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  1. The interface between primary care and specialist medical services is an important domain for health services research and policy. Of particular concern is optimising specialist services and the organisation o...

    Authors: Russell L Gruen, Stephanie Knox, Helena Britt and Ross S Bailie
    Citation: BMC Health Services Research 2004 4:8
    Content type: Research article Published on:

  2. The National Institute for Clinical Excellence (NICE) has produced guidelines on the early management of head injury. This study audits the process of the management of patients with head injury presenting at ...

    Authors: Lucy Miller, Ruth M Kent and Alan Tennant
    Citation: BMC Health Services Research 2004 4:7
    Content type: Research article Published on:

  3. The aim of this project was to assess whether outreach visits would improve the implementation of evidence based clinical practice in the area of falls reduction and stroke prevention in a residential care set...

    Authors: Maria Crotty, Craig Whitehead, Debra Rowett, Julie Halbert, David Weller, Paul Finucane and Adrian Esterman
    Citation: BMC Health Services Research 2004 4:6
    Content type: Research article Published on:

  4. Atrial fibrillation is a common cardiac dysrhythmia, particularly in the elderly. Recent studies have indicated a statistically significant seasonal component to atrial fibrillation hospitalizations.

    Authors: Ross EG Upshur, Rahim Moineddin, Eric J Crighton and Muhammad Mamdani
    Citation: BMC Health Services Research 2004 4:5
    Content type: Research article Published on:

  5. Length of stay (LOS) is an important indicator of efficiency for inpatient care but it does not achieve an adequate performance if it is not adjusted for the case mix of the patients hospitalized during the pe...

    Authors: Rosa E Jiménez, Rosa M Lam, Milagros Marot and Ariel Delgado
    Citation: BMC Health Services Research 2004 4:4
    Content type: Research article Published on:

  6. In this study we examined the influence of type of insurance and the influence of managed care in particular, on the length of stay decisions physicians make and on variation in medical practice.

    Authors: Judith D de Jong, Gert P Westert, Cheryl M Noetscher and Peter P Groenewegen
    Citation: BMC Health Services Research 2004 4:3
    Content type: Research article Published on:

  7. In the U.S. small-area health services research studies are often based on the hospital service areas (HSAs) defined by the Dartmouth Atlas of Healthcare project. These areas are based on the geographic origin...

    Authors: Mark F Guagliardo, Kathleen A Jablonski, Jill G Joseph and David C Goodman
    Citation: BMC Health Services Research 2004 4:2
    Content type: Technical advance Published on:

  9. Chronic fatigue syndrome (CFS) is defined by symptoms and disability, has no confirmatory physical signs or characteristic laboratory abnormalities, and the etiology and pathophysiology remain unknown. Difficu...

    Authors: William C Reeves, Andrew Lloyd, Suzanne D Vernon, Nancy Klimas, Leonard A Jason, Gijs Bleijenberg, Birgitta Evengard, Peter D White, Rosane Nisenbaum and Elizabeth R Unger
    Citation: BMC Health Services Research 2003 3:25
    Content type: Research article Published on:

  10. Research has shown that many healthcare professionals have problems with guidelines as they would prefer to be given all relevent information relevent to decision-making rather than being told what they should...

    Authors: Giulio Formoso, Lorenzo Moja, Francesco Nonino, Pietro Dri, Antonio Addis, Nello Martini and Alessandro Liberati
    Citation: BMC Health Services Research 2003 3:24
    Content type: Research article Published on:

  11. Clinical practice guidelines are systematically developed statements designed to assist in patient and physician clinical decision making for specific clinical circumstances. In order to establish which guidel...

    Authors: Melissa C Brouwers, Alexandra Chambers and James Perry
    Citation: BMC Health Services Research 2003 3:23
    Content type: Research article Published on:

  12. Biomedical research constantly produces new findings but these are not routinely translated into health care practice. One way to address this problem is to develop effective interventions to translate researc...

    Authors: Anne E Walker, Jeremy Grimshaw, Marie Johnston, Nigel Pitts, Nick Steen and Martin Eccles
    Citation: BMC Health Services Research 2003 3:22
    Content type: Study protocol Published on:

  13. A survey was carried out in the Grampian region of Scotland with a random sample of 10,000 adults registered with a General Practitioner in Grampian. The study complied with new legislation requiring a two-sta...

    Authors: Val C Angus, Vikki A Entwistle, Margaret J Emslie, Kim A Walker and Jane E Andrew
    Citation: BMC Health Services Research 2003 3:21
    Content type: Research article Published on:

  14. In the US, Quality Indicators (QI's) profiling and comparing the performance of hospitals, health plans, nursing homes and physicians are routinely published for consumer review. We report the results of the l...

    Authors: Vincent Mor, Joseph Angelelli, Richard Jones, Jason Roy, Terry Moore and John Morris
    Citation: BMC Health Services Research 2003 3:20
    Content type: Research article Published on:

  15. Obesity treatment is notoriously unsuccessful and one of the barriers to successful weight loss reported by patients is a lack of social support. The Internet offers a novel and fast approach to the delivery o...

    Authors: Sara FL Kirk, Emma L Harvey, Aine McConnon, Jennie E Pollard, Darren C Greenwood, James D Thomas and Joan K Ransley
    Citation: BMC Health Services Research 2003 3:19
    Content type: Study protocol Published on:

  16. All clinical practice guidelines recommend thiazides as a first-choice drug for the management of uncomplicated hypertension. Thiazides are also the lowest priced antihypertensive drugs. Despite this, the use ...

    Authors: Atle Fretheim, Morten Aaserud and Andrew D Oxman
    Citation: BMC Health Services Research 2003 3:18
    Content type: Research article Published on:

  18. Low back pain has major health and social implications. Although there have been many randomised controlled trials of manipulation and exercise for the management of low back pain, the role of these two treatm...

    Authors:
    Citation: BMC Health Services Research 2003 3:16
    Content type: Study protocol Published on:

  19. Interventions to improve delivery of preventive medical services have been shown to be effective in North America and the UK. However, there are few studies of the extent to which the impact of such interventi...

    Authors: Ross S Bailie, Samantha J Togni, Damin Si, Gary Robinson and Peter HN d'Abbs
    Citation: BMC Health Services Research 2003 3:15
    Content type: Research article Published on:

  20. The term "evidence-based medicine" (or EBM) was introduced about ten years ago, and there has been considerable debate about the value of EBM. However, this debate has sometimes been obscured by a lack of conc...

    Authors: Scott R Sehon and Donald E Stanley
    Citation: BMC Health Services Research 2003 3:14
    Content type: Debate Published on:

  21. Coronary heart disease (CHD) is the leading cause of death in the United States. Previous research examining physicians ability to estimate cardiovascular risk has shown that physicians' generally overestimate...

    Authors: Michael Pignone, Christopher J Phillips, Tom A Elasy and Alicia Fernandez
    Citation: BMC Health Services Research 2003 3:13
    Content type: Research article Published on:

  22. There have been dramatic increases in the number of coronary artery bypass surgeries (CABS) and percutaneous coronary interventions (PCI) performed during the last decade. Whether this finding is true for reva...

    Authors: Charles Maynard and Anne E Sales
    Citation: BMC Health Services Research 2003 3:12
    Content type: Research article Published on:

  23. The value of the Internet to deliver preoperative education would increase if there was variability in questions patients want answered. This study's goal was to have patients consulting an orthopedic surgeon ...

    Authors: Alex Macario, Peter Schilling, Richard Rubio, Amandeep Bhalla and Stuart Goodman
    Citation: BMC Health Services Research 2003 3:11
    Content type: Research article Published on:

  25. Social support is important in daily activities of the elderly. This study tests the hypothesis that there is an association between social support and cognitive function among the elderly in a community setting.

    Authors: Shu-Chuan Jennifer Yeh and Yea-Ying Liu
    Citation: BMC Health Services Research 2003 3:9
    Content type: Research article Published on:

  26. General practitioners often diverge from clinical guidelines regarding spine radiography. This study aimed to identify and describe A) factors general practitioners consider may affect their decisions about or...

    Authors: Ansgar Espeland and Anders Baerheim
    Citation: BMC Health Services Research 2003 3:8
    Content type: Research article Published on:

  28. Recent studies suggest that patients at greatest risk for diabetes complications are least likely to self-monitor blood glucose. However, these studies rely on self-reports of monitoring, an unreliable measure...

    Authors: Alyce S Adams, Connie Mah, Stephen B Soumerai, Fang Zhang, Mary B Barton and Dennis Ross-Degnan
    Citation: BMC Health Services Research 2003 3:6
    Content type: Research article Published on:

  29. The underlying reasons for differences between clinical practice and systematically developed guidelines vary from one clinical problem to another. It is therefore logical to tailor strategies to support the i...

    Authors: Atle Fretheim, Andrew D Oxman, Shaun Treweek and Arild Bjørndal
    Citation: BMC Health Services Research 2003 3:5
    Content type: Study protocol Published on:

  30. In diabetes mellitus, cigarette smoking is associated with increased risk of cardiovascular mortality and microvascular complications. We evaluated cigarette smoking in people with diabetes mellitus in a socio...

    Authors: MC Gulliford, JEC Sedgwick and AJ Pearce
    Citation: BMC Health Services Research 2003 3:4
    Content type: Research article Published on:

  31. Theories of behaviour change indicate that an analysis of factors that facilitate or impede change is helpful when trying to influence professional practice. The aim of this study was to identify barriers to i...

    Authors: Signe Flottorp and Andrew D Oxman
    Citation: BMC Health Services Research 2003 3:3
    Content type: Research article Published on:

  32. Despite the growing reputation and subject coverage of the Cochrane Database of Systematic Reviews, many systematic reviews continue to be published solely in paper-based health care journals. This study was d...

    Authors: Janet H Piehl, Sally Green and Steve McDonald
    Citation: BMC Health Services Research 2003 3:2
    Content type: Research article Published on:

  33. The Personal Responsibility and Work Opportunity Reconciliation Act (PRWORA) of 1996 gave states the option to withdraw Medicaid coverage of nonemergency care from most legal immigrants. Our goal was to assess...

    Authors: Liana D Castel, Justin W Timbie, Veronica Sendersky, Lesley H Curtis, Keith A Feather and Kevin A Schulman
    Citation: BMC Health Services Research 2003 3:1
    Content type: Research article Published on:

  35. The benefit of regular multidimensional assessment of older people remains controversial. The majority of trials have been too small to produce adequate evidence to inform policy. Despite the lack of a firm ev...

    Authors: AE Fletcher, DA Jones, CJ Bulpitt and AJ Tulloch
    Citation: BMC Health Services Research 2002 2:21
    Content type: Study protocol Published on:

  39. Antibiotics are frequently prescribed for older adults who reside in long-term care facilities. A substantial proportion of antibiotic use in this setting is inappropriate. Antibiotics are often prescribed for...

    Authors: Mark Loeb, Kevin Brazil, Lynne Lohfeld, Allison McGeer, Andrew Simor, Kurt Stevenson, Stephen Walter and Dick Zoutman
    Citation: BMC Health Services Research 2002 2:17
    Content type: Study protocol Published on:

  40. Several clinical practice guidelines (CPG) on antithrombotic prophylaxis in surgical patients help to decide about the prophylaxis strategy based on the patient risk of deep venous thrombosis (DVT). However, t...

    Authors: Martin O'Flaherty, Kaja Lerum, Paula Martin and Daniel Grassi
    Citation: BMC Health Services Research 2002 2:16
    Content type: Research article Published on:

  41. Postal surveys are a popular instrument for studies about continuing medical education habits. But little is known about the accuracy of responses in such surveys. The objective of this study was to quantify t...

    Authors: Sven Trelle
    Citation: BMC Health Services Research 2002 2:15
    Content type: Research article Published on:

  44. There has been a relentless increase in emergency medical admissions in the UK over recent years. Many of these patients suffer with chronic conditions requiring continuing medical attention. We wished to dete...

    Authors: Hugh C Rayner, R Mark Temple, Tim Marshall and Dianne Clarke
    Citation: BMC Health Services Research 2002 2:12
    Content type: Research article Published on:

  45. Although systematic reviews of health care interventions are an invaluable tool for health care providers and researchers, many potential authors never publish reviews. This study attempts to determine why som...

    Authors: Janet H Piehl, Sally Green and Chris Silagy
    Citation: BMC Health Services Research 2002 2:11
    Content type: Research article Published on:

  46. A variety of approaches have been used to contain escalating hospital costs. One approach is intensifying price competition. The increase in price based competition, which changes the incentives hospitals face...

    Authors: Dana B Mukamel, Jack Zwanziger and Anil Bamezai
    Citation: BMC Health Services Research 2002 2:10
    Content type: Research article Published on:

  47. We aim to establish the evidence base for the recognition and management of obstetric anal sphincter injury (OASI) and to compare this with current practice amongst UK obstetricians and coloproctologists.

    Authors: Ruwan J Fernando, Abdul H Sultan, Simon Radley, Peter W Jones and Richard B Johanson
    Citation: BMC Health Services Research 2002 2:9
    Content type: Research article Published on:

  48. Checklists for peer review aim to guide referees when assessing the quality of papers, but little evidence exists on the extent to which referees agree when evaluating the same paper. The aim of this study was...

    Authors: Alan A Montgomery, Anna Graham, Philip H Evans and Tom Fahey
    Citation: BMC Health Services Research 2002 2:8
    Content type: Research article Published on:

  50. Organizational features can affect how staff view their quality of work life. Determining staff perceptions about quality of work life is an important consideration for employers interested in improving employ...

    Authors: Paul Krueger, Kevin Brazil, Lynne Lohfeld, H Gayle Edward, David Lewis and Erin Tjam
    Citation: BMC Health Services Research 2002 2:6
    Content type: Research article Published on:
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