Commissioning innovative health technologies is typically complex and multi-faceted. Drawing on the negotiated order perspective, we explore the process by which commissioning organisations make their decision...
Authors: Gregory Maniatopoulos, Shona Haining, John Allen and Scott Wilkes
Medication errors are a serious and complex problem in clinical practice, especially in intensive care units whose patients can suffer potentially very serious consequences because of the critical nature of th...
Authors: Juan Escrivá Gracia, Ricardo Brage Serrano and Julio Fernández Garrido
The Australian Commission on Safety and Quality in Health Care released a set of national standards which became a mandatory part of accreditation in 2013. Standard 9 focuses on the identification and treatmen...
Authors: Matthew H. Anstey, Alice Bhasale, Nicola J. Dunbar and Heather Buchan
The Choosing Wisely campaign has spread to many countries. Methods for developing recommendations are inconsistent. We describe our process of developing such recommendations from a comprehensive national set ...
Authors: Raija Sipilä, Marjukka Mäkelä and Jorma Komulainen
We examine the implications of reducing the average length of stay (ALOS) for a delivery on the required capacity in terms of service volume and maternity beds in Belgium, using administrative data covering al...
Authors: Mélanie Lefèvre, Koen Van den Heede, Cécile Camberlin, Nicolas Bouckaert, Claire Beguin, Carl Devos and Carine Van de Voorde
Peripheral intravenous catheters (PIVCs) account for a mean of 38% of catheter associated bloodstream infections (CABSI) with Staphylococcus aureus, which are preventable if deficiencies in best practice are addr...
Authors: Lise Husby Høvik, Kari Hanne Gjeilo, Stian Lydersen, Claire M. Rickard, Benedikte Røtvold, Jan Kristian Damås, Erik Solligård and Lise Tuset Gustad
Dementia is a cause of disability and dependency associated with high demands for health services and expected to have a significant impact on resources. Care policies worldwide increasingly rely on family car...
Authors: Kristin Häikiö, Mette Sagbakken and Jorun Rugkåsa
The involvement of doctors in managerial roles seems to be the solution to reducing the friction between traditional professionalism and modern organizational paradigms. However, these “hybrid” professionals r...
Faced with growing budget pressure, policymakers worldwide recognize the necessity of strategic disinvestment from ineffective, inefficient or harmful medical practices. However, disinvestment programs face su...
Authors: Floortje Moes, Eddy Houwaart, Diana Delnoij and Klasien Horstman
Overdose deaths can be prevented by distributing take home naloxone (THN) kits. The emergency department (ED) is an opportune setting for overdose prevention, as people who use opioids frequently present for e...
Authors: Daniel C. O’Brien, Daniel Dabbs, Kathryn Dong, Paul J. Veugelers and Elaine Hyshka
Outpatient care is steadily changing from hospital consultations to other platforms, such as phone consultation and online virtual clinics. It is prudent to maintain quality of care with such initiatives. Curr...
Authors: Birgith Engelst Grove, Per Ivarsen, Annette de Thurah, Liv Marit Schougaard, Derek Kyte and Niels Henrik Hjøllund
This work aims to apply data-detection algorithms to predict the possible deductions of reimbursement from Taiwan’s Bureau of National Health Insurance (BNHI), and to design an online dashboard to send alerts ...
Authors: Tsair-Wei Chien, Yi-Lien Lee and Hsien-Yi Wang
Due to stagnating resources and an increase in staff workload, the quality of Finnish primary health care (PHC) is claimed to have deteriorated slowly. With a decentralised PHC organisation and lack of nationa...
Authors: Markku Satokangas, Sonja Lumme, Martti Arffman and Ilmo Keskimäki
Loss to follow-up (LTFU) from care among people living with HIV (PLHIV) is thought to be more common in the public setting compared to the private health care. It is anticipated that the problem may become wor...
Authors: Denis Opio, Fred C. Semitala, Alex Kakeeto, Emmanuel Sendaula, Paul Okimat, Brenda Nakafeero, Joaniter I. Nankabirwa, Charles Karamagi and Joan N. Kalyango
In countries where hepatitis B virus (HBV) is endemic, including Senegal, the World Health Organization recommends systematic HBV screening of pregnant women and vaccination at birth to prevent mother-to-child...
Authors: Tchadine Djaogol, Marion Coste, Fabienne Marcellin, Antoine Jaquet, Fanny Chabrol, Tamara Giles-Vernick, Aldiouma Diallo, Maria Patrizia Carrieri and Sylvie Boyer
Regional variation in medical care costs can indicate heterogeneity in clinical practice, inequities in access, or inefficiencies in service delivery. We aimed to estimate regional variation in medical costs f...
Authors: Benjamin Enns, Jeong Eun Min, Dimitra Panagiotoglou, Julio S. G. Montaner and Bohdan Nosyk
Job stress is a strong indicator of presenteeism, but few studies have examined its diverse effects and mediators on presenteeism. This study explored the relationships between job stress, public service motiv...
Authors: Jianwei Deng, Yaxin Li, Yangyang Sun, Run Lei and Tianan Yang
A physician shortage is a worldwide problem and foreign-born physicians fill in the shortage of physicians in many developed countries. One problem that is associated with the physician shortage is increased p...
Authors: Tarja Heponiemi, Laura Hietapakka, Anu Kaihlanen and Anna-Mari Aalto
Hospital accreditation is expected to improve health care quality and patient satisfaction. However, little and conflicting evidence is currently available to support its effect on patient outcomes, particular...
Authors: Ellie Bostwick Andres, Wen Song, Wei Song and Janice Mary Johnston
Medical errors are considered as a major threat to patient safety. To clarify medical errors’ status in Iran, a review was conducted to estimate the accurate prevalence of medical errors.
Equity in medical resource utilization is a crucial concern in countries with national health insurance systems. From the perspective of an active aging framework, public health insurance is one of the pillars...
Authors: Chiao-Lee Chu, Yu-Hua Chu, Chih-Yuan Lin, Yen-Ping Hsieh, Ching-Sung Ho, Yung-Yu Su and Chia-Nien Liu
General practitioners (GPs) are among the most important resources of healthcare system and public health is considerably influenced by the function of this group. Income inequality among GPs considerably affe...
Authors: Mohsen Bayati, Arash Rashidian, Yaser Sarikhani and Saeed Lohivash
To establish which major disorders are susceptible to increased mortality following acute admissions on weekends, compared with week days, and how this may be explained.
Authors: Stephen E. Roberts, Ann John, Keir E. Lewis, Jonathan Brown, Ronan A. Lyons and John G. Williams
Client satisfaction is the best indicator of quality service provision and has been found to correlate with continuity of care perceived by the client. The measurement of client satisfaction helps in understan...
Long stay in forensic psychiatric hospitals is common in patients who are defined as “not criminally responsible on account of mental disorder”. However, little is known about how these patients experience and...
Authors: Shaoling Zhong, Huijuan Guo, Yuanyuan Wang, Stephanie Cook, Yanan Chen, Chenyuli Luo, Ke Peng, Fanglan Wang, Xiaoxi Liang, Hui Chen, Qiguang Li, Jiansong Zhou, Xiaoping Wang and Runsen Chen
In Germany, antenatal influenza vaccination is recommended since 2010, but uptake remains low. Several countries recently introduced antenatal pertussis vaccination, which is currently under consideration in G...
Authors: Stefanie Böhm, Marianne Röbl-Mathieu, Burkhard Scheele, Michael Wojcinski, Ole Wichmann and Wiebke Hellenbrand
Despite clinical practice guideline recommendations that cardiovascular disease patients participate, cardiac rehabilitation (CR) programs are highly unavailable and underutilized. This is particularly true in...
Authors: Thaianne Cavalcante Sérvio, Raquel Rodrigues Britto, Gabriela Lima de Melo Ghisi, Lilian Pinto da Silva, Luciana Duarte Novais Silva, Márcia Maria Oliveira Lima, Danielle Aparecida Gomes Pereira and Sherry L. Grace
This study aims to assess geographical distribution of hospitals and extent of inequalities in hospital beds against socioeconomic status (SES) of residents of five metropolitan cities in Iran.
Authors: Yousef Chavehpour, Arash Rashidian, Abraha Woldemichael and Amirhossein Takian
The aim was to determine the feasibility of implementing a patient safety survey which measures patients’ experiences of their own safety relating to a care transition. This included limited-efficacy testing, det...
Authors: Jason Scott, Emily Heavey, Justin Waring, Aoife De Brún and Pamela Dawson
Shared decision-making (SDM) is a key principle in asthma management, but continues to be poorly implemented in routine care. This study aimed to evaluate the impact of a SDM communication skills training for ...
Authors: Evamaria Müller, Alice Diesing, Anke Rosahl, Isabelle Scholl, Martin Härter and Angela Buchholz
This paper examines perinatal death reporting and reviews in Bungoma county, Kenya, where substantial progress has been made, providing important insights for wider scale up to other contexts.
Authors: Sarah Bandali, Camille Thomas, Phidelis Wamalwa, Shanti Mahendra, Peter Kaimenyi, Osman Warfa and Nicole Fulton
Even though China launched a series of measures to alleviate several financial burdens (including health insurance scheme, increased government investment, and so on), the economic burden of health expenditure...
Authors: Ruijie Zhang, Jinghua Li, Xiaochun Du, Tianjiao Ma, Li Zhang, Qian Zhang and Fang Xia
There are a number of limitations to the present primary eye care system in the UK. Patients with minor eye conditions typically either have to present to their local hospital or GP, or face a charge when visi...
Authors: Alexander G. Swystun and Christopher J. Davey
Demand for gastrointestinal endoscopy in Australia is increasing as a result of the expanding national bowel cancer screening program and a growing, ageing population. More services are required to meet demand...
Authors: Hannah E. Carter, Dylan Knowles, Timothy Moroney, Gerald Holtmann, Tony Rahman, Mark Appleyard, Nick Steele, Michael Zanco and Nicholas Graves
Most health care services are provided in the primary health care sector, and an increasing number of elderly is in need of these services. Nonetheless, the research on patient safety culture in home care serv...
There is a disparity in the burden of gynaecological cancer for Indigenous women compared with non-Indigenous women in Australia. Understanding how Indigenous women currently experience gynaecological cancer c...
Authors: Beverley Marcusson-Rababi, Kate Anderson, Lisa J. Whop, Tamara Butler, Nicole Whitson and Gail Garvey
The number of type 2 diabetes mellitus (T2DM) patients and related treatment costs are rapidly increasing. Consequentially, more cost-effective and efficient strategies for the treatment of T2DM are needed. On...
Authors: Astrid N. van Smoorenburg, Dorijn F. L. Hertroijs, Tessa Dekkers, Arianne M. J. Elissen and Marijke Melles
Technology-based self-assessment (TB-SA) benefits patients and providers and has shown feasibility, ease of use, efficiency, and cost savings. A promising TB-SA, the VA eScreening program, has shown promise fo...
Authors: James O. E. Pittman, Niloofar Afari, Elizabeth Floto, Erin Almklov, Susan Conner, Borsika Rabin and Laurie Lindamer
Physician assistants/associates (PAs) are a recent innovation in acute hospital teams in England and many other countries worldwide. Although existing evidence indicates generally high levels of patient satisf...
Authors: Francesca Taylor, Mary Halter and Vari M Drennan
Primary health care (PHC) is usually the initial point of contact for individuals seeking to access health care and providers of PHC play a crucial role in the healthcare model. However, few studies have asses...
Authors: Shizheng Du, Yuling Cao, Tong Zhou, Agus Setiawan, Myat Thandar, Virya Koy, Mohd Said Bin Nurumal, Hong Anh, Wipada Kunaviktikul and Yan Hu
The economic burden of type 2 diabetes has not been adequately investigated in many low- and lower middle-income countries, including Bangladesh. The aim of this study was to estimate the cost-of-illness of ty...
Authors: Afsana Afroz, Khurshid Alam, Liaquat Ali, Afsana Karim, Mohammed J. Alramadan, Samira Humaira Habib, Dianna J. Magliano and Baki Billah
Reuse of injection devices to give healthcare injections decreased from 39.8 to 5.5% between 2000 and 2010, but trends since 2011 have not been described. We reviewed results of Demographic and Health Surveys ...
Authors: Tomoyuki Hayashi, Yvan J.-F. Hutin, Marc Bulterys, Arshad Altaf and Benedetta Allegranzi
In Madhya Pradesh, India, the government invited private obstetric hospitals for partnership to provide intrapartum care to poor women, paid for by the state. This statewide program, the Janani Sahayogi Yojana...
Authors: Vishal Diwan, Sudhir Chandra Joshi, Kate Jehan and Ayesha De Costa
Although the prevalence of type 2 diabetes mellitus is increasing in Uganda, data on loss to follow up (LTFU) of patients in care is scanty. We aimed to estimate proportions of patients LTFU and document assoc...
Authors: Salome Tino, Clara Wekesa, Onesmus Kamacooko, Anthony Makhoba, Raymond Mwebaze, Samuel Bengo, Rose Nabwato, Aisha Kigongo, Edward Ddumba, Billy N. Mayanja, Pontiano Kaleebu, Rob Newton and Moffat Nyerinda
Language barriers in doctor-patient interactions are still an understudied phenomenon. This is particularly true concerning interactions with immigrant physicians who are learners of the patient’s language; th...
Providing universal basic public health services (BPHS) for residents is the main goal of the new health reform in China. Lay health workers (LHWs) in primary health care (PHC) sectors play key roles in BPHS d...
Authors: Shengxiang Liang, Haoyue Deng, Shili Liu, Geng Wang, Li Li, Mei Wang, Jie Pu, Wei Xing, Xingneng Luo, John Ehiri, Yueying Xiang and Ying Li
An adequate and qualified health workforce is critical for achieving Universal Health Coverage (UHC) and responding to the Sustainable Development Goals (SDGs). Frontline health workers who are mainly women, p...
Authors: Sreytouch Vong, Bandeth Ros, Rosemary Morgan and Sally Theobald
Management for multi-drug-resistant tuberculosis (MDR-TB) is challenging and has poor patient outcomes. Peru has a high burden of MDR-TB. The Loreto region in the Peruvian Amazon is worst affected for reasons ...
Authors: Thomas W. McNally, Gilles de Wildt, Graciela Meza and Connie M. D. Wiskin
Health systems, globally, are attempting to strengthen primary care to promote a population-health management approach to care provision, incentivising prevention and self-management. This paper evaluates the ...
Authors: Vishalie Shah, Jonathan Stokes and Matt Sutton
The ‘Surviving Crying’ study was designed to develop and provisionally evaluate a support service for parents of excessively crying babies, including its suitability for use in the United Kingdom (UK) National...
Authors: Deborah Bamber, Charlotte Powell, Jaqui Long, Rosie Garratt, Jayne Brown, Sally Rudge, Tom Morris, Nishal Bhupendra Jaicim, Rachel Plachcinski, Sue Dyson, Elaine M. Boyle, Nicole Turney, Joanne Chessman and Ian St. James-Roberts
