Articles

Development of a theory-based intervention to increase cognitively able frail elders’ engagement with advance care planning using the behaviour change wheel

Advance care planning (ACP) conversations support people to think about, discuss and document their beliefs, values and preferences regarding future care. This process means that should the person loose capaci...

Authors: S. Combes, G. Forbes, K. Gillett, C. Norton and C. J. Nicholson

Community nurse-paramedics’ sphere of practice in primary care; an ethnographic study

Primary care, the principal function of the health care system, requires effort from all local primary health care teams. Community Paramedicine (CP) has managed to reduce the use of Emergency Medical Services...

Authors: Tuija Rasku, Marja Kaunonen, Elizabeth Thyer, Eija Paavilainen and Katja Joronen

Realist evaluation of Schwartz rounds® for enhancing the delivery of compassionate healthcare: understanding how they work, for whom, and in what contexts

Healthcare work is known to be stressful and challenging, and there are recognised links between the psychological health of staff and high-quality patient care. Schwartz Center Rounds® (Rounds) were developed...

Authors: J. Maben, C. Taylor, E. Reynolds, I. McCarthy and M. Leamy

Outpatient physical therapy population has been aging faster than the general population: a total population register-based study

The Icelandic population is aging like other populations in the world, the life expectancy is high, and the national focus is to help people to age in their own homes. The objectives of this research was to de...

Authors: Solveig A. Arnadottir and Brynjolfur Gauti Jonsson

Health service underutilization and its associated factors for chronic diseases patients in poverty-stricken areas in China: a multilevel analysis

Underutilization of health services among chronic non-communicable disease sufferers, especially for hypertension (HBP) and diabetes mellitus (DM), was considered as a significant contributing factor to substa...

Authors: Haiyan Hu, Weiyan Jian, Hongqiao Fu, Hao Zhang, Jay Pan and Winnie Yip

Participatory co-design and normalisation process theory with staff and patients to implement digital ways of working into routine care: the example of electronic patient-reported outcomes in UK renal services

Successful implementation of digital health systems requires contextually sensitive solutions. Working directly with system users and drawing on implementation science frameworks are both recommended. We sough...

Authors: S. E. Knowles, A. Ercia, F. Caskey, M. Rees, K. Farrington and S. N. Van der Veer

Psychometric testing of the Iranian version of the TeamSTEPPS teamwork perception questionnaire: a cross-cultural validation study

The use of validated questionnaires to assess the perception of teamwork can be an early step in improving team training activities. Team-STEPPS® Teamwork Perception Questionnaire (T-TPQ) has been adapted and ...

Authors: Edris Kakemam, Mahtab Rouzbahani, Mohammad Reza Rajabi and Young Sook Roh

“We are only looking at the tip of the iceberg in infertility”: perspectives of health providers about fertility issues and management among Aboriginal and Torres Strait Islander people

Aboriginal and Torres Strait Islander women and men are disproportionately affected by a range of risk factors for infertility. However, remarkably little is known about the prevalence of infertility in this g...

Authors: Emily Gilbert, Ruth Walker, David Simon, Ruth Derkenne, Alice Rumbold, Sandra Campbell and Jacqueline A Boyle

Factors associated with response and remission from depression at 6-months of treatment in a retrospective cohort treated within an integrated care program

Depression causes significant morbidity, which impacts mental health, overall general health outcomes, everyday functioning and quality of life. This study aims to contribute to knowledge in the field through ...

Authors: Jessica Jeffrey, Alex Klomhaus, Hilary Aralis, Wendy Barrera, Shanna Rosenberg, Mark Grossman and Patricia Lester

Hidden labour: the skilful work of clinical audit data collection and its implications for secondary use of data via integrated health IT

Secondary use of data via integrated health information technology is fundamental to many healthcare policies and processes worldwide. However, repurposing data can be problematic and little research has been ...

Authors: Lynn McVey, Natasha Alvarado, Joanne Greenhalgh, Mai Elshehaly, Chris P. Gale, Julia Lake, Roy A. Ruddle, Dawn Dowding, Mamas Mamas, Richard Feltbower and Rebecca Randell

Impact of an integrated community-based model of care for older people with complex conditions on hospital emergency presentations and admissions: a step-wedged cluster randomized trial

Health systems must reorient towards preventative and co-ordinated care to reduce hospital demand and achieve positive and fiscally responsible outcomes for older persons with complex needs. Integrated care mo...

Authors: Jennifer Mann, Fintan Thompson, Robyn McDermott, A. Esterman and Edward Strivens

Organisational and advance care planning program characteristics associated with advance care directive completion: a prospective multicentre cross-sectional audit among health and residential aged care services caring for older Australians

Advance care planning (ACP) and advance care directive (ACD) completion improve outcomes for patients, family, clinicians and the healthcare system. However, uptake remains low. Despite increasing literature r...

Authors: Karen M. Detering, Craig Sinclair, Kimberly Buck, Marcus Sellars, Ben P. White, Helana Kelly and Linda Nolte

How can dementia diagnosis and care for Aboriginal and Torres Strait Islander people be improved? Perspectives of healthcare providers providing care in Aboriginal community controlled health services

Aboriginal and/or Torres Strait Islander people experience dementia at a rate three to five times higher than the general Australian population. Aboriginal Community Controlled Health Services (ACCHSs) have a ...

Authors: Jamie Bryant, Natasha Noble, Megan Freund, Jennifer Rumbel, Sandra Eades, Rob Sanson-Fisher, Michael Lowe, Justin Walsh, Leon Piterman, Susan Koch, Claudia Meyer and Elaine Todd

Using Theoretical Domains Framework (TDF) to understand implementation of a pragmatic clinical trial in Public Dental Service in Norway

Most dental research in Norway has traditionally been conducted by universities, and the involvement of clinicians in research projects has not been a common practice.

Authors: E. A.S. Hovden and Rasa Skudutyte-Rysstad

Trends in treatment for patients with depression in general practice in Norway, 2009–2015: nationwide registry-based cohort study (The Norwegian GP-DEP Study)

Depression is highly prevalent, but knowledge is scarce as to whether increased public awareness and strengthened government focus on mental health have changed how general practitioners (GPs) help their depre...

Authors: Sabine Ruths, Inger Haukenes, Øystein Hetlevik, Tone Smith-Sivertsen, Stefan Hjørleifsson, Anneli B Hansen, Sharline Riiser, Heidi Marie Meling and Valborg Baste

A qualitative study of National Health Service (NHS) complaint-responses

Healthcare complaints are grievances that may be indicative of some system failures, individual failings, or a combination of both. Moreover, the experience of making a complaint, including its outcome, often ...

Authors: May McCreaddie, Bethan Benwell and Alice Gritti

Barriers and facilitators experienced by osteopaths in implementing a biopsychosocial (BPS) framework of care when managing people with musculoskeletal pain – a mixed methods systematic review

Clinical practice guidelines commonly recommend adopting a biopsychosocial (BPS) framework by practitioners managing musculoskeletal pain. However, it remains unclear how osteopaths implement a BPS framework i...

Authors: Kesava Kovanur Sampath, Ben Darlow, Steve Tumilty, Warwick Shillito, Melissa Hanses, Hemakumar Devan and Oliver P. Thomson

Variations in hip fracture inpatient care in Japan, Korea, and Taiwan: an analysis of health administrative data

Little is known about hip fracture inpatient care in East Asia. This study examined the characteristics of patients, hospitals, and regions associated with delivery of hip fracture surgeries across Japan, Kore...

Authors: Hongsoo Kim, Shou-Hsia Cheng, Hayato Yamana, Seyune Lee, Nan-He Yoon, Yi-Chieh Lin, Kiyohide Fushimi and Hideo Yasunaga

Development of the Tiers of Service framework to support system and operational planning for children’s healthcare services

Providing access to pediatric healthcare services in British Columbia, Canada, presents unique challenges given low population densities spread across large geographic distances combined with a lack of availab...

Authors: Sina Waibel, Janet Williams, Yasmin Tuff, Joanne Shum, Jennifer Scarr and Maureen O’Donnell

Dispensing antiretrovirals during Covid-19 lockdown: re-discovering community-based ART delivery models in Uganda

The notion of health-system resilience has received little empirical attention in the current literature on the Covid-19 response. We set out to explore health-system resilience at the sub-national level in Ug...

Authors: Henry Zakumumpa, Christopher Tumwine, Kiconco Milliam and Neil Spicer

Application of comprehensive unit-based safety program model in the inter-hospital transfer of patients with critical diseases: a retrospective controlled study

To explore the effect of applying a comprehensive unit-based safety program (CUSP) in the intrahospital transfer of patients with critical diseases.

Authors: Yimei Gu, Lina Liang, Liuna Ge, Ling Jiang, Xiaole Hu, Jing Xu, Yu Cao and Xiaoting Feng

Patients perspectives on drug shortages in six European hospital settings – a cross sectional study

It is known that drug shortages represent a major challenge for all stakeholders involved in the process, but there is little evidence regarding insights into patients′ awareness and perspectives. This study a...

Authors: Darija Kuruc Poje, Domagoj Kifer, Isabelle Huys, Joao Miranda, Helena Jenzer, Nenad Miljković, Torsten Hoppe-Tichy, Marcin Bochniarz, Roberto Frontini, David G Schwartz, Vesna Vujić-Aleksić, Lana Nežić, Eleni Rinaki, Leonidas Tzimis, Kim Green, Jelena Jovanić…

Lifestyle changes among people with type 2 diabetes are associated with participation in online groups and time since diagnosis

For people with Type 2 diabetes (T2D), lifestyle changes may be the most effective intervention. Online groups for people with diabetes holds a great potential to support such changes. However, little is known...

Authors: Anne Helen Hansen, Silje C. Wangberg and Eirik Årsand

Comparison of the impact of two national health and social care integration programmes on emergency hospital admissions

Policy-makers expect that integration of health and social care will improve user and carer experience and reduce avoidable hospital use. We evaluate the impact on emergency hospital admissions of two large na...

Authors: Marcello Morciano, Katherine Checkland, Mary Alison Durand, Matt Sutton and Nicholas Mays

Impact of a medical scribe on clinical efficiency and quality in an academic general internal medicine practice

Scribes have been proposed as an intervention to decrease physician electronic health record (EHR) workload and improve clinical quality. We aimed to assess the impact of a scribe on clinical efficiency and qu...

Authors: Anastasia Pozdnyakova Piersa, Neda Laiteerapong, Sandra A. Ham, Felipe Fernandez del Castillo, Sachin Shah, Deborah L. Burnet and Wei Wei Lee

Cost-effectiveness and feasibility of conditional economic incentives and motivational interviewing to improve HIV health outcomes of adolescents living with HIV in Anambra State, Nigeria

In sub-Saharan Africa, there is increasing mortality and morbidity of adolescents due to poor linkage, retention in HIV care and adherence to antiretroviral therapy (ART). This is a result of limited adolescen...

Authors: Obinna Ikechukwu Ekwunife, Chinelo Janefrances Ofomata, Charles Ebuka Okafor, Maureen Ugonwa Anetoh, Stephen Okorafor Kalu, Prince Udegbunam Ele and George Uchenna Eleje

Relatives’ experiences with abuse and neglect in Norwegian nursing homes. A qualitative study

Elder abuse in nursing homes (NH) is a widespread and complex problem. Residents’ ability to share their experiences are impeded, due to a high degree of cognitive problems and frailty, and previous studies ar...

Authors: Susan Saga, Lene Elisabeth Blekken, Sigrid Nakrem and Astrid Sandmoe

Indirect costs associated with out-of-country referral for proton therapy: a survey of adult and pediatric patients in Alberta, Canada

Patients in Alberta, Canada are referred to the United States (US) for proton treatment. The Alberta Ministry of Health pays for the proton treatment and the cost of flights to and from the United States. This...

Authors: Jacqueline Middleton, Karina Black, Sunita Ghosh, David D. Eisenstat and Samir Patel

Diabetic ketoacidosis presentations in a low socio-economic area: are services suitable?

Diabetic ketoacidosis causes a significant number of hospitalisations worldwide, with rates tending to increase with remoteness and socioeconomic disadvantage. Our study aimed to explore healthcare professiona...

Authors: Steven James, Kylie Annetts, Thuy Frakking, Marc Broadbent, John Waugh, Lin Perry, Julia Lowe and Sean Clark

Care and cost trajectories of asylum seekers in a nurse-led, patient centered, care network in Switzerland

Switzerland, with its decentralized health system, has seen the emergence of a variety of care models to meet the complex needs of asylum seekers. A network of public and private providers was designed in the ...

Authors: Jacques Spycher, Patrick Bodenmann, Raphaël Bize and Joachim Marti

Co-designing a methodology for workforce development during the personalisation of allied health service funding for people with disability in Australia

Internationally, health and social services are undergoing creative and extensive redesign to meet population demands with rationed budgets. This has critical implications for the health workforces that serve ...

Authors: Kristen Foley, Stacie Attrill and Chris Brebner

Quality of maternal and newborn health care in Ethiopia: a cross-sectional study

Despite reports of universal access to and modest utilization of maternal and newborn health services in Ethiopia, mothers and newborns continue to die from preventable causes. Studies indicate this could be d...

Authors: Abera Biadgo, Aynalem Legesse, Abiy Seifu Estifanos, Kavita Singh, Zewdie Mulissa, Abiyou Kiflie, Hema Magge, Befikadu Bitewulign, Mehiret Abate and Haregeweyni Alemu

Does rehabilitation setting influence risk of institutionalization? A register-based study of hip fracture patients in Oslo, Norway

Reducing the economic impact of hip fractures (HF) is a global issue. Some efforts aimed at curtailing costs associated with HF include rehabilitating patients within primary care. Little, however, is known ab...

Authors: Rina Moe Fosse, Eliva Atieno Ambugo, Tron Anders Moger, Terje P. Hagen and Trond Tjerbo

Correction to: Mind the gap: an analysis of core capacities of the international health regulations (2005) to respond to outbreaks in Yemen

Authors: Hanan Noman, Fekri Dureab, Iman Ahmed, Abdulwahed Al Serouri, Taha Hussein and Albrecht Jahn

Correction to: Delivery of integrated infectious disease control services under the new antenatal care guidelines: a service availability and readiness assessment of health facilities in Tanzania

Authors: Emmanuel Nene Odjidja, Ghislaine Gatasi and Predrag Duric

Participant perspectives of a telehealth trial investigating the use of telephone and text message support in obesity management: a qualitative evaluation

Background: Quantitative evidence suggests that interventions involving telephone calls and text message are feasible and effective for improving lifestyle intervention adherence and clinical outcomes among ad...

Authors: Emily Lewis, Peter Hassmén and Kate L. Pumpa

A review of appropriate indicators for need-based financial resource allocation in health systems

Optimal, need-based, and equitable allocation of financial resources is one of the most important concerns of health systems worldwide. Fulfilling this goal requires considering various criteria when allocatin...

Authors: Maryam Radinmanesh, Farbod Ebadifard Azar, Asgar aghaei Hashjin, Behzad Najafi and Reza Majdzadeh

Information about different treatment options and shared decision making in dialysis care - a retrospective survey among hemodialysis patients

Hemodialysis (HD) and peritoneal dialysis (PD) are equivalent treatment alternatives for patients with end stage renal disease. In Germany, there is a legal obligation to inform every patient about all treatme...

Authors: Isabell Schellartz, Tim Ohnhaeuser, Thomas Mettang and Nadine Scholten

A realist systematic review of evidence from low- and middle-income countries of interventions to improve immunization data use

The use of routine immunization data by health care professionals in low- and middle-income countries remains an underutilized resource in decision-making. Despite the significant resources invested in develop...

Authors: Allison L. Osterman, Jessica C. Shearer and Nicole A. Salisbury

Work-related stress and intention to leave among midwives working in Swiss maternity hospitals – a cross-sectional study

Health systems around the globe are struggling to recruit qualified health professionals. Work-related stress plays an important role in why health professionals leave their profession prematurely. However, li...

Authors: Karin Anne Peter, Barbara Meier-Kaeppeli, Jessica Pehlke-Milde and Susanne Grylka-Baeschlin

Disparities in mothers’ healthcare seeking behavior for common childhood morbidities in Ethiopia: based on nationally representative data

Childhood morbidities such as diarrhea and pneumonia are the leading causes of death in Ethiopia. Appropriate healthcare-seeking behavior of mothers for common childhood illnesses could prevent a significant n...

Authors: Nigatu Regassa Geda, Cindy Xin Feng, Susan J. Whiting, Rein Lepnurm, Carol J. Henry and Bonnie Janzen

Evaluating the relationship between clinical and demographic characteristics of insulin-using people with diabetes and their health outcomes: a cluster analysis application

The aim of this study was to determine how clusters or subgroups of insulin-treated people with diabetes, based upon healthcare resource utilization, select social demographic and clinical characteristics, and...

Authors: Elizabeth L. Eby, Alison Edwards, Eric Meadows, Ilya Lipkovich, Brian D. Benneyworth and Kenneth Snow

The impacts of Chinese drug volume-based procurement policy on the use of policy-related antibiotic drugs in Shenzhen, 2018–2019: an interrupted time-series analysis

In 2019, Chinese government implemented volume-based procurement of 25 drugs in 4 municipalities and 7 sub-provincial cities, i.e. “4 + 7” policy. Competitive bidding was conducted by the government based on t...

Authors: Ying Yang, Lei Chen, Xinfeng Ke, Zongfu Mao and Bo Zheng

Managing pneumonia through facility-based integrated management of childhood management (IMCI) services: an analysis of the service availability and readiness among public health facilities in Bangladesh

With an estimated 24,000 deaths per year, pneumonia is the single largest cause of death among young children in Bangladesh, accounting for 18% of all under-5 deaths. The Government of Bangladesh adopted the W...

Authors: Ahmed Ehsanur Rahamn, Shema Mhajabin, David Dockrell, Harish Nair, Shams El Arifeen and Harry Campbell

Like soldiers on the front – a qualitative study understanding the frontline healthcare professionals’ experience of treating and caring for patients with COVID-19

While people in the societies must stay home to reduce spread of the newly discovered coronavirus, healthcare professionals do the exact opposite. For them the coronavirus is an enemy that should be defeated a...

Authors: Ilkay Dagyaran, Signe Stelling Risom, Selina Kikkenborg Berg, Ida Elisabeth Højskov, Malin Heiden, Camilla Bernild, Signe Westh Christensen and Malene Missel

Reablement professionals’ perspectives on client characteristics and factors associated with successful home-based reablement: a qualitative study

To understand what is needed to achieve a successful Danish home-based reablement service from the perspective of reablement professionals.

Authors: Mads Nibe Stausholm, Louise Pape-Haugaard, Ole Kristian Hejlesen and Pernille Heyckendorff Secher

Which criteria characterize a health literate health care organization? – a scoping review on organizational health literacy

Organizational health literacy (OHL) aims to respond to the health literacy needs of patients by improving health information and services and making them easier to understand, access, and apply. This scoping ...

Authors: Daniel Bremer, Izumi Klockmann, Leonie Jaß, Martin Härter, Olaf von dem Knesebeck and Daniel Lüdecke

A scoping review of public hospitals autonomy in Iran: from budgetary hospitals to corporate hospitals

Organizational reforms of hospitals in Iran are mainly aimed at improving efficiency, reducing government spending on health care, and improving the quality of services. These reforms began with hospital auton...

Authors: Rahim Sohrabi, Sogand Tourani, Mehdi Jafari, Hossein Joudaki, Leila Doshmangir, Javad Moghri and Nicola Luigi Bragazzi

Assessing the prices and affordability of oncology medicines for three common cancers within the private sector of South Africa

Prices of cancer medicines are a major contributor to the cost of treatment for cancer patients and the comparison of these cost needs to be assessed.

Authors: Phyllis Ocran Mattila, Zaheer-Ud-Din Babar and Fatima Suleman

A model for measuring healthcare accessibility using the behavior of demand: a conditional logit model-based floating catchment area method

Estimating realistic access to health services is essential for designing support policies for healthcare delivery systems. Many studies have proposed a metric to calculate accessibility. However, patients’ re...

Authors: Hoon Jang