Articles
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Citation: BMC Health Services Research 2008 8(Suppl 1):A12
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Hospital case-mix funding and the necessity to adjust for socio-economic status
Citation: BMC Health Services Research 2008 8(Suppl 1):A7 -
Nurse clinic versus home delivery of evidence-based community leg ulcer care: A randomized health services trial
International studies report that nurse clinics improve healing rates for the leg ulcer population. However, these studies did not necessarily deliver similar standards of care based on evidence in the treatme...
Citation: BMC Health Services Research 2008 8:243 -
Prolonged acute mechanical ventilation and hospital bed utilization in 2020 in the United States: implications for budgets, plant and personnel planning
Adult patients on prolonged acute mechanical ventilation (PAMV) comprise 1/3 of all adult MV patients, consume 2/3 of hospital resources allocated to MV population, and are nearly twice as likely to require a ...
Citation: BMC Health Services Research 2008 8:242 -
Good adherence to HAART and improved survival in a community HIV/AIDS treatment and care programme: the experience of The AIDS Support Organization (TASO), Kampala, Uganda
Poor adherence to highly active antiretroviral therapy (HAART) may result in treatment failure and death. Most reports of the effect of adherence to HAART on mortality come from studies where special efforts a...
Citation: BMC Health Services Research 2008 8:241 -
Building capacity for antiretroviral delivery in South Africa: A qualitative evaluation of the PALSA PLUS nurse training programme
South Africa recently launched a national antiretroviral treatment programme. This has created an urgent need for nurse-training in antiretroviral treatment (ART) delivery. The PALSA PLUS programme provides gu...
Citation: BMC Health Services Research 2008 8:240 -
Perceived barriers to the regionalization of adult critical care in the United States: a qualitative preliminary study
Regionalization of adult critical care services may improve outcomes for critically ill patients. We sought to develop a framework for understanding clinician attitudes toward regionalization and potential bar...
Citation: BMC Health Services Research 2008 8:239 -
Child health insurance coverage: a survey among temporary and permanent residents in Shanghai
Under the current healthcare system in China, there is no government-sponsored health insurance program for children. Children from families who move from rural and interior regions to large urban centres with...
Citation: BMC Health Services Research 2008 8:238 -
Chronic disease risk factors associated with health service use in the elderly
To examine the association between number and combination of chronic disease risk factors on health service use.
Citation: BMC Health Services Research 2008 8:237 -
Disease knowledge after an educational program in patients with GERD – a randomized controlled trial
Patient education has proved beneficial in several but not all chronic disease. Inconsistent findings may rely on varying educational effects of various programs and differential effects on subgroups of patien...
Citation: BMC Health Services Research 2008 8:236 -
The impact of donor policies in Europe: a steady increase, but not everywhere
Transplantable organs are scarce everywhere. Therefore, countries have developed policies to support the efficient use of potential donors. Nevertheless, the shortage of organs remains. Were these policies in ...
Citation: BMC Health Services Research 2008 8:235 -
Impact of picture archiving communication systems on rates of duplicate imaging: a before-after study
Electronic health information systems, such as picture archiving communication systems (PACS), are commonly believed to reduce the need for duplicate testing. However, empirical data to support this belief are...
Citation: BMC Health Services Research 2008 8:234 -
A national survey of services for the prevention and management of falls in the UK
The National Health Service (NHS) was tasked in 2001 with developing service provision to prevent falls in older people. We carried out a national survey to provide a description of health and social care fund...
Citation: BMC Health Services Research 2008 8:233 -
Are German patients burdened by the practice charge for physician visits ('Praxisgebuehr')? A cross sectional analysis of socio-economic and health related factors
In 2004, a practice charge for physician visits ('Praxisgebuehr') was implemented in the German health care system, mainly in order to reduce expenditures of sickness funds by reducing outpatient physician vis...
Citation: BMC Health Services Research 2008 8:232 -
Cooperation between gatekeepers in sickness insurance – the perspective of social insurance officers. A qualitative study
Objective was to describe variations in how social insurance officers conceive the cooperation with the health care in their daily work with sick leave.
Citation: BMC Health Services Research 2008 8:231 -
The psychometric properties of the 'Hospital Survey on Patient Safety Culture' in Dutch hospitals
In many different countries the Hospital Survey on Patient Safety Culture (HSOPS) is used to assess the safety culture in hospitals. Accordingly, the questionnaire has been translated into Dutch for applicatio...
Citation: BMC Health Services Research 2008 8:230 -
Performance of in-hospital mortality prediction models for acute hospitalization: Hospital Standardized Mortality Ratio in Japan
In-hospital mortality is an important performance measure for quality improvement, although it requires proper risk adjustment. We set out to develop in-hospital mortality prediction models for acute hospitali...
Citation: BMC Health Services Research 2008 8:229 -
The impact of SARS on hospital performance
During the SARS epidemic, healthcare utilization and medical services decreased significantly. However, the long-term impact of SARS on hospital performance needs to be further discussed.
Citation: BMC Health Services Research 2008 8:228 -
Case management used to optimize cancer care pathways: A systematic review
Reports of inadequate cancer patient care have given rise to various interventions to support cancer care pathways which, overall, seem poorly studied. Case management (CM) is one method that may support a cos...
Citation: BMC Health Services Research 2008 8:227 -
Albuminuria, cardiovascular risk factors and disease management in subjects with type 2 diabetes: a cross sectional study
Epidemiological studies have shown that microalbuminuria is an important risk factor for arteriosclerosis, coronary heart disease and other vascular diseases in persons with type 2 diabetes. In the present stu...
Citation: BMC Health Services Research 2008 8:226 -
Towards integration of general practitioner posts and accident and emergency departments: a case study of two integrated emergency posts in the Netherlands
Accident and emergency (A&E) departments and general practitioner (GP) posts are often used inappropriately, leading to overcrowding. In the Netherlands, increasingly more integrated emergency posts (IEPs) are...
Citation: BMC Health Services Research 2008 8:225 -
Empowering employees with chronic diseases; development of an intervention aimed at job retention and design of a randomised controlled trial
Persons with a chronic disease are less often employed than healthy persons. If employed, many of them experience problems at work. Therefore, we developed a training programme aimed at job retention. The obje...
Citation: BMC Health Services Research 2008 8:224 -
A cluster randomized trial to assess the impact of clinical pathways for patients with stroke: rationale and design of the Clinical Pathways for Effective and Appropriate Care Study [NCT00673491]
Patients with stroke should have access to a continuum of care from organized stroke units in the acute phase, to appropriate rehabilitation and secondary prevention measures. Moreover to improve the outcomes ...
Citation: BMC Health Services Research 2008 8:223 -
A descriptive review of the methodologies used in household surveys on medicine utilization
Studies carried out in the community enable researchers to understand access to medicines, affordability, and barriers to use from the consumer's point of view, and may stimulate the development of adequate me...
Citation: BMC Health Services Research 2008 8:222 -
Values and preferences in oral anticoagulation in patients with atrial fibrillation, physicians' and patients' perspectives: protocol for a two-phase study
Oral anticoagulation prevents strokes in patients with atrial fibrillation but, for reasons that remain unclear, less than 40% of all patients with atrial fibrillation receive warfarin. The literature postulat...
Citation: BMC Health Services Research 2008 8:221 -
Benchmarking and reducing length of stay in Dutch hospitals
To assess the development of and variation in lengths of stay in Dutch hospitals and to determine the potential reduction in hospital days if all Dutch hospitals would have an average length of stay equal to t...
Citation: BMC Health Services Research 2008 8:220 -
Literacy and blood pressure – do healthcare systems influence this relationship? A cross-sectional study
Limited literacy is common among patients with chronic conditions and is associated with poor health outcomes. We sought to determine the association between literacy and blood pressure in primary care patient...
Citation: BMC Health Services Research 2008 8:219 -
"What lies beneath it all?" – an interview study of GPs' attitudes to the use of guidelines
General practitioners (GPs) adopt clinical practice guidelines to varying degrees. Several factors have been found to influence application of guidelines in practice and the GP is apparently the key actor. Stu...
Citation: BMC Health Services Research 2008 8:218 -
"It's hard to tell": The challenges of scoring patients on standardised outcome measures by multidisciplinary teams: a case study of neurorehabilitation
Interest is increasing in the application of standardised outcome measures in clinical practice. Measures designed for use in research may not be sufficiently precise to be used in monitoring individual patien...
Citation: BMC Health Services Research 2008 8:217 -
Hypertensive patients' use of blood pressure monitors stationed in pharmacies and other locations: a cross-sectional mail survey
Blood pressure (BP) monitors are commonly stationed in public places such as pharmacies, but it is uncertain how many people with hypertension currently use them. We sought to estimate the proportion of hypert...
Citation: BMC Health Services Research 2008 8:216 -
How to limit the burden of data collection for Quality Indicators based on medical records? The COMPAQH experience
Our objective was to limit the burden of data collection for Quality Indicators (QIs) based on medical records.
Citation: BMC Health Services Research 2008 8:215 -
The emotional context of self-management in chronic illness: A qualitative study of the role of health professional support in the self-management of type 2 diabetes
Support for patient self-management is an accepted role for health professionals. Little evidence exists on the appropriate basis for the role of health professionals in achieving optimum self-management outco...
Citation: BMC Health Services Research 2008 8:214 -
Is integration of healthy lifestyle promotion into primary care feasible? Discussion and consensus sessions between clinicians and researchers
The adoption of a healthy lifestyle, including physical activity, a healthy diet, moderate alcohol consumption and abstinence from smoking, is associated with a major decrease in the incidence of chronic disea...
Citation: BMC Health Services Research 2008 8:213 -
Utilization of the out of hours service in Poland: an observational study from Krakow
In 2000 a new GP contract was introduced in Poland. It allowed GPs to subcontract out of hours care to specialized deputizing services. One such service in Kraków provides care to 61 GP practices with a popula...
Citation: BMC Health Services Research 2008 8:212 -
Are migraineur women really more vulnerable to stress and less able to cope?
In this study, we aimed to investigate the differences between a sample of migraineurs and non-migraineurs with regard to their stress symptoms, tendency to stress, coping styles and life satisfaction.
Citation: BMC Health Services Research 2008 8:211 -
Patient satisfaction with antiretroviral services at primary health-care facilities in the Free State, South Africa – a two-year study using four waves of cross-sectional data
The study's first objective was to determine the levels of patient satisfaction with services at antiretroviral treatment (ART) assessment sites. Differences in patient satisfaction with several aspects of ser...
Citation: BMC Health Services Research 2008 8:210 -
Costs and quality of life for prehabilitation and early rehabilitation after surgery of the lumbar spine
During the recent years improved operation techniques and administrative procedures have been developed for early rehabilitation. At the same time preoperative lifestyle intervention (prehabilitation) has reve...
Citation: BMC Health Services Research 2008 8:209 -
Factors influencing the participation of gastroenterologists and hepatologists in clinical research
Although clinical research is integral to the advancement of medical knowledge, physicians face a variety of obstacles to their participation as investigators in clinical trials. We examined factors that influ...
Citation: BMC Health Services Research 2008 8:208 -
Determinants of health care utilization by immigrants in Portugal
The increasing diversity of population in European Countries poses new challenges to national health systems. There is a lack of data on accessibility and use of health care services by migrants, appropriatene...
Citation: BMC Health Services Research 2008 8:207 -
Family caregiver quality of life in multiple sclerosis among Kuwaitis: a controlled study
Research interest in the quality of life (QOL) of persons with multiple sclerosis (MS) has been spurred by the need to broaden outcome measures. Far less of this interest has been directed at the family caregi...
Citation: BMC Health Services Research 2008 8:206 -
A cost effectiveness study of integrated care in health services delivery: a diabetes program in Australia
Type 2 diabetes is rapidly growing as a proportion of the disease burden in Australia as elsewhere. This study addresses the cost effectiveness of an integrated approach to assisting general practitioners (GPs...
Citation: BMC Health Services Research 2008 8:205 -
Is networking different with doctors working part-time? Differences in social networks of part-time and full-time doctors
Part-time working is a growing phenomenon in medicine, which is expected to influence informal networks at work differently compared to full-time working. The opportunity to meet and build up social capital at...
Citation: BMC Health Services Research 2008 8:204 -
Urban women's socioeconomic status, health service needs and utilization in the four weeks after postpartum hospital discharge: findings of a Canadian cross-sectional survey
Postpartum women who experience socioeconomic disadvantage are at higher risk for poor health outcomes than more advantaged postpartum women, and may benefit from access to community based postpartum health se...
Citation: BMC Health Services Research 2008 8:203 -
Barriers to accessing TB diagnosis for rural-to-urban migrants with chronic cough in Chongqing, China: A mixed methods study
China is facing a significant tuberculosis epidemic among rural-to-urban migrants, which poses a threat to TB control. This study aimed to understand the health seeking behaviour of and health systems response...
Citation: BMC Health Services Research 2008 8:202 -
Physical activity referrals in Swedish primary health care – prescriber and patient characteristics, reasons for prescriptions, and prescribed activities
Over the past decade, practitioners in primary health care (PHC) settings in many countries have issued written prescriptions to patients to promote increased physical activity or exercise. The aim of this stu...
Citation: BMC Health Services Research 2008 8:201 -
The relationship between depressive symptoms, health service consumption, and prognosis after acute myocardial infarction: a prospective cohort study
The use of cardiovascular health services is greater among patients with depressive symptoms than among patients without. However, the extent to which such associations between depressive symptoms and health s...
Citation: BMC Health Services Research 2008 8:200 -
Complaints handling in hospitals: an empirical study of discrepancies between patients' expectations and their experiences
Many patients are dissatisfied with the way in which their complaints about health care are dealt with. This study tested the assumption that this dissatisfaction consists – in part at least – of unmet expecta...
Citation: BMC Health Services Research 2008 8:199 -
Country differences in the diagnosis and management of coronary heart disease – a comparison between the US, the UK and Germany
The way patients with coronary heart disease (CHD) are treated is partly determined by non-medical factors. There is a solid body of evidence that patient and physician characteristics influence doctors' manag...
Citation: BMC Health Services Research 2008 8:198 -
The greatest happiness of the greatest number? Policy actors' perspectives on the limits of economic evaluation as a tool for informing health care coverage decisions in Thailand
This paper presents qualitative findings from an assessment of the acceptability of using economic evaluation among policy actors in Thailand. Using cost-utility data from two economic analyses a hypothetical ...
Citation: BMC Health Services Research 2008 8:197 -
Non-steroidal anti-inflammatory drugs, Cyclooxygenase-2 inhibitors and paracetamol use in Queensland and in the whole of Australia
Cross national drug utilization studies can provide information about different influences on physician prescribing. This is important for medicines with issues around safety and quality of use, like non selec...
Citation: BMC Health Services Research 2008 8:196