10,566 results match your criteria Health Services Research[Journal]


Using contingent valuation to develop consumer-based weights for health quality report cards.

Health Serv Res 2019 Apr 22. Epub 2019 Apr 22.

Department of Medicine, Division of General Internal Medicine, iTEQC Research Program, University of California, Irvine, California.

Objective: The current 5-Star composite measure for nursing homes uses expert-driven weights to combine elements of quality into a single score. We assessed the feasibility of using the contingent valuation method (CVM) to derive consumers' preference-based weights for the Nursing Home Compare report card as a potential alternative approach.

Data Sources: Survey of 4310 adults with nursing home experience (residents or family members of a resident) administered between September 25 and October 9, 2017. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/1475-6773.13155DOI Listing

Evaluation of facility and community-based active household tuberculosis contact investigation in Ethiopia: a cross-sectional study.

BMC Health Serv Res 2019 Apr 22;19(1):234. Epub 2019 Apr 22.

International Training and Education Center for Health (I-TECH Ethiopia), Addis Ababa, Ethiopia.

Background: No established strategy for household tuberculosis (TB) contact investigation (HTCI) exists in Ethiopia. We implemented integrated, active HTCI model into two hospitals and surrounding community health services to determine yield of active HTCI of all forms of TB and explore factors associated with active TB diagnosis in household contacts (HHCs).

Methods: Case managers obtained HHC information from index cases at TB/DOTS clinic and liaised with health extension workers (HEWs) who screened HHCs for TB at household and referred contacts under five and presumptive cases for diagnostic investigation. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-019-4074-5DOI Listing

Survey mode effects and insurance coverage estimates in the redesigned Gallup well-being index.

Health Serv Res 2019 Apr 22. Epub 2019 Apr 22.

Department of Health Policy and Management, Harvard T.H. Chan School of Public Health, Boston, Massachusetts.

Objective: To test whether a change from a telephone to mail and Internet survey in January 2018 affected the sample composition and uninsured estimates in the Gallup-Sharecare Well-Being Index.

Data Sources: Gallup-Sharecare Well-Being Index (2013-2018).

Study Design: Regression discontinuity analysis identified changes after the survey redesign in the estimated U. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/1475-6773.13156DOI Listing

Tuberculosis care for migrant patients in Portugal: a mixed methods study with primary healthcare providers.

BMC Health Serv Res 2019 Apr 18;19(1):233. Epub 2019 Apr 18.

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: Tuberculosis (TB) is still a major global health problem. The increasing number of cases observed among foreign-born populations contrasts with the decreasing trends observed in later years in some high-income countries. Healthcare providers are key interveners in the control of TB and HIV-TB infections. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-019-4050-0DOI Listing

The impact of tort reform on defensive medicine, quality of care, and physician supply: A systematic review.

Health Serv Res 2019 Apr 16. Epub 2019 Apr 16.

Center for Health Reform, Southlake, Texas.

Objective: To evaluate the impact of tort reform on defensive medicine, quality of care, and physician supply.

Data Sources: Empirical, peer-reviewed English-language studies in the MEDLINE and HeinOnline databases that evaluated the association between tort reform and our study outcomes.

Study Design: We performed a systematic review in accordance with the PRISMA guidelines. Read More

View Article

Download full-text PDF

Source
https://onlinelibrary.wiley.com/doi/abs/10.1111/1475-6773.13
Publisher Site
http://dx.doi.org/10.1111/1475-6773.13157DOI Listing
April 2019
1 Read

Effect of a typical systemic hospital reform on inpatient expenditure for rural population: the Sanming model in China.

BMC Health Serv Res 2019 Apr 16;19(1):231. Epub 2019 Apr 16.

Department of Health Service Management, School of Humanities and Social Sciences, China Medical University, No.77 Puhe Road, Shenyang, 110122, Liaoning, China.

Background: Considering catastrophic health expenses in rural households with hospitalised members were unproportionally high, in 2013, China developed a model of systemic reform in Sanming by adjusting payment method, pharmaceutical system, and medical services price. The reform was expected to control the excessive growth of hospital expenditures by reducing inefficiency and waste in health system or shortening the length of stay. This study analyzed the systemic reform's impact on the financial burden and length of stay for the rural population in Sanming. Read More

View Article

Download full-text PDF

Source
https://bmchealthservres.biomedcentral.com/articles/10.1186/
Publisher Site
http://dx.doi.org/10.1186/s12913-019-4048-7DOI Listing
April 2019
1 Read

Healthcare professionals' knowledge, attitude and acceptance of influenza vaccination in Saudi Arabia: a multicenter cross-sectional study.

BMC Health Serv Res 2019 Apr 15;19(1):229. Epub 2019 Apr 15.

College of Pharmacy, University of Hail, P.O. Box 6166, Hail City, zip code 81442, Saudi Arabia.

Background: All healthcare professionals (HCPs) are at high risk of influenza infection. Therefore, immunization is recommended for all HCPs. Due to safety and effectiveness concerns, HCPs have a low vaccination rate. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-019-4054-9DOI Listing

A mixed-methods approach to understanding partnership experiences and outcomes of projects from an integrated knowledge translation funding model in rehabilitation.

BMC Health Serv Res 2019 Apr 16;19(1):230. Epub 2019 Apr 16.

School of Physical and Occupational Therapy, McGill University, Montreal, QC, Canada.

Background: Integrated knowledge translation (IKT) can optimize the uptake of research evidence into clinical practice by incorporating knowledge users as equal partners in the entire research process. Although several studies have investigated stakeholder involvement in research, the literature on partnerships between researchers and clinicians in rehabilitation and their impact on clinical practice is scarce. This study described the individual research projects, the outcomes of these projects on clinical practice and the partnership experiences of an initiative that funds IKT projects co-led by a rehabilitation clinician and a researcher. Read More

View Article

Download full-text PDF

Source
https://bmchealthservres.biomedcentral.com/articles/10.1186/
Publisher Site
http://dx.doi.org/10.1186/s12913-019-4061-xDOI Listing
April 2019
1 Read

Delay in tuberculosis diagnosis and treatment in Amhara state, Ethiopia.

BMC Health Serv Res 2019 Apr 16;19(1):232. Epub 2019 Apr 16.

North Shoa Zone Health Department Tuberculosis, HIV and Leprosy program coordinator, Debre Birhan, Shoa, Ethiopia.

Background: Delayed presentation is a major problem contributing to the high burden and transmission of tuberculosis (TB) in developing countries. The delay may be due to patient delay if the patient visits health-facility for diagnosis after the onset of symptoms of more than 3 weeks or health system delay if the patient is not diagnosed and treated at the time of the first visit. Ethiopia, where no more than two-thirds of TB cases are detected is no exception. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-019-4056-7DOI Listing

Exploring the association of care fragmentation and patient ratings of care quality: A mediation analysis of women Veterans' experience with VA care.

Health Serv Res 2019 Apr 15. Epub 2019 Apr 15.

Veterans Affairs (VA) Health Services Research & Development Center for the Study of Healthcare Innovation, Implementation, and Policy, VA Greater Los Angeles Healthcare System, Los Angeles, California.

Objective: To examine the relationship between care fragmentation and patient ratings of care quality and identify potentially actionable mediators.

Data Sources/study Setting: 2015 telephone survey of 1395 women Veterans with three or more visits in primary care and/or women's health care in the prior year at 12 Veterans Affairs (VA) medical centers.

Study Design: Cross-sectional analysis. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/1475-6773.13153DOI Listing

Outpatient primary and tertiary healthcare utilisation among public rental housing residents in Singapore.

BMC Health Serv Res 2019 Apr 15;19(1):227. Epub 2019 Apr 15.

SingHealth Regional Health System, Singapore Health Services, 169608, Outram Road, Singapore, Singapore.

Background: Globally, public housing is utilized to provide affordable housing for low-income households. Studies have shown an association between public housing and negative health outcomes. There is paucity of data pertaining to outpatient primary and tertiary healthcare resources utilization among public rental housing residents in Singapore. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-019-4047-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6466644PMC
April 2019
1.659 Impact Factor

Evaluating the design and implementation of the whole systems integrated care programme in North West London: why commissioning proved (again) to be the weakest link.

BMC Health Serv Res 2019 Apr 15;19(1):228. Epub 2019 Apr 15.

Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health; Division of Evidence-Based Medicine (dEBM), Charitéplatz 1, 10117, Berlin, Germany.

Background: Commissioning is a term used in the English National Health Service (NHS) to refer to what most health systems call health planning or strategic purchasing. Drawing on research from a recent in-depth mixed methods study of a major integrated care initiative in North West London, we examine the role of commissioning in attempts to secure large-scale change within and between health and social care services to support the delivery of integrated care for people living with complex long-term conditions.

Methods: We analysed data collected in semi-structured interviews, surveys, workshops and non-participant observations using a thematic framework derived both deductively from the literature on commissioning and integrated care, as well as inductively from our coding and analysis of interview data. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-019-4013-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6466786PMC

Engaging multiple stakeholders to improve speech and language therapy services in schools: an appreciative inquiry-based study.

BMC Health Serv Res 2019 Apr 15;19(1):226. Epub 2019 Apr 15.

School of Allied Health, Faculty of Education & Health Sciences, University of Limerick, Limerick, V94 T9PX, Ireland.

Background: Effective collaboration between speech and language therapists (SLTs) and teachers is essential in meeting the needs of children with developmental language disorders in school, but it is difficult to achieve. Currently, many children receive inadequate speech and language therapy services and/or support in school. The aim of this study was to engage key stakeholders (SLTs, teachers, parents and children with DLD) in the co-design of their ideal speech and language therapy service and support in school. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-019-4051-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6466713PMC

Can a continuous quality improvement program create culturally safe emergency departments for Aboriginal people in Australia? A multiple baseline study.

BMC Health Serv Res 2019 Apr 11;19(1):222. Epub 2019 Apr 11.

NSW Ministry of Health, 73 Miller Street, North Sydney, NSW, 2060, Australia.

Background: Providing culturally safe health care can contribute to improved health among Aboriginal people. However, little is known about how to make hospitals culturally safe for Aboriginal people. This study assessed the impact of an emergency department (ED)-based continuous quality improvement program on: the accuracy of recording of Aboriginal status in ED information systems; incomplete ED visits among Aboriginal patients; and the cultural appropriateness of ED systems and environments. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-019-4049-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6458761PMC

Older persons' experiences of adapting to daily life at home after hospital discharge: a qualitative metasummary.

BMC Health Serv Res 2019 Apr 11;19(1):224. Epub 2019 Apr 11.

Department of Nursing and Health Promotion, Faculty of Health Sciences, OsloMet - Oslo Metropolitan University, Oslo, Norway.

Background: Researchers have shown that hospitalisation can decrease older persons' ability to manage life at home after hospital discharge. Inadequate practices of discharge can be associated with adverse outcomes and an increased risk of readmission. This review systematically summarises qualitative findings portraying older persons' experiences adapting to daily life at home after hospital discharge. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-019-4035-zDOI Listing

Delayed illness recognition and multiple referrals: a qualitative study exploring care-seeking trajectories contributing to maternal and newborn illnesses and death in southern Tanzania.

BMC Health Serv Res 2019 Apr 11;19(1):225. Epub 2019 Apr 11.

Department of Health Systems, Impact Evaluation and Policy, Ifakara Health Institute, Dar es Salaam, Tanzania.

Background: Maternal and neonatal mortality remain high in southern Tanzania despite an increasing number of births occurring in health facilities. In search for reasons for the persistently high mortality rates, we explored illness recognition, decision-making and care-seeking for cases of maternal and neonatal illness and death.

Methods: We conducted 48 in-depth interviews (16 participants who experienced maternal illnesses, 16 mothers whose newborns experienced illness, eight mothers whose newborns died, and eight family members of a household with a maternal death), and five focus group discussions with community leaders in two districts of Mtwara region. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-019-4019-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6460539PMC

Access to cardiac rehabilitation and the role of language barriers in the provision of cardiac rehabilitation to migrants.

BMC Health Serv Res 2019 Apr 11;19(1):223. Epub 2019 Apr 11.

Knowledge Centre for Rehabilitation and Palliative Care (REHPA) Odense University Hospital and University of Southern Denmark, Odense, Denmark.

Background: Cardiac rehabilitation (CR) has proven health benefits and, according to international guidelines, CR must be offered to all eligible patients. Studies have reported lower uptake of CR among migrants, and migrants are known to face several barriers in their access to healthcare, of which language is the most common. The aim of this study is to examine the provision of CR core components for migrants; and the role of language barriers in the provision of CR in Danish hospitals and municipalities. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-019-4041-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6458700PMC

An administrative model for benchmarking hospitals on their 30-day sepsis mortality.

BMC Health Serv Res 2019 Apr 11;19(1):221. Epub 2019 Apr 11.

CRISMA Center, Department of Critical Care Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.

Background: Given the increased attention to sepsis at the population level there is a need to assess hospital performance in the care of sepsis patients using widely-available administrative data. The goal of this study was to develop an administrative risk-adjustment model suitable for profiling hospitals on their 30-day mortality rates for patients with sepsis.

Methods: We conducted a retrospective cohort study using hospital discharge data from general acute care hospitals in Pennsylvania in 2012 and 2013. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-019-4037-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6458755PMC
April 2019
1 Read

Caregivers' experiences of a home support program after the hospital discharge of an older family member: a qualitative analysis.

BMC Health Serv Res 2019 Apr 11;19(1):220. Epub 2019 Apr 11.

School of Nursing, Midwifery and Paramedicine, Curtin University , GPO Box U1987, Perth, Western Australia, 6845, Australia.

Background: The ageing global population has seen increasing numbers of older people living with chronic health problems, declining function, and frailty. As older people seek to live out their years at home, family members, friends and neighbours (informal caregivers) are increasingly relied upon for support. Moreover, pressured health systems and shorter hospital length of stay mean that informal caregivers can find themselves supporting the older person who is still unwell after discharge. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-019-4042-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6458630PMC

Tailored interventions by community pharmacists and general practitioners improve adherence to statins in a Spanish randomized controlled trial.

Health Serv Res 2019 Apr 7. Epub 2019 Apr 7.

Official Pharmacist Association of Gipuzkoa, Donostia/San Sebastián, Spain.

Objective: To evaluate the impact of health professionals' intervention on adherence to statins, the influence on total cholesterol levels, and lifestyle patterns in patients with hypercholesterolemia and analyze the differences according to the center of recruitment.

Study Setting: Forty-six community pharmacies and 50 primary care centers of Spain.

Study Design: Randomized controlled trial design (n = 746). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/1475-6773.13152DOI Listing
April 2019
1 Read

Patient consultation rate and clinical and NHS outcomes: a cross-sectional analysis of English primary care data from 2.7 million patients in 238 practices.

BMC Health Serv Res 2019 Apr 6;19(1):219. Epub 2019 Apr 6.

Centre for Academic Primary Care, Bristol Medical School, University of Bristol, Bristol, UK.

Background: Primary care workload is high and increasing in the United Kingdom. We sought to examine the association between rates of primary care consultation and outcomes in England.

Methods: Cross sectional observational study of routine electronic health care records in 283 practices from the Clinical Practice Research Datalink from April 2013 to March 2014. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-019-4036-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6451312PMC
April 2019
1 Read

Psychometric evaluation of an interview-administered version of the WHOQOL-BREF questionnaire for use in a cross-sectional study of a rural district in Bangladesh: an application of Rasch analysis.

BMC Health Serv Res 2019 Apr 5;19(1):216. Epub 2019 Apr 5.

Department of Statistics, Data Science and Epidemiology; Faculty of Health, Arts and Design; Swinburne University of Technology, Hawthorn, VIC, 3122, Australia.

Background: This study aimed to validate the psychometric properties of the World Health Organization Quality of Life Instrument, Short Form (WHOQOL-BREF) questionnaire for use in a rural district of Bangladesh.

Methods: This cross-sectional study recruited a multi-stage cluster random sample of 2425 participants from the rural district Narail of Bangladesh in May-July 2017. Rasch analysis was carried out using the sampled participants, as well as multiple validation random sub-samples of 300 participants, to validate four domains of the WHOQOL-BREF questionnaire: physical, psychological, social and environmental. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-019-4026-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6451264PMC

Explaining patient delay in healthcare seeking and loss to diagnostic follow-up among patients with presumptive tuberculosis in Tanzania: a mixed-methods study.

BMC Health Serv Res 2019 Apr 5;19(1):217. Epub 2019 Apr 5.

Swiss Tropical and Public Health Institute, Basel, Switzerland.

Background: Delay in healthcare seeking and loss to diagnostic follow-up (LDFU) contribute to substantial increase in tuberculosis (TB) morbidity and mortality. We examined factors, including perceived causes and prior help seeking, contributing to delay and LDFU during referral to a TB clinic among patients with presumptive TB initially seeking help at the pharmacies in Dar es Salaam Tanzania.

Methods: In a TB clinic, a semi-structured interview based on the explanatory model interview catalogue (EMIC) framework for cultural epidemiology was administered to presumptive TB patients enrolled at pharmacies during an intervention study. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-019-4030-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6451234PMC
April 2019
3 Reads

Clinical predictors of protracted length of stay in Ontario Complex Continuing Care hospitals.

BMC Health Serv Res 2019 Apr 5;19(1):218. Epub 2019 Apr 5.

School of Public Health and Health Systems, University of Waterloo, 200 University Avenue West, Waterloo, ON, N2L 3G1, Canada.

Background: Post-acute care hospitals are often subject to patient flow pressures because of their intermediary position along the continuum of care between acute care hospitals and community care or residential long-term care settings. The purpose of this study was to identify patient attributes associated with a prolonged length of stay in Complex Continuing Care hospitals.

Methods: Using information collected using the interRAI Resident Assessment Instrument Minimum Data Set 2. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-019-4024-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6451230PMC
April 2019
4 Reads

Identifying barriers to the use of ultrasound in the perioperative period: a survey of southwestern Ontario anesthesiologists.

BMC Health Serv Res 2019 Apr 4;19(1):214. Epub 2019 Apr 4.

Department of Anesthesia & Perioperative Medicine, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada.

Background: Ultrasound (US) can be used for many perioperative procedures, but evidence is lacking as to its frequency of use and barrier of application. The objectives of this survey were to determine i) how often US guidance was used perioperatively for vascular access placement, nerve blocks, and heart and lung assessment, and ii) to identify the barriers and the limitations of using US amongst anesthesiologists in southwestern Ontario.

Methods: We conducted a web-based survey in over 40 academic or community hospitals at southwestern Ontario. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-019-4040-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6449934PMC
April 2019
1 Read

Effects and determinants of tuberculosis drug stockouts in South Africa.

BMC Health Serv Res 2019 Apr 3;19(1):213. Epub 2019 Apr 3.

Erasmus School of Health Policy and Management, Erasmus University Rotterdam, Burgemeester Oudlaan 50, Rotterdam, PA, 3062, The Netherlands.

Background: The frequent occurrence of medicine stockouts represents a significant obstacle to tuberculosis control in South Africa. Stockouts can lead to treatment alterations or interruptions, which can impact treatment outcomes. This study investigates the determinants and effects of TB drug stockouts and whether poorer districts are disproportionately affected. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-019-3972-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6448237PMC
April 2019
1 Read

Changes in screening colonoscopy following Medicare reimbursement and cost-sharing changes.

Health Serv Res 2019 Apr 2. Epub 2019 Apr 2.

Health Policy Research Center, Mongan Institute, Massachusetts General Hospital, Boston, Massachusetts.

Objectives: To compare existing algorithms for classifying screening vs diagnostic colonoscopies and to quantify the increase in screening colonoscopy rates when Medicare began reimbursement in 2001 and when the Affordable Care Act (ACA) eliminated cost-sharing.

Data Sources: Twenty percent random sample of fee-for-service (FFS) Medicare claims, 2000-2012.

Study Design: Using recent administrative codes as tarnished gold standards, we examined the sensitivity and specificity of five published algorithms for classifying colonoscopies and calculated annual screening colonoscopy rates. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/1475-6773.13150DOI Listing
April 2019
3 Reads

Development and psychometric assessment of a novel survey to measure care coordination from the specialist's perspective.

Health Serv Res 2019 Apr 2. Epub 2019 Apr 2.

Department of Health Law, Policy and Management, Boston University School of Public Health, Boston, Massachusetts.

Objective: To develop an online survey of care coordination with primary care providers as experienced by medical specialists, evaluate its psychometric properties, and test its construct validity.

Data Sources: Physicians (N = 633) from 13 medical specialties across the Veterans Health Administration.

Study Design: We developed the survey based on prior work (literature review, specialist interviews) and by adapting existing measures and developing new items. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/1475-6773.13148DOI Listing
April 2019
1 Read

Ambulance diversions following public hospital emergency department closures.

Health Serv Res 2019 Apr 2. Epub 2019 Apr 2.

Fielding School of Public Health, Department of Health Policy and Management, University of California, Los Angeles, Los Angeles, California.

Objective: To examine whether hospitals are more likely to temporarily close their emergency departments (EDs) to ambulances (through ambulance diversions) if neighboring diverting hospitals are public vs private.

Data Sources/study Setting: Ambulance diversion logs for California hospitals, discharge data, and hospital characteristics data from California's Office of Statewide Health Planning and Development and the American Hospital Association (2007).

Study Design: We match public and private (nonprofit or for-profit) hospitals by distance and size. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/1475-6773.13147DOI Listing
April 2019
1 Read

The politics and ethics of hospital infection prevention and control: a qualitative case study of senior clinicians' perceptions of professional and cultural factors that influence doctors' attitudes and practices in a large Australian hospital.

BMC Health Serv Res 2019 Apr 2;19(1):212. Epub 2019 Apr 2.

Sydney Health Ethics, University of Sydney, Level 1, Building 1, Medical Foundation Building, 92/94 Parramatta Rd, Camperdown, NSW, 2050, Australia.

Background: Hospital infection prevention and control (IPC) programs are designed to minimise rates of preventable healthcare-associated infection (HAI) and acquisition of multidrug resistant organisms, which are among the commonest adverse effects of hospitalisation. Failures of hospital IPC in recent years have led to nosocomial and community outbreaks of emerging infections, causing preventable deaths and social disruption. Therefore, effective IPC programs are essential, but can be difficult to sustain in busy clinical environments. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-019-4044-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6444390PMC

Healthcare worker experiences with Option B+ for prevention of mother-to-child HIV transmission in eSwatini: findings from a two-year follow-up study.

BMC Health Serv Res 2019 Apr 2;19(1):210. Epub 2019 Apr 2.

ICAP at Columbia University, Mailman School of Public Health, New York, NY, USA.

Background: Prevention of mother-to-child transmission (PMTCT) across sub-Saharan Africa has rapidly shifted towards Option B+, an approach in which all HIV+ pregnant and breastfeeding women initiate lifelong antiretroviral therapy (ART) independent of CD4+ count. Healthcare workers (HCW) are critical to the success of Option B+, yet little is known regarding HCW acceptability of Option B+, particularly over time.

Methods: Ten health facilities in the Manzini and Lubombo regions of eSwatini transitioned from Option A to Option B+ between 2013 and 2014 as part of the Safe Generations study examining PMTCT retention. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-019-3997-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6444445PMC

Understanding healthcare self-referral in Nigeria from the service users' perspective: a qualitative study of Niger state.

BMC Health Serv Res 2019 Apr 2;19(1):209. Epub 2019 Apr 2.

Faculty of Health & Life Sciences, De Montfort University, Edith Murphy House, The Gateway. Leicester, Leicester, LE1 9BH, UK.

Background: The by-pass of the primary level of care to the referral facilities has continued to raise concerns for the healthcare delivery system. About 60-90% of patients in Nigeria are reported to self-refer to a referral level of care. Thus, this study sought to identify the factors that influence service-users' decision to self-refer to the secondary healthcare facilities in Nigeria by exploring the perceptions and experiences of the service-users. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-019-4046-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6444603PMC
April 2019
1 Read

The Philani MOVIE study: a cluster-randomized controlled trial of a mobile video entertainment-education intervention to promote exclusive breastfeeding in South Africa.

BMC Health Serv Res 2019 Apr 2;19(1):211. Epub 2019 Apr 2.

Heidelberg Institute of Global Health (HIGH), Medical Faculty and University Hospital, Heidelberg University, Heidelberg, Germany.

Background: In South Africa, rates of exclusive breastfeeding remain low and breastfeeding promotion is a national health priority. Mobile health and narrative entertainment-education are recognized strategies for health promotion. In-home counseling by community health workers (CHWs) is a proven breastfeeding promotion strategy. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-019-4000-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6444854PMC
April 2019
1 Read

Evaluation of a Tennessee statewide initiative to reduce early elective deliveries using quasi-experimental methods.

BMC Health Serv Res 2019 Apr 2;19(1):208. Epub 2019 Apr 2.

Department of Preventive Medicine, University of Tennessee Health Science Center, 66 N Pauline, Memphis, TN, 38163, USA.

Background: Concerted quality improvement (QI) efforts have been taken to discourage the practice of early elective deliveries (EEDs), but few studies have robustly examined the impact of directed QI interventions in reducing EED practices. Using quasi-experimental methods, we sought to evaluate the impact of a statewide QI intervention to reduce the practice of EEDs.

Methods: Retrospective cohort study of vital records data (2007 to 2013) for all singleton births occurring ≥36 weeks in 66 Tennessee hospitals grouped into three QI cohorts. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-019-4033-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6444673PMC
April 2019
4 Reads

Physician network position and patient outcomes following implantable cardioverter defibrillator therapy.

Health Serv Res 2019 Apr 1. Epub 2019 Apr 1.

Department of Biomedical Data Science and The Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire.

Objective: To evaluate two novel measures of physician network centrality and their associations with implantable cardioverter defibrillator (ICD) procedure volume and health outcomes.

Data Sources: Medicare claims and the National Cardiovascular Data Registry data from 2007 to 2011.

Study Design: We constructed a national cardiovascular disease patient-sharing physician network and used network analysis to characterize physician network centrality with two measures: within-hospital degree centrality (number of connections within a hospital) and across-hospital degree centrality (number of connections across hospitals). Read More

View Article

Download full-text PDF

Source
https://onlinelibrary.wiley.com/doi/abs/10.1111/1475-6773.13
Publisher Site
http://dx.doi.org/10.1111/1475-6773.13151DOI Listing
April 2019
2 Reads

Change in geographic access to community health centers after Health Center Program expansion.

Health Serv Res 2019 Apr 1. Epub 2019 Apr 1.

Department of Environmental Health, Boston University School of Public Health, Boston, Massachusetts.

Objective: To examine geographic access to community health centers (CHC accessibility) before and after Health Center Program expansion in three Southern states.

Data Sources: Community health center data were from the Health Resources and Services Administration (1967-2016). Population estimates and sociodemographic characteristics were from the American Community Survey (2006-2015). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/1475-6773.13149DOI Listing

Pharmacists expand access to reproductive heaLthcare: PEARL study protocol.

BMC Health Serv Res 2019 Apr 1;19(1):207. Epub 2019 Apr 1.

Center for Health Systems Effectiveness, Oregon Health &Science University, Portland, USA.

Background: In 2016, Oregon became the first of eight states to allow pharmacists to directly prescribe hormonal contraception (HC), including the pill, patch, or ring, without a clinic visit. In the two years following this policy change, the majority of ZIP codes across the state of Oregon had a pharmacist certified to prescribe HC.

Methods: We will utilize complementary methodologies to evaluate the effect of this policy change on convenient access to contraception (cost, supply dispensed), safety, contraceptive continuation and unintended pregnancy rates. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-019-4038-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6444429PMC
April 2019
1 Read

Barriers and facilitators with medication use during the transition from hospital to home: a qualitative study among patients.

BMC Health Serv Res 2019 Mar 29;19(1):204. Epub 2019 Mar 29.

Department of Clinical Pharmacy, OLVG hospital, Amsterdam, 1061AE, The Netherlands.

Background: During transitions from hospital to home, up to half of all patients experience medication-related problems, such as adverse drug events. To reduce these problems, knowledge of patient experiences with medication use during this transition is needed. This study aims to identify the perspectives of patients on barriers and facilitators with medication use, during the transition from hospital to home. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-019-4028-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6441233PMC

Improving continuity of patient care across sectors: study protocol of a quasi-experimental multi-centre study regarding an admission and discharge model in Germany (VESPEERA).

BMC Health Serv Res 2019 Mar 29;19(1):206. Epub 2019 Mar 29.

Department for General Practice and Health Services Research, University Hospital Heidelberg, Im Neuenheimer Feld 130.3, 69120, Heidelberg, Germany.

Background: Hospitalisations are a critical event in the care process. Insufficient communication and uncoordinated follow-up care often impede the recovery process of the patient resulting in a high number of rehospitalisations and increased health care costs. The overall aim of this study is the development, implementation and evaluation of a structured programme (VESPEERA) to improve the admission and discharge process. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-019-4022-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6441227PMC
March 2019
1 Read

Validity and reliability of measures to assess constructs from the inner setting domain of the consolidated framework for implementation research in a pediatric clinic network implementing HPV programs.

BMC Health Serv Res 2019 Mar 29;19(1):205. Epub 2019 Mar 29.

Center for Health Promotion and Prevention Research, Department of Health Promotion & Behavioral Sciences, University of Texas Health Science Center at Houston School of Public Health, 7000 Fannin St., Houston, TX, 77030, USA.

Background: Accurate and valid measures for implementation constructs are critical to advance research and guide implementation efforts. However, there is a continued need for valid and reliable measures for implementation research. The purpose of this study was to assess the psychometric properties of measures for the Inner Setting domain of the Consolidated Framework for Implementation Research (CFIR) in a network of pediatric clinics. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-019-4021-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6441163PMC

Perceived cultural differences in healthcare for foreign patients visiting South Korea: tool development and measurement.

BMC Health Serv Res 2019 Mar 28;19(1):197. Epub 2019 Mar 28.

College of Nursing, Seoul National University, 103 Daehak-ro, Jongno-gu, Seoul, 03080, Republic of Korea.

Background: We developed a 41-item tool measuring cultural differences in healthcare as perceived by foreign patients visiting South Korea.

Methods: The tool was tested on 256 foreign patients who visited three tertiary hospitals in Seoul, South Korea. Content validity was explored by two physicians and eight nurses working in an international healthcare department. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-019-3965-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6437978PMC

Exploring adolescents and young people's candidacy for utilising health services in a rural district, South Africa.

BMC Health Serv Res 2019 Mar 28;19(1):195. Epub 2019 Mar 28.

London School of Hygiene & Tropical Medicine, Keppel Street, London, WC1E 7HT, UK.

Background: We use the 'candidacy framework' to describe adolescents' and young people's (AYP) experiences of health services in a rural KwaZulu-Natal district, South Africa.

Methods: A qualitative approach was used including group discussions, in-depth and key informant interviews with a purposive sample of AYP (n = 70), community leaders (n = 15), school health teams (n = 10), and health service providers (n = 6).

Results: Findings indicate tacit understanding among AYP that they are candidates for general health services. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-019-3960-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6438017PMC

Socio-demographic differences in the frequent use of emergency department care by older persons: a population-based study in Stockholm County.

BMC Health Serv Res 2019 Mar 29;19(1):202. Epub 2019 Mar 29.

Department of Public Health Sciences, Karolinska Institutet, Plan 6, Solnavägen 1 E, 113 65, Stockholm, Sweden.

Background: In Sweden, the number of older people using emergency department (ED) care is rising. Among older persons an ED visit is a stressful event, which potentially could have been prevented or treated at other levels of care. Frequent ED use (> 4 visits a year) by older persons might reflect issues in the organisation of health care system to address their needs. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-019-4029-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6440084PMC

Uptake and correlates of HIV testing among men in Malawi: evidence from a national population-based household survey.

BMC Health Serv Res 2019 Mar 29;19(1):203. Epub 2019 Mar 29.

Kamuzu College of Nursing, University of Malawi, Lilongwe, Malawi.

Background: HIV testing is one of the key strategies in the HIV/AIDS prevention and control programmes. However, studies examining utilization of this service by men in Malawi are limited. The aim of this study was to assess the uptake and determinants of HIV testing among men in Malawi. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-019-4031-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6440107PMC

Are family planning vouchers effective in increasing use, improving equity and reaching the underserved? An evaluation of a voucher program in Pakistan.

BMC Health Serv Res 2019 Mar 29;19(1):200. Epub 2019 Mar 29.

Department of Research, Monitoring and Evaluation, Marie Stopes Society, Karachi, Pakistan.

Background: Low modern contraceptive prevalence rate and high unmet need in Pakistan aggravates the vulnerabilities of unintended pregnancies and births contributing to maternal morbidity and mortality. This research aims to assess the effectiveness of a free, single-purpose voucher approach in increasing the uptake, use and better targeting of modern contraceptives among women from the lowest two wealth quintiles in rural and urban communities of Punjab province, Pakistan.

Methods: A quasi-interventional study with pre- and post-phases was implemented across an intervention (Chakwal) and a control district (Bhakkar) in Punjab province (August 2012-January 2015). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-019-4027-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6440079PMC
March 2019
1.659 Impact Factor

Correction to: Will the reformed Cancer Drugs Fund address the most common types of uncertainty? An analysis of NICE cancer drug appraisals.

BMC Health Serv Res 2019 Mar 28;19(1):198. Epub 2019 Mar 28.

Oxford-UCL Centre for the Advancement of Sustainable Medical Innovation, Radcliffe Department of Medicine, University of Oxford, Room 4403, Level 4, John Radcliffe Hospital, Headley Way, Headington, Oxford, OX3 9DU, UK.

. Read More

View Article

Download full-text PDF

Source
https://bmchealthservres.biomedcentral.com/articles/10.1186/
Publisher Site
http://dx.doi.org/10.1186/s12913-019-4039-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6437939PMC
March 2019
3 Reads

Exploring the views of being a proxy from the perspective of unpaid carers and paid carers: developing a proxy version of the Adult Social Care Outcomes Toolkit (ASCOT).

BMC Health Serv Res 2019 Mar 29;19(1):201. Epub 2019 Mar 29.

Quality and Outcomes of person-centred care policy Research Unit (QORU), PSSRU Kent, University of Kent, Cornwallis Building, Canterbury, CT2 7NF, UK.

Background: Outcomes-based policy and administration of public services present a compelling argument for the value of outcomes data. However, there are a number of challenges inherent in collecting these data from people who are unable to complete a paper-based survey or interview due to cognitive or communication impairments. In this paper, we explore the views of being a proxy from the perspective of unpaid carers and paid carers who may be asked to act as a proxy on behalf of the person(s) they care for. Read More

View Article

Download full-text PDF

Source
https://bmchealthservres.biomedcentral.com/articles/10.1186/
Publisher Site
http://dx.doi.org/10.1186/s12913-019-4025-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6440097PMC
March 2019
4 Reads

"I just have to take it" - patient safety in acute care: perspectives and experiences of patients with chronic kidney disease.

BMC Health Serv Res 2019 Mar 28;19(1):199. Epub 2019 Mar 28.

College of Pharmacy and Nutrition, University of Saskatchewan, Saskatoon, SK, Canada.

Background: Frequent hospitalizations and dependency on technology and providers place individuals with chronic kidney disease (CKD) at high risk for multiple safety events. Threats to their safety may be physical, emotional, or psychological. This study sought to explore patient safety from the perspectives and experiences of patients with CKD in acute care settings, and to describe willingness to report incidents utilizing an existing safety reporting system. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-019-4014-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6437896PMC

Subscribers' perception of quality of services provided by Ghana's National Health Insurance Scheme - what are the correlates?

BMC Health Serv Res 2019 Mar 28;19(1):196. Epub 2019 Mar 28.

Department of Public Administration and Health Services Management, University of Ghana, University of Ghana Business School, Legon, Accra, Ghana.

Background: Ghana's National Health Insurance Scheme (NHIS) has witnessed an upsurge in enrollment since its inception in 2003, with over 40% of the Ghanaian population actively enrolled in the scheme. While the scheme strives to achieve universal health coverage, this quest is derailed by negative perceptions of the quality of services rendered to NHIS subscribers. This paper presents an analysis on perceptions of service quality provided to subscribers of Ghana's NHIS with emphasis on rural and urban scheme policy holders, using a nationally representative data. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12913-019-4023-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6437960PMC
March 2019
1.659 Impact Factor