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    1 OF 110

    Impact of basic life-support training on the attitudes of health-care workers toward cardiopulmonary resuscitation and defibrillation.
    BMC Health Serv Res 2017 Sep 22;17(1):674. Epub 2017 Sep 22.
    Postgraduate Education & Academic Affairs, KSAU-HS, Riyadh, Saudi Arabia.
    Background: Cardiopulmonary resuscitation (CPR) increases the probability of survival of a person with cardiac arrest. Repeating training helps staff retain knowledge in CPR and in use of automated external defibrillators (AEDs). Retention of knowledge and skills during and after training in CPR is difficult and requires systematic training with appropriate methodology. Read More

    Allocation of home care services by municipalities in Norway: a document analysis.
    BMC Health Serv Res 2017 Sep 22;17(1):673. Epub 2017 Sep 22.
    Faculty of Nursing and Health Sciences, Nord University, 8049, Bodø, Norway.
    Background: In Norway, elder care is primarily a municipal responsibility. Municipal health services strive to offer the 'lowest level of effective care,' and home healthcare services are defined as the lowest level of care in Norway. Municipalities determine the type(s) of service and the amount of care applicants require. Read More

    Progress and outcomes of health systems reform in the United Arab Emirates: a systematic review.
    BMC Health Serv Res 2017 Sep 20;17(1):672. Epub 2017 Sep 20.
    Institute of Public Health, College of Medicine and Health Sciences, United Arab Emirates University, PO Box 17666, Al Ain, United Arab Emirates.
    Background: The United Arab Emirates (UAE) government aspires to build a world class health system to improve the quality of healthcare and the health outcomes for its population. To achieve this it has implemented extensive health system reforms in the past 10 years. The nature, extent and success of these reforms has not recently been comprehensively reviewed. Read More

    Implementing non-invasive prenatal testing for aneuploidy in a national healthcare system: global challenges and national solutions.
    BMC Health Serv Res 2017 Sep 19;17(1):670. Epub 2017 Sep 19.
    Department of Clinical Genetics, Section of Community Genetics, Amsterdam Public Health research institute, VU University Medical Center, P.O. Box 7057, 1007, MB, Amsterdam, The Netherlands.
    Background: Since the introduction of non-invasive prenatal testing (NIPT) in 2011, mainly by commercial companies, a growing demand for NIPT from the public and healthcare professionals has been putting pressure on the healthcare systems of various countries. This study identifies the challenges of establishing a responsible implementation of NIPT for aneuploidy in prenatal healthcare, by looking at the Netherlands.

    Methods: A mixed methods approach involving 13 stakeholder interviews, document analysis and (participatory) observations of the Dutch NIPT Consortium meetings were used. Read More

    Unit cost of healthcare services at 200-bed public hospitals in Myanmar: what plays an important role of hospital budgeting?
    BMC Health Serv Res 2017 Sep 19;17(1):669. Epub 2017 Sep 19.
    Department of Healthcare Administration, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, 466-8550, Japan.
    Background: Cost information is important for efficient allocation of healthcare expenditure, estimating future budget allocation, and setting user fees to start new financing systems. Myanmar is in political transition, and trying to achieve universal health coverage by 2030. This study assessed the unit cost of healthcare services at two public hospitals in the country from the provider perspective. Read More

    Trends in the use and costs of round-the-clock long-term care in the last two years of life among old people between 2002 and 2013 in Finland.
    BMC Health Serv Res 2017 Sep 19;17(1):668. Epub 2017 Sep 19.
    Faculty of Social Sciences (health sciences) and Gerontology Research Center (GEREC), University of Tampere, 33014, Tampere, Finland.
    Background: The structure of long-term care (LTC) for old people has changed: care has been shifted from institutions to the community, and death is being postponed to increasingly old age. The aim of the study was to analyze how the use and costs of LTC in the last two years of life among old people changed between 2002 and 2013.

    Methods: Data were derived from national registers. Read More

    Agency responses to a system-driven implementation of multiple evidence-based practices in children's mental health services.
    BMC Health Serv Res 2017 Sep 19;17(1):671. Epub 2017 Sep 19.
    Department of Psychiatry, University of California, San Diego, La Jolla, CA, 92093, USA.
    Background: Large mental health systems are increasingly using fiscal policies to encourage the implementation of multiple evidence-based practices (EBPs). Although many implementation strategies have been identified, little is known about the types and impacts of strategies that are used by organizations within implementation as usual. This study examined organizational-level responses to a fiscally-driven, rapid, and large scale EBP implementation in children's mental health within the Los Angeles County Department of Mental Health. Read More

    Development of an Arabic inpatient satisfaction survey: application in acute medical rehabilitation setting in Saudi Arabia.
    BMC Health Serv Res 2017 Sep 18;17(1):664. Epub 2017 Sep 18.
    Rehabilitation Hospital, King Fahad Medical City, P.O. Box 59046, Riyadh, 11525, Kingdom of Saudi Arabia.
    Background: In the management of chronic disease, evidence suggests that satisfied patients exhibit more loyalty to treatment providers and greater adherence to treatment regimens. This is particularly so in the rehabilitation setting. We aimed to develop a reliable and valid Arabic-language survey to objectively measure inpatient satisfaction in medical rehabilitation settings in Saudi Arabia. Read More

    Impact of nursing home admission on health care use and disease status elderly dependent people one year before and one year after skilled nursing home admission based on 2012-2013 SNIIRAM data.
    BMC Health Serv Res 2017 Sep 18;17(1):667. Epub 2017 Sep 18.
    Caisse Nationale d'Assurance Maladie fund (CNAM-TS), Direction de la Stratégie des Études et des Statistiques, 26-50, avenue du Professeur André Lemierre, F-75986, Paris Cedex 20, France.
    Background: The aim of this study was to compare disease status and health care use 1 year before and 1 year after skilled nursing home (SNH) admission.

    Methods: People over the age of 65 years admitted to SNH during the first quarter of 2013, covered by the national health insurance general scheme (69% of the population of this age), and still alive 1 year after admission were identified (n = 14,487, mean age: 86 years, women: 76%). Their reimbursed health care was extracted from the Système National d'Information Interrégimes de l'Assurance Maladie (SNIIRAM) [National Health Insurance Information System]. Read More

    Moderate sensitivity and high specificity of emergency department administrative data for transient ischemic attacks.
    BMC Health Serv Res 2017 Sep 18;17(1):666. Epub 2017 Sep 18.
    Department of Clinical Neurosciences, Radiology, Community Health Sciences, Hotchkiss Brain Institute, Cumming School of Medicine, University of Calgary, C1242A, Foothills Medical Centre, 1403 29th St NW, Calgary, AB, T2N 2T9, Canada.
    Background: Validation of administrative data case definitions is key for accurate passive surveillance of disease. Transient ischemic attack (TIA) is a condition primarily managed in the emergency department. However, prior validation studies have focused on data after inpatient hospitalization. Read More

    Cost benefit of investment on quality in pharmaceutical manufacturing: WHO GMP pre- and post-certification of a Nigerian pharmaceutical manufacturer.
    BMC Health Serv Res 2017 Sep 18;17(1):665. Epub 2017 Sep 18.
    Promoting the Quality of Medicines Program, U.S. Pharmacopeial Convention, Rockville, MD, USA.
    Background: Pharmaceutical companies in Africa need to invest in both facilities and quality management systems to achieve good manufacturing practice (GMP) compliance. Compliance to international GMP standards is important to the attainment of World Health Organization (WHO) prequalification. However, most of the local pharmaceutical manufacturing companies may be deterred from investing in quality because of many reasons, ranging from financial constraints to technical capacity. Read More

    Towards the development of a wellbeing model for aboriginal and Torres Strait islander peoples living with chronic disease.
    BMC Health Serv Res 2017 Sep 15;17(1):659. Epub 2017 Sep 15.
    Wuchopperen Health Service, 22C Evans St, Atherton, QLD, 4883, Australia.
    Background: Re-defining the way in which care is delivered, to reflect Aboriginal and Torres Strait Islander peoples' needs and values, is essential for improving the accessibility of primary healthcare. This study focused on developing a Framework to support the quality of care and quality of life of, as well as treatment for, Aboriginal and Torres Strait Islander peoples living with chronic disease.

    Methods: A team of researchers, including thirteen experienced Aboriginal healthcare professionals, came together to undertake this important work. Read More

    Professional groups driving change toward patient-centred care: interprofessional working in stroke rehabilitation in Denmark.
    BMC Health Serv Res 2017 Sep 16;17(1):662. Epub 2017 Sep 16.
    Institute for Economics, Labour and Culture (IWAK), Goethe-University Frankfurt, Frankfurt, Germany.
    Background: Patient-centred care based on needs has been gaining momentum in health policy and the workforce. This creates new demand for interprofessional teams and redefining roles and tasks of professionals, yet little is known on how to implement new health policies more effectively. Our aim was to analyse the role and capacity of health professions in driving organisational change in interprofessional working and patient-centred care. Read More

    Cultural adaptation of a pediatric functional assessment for rehabilitation outcomes research.
    BMC Health Serv Res 2017 Sep 15;17(1):658. Epub 2017 Sep 15.
    Department of Occupational Therapy, University of Illinois at Chicago, 1919 West Taylor Street, Room 316A, Chicago, IL, 60612-7250, USA.
    Background: Significant racial and ethnic health care disparities experienced by Hispanic children with special health care needs (CSHCN) create barriers to enacting culturally competent rehabilitation services. One way to minimize the impact of disparities in rehabilitation is to equip practitioners with culturally relevant functional assessments to accurately determine service needs. Current approaches to culturally adapting assessments have three major limitations: use of inconsistent translation processes; current processes assess for some, but not all, elements of cultural equivalence; and limited evidence to guide decision making about whether to undertake cultural adaptation with and without language translation. Read More

    Mediation effects of medication information processing and adherence on association between health literacy and quality of life.
    BMC Health Serv Res 2017 Sep 16;17(1):661. Epub 2017 Sep 16.
    College of Pharmacy, Chung-Ang University, 84 Heukseok-ro, Dongjak-gu, Seoul, 06974, South Korea.
    Background: To examine whether medication related information processing defined as reading of over-the-counter drug labels, understanding prescription instructions, and information seeking-and medication adherence account for the association between health literacy and quality of life, and whether these associations may be moderated by age and gender.

    Methods: A sample of 305 adults in South Korea was recruited through a proportional quota sampling to take part in a cross-sectional survey on health literacy, medication-related information processing, medication adherence, and quality of life. Descriptive statistics and structural equation modeling (SEM) were performed. Read More

    The relationship between burden of childhood disease and foreign aid for child health.
    BMC Health Serv Res 2017 Sep 15;17(1):655. Epub 2017 Sep 15.
    Center for Health Policy and the Center for Primary Care and Outcomes Research, Stanford University, Stanford, CA, USA.
    Background: We sought to examine the relationship between child specific health aid (CHA) and burden of disease. Based on existing evidence, we hypothesized that foreign aid for child health would not be proportional to burden of disease.

    Methods: In order to examine CHA and burden of disease, we obtained estimates of these parameters from established sources. Read More

    The economic burden of advanced gastric cancer in Taiwan.
    BMC Health Serv Res 2017 Sep 16;17(1):663. Epub 2017 Sep 16.
    Linkou Chang Gung Memorial Hospital and Chang Gung University, Tao-Yuan, Taiwan.
    Background: Gastric cancer is one of the leading causes of cancer-related deaths in both sexes worldwide, especially in Eastern Asia. This study aimed to estimate the economic burden of advanced gastric cancer (AGC) in Taiwan.

    Methods: The costs of AGC in 2013 were estimated using resource use data from a chart review study (n = 122 with AGC) and national statistics. Read More

    Strategies for the quality assessment of the health care service providers in the treatment of Gastric Cancer in Colombia.
    BMC Health Serv Res 2017 Sep 15;17(1):654. Epub 2017 Sep 15.
    Department of Industrial Engineering, University of Los Andes, Cr 1E No. 19A-10, Bogotá, Colombia.
    Background: While, at its inception in 1993, the health care system in Colombia was publicized as a paradigm to be copied across the developing world, numerous problems in its implementation have led to, what is now, an inefficient and crisis-ridden health system. Furthermore, as a result of inappropriate tools to measure the quality of the health service providers, several corruption scandals have arisen in the country. This study attempts to tackle this situation by proposing a strategy for the quality assessment of the health service providers (Entidades Promotoras de Salud, EPS) in the Colombian health system. Read More

    Does one workshop on respecting cultural differences increase health professionals' confidence to improve the care of Australian Aboriginal patients with cancer? An evaluation.
    BMC Health Serv Res 2017 Sep 15;17(1):660. Epub 2017 Sep 15.
    Centre for Aboriginal Studies, Curtin University, Kent Street, Bentley, Perth, 6102, Western Australia, Australia.
    Background: Aboriginal Australians have worse cancer survival rates than other Australians. Reasons include fear of a cancer diagnosis, reluctance to attend mainstream health services and discrimination from health professionals. Offering health professionals education in care focusing on Aboriginal patients' needs is important. Read More

    "Maybe we should talk about it anyway": a qualitative study of understanding expectations and use of an established technology innovation in caring practices.
    BMC Health Serv Res 2017 Sep 15;17(1):657. Epub 2017 Sep 15.
    NTNU Norwegian University of Science and Technology, Centre for Care Research, P.O. Box 191, 2802, Gjøvik, Norway.
    Background: Technological innovations are strongly promoted to meet the demands posed by increased pressure on home care services and to assist ageing in place in western societies. Although heavily advocated as plug and play solutions, technologies have proven difficult and unpredictable when integrated into home care services. We need greater insight into what happens when technologies are integrated into caring practices. Read More

    Fall prevention: is the STRATIFY tool the right instrument in Italian Hospital inpatient? A retrospective observational study.
    BMC Health Serv Res 2017 Sep 15;17(1):656. Epub 2017 Sep 15.
    Department of Biomedical Sciences for Health, University of Milan, Via Pascal, 36, 20133, Milan, Italy.
    Background: Although several risk assessment tools are in use, uncertainties on their accuracy in detecting fall risk already exist. Choosing the most accurate tool for hospital inpatient is still a challenge for the organizations. We aimed to retrospectively assess the appropriateness of a fall risk prevention program with the STRATIFY assessment tool in detecting acute-care inpatient fall risk. Read More

    Supporting research readiness in social enterprise health services.
    BMC Health Serv Res 2017 Sep 13;17(1):653. Epub 2017 Sep 13.
    Spectrum Community Health CIC, Wakefield, UK.
    Health-based social enterprises are spun out of the NHS, yet continue to provide NHS-funded services. With the spin-out, however, formal processes for research governance were lost. Patients have a right to take part in research, regardless of where they access healthcare. Read More

    Costs associated with adverse events among acute patients.
    BMC Health Serv Res 2017 Sep 13;17(1):651. Epub 2017 Sep 13.
    Department of Occupational Medicine, University Research Clinic, Herning Regional Hospital, Herning, Denmark.
    Background: The aim of this study was to analyse the additional treatment costs of acute patients admitted to a Danish hospital who suffered an adverse event (AE) during in-hospital treatment.

    Methods: A matched case-control design was utilised. Using a combination of trigger words and patient record reviews 91 patients exposed to AEs were identified. Read More

    Experiences with out-patient hospital service utilisation among older persons in the Asante Akyem North District- Ghana.
    BMC Health Serv Res 2017 Sep 13;17(1):652. Epub 2017 Sep 13.
    Department of Nursing, Faculty of Health and Medical Sciences, Presbyterian University College, P.O. BOX 42, Agogo, Ghana.
    Background: Though ageing is not a disease, it has been associated with the occurrence of conditions which require health service utilisation. Ghana's population is characterised by a steady growth in the number of older adults and previous studies have noted limited levels regarding utilisation by older persons.

    Methods: Thus, this study utilised a qualitative approach to explore older persons' experiences regarding out-patient hospital service utilisation in the Asante Akyem North District of Ghana. Read More

    Uptake of health services among truck drivers in South Africa: analysis of routine data from nine roadside wellness centres.
    BMC Health Serv Res 2017 Sep 13;17(1):649. Epub 2017 Sep 13.
    Department of Global Health and Amsterdam Institute for Global Health and Development, Academic Medical Centre, University of Amsterdam, Amsterdam, The Netherlands.
    Background: Long-distance truck drivers are occupationally susceptible to poor health outcomes. Their patterns of healthcare utilisation and the suitability of healthcare services available to them are not well documented. We report on truck driver healthcare utilisation across South Africa and characterise the client population of the clinics serving them for future service development. Read More

    Domains associated with successful quality improvement in healthcare - a nationwide case study.
    BMC Health Serv Res 2017 Sep 13;17(1):648. Epub 2017 Sep 13.
    Department of Health and Society, Faculty of Medicine, University of Oslo, PO Box 1130, Blindern, NO-0318, Oslo, Norway.
    Background: There is a distinct difference between what we know and what we do in healthcare: a gap that is impairing the quality of the care and increasing the costs. Quality improvement efforts have been made worldwide by learning collaboratives, based on recognized continual improvement theory with limited scientific evidence. The present study of 132 quality improvement projects in Norway explores the conditions for improvement from the perspectives of the frontline healthcare professionals, and evaluates the effectiveness of the continual improvement method. Read More

    A two-state comparative implementation of peer-support intervention to link veterans to health-related services after incarceration: a study protocol.
    BMC Health Serv Res 2017 Sep 12;17(1):647. Epub 2017 Sep 12.
    VA Center for Health Organization and Implementation Research, Bedford, USA.
    Background: Approximately 600,000 persons are released from prison annually in the United States. Relatively few receive sufficient re-entry services and are at risk for unemployment, homelessness, poverty, substance abuse relapse and recidivism. Persons leaving prison who have a mental illness and/or a substance use disorder are particularly challenged. Read More

    Care beyond the hospital ward: understanding the socio-medical trajectory of herpes simplex virus encephalitis.
    BMC Health Serv Res 2017 Sep 12;17(1):646. Epub 2017 Sep 12.
    Clinical Infection, Microbiology and Immunology, Institute of Infection and Global Health, University of Liverpool, Liverpool, UK.
    Background: Herpes simplex virus (HSV) encephalitis is a life-threatening infection of the brain, which has significant physical, cognitive and social consequences for survivors. Despite increasing recognition of the long-term effects of encephalitis, research and policy remains largely focused on its acute management, meaning there is little understanding of the difficulties people face after discharge from acute care. This paper aims to chart the problems and challenges which people encounter when they return home after treatment for HSV encephalitis. Read More

    The utilization of formal and informal home care by older patients with cancer: a Belgian cohort study with two control groups.
    BMC Health Serv Res 2017 Sep 12;17(1):644. Epub 2017 Sep 12.
    Academic Centre for General Practice/ Department of Public Health and Primary Care, KU Leuven, Leuven, Belgium.
    Background: The purpose of this paper is to analyse the utilization of formal and informal home care among older patients with cancer (OCP) and to compare this with middle-aged patients with cancer (MCP) and older patients without cancer (ONC). Additionally, we examined predictors of transitions towards formal care one year after a cancer diagnosis.

    Methods: OCP and MCP had to be recruited within three months after a cancer diagnosis and have an estimated life expectancy over six months. Read More

    A review of Grey and academic literature of evaluation guidance relevant to public health interventions.
    BMC Health Serv Res 2017 Sep 12;17(1):643. Epub 2017 Sep 12.
    University of Sheffield, Sheffield, UK.
    Background: Public Health evaluation is essential to understanding what does and does not work, and robust demonstration of effectiveness may be crucial to securing future funding. Despite this, programs are often implemented with poor, incomplete or no evaluation. Public health practitioners are frequently required to provide evidence for the effectiveness of their services; thus, there is a growing need for evaluation guidance on how to evaluate public health programs. Read More

    Nursing care needs and services utilised by home-dwelling elderly with complex health problems: observational study.
    BMC Health Serv Res 2017 Sep 12;17(1):645. Epub 2017 Sep 12.
    CHARM Research Centre for Habilitation and Rehabilitation Models & Services, Institute of Health and Society, University of Oslo, Oslo, Norway.
    Background: In Norway, as in many Western countries, a shift from institutional care to home care is taking place. Our knowledge is limited regarding which needs for nursing interventions patients being cared for in their home have, and how they are met. We aimed at assessing aspects of health and function in a representative sample of the most vulnerable home-dwelling elderly, to identify their needs for nursing interventions and how these needs were met. Read More

    Is the role of Health Extension Workers in the delivery of maternal and child health care services a significant attribute? The case of Dale district, southern Ethiopia.
    BMC Health Serv Res 2017 Sep 11;17(1):641. Epub 2017 Sep 11.
    Yirgalem Hospital Medical College, Yirgalem, Ethiopia.
    Background: The Health Extension Program (HEP) is one of the most innovative community based health program launched by the Ethiopian Federal Ministry of Health to make health services accessible to rural communities by setting-out women Health Extension Workers (HEWs) in rural Health Posts. The HEWs are premised to provide basic, largely preventive, primary health services to rural villages and the program gives special attention to children and mothers. The objective of the study was to assess the contribution made by the Health Extension Workers in maternal and child health care service delivery in Dale district, southern Ethiopia. Read More

    A tale of two systems: practice patterns of a single group of emergency medical physicians in Taiwan and China.
    BMC Health Serv Res 2017 Sep 11;17(1):642. Epub 2017 Sep 11.
    Institute of Hospital and Healthcare Administration, National Yang Ming University, Room 101, Medical Building ll, No.155, Sec. 2, Linong St., Beitou Dist, Taipei City, 112, Taiwan.
    Background: The quality of pediatric emergency care has been a major concern in health care. Following a series of health system reforms in China, it is important to do this assessment of pediatric emergency care, and to explore potential influences of health care system. This study aimed to compare practice differences in treating children with respiratory illnesses in two emergency department (ED) settings within different health care systems: China and Taiwan. Read More

    Oncologist burnout and compassion fatigue: investigating time pressure at work as a predictor and the mediating role of work-family conflict.
    BMC Health Serv Res 2017 Sep 11;17(1):639. Epub 2017 Sep 11.
    Department of Sociology, The University of Calgary, 2500 University Dr. N.W, Calgary, AB, T2N 1N4, Canada.
    Background: Oncologists are at high risk of poor mental health. Prior research has focused on burnout, and has identified heavy workload as a key predictor. Compassion fatigue among physicians has generally received less attention, although medical specialties such as oncology may be especially at risk of compassion fatigue. Read More

    Impact of pharmacy worker training and deployment on access to essential medicines for children under five in Malawi: a cluster quasi-experimental evaluation.
    BMC Health Serv Res 2017 Sep 11;17(1):638. Epub 2017 Sep 11.
    Global Medicines Program, Departments of Global Health and Pharmacy, University of Washington, Harris Hydraulics Building 1510 San Juan Road, Box 357965, Seattle, WA, 98195, USA.
    Background: Poor access to essential medicines is common in many low- and middle-income countries, partly due to an insufficient and inadequately trained workforce to manage the medicines supply chain. We conducted a prospective impact evaluation of the training and deployment of pharmacy assistants (PAs) to rural health centers in Malawi.

    Methods: A quasi-experimental design was used to compare access to medicines in two districts where newly trained PAs were deployed to health centers (intervention) and two districts with no trained PAs at health centers (comparison). Read More

    How is success achieved by individuals innovating for patient safety and quality in the NHS?
    BMC Health Serv Res 2017 Sep 11;17(1):640. Epub 2017 Sep 11.
    Yorkshire Quality & Safety Research Group,Bradford Institute for Health Research, Bradford Teaching Hospitals, Duckworth Lane, Bradford, BD9 6RJ, UK.
    Background: Innovation in healthcare is said to be notoriously difficult to achieve and sustain yet simultaneously the health service is under intense pressure to innovate given the ever increasing demands placed upon it. Whilst many studies have looked at diffusion of innovation from an organisational perspective, few have sought to understand how individuals working in healthcare innovate successfully. We took a positive deviance approach to understand how innovations are achieved by individuals working in the NHS. Read More

    Patient involvement in the development of patient-reported outcome measures: The developers' perspective.
    BMC Health Serv Res 2017 Sep 8;17(1):635. Epub 2017 Sep 8.
    Tranzo (Scientific Centre for Transformation in Care and Welfare), Tilburg University, PO Box 90153, 5000 LE, Tilburg, The Netherlands.
    Background: Patient-reported outcome measures (PROMs) are increasingly used in health care. To capture the patient's perspective, patient involvement in PROM development is needed. As earlier research showed varying degrees of patient involvement in PROM development, this study aimed to investigate why PROM developers do or do not involve patients, how patients can be successfully involved and what the negative aspects and benefits of patient involvement are. Read More

    Sustainability in Health care by Allocating Resources Effectively (SHARE) 10: operationalising disinvestment in a conceptual framework for resource allocation.
    BMC Health Serv Res 2017 Sep 8;17(1):632. Epub 2017 Sep 8.
    Menzies Centre for Health Policy, Sydney School of Public Health, University of Sydney, Sydney, Australia.
    Background: This is the tenth in a series of papers reporting a program of Sustainability in Health care by Allocating Resources Effectively (SHARE) in a local healthcare setting. After more than a decade of research, there is little published evidence of active and successful disinvestment. The paucity of frameworks, methods and tools is reported to be a factor in the lack of success. Read More

    An Australian general practice based strategy to improve chronic disease prevention, and its impact on patient reported outcomes: evaluation of the preventive evidence into practice cluster randomised controlled trial.
    BMC Health Serv Res 2017 Sep 8;17(1):637. Epub 2017 Sep 8.
    Sydney Nursing School and Sydney Local Health District, The University of Sydney , Sydney, 2006, NSW, Australia.
    Background: Implementing evidence-based chronic disease prevention with a practice-wide population is challenging in primary care.

    Methods: PEP Intervention practices received education, clinical audit and feedback and practice facilitation. Patients (40‑69 years) without chronic disease from trial and control practices were invited to participate in baseline and 12 month follow up questionnaires. Read More

    Gaps in care for patients with memory deficits after stroke: views of healthcare providers.
    BMC Health Serv Res 2017 Sep 8;17(1):634. Epub 2017 Sep 8.
    Faculty of Health & Life Sciences, Northumbria University, Newcastle upon Tyne, UK.
    Background: Stroke is a common cause of physical disability but is also strongly associated with cognitive impairment and a risk for future dementia. Despite national clinical guidelines, the service provided for stroke survivors with cognitive and memory difficulties varies across localities. This study critically evaluated the views of healthcare professionals about barriers and facilitators to their care. Read More

    What do we know about the needs and challenges of health systems? A scoping review of the international literature.
    BMC Health Serv Res 2017 Sep 8;17(1):636. Epub 2017 Sep 8.
    Institute of Public Health Research of Université de Montréal (IRSPUM), Montreal, Canada.
    Background: While there is an extensive literature on Health System (HS) strengthening and on the performance of specific HSs, there are few exhaustive syntheses of the challenges HSs are facing worldwide. This paper reports the findings of a scoping review aiming to classify the challenges of HSs investigated in the scientific literature. Specifically, it determines the kind of research conducted on HS challenges, where it was performed, in which health sectors and on which populations. Read More

    Sustainability in Health care by Allocating Resources Effectively (SHARE) 9: conceptualising disinvestment in the local healthcare setting.
    BMC Health Serv Res 2017 Sep 8;17(1):633. Epub 2017 Sep 8.
    Medicine Program, Monash Health, Melbourne, Australia.
    Background: This is the ninth in a series of papers reporting a program of Sustainability in Health care by Allocating Resources Effectively (SHARE) in a local healthcare setting. The disinvestment literature has broadened considerably over the past decade; however there is a significant gap regarding systematic, integrated, organisation-wide approaches. This debate paper presents a discussion of the conceptual aspects of disinvestment from the local perspective. Read More

    Care-managers' professional choices: ethical dilemmas and conflicting expectations.
    BMC Health Serv Res 2017 Sep 7;17(1):630. Epub 2017 Sep 7.
    Nord University, 8049, Bodø, Norway.
    Background: Care-managers are responsible for the public administration of individual healthcare decisions and decide on the volume and content of community healthcare services given to a population. The purpose of this study was to investigate the conflicting expectations and ethical dilemmas these professionals encounter in their daily work with patients and to discuss the clinical implications of this.

    Methods: The study had a qualitative design. Read More

    The influence of institutional discourses on the work of informal carers: an institutional ethnography from the perspective of informal carers.
    BMC Health Serv Res 2017 Sep 7;17(1):631. Epub 2017 Sep 7.
    Nord University, Box 1490, 8049, Bodø, Norway.
    Background: The growing numbers of seniors worldwide and the need for support and services that follow from a higher standard of living have led to an increased focus on scarce benefits and limited human resources. At the same time, many western countries have had to make welfare cuts to balance budgets. This has brought the contributions of informal carers to the fore. Read More

    Determinants of first-time utilization of long-term care services in the Netherlands: an observational record linkage study.
    BMC Health Serv Res 2017 Sep 5;17(1):626. Epub 2017 Sep 5.
    National Institute for Public Health and the Environment (RIVM), RIVM, PO Box 1, 3720, BA, Bilthoven, The Netherlands.
    Background: Since in an ageing society more long-term care (LTC) facilities are needed, it is important to understand the main determinants of first-time utilization of (LTC) services.

    Methods: The Andersen service model, which distinguishes predisposing, enabling and need factors, was used to develop a model for first-time utilization of LTC services among the general population of the Netherlands. We used data on 214,821 persons registered in a database of general practitioners (NIVEL Primary Care Database). Read More

    A descriptive qualitative examination of knowledge translation practice among health researchers in Manitoba, Canada.
    BMC Health Serv Res 2017 Sep 6;17(1):627. Epub 2017 Sep 6.
    George and Fay Yee Centre for Healthcare Innovation, 379 - 753 McDermot Avenue, Winnipeg, MB, R3E 0T6, Canada.
    Background: The importance of effective translation of health research findings into action has been well recognized, but there is evidence to suggest that the practice of knowledge translation (KT) among health researchers is still evolving. Compared to research user stakeholders, researchers (knowledge producers) have been under-studied in this context. The goals of this study were to understand the experiences of health researchers in practicing KT in Manitoba, Canada, and identify their support needs to sustain and increase their participation in KT. Read More

    Evaluating a Dutch cardiology primary care plus intervention on the Triple Aim outcomes: study design of a practice-based quantitative and qualitative research.
    BMC Health Serv Res 2017 Sep 6;17(1):628. Epub 2017 Sep 6.
    Department of Health Services Research, Care and Public Health Research Institute, Faculty of Health, Medicine and Life Sciences, Maastricht University, P.O. Box 616, 6200 MD, Maastricht, the Netherlands.
    Background: In an attempt to deal with the pressures on the health-care system and to guarantee sustainability, changes are needed. This study focuses on a cardiology primary care plus intervention. Primary care plus (PC+) is a new health-care delivery model focused on substitution of specialist care in the hospital setting with specialist care in the primary care setting. Read More

    Improving Emergency Department radiology transportation time: a successful implementation of lean methodology.
    BMC Health Serv Res 2017 Sep 5;17(1):625. Epub 2017 Sep 5.
    Department of Diagnostic Radiology, American University of Beirut Medical Center, Beirut, Lebanon.
    Background: Emergency Department overcrowding has become a global problem and a growing safety and quality concern. Radiology and laboratory turnaround time, ED boarding and increased ED visits are some of the factors that contribute to ED overcrowding. Lean methods have been used in the ED to address multiple flow challenges from improving door-to-doctor time to reducing length of stay. Read More

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