Articles

Advancing discussion of ethics in mixed methods health services research

To describe the ethical issues and experiences of scientists conducting mixed methods health services research and to advance empirical and conceptual discussion on ethical integrity in mixed methods health re...

Authors: Nicole A. Stadnick, Cheryl N. Poth, Timothy C. Guetterman and Joseph J. Gallo

Effects of hospital funding reform on wait times for hip fracture surgery: a population-based interrupted time-series analysis

Health care funding reforms are being used worldwide to improve system performance but may invoke unintended consequences. We assessed the effects of introducing a targeted hospital funding model, based on fix...

Authors: Daniel Pincus, Jessica Widdifield, Karen S. Palmer, J. Michael Paterson, Alvin Li, Anjie Huang, David Wasserstein, Lauren Lapointe-Shaw, Adalsteinn Brown, Monica Taljaard and Noah M. Ivers

Current developments in delivering customized care: a scoping review

In recent years, there has been a growing interest in health care personalization and customization (i.e. personalized medicine and patient-centered care). While some positive impacts of these approaches have ...

Authors: Etienne Minvielle, Aude Fourcade, Thomas Ricketts and Mathias Waelli

Women’s adoption of a web-based intervention for stress urinary incontinence: a qualitative study

Stress urinary incontinence (SUI) is common among women and affects their quality of life. Pelvic floor muscle training is an effective conservative therapy, but only a minority of women seek help. E-health wi...

Authors: Lotte Firet, Theodora Alberta Maria Teunissen, Rudolf Bertijn Kool, Lukas van Doorn, Manal Aourag, Antoinette Leonarda Maria Lagro-Janssen and Willem Jan Jozef Assendelft

Mechanisms of impact and experiences of a person-centred transition programme for adolescents with CHD: the Stepstones project

During the past decade there has been some evaluation of transition programmes for adolescents with chronic conditions. However, this has rarely involved process evaluations focusing on mechanisms leading to o...

Authors: Markus Saarijärvi, Lars Wallin, Philip Moons, Hanna Gyllensten and Ewa-Lena Bratt

Use of health care services among Syrian refugees migrating to Norway: a prospective longitudinal study

Understanding the differential utilization of healthcare services is essential to address the public health challenges. Through the migration process, refugees move from one set of health risk factors to anoth...

Authors: Jasmin Haj-Younes, Elisabeth Marie Strømme, Jannicke Igland, Eirik Abildsnes, Bernadette Kumar, Wegdan Hasha and Esperanza Diaz

Navigating change – managers’ experience of implementation processes in disability health care: a qualitative study

Effective implementation processes play a central role in health care organizations and affect the care of patients. Managers are pivotal in facilitating the use of new practices, but their experience and how ...

Authors: Anette Granberg, Marie Matérne, Lars-Olov Lundqvist and Anna Duberg

Correction to: Health services utilization and out-ofpocket (OOP) expenditures in public and private facilities in Pakistan: an empirical analysis of the 2013–14 OOP health expenditure survey

Authors: Faraz Khalid, Wajeeha Raza, David R. Hotchkiss and Rieza H. Soelaeman

Chinese mental health workers’ family-focused practices: a cross-sectional survey

Mental disorders impose heavy burdens on patients’ families and children. It is imperative to provide family-focused services to avoid adverse effects from mental disorders on patients’ families and children. ...

Authors: Hao Yao, Lili Guan, Changchun Zhang, Yang Pan, Jinxiang Han, Rui He, Zhengjiao Chang, Tianhang Zhou, Chunyu Du, Tingfang Wu, Jingwen Sun, Yilin Yuan, Darryl Maybery and Hong Ma

The societal cost and economic impact of surgical care on patients’ households in rural Uganda; a mixed method study

The epidemiology and cost of surgical care delivery in low-and middle-income countries (LMICs) is poorly understood. This study characterizes the cost of surgical care, rate of catastrophic medical expenditure...

Authors: Obieze Nwanna–Nzewunwa, Rasheedat Oke, Esther Agwang, Mary-Margaret Ajiko, Christopher Yoon, Melissa Carvalho, Fred Kirya, Elliot Marseille and Rochelle A. Dicker

Personal barriers to addressing intimate partner abuse: a qualitative meta-synthesis of healthcare practitioners’ experiences

Healthcare practitioners (HCPs) play a crucial role in recognising, responding to, and supporting female patients experiencing intimate partner abuse (IPA). However, research consistently identifies barriers t...

Authors: Laura Tarzia, Jacqui Cameron, Jotara Watson, Renee Fiolet, Surriya Baloch, Rebecca Robertson, Minerva Kyei-Onanjiri, Gemma McKibbin and Kelsey Hegarty

Importance of patient bed pathways and length of stay differences in predicting COVID-19 hospital bed occupancy in England

Predicting bed occupancy for hospitalised patients with COVID-19 requires understanding of length of stay (LoS) in particular bed types. LoS can vary depending on the patient’s “bed pathway” - the sequence of ...

Authors: Quentin J. Leclerc, Naomi M. Fuller, Ruth H. Keogh, Karla Diaz-Ordaz, Richard Sekula, Malcolm G. Semple, Katherine E. Atkins, Simon R. Procter and Gwenan M. Knight

Impacts of innovation in dental care delivery and payment in Medicaid managed care for children and adolescents

We evaluated a 14-county quality improvement program of care delivery and payment of a dental care organization for child and adolescent managed care Medicaid beneficiaries after 2 years of implementation.

Authors: Douglas A. Conrad, Peter Milgrom, Yuxian Du, Joana Cunha-Cruz, Sharity Ludwig and R. Mike Shirtcliff

Exploring patient experiences of cancer care in Northern Ireland: A thematic analysis of free-text responses to the 2018 Northern Ireland Patient Experience Survey (NICPES)

Cancer diagnosis, treatment and survivorship is multifaceted, and the cancer patient experience can serve as a key indicator of healthcare performance and quality. The purpose of this paper was to analyse free...

Authors: Gillian Prue, Dominic O’Connor, Malcolm Brown and Olinda Santin

Assessing the impact of a shadowing programme on in-hospital mortality following trainee doctors’ changeover

To assess the impact on seven-day in-hospital mortality following the introduction in 2012 of a shadowing programme for new UK medical graduates requiring them to observe the doctor they are replacing for at l...

Authors: Balinskaite Violeta, Bottle Alex and Aylin Paul

Organisational factors affecting emergency medical services’ performance in rural and urban areas of Saudi Arabia

There is a disparity in outcomes between rural and urban emergency medical services (EMS) around the world. However, there is a scarcity of research that directly asks EMS staff in both rural and urban areas h...

Authors: Ahmed Ramdan M Alanazy, John Fraser and Stuart Wark

Understanding providers’ attitudes and key concerns toward incorporating CVD risk prediction into clinical practice: a qualitative study

Although risk prediction has become an integral part of clinical practice guidelines for cardiovascular disease (CVD) prevention, multiple studies have shown that patients’ risk still plays almost no role in c...

Authors: Linda Takamine, Jane Forman, Laura J. Damschroder, Bradley Youles and Jeremy Sussman

Attributes and generic competencies required of doctors: findings from a participatory concept mapping study

Medical education should ensure graduates are equipped for practice in modern health-care systems. Practicing effectively in complex health-care systems requires contemporary attributes and competencies, compl...

Authors: Kathryn Ogden, Sue Kilpatrick, Shandell Elmer and Kim Rooney

How do people choose to be informed? A survey of the information searched for in the choice of primary care provider in Sweden

To stimulate quality through choice of provider, patients need to seek and base their decisions on both relevant and reliable information describing providers’ clinical quality. The purpose of this study was f...

Authors: Caroline Hoffstedt, Magnus Fredriksson and Ulrika Winblad

Development of an Implementation Process Model: a Delphi study

There is general scarcity of research on key elements of implementation processes and the factors which impact implementation success. Implementation of healthcare interventions is a complex process. Tools to ...

Authors: Gillian Parker, Monika Kastner, Karen Born and Whitney Berta

Evaluation of older persons’ medications: a critical incident technique study exploring healthcare professionals’ experiences and actions

Older persons with polypharmacy are at increased risk of harm from medications. Therefore, it is important that physicians and nurses, together with the persons, evaluate medications to avoid hazardous polypha...

Authors: Malin Holmqvist, Johan Thor, Axel Ros and Linda Johansson

Network governance theory as basic pattern for promoting financial support system of the poor in Iranian health system

The share of out-of-pocket payments in Iranian families has the greatest burden on the poor and lead to an impoverishment caused by catastrophic health expenditures. In order to improve access of the poor to p...

Authors: Manal Etemadi, Patrick Kenis, Kioomars Ashtarian, Hasan Abolghasem Gorji and Hannaneh Mohammadi Kangarani

Factors associated with higher healthcare costs in a cohort of homeless adults with a mental illness and a general cohort of adults with a history of homelessness

Healthcare costs are disproportionately incurred by a relatively small group of people often described as high-cost users. Understanding the factors associated with high-cost use of health services among peopl...

Authors: Kathryn Wiens, Laura C. Rosella, Paul Kurdyak, Simon Chen, Tim Aubry, Vicky Stergiopoulos and Stephen W. Hwang

Telemedicine remote controlled stroke evaluation and treatment, the experience of radiographers, paramedics and junior doctors in a novel rural stroke management team

In the case of ischemic stroke, access to a Computed Tomography (CT) scanner and the start of thrombolytic therapy immediately is imperative. Transport to the nearest hospital from the remote, rural area of Ha...

Authors: Elin Kjelle and Aud Mette Myklebust

A qualitative study of what care workers do to provide patient safety at home through telecare

In health care, the work of keeping the patient safe and reducing the risk of harm is defined as safety work. In our digitised and technology-rich era, safety work usually involves a relationship between people a...

Authors: Randi Stokke, Line Melby, Jørn Isaksen, Aud Obstfelder and Hege Andreassen

Variation among hospitals in the continuity of care for older hospitalized patients: a cross-sectional cohort study

Little is known about how continuity of care for hospitalized patients varies among hospitals. We describe the number of different general internal medicine physicians seeing hospitalized patients during a med...

Authors: James S. Goodwin, Shuang Li, Jie Zhou, Yong-Fang Kuo and Ann Nattinger

Validity of algorithms for identifying five chronic conditions in MedicineInsight, an Australian national general practice database

MedicineInsight is a database containing de-identified electronic health records (EHRs) from over 700 Australian general practices. It is one of the largest and most widely used primary health care EHR databas...

Authors: Alys Havard, Jo-Anne Manski-Nankervis, Jill Thistlethwaite, Benjamin Daniels, Rimma Myton, Karen Tu and Kendal Chidwick

Barriers and facilitators to implementing evidence based bleeding management in Australian Cardiac Surgery Units: a qualitative interview study analysed with the theoretical domains framework and COM-B model

Bleeding during cardiac surgery is a common complication that often requires the transfusion of blood products. The combination of bleeding and blood product transfusion incrementally increases adverse outcome...

Authors: Bronwyn L. Pearse, Samantha Keogh, Claire M. Rickard and Yoke L. Fung

Correction to: Expansion of a national differentiated service delivery model to support people living with HIV and other chronic conditions in South Africa: a descriptive analysis

Authors: Lingrui Liu, Sarah Christie, Maggie Munsamy, Phil Roberts, Merlin Pillay, Sheela V. Shenoi, Mayur M. Desai and Erika L. Linnander

From “stuck” to satisfied: Aboriginal people’s experience of culturally safe care with interpreters in a Northern Territory hospital

Globally, interpreters are underused by health providers in hospitals, despite 40 years of evidence documenting benefits to both patients and providers. At Royal Darwin Hospital, in Australia’s Northern Territ...

Authors: Vicki Kerrigan, Stuart Yiwarr McGrath, Sandawana William Majoni, Michelle Walker, Mandy Ahmat, Bilawara Lee, Alan Cass, Marita Hefler and Anna P. Ralph

The individualized supervision strategy and effectiveness under the strength perspective: a pilot study for the case management model of the high-care elderly in communities

This study tried to improve the operational efficiency and service quality of the community case management model for the High-Care Elderly in Communities in Taiwan. This study tried to assistant social worker...

Authors: Yu-Ming Chen, Kuei-Min Chen, Chiang-Ching Chang, Meng-Chin Chen and Li-Yen Yang

Bypassing primary healthcare facilities for maternal healthcare in North West Ghana: socio-economic correlates and financial implications

Bypassing primary health care (PHC) facilities for maternal health care is an increasing phenomenon. In Ghana, however, there is a dearth of systematic evidence on bypassing PHC facilities for maternal healthc...

Authors: Valeria Avoayea Amoro, Gilbert Abotisem Abiiro and Kennedy A. Alatinga

Protocol for a two-arm pragmatic stepped-wedge hybrid effectiveness-implementation trial evaluating Engagement and Collaborative Management to Proactively Advance Sepsis Survivorship (ENCOMPASS)

Sepsis survivors experience high morbidity and mortality, and healthcare systems lack effective strategies to address patient needs after hospital discharge. The Sepsis Transition and Recovery (STAR) program i...

Authors: Marc Kowalkowski, Tara Eaton, Andrew McWilliams, Hazel Tapp, Aleta Rios, Stephanie Murphy, Ryan Burns, Bella Gutnik, Katherine O’Hare, Lewis McCurdy, Michael Dulin, Christopher Blanchette, Shih-Hsiung Chou, Scott Halpern, Derek C. Angus and Stephanie P. Taylor

Nudging healthcare professionals in clinical settings: a scoping review of the literature

Healthcare organisations are in constant need of improvement and change. Nudging has been proposed as a strategy to affect people’s choices and has been used to affect patients’ behaviour in healthcare setting...

Authors: Anita Sant’Anna, Andreas Vilhelmsson and Axel Wolf

Comparing models of delivery for cancer genetics services among patients receiving primary care who meet criteria for genetic evaluation in two healthcare systems: BRIDGE randomized controlled trial

Advances in genetics and sequencing technologies are enabling the identification of more individuals with inherited cancer susceptibility who could benefit from tailored screening and prevention recommendation...

Authors: Kimberly A. Kaphingst, Wendy Kohlmann, Rachelle Lorenz Chambers, Melody S. Goodman, Richard Bradshaw, Priscilla A. Chan, Daniel Chavez-Yenter, Sarah V. Colonna, Whitney F. Espinel, Jessica N. Everett, Amanda Gammon, Eric R. Goldberg, Javier Gonzalez, Kelsi J. Hagerty, Rachel Hess, Kelsey Kehoe…

Translation and psychometric evaluation of the German version of the IcanSDM measure – a cross-sectional study among healthcare professionals

Shared decision-making (SDM) between patients and healthcare professionals (HCPs) is a key component of patient-centred care. To implement SDM in clinical practice and to evaluate its effects, it is helpful to...

Authors: Anja Lindig, Pola Hahlweg, Eva Christalle, Anik Giguere, Martin Härter, Olaf von dem Knesebeck and Isabelle Scholl

Effects, barriers and facilitators in predischarge home assessments to improve the transition of care from the inpatient care to home in adult patients: an integrative review

Predischarge home assessments (PDHA) aim to support safe discharge from hospital or rehabilitation. There is insufficient evidence on the effectiveness of PDHA. For adults with any diagnosis, we aimed to deter...

Authors: Uta Kirchner-Heklau, Kai Krause and Susanne Saal

Correction to: Use of prescribing safety quality improvement reports in UK general practices: a qualitative assessment

Authors: Nada F. Khan, Helen P. Booth, Puja Myles, David Mullett, Arlene Gallagher, Catheryn Evans, Nicholas P. B. Thomas and Janet Valentine

Identifying individual hospital levels of maternal care using administrative data

The goal of regionalized perinatal care, specifically levels of maternal care, is to improve maternal outcomes through risk-appropriate obstetric care. Studies of levels of maternal care are limited by current...

Authors: Sara C. Handley, Molly Passarella, Sindhu K. Srinivas and Scott A. Lorch

Adolescent and caregiver attitudes towards telemedicine use in pediatric nephrology

Telemedicine is increasingly utilized as an alternative to in person consultation. Current pandemic conditions are providing additional impetus to virtual care delivery. We compared both adolescent and caregiv...

Authors: Yi Qiu, Sherry Coulson, Christopher William McIntyre, Brooke Wile and Guido Filler

Costs and healthcare utilisation of patients with chronic kidney disease in Spain

Data about the impact of chronic kidney disease (CKD) on health care costs in Spain are scarce This study was aimed to evaluate cumulative costs and healthcare utilisation in CKD in Spain.

Authors: Carlos Escobar, Beatriz Palacios, Unai Aranda, Margarita Capel, Antoni Sicras, Aram Sicras, Antonio Hormigo, Roberto Alcázar, Nicolás Manito and Manuel Botana

How do reminder systems in follow-up screening for women with previous gestational diabetes work? - a realist review

Women with previous gestational diabetes have an increased risk of developing type 2 diabetes later in life. Recommendations therefore urge these women to participate in follow-up screening, 4–12 weeks postpar...

Authors: Jane Hyldgaard Nielsen, G. J. Melendez-Torres, Torill Alise Rotevatn, Kimberly Peven, Kirsten Fonager and Charlotte Overgaard

Neuroticism, resilience, and social support: correlates of severe anxiety among hospital workers during the COVID-19 pandemic in Nigeria and Botswana

The role of healthcare workers (HCWs) during the COVID-19 pandemic may make them more susceptible to anxiety than the general population. This study aimed to determine the prevalence of anxiety and evaluate th...

Authors: Anthony A. Olashore, Oluyemi O. Akanni and Kehinde O. Oderinde

The impact of work-place social capital in hospitals on patient-reported quality of care: a cohort study of 5205 employees and 23,872 patients in Denmark

Decision-makers increasingly consider patient-reported outcomes as important measures of care quality. Studies on the importance of work-place social capital–a collective work-place resource–for the experience...

Authors: Alice Clark, Thim Prætorius, Eszter Török, Ulla Arthur Hvidtfeldt, Peter Hasle and Naja Hulvej Rod

The connected patient project: moving towards a population-based primary health care research registry

The NHS pledges to give all patients access to clinical research. In England, 32% of General Practices are research active and only 14% of patients engage in research. This project aimed to evaluate consent-fo...

Authors: Dorothy Coe, Angela Birt, Gareth Forbes, Jonathan Ling, Michael Foster, Stephen Robson, Joe McDonald and Yan Yiannakou

Care pathway and prioritization of rapid testing for COVID-19 in UK hospitals: a qualitative evaluation

The second wave of the coronavirus pandemic is now established, occurring at a time of winter pressure on acute care in the NHS. This is likely to be more challenging then the first wave for the diagnosis of C...

Authors: Timothy Hicks, Amanda Winter, Kile Green, Patrick Kierkegaard, D. Ashley Price, Richard Body, A. Joy Allen and Sara Graziadio

Prevention services via public long-term care insurance can be effective among a specific group of older adults in Japan

To evaluate the effects of prevention services provided by long-term care insurance (LTCI) for older adults who require support from LTCI in Kashiwa City, Japan.

Authors: Tomoko Ito, Takahiro Mori, Hideto Takahashi, Natsumi Shimafuji, Katsuya Iijima, Satoru Yoshie and Nanako Tamiya

Selecting contextually appropriate performance indicators in a circumpolar context: a modified Delphi approach

Meaningful performance measurement requires indicators to be scientifically robust and strategically focused. For many circumpolar states, indicators aligned with national strategies may ignore the priorities ...

Authors: Rebecca Rich, Thomsen D’Hont, Kellie E. Murphy, Jeremy Veillard and Susan Chatwood

Primary health care facilities capacity gaps regarding diagnosis, treatment and knowledge of schistosomiasis among healthcare workers in North-western Tanzania: a call to strengthen the horizontal system

The World Health Organization (WHO) calls for schistosomiasis endemic countries to integrate schistosomiasis control measures into the primary health care (PHC) services; however, in Tanzania, little is known ...

Authors: Humphrey Deogratias Mazigo, Cecilia Uisso, Paul Kazyoba and Upendo J. Mwingira

Mortality of major cardiovascular emergencies among patients admitted to hospitals on weekends as compared with weekdays in Taiwan

Several studies have found a so-called weekend effect that patients admitted at the weekends had worse clinical outcomes than patients admitted at the weekdays. We performed this retrospective cohort study to ...

Authors: Chao-Lun Lai, Raymond Nien-Chen Kuo, Ting-Chuan Wang and K. Arnold Chan