Articles

“We have to learn to cooperate with each other”: a qualitative study to explore integration of traditional healers into the provision of HIV self-testing and tuberculosis screening in Eswatini

Traditional healing plays an important role in healthcare in Eswatini, and innovative collaborations with traditional healers may enable hard-to-reach men to access HIV and tuberculosis diagnostic services. Th...

Authors: Bernadette Schausberger, Nqobile Mmema, Velibanti Dlamini, Lenhle Dube, Aung Aung, Bernhard Kerschberger, Iza Ciglenecki, Debrah Vambe, Esther Mukooza and Alison Wringe

A review of simulation models for the long-term management of type 2 diabetes in low-and-middle income countries

The burden of type 2 diabetes is steadily increasing in low-and-middle-income countries, thereby posing a major threat from both a treatment, and funding standpoint. Although simulation modelling is generally ...

Authors: Elton Mukonda, Susan Cleary and Maia Lesosky

Characteristics and resource utilization of high-cost users in the intensive care unit: a population-based cohort study

Healthcare expenditure within the intensive care unit (ICU) is costly. A cost reduction strategy may be to target patients accounting for a disproportionate amount of healthcare spending, or high-cost users. T...

Authors: Claudia Dziegielewski, Robert Talarico, Haris Imsirovic, Danial Qureshi, Yasmeen Choudhri, Peter Tanuseputro, Laura H. Thompson and Kwadwo Kyeremanteng

Experiences of private sector quality care amongst mothers, newborns, and children in low- and middle-income countries: a systematic review

Experience of care is a pillar of quality care; positive experiences are essential during health care encounters and integral to quality health service delivery. Yet, we lack synthesised knowledge of how priva...

Authors: Joe Strong, Samantha R. Lattof, Blerta Maliqi and Nuhu Yaqub

Self-referral to inpatient treatment program in a community mental health Centre in Central Norway: investigating the implementation, professionals’ experiences and costs

Self-referral to inpatient treatment (SRIT) is built on user participation and patient autonomy. SRIT was conducted for patients with severe mental disorders in a Norwegian Community Mental Health Centre. The ...

Authors: Inger Elise Opheim Moljord, Kine Gabrielsen Stensvåg, Vidar Halsteinli and Marit By Rise

Impact of COVID-19 on patient and healthcare professional attitudes, beliefs, and behaviors toward the healthcare system and on the dynamics of the healthcare pathway

COVID-19 has dramatically changed how healthcare is delivered and experienced.

Authors: Katarzyna Bernacki, Angie Keister, Nadia Sapiro, Jin Su Joo and Lisa Mattle

Drone versus ambulance for blood products transportation: an economic evaluation study

Medical transportation is an essential step in health care services, and includes ground, air and water transportation. Among the important uses of medical transportation is the delivery of blood products in t...

Authors: M. A. Zailani, R. Z. Azma, I. Aniza, A. R. Rahana, M. S. Ismail, I. S. Shahnaz, K. S. Chan, M. Jamaludin and Z. A. Mahdy

A sector-wide response to national policy on client-centred care and support: a document analysis of the development of a range of instruments to assess clients’ experiences in the care and support for people with (intellectual) disabilities

Client-centred care serves as the foundation for healthcare policy. Indeed, various instruments for assessing clients’ experiences of care and support are increasingly used to provide insights into the quality...

Authors: Petri J. C. M. Embregts, Kees Ahaus, Mirella Minkman, Henk Nies and Pauline Meurs

“This is streets ahead of what we used to do”: staff perceptions of virtual clinical pharmacy services in rural and remote Australian hospitals

The use of medications is the most common intervention in healthcare. However, unsafe medication practices and medication errors are a leading cause of injury and avoidable harm in healthcare systems across th...

Authors: Julaine Allan, Emma Webster, Brett Chambers and Shannon Nott

Trends of chronic illness in emergency department admissions among elderly adults in a tertiary hospital over ten years

This study aimed to determine to what extent an aging population and shift to chronic illness has contributed to emergency admissions at a tertiary care hospital over ten years.

Authors: Zhongxun Hu, Fahad Javaid Siddiqui, Qiao Fan, Sherman W. Q. Lian, Nan Liu and Marcus E. H. Ong

Immediate IUD insertion after second trimester abortion: implications for service delivery

The availability of modern contraception including long-acting reversible contraceptives (LARC), is a fundamental component of postabortion care. Findings from a recent randomized controlled trial (RCT) in Sou...

Authors: O. Somefun, D. Constant and M. Endler

The economic impact of compassionate use of medicines

Compassionate use programs (CUP) for medicines respond to the ethical imperative of providing access to medicines before marketing approval to patients not recruited in trials. The economic impact of clinical ...

Authors: Claudio Jommi, Federico Pantellini, Lisa Stagi, Maria Verykiou and Marianna Cavazza

Provision of dental services for vulnerable groups: a scoping review on children with special health care needs

The provision of dental services for children with special health care needs (CSHCN) needs to be considered by policymakers. This study is aimed to explore the determinant factors affecting dental and oral ser...

Authors: Peivand Bastani, Mohammadtaghi Mohammadpour, Arash Ghanbarzadegan, Giampiero Rossi-Fedele and Marco A. Peres

Impact of investment case on equitable access to maternal and child health services in Nepal: a quasi-experimental study

Disparities in the use of maternal, neonatal and child health (MNCH) services remain a concern in Low- and Middle-Income countries such as Nepal. Commonly observed disparities exist in education, income, ethni...

Authors: Janak Kumar Thapa, Doris Stöckl, Raj Kumar Sangroula, Dip Narayan Thakur, Suresh Mehata, Asha Pun and Maria Delius

Primary care coverage and individual health: evidence from a likelihood model using biomarkers in Brazil

Although the use of biomarkers to assess health outcomes has recently gained momentum, literature is still scarce for low- to middle-income countries. This paper explores the relationship between primary care ...

Authors: Fernando Antonio Slaibe Postali, Maria Dolores Montoya Diaz, Natalia Nunes Ferreira-Batista, Adriano Dutra Teixeira and Rodrigo Moreno-Serra

Patient-specific and healthcare real-world costs of atrial fibrillation in individuals treated with direct oral anticoagulant agents or warfarin

Anticoagulant therapies are used to prevent atrial fibrillation-related strokes, with warfarin and direct oral anticoagulant (DOAC) the most common. In this study, we incorporate direct health care costs, drug...

Authors: Mikko Pyykönen, Miika Linna, Markku Tykkyläinen, Eric Delmelle and Tiina Laatikainen

Healthcare professionals’ perceptions of impacts of the Covid-19-pandemic on outpatient care in rural areas: a qualitative study

Measures to manage the COVID-19 pandemic have led to impacts on healthcare systems and providers worldwide. Outpatient healthcare professionals (HCPs) provide the majority of patient care. Insight into their e...

Authors: Madlen Hoerold, Marc Gottschalk, Carla Maria Debbeler, Heike Heytens, Saskia Ehrentreich, Ruediger C. Braun-Dullaeus and Christian Apfelbacher

The influence of home care supply on delayed discharges from hospital in England

Delayed transfers of care (DTOC) of patients from hospital to alternative care settings are a longstanding problem in England and elsewhere, having negative implications for patient outcomes and costs to healt...

Authors: Stephen Allan, Daniel Roland, Gintare Malisauskaite, Karen Jones, Kate Baxter, Kate Gridley and Yvonne Birks

Impact of global budget combined with pay-for-performance on the quality of care in county hospitals: a difference-in-differences study design with a propaensity-score-matched control group using data from Guizhou province, China

Provider payment system has a profound impact on health system performance. In 2016, a number of counties in rural Guizhou, China, implemented global budget (GB) for county hospitals with quality control measu...

Authors: Wuping Zhou, Weiyan Jian, Zhifan Wang, Jay Pan, Min Hu and Winnie Yip

Effects of COVID-19 pandemic on ART Service delivery: perspectives of healthcare workers in a Teaching Hospital in Ghana

Ghana has a generalized HIV epidemic and efforts have been made to curb the spread and reverse its effects on the general population. In the wake of COVID-19 pandemic, the health system was unsettled and antir...

Authors: Susanna Aba Abraham, Gifty Osei Berchie, Patience Fakornam Doe, Elizabeth Agyare, Stephen Ayisi Addo and Dorcas Obiri-Yeboah

Correction to: Evaluating the structural reform of outpatient psychotherapy in Germany (ES-RiP trial) - a qualitative study of provider perspectives

Authors: Regina Poß-Doering, Martin Hegelow, Milena Borchers, Mechthild Hartmann, Johannes Kruse, Hanna Kampling, Gereon Heuft, Carsten Spitzer, Beate Wild, Joachim Szecsenyi and Hans-Christoph Friederich

Correction to: Does integrated medical insurance system alleviate the difficulty of using cross-region health care for the migrant parents in China-- evidence from the China migrants dynamic survey

Authors: Chao Ma, Shutong Huo and Hao Chen

Pregnant women’s experiences with the management of hypertensive disorders of pregnancy: a qualitative study

Hypertensive disorders are a leading cause of mortality and morbidity during pregnancy. Despite multiple national and international clinical guidelines and a plethora of research in the field of optimising man...

Authors: Amyna Helou, Kay Stewart, Kath Ryan and Johnson George

Correction to: Role of financial incentives in family planning services in India: a qualitative study

Authors: Kamlesh Lalchandani, Aditi Gupta, Ashish Srivastava, Gulnoza Usmanova, Ashwarya Maadam and Bulbul Sood

Quality indicators of telemedical care offshore—a scoping review

Offshore industries operate all around the world in diverse and remote environments. The use of telemedicine to ensure up-to-date medical care for thousands of people offshore has been common practice for deca...

Authors: Michael Hellfritz, Alexander Waschkau and Jost Steinhäuser

Validation of the Lean Healthcare Implementation Self-Assessment Instrument (LHISI) in the finnish healthcare context

Lean management is growing in popularity in the healthcare sector worldwide, yet healthcare organizations are struggling with assessing the maturity of their Lean implementation and monitoring its change over ...

Authors: Elina Reponen, Ritva Jokela, Janet C. Blodgett, Thomas G. Rundall, Stephen M. Shortell, Mikko Nuutinen, Noora Skants, Markku Mäkijärvi and Paulus Torkki

Identification of nutritional risk in the acute care setting: progress towards a practice and evidence informed systems level approach

To improve nutritional assessment and care pathways in the acute care setting, it is important to understand the indicators that may predict nutritional risk. Informed by a review of systematic reviews, this p...

Authors: Chamberlain Diane, Doeltgen Sebastian, Knowles Reegan, Yaxley Alison and Miller Michelle

Client satisfaction on community based health insurance scheme and associated factors at Boru Meda Hospital, Northeast, Ethiopia: institutional based cross-sectional study

Community-based health insurance systems are usually voluntary and characterized by community members pooling funds and protecting themselves against the high costs of seeking medical care and treatment for il...

Authors: Mulugeta Tasew Hailie, Seid Legesse Hassen and Minwuyelet Maru Temesgen

The effect of training and supervision on primary health care workers’ competence to deliver maternal depression inclusive health education in Ibadan, Nigeria: a quasi-experimental study

Health workers lack the competence to address maternal depression in the routine health education in Nigeria. Hence, awareness among maternal-child health clients is low. We assessed the effect of training and...

Authors: Adeyinka Olufolake Adefolarin, Asiki Gershim, Arulogun Oyedunni Sola and Gureje Oye

Older assistant workers in intermediate care facilities, and their influence on the physical and mental burden of elderly care staff

As there is a shortage of care staff in elderly care homes, seniors are expected to work as assistants to help the care staff. This study examined the influence of older assistant workers in intermediate elder...

Authors: Ryota Sakurai, Saya Watanabe, Hiroki Mori, Tomoya Sagara, Hiroshi Murayama, Shuichiro Watanabe, Kentaro Higashi and Yoshinori Fujiwara

Validity and reliability of the Chinese version of the partners at care transitions measure

The Partners at Care Transitions Measure (PACT-M) is a measure that assesses the quality and safety of care during the transition from hospital to home from the patient’s perspective. The aim of this study was...

Authors: La-mei Liu, Ment-ting Liu, Meng-jie Sun, Jia-nan Wang, Bei-lei Lin, Peng Wang and Qiu-fang Li

Integrated knowledge translation in nursing homes: exploring the experiences of practice development nurses

Practice Development Nurses (PDNs) in Norwegian nursing homes (NHs) hold a specific responsibility for knowledge translation in this increasingly complex healthcare setting. They were involved as end users in ...

Authors: Trine-Lise Dræge Steinskog, Oscar Tranvåg, Donna Ciliska, Monica Wammen Nortvedt and Birgitte Graverholt

Process evaluation of a cluster randomised controlled trial to improve bronchiolitis management – a PREDICT mixed-methods study

Bronchiolitis is the most common reason for hospitalisation in infants. All international bronchiolitis guidelines recommend supportive care, yet considerable variation in practice continues with infants recei...

Authors: Libby Haskell, Emma J. Tavender, Sharon O’Brien, Catherine L. Wilson, Franz E. Babl, Meredith L. Borland, Rachel Schembri, Francesca Orsini, Elizabeth Cotterell, Nicolette Sheridan, Ed Oakley and Stuart R. Dalziel

Inefficiency of public hospitals: a multistage data envelopment analysis in an Italian region

The objective of this study was to assess public hospital efficiency, including quality outputs, inefficiency determinants, and changes to efficiency over time, in an Italian region. To achieve this aim, the s...

Authors: Luca Piubello Orsini, Chiara Leardini, Silvia Vernizzi and Bettina Campedelli

The costs of inappropriate referral pathways in inpatient care for three major noncommunicable diseases in Mongolia: a national registry-based analysis

Non-communicable diseases (NCDs) consistently pose a huge economic burden to health systems and countries in general. The aim of this study was to quantify inpatient costs associated with chronic obstructive p...

Authors: Ariuntuya Tuvdendorj, Otgonjargal Dechinkhorloo, Bayarsaikhan Dorjsuren, Erik Buskens and Talitha Feenstra

Using intervention mapping to develop ‘ROSE’: an intervention to support peer workers in overdose response settings

Peer workers (those with lived/living experience of substance use working in overdose response settings) are at the forefront of overdose response initiatives in British Columbia (BC). Working in these setting...

Authors: Zahra Mamdani, Sophie McKenzie, Fred Cameron, Mike Knott, Jennifer Conway-Brown, Tracy Scott, Jane A. Buxton and Bernie Pauly

Explaining the adoption and use of computed tomography and magnetic resonance image technologies in public hospitals

This article examines what the adoption and use of advanced medical technologies – computed tomography (CT) and magnetic resonance imaging (MRI) – by public hospitals depend on and to what extent.

Authors: Francisco Reyes-Santias and Manel Antelo

Swedish primary healthcare practitioners’ perspectives on the impact of arts on prescription for patients and the wider society: a qualitative interview study

There is growing evidence that participating in arts activities are beneficial for mental health and wellbeing. Many patients attending primary care services have mental ill-health or social issues that health...

Authors: Anita Jensen and Hilary Bungay

Acceptability of mobile-phone reminders for routine childhood vaccination appointments in Nigeria – a systematic review and meta-analysis

Mobile-phone reminders have gained traction among policymakers as a way to improve childhood vaccination coverage and timeliness. However, there is limited evidence on the acceptability of mobile-phone reminde...

Authors: Paul Eze, Sergius Alex Agu, Ujunwa Justina Agu and Yubraj Acharya

The impact of “4 + 7” volume-based drug procurement on the volume, expenditures, and daily costs of antihypertensive drugs in Shenzhen, China: an interrupted time series analysis

In 2019, Chinese government launched a nationwide volume-based drug procurement aiming at reducing drug prices and saving drug costs through economies of scale, which aroused widespread attention. The first ro...

Authors: Ying Yang, Ruiwen Tong, Shicheng Yin, Lining Mao, Luxinyi Xu, Siyu Hao and Zongfu Mao

Developing and piloting a self-assessment tool for medication review competence of practicing pharmacists based on nationally set competence criteria

New competence requirements have emerged for pharmacists as a result of changing societal needs towards more patient-centred practices. Today, medication review competence can be considered as basic pharmaceut...

Authors: Noora Lias, Tanja Lindholm, Marika Pohjanoksa-Mäntylä, Aleksi Westerholm and Marja Airaksinen

Analysis of the potential inappropriate use of medications in pediatric outpatients in China

The appropriate use of medications is essential in children. Yet, detailed information on how drugs are being prescribed and dispensed to pediatric populations is not documented in China.

Authors: Jing Cui, Lei Zhao, Xianghong Liu, Mengyujie Liu and Lihong Zhong

Equitable access to cancer patient pathways in Norway – a national registry-based study

In 2015, cancer patient pathways (CPP) were implemented in Norway to reduce unnecessary non-medical delay in the diagnostic process and start of treatment. The main aim of this study was to investigate the equ...

Authors: Frank Olsen, Bjarne K. Jacobsen, Ivar Heuch, Kjell M. Tveit and Lise Balteskard

Exploring healthcare staff narratives to understand the role of quality improvement methods in innovative practices during COVID-19

COVID-19 has impacted the context in which healthcare staff and teams operate and this has implications for quality improvement (QI) work. Contrary to the usual ambivalent relationship staff have with QI work,...

Authors: Zuneera Khurshid, Eilish McAuliffe and Aoife De Brún

Correction to: Baseline assessment of patient safety culture in primary care centres in Kuwait: a national cross-sectional study

Authors: Talal ALFadhalah, Buthaina Al Mudaf, Hanaa A. Alghanim, Gheed Al Salem, Dina Ali, Hythem M. Abdelwahab and Hossam Elamir

Factors influencing the degree of physician-pharmacists collaboration within governmental hospitals of Jigjiga Town, Somali National Regional State, Ethiopia, 2020

Collaboration is the way to deliver the desired health outcome for the patients or service users in the healthcare. Inter-professional collaboration can improve medication safety, patient outcome and minimize ...

Authors: Workineh Diriba Gemmechu and Endalkachew Mekonnen Eticha

Factors associated with using the internet for medical information based on the doctor-patient trust model: a cross-sectional study

Internet medical care has been advancing steadily, especially during the coronavirus disease 2019 pandemic, the development momentum of Internet medical care in China is more vigorous. This study aimed to expl...

Authors: Yang Fu, Tianwei Tang, Junhao Long, Bohuai Lin, Jiayue Li, Guohong Quan, Hanwen Yang, Chongbang Zhao, Mei Yin and Lei Shi

A systematic review of provider-and system-level factors influencing the delivery of cardiac rehabilitation for heart failure

There is a longstanding research-to-practice gap in the delivery of cardiac rehabilitation for patients with heart failure. Despite adequate evidence confirming that comprehensive cardiac rehabilitation can im...

Authors: Paulina Daw, Thomas M. Withers, Jet J. C. S. Veldhuijzen van Zanten, Alexander Harrison and Colin J. Greaves

Conventional and complementary health care use and out-of-pocket expenses among Australians with a self-reported mental health diagnosis: a cross-sectional survey

Mental health disorders are a global health concern. In Australia, numerous national reports have found that the current mental healthcare system does not adequately meet the needs of Australians with mental i...

Authors: Erica McIntyre, Tracey Oorschot, Amie Steel, Matthew J Leach, Jon Adams and Joanna Harnett

Factors related to turnover intention among staff of elderly caring social organizations in Anhui Province, China: a cross-sectional study

Turnover intention of employees in elderly caring social organizations has a significant impact on elderly care service delivery. This study investigated the associated factors of turnover intention among empl...

Authors: Xuefei Chen, Ling Tang, Liu Liu, Zhongliang Bai and Ren Chen