standard protocols.

Methods: This is a descriptive analytical cross-sectional study among professional (n = 89) and auxiliary (n = 24) nurses in a major referral hospital in one of the ten administrative regions in Ghana. Read More

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http://dx.doi.org/10.1186/s12913-019-3931-6DOI Listing
February 2019
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1.659 Impact Factor

Healthcare workers' experiences regarding scaling up of training on integrated disease surveillance and response (IDSR) in Uganda, 2016: cross sectional qualitative study.

BMC Health Serv Res 2019 Feb 13;19(1):117. Epub 2019 Feb 13.

World Health Organization Africa Regional Office, Brazzaville, Congo.

Background: The Integrated Disease Surveillance and Response (IDSR) strategy was adopted as the framework for implementation of International Health Regulation (2005) in the African region of World Health Organisation (WHO AFRO). While earlier studies documented gains in performance of core IDSR functions, Uganda still faces challenges due to infectious diseases. IDSR revitalisation programme aimed to improve prevention, early detection, and prompt response to disease outbreaks. Read More

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http://dx.doi.org/10.1186/s12913-019-3923-6DOI Listing
February 2019

Managing creativity and compliance in the pursuit of patient safety.

BMC Health Serv Res 2019 Feb 12;19(1):116. Epub 2019 Feb 12.

Department of Anesthesiology & Critical Care Medicine, Johns Hopkins University School of Medicine, 750 E. Pratt Street, Baltimore, MD, 21202, USA.

Background: Are creativity and compliance mutually exclusive? In clinical settings, this question is increasingly relevant. Hospitals and clinics seek the creative input of their employees to help solve persistent patient safety issues, such as the prevention of bloodstream infections, while simultaneously striving for greater adherence to evidence-based guidelines and protocols. Extant research provides few answers about how creativity works in such contexts. Read More

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http://dx.doi.org/10.1186/s12913-019-3935-2DOI Listing
February 2019

"My gut feeling is we could do more..." a qualitative study exploring staff and patient perspectives before and after the implementation of an online prostate cancer-specific holistic needs assessment.

BMC Health Serv Res 2019 Feb 12;19(1):115. Epub 2019 Feb 12.

Unit of Academic Primary Care, Division of Health Sciences, Warwick Medical School, University of Warwick, Room A115, First Floor, Coventry, CV4 7AL, UK.

Background: Men surviving prostate cancer report a wide range of unmet needs. Holistic needs assessments (HNA) are designed to capture these, but are traditionally paper-based, generic, and only carried out in secondary care despite national initiatives advocating a "shared care" approach. We developed an online prostate cancer-specific HNA (sHNA) built into existing IT healthcare infrastructure to provide a platform for service integration. Read More

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http://dx.doi.org/10.1186/s12913-019-3941-4DOI Listing
February 2019

Pursuing the objectives of support to providers and external accountability through enabling controls - a study of governance models in Swedish primary care.

BMC Health Serv Res 2019 Feb 11;19(1):114. Epub 2019 Feb 11.

Lund University School of Economics and Management, Lund, Sweden.

Background: The purpose of this study was to contribute to knowledge about what is regarded as an appropriate governance model in welfare markets in healthcare, from the perspective of government. The study draws on a framework about governance in healthcare systems as a continuous process of priority setting, monitoring and accountability. It relates to various dimensions of management controls; a view on management controls as a package with interdependence between different controls, a use of management controls as coercive or enabling, and implications of involving providers in the design of control systems. Read More

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http://dx.doi.org/10.1186/s12913-019-3945-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6371414PMC
February 2019

An empirical tool for estimating the share of unmet need due to healthcare inefficiencies, suboptimal access, and lack of effective technologies.

BMC Health Serv Res 2019 Feb 11;19(1):113. Epub 2019 Feb 11.

Parexel International, 2520 Meridian Parkway, Durham, NC, 27713, USA.

Background: Although there has been growing attention to the measurement of unmet need, which is the overall epidemiological burden of disease, current measures ignore the burden that could be eliminated from technological advances or more effective use of current technologies.

Methods: We developed a conceptual framework and empirical tool that separates unmet need from met need and subcategorizes the causes of unmet need into suboptimal access to and ineffective use of current technologies and lack of current technologies. Statistical models were used to model the relationship between health-related quality of life (HR-QOL) and treatment utilization using data from the National Health and Wellness Survey (NHWS). Read More

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http://dx.doi.org/10.1186/s12913-019-3914-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6371562PMC
February 2019
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Evidence for the effectiveness of anti-hypertensive medicines included on the Chinese National Reimbursement Drug List.

BMC Health Serv Res 2019 Feb 11;19(1):112. Epub 2019 Feb 11.

Key Lab of Health Technology Assessment (Ministry of Health), Collaborative Innovation Center of Social Risks Governance in Health, School of Public Health, Fudan University, 446 Zhaojiabang Road Building 2 Room 1001, Xuhui District, Shanghai, 200032, China.

Background: Evidence-based decision on drug list or formulary has been applied worldwide. Although the importance of scientific evidence was emphasized, the decision-making procedures for including medicines into the national reimbursement drug list were often challenged by their process opacity and relying on subjective expert opinion. This study aimed to explore and assess the evidence for the effectiveness of anti-hypertensive medicines included on the Chinese National Reimbursement Drug List (NRDL), and to provide recommendations for further improvement. Read More

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http://dx.doi.org/10.1186/s12913-019-3937-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6369556PMC
February 2019

Attitudes of mental health providers towards adoption of evidence-based interventions: relationship to workplace, staff roles and social and psychological factors at work.

BMC Health Serv Res 2019 Feb 8;19(1):110. Epub 2019 Feb 8.

Department of Psychology, UiT The Arctic University of Norway, N-9037, Tromsø, Norway.

Background: Gaining insight into factors influencing the adoption of evidence-based interventions (EBI) is essential to ensuring their sustainability in the mental healthcare setting. This article describes 1) differences between professional staff roles in attitudes towards EBI and 2) individual and organizational predictors of attitudes towards adopting EBI.

Methods: The participants were psychologists and psychiatric nurses (N = 792). Read More

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https://bmchealthservres.biomedcentral.com/articles/10.1186/
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http://dx.doi.org/10.1186/s12913-019-3933-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6368721PMC
February 2019
1 Read

Statistical complexity of reasons for encounter in high users of out of hours primary care: analysis of a national service.

BMC Health Serv Res 2019 Feb 8;19(1):108. Epub 2019 Feb 8.

Institute for Applied Health Sciences, University of Aberdeen, Aberdeen, UK.

Background: Managing demand for urgent and unscheduled care is a major problem for health services globally. A particular issue is that some patients appear to make heavy use of services, including primary care out of hours. We hypothesised that greater variation (statistical complexity) in reasons for attending primary care out of hours services may be a useful marker of patients at high risk of ongoing heavy service use. Read More

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http://dx.doi.org/10.1186/s12913-019-3938-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6368808PMC
February 2019

What is the financial incentive to immigrate? An analysis of salary disparities between health workers working in the Caribbean and popular destination countries.

BMC Health Serv Res 2019 Feb 8;19(1):109. Epub 2019 Feb 8.

HEU, Centre for Health Economics, The University of the West Indies, St. Augustine, Trinidad, Jamaica.

Background: The continuous migration of Human Resources for Health (HRH) compromises the quality of health services in the developing supplying countries. The ability to increase earnings potentially serves as a strong motivator for HRH to migrate abroad. This study adds to limited available literature on HRH salaries within the Caribbean region and establishes the wage gap between selected Caribbean and popular destination countries. Read More

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http://dx.doi.org/10.1186/s12913-019-3896-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6368691PMC
February 2019

Concordance between self-report and medical records of preventive healthcare delivery among a sample of disadvantaged patients from four aboriginal community controlled health services.

BMC Health Serv Res 2019 Feb 8;19(1):111. Epub 2019 Feb 8.

NSW Department of Family & Community Services- Business Services, 219-241 Cleveland Street, Redfern, NSW, 2016, Australia.

Background: This cross-sectional study aimed to explore, among a sample of patients attending one of four Aboriginal Health Services (ACCHSs), the degree of concordance between self-report and medical records for whether screening for key healthcare items had ever been undertaken, or had been undertaken within the recommended timeframe.

Methods: Across the four ACCHSs, a convenience sample of 109 patients was recruited. Patients completed a self-report computer survey assessing when they last had preventive care items undertaken at the service. Read More

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http://dx.doi.org/10.1186/s12913-019-3930-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6368754PMC
February 2019

Better cardiac care: health professional's perspectives of the barriers and enablers of health communication and education with patients of Aboriginal and Torres Strait Islander descent.

BMC Health Serv Res 2019 Feb 7;19(1):106. Epub 2019 Feb 7.

School of Medicine, University of Wollongong, Wollongong, NSW, 2522, Australia.

Background: A body of knowledge continues to grow regarding Aboriginal perspectives on current challenges and barriers to health literacy and access to health services. However, less is known from the perspectives of health professionals who work in cardiac care. Given their role in delivering patient education, health practitioners could provide useful insights into potential solutions to improve patient-practitioner communication. Read More

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http://dx.doi.org/10.1186/s12913-019-3917-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6367756PMC
February 2019
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Characteristics and behavioral health needs of patients with patterns of high hospital use: implications for primary care providers.

BMC Health Serv Res 2019 Feb 8;19(1):81. Epub 2019 Feb 8.

Children's Hospital of Philadelphia, 2716 South Street, Philadelphia, PA, 19146, USA.

Background: A small percentage of patients relies extensively on hospital-based care and account for a disproportionately high share of health care spending in the United States. Evidence shows that behavioral health conditions are common among these individuals, but understanding of their behavioral health needs is limited. This study aimed to understand the behavioral health characteristics and needs of patients with high hospital utilization patterns in Camden, New Jersey. Read More

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http://dx.doi.org/10.1186/s12913-019-3894-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6367800PMC
February 2019

Sharing Frailty-related information in perioperative care: an analysis from a temporal perspective.

BMC Health Serv Res 2019 Feb 7;19(1):105. Epub 2019 Feb 7.

Department of Anesthesiology and Operative Intensive Care Medicine, Campus Charité Mitte, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Charitéplatz 1, 10117, Berlin, Germany.

Background: Especially patients older than 65 years undergoing surgery are prone to develop frailty-related complications that may go far beyond the index hospitalization (e.g., cognitive impairment following postoperative delirium). Read More

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http://dx.doi.org/10.1186/s12913-019-3890-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6367783PMC
February 2019

Level of Partograph completion and healthcare workers' perspectives on its use in Mulago National Referral and teaching hospital, Kampala, Uganda.

BMC Health Serv Res 2019 Feb 7;19(1):107. Epub 2019 Feb 7.

Department of Obstetrics and Gynecology, Makerere University College of Health Sciences, Kampala, Uganda.

Background: The appropriate use of the Partograph allows early identification of labour related complications and prevents deaths. We, therefore, sought to determine the level of Partograph completion and healthcare worker perspectives towards its utilization.

Methods: This study had two components; a hospital-based cross-sectional descriptive chart review at the Mulago National Referral Hospital, Kampala, Uganda and a qualitative study involving four Focus Group Discussions (FGDs) with ward nurses, midwives and postgraduate residents. Read More

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http://dx.doi.org/10.1186/s12913-019-3934-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6367740PMC
February 2019

Operative volume and surgical case distribution in Uganda's public sector: a stratified randomized evaluation of nationwide surgical capacity.

BMC Health Serv Res 2019 Feb 6;19(1):104. Epub 2019 Feb 6.

Program in Global Surgery and Social Change, Harvard Medical School, 641 Huntington Avenue, Boston, MA, 02115, USA.

Background: Little is known about operative volume, distribution of cases, or capacity of the public sector to deliver essential surgical services in Uganda.

Methods: A standardized mixed-methods surgical assessment and retrospective operative logbook review were completed at 16 randomly selected public hospitals serving 64·0% of Uganda's population.

Results: A total of 3014 operations were recorded, annualizing to a surgical volume of 36,670 cases/year or 144·5 operations/100,000people/year. Read More

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http://dx.doi.org/10.1186/s12913-019-3920-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6366061PMC
February 2019

Renouncing care in French Guiana: the national health barometer survey.

BMC Health Serv Res 2019 Feb 6;19(1):99. Epub 2019 Feb 6.

Centre Hospitalier de Cayenne - Centre d'Investigation Clinique INSERM, CIE1424, 3 avenue des Flamboyants, BP6006, 97306, Cayenne, CEDEX Guyane, France.

Background: In French Guiana, health inequalities are patent for a broad range of pathologies for all age groups. The objective of the present study was to quantify the proportion of the population that had renounced care in the past year, to study predictive factors, and to compare results with other French territories.

Methods: A two-stage random sample of 2015 individuals aged 15 to 75 years was surveyed by telephone. Read More

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https://bmchealthservres.biomedcentral.com/articles/10.1186/
Publisher Site
http://dx.doi.org/10.1186/s12913-019-3895-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6366016PMC
February 2019
5 Reads

Implementing a digital communication assistance tool to collect the medical history of refugee patients: DICTUM Friedland - an action-oriented mixed methods study protocol.

BMC Health Serv Res 2019 Feb 6;19(1):103. Epub 2019 Feb 6.

Department of General Practice, University Medical Centre Göttingen/Georg-August-University, Humboldtallee 38, 37073, Göttingen, Germany.

Background: Language barriers play a decisive role in determining the outcomes of medical consultations between healthcare providers and their foreign patients. This issue is a significant challenge to the German healthcare system, especially with the rising number of refugees in recent years. The communication gap between healthcare professionals and their non-German speaking patients sometimes leads to unnecessary medical re-admission, insufficient medical history, incorrect diagnosis, and treatment plans. Read More

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http://dx.doi.org/10.1186/s12913-019-3928-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6366114PMC
February 2019

"Struggling with practices" - a qualitative study of factors influencing the implementation of clinical quality registries for cardiac rehabilitation in England and Denmark.

BMC Health Serv Res 2019 Feb 6;19(1):102. Epub 2019 Feb 6.

Department of Anaestesiology, Holbaek University Hospital, Smedelundsgade 60, 4300, Holbaek, Region Zealand, Denmark.

Background: The use of clinical quality registries as means for data driven improvement in healthcare seem promising. However, their use has been shown to be challenged by a number of aspects, and we suggest some may be related to poor implementation. There is a paucity of literature regarding barriers and facilitators for registry implementation, in particular aspects related to data collection and entry. Read More

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http://dx.doi.org/10.1186/s12913-019-3940-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6366013PMC
February 2019
2 Reads

Factors affecting general practitioners' decisions to adopt new prescription drugs - cohort analyses using Australian longitudinal physician survey data.

BMC Health Serv Res 2019 Feb 7;19(1):94. Epub 2019 Feb 7.

Melbourne Institute: Applied Economic and Social Research, Faculty of Business and Economics, The University of Melbourne, 5th floor, FBE Building 111 Barry St, Carlton, VIC, 3010, Australia.

Background: We investigate factors affecting Australian general practitioners' decisions to adopt novel oral anticoagulants (NOACs) for the prevention of stroke/systemic embolism among patients with atrial fibrillation. Australia has a national homogeneous review and coverage system, which enables us to distinguish physician level factors while maintaining system level factors and patient coverage information constant.

Methods: We conduct a cohort analyses by using longitudinal physician survey data from the Medicine in Australia: Balancing Employment and Life panel survey of Australian physicians (MABEL). Read More

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http://dx.doi.org/10.1186/s12913-019-3889-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6366109PMC
February 2019
3 Reads

Experiences and responses of second victims of patient safety incidents in Korea: a qualitative study.

BMC Health Serv Res 2019 Feb 6;19(1):100. Epub 2019 Feb 6.

Department of Preventive Medicine, Ulsan University Hospital, University of Ulsan College of Medicine, 877, Bangeojinsunhwando-ro, Dong-gu, Ulsan, 44055, Republic of Korea.

Background: Healthcare professionals who experience trauma due to patient safety incidents can be considered second victims, and they also suffer from various difficulties. In order to support second victims, it is necessary to determine the circumstances of the incidents in question, along with the symptoms that the victims are experiencing and the support they require. A qualitative study on healthcare professionals of various occupations, such as physicians and nurses working in Korea, was conducted, and the experiences and response methods and processes of second victims were examined. Read More

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http://dx.doi.org/10.1186/s12913-019-3936-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6366082PMC
February 2019
1 Read

An evaluation of oncofertility decision support resources among breast cancer patients and health care providers.

BMC Health Serv Res 2019 Feb 6;19(1):101. Epub 2019 Feb 6.

Department of Surgery, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Canada.

Background: Cancer patients of reproductive age are at risk of infertility as a result of their treatment. Oncofertility decision support resources can assist patients with fertility decision-making before treatment yet available oncofertility resources contain varying levels of detail and different fertility options. The key information/sections needed in oncofertility resources remain unclear. Read More

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https://bmchealthservres.biomedcentral.com/articles/10.1186/
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http://dx.doi.org/10.1186/s12913-019-3901-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6366104PMC
February 2019
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An organisational participatory research study of the feasibility of the behaviour change wheel to support clinical teams implementing new models of care.

BMC Health Serv Res 2019 Feb 4;19(1):97. Epub 2019 Feb 4.

Division of Medical Education, University of Manchester, Oxford Road, Manchester, M139PT, UK.

Background: Health and social care organisations globally are moving towards prevention-focussed community-based, integrated care. The success of this depends on professionals changing practice behaviours. This study explored the feasibility of applying a behavioural science approach to help staff teams from health organisations overcome psychological barriers to change and implement new models of care. Read More

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http://dx.doi.org/10.1186/s12913-019-3885-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6360652PMC
February 2019
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Factors associated with patient information sharing among home-visiting nurses in Japan: a cross-sectional study.

BMC Health Serv Res 2019 Feb 4;19(1):96. Epub 2019 Feb 4.

Department of Nursing, Graduate School of Medicine, Nagoya University, Institutional address: 1-1-20, Daiko-minami, Higashi-ku, Nagoya, Aichi, 461-8673, Japan.

Background: Home-visiting nurses are expected to enhance their ability to provide adequate nursing care in a relatively isolated work environment. However, the isolated work environment leads to less opportunity to share patient information. We investigated factors relevant to better patient information sharing among home-visiting nurses, which would contribute to the improved care performance of these nurses. Read More

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http://dx.doi.org/10.1186/s12913-019-3924-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6360686PMC
February 2019

Lean Enterprise Transformation in VA: a national evaluation framework and study protocol.

BMC Health Serv Res 2019 Feb 4;19(1):98. Epub 2019 Feb 4.

Center for Healthcare Organization and Implementation Research, VA Boston Health Care System, 150 S Huntington Ave, Boston, MA, 02130, USA.

Background: The goal of Lean Enterprise Transformation (LET) is to go beyond simply using Lean tools and instead embed Lean principles and practices in the system so that it becomes a fundamental, collective mindset of the entire enterprise. The Veterans Engineering Resource Center (VERC) launched the Veterans Affairs (VA) LET pilot program to improve quality, safety, and the Veteran's experience. A national evaluation will examine the pilot program sites' implementation processes, outcomes and impacts, and abilities to improve LET adoption and sustainment. Read More

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https://bmchealthservres.biomedcentral.com/articles/10.1186/
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http://dx.doi.org/10.1186/s12913-019-3919-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6360753PMC
February 2019
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Differentiated service delivery: a qualitative study of people living with HIV and accessing care in a tertiary facility in Ghana.

BMC Health Serv Res 2019 Feb 4;19(1):95. Epub 2019 Feb 4.

Medical Directorate, University of Professional Studies, Accra, Ghana.

Background: In 2014, the Joint United Nations Program on HIV/AIDS (UNAIDS) set out a treatment target with the objective to help end the AIDS epidemic by 2030. This was supported by the UNAIDS '90-90-90' target that by 2020, 90% of all people living with HIV (PLHIV) will know their HIV status; 90% of all those diagnosed with HIV will be on sustained antiretroviral therapy; and 90% of all people receiving antiretroviral therapy will have viral suppression. The concept of offering differentiated care services using community-based models is evidence-based and is suggested as a means to bring this target into reality. Read More

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http://dx.doi.org/10.1186/s12913-019-3878-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6360720PMC
February 2019
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Point-of-care testing (POCT) for HIV/STI targeting MSM in regional Australia at community 'beat' locations.

BMC Health Serv Res 2019 Feb 2;19(1):93. Epub 2019 Feb 2.

School of Commerce, Institute for Resilient Regions, University of Southern Queensland, Main St, Toowoomba, QLD, 4350, Australia.

Background: Innovative health promotion strategies are needed to improve access to HIV testing among regional people in Australia, particularly for men who have sex with men (MSM). This project aimed to establish proof of concept for point-of-care-testing (POCT) via a mobile van clinic at community 'beat' locations. Surveys evaluated client satisfaction, characteristics and testing preferences among 'early adopters'. Read More

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http://dx.doi.org/10.1186/s12913-019-3899-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6359847PMC
February 2019
2 Reads

Impact of gaps in care for malnourished patients on length of stay and hospital readmission.

BMC Health Serv Res 2019 Feb 1;19(1):87. Epub 2019 Feb 1.

Division of General Internal Medicine, Weill Cornell Medical College, 525 East 68th street, Box 331, New York, NY, 10065, USA.

Background: Few published articles have focused on identifying the gaps in care that follow a malnutrition diagnosis and their effects on length of stay (LOS) and 90-day readmission. We hypothesized that length of stay and readmission were associated with these gaps in care.

Methods: Two registered dietitians retrospectively reviewed charts of 229 adult malnourished patients admitted to a medicine unit to determine their system level gap in care: communication, test delay, or discharge planning. Read More

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http://dx.doi.org/10.1186/s12913-019-3918-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6359768PMC
February 2019

WhatsApp: a supplementary tool for improving bed nets universal coverage campaign in Mozambique.

BMC Health Serv Res 2019 Feb 1;19(1):86. Epub 2019 Feb 1.

Global Health and Tropical Medicine, GHTM, Instituto de Higiene e Medicina Tropical, IHMT, Universidade Nova de Lisboa, UNL, Rua da Junqueira 100, 1349-008, Lisbon, Portugal.

Background: WhatsApp (WA) is the most recent and attractive applicative among Smartphone users. The use of WA in healthcare environment has been shown of multiple benefices. Mozambique team involved in 2017 bed nets universal coverage campaign (UCC) implemented a distant mentoring strategy using WA. Read More

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http://dx.doi.org/10.1186/s12913-019-3929-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6359840PMC
February 2019

Medical nutrition therapy in Canadian federal correctional facilities.

BMC Health Serv Res 2019 Feb 1;19(1):89. Epub 2019 Feb 1.

School of Nursing, University of British Columbia, Vancouver, BC, Canada.

Background: Under- and over nutrition as well as nutrition risk factors such as communicable and non-communicable diseases are a common and major cause of morbidity and mortality in correctional facilities. Consequently, medical nutrition therapy (MNT), a spectrum of nutrition services aimed at optimizing individual well-being, is being recognized as integral to the health of people who experience incarceration. However, there is a paucity of research that explores the delivery of MNT in correctional facilities. Read More

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http://dx.doi.org/10.1186/s12913-019-3926-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6359784PMC
February 2019

China's new policy for healthcare cost-control based on global budget: a survey of 110 clinicians in hospitals.

BMC Health Serv Res 2019 Feb 1;19(1):84. Epub 2019 Feb 1.

School of International Pharmaceutical Business, China Pharmaceutical University, Nanjing, Jiangsu, People's Republic of China.

Background: The increasing cost on healthcare exposes China's healthcare budgets and system to financial crisis. To control the excessive growth of healthcare expenditure, China's healthcare reforms emphasize the control of the global budget for healthcare, which leads to the release of relevant policy and a series of cost-control actions implemented by different hospitals. This work aims to identify the effects brought by the cost-control policy and actions via surveying and analysing feedback from clinicians. Read More

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http://dx.doi.org/10.1186/s12913-019-3921-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6357408PMC
February 2019

The contribution of legal medicine in clinical risk management.

BMC Health Serv Res 2019 Feb 1;19(1):85. Epub 2019 Feb 1.

Department of Molecular Medicine, Legal Medicine, University of Padua, Padua, Italy.

Background: In advanced health services, a main objective is to promote the culture of safety and clinical risk management. In this regard, the reporting of sentinel events fits within a perspective of error analysis, attempting to propose solutions aimed at preventing a new occurrence of the harmful event. The purpose of this study is to analyze the contribution of medico-legal litigation in the management of clinical risk and to propose an organizational model so as to coordinate the intervention of clinical risk management and medico-legal services. Read More

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http://dx.doi.org/10.1186/s12913-018-3846-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6359867PMC
February 2019

Experiences with interferon-free hepatitis C therapies: addressing barriers to adherence and optimizing treatment outcomes.

BMC Health Serv Res 2019 Feb 1;19(1):91. Epub 2019 Feb 1.

Center for Healthcare Organization and Implementation Research (CHOIR), Edith Nourse Rogers VA Medical Center, 200 Springs Road (152), Bedford, MA, 01730, USA.

Background: Millions of Americans are living with hepatitis C, the leading cause of liver disease in the United States. Medication treatment can cure hepatitis C. We sought to understand factors that contribute to hepatitis C treatment completion from the perspectives of patients and providers. Read More

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http://dx.doi.org/10.1186/s12913-019-3904-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6359844PMC
February 2019

Are they there yet? Linkage of patients with tuberculosis to services for tobacco cessation and alcohol abuse - a mixed methods study from Karnataka, India.

BMC Health Serv Res 2019 Feb 1;19(1):90. Epub 2019 Feb 1.

Médecins Sans Frontières, Operational Research Unit, Luxembourg City, Luxembourg.

Background: Tobacco use and alcohol abuse are associated with higher risk of tuberculosis (TB) infection, progression to active TB and adverse treatment outcomes among patients with TB. Revised National Tuberculosis Control Programme (RNTCP) treatment guidelines (2016) require the documentation of tobacco and alcohol use among patients with TB and their linkage to tobacco and alcohol abuse treatment services. This study aimed to assess the extent of documentation of tobacco and alcohol usage data in the TB treatment card and to explore in-depth, the operational issues involved in linkage. Read More

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http://dx.doi.org/10.1186/s12913-019-3913-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6359801PMC
February 2019
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Sustainable care coordination: a qualitative study of primary care provider, administrator, and insurer perspectives.

BMC Health Serv Res 2019 Feb 1;19(1):92. Epub 2019 Feb 1.

Mayo Clinic, 200 1st St SW, Rochester, MN, 55905, USA.

Background: Care coordination has been a common tool for practices seeking to manage complex patients, yet there remains confusion about the most effective and sustainable model. Research exists on opinions of providers of care coordination but there is limited information on perspectives of those in the insurance industry about key elements. We sought to gather opinions from primary care providers and administrators in Minnesota who were involved in a CMS (Center for Medicare and Medicaid Services) transformational grant implementing COMPASS (Care Of Mental, Physical And Substance-use Syndromes), an evidence-based model of care coordination for depressed patients comorbid with diabetes and/or cardiovascular disease. Read More

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http://dx.doi.org/10.1186/s12913-019-3916-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6359857PMC
February 2019

Influences on the access to and use of formal community care by people with dementia and their informal caregivers: a scoping review.

BMC Health Serv Res 2019 Feb 1;19(1):88. Epub 2019 Feb 1.

Institute of Health and Nursing Sciences, Martin Luther University Halle-Wittenberg, Halle (Saale), Germany.

Background: The literature describes the obstacles to sufficient care faced by people with dementia and their informal caregivers. Although factors influencing access and utilisation are frequently studied, the body of knowledge lacks an overview of aspects related to influence. The frequently used Behavioural Model of Health Care Use (BM) could be used to structure and explain these aspects. Read More

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http://dx.doi.org/10.1186/s12913-018-3825-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6359781PMC
February 2019

Mixed-methods evaluation of mental healthcare integration into tuberculosis and maternal-child healthcare services of four South African districts.

BMC Health Serv Res 2019 Jan 31;19(1):83. Epub 2019 Jan 31.

Foundation for Professional Development, 173 Mary Rd, Die Wilgers, Pretoria, 0184, South Africa.

Background: The South African National Mental Health Policy Framework and Strategic Plan 2013-2020 was adopted to address the country's substantial burden and inadequate treatment of mental illness. It outlines measures toward the goal of full integration of mental health services into primary care by 2020. To evaluate progress and challenges in implementation, we conducted a mixed-methods assessment of mental health service provision in tuberculosis and maternal-child healthcare services of four districts in South Africa. Read More

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http://dx.doi.org/10.1186/s12913-019-3912-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6357439PMC
January 2019
1 Read