23,685 results
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2. Converting the existing disease surveillance from a paper-based to an electronic-based system using district health information system (DHIS-2) for real-time information: the Lebanese experience
- Author
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Dalal Youssef, Ayat Yaghi, Abbas Jouny, Linda Abou-Abbas, Houssam Chammaa, and Nada Ghosn
- Subjects
Disease surveillance ,District health information system ,DHIS-2 ,Paper-based ,Electronic system ,Lebanon ,Public aspects of medicine ,RA1-1270 - Abstract
Abstract Introduction The Ministry of Public Health in Lebanon is in the process of converting the surveillance reporting from a cumbersome paper-based system to a web-based electronic platform (DHIS-2) to have real-time information for early detection of alerts and outbreaks and for initiating a prompt response. Objectives This paper aimed to document the Lebanese experience in implementing DHIS-2 for the disease surveillance system. It also targets to assess the improvement of reporting rates and timeliness of the reported data and to disclose the encountered challenges and opportunities. Methodology This is a retrospective description of processes involved in the implementation of the DHIS-2 tool in Lebanon. Initially, it was piloted for the school-based surveillance in 2014; then its use was extended in May 2017 to cover other specific surveillance systems. This included all surveillance programs collecting aggregate data from hospitals, medical centers, dispensaries, or laboratories at the first stage. As part of the national roll-out process, the online application was developed. The customized aggregated-based datasets, organization units, user accounts, specific and generic dashboards were generated. More than 80 training sessions were conducted throughout the country targeting 1290 end-users including health officers at the national and provincial levels, focal persons who were working in all public and private hospitals, laboratories, and medical centers as well. Completeness and timeliness of reported data were compared before and after the implementation of DHIS-2. The unveiled challenges and the main lessons learned during the roll-out process were discussed. Results For laboratory-based surveillance, completeness of reporting increased from 70.8% in May to 89.6% in October. Timeliness has improved from 25 to 74%. For medical centers, an improvement of 8.1% for completeness and 9.4% in timeliness was recorded before and after training sessions. For zero reporting, completeness remains the same (88%) and timeliness has improved from 74 to 87%. The main challenges faced during the implementation of DHIS-2 were mainly infrastructural and system-related in addition to poor internet connectivity, limited workforce, and frequent changes to DHIS-2 versions. Conclusion Implementation of DHIS-2 improved timeliness and completeness for aggregated data reporting. Continued on-site support, monitoring, and system enhancement are needed to improve the performance of DHIS-2.
- Published
- 2022
- Full Text
- View/download PDF
3. Assessment of formats and completeness of paper-based referral letters among urban hospitals in Rwanda: a retrospective baseline study
- Author
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Kalume, Zamzam, Jansen, Bart, Nyssen, Marc, Cornelis, Jan, Verbeke, Frank, and Niyoyita, Jean Paul
- Published
- 2022
- Full Text
- View/download PDF
4. Assessment of formats and completeness of paper-based referral letters among urban hospitals in Rwanda: a retrospective baseline study
- Author
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Zamzam Kalume, Bart Jansen, Marc Nyssen, Jan Cornelis, Frank Verbeke, and Jean Paul Niyoyita
- Subjects
Patient referral ,Referral letters ,Referral completeness ,Public aspects of medicine ,RA1-1270 - Abstract
Abstract Background Patient referral is a process in which a healthcare provider decides to seek assistance due to the limitations of available skills, resources and services offered locally. Paper-based referrals predominantly used in low-income countries hardly follow any procedure. This causes a major gap in communication, coordination, and continuity of care between primary and specialized levels, leading to poor access, delay, duplication and unnecessary costs. The goal of this study is to assess the formats and completeness of existing paper-based referral letters in order to improve health information exchange, coordination, and continuity of care. Methods A retrospective exploratory research was conducted in eight public and three private healthcare facilities in the city of Kigali from May to October 2021. A purposive sampling method was used to select hospitals and referral letters from patients’ files. A data capture sheet was designed according to the contents of the referral letters and the resulting responses were analyzed descriptively. Results In public hospitals, five types of updated referral letters were available, in total agreement with World Health Organization (WHO) standards of which two (neonatal transfer form and patient monitoring transfer form) were not used. There was also one old format that was used by most hospitals and another format designed and used by a district hospital (DH) separately. Three formats were designed and used by private hospitals (PH) individually. A total of 2,304 referral letters were perused and the results show that “external transfer” forms were completed at 58.8%; “antenatal, delivery, and postnatal external transfer” forms at 47.5%; “internal transfer” forms at 46.6%; “Referral/counter referral” forms at 46.0%; district hospital referrals (DH2) at 73.4%. Referrals by private hospitals (PH1, PH2 and PH3) were completed at 97.7%, 70.7%, and 0.0% respectively. The major completeness deficit was observed in counter referral information for all hospitals. Conclusion We observed inconsistencies in the format of the available referral letters used by public hospitals, moreover some of them were incompatible with WHO standards. Additionally, there were deficits in the completeness of all types of paper-based referral letters in use. There is a need for standardization and to disseminate the national patient referral guideline in public hospitals with emphasis on referral feedback, referral registry, triage, archiving and a need for regular training in all organizations.
- Published
- 2022
- Full Text
- View/download PDF
5. The way from pen and paper to electronic documentation in a German emergency department
- Author
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Lucas, Benjamin, Schladitz, Peter, Schirrmeister, Wiebke, Pliske, Gerald, Walcher, Felix, Kulla, Martin, and Brammen, Dominik
- Published
- 2019
- Full Text
- View/download PDF
6. The way from pen and paper to electronic documentation in a German emergency department
- Author
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Benjamin Lucas, Peter Schladitz, Wiebke Schirrmeister, Gerald Pliske, Felix Walcher, Martin Kulla, and Dominik Brammen
- Subjects
Emergency department ,Electronic health records ,Registry ,Public aspects of medicine ,RA1-1270 - Abstract
Abstract Background Some of the advantages of implementing electronic emergency department information systems (EDIS) are improvements in data availability and simplification of statistical evaluations of emergency department (ED) treatments. However, for multi-center evaluations, standardized documentation is necessary. The AKTIN project (“National Emergency Department Register: Improvement of Health Services Research in Acute Medicine in Germany”) has used the “German Emergency Department Medical Record” (GEDMR) published by the German Interdisciplinary Association of Intensive and Emergency Care as the documentation standard for its national data registry. Methods Until March 2016 the documentation standard in ED was the pen-and-paper version of the GEDMR. In April 2016 we implemented the GEDMR in a timeline-based EDIS. Related to this, we compared the availability of structured treatment information of traumatological patients between pen-and-paper-based and electronic documentation, with special focus on the treatment time. Results All 796 data fields of the 6 modules (basic data, severe trauma, patient surveillance, anesthesia, council, neurology) were adapted for use with the existing EDIS configuration by a physician working regularly in the ED. Electronic implementation increased availability of structured anamnesis and treatment information. However, treatment time was increased in electronic documentation both immediately (2:12 ± 0:04 h; n = 2907) and 6 months after implementation (2:18 ± 0:03 h; n = 4778) compared to the pen-and-paper group (1:43 ± 0:02 h; n = 2523; p
- Published
- 2019
- Full Text
- View/download PDF
7. Reducing medical claims cost to Ghana's National Health Insurance scheme: a cross-sectional comparative assessment of the paper- and electronic-based claims reviews.
- Author
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Nsiah-Boateng E, Asenso-Boadi F, Dsane-Selby L, Andoh-Adjei FX, Otoo N, Akweongo P, and Aikins M
- Subjects
- Cost Savings, Cross-Sectional Studies, Fraud, Ghana, Health Facilities, Humans, Insurance, Health statistics & numerical data, Electronic Health Records, Insurance Claim Review economics, National Health Programs economics, Paper
- Abstract
Background: A robust medical claims review system is crucial for addressing fraud and abuse and ensuring financial viability of health insurance organisations. This paper assesses claims adjustment rate of the paper- and electronic-based claims reviews of the National Health Insurance Scheme (NHIS) in Ghana., Methods: The study was a cross-sectional comparative assessment of paper- and electronic-based claims reviews of the NHIS. Medical claims of subscribers for the year, 2014 were requested from the claims directorate and analysed. Proportions of claims adjusted by the paper- and electronic-based claims reviews were determined for each type of healthcare facility. Bivariate analyses were also conducted to test for differences in claims adjustments between healthcare facility types, and between the two claims reviews., Results: The electronic-based review made overall adjustment of 17.0% from GHS10.09 million (USD2.64 m) claims cost whilst the paper-based review adjusted 4.9% from a total of GHS57.50 million (USD15.09 m) claims cost received, and the difference was significant (p < 0.001). However, there were no significant differences in claims cost adjustment rate between healthcare facility types by the electronic-based (p = 0.0656) and by the paper-based reviews (p = 0.6484)., Conclusions: The electronic-based review adjusted significantly higher claims cost than the paper-based claims review. Scaling up the electronic-based review to cover claims from all accredited care providers could reduce spurious claims cost to the scheme and ensure long term financial sustainability.
- Published
- 2017
- Full Text
- View/download PDF
8. Sustainability in Health care by allocating resources effectively (SHARE) 1: introducing a series of papers reporting an investigation of disinvestment in a local healthcare setting
- Author
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Claire Harris, Sally Green, Wayne Ramsey, Kelly Allen, and Richard King
- Subjects
Disinvestment ,Decommission ,De-adopt ,De-list ,De-implement ,Health technology ,Public aspects of medicine ,RA1-1270 - Abstract
Abstract This is the first in a series of papers reporting Sustainability in Health care by Allocating Resources Effectively (SHARE). The SHARE Program is an investigation of concepts, opportunities, methods and implications for evidence-based investment and disinvestment in health technologies and clinical practices in a local healthcare setting. The papers in this series are targeted at clinicians, managers, policy makers, health service researchers and implementation scientists working in this context. This paper presents an overview of the organisation-wide, systematic, integrated, evidence-based approach taken by one Australian healthcare network and provides an introduction and guide to the suite of papers reporting the experiences and outcomes.
- Published
- 2017
- Full Text
- View/download PDF
9. Converting the existing disease surveillance from a paper-based to an electronic-based system using district health information system (DHIS-2) for real-time information: the Lebanese experience
- Author
-
Dalal Youssef, Ayat Yaghi, Abbas Jouny, Linda Abou-Abbas, Houssam Chammaa, and Nada Ghosn
- Subjects
Health Information Systems ,Health Policy ,Humans ,Electronics ,Lebanon ,Disease Outbreaks ,Retrospective Studies - Abstract
Introduction The Ministry of Public Health in Lebanon is in the process of converting the surveillance reporting from a cumbersome paper-based system to a web-based electronic platform (DHIS-2) to have real-time information for early detection of alerts and outbreaks and for initiating a prompt response. Objectives This paper aimed to document the Lebanese experience in implementing DHIS-2 for the disease surveillance system. It also targets to assess the improvement of reporting rates and timeliness of the reported data and to disclose the encountered challenges and opportunities. Methodology This is a retrospective description of processes involved in the implementation of the DHIS-2 tool in Lebanon. Initially, it was piloted for the school-based surveillance in 2014; then its use was extended in May 2017 to cover other specific surveillance systems. This included all surveillance programs collecting aggregate data from hospitals, medical centers, dispensaries, or laboratories at the first stage. As part of the national roll-out process, the online application was developed. The customized aggregated-based datasets, organization units, user accounts, specific and generic dashboards were generated. More than 80 training sessions were conducted throughout the country targeting 1290 end-users including health officers at the national and provincial levels, focal persons who were working in all public and private hospitals, laboratories, and medical centers as well. Completeness and timeliness of reported data were compared before and after the implementation of DHIS-2. The unveiled challenges and the main lessons learned during the roll-out process were discussed. Results For laboratory-based surveillance, completeness of reporting increased from 70.8% in May to 89.6% in October. Timeliness has improved from 25 to 74%. For medical centers, an improvement of 8.1% for completeness and 9.4% in timeliness was recorded before and after training sessions. For zero reporting, completeness remains the same (88%) and timeliness has improved from 74 to 87%. The main challenges faced during the implementation of DHIS-2 were mainly infrastructural and system-related in addition to poor internet connectivity, limited workforce, and frequent changes to DHIS-2 versions. Conclusion Implementation of DHIS-2 improved timeliness and completeness for aggregated data reporting. Continued on-site support, monitoring, and system enhancement are needed to improve the performance of DHIS-2.
- Published
- 2021
10. Reducing medical claims cost to Ghana’s National Health Insurance scheme: a cross-sectional comparative assessment of the paper- and electronic-based claims reviews
- Author
-
Moses Aikins, Nathaniel Otoo, Patricia Akweongo, Eric Nsiah-Boateng, Lydia Dsane-Selby, Francis-Xavier Andoh-Adjei, and Francis Asenso-Boadi
- Subjects
Paper ,medicine.medical_specialty ,National Health Programs ,Insurance Claim Review ,Ghana ,Health informatics ,Health administration ,03 medical and health sciences ,0302 clinical medicine ,Cost Savings ,Health care ,medicine ,Electronic Health Records ,Humans ,030212 general & internal medicine ,health care economics and organizations ,Accreditation ,Insurance, Health ,Actuarial science ,Medical claims review ,Claims adjustment ,business.industry ,030503 health policy & services ,Health Policy ,Public health ,Nursing research ,Fraud ,Test (assessment) ,Cross-Sectional Studies ,National Health Insurance Scheme ,Health Facilities ,0305 other medical science ,business ,Research Article - Abstract
Background A robust medical claims review system is crucial for addressing fraud and abuse and ensuring financial viability of health insurance organisations. This paper assesses claims adjustment rate of the paper- and electronic-based claims reviews of the National Health Insurance Scheme (NHIS) in Ghana. Methods The study was a cross-sectional comparative assessment of paper- and electronic-based claims reviews of the NHIS. Medical claims of subscribers for the year, 2014 were requested from the claims directorate and analysed. Proportions of claims adjusted by the paper- and electronic-based claims reviews were determined for each type of healthcare facility. Bivariate analyses were also conducted to test for differences in claims adjustments between healthcare facility types, and between the two claims reviews. Results The electronic-based review made overall adjustment of 17.0% from GHS10.09 million (USD2.64 m) claims cost whilst the paper-based review adjusted 4.9% from a total of GHS57.50 million (USD15.09 m) claims cost received, and the difference was significant (p
- Published
- 2017
11. Is qualitative social research in global health fulfilling its potential?: a systematic evidence mapping of research on point-of-care testing in low- and middle-income contexts
- Author
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Perkins, Janet, Nelson, Sarah, Birley, Emma, Mcswiggan, Emilie, Dozier, Marshall, McCarthy, Anna, Atkins, Nadege, Agyei-Manu, Eldad, Rostron, Jasmin, Kameda, Koichi, Kelly, Ann, Chandler, Clare, and Street, Alice
- Published
- 2024
- Full Text
- View/download PDF
12. The way from pen and paper to electronic documentation in a German emergency department
- Author
-
Felix Walcher, Benjamin Lucas, Martin Kulla, Wiebke Schirrmeister, Dominik Brammen, Gerald Pliske, and Peter Schladitz
- Subjects
Male ,Registry ,Documentation ,Health informatics ,Health administration ,03 medical and health sciences ,0302 clinical medicine ,Germany ,Information system ,Medicine ,Humans ,Electronic health records ,030212 general & internal medicine ,Registries ,Retrospective Studies ,business.industry ,Emergency department ,lcsh:Public aspects of medicine ,030503 health policy & services ,Health Policy ,Nursing research ,Medical record ,Health services research ,lcsh:RA1-1270 ,medicine.disease ,Medical emergency ,0305 other medical science ,business ,Emergency Service, Hospital ,Research Article - Abstract
Background Some of the advantages of implementing electronic emergency department information systems (EDIS) are improvements in data availability and simplification of statistical evaluations of emergency department (ED) treatments. However, for multi-center evaluations, standardized documentation is necessary. The AKTIN project (“National Emergency Department Register: Improvement of Health Services Research in Acute Medicine in Germany”) has used the “German Emergency Department Medical Record” (GEDMR) published by the German Interdisciplinary Association of Intensive and Emergency Care as the documentation standard for its national data registry. Methods Until March 2016 the documentation standard in ED was the pen-and-paper version of the GEDMR. In April 2016 we implemented the GEDMR in a timeline-based EDIS. Related to this, we compared the availability of structured treatment information of traumatological patients between pen-and-paper-based and electronic documentation, with special focus on the treatment time. Results All 796 data fields of the 6 modules (basic data, severe trauma, patient surveillance, anesthesia, council, neurology) were adapted for use with the existing EDIS configuration by a physician working regularly in the ED. Electronic implementation increased availability of structured anamnesis and treatment information. However, treatment time was increased in electronic documentation both immediately (2:12 ± 0:04 h; n = 2907) and 6 months after implementation (2:18 ± 0:03 h; n = 4778) compared to the pen-and-paper group (1:43 ± 0:02 h; n = 2523; p
- Published
- 2018
13. From paper to production – going live with HRG4
- Author
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Speller Julie and Monteith Paula
- Subjects
Public aspects of medicine ,RA1-1270 - Published
- 2008
- Full Text
- View/download PDF
14. A cohort study of the recovery of health and wellbeing following colorectal cancer (CREW study): protocol paper
- Author
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Fenlon Deborah, Richardson Alison, Addington-Hall Julia, Smith Peter, Corner Jessica, Winter Jane, and Foster Claire
- Subjects
Colorectal cancer ,Cohort study ,Health and wellbeing ,Survivorship ,Public aspects of medicine ,RA1-1270 - Abstract
Abstract Background The number of people surviving colorectal cancer has doubled in recent years. While much of the literature suggests that most people return to near pre-diagnosis status following surgery for colorectal cancer, this literature has largely focused on physical side effects. Longitudinal studies in colorectal cancer have either been small scale or taken a narrow focus on recovery after surgery. There is a need for a comprehensive, long-term study exploring all aspects of health and wellbeing in colorectal cancer patients. The aim of this study is to establish the natural history of health and wellbeing in people who have been treated for colorectal cancer. People have different dispositions, supports and resources, likely resulting in individual differences in restoration of health and wellbeing. The protocol described in this paper is of a study which will identify who is most at risk of problems, assess how quickly people return to a state of subjective health and wellbeing, and will measure factors which influence the course of recovery. Methods/design This is a prospective, longitudinal cohort study following 1000 people with colorectal cancer over a period of two years, recruiting from 30 NHS cancer treatment centres across the UK. Questionnaires will be administered prior to surgery, and 3, 9, 15 and 24 months after surgery, with the potential to return to this cohort to explore on-going issues related to recovery after cancer. Discussion Outcomes will help inform health care providers about what helps or hinders rapid and effective recovery from cancer, and identify areas for intervention development to aid this process. Once established the cohort can be followed up for longer periods and be approached to participate in related projects as appropriate and subject to funding.
- Published
- 2012
- Full Text
- View/download PDF
15. Sustainability in Health care by allocating resources effectively (SHARE) 1: introducing a series of papers reporting an investigation of disinvestment in a local healthcare setting
- Author
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Richard King, Wayne Ramsey, Sally Green, Kelly Allen, and Claire Harris
- Subjects
Decision Making ,Disinvestment ,Health informatics ,Resource Allocation ,Health administration ,Health care rationing ,03 medical and health sciences ,0302 clinical medicine ,Nursing ,Health care ,Humans ,Medicine ,030212 general & internal medicine ,Investments ,Health Services Administration ,Health policy ,De-implement ,De-list ,Health Care Rationing ,business.industry ,lcsh:Public aspects of medicine ,030503 health policy & services ,Health Policy ,Nursing research ,Australia ,Health technology ,lcsh:RA1-1270 ,De-adopt ,Public relations ,Editorial ,Implementation ,Decommission ,TCP ,0305 other medical science ,business ,Decision-making - Abstract
This is the first in a series of papers reporting Sustainability in Health care by Allocating Resources Effectively (SHARE). The SHARE Program is an investigation of concepts, opportunities, methods and implications for evidence-based investment and disinvestment in health technologies and clinical practices in a local healthcare setting. The papers in this series are targeted at clinicians, managers, policy makers, health service researchers and implementation scientists working in this context. This paper presents an overview of the organisation-wide, systematic, integrated, evidence-based approach taken by one Australian healthcare network and provides an introduction and guide to the suite of papers reporting the experiences and outcomes.
- Published
- 2017
16. MODEM: A comprehensive approach to modelling outcome and costs impacts of interventions for dementia. Protocol paper
- Author
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Emily Grundy, Martin Knapp, Adelina Comas-Herrera, Ann Bowling, Klara Lorenz, Daniel Lombard, David McDaid, Nicolas Farina, Sube Banerjee, Carol Jagger, and Raphael Wittenberg
- Subjects
Male ,Carers ,Economics ,Cost effectiveness ,Cost-Benefit Analysis ,Microsimulation ,Psychological intervention ,Outcomes ,Health informatics ,HV Social pathology. Social and public welfare. Criminology ,Health administration ,Study Protocol ,03 medical and health sciences ,0302 clinical medicine ,Nursing ,RA0001 ,Humans ,Medicine ,Dementia ,030212 general & internal medicine ,Actuarial science ,030214 geriatrics ,Cost–benefit analysis ,Social care ,business.industry ,Health Policy ,Nursing research ,Treatments ,medicine.disease ,Costs ,Models, Economic ,Caregivers ,England ,RC0521 ,Quality of Life ,Female ,Cost-effectiveness ,Microsimulation model ,business - Abstract
Background\ud \ud The MODEM project (A comprehensive approach to MODelling outcome and costs impacts of interventions for DEMentia) explores how changes in arrangements for the future treatment and care of people living with dementia, and support for family and other unpaid carers, could result in better outcomes and more efficient use of resources.\ud \ud Methods\ud \ud MODEM starts with a systematic mapping of the literature on effective and (potentially) cost-effective interventions in dementia care. Those findings, as well as data from a cohort, will then be used to model the quality of life and cost impacts of making these evidence-based interventions more widely available in England over the period from now to 2040. Modelling will use a suite of models, combining microsimulation and macrosimulation methods, modelling the costs and outcomes of care, both for an individual over the life-course from the point of dementia diagnosis, and for individuals and England as a whole in a particular year.\ud \ud Project outputs will include an online Dementia Evidence Toolkit, making evidence summaries and a literature database available free to anyone, papers in academic journals and other written outputs, and a MODEM Legacy Model, which will enable local commissioners of services to apply the model to their own populations.\ud \ud Discussion\ud \ud Modelling the effects of evidence-based cost-effective interventions and making this information widely available has the potential to improve the health and quality of life both of people with dementia and their carers, while ensuring that resources are used efficiently.
- Published
- 2017
17. Sustainability in Health care by allocating resources effectively (SHARE) 1: introducing a series of papers reporting an investigation of disinvestment in a local healthcare setting.
- Author
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Harris C, Green S, Ramsey W, Allen K, and King R
- Subjects
- Australia, Decision Making, Health Care Rationing, Humans, Health Services Administration, Investments, Resource Allocation
- Abstract
This is the first in a series of papers reporting Sustainability in Health care by Allocating Resources Effectively (SHARE). The SHARE Program is an investigation of concepts, opportunities, methods and implications for evidence-based investment and disinvestment in health technologies and clinical practices in a local healthcare setting. The papers in this series are targeted at clinicians, managers, policy makers, health service researchers and implementation scientists working in this context. This paper presents an overview of the organisation-wide, systematic, integrated, evidence-based approach taken by one Australian healthcare network and provides an introduction and guide to the suite of papers reporting the experiences and outcomes.
- Published
- 2017
- Full Text
- View/download PDF
18. MODEM: A comprehensive approach to modelling outcome and costs impacts of interventions for dementia. Protocol paper.
- Author
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Comas-Herrera A, Knapp M, Wittenberg R, Banerjee S, Bowling A, Grundy E, Jagger C, Farina N, Lombard D, Lorenz K, and McDaid D
- Subjects
- Cost-Benefit Analysis, Dementia therapy, England, Female, Humans, Male, Quality of Life, Caregivers economics, Caregivers psychology, Dementia economics, Models, Economic
- Abstract
Background: The MODEM project (A comprehensive approach to MODelling outcome and costs impacts of interventions for DEMentia) explores how changes in arrangements for the future treatment and care of people living with dementia, and support for family and other unpaid carers, could result in better outcomes and more efficient use of resources., Methods: MODEM starts with a systematic mapping of the literature on effective and (potentially) cost-effective interventions in dementia care. Those findings, as well as data from a cohort, will then be used to model the quality of life and cost impacts of making these evidence-based interventions more widely available in England over the period from now to 2040. Modelling will use a suite of models, combining microsimulation and macrosimulation methods, modelling the costs and outcomes of care, both for an individual over the life-course from the point of dementia diagnosis, and for individuals and England as a whole in a particular year. Project outputs will include an online Dementia Evidence Toolkit, making evidence summaries and a literature database available free to anyone, papers in academic journals and other written outputs, and a MODEM Legacy Model, which will enable local commissioners of services to apply the model to their own populations., Discussion: Modelling the effects of evidence-based cost-effective interventions and making this information widely available has the potential to improve the health and quality of life both of people with dementia and their carers, while ensuring that resources are used efficiently.
- Published
- 2017
- Full Text
- View/download PDF
19. Clinical interventions, implementation interventions, and the potential greyness in between -a discussion paper.
- Author
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Eldh AC, Almost J, DeCorby-Watson K, Gifford W, Harvey G, Hasson H, Kenny D, Moodie S, Wallin L, and Yost J
- Subjects
- Health Services Research, Humans, Quality Improvement, Research Design, Clinical Trials as Topic standards, Translational Research, Biomedical
- Abstract
Background: There is increasing awareness that regardless of the proven value of clinical interventions, the use of effective strategies to implement such interventions into clinical practice is necessary to ensure that patients receive the benefits. However, there is often confusion between what is the clinical intervention and what is the implementation intervention. This may be caused by a lack of conceptual clarity between 'intervention' and 'implementation', yet at other times by ambiguity in application. We suggest that both the scientific and the clinical communities would benefit from greater clarity; therefore, in this paper, we address the concepts of intervention and implementation, primarily as in clinical interventions and implementation interventions, and explore the grey area in between., Discussion: To begin, we consider the similarities, differences and potential greyness between clinical interventions and implementation interventions through an overview of concepts. This is illustrated with reference to two examples of clinical interventions and implementation intervention studies, including the potential ambiguity in between. We then discuss strategies to explore the hybridity of clinical-implementation intervention studies, including the role of theories, frameworks, models, and reporting guidelines that can be applied to help clarify the clinical and implementation intervention, respectively., Conclusion: Semantics provide opportunities for improved precision in depicting what is 'intervention' and what is 'implementation' in health care research. Further, attention to study design, the use of theory, and adoption of reporting guidelines can assist in distinguishing between the clinical intervention and the implementation intervention. However, certain aspects may remain unclear in analyses of hybrid studies of clinical and implementation interventions. Recognizing this potential greyness can inform further discourse.
- Published
- 2017
- Full Text
- View/download PDF
20. The evaluation of a healthcare passport to improve quality of care and communication for people living with dementia (EQuIP): a protocol paper for a qualitative, longitudinal study.
- Author
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Leavey G, Abbott A, Watson M, Todd S, Coates V, McIlfactrick S, McCormack B, Waterhouse-Bradley B, and Curran E
- Subjects
- Communication, Dementia therapy, Empathy, Female, Humans, Longitudinal Studies, Male, Program Evaluation, Qualitative Research, Quality of Life, Research Design, Social Support, United Kingdom, Continuity of Patient Care organization & administration, Dementia psychology, Quality Improvement organization & administration
- Abstract
Background: There is an urgent need for the development of simple communication tools that convey the strengths, assets, and healthcare needs of people living with dementia. A Healthcare Passport may improve communication with range of health and social support services, enhancing quality and continuity of care, and to permit a consideration of the challenges and how these might be managed effectively and compassionately. This study aims to evaluate the acceptability and use of this type of intervention for people living with dementia and their carers., Methods/design: This is a qualitative longitudinal study informed by a critical realist review. The participants will be individuals identified as having mild-moderate dementia and informal carers. The in-depth interviews will occur at three points over the course of 18 months as they use the passport. This will be supplemented by analysis of the content of the passports and information from health and social care providers on the daily practicalities of using the passport in a range of healthcare settings., Discussion: By using a critical realist review and a qualitative, longitudinal approach, the study allows for the assessment of a complex intervention in a manner which goes beyond evaluating the basic efficacy of the passport, but looking more deeply at how it worked, for whom, and in what context. It has the potential to develop new data on how interventions improve communication across a range of service providers, while encouraging health and social care professionals to respect and encourage the development of self-management and retention of personhood throughout the progression of life-limiting illnesses.
- Published
- 2016
- Full Text
- View/download PDF
21. Furthering patient adherence: A position paper of the international expert forum on patient adherence based on an internet forum discussion
- Author
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Heerdink Rob, de Ridder Denise, van Dijk Liset, Sluijs Emmy, van Dulmen Sandra, and Bensing Jozien
- Subjects
Public aspects of medicine ,RA1-1270 - Abstract
Abstract Background As the problem of patient non-adherence persists and a solution appears hard to be found, it continues to be important to look for new ways to further the issue. We recently conducted a meta-review of adherence intervention studies which yielded a preliminary agenda for future research, practice and theory development in patient adherence. The objective of the present project was to find out to what extent adherence experts consider this agenda relevant and feasible. Methods The thirty-five corresponding authors of the review studies included in the meta-review were invited to join the International Expert Forum on Patient Adherence and to participate in a four-week web-based focus group discussion. The discussion was triggered by the points on the preliminary agenda presented as propositions to which forum members could react. Two researchers analysed the transcripts and selected relevant phrases. Results Twenty adherence experts participated. Various ideas and viewpoints were raised. After the closure of the web-site, the expert forum was asked to authorize the synthesis of the discussion, to list the propositions in order of priority and to answer a few questions on the use of the web-based focus group as a tool to obtain expert opinions. Their ranking showed that the development of simple interventions is the most promising step to take in fostering patient adherence, preferably within a multidisciplinary setting of medical, pharmaceutical, social and technical science and, not in the least, by incorporating patients' perspectives. Conclusion For enhancing adherence, the development of simple interventions originating from a multidisciplinary perspective including patients' input, appears most promising. Disclosing patients' perspectives requires open communication about patients' expectations, needs and experiences in taking medication and about what might help them to become and remain adherent.
- Published
- 2008
- Full Text
- View/download PDF
22. Sharing of clinical data in a maternity setting: How do paper hand-held records and electronic health records compare for completeness?
- Author
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Hawley, Glenda, Jackson, Claire, Hepworth, Julie, and Wilkinson, Shelley A.
- Subjects
- *
MANAGEMENT of electronic health records , *MATERNAL health services , *PRENATAL care , *PATIENT safety , *MEDICAL care standards - Abstract
Background Historically, the paper hand-held record (PHR) has been used for sharing information between hospital clinicians, general practitioners and pregnant women in a maternity sharedcare environment. Recently in alignment with a National e-health agenda, an electronic health record (EHR) was introduced at an Australian tertiary maternity service to replace the PHR for collection and transfer of data. The aim of this study was to examine and compare the completeness of clinical data collected in a PHR and an EHR. Methods We undertook a comparative cohort design study to determine differences in completeness between data collected from maternity records in two phases. Phase 1 data were collected from the PHR and Phase 2 data from the EHR. Records were examined and compared for completeness of best practice variables collected, informed by local and national maternity guidelines. The primary outcome was the presence of best practice variables identified from the guidelines and the secondary outcomes were the differences in individual variables between the records. Results Ninety-four percent of paper medical charts were available by audit in Phase 1 and 100% of records from an obstetric database in Phase 2. No PHR or EHR had a complete dataset of best practice variables. The variables with significant improvement in completeness of data documented in the EHR, compared with the PHR, were urine culture, glucose tolerance test (GTT), nuchal screening, morphology scans, folic acid advice, tobacco smoking, illicit drug assessment and domestic violence assessment (p = 0.001). Additionally the documentation of immunisations (pertussis, hepatitis B, varicella, fluvax) were markedly improved in the EHR (p = 0.001). The variables of blood pressure, proteinuria, blood group, antibody, rubella and syphilis status, showed no significant differences in completeness of recording. Conclusion This is the first paper to report on the comparison of clinical data collected on a PHR and EHR in a maternity shared-care setting. The use of an EHR demonstrated statistically significant improvements to the adherence of collected best practice variables. Additionally, the data in an EHR were more available to relevant clinical staff with the appropriate log-in and more easily retrieved than from the PHR. This study contributes to an under-researched area of determining data quality collected in patient records. Having access to up to date antenatal information that can be shared between maternity health care providers and pregnant women, is fundamental to improving communication between health care providers and patient safety. [ABSTRACT FROM AUTHOR]
- Published
- 2014
- Full Text
- View/download PDF
23. Furthering patient adherence: A position paper of the international expert forum on patient adherence based on an internet forum discussion
- Author
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Liset van Dijk, E. Sluijs, Sandra van Dulmen, Rob Heerdink, Denise T. D. de Ridder, and Jozien M. Bensing
- Subjects
Medical education ,Internet ,Primary Health Care ,business.industry ,Nursing research ,Health Policy ,lcsh:Public aspects of medicine ,education ,Psychological intervention ,lcsh:RA1-1270 ,Viewpoints ,Focus group ,Health informatics ,Nursing ,Correspondence ,Sociale Wetenschappen ,Position paper ,Medicine ,Humans ,Patient Compliance ,Open communication ,business ,Qualitative Research ,Qualitative research - Abstract
Background As the problem of patient non-adherence persists and a solution appears hard to be found, it continues to be important to look for new ways to further the issue. We recently conducted a meta-review of adherence intervention studies which yielded a preliminary agenda for future research, practice and theory development in patient adherence. The objective of the present project was to find out to what extent adherence experts consider this agenda relevant and feasible. Methods The thirty-five corresponding authors of the review studies included in the meta-review were invited to join the International Expert Forum on Patient Adherence and to participate in a four-week web-based focus group discussion. The discussion was triggered by the points on the preliminary agenda presented as propositions to which forum members could react. Two researchers analysed the transcripts and selected relevant phrases. Results Twenty adherence experts participated. Various ideas and viewpoints were raised. After the closure of the web-site, the expert forum was asked to authorize the synthesis of the discussion, to list the propositions in order of priority and to answer a few questions on the use of the web-based focus group as a tool to obtain expert opinions. Their ranking showed that the development of simple interventions is the most promising step to take in fostering patient adherence, preferably within a multidisciplinary setting of medical, pharmaceutical, social and technical science and, not in the least, by incorporating patients' perspectives. Conclusion For enhancing adherence, the development of simple interventions originating from a multidisciplinary perspective including patients' input, appears most promising. Disclosing patients' perspectives requires open communication about patients' expectations, needs and experiences in taking medication and about what might help them to become and remain adherent.
- Published
- 2008
24. Defensive medicine through the lens of the managerial perspective: a literature review
- Author
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Pischedda, Gianfranco, Marinò, Ludovico, and Corsi, Katia
- Published
- 2023
- Full Text
- View/download PDF
25. The effects of electronic nursing handover on patient safety in the general (non-COVID-19) and COVID-19 intensive care units: a quasi-experimental study
- Author
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Tataei, Azadeh, Rahimi, Bahlol, Afshar, Hadi Lotfnezhad, Alinejad, Vahid, Jafarizadeh, Hossein, and Parizad, Naser
- Published
- 2023
- Full Text
- View/download PDF
26. The complexity of leadership in coproduction practices: a guiding framework based on a systematic literature review.
- Author
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Kjellström, Sofia, Sarre, Sophie, and Masterson, Daniel
- Subjects
LEADERSHIP ,TRUST ,MUNICIPAL services ,COMMUNICATIVE disorders - Abstract
Background: As coproduction in public services increases, understanding the role of leadership in this context is essential to the tasks of establishing relational partnerships and addressing power differentials among groups. The aims of this review are to explore models of coproduction leadership and the processes involved in leading coproduction as well as, based on that exploration, to develop a guiding framework for coproduction practices. Methods: A systematic review that synthesizes the evidence reported by 73 papers related to coproduction of health and welfare. Results: Despite the fact that models of coleadership and collective leadership exhibit a better fit with the relational character of coproduction, the majority of the articles included in this review employed a leader-centric underlying theory. The practice of coproduction leadership is a complex activity pertaining to interactions among people, encompassing nine essential practices: initiating, power-sharing, training, supporting, establishing trust, communicating, networking, orchestration, and implementation. Conclusions: This paper proposes a novel framework for coproduction leadership practices based on a systematic review of the literature and a set of reflective questions. This framework aims to help coproduction leaders and participants understand the complexity, diversity, and flexibility of coproduction leadership and to challenge and enhance their capacity to collaborate effectively. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
27. The policy-practice gap: describing discordances between regulation on paper and real-life practices among specialized drug shops in Kenya.
- Author
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Wafula F, Abuya T, Amin A, and Goodman C
- Subjects
- Guideline Adherence, Humans, Kenya, Pharmaceutical Services organization & administration, Surveys and Questionnaires, Government Regulation, Health Policy, Pharmaceutical Services legislation & jurisprudence
- Abstract
Background: Specialized drug shops (SDSs) are popular in Sub-Saharan Africa because they provide convenient access to medicines. There is increasing interest in how policymakers can work with them, but little knowledge on how their operation relates to regulatory frameworks. This study sought to describe characteristics and predictors of regulatory practices among SDSs in Kenya., Methods: The regulatory framework governing the Kenya pharmaceutical sector was mapped, and a list of regulations selected for inclusion in a survey questionnaire. An SDS census was conducted, and survey data collected from 213 SDSs from two districts in Western Kenya., Results: The majority of SDSs did not comply with regulations, with only 12% having a refrigerator and 22% having a separate dispensing area for instance. Additionally, less than half had at least one staff with pharmacy qualification (46%), with less than a third of all interviewed operators knowing the name of the law governing pharmacy.Regulatory infringement was more common among SDSs in rural locations; those that did not have staff with pharmacy qualifications; and those whose operator did not know the name of the pharmacy law. Compliance was not significantly associated with the frequency of inspections, with over 80% of both rural and urban SDSs reporting an inspection in the past year., Conclusion: While compliance was low overall, it was particularly poor among SDSs operating in rural locations, and those that did not have staff with pharmacy qualification. This suggested the need for policy to introduce levels of practice in recognition of the variations in resource availability. Under such a system, rural SDSs operating in low-resource setting, and selling a limited range of medicines, may be exempted from certain regulatory requirements, as long as their scope of practice is limited to certain essential services only. Future research should also explore why regulatory compliance is poor despite regular inspections.
- Published
- 2014
- Full Text
- View/download PDF
28. COVID-19 healthcare success or failure? Crisis management explained by dynamic capabilities.
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Rosenbäck, Ritva and Eriksson, Kristina M.
- Subjects
CRISIS management ,COVID-19 pandemic ,PUBLIC hospitals ,COVID-19 ,EMERGENCY management ,ORGANIZATIONAL effectiveness - Abstract
Introduction: This paper presents a structured review of the use of crisis management, specifically examining the frameworks of surge capacity, resilience, and dynamic capabilities in healthcare organizations. Thereafter, a novel deductive method based on the framework of dynamic capabilities is developed and applied to investigate crisis management in two hospital cases during the COVID-19 pandemic. Background: The COVID-19 pandemic distinguishes itself from many other disasters due to its global spread, uncertainty, and prolonged duration. While crisis management in healthcare has often been explained using the surge capacity framework, the need for adaptability in an unfamiliar setting and different information flow makes the dynamic capabilities framework more useful. Methods: The dynamic capabilities framework's microfoundations as categories is utilized in this paper for a deductive analysis of crisis management during the COVID-19 pandemic in a multiple case study involving two Swedish public hospitals. A novel method, incorporating both dynamic and static capabilities across multiple organizational levels, is developed and explored. Results: The case study results reveal the utilization of all dynamic capabilities with an increased emphasis at lower organizational levels and a higher prevalence of static capabilities at the regional level. In Case A, lower-level managers perceived the hospital manager as brave, supporting sensing, seizing, and transformation at the department level. However, due to information gaps, sensing did not reach regional crisis management, reducing their power. In Case B, with contingency plans not initiated, the hospital faced a lack of management and formed a department manager group for patient care. Seizing was robust at the department level, but regional levels struggled with decisions on crisis versus normal management. The novel method effectively visualizes differences between organizational levels and cases, shedding light on the extent of cooperation or lack thereof within the organization. Conclusion: The researchers conclude that crisis management in a pandemic, benefits from distributed management, attributed to higher dynamic capabilities at lower organizational levels. A pandemic contingency plan should differ from a plan for accidents, supporting the development of routines for the new situation and continuous improvement. The Dynamic Capabilities framework proved successful for exploration in this context. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
29. Development of an outcome indicator framework for a universal health visiting programme using routinely collected data.
- Author
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Horne, Margaret, Marryat, Louise, Corby, D. Helen, Doi, Lawrence, Astbury, Ruth, Jepson, Ruth, Morrison, Kathleen, and Wood, Rachael
- Subjects
HEALTH programs ,BREASTFEEDING promotion ,CHILD welfare ,ORAL health - Abstract
Background: Universal health visiting has been a cornerstone of preventative healthcare for children in the United Kingdom (UK) for over 100 years. In 2016, Scotland introduced a new Universal Health Visiting Pathway (UHVP), involving a greater number of contacts with a particular emphasis on the first year, visits within the home setting, and rigorous developmental assessment conducted by a qualified Health Visitor. To evaluate the UHVP, an outcome indicator framework was developed using routine administrative data. This paper sets out the development of these indicators. Methods: A logic model was produced with stakeholders to define the group of outcomes, before further refining and aligning of the measures through discussions with stakeholders and inspection of data. Power calculations were carried out and initial data described for the chosen indicators. Results: Eighteen indicators were selected across eight outcome areas: parental smoking, breastfeeding, immunisations, dental health, developmental concerns, obesity, accidents and injuries, and child protection interventions. Data quality was mixed. Coverage of reviews was high; over 90% of children received key reviews. Individual item completion was more variable: 92.2% had breastfeeding data at 6–8 weeks, whilst 63.2% had BMI recorded at 27–30 months. Prevalence also varied greatly, from 1.3% of children's names being on the Child Protection register for over six months by age three, to 93.6% having received all immunisations by age two. Conclusions: Home visiting services play a key role in ensuring children and families have the right support to enable the best start in life. As these programmes evolve, it is crucial to understand whether changes lead to improvements in child outcomes. This paper describes a set of indicators using routinely-collected data, lessening additional burden on participants, and reducing response bias which may be apparent in other forms of evaluation. Further research is needed to explore the transferability of this indicator framework to other settings. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
30. The impact of severe perinatal events on maternity care providers: a scoping review
- Author
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Nieuwenhuijze, Marianne, Leahy-Warren, Patricia, Healy, Maria, Aktaş, Songül, Aydin, Ruveyde, Calleja-Agius, Jean, Goberna-Tricas, Josefina, Hadjigeorgiou, Eleni, Hartmann, Katharina, Henriksen, Lena, Horsch, Antje, Lange, Ute, Murphy, Margaret, Pierron, Annabelle, Schäfers, Rainhild, Pajalic, Zada, Verhoeven, Corine, Berdun, Dolores Ruiz, and Hossain, Sheima
- Published
- 2024
- Full Text
- View/download PDF
31. A cohort study of the recovery of health and wellbeing following colorectal cancer (CREW study): protocol paper
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Julia Addington-Hall, Deborah Fenlon, Jessica Corner, Peter K. Smith, Claire Foster, Alison Richardson, and Jane Winter
- Subjects
Male ,Gerontology ,medicine.medical_specialty ,Health Status ,Survivorship ,Health administration ,Cohort Studies ,Study Protocol ,Sex Factors ,Quality of life (healthcare) ,Clinical Protocols ,Nursing ,Sickness Impact Profile ,Surveys and Questionnaires ,Adaptation, Psychological ,Health care ,medicine ,Health Status Indicators ,Humans ,Longitudinal Studies ,Survivors ,business.industry ,Nursing research ,Public health ,Health Policy ,lcsh:Public aspects of medicine ,Age Factors ,Cancer ,lcsh:RA1-1270 ,Recovery of Function ,Health Services ,medicine.disease ,Colorectal cancer ,United Kingdom ,Health and wellbeing ,Self Care ,Outcome and Process Assessment, Health Care ,Cohort ,Quality of Life ,Female ,Colorectal Neoplasms ,business ,Cohort study - Abstract
Background The number of people surviving colorectal cancer has doubled in recent years. While much of the literature suggests that most people return to near pre-diagnosis status following surgery for colorectal cancer, this literature has largely focused on physical side effects. Longitudinal studies in colorectal cancer have either been small scale or taken a narrow focus on recovery after surgery. There is a need for a comprehensive, long-term study exploring all aspects of health and wellbeing in colorectal cancer patients. The aim of this study is to establish the natural history of health and wellbeing in people who have been treated for colorectal cancer. People have different dispositions, supports and resources, likely resulting in individual differences in restoration of health and wellbeing. The protocol described in this paper is of a study which will identify who is most at risk of problems, assess how quickly people return to a state of subjective health and wellbeing, and will measure factors which influence the course of recovery. Methods/design This is a prospective, longitudinal cohort study following 1000 people with colorectal cancer over a period of two years, recruiting from 30 NHS cancer treatment centres across the UK. Questionnaires will be administered prior to surgery, and 3, 9, 15 and 24 months after surgery, with the potential to return to this cohort to explore on-going issues related to recovery after cancer. Discussion Outcomes will help inform health care providers about what helps or hinders rapid and effective recovery from cancer, and identify areas for intervention development to aid this process. Once established the cohort can be followed up for longer periods and be approached to participate in related projects as appropriate and subject to funding.
- Published
- 2012
32. National digital strategies and innovative eHealth policies concerning older adults’ dignity: a document analysis in three Scandinavian countries
- Author
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Raja, Moonika, Kymre, Ingjerd G., Bjerkan, Jorunn, Galvin, Kathleen T., and Uhrenfeldt, Lisbeth
- Published
- 2023
- Full Text
- View/download PDF
33. The value of allied health professional research engagement on healthcare performance: a systematic review
- Author
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Chalmers, S., Hill, J., Connell, L., Ackerley, S., Kulkarni, A., and Roddam, H.
- Published
- 2023
- Full Text
- View/download PDF
34. Common hierarchies, varied rules - the problem of governing community first responders in prehospital care for quality standards: documentary discourse analysis
- Author
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Patel, Gupteswar, Phung, Viet-Hai, Trueman, Ian, Orner, Roderick, and Siriwardena, Aloysius Niroshan
- Published
- 2023
- Full Text
- View/download PDF
35. A systematic review of the evidence of how hospitals capture financial benefits of process improvement and the impact on hospital financial performance
- Author
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Evans, Jane, Leggat, Sandra G., and Samson, Danny
- Published
- 2023
- Full Text
- View/download PDF
36. Furthering patient adherence: a position paper of the international expert forum on patient adherence based on an internet forum discussion.
- Author
-
van Dulmen S, Sluijs E, van Dijk L, de Ridder D, Heerdink R, and Bensing J
- Subjects
- Humans, Internet, Qualitative Research, Patient Compliance psychology, Patient Compliance statistics & numerical data, Primary Health Care methods
- Abstract
Background: As the problem of patient non-adherence persists and a solution appears hard to be found, it continues to be important to look for new ways to further the issue. We recently conducted a meta-review of adherence intervention studies which yielded a preliminary agenda for future research, practice and theory development in patient adherence. The objective of the present project was to find out to what extent adherence experts consider this agenda relevant and feasible., Methods: The thirty-five corresponding authors of the review studies included in the meta-review were invited to join the International Expert Forum on Patient Adherence and to participate in a four-week web-based focus group discussion. The discussion was triggered by the points on the preliminary agenda presented as propositions to which forum members could react. Two researchers analysed the transcripts and selected relevant phrases., Results: Twenty adherence experts participated. Various ideas and viewpoints were raised. After the closure of the web-site, the expert forum was asked to authorize the synthesis of the discussion, to list the propositions in order of priority and to answer a few questions on the use of the web-based focus group as a tool to obtain expert opinions. Their ranking showed that the development of simple interventions is the most promising step to take in fostering patient adherence, preferably within a multidisciplinary setting of medical, pharmaceutical, social and technical science and, not in the least, by incorporating patients' perspectives., Conclusion: For enhancing adherence, the development of simple interventions originating from a multidisciplinary perspective including patients' input, appears most promising. Disclosing patients' perspectives requires open communication about patients' expectations, needs and experiences in taking medication and about what might help them to become and remain adherent.
- Published
- 2008
- Full Text
- View/download PDF
37. A cohort study of the recovery of health and wellbeing following colorectal cancer (CREW study): protocol paper.
- Subjects
- *
COLON cancer , *HEALTH promotion , *PUBLIC health , *SOCIAL networks , *NATURAL history , *HEALTH & welfare funds - Abstract
The article presents the findings of a cohort study conducted on the recovery of health and wellbeing following colorectal cancer. It discusses the methodology of the research. It evaluates the natural history of health and wellbeing in people who have been treated for colorectal cancer. It concludes that the study will help the health care providers about what helps or hinders in rapid and effective recovery from cancer.
- Published
- 2012
- Full Text
- View/download PDF
38. An integrative perspective on interorganizational multilevel healthcare networks: a systematic literature review
- Author
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van der Weert, Galina, Burzynska, Katarzyna, and Knoben, Joris
- Published
- 2022
- Full Text
- View/download PDF
39. Factors influencing the preparedness for the implementation of the national health insurance scheme at a selected hospital in Gauteng Province, South Africa
- Author
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Mukwena, Ntsibeng Valerie and Manyisa, Zodwa Margaret
- Published
- 2022
- Full Text
- View/download PDF
40. Healthcare ecosystems research in mental health: a scoping review of methods to describe the context of local care delivery
- Author
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Furst, Mary Anne, Gandré, Coralie, Romero López-Alberca, Cristina, and Salvador-Carulla, Luis
- Published
- 2019
- Full Text
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41. From paper to production – going live with HRG4
- Author
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Monteith, Paula, primary and Speller, Julie, additional
- Published
- 2008
- Full Text
- View/download PDF
42. The perceived benefits and effectiveness of patient feedback systems in strengthening patient-provider relationships in Rural Tanzania.
- Author
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Isangula, Kahabi, Pallangyo, Eunice S., and Ndirangu-Mugo, Eunice
- Subjects
PERCEIVED benefit ,PATIENT-professional relations ,HEALTH services administrators ,MEDICAL personnel ,RURAL health services - Abstract
Introduction: Patient feedback system (PFS) forms an important entry point for the medical personnel and healthcare administrators to identify healthcare service delivery gaps and develop responsive interventions. This may foster patient trust consequently increasing healthcare-seeking, engagement in decision, continuity, and satisfaction. However, research on the PFS in rural primary healthcare settings appears limited. Objective: The paper examines the perceived role and effectiveness of PFS in improving therapeutic relationships building on the recent research on patient-provider relationships in rural Tanzania. Methods: The paper examines the findings of qualitative descriptive research conducted in the Shinyanga Region which employed a human-centred design (HCD) approach to co-create an intervention package for improving nurse-client relationships between January and September 2022. The study used semi-structured interviews in Swahili to first explore drivers of poor provider-patient relationships with purposefully selected providers, patients, and administrators. The findings guided the co-designing of an intervention package in subsequent HCD steps. Interviews were concurrently translated and transcribed, then systematically coded to facilitate the development of themes using a deductive thematic analysis approach. Results: PFS emerged as one of the key themes in the deductive analysis when examining factors shaping provider–client relationships. The PFS theme was characterized by three major subthemes, which included perceived benefits, availability and accessibility, and perceived effectiveness. The perceived benefits of PFS cited by most participants included: reducing patients' confusion around the complaints process, promoting patients' positivity towards providers and hospitals, and reducing tensions between patients and providers. Suggestion boxes (SBs) were the most frequently cited PFS, but there were widespread concerns and disagreements among participants about their accessibility and effectiveness. Despite the providers (nurses) and administrators describing SBs as widely available, they stated that they had not received feedback or complaints from patients for a very long time. In contrast, most patients stated that SBs were either unavailable or ineffective in many facilities, with concerns about non-user friendliness and lack of responsiveness as the main issues when discussing effectiveness. Conclusion: Despite the many benefits of PFS in improving healthcare service quality, their availability, user-friendliness, and responsiveness still pose challenges. A call is made to providers, health administrators and researchers to prioritize the PFS as both a useful entry point to reducing tensions in therapeutic relationships and, a tool for improving patient service uptake, continuity of care and satisfaction. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
43. From paper to production – going live with HRG4
- Author
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Julie Speller and Paula Monteith
- Subjects
Finance ,medicine.medical_specialty ,business.industry ,Health Policy ,lcsh:Public aspects of medicine ,lcsh:RA1-1270 ,Funding Mechanism ,Health informatics ,Health administration ,Case mix index ,Nursing ,Payment by Results ,Acute care ,Health care ,Meeting Abstract ,Medicine ,business ,health care economics and organizations ,Reimbursement - Abstract
Healthcare Resource Groups [HRG] are the mechanism by which patient activity is classified according to case mix in England. They are the primary funding mechanism for acute care in the English National Health Service [NHS], under the Department of Health's Payment by Results [PbR] national policy. This Department collects annual cost data ('Reference Costs'), and uses this as the basis for setting a national tariff price at an HRG level for acute treatments, procedures and services. The current HRG reimbursement version is HRG version 3.5. The Department of Health has announced that from 1st April 2009, funding will be based on HRG4 instead. "Going Live" Since completing the design of HRG4 in April 2007, the NHS Information Centre Casemix Service has been working with its business partners (DH PbR, NHS Connecting for Health and the Audit Commission) to prepare for its use by the DH PbR team for national reimbursement from April 2009. This work is categorised under a number of key headings: Processes, Products, People.
- Published
- 2008
44. Specialized healthcare practitioners’ challenges in performing video consultations to patients in Nordic Countries – a systematic review and narrative synthesis
- Author
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Baluszek, Joanna Barbara, Wiig, Siri, Myrnes-Hansen, Kai Victor, and Brønnick, Kolbjørn Kallesten
- Published
- 2022
- Full Text
- View/download PDF
45. Access to healthcare for people experiencing homelessness in the UK and Ireland: a scoping review
- Author
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McNeill, Sarah, O’Donovan, Diarmuid, and Hart, Nigel
- Published
- 2022
- Full Text
- View/download PDF
46. Assessing the barriers and enablers to the implementation of the diagnostic radiographer musculoskeletal X-ray reporting service within the NHS in England: a systematic literature review
- Author
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Lockwood, P., Burton, C., Woznitza, N., and Shaw, T.
- Published
- 2023
- Full Text
- View/download PDF
47. Service delivery interventions to improve maternal and newborn health in low- and middle-income countries: scoping review of quality improvement, implementation research and health system strengthening approaches
- Author
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Mianda, Solange, Todowede, Olamide, and Schneider, Helen
- Published
- 2023
- Full Text
- View/download PDF
48. A qualitative evaluation of the national rollout of a diabetes prevention programme in England
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Brunton, Lisa, Soiland-Reyes, Claudia, and Wilson, Paul
- Published
- 2023
- Full Text
- View/download PDF
49. Trustworthy management in hospital settings: a systematic review
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Varga, Andreea Isabela, Spehar, Ivan, and Skirbekk, Helge
- Published
- 2023
- Full Text
- View/download PDF
50. A narrative review of refugee & asylum seekers’ transitions into & experiences of working in the United Kingdom National Health Service
- Author
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Farnham, Derek David Truong and Goldstone, Ross
- Published
- 2023
- Full Text
- View/download PDF
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