8,317 results match your criteria BMC Health Services Research[Journal]


A mixed methods approach to exploring the moderating factors of implementation fidelity of the integrated chronic disease management model in South Africa.

BMC Health Serv Res 2020 Jul 6;20(1):617. Epub 2020 Jul 6.

Department of Community Health, School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.

Background: Chronic care models like the Integrated Chronic Disease Management (ICDM) model strive to improve the efficiency and quality of care for patients with chronic diseases. However, there is a dearth of studies assessing the moderating factors of fidelity during the implementation of the ICDM model. The aim of this study is to assess moderating factors of implementation fidelity of the ICDM model. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-020-05455-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7336628PMC

What methods are used to promote patient and family involvement in healthcare regulation? A multiple case study across four countries.

BMC Health Serv Res 2020 Jul 6;20(1):616. Epub 2020 Jul 6.

Erasmus School of Health Policy and Management, Erasmus University, Rotterdam, the Netherlands.

Background: In the regulation of healthcare, the subject of patient and family involvement figures increasingly prominently on the agenda. However, the literature on involving patients and families in regulation is still in its infancy. A systematic analysis of how patient and family involvement in regulation is accomplished across different health systems is lacking. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-020-05471-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7336629PMC

Willingness-to-pay and willingness-to-accept of informal caregivers of dependent elderly people in Shanghai, China.

BMC Health Serv Res 2020 Jul 6;20(1):618. Epub 2020 Jul 6.

School of International and Public Affairs, Shanghai Jiao Tong University, Xin Jian Building, 1954 Huashan Rd, Shanghai, 200030, China.

Background: In order to make optimal long-term care-related decisions, it is important to take a societal perspective. Shanghai is one of the pilot cities of social long-term care insurance in China. However, little knowledge exists about the economic value of the informal care provided to dependent elderly people in China. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-020-05481-2DOI Listing

Barriers to accessing health care services: a qualitative study of migrant construction workers in a southwestern Indian city.

BMC Health Serv Res 2020 Jul 6;20(1):619. Epub 2020 Jul 6.

Senior Research Fellow, Global Health and Development, Faculty of Social Sciences, Tampere University, Tampere, Finland.

Background: This study examined access to health care in an occupational context in an urban city of India. Many people migrate from rural areas to cities, often across Indian states, for employment prospects. The purpose of the study is to explore the barriers to accessing health care among a vulnerable group - internal migrants working in the construction sector in Manipal, Karnataka. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-020-05482-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7339387PMC

Caregiver's perspectives on facilitators and barriers of active participation in cerebral palsy rehabilitation in North West Nigeria: a qualitative study.

BMC Health Serv Res 2020 Jul 6;20(1):615. Epub 2020 Jul 6.

Department of Physiotherapy, Aminu Kano Teaching Hospital, Kano, Nigeria.

Background: Cerebral Palsy (CP) refers to the permanent disorders involving postural and movement control as a result of injury to the developing brain. As a result of impairment in postural and movement control, children with CP usually have problems in carrying out activities of daily living (ADL). This makes them dependent on help from their caregivers. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-020-05487-wDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7336653PMC

Causes of maternal deaths and delays in care: comparison between routine maternal death surveillance and response system and an obstetrician expert panel in Tanzania.

BMC Health Serv Res 2020 Jul 6;20(1):614. Epub 2020 Jul 6.

Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden.

Background: To reduce maternal mortality Tanzania introduced Maternal Death Surveillance and Response (MDSR) system in 2015 as recommended by World Health Organization (WHO). All health facilities are to notify and review all maternal deaths inorder to recommend quality improvement actions to reduce deaths in future. The system relies on consistent and correct categorization of causes of maternal deaths and three phases of delays. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-020-05460-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7336440PMC

Impact of the CareWell integrated care model for older patients with multimorbidity: a quasi-experimental controlled study in the Basque Country.

BMC Health Serv Res 2020 Jul 3;20(1):613. Epub 2020 Jul 3.

Kronikgune Institute for Health Services Research, Barakaldo, Basque Country, Spain.

Background: Older patients with multimorbidity have complex health and social care needs, associated with elevated use of health care resources. The aim of this study is to evaluate the impact of CareWell integrated care model for older patients with multimorbidity in the Basque Country.

Methods: The CareWell program for older patients with multimorbidity, based on the coordination between health providers, home-based care and patient empowerment, supported by information and communication technology tools. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-020-05473-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7333301PMC

Profit distribution and managers' behaviour in vertical integrated medical delivery systems - an experimental economics study.

BMC Health Serv Res 2020 Jul 2;20(1):611. Epub 2020 Jul 2.

Department of Health Management and Policy, School of Public Health, Capital Medical University, NO 10, Xi Toutiao Rd Youanmenwai District, Beijing, 100069, China.

Background: The vertical integration of medical delivery systems (VIMDSs) is a reform direction both in China and worldwide. We conducted a controlled economic experiment to explore decision-making by managers of medical institutions with respect to profits and what influences the distribution mechanism in VIMDSs.

Methods: Students and hospital staff were recruited to make choices regarding the role of directors of institutions. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-020-05467-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7331245PMC

Evaluation of the association between presenteeism and perceived availability of social support among hospital doctors in Zhejiang, China.

BMC Health Serv Res 2020 Jul 2;20(1):609. Epub 2020 Jul 2.

State Key Laboratory of Quality Research in Chinese Medicine, Institute of Chinese Medical Sciences, University of Macau, Macau, China.

Background: This study investigated the association between presenteeism and the perceived availability of social support among hospital doctors in China.

Methods: A questionnaire was administered by doctors randomly selected from 13 hospital in Hangzhou China using stratified sampling. Logit model was used for data analysis. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-020-05438-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7331165PMC

Pharmacists' viewpoint towards their professional role in healthcare system: a survey of hospital settings of Pakistan.

BMC Health Serv Res 2020 Jul 2;20(1):610. Epub 2020 Jul 2.

Department of Health and Science Management, Bahria University, Karachi, Pakistan.

Background: Pharmacy service is an essential part of a healthcare system. The profession of pharmacy is well recognized and is practiced to its full potential in developed countries however, it is underutilized in developing countries such as Pakistan. The recognition of pharmacist's role as healthcare professional is limited. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-020-05459-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7330985PMC

Evaluating fidelity of community health worker roles in malaria prevention and control programs in Livingstone District, Zambia-A bottleneck analysis.

BMC Health Serv Res 2020 Jul 2;20(1):612. Epub 2020 Jul 2.

Department of Epidemiology and Biostatistics, School of Public Health, University of Zambia, P. O. Box 50110, Lusaka, Zambia.

Background: Community Health Workers (CHWs) are an important human resource in improving community malaria intervention coverages and success in reducing malaria incidence has been attributed to them. However, despite this attribution, malaria resurgence cases have been reported in various countries including Zambia. This study aims to evaluate the implementation fidelity of CHW roles in malaria prevention and control programs in Livingstone through performance and service quality assessment. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-020-05458-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7331272PMC

The prevalence and economic burden of pain on middle-aged and elderly Chinese people: results from the China health and retirement longitudinal study.

BMC Health Serv Res 2020 Jul 1;20(1):600. Epub 2020 Jul 1.

Arthritis Clinic and Research Center, Peking University People's Hospital, Beijing, China.

Background: To estimate the prevalence of pain among people aged 45 years and older in China, to analyze the effect factors of pain and pain related economic burden.

Methods: Nationally representative sample was derived from China Health and Retirement Longitudinal Study (CHARLS). Pain data, medical cost data were obtained, as well as information of demographic characteristics, social structure, social-economic status, other health needs and health behaviors. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-020-05461-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7329515PMC

Working together in Aboriginal health: a framework to guide health professional practice.

BMC Health Serv Res 2020 Jul 1;20(1):601. Epub 2020 Jul 1.

College of Nursing and Health Sciences, Flinders University, GPO Box 2100, Adelaide, South Australia, 5001, Australia.

Background: Working effectively with Aboriginal and Torres Strait Islander people is important for maximising the effectiveness of a health care interaction between and Aboriginal and Torres Strait Islander patients and a health professional. This paper presents a framework to guide health professional practice in Aboriginal and Torres Strait Islander health.

Methods: This qualitative study was based in a social constructionist epistemology and was guided by a critical social research methodology. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-020-05462-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7329497PMC

Patient perspectives on interventional pain management: thematic analysis of a qualitative interview study.

BMC Health Serv Res 2020 Jul 1;20(1):604. Epub 2020 Jul 1.

Department of Epidemiology and Global Health, Umeå University, SE90185, Umeå, Sweden.

Background: Chronic pain is a widespread problem that is usually approached by focusing on its psychological aspects or on trying to reduce the pain from the pain generator. Patients report that they feel responsible for their pain and that they are disempowered and stigmatized because of it. Here, we explored interventional pain management from the patient's perspective to understand the process better. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-020-05452-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7329503PMC

Access to hip and knee replacement surgery in patients with chronic diseases according to patient-reported pain and functional status.

BMC Health Serv Res 2020 Jul 1;20(1):602. Epub 2020 Jul 1.

Department of Health Services Research & Policy, London School of Hygiene & Tropical Medicine, 15-17 Tavistock Place, London, WC1H 9SH, UK.

Background: An increasing number of patients undergoing hip or knee replacement have chronic diseases. It has been suggested that the presence of chronic diseases may affect access to this type of surgery in the English National Health Service (NHS). We examined the access to hip and knee replacement surgery in patients with and without chronic diseases according to preoperative patient-reported pain, functional status and symptom duration. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-020-05464-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7329455PMC

Lived experiences: a focus group pilot study within the MentALLY project of mental healthcare among European users.

BMC Health Serv Res 2020 Jul 1;20(1):605. Epub 2020 Jul 1.

Department of Public Health and Community Medicine, Institute of Medicine, The Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.

Background: Mental healthcare is an important component in societies' response to mental health problems. Although the World Health Organization highlights availability, accessibility, acceptability and quality of healthcare as important cornerstones, many Europeans lack access to mental healthcare of high quality. Qualitative studies exploring mental healthcare from the perspective of people with lived experiences would add to previous research and knowledge by enabling in-depth understanding of mental healthcare users, which may be of significance for the development of mental healthcare. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-020-05454-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7329529PMC

Correction to: Differences in factors influencing the use of eRehabilitation after stroke; a cross-sectional comparison between Brazilian and Dutch healthcare professionals.

BMC Health Serv Res 2020 Jul 1;20(1):607. Epub 2020 Jul 1.

Department of Orthopaedics, Rehabilitation and Physical Therapy, Leiden University Medical Center, Albinusdreef 2, 2333, ZA, Leiden, The Netherlands.

An amendment to this paper has been published and can be accessed via the original article. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-020-05457-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7329422PMC

Financing of physical rehabilitation services in Iran: a stakeholder and social network analysis.

BMC Health Serv Res 2020 Jul 1;20(1):599. Epub 2020 Jul 1.

Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran.

Background: Inadequate financing is one of the major barriers in securing equitable access to high-quality physical rehabilitation services, without imposing financial hardship. Despite this, no sufficient attention has been paid to physical rehabilitation services and no specific financial resources have been allocated to such services in many countries including Iran. Owing to the fact that effective decision- and policy-making requires identifying possible stakeholders and actors and their characteristics, in the current study a stakeholder analysis and also a social network analysis (SNA) was conducted to identify the potential stakeholders and also their characteristics involved in physical rehabilitation financing (PRF)-related policies in Iran. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-020-05447-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7328275PMC

Female Pakistani carers' views on future formal and informal care for their older relatives in Norway.

BMC Health Serv Res 2020 Jul 1;20(1):603. Epub 2020 Jul 1.

Faculty of Health Sciences, Department of Nursing and Health Promotion, Oslo Metropolitan University, P.O. Box 4, St. Olavs plass, N-0130, Oslo, Norway.

Background: The aging of Pakistani immigrants in Norway raises questions related to their increased need for care and help from relatives, as well as those concerning what future formal and informal care and healthcare accessibility for older immigrants may look like. The hidden nature of family caregiving means that the circumstances of carers, their views and their dilemmas related to future care are largely invisible. In this study, we explored female Pakistani carers' views of future care and healthcare accessibility for their older relatives in Norway. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-020-05468-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7329493PMC

Validation of the Partners at Care Transitions Measure (PACT-M): assessing the quality and safety of care transitions for older people in the UK.

BMC Health Serv Res 2020 Jul 1;20(1):608. Epub 2020 Jul 1.

University of Oxford, Oxford, UK.

Background: The Partners at Care Transitions Measure (PACT-M) is a patient-reported questionnaire for evaluation of the quality and safety of care transitions from hospital to home, as experienced by older adults. PACT-M has two components; PACT-M 1 to capture the immediate post discharge period and PACT-M 2 to assess the experience of managing care at home. In this study, we aim to examine the psychometric properties, factor structure, validity and reliability of the PACT-M. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-020-05369-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7329420PMC

Study of influential factors of provincial health expenditure -analysis of panel data after the 2009 healthcare reform in China.

BMC Health Serv Res 2020 Jul 1;20(1):606. Epub 2020 Jul 1.

Department of Medicine, Qingdao University, Qingdao, 266071, Shandong, China.

Background: Total Healthcare Expenditure (THE) has increased substantially in all countries. Since the health system reform and health policy environment differ from each country, it is necessary to analyze the motivations of THE in a specific country.

Methods: The objective of this study was to analyze the influential factors of Provincial THE (PTHE) per capita in China by using spatiotemporal panel data across 31 provinces (including provinces, autonomous regions, and municipalities, all called provinces in here) from 2009 to 2016 at the provincial and annual level. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-020-05474-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7327486PMC

Challenges and facilitators to evidence-based decision-making for maternal and child health in Mozambique: district, municipal and national case studies.

BMC Health Serv Res 2020 Jun 30;20(1):598. Epub 2020 Jun 30.

Department of Global Health, University of Washington, 1107 45th Street. NE, Suite 350, Seattle, WA, 98105, USA.

Background: The need for evidence-based decision-making in the health sector is well understood in the global health community. Yet, gaps persist between the availability of evidence and the use of that evidence. Most research on evidence-based decision-making has been carried out in higher-income countries, and most studies look at policy-making rather than decision-making more broadly. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-020-05408-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7329398PMC

Home visits by community health workers in rural South Africa have a limited, but important impact on maternal and child health in the first two years of life.

BMC Health Serv Res 2020 Jun 29;20(1):594. Epub 2020 Jun 29.

Department of Psychiatry and Biobehavioral Sciences, Semel Institute, University of California, 10920 Wilshire Blvd., Suite 350, Los Angeles, California, 90024, USA.

Background: More than 50% of Africa's population lives in rural areas, which have few professional health workers. South Africa has adopted task shifting health care to Community Health Workers (CHWs) to achieve the Sustainable Development Goals, but little is known about CHWs' efficacy in rural areas.

Methods: In this longitudinal prospective cohort study, almost all mothers giving birth (N = 470) in the Zithulele Hospital catchment area of the OR Tambo District were recruited and repeatedly assessed for 2 years after birth with 84. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-020-05436-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7325027PMC

Building a Children's Health Service and System Research Strategy: development and integration in an Australian paediatric healthcare setting.

BMC Health Serv Res 2020 Jun 29;20(1):589. Epub 2020 Jun 29.

Children's Health Queensland Hospital and Health Service, Department of Health, Queensland Government, The State of Queensland, South Brisbane, QLD, 4101, Australia.

Background: Health services and systems research (HSSR) strategies dedicated to paediatric health care and service delivery are limited. Strategies are available but are outdated and yet to be optimised for use in a paediatric health system. We aim to describe the development and integration of a Children's Health Service and System Research Strategy (CHSSR-S) in Children's Health Queensland (CHQ), a large specialist quaternary hospital and health service caring for children and young people in Queensland and northern New South Wales, Australia. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-020-05267-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7322850PMC

Systematic review of the effect of training interventions on the skills of health professionals in promoting health behaviour, with meta-analysis of subsequent effects on patient health behaviours.

BMC Health Serv Res 2020 Jun 29;20(1):593. Epub 2020 Jun 29.

School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham, B15 2TT, UK.

Background: We aimed to identify, synthesise and evaluate randomised control trial evidence on the effects of healthcare professional training on the delivery quality of health behaviour change interventions and, subsequently, on patient health behaviours.

Methods: Systematic review with narrative synthesis of effects on delivery quality and meta-analysis of health behaviour outcomes. We searched: Medline, EMBASE, PsychInfo, AMED, CINAHL Plus and the Cochrane Central Register of Control Trials up to March 2019. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-020-05420-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7325030PMC

Defining and assessing context in healthcare implementation studies: a systematic review.

BMC Health Serv Res 2020 Jun 29;20(1):591. Epub 2020 Jun 29.

University College Dublin Centre for Interdisciplinary Research, Education and Innovation in Health Systems (UCD IRIS), Belfield, Dublin 4, Ireland.

Background: The implementation of evidence-based healthcare interventions is challenging, with a 17-year gap identified between the generation of evidence and its implementation in routine practice. Although contextual factors such as culture and leadership are strong influences for successful implementation, context remains poorly understood, with a lack of consensus regarding how it should be defined and captured within research. This study addresses this issue by providing insight into how context is defined and assessed within healthcare implementation science literature and develops a definition to enable effective measurement of context. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-020-05212-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7322847PMC

Strengths of community and health facilities based interventions in improving women and adolescents' care seeking behaviors as approaches for reducing maternal mortality and improving birth outcome among low income communities of Egypt.

BMC Health Serv Res 2020 Jun 29;20(1):592. Epub 2020 Jun 29.

Community Medicine Research Department, Medical Research Division, National Research Centre (ID: 60014618), P.O. 12622, Dokki, Giza, Egypt.

Background: Provision of emergency obstetric care is considered the key for maternal mortality reduction worldwide. This study evaluated the impact of community- and facility-based educational programs on provision of emergency obstetric care in Egypt. The study focused on evaluating utilization of the available health services and care seeking behaviors of mothers in the childbearing period. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-020-05412-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7322855PMC
June 2020
1.659 Impact Factor

Impact of a health alert and its implementation on flutamide prescriptions for women: an interrupted time series analysis.

BMC Health Serv Res 2020 Jun 29;20(1):597. Epub 2020 Jun 29.

Department of Preventive Medicine and Public Health, Faculty of Medicine, University of Santiago de Compostela, Consortium for Biomedical Research in Epidemiology & Public Health (CIBER en Epidemiología y Salud Pública - CIBERESP), Santiago de Compostela, Galicia, Spain.

Background: Off-label drug use among ambulatory patients is often based on little or no scientific support. This paper reports the impact of a health warning about the risks of off-label flutamide use by women and the actions subsequently implemented by the public health service targeting such use.

Method: The study was undertaken in a region in north-west Spain. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-020-05453-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7325013PMC

Elderly patients with complex health problems in the care trajectory: a qualitative case study.

BMC Health Serv Res 2020 Jun 29;20(1):595. Epub 2020 Jun 29.

Department of Nursing Science, Faculty of Medicine, Institute of Health and Society, University of Oslo, Oslo, Norway.

Background: Elderly patients with multiple health problems often experience disease complications and functional failure, resulting in a need for health care across different health care systems during care trajectory. The patients' perspective of the care trajectory has been insufficiently described, and thus there is a need for new insights and understanding. The study aims to explore how elderly patients with complex health problems engage in and interact with their care trajectory across different health care systems where several health care personnel are involved. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-020-05437-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7325247PMC

Patient-relevant outcomes: what are we talking about? A scoping review to improve conceptual clarity.

BMC Health Serv Res 2020 Jun 29;20(1):596. Epub 2020 Jun 29.

Institute of General Practice and Interprofessional Care, Faculty of Health/School of Medicine, Witten/Herdecke University, Alfred-Herrhausen-Str. 50, 58448, Witten, Germany.

Background: With respect to patient-centered care, measuring care effects based on patient-relevant outcomes is becoming increasingly important. There is some uncertainty about what outcomes are particularly relevant to patients and who determines their relevance. To determine this, we conducted a scoping review of the international literature with the aim to improve the conceptual clarity regarding (1) the terminology used for supposedly patient-relevant outcomes, (2) the variety of outcomes considered patient-relevant, and (3) justifications for the choice of these specific outcomes. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-020-05442-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7325243PMC

The barriers and facilitators influencing the sustainability of hospital-based interventions: a systematic review.

BMC Health Serv Res 2020 Jun 28;20(1):588. Epub 2020 Jun 28.

Nursing, Midwifery and Allied Health Professions Research Unit (NMAHP RU), Unit 13 Scion House, University of Stirling Innovation Park, Stirling, FK9 4NF, Scotland.

Background: Identifying factors that influence sustained implementation of hospital-based interventions is key to ensuring evidence-based best practice is maintained across the NHS. This study aimed to identify, appraise and synthesise the barriers and facilitators that influenced the delivery of sustained healthcare interventions in a hospital-based setting.

Methods: A systematic review reported in accordance with PRISMA. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-020-05434-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7321537PMC

Health staff experiences with the implementation of early essential newborn care guidelines in Da Nang municipality and Quang Nam province in Viet Nam.

BMC Health Serv Res 2020 Jun 26;20(1):585. Epub 2020 Jun 26.

Department of Nursing and Health Promotion, Oslo Metropolitan University, Oslo, Norway.

Background: The World Health Organization (WHO) recommends early essential newborn care (EENC) - The First Embrace - as a simple lifesaving procedure for newborns. The successful implementation of EENC at scale requires an understanding of health staff experiences, including facilitators, barriers, and local adaptations of EENC. This study aims to gain insight into health staff experiences with implementation of EENC guidelines after participation in training and coaching initiatives in Da Nang municipality and Quang Nam province in Viet Nam. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-020-05449-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7318527PMC
June 2020
1.659 Impact Factor

Nurses' perceptions of patient safety culture: a mixed-methods study.

BMC Health Serv Res 2020 Jun 26;20(1):584. Epub 2020 Jun 26.

Nursing Department, Medicine Faculty, Universitat Autònoma de Barcelona, Av. de Can Domènech, 737, 08193 Bellaterra, Barcelona, Spain.

Background: There are relatively few qualitative studies concerning patient safety culture.

Methods: We aimed to explore patient safety culture as perceived by the nursing staff in two public hospitals in Catalonia, Spain. A mixed-methods design was employed using a questionnaire, in-depth interviews, and non-participant observations. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-020-05441-wDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7318509PMC

The Greek versions of the TeamSTEPPS teamwork perceptions questionnaire and Minnesota satisfaction questionnaire "short form".

BMC Health Serv Res 2020 Jun 26;20(1):587. Epub 2020 Jun 26.

Department of Nursing, Scholl of Health Sciences, Cyprus University of Technology, 15, Vragadinou str, 3041, Limassol, Cyprus.

Background: Teamwork and job satisfaction are important among the multidisciplinary team who care patients with chronic illnesses such as heart failure (HF) patients. TeamSTEPPS teamwork perceptions questionnaire (T-TPQ) and Minnesota Satisfaction Questionnaire "short form" (MSQ-short) are both self-report questionnaires which examine multiple dimensions of perceptions of teamwork and job satisfaction within healthcare settings, respectively. The aim of the study was to examine the psychometric properties of the Greek versions of the TeamSTEPPS Teamwork perceptions questionnaire (Gr-T-TPQ) and Minnesota Satisfaction Questionnaire "short form" (Gr-MSQ-short). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-020-05451-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7318379PMC

Simulation-based low-dose, high-frequency plus mobile mentoring versus traditional group-based trainings among health workers on day of birth care in Nigeria; a cluster randomized controlled trial.

BMC Health Serv Res 2020 Jun 26;20(1):586. Epub 2020 Jun 26.

USAID's Maternal and Child Survival Program/Jhpiego, Nigeria, 971 Reuben Okoya Crescent, Wuye District, Abuja, Nigeria.

Background: The aim of this study was to compare health workers knowledge and skills competencies between those trained using the onsite simulation-based, low-dose, high frequency training plus mobile mentoring (LDHF/m-mentoring) and the ones trained through traditional offsite, group-based training (TRAD) approach in Kogi and Ebonyi states, Nigeria, over a 12-month period.

Methods: A prospective cluster randomized controlled trial was conducted by enrolling 299 health workers who provided healthcare to mothers and their babies on the day of birth in 60 health facilities in Kogi and Ebonyi states. These were randomized to either LDHF/m-mentoring (intervention, n = 30 facilities) or traditional group-based training (control, n = 30 facilities) control arm. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-020-05450-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7318405PMC

Older adult experience of care and staffing on hospital and community wards: a cross-sectional study.

BMC Health Serv Res 2020 Jun 26;20(1):583. Epub 2020 Jun 26.

Division of Psychiatry, Imperial College London, London, UK.

Background: Recent major concerns about the quality of healthcare delivered to older adults have been linked to inadequate staffing and a lack of patient-centred care. Patient experience is a key component of quality care - yet there has been little research on whether and how staffing levels and staffing types affect satisfaction amongst older adult hospital inpatients. This study aimed to evaluate the association between registered nurse and healthcare assistant staffing levels and satisfaction with care amongst older adult hospital inpatients, and to test whether any positive effect of higher staffing levels is mediated by staff feeling they have more time to care for patients. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-020-05433-wDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7318426PMC

Integrating the prevention of mother-to-child transmission of HIV into primary healthcare services after AIDS denialism in South Africa: perspectives of experts and health care workers - a qualitative study.

BMC Health Serv Res 2020 Jun 26;20(1):582. Epub 2020 Jun 26.

Département de médecine sociale et préventive, École de Santé Publique, Université de Montréal, Pavillon 7101, Avenue du Parc, Montréal, QC, H3N 1X7, Canada.

Background: Integrating Prevention of Mother-to-Child Transmission (PMTCT) programmes into routine health services under complex socio-political and health system conditions is a priority and a challenge. The successful rollout of PMTCT in sub-Saharan Africa has decreased Human Immunodeficiency Virus (HIV), reduced child mortality and improved maternal health. In South Africa, PMTCT is now integrated into existing primary health care (PHC) services and this experience could serve as a relevant example for integrating other programmes into comprehensive primary care. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-020-05381-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7318762PMC

Construction situation, costs and charges associated with pharmacy intravenous admixture services: multi-center cross-sectional survey based on 137 medical institutions in mainland China.

BMC Health Serv Res 2020 Jun 24;20(1):577. Epub 2020 Jun 24.

Department of Children's Genetic Endocrinology and Metabolism, West China Second University Hospital, Sichuan University, Sichuan University, Chengdu, China.

Background: To investigate the construction situation, costs and charges associated with pharmacy intravenous admixture services (PIVAS) to provide references for the construction and development of PIVAS in mainland China.

Methods: A multi-center cross-sectional survey was conducted via a WeChat Group targeting PIVAS leaders in hospitals to investigate the basic situation of PIVAS, including opening time, area, number of PIVAS, equipment, management mode, PIVAS costs and charges, as well as numbers of beds, open wards, and staff, and analyze differences in PIVAS construction at different provincial and hospital levels.

Results: 137 questionnaires were collected from 29 provinces, representing a response rate of 99. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-020-05336-wDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7313164PMC

Use of the theoretical domains framework and behaviour change wheel to develop a novel intervention to improve the quality of multidisciplinary cancer conference decision-making.

BMC Health Serv Res 2020 Jun 24;20(1):578. Epub 2020 Jun 24.

Department of Health Research Methods, McMaster University, Evidence and Impact, Hamilton, ON, Canada.

Background: Multidisciplinary Cancer Conferences (MCCs) are prospective meetings involving cancer specialists to discuss treatment plans for patients with cancer. Despite reported gaps in MCC quality, there have been few efforts to improve its functioning. The purpose of this study was to use theoretically-rooted knowledge translation (KT) theories and frameworks to inform the development of a strategy to improve MCC decision-making quality. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-020-05255-wDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7313182PMC

Cost-effectiveness analysis of atezolizumab in advanced triple-negative breast cancer.

BMC Health Serv Res 2020 Jun 24;20(1):581. Epub 2020 Jun 24.

Agency for Care Effectiveness, Ministry of Health, Singapore, 14 College Road, Singapore, 169853, Singapore.

Background: The IMpassion130 trial demonstrated that adding atezolizumab to nanoparticle albumin-bound (nab)-paclitaxel improved the survival of patients with untreated, advanced, programmed death ligand 1 (PDL1)-positive triple-negative breast cancer (TNBC). In view of the high cost of immunotherapy, it is important to examine its value with respect to both benefits and costs. In this study, the cost-effectiveness of atezolizumab/nab-paclitaxel combination therapy relative to nab-paclitaxel monotherapy was evaluated for the first-line treatment of advanced, PDL1-positive TNBC, from a healthcare system perspective. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-020-05445-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7315527PMC

Applying critical systems thinking to social prescribing: a relational model of stakeholder "buy-in".

BMC Health Serv Res 2020 Jun 24;20(1):580. Epub 2020 Jun 24.

Shropshire Public Health, Shirehall, Abbey Foregate, SY2 6ND, UK.

Background: Social prescribing (SP) allows health professionals to refer primary care patients toward health and wellbeing interventions and activities in the local community. Now widely implemented across the UK and adopted in other nations, questions arise concerning the modelling of present and future schemes, including challenges to full engagement encountered by stakeholders, which lie beyond the scope of traditional evaluations. Critical Systems Thinking (CST) allows for holistic analysis of fields where multiple stakeholders hold diverse interests and unequal power. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-020-05443-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7312116PMC

Use of the KT-MCC strategy to improve the quality of decision making for multidisciplinary cancer conferences: a pilot study.

BMC Health Serv Res 2020 Jun 24;20(1):579. Epub 2020 Jun 24.

Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, ON, Canada.

Background: Multidisciplinary Cancer Conferences (MCCs) are increasingly used to guide treatment decisions for patients with cancer, though numerous barriers to optimal MCC decision-making quality have been identified. We aimed to improve the quality of MCC decision making through the use of an implementation bundle titled the KT-MCC Strategy. The Strategy included use of discussion tools (standard case intake tool and a synoptic discussion tool), workshops, MCC team and chair training, and audit and feedback. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-020-05143-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7313105PMC

Evaluation of a three-phase implementation program in enhancing e-mental health adoption within Indigenous primary healthcare organisations.

BMC Health Serv Res 2020 Jun 23;20(1):576. Epub 2020 Jun 23.

Wellbeing and Preventable Chronic Diseases Division, Menzies School of Health Research, Charles Darwin University, PO Box 41096, Casuarina, NT, 0811, Australia.

Background: A three-phase implementation program was carried out to support Indigenous primary healthcare organisations in Australia to integrate e-mental health approaches into the day-to-day practice. The present study aimed to evaluate the process and the effectiveness of the program.

Methods: A concurrent triangulation design was employed to collect and compare quantitative and qualitative data from organisations that participated in the implementation program (case studies) to those that participated in training only (non-case studies). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-020-05431-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7313213PMC

Experiences of using the i-PARIHS framework: a co-designed case study of four multi-site implementation projects.

BMC Health Serv Res 2020 Jun 23;20(1):573. Epub 2020 Jun 23.

College of Nursing and Health Sciences, Flinders University, Sturt Road, Bedford Park, Adelaide, SA, 5042, Australia.

Background: The integrated-Promoting Action on Research Implementation in Health Services (i-PARIHS) framework is an implementation framework that has been developed and refined over the last 20 years. Its underlying philosophy is that implementing research into healthcare practice is complex, unpredictable and non-linear which therefore requires a flexible and responsive approach to implementation. Facilitation is recognized as the central ingredient of this approach, and i-PARIHS now provides a Facilitation Guide with associated tools. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-020-05354-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7310499PMC

Assessing the quality of care in sick child services at health facilities in Ethiopia.

BMC Health Serv Res 2020 Jun 23;20(1):574. Epub 2020 Jun 23.

Health System and Reproductive Health Research Directorate, Ethiopian Public Health Institute, Addis Ababa, Ethiopia.

Background: Quality of care depends on system, facility, provider, and client-level factors. We aimed at examining structural and process quality of services for sick children and its association with client satisfaction at health facilities in Ethiopia.

Methods: Data from the Ethiopia Service Provision Assessment Plus (SPA+) survey 2014 were used. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-020-05444-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7313135PMC

Validation of an e-health readiness assessment framework for developing countries.

BMC Health Serv Res 2020 Jun 23;20(1):575. Epub 2020 Jun 23.

Department of TeleHealth, University of KwaZulu-Natal, Durban, South Africa.

Background: Studies document e-health as having potential to improve quality of healthcare services, resulting in both developed and developing countries demonstrating continued interest in e-health uptake and use. e-Health implementations are not always successful as high failure rates have been reported in both developed and developing countries. These failures are often a result of lack of e-health readiness. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-020-05448-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7313186PMC
June 2020
1.659 Impact Factor

Assessment of completeness and legibility of handwritten prescriptions in six community chain pharmacies of Asmara, Eritrea: a cross-sectional study.

BMC Health Serv Res 2020 Jun 22;20(1):570. Epub 2020 Jun 22.

Department of Statistics, Biostatistics and Epidemiology, Mai-Nefhi College of Sciences, Eritrean Institute of Technology, Abardae, Eritrea.

Background: Incompleteness and illegibility of prescriptions are prescription errors that account for a high proportion of medication errors that could potentially result in serious adverse effects. Thus, the objective of this study was to assess the completeness and legibility of prescriptions filled in the community chain pharmacies.

Methods: An analytical and cross-sectional study was conducted in the six government owned community chain pharmacies of Asmara, Eritrea from June 3rd to 10th, 2019 using a stratified random sampling technique. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-020-05418-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7310160PMC

The potential role of patent and proprietary medicine vendors' associations in improving the quality of services in Nigeria's drug shops.

BMC Health Serv Res 2020 Jun 22;20(1):567. Epub 2020 Jun 22.

West African Infectious Diseases Institute, Abuja, Nigeria.

Background: Patent and Proprietary Medicine Vendors (PPMVs) play a major role in Nigeria's health care delivery but regulation and monitoring of their practice needs appreciable improvement to ensure they deliver quality services. Most PPMVs belong to associations which may be useful in improving their regulation. However, little is known about how the PPMV associations function and how they can partner with relevant regulatory agencies to ensure members' compliance and observance of good practice. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-020-05379-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7310190PMC

Disruption of a primary health care domestic violence and abuse service in two London boroughs: interrupted time series evaluation.

BMC Health Serv Res 2020 Jun 22;20(1):569. Epub 2020 Jun 22.

Institute of Population Sciences, Queen Mary University London, London, UK.

Background: Domestic violence and abuse (DVA) is experienced by about 1/3 of women globally and remains a major health concern worldwide. IRIS (Identification and Referral to Improve Safety of women affected by DVA) is a complex, system-level, training and support programme, designed to improve the primary healthcare response to DVA. Following a successful trial in England, since 2011 IRIS has been implemented in eleven London boroughs. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-020-05397-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7309975PMC