10,426 results match your criteria Health Services Research[Journal]


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

View Article

Download full-text PDF

Source
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

View Article

Download full-text PDF

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

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

View Article

Download full-text PDF

Source
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

View Article

Download full-text PDF

Source
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

View Article

Download full-text PDF

Source
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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-019-3945-0DOI Listing
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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-019-3914-7DOI Listing
February 2019

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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-019-3937-0DOI Listing
February 2019

Effectiveness of antimalarial interventions in Nigeria: Evidence from facility-level longitudinal data.

Health Serv Res 2019 Feb 10. Epub 2019 Feb 10.

Strengthening Accountability and Quality Improvement for Maternal, Newborn and Child Health Project, Pact Nigeria, Gombe, Nigeria.

Objective: To evaluate the effectiveness of a program of antimalarial interventions implemented in 2010-2013 in Niger State, Nigeria.

Data Sources: Utilization reports from 99 intervention and 51 non-intervention health facilities from the Niger State Malaria Elimination Program, supplemented by data on facility-level characteristics from the Niger State Primary Health Care Development Agency and Local Government Malaria Control units.

Study Design: Estimated with mixed-effects negative binomial modeling, a difference-in-differences method was used to quantify the impact of the program on the number of febrile illness cases and confirmed malaria cases. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/1475-6773.13122DOI Listing
February 2019

Good Samaritan harm reduction policy and drug overdose deaths.

Health Serv Res 2019 Feb 11. Epub 2019 Feb 11.

Employment and Social Services, City of Toronto, Toronto, Ontario, Canada.

Objective: To examine the effects of a harm reduction policy, specifically Good Samaritan (GS) policy, on overdose deaths.

Data Sources/study Setting: Secondary data from multiple cause of death, mortality records paired with state harm reduction and substance use prevention policy.

Study Design: We estimate fixed effects Poisson count models to model the effect of GS policy on overdose deaths for all, prescription, and illicit drugs, controlled substances, and opioids, while controlling for other harm reduction and substance use prevention policies. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/1475-6773.13119DOI Listing
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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-019-3933-4DOI Listing
February 2019

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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-019-3938-zDOI Listing
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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-019-3896-5DOI Listing
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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-019-3930-7DOI Listing
February 2019

Racial/ethnic disparities in specialty behavioral health care treatment patterns and expenditures among commercially insured patients in managed behavioral health care plans.

Health Serv Res 2019 Feb 7. Epub 2019 Feb 7.

Division of General Internal Medicine and Health Services Research, Department of Medicine, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, California.

Objective: To document differences among racial/ethnic/gender groups in specialty behavioral health care (BH) utilization/expenditures; examine whether these differences are driven by probability vs intensity of treatment; and identify whether differences are explained by socioeconomic status (SES).

Data Source: The cohort consists of adults continuously enrolled in Optum plans with BH benefits during 2013.

Study Design: We modeled each outcome using linear regressions among the entire sample stratified by race/ethnicity, language and gender. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/1475-6773.13121DOI Listing
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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-019-3917-4DOI Listing
February 2019
1 Read

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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-019-3894-7DOI Listing
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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-019-3890-yDOI Listing
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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-019-3934-3DOI Listing
February 2019

Measuring the integration of primary care and behavioral health services.

Health Serv Res 2019 Feb 6. Epub 2019 Feb 6.

University of Vermont, Burlington, Vermont.

Objective: To perform a factor analysis of the Practice Integration Profile (PIP), a 30-item practice-level measure of primary care and behavioral health integration derived from the Agency for Healthcare Research and Quality's Lexicon for Behavioral Health and Primary Care Integration.

Data Sources: The PIP was completed by 735 individuals, representing 357 practices across the United States.

Study Design: The study design was a cross-sectional survey. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/1475-6773.13117DOI Listing
February 2019
2.781 Impact Factor

Assessing the impact of Minnesota's return to community initiative for newly admitted nursing home residents.

Health Serv Res 2019 Feb 6. Epub 2019 Feb 6.

School of Nursing, Purdue University, West Lafayette, Indiana.

Objective: To evaluate Minnesota's Return to Community Initiative's (RTCI) impact on community discharges from nursing homes.

Data Sources: Secondary data were from the Minimum Data Set and RTCI staff (April 2014 - December 2016). The sample consisted of 18 444 non-Medicaid nursing home admissions in Minnesota remaining for at least 45 days, with high predicted probability of community discharge. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/1475-6773.13118DOI Listing
February 2019
1 Read

Explaining primary care physicians' decision to quit patient-centered medical homes: Evidence from Quebec, Canada.

Health Serv Res 2019 Feb 6. Epub 2019 Feb 6.

Department of Economics, McGill University, Montréal, Quebec, Canada.

Objective: To examine the factors explaining primary care physicians' (PCPs) decision to leave patient-centered medical homes (PCMHs).

Data Sources: Five-year longitudinal data on all the 906 PCPs who joined a PCMH in the Canadian province of Quebec, known there as a Family Medicine Group.

Study Design: We use fixed-effects and random-effects logit models, with a variety of regression specifications and various subsamples. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/1475-6773.13120DOI Listing
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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-019-3920-9DOI Listing
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

View Article

Download full-text PDF

Source
https://bmchealthservres.biomedcentral.com/articles/10.1186/
Publisher Site
http://dx.doi.org/10.1186/s12913-019-3895-6DOI Listing
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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-019-3928-1DOI Listing
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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-019-3940-5DOI Listing
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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-019-3889-4DOI Listing
February 2019
2 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-019-3936-1DOI Listing
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

View Article

Download full-text PDF

Source
https://bmchealthservres.biomedcentral.com/articles/10.1186/
Publisher Site
http://dx.doi.org/10.1186/s12913-019-3901-zDOI Listing
February 2019
3 Reads

Hospitals and substance use disorder services in the time of the opioid epidemic.

Health Serv Res 2019 Feb 5. Epub 2019 Feb 5.

Department of Social Medicine, Ohio University College of Osteopathic Medicine, Dublin, Ohio.

Objective: To test whether the opioid epidemic increased hospitals' offerings of substance use services.

Data Sources/study Setting: This study employs data from the 2010 and 2015 American Hospital Association Annual Survey.

Study Design: A multilevel, cross-sectional design was utilized to examine associations between county-level overdose rates and hospital substance use services. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/1475-6773.13116DOI Listing
February 2019
1 Read

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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-019-3885-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6360652PMC
February 2019
1 Read

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

View Article

Download full-text PDF

Source
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

View Article

Download full-text PDF

Source
https://bmchealthservres.biomedcentral.com/articles/10.1186/
Publisher Site
http://dx.doi.org/10.1186/s12913-019-3919-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6360753PMC
February 2019
2 Reads

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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-019-3878-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6360720PMC
February 2019
1 Read

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

View Article

Download full-text PDF

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

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

View Article

Download full-text PDF

Source
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

View Article

Download full-text PDF

Source
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

View Article

Download full-text PDF

Source
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

View Article

Download full-text PDF

Source
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

View Article

Download full-text PDF

Source
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

View Article

Download full-text PDF

Source
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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-019-3913-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6359801PMC
February 2019
2 Reads

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

View Article

Download full-text PDF

Source
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

View Article

Download full-text PDF

Source
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

View Article

Download full-text PDF

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

Perceptions and experiences of emergency department staff during the implementation of the four-hour rule/national emergency access target policy in Australia: a qualitative social dynamic perspective.

BMC Health Serv Res 2019 Jan 30;19(1):82. Epub 2019 Jan 30.

Simpson Centre for Health Services Research, South Western Sydney Clinical School, University of NSW, Liverpool BC, NSW, 1871, Australia.

Background: The Four-Hour Rule or National Emergency Access Target policy (4HR/NEAT) was implemented by Australian State and Federal Governments between 2009 and 2014 to address increased demand, overcrowding and access block (boarding) in Emergency Departments (EDs). This qualitative study aimed to assess the impact of 4HR/NEAT on ED staff attitudes and perceptions. This article is part of a series of manuscripts reporting the results of this project. Read More

View Article

Download full-text PDF

Source
https://bmchealthservres.biomedcentral.com/articles/10.1186/
Publisher Site
http://dx.doi.org/10.1186/s12913-019-3877-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6354365PMC
January 2019
2 Reads

Pharmaceutical marketing strategies' influence on physicians' prescribing pattern in Lebanon: ethics, gifts, and samples.

BMC Health Serv Res 2019 Jan 30;19(1):80. Epub 2019 Jan 30.

Independent Researcher, Zahle, Lebanon.

Background: Drug companies rely on their marketing activities to influence physicians. Previous studies showed that pharmaceutical companies succeeded to manage physicians prescribing behavior in developed countries. However, very little studies investigated the impact of pharmaceutical marketing strategies on prescribing pattern in developing countries, middle-eastern countries. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-019-3887-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6354386PMC
January 2019

Retention of health care workers at health facility, trends in the retention of knowledge and correlates at 3rd year following training of health care workers on the prevention of mother-to-child transmission (PMTCT) of HIV-National Assessment.

BMC Health Serv Res 2019 Jan 29;19(1):78. Epub 2019 Jan 29.

Department of Family Health, Ministry of Public Health, Yaoundé, Cameroon.

Background: Knowledgeable Health Care Workers (HCWs) are indispensable for the proper management of clients. We investigated retention of HCWs at health facility and retention of knowledge at 18, 24 and 36 months after training and correlates for retention of knowledge at 3rd year.

Methods: A cross-sectional study was conducted among 1000 HCWs, 710 were trained and 290 untrained working at the PMTCT of HIV services in health facilities of the ten regions of Cameroon. Read More

View Article

Download full-text PDF

Source
https://bmchealthservres.biomedcentral.com/articles/10.1186/
Publisher Site
http://dx.doi.org/10.1186/s12913-019-3925-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6352341PMC
January 2019
3 Reads

Nurse-identified patient care and health services research priorities in the United Arab Emirates: a Delphi study.

BMC Health Serv Res 2019 Jan 29;19(1):77. Epub 2019 Jan 29.

Mental Health, Translational Health Research Institute, School of Medicine, Western Sydney University, Sydney, Australia.

Background: The need for improved research on ill health has been recognized internationally and locally in the United Arab Emirates (UAE). The UAE Nursing and Midwifery Council recently committed to enhancing the status and contributions of nursing in healthcare research across the UAE by establishing a National Committee for Research Development. This study using a Delphi method to identify research priorities from the perspective of nurses delivering frontline healthcare. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-019-3888-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6350356PMC
January 2019
1 Read

Adaption and validation of Nijmegen continuity questionnaire to recognize the influencing factors of continuity of care for hypertensive patients in China.

BMC Health Serv Res 2019 Jan 29;19(1):79. Epub 2019 Jan 29.

School of Nursing, Tianjin Medical University, Qixiangtai Road, Heping District, Tianjin, China.

Background: Continuity of care (COC) has become a primary point of concern for care providers in both developed and developing countries, which is regarded as the "cornerstone of care" and an "essential element" of good health care. A robust and proper instrument is of necessity to identify problems and evaluate intervention aimed at improving continuity of care. This study aimed to adapt Nijmegen continuity questionnaire (NCQ) into a Chinese version (NCQ-C) and to delineate the status of COC as well as explore its influencing factors for hypertensive patients in China. Read More

View Article

Download full-text PDF

Source
https://bmchealthservres.biomedcentral.com/articles/10.1186/
Publisher Site
http://dx.doi.org/10.1186/s12913-019-3915-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6352379PMC
January 2019
4 Reads