Articles

Knowledge implementation in health care management: a qualitative study

The gap between knowledge and practice is a global issue, which increases wasteful spending in healthcare. There are several models and frameworks to address this gap and try to solve the challenge. Promoting ...

Authors: G. Roohi, G. Mahmoodi and H. Khoddam

Models and methods for determining the optimal number of beds in hospitals and regions: a systematic scoping review

Determining the optimal number of hospital beds is a complex and challenging endeavor and requires models and techniques which are sensitive to the multi-level, uncertain, and dynamic variables involved. This ...

Authors: Hamid Ravaghi, Saeide Alidoost, Russell Mannion and Victoria D. Bélorgeot

Assessing health system challenges and opportunities for better noncommunicable disease outcomes: the case of Mauritius

The objectives of the study reported in this paper were: (a) to score the coverage of core NCD population-based interventions and individual services in Mauritius; (b) to analyse and score the presence of 15 c...

Authors: Laurent Musango, Maryam Timol, Premduth Burhoo, Faisal Shaikh, Philippe Donnen and Joses Muthuri Kirigia

Results-based financing as a strategic purchasing intervention: some progress but much further to go in Zimbabwe?

Results-Based Financing (RBF) has proliferated in the health sectors of low and middle income countries, especially those which are fragile or conflict-affected, and has been presented by some as a way of refo...

Authors: Sophie Witter, Yotamu Chirwa, Pamela Chandiwana, Shungu Munyati, Mildred Pepukai, Maria Paola Bertone and Steve Banda

Healthcare utilization after a first hospitalization for COPD: a new approach of State Sequence Analysis based on the '6W' multidimensional model of care trajectories

Published methods to describe and visualize Care Trajectories (CTs) as patterns of healthcare use are very sparse, often incomplete, and not intuitive for non-experts.

Authors: Alain Vanasse, Josiane Courteau, Mireille Courteau, Mike Benigeri, Yohann M. Chiu, Isabelle Dufour, Simon Couillard, Pierre Larivée and Catherine Hudon

Development of the Inner City attitudinal assessment tool (ICAAT) for learners across Health care professions

Many health professions learners report feeling uncomfortable and underprepared for professional interactions with inner city populations. These learners may hold preconceptions which affect therapeutic relati...

Authors: Mark McKinney, Katherine E. Smith, Kathryn A. Dong, Oksana Babenko, Shelley Ross, Martina A. Kelly and Ginetta Salvalaggio

Understanding how Eastern European migrants use and experience UK health services: a systematic scoping review

The UK has experienced significant immigration from Eastern Europe following European Union (EU) expansion in 2004, which raises the importance of equity and equality for the recent immigrants. Previous resear...

Authors: Viet-Hai Phung, Zahid Asghar, Milika Matiti and A. Niroshan Siriwardena

Collaboration with community connectors to improve primary care access for hardly reached people: a case comparison of rural Ireland and Australia

This study presents a way for health services to improve service access for hardly reached people through an exploration of how staff can find and collaborate with citizens (referred to as connectors) who span...

Authors: Carolyn Wallace, Jane Farmer, Carolynne White and Anthony McCosker

Antecedents of use of e-health services in Central Eastern Europe: a qualitative comparative analysis

The objective of this paper is to identify the key conditions that positively affect the use of e-health services in Central Eastern Europe (CEE) countries. CEE countries after the political and economic trans...

Authors: Marek Ćwiklicki, Francesco Schiavone, Jacek Klich and Kamila Pilch

A scoping review to characterize bridging tasks in the literature on aging with disability

Bridging involves improving knowledge sharing and collaboration across different fields, such as aging and disability. The objectives of this review were to describe: 1) the contexts where bridging has occurre...

Authors: Emily Joan Nalder, Tyler M. Saumur, Zinnia Batliwalla, Luis Salvador-Carulla, Michelle Putnam, Andria Spindel, Erica Lenton and Hamdi Hussein

Severity of illness and the weekend mortality effect: a retrospective cohort study

Weekend admission to the hospital has been found to be associated with higher in-hospital mortality rates, but the cause for this phenomenon remains controversial. US based studies have been limited in their c...

Authors: Eric Bressman, John C. Rowland, Vinh-tung Nguyen and Beth G. Raucher

Where to enhance rural palliative care? Developing a spatial model to identify suitable communities most in need of service enhancement

In Canada, access to palliative care is a growing concern, particularly in rural communities. These communities have constrained health care services and accessing local palliative care can be challenging. The...

Authors: Nadine Schuurman, Michael E. Martin, Valorie A. Crooks and Ellen Randall

Prioritizing the perceived equity of the residents to construct an equitable health care system: evidence from a national cross-sectional study in China

Building an equitable health care system involves both the promotion of social justice in health and people’s subjective perception of the promotion. This study aimed to analyze the overall status and associat...

Authors: Hui Lv, Jianqin Gu, Xiangdong Yuan and Yudong Miao

The effect of the look-back period for estimating incidence using administrative data

The look-back period is needed to define baseline population for estimating incidence. However, short look-back period is known to overestimate incidence of diseases misclassifying prevalent cases to incident ...

Authors: Mira Kim, Kyung-Hee Chae, Youn-Jee Chung, HyeJin Hwang, MinKyung Lee, Hyun-Kyung Kim, Hyun-Hee Cho, Mee-Ran Kim, Chai-Young Jung and Sukil Kim

External facilitators’ perceptions of internal facilitation skills during implementation of collaborative care for mental health teams: a qualitative analysis informed by the i-PARIHS framework

Facilitation is a key strategy that may contribute to successful implementation of healthcare innovations. In blended facilitation, external facilitators (EFs) guide and support internal facilitators (IFs) in ...

Authors: Samantha L. Connolly, Jennifer L. Sullivan, Mona J. Ritchie, Bo Kim, Christopher J. Miller and Mark S. Bauer

Challenges to cross-sectoral care experienced by professionals working with patients living with low back pain: a qualitative interview study

While interdisciplinary, cross-sectoral collaboration promotes the effectiveness of rehabilitation programmes for persons with low back pain, challenges remain for this process. Few studies have explored chall...

Authors: Lisbeth Petersen, Regner Birkelund and Berit Schiøttz-Christensen

Nursing staff’s evaluation of facilitators and barriers during implementation of wireless nurse call systems in residential care facilities. A cross-sectional study

Traditional nurse call systems used in residential care facilities rely on patients to summon assistance for routine or emergency needs. Wireless nurse call systems (WNCS) offer new affordances for persons una...

Authors: Janne Dugstad, Vibeke Sundling, Etty R. Nilsen and Hilde Eide

Challenges with scale-up of GeneXpert MTB/RIF® in Uganda: a health systems perspective

Many high burden countries are scaling-up GeneXpert® MTB/RIF (Xpert) testing for tuberculosis (TB) using a hub-and-spoke model. However, the effect of scale up on reducing TB has been limited. We sought to cha...

Authors: Talemwa Nalugwa, Priya B. Shete, Mariam Nantale, Katherine Farr, Christopher Ojok, Emma Ochom, Frank Mugabe, Moses Joloba, David W. Dowdy, David A. J. Moore, J. Lucian Davis, Adithya Cattamanchi and Achilles Katamba

Predicting the need for supportive services after discharged from hospital: a systematic review

Some patients admitted to acute care hospital require supportive services after discharge. The objective of our review was to identify models and variables that predict the need for supportive services after d...

Authors: Daniel M. Kobewka, Sunita Mulpuru, Michaël Chassé, Kednapa Thavorn, Luke T. Lavallée, Shane W. English, Benjamin Neilipovitz, Jonathan Neilipovitz, Alan J. Forster and Daniel I. McIsaac

Validation of the patient assessment of chronic illness care (PACIC) short form scale in heart transplant recipients: the international cross-sectional bright study

Transplant recipients are chronically ill patients, who require lifelong follow-up to manage co-morbidities and prevent graft loss. This necessitates a system of care that is congruent with the Chronic Care Mo...

Authors: Katia Iglesias, Sabina De Geest, Lut Berben, Fabienne Dobbels, Kris Denhaerynk, L. Cynthia Russell, Remon Helmy and Isabelle Peytremann-Bridevaux

Spatio-temporal variations of licensed doctor distribution in China: measuring and mapping disparities

The licensed doctor misdistribution is one of the major challenges faced by China. However, this subject remains underexplored as spatial distribution characteristics (such as spatial clustering patterns) have...

Authors: Bin Zhu, Chih-Wei Hsieh and Ying Mao

Patient satisfaction and survey response in 717 hospital surveys in Switzerland: a cross-sectional study

The association between patient satisfaction and survey response is only partly understood. In this study, we describe the association between average satisfaction and survey response rate across hospital surv...

Authors: Thomas V. Perneger, Isabelle Peytremann-Bridevaux and Christophe Combescure

MEDREV (pharmacy-health psychology intervention in people living with dementia with behaviour that challenges): the feasibility of measuring clinical outcomes and costs of the intervention

People living with dementia in care homes frequently exhibit “behaviour that challenges”. Anti-psychotics are used to treat such behaviour, but are associated with significant morbidity. This study researched ...

Authors: Ian D. Maidment, Garry Barton, Niyah Campbell, Rachel Shaw, Nichola Seare, Chris Fox, Steve Iliffe, Emma Randle, Andrea Hilton, Graeme Brown, Nigel Barnes, Jane Wilcock, Sarah Gillespie and Sarah Damery

A new instrument to measure high value, cost-conscious care attitudes among healthcare stakeholders: development of the MHAQ

Residents have to learn to provide high value, cost-conscious care (HVCCC) to counter the trend of excessive healthcare costs. Their learning is impacted by individuals from different stakeholder groups within...

Authors: Serge B. R. Mordang, Karen D. Könings, Andrea N. Leep Hunderfund, Aggie T. G. Paulus, Frank W. J. M. Smeenk and Laurents P. S. Stassen

Costs and economic evaluations of Quality Improvement Collaboratives in healthcare: a systematic review

In increasingly constrained healthcare budgets worldwide, efforts to improve quality and reduce costs are vital. Quality Improvement Collaboratives (QICs) are often used in healthcare settings to implement pro...

Authors: Lenore de la Perrelle, Gorjana Radisic, Monica Cations, Billingsley Kaambwa, Gaery Barbery and Kate Laver

Electrolyte outpatient clinic at a local hospital – experience from diagnostics, treatment and follow-up

Electrolyte imbalances (EI) are common among patients. Many patients have repeated hospitalizations with the same EI without being investigated and treated. We established an electrolyte outpatient clinic (EOC...

Authors: Kiarash Tazmini and Anette Hylen Ranhoff

Cost of inappropriate antimicrobial use for upper respiratory infection in Japan

Antibiotics are often prescribed inappropriately to patients with upper respiratory infection (URI) in ambulatory care settings; however, the economic burden of such prescription has not been quantitatively as...

Authors: Shinya Tsuzuki, Yuki Kimura, Masahiro Ishikane, Yoshiki Kusama and Norio Ohmagari

Using intervention mapping to develop an outpatient nursing nutritional intervention to improve nutritional status in undernourished patients planned for surgery

Undernutrition in surgical patients leads to a higher risk of postoperative complications like infections and delayed recovery of gastrointestinal functions, often resulting in a longer hospital stay and lower...

Authors: Harm H. J. van Noort, Maud Heinen, Monique van Asseldonk, Roelof G. A. Ettema, Hester Vermeulen and Getty Huisman-de Waal

Delirium misdiagnosis risk in psychiatry: a machine learning-logistic regression predictive algorithm

Delirium is a frequent diagnosis made by Consultation-Liaison Psychiatry (CLP). Numerous studies have demonstrated misdiagnosis prior to referral to CLP. Few studies have considered the factors underlying misd...

Authors: Catherine Hercus and Abdul-Rahman Hudaib

What impact do chronic disease self-management support interventions have on health inequity gaps related to socioeconomic status: a systematic review

The social gradient in chronic disease (CD) is well-documented, and the ability to effectively self-manage is crucial to reducing morbidity and mortality from CD. This systematic review aimed to assess the mod...

Authors: Ruth Hardman, Stephen Begg and Evelien Spelten

Using point-of-care C-reactive protein to guide antibiotic prescribing for lower respiratory tract infections in elderly nursing home residents (UPCARE): study design of a cluster randomized controlled trial

Antibiotics are over-prescribed for lower respiratory tract infections (LRTI) in nursing home residents due to diagnostic uncertainty. Inappropriate antibiotic use is undesirable both on patient level, conside...

Authors: Tjarda M. Boere, Laura W. van Buul, Rogier M. Hopstaken, Ruth B. Veenhuizen, Maurits W. van Tulder, Jochen W. L. Cals, Theo J. M. Verheij and Cees M. P. M. Hertogh

Engaging hospitalised patients in their nutrition care using technology: development of the NUTRI-TEC intervention

Nutrition is vital for health and recovery during hospitalisation, however most patients fail to meet minimum dietary requirements and up to 50% of patients are malnourished in hospital. When patients particip...

Authors: Shelley Roberts, Zane Hopper, Wendy Chaboyer, Ruben Gonzalez, Merrilyn Banks, Ben Desbrow and Andrea P. Marshall

Characteristics of successful changes in health care organizations: an interview study with physicians, registered nurses and assistant nurses

Health care organizations are constantly changing as a result of technological advancements, ageing populations, changing disease patterns, new discoveries for the treatment of diseases and political reforms a...

Authors: Per Nilsen, Ida Seing, Carin Ericsson, Sarah A. Birken and Kristina Schildmeijer

Acute care pathways for patients calling the out-of-hours services

In Western countries, patients with acute illness or injury out-of-hours (OOH) can call either emergency medical services (EMS) for emergencies or primary care services (OOH-PC) in less urgent situations. Call...

Authors: Morten Breinholt Søvsø, Linda Huibers, Bodil Hammer Bech, Helle Collatz Christensen, Morten Bondo Christensen and Erika Frischknecht Christensen

Perceptions of resuscitation care among in-hospital cardiac arrest responders: a qualitative analysis

In-hospital cardiac arrests (IHCA) occur commonly and are associated with poor survival and variable outcomes. This study aimed to directly survey IHCA responders to understand their perceptions of resuscitati...

Authors: Samyukta Mullangi, Rohan Bhandari, Porama Thanaporn, Mary Christensen, Steven Kronick and Brahmajee K. Nallamothu

Effect of project-based experiential learning on the health service delivery indicators: a quasi-experiment study

Kenya’s new constitution passed in 2010 recognizes the right of quality care resulting in the devolution of health service delivery to the sub-national units called counties in 2013. However, the health system...

Authors: T. Chelagat, G. Kokwaro, J. Onyango and J. Rice

Rehabilitation Is a Global Health Priority

Authors: Allen W. Heinemann, Michael Feuerstein, Walter R. Frontera, Steven A. Gard, Leonard A. Kaminsky, Stefano Negrini, Lorie Gage Richards and Catherine Vallée

Understanding key drivers and barriers to implementation of the WHO recommendations for the case management of childhood pneumonia and possible serious bacterial infection with amoxicillin dispersible tablets (DT) in Bangladesh: a qualitative study

Pneumonia and possible serious bacterial infection (PSBI) are leading causes of death among under-five children. The World Health Organization (WHO) issued global recommendations for the case management of chi...

Authors: Mahfuzur Rahman, Jaclyn Delarosa, Sharmin Khan Luies, Kazi Robiul Alom, Manjari Quintanar-Solares, Ishrat Jabeen, Tahmeed Ahmed, Elizabeth Abu-Haydar and Haribondhu Sarma

Sharing responsibility: municipal health professionals’ approaches to goal setting with older patients with multi-morbidity – a grounded theory study

Recent health policy promoting integrated care emphasizes to increase patients’ health, experience of quality of care and reduce care utilization. Thus, health service delivery should be co-produced by health ...

Authors: Jannike Dyb Oksavik, Ralf Kirchhoff, Maren Kristine Raknes Sogstad and Marit Solbjør

Understanding in the Australian aged care sector of reablement interventions for people living with dementia: a qualitative content analysis

Reablement has potential for enhancing function and independence in people with dementia. In order to enhance the use of evidence-based reablement in this population, this study sought to understand the curren...

Authors: Claire M. C. O’Connor, Meredith Gresham, Roslyn G. Poulos, Lindy Clemson, Katherine S. McGilton, Ian D. Cameron, Wendy Hudson, Helen Radoslovich, Joan Jackman and Christopher J. Poulos

Influences of health facility type for delivery and experience of cesarean section on maternal and newborn postnatal care between birth and facility discharge in Malawi

A number of studies in the past have looked at determinants of postnatal care. However, many of them do not distinguish between postnatal care (PNC) before discharge and after discharge for women delivering at...

Authors: Eunsoo Timothy Kim, Kavita Singh, Ilene S. Speizer and Clara Lemani

Intervention intended to improve public health professionals’ self-efficacy in their efforts to detect and manage perinatal depressive symptoms among Thai women: a mixed-methods study

Targeting perinatal depressive symptoms among women can reduce premature mortality. However, public health professionals (PHPs) in primary healthcare settings often have low self-efficacy for detection and man...

Authors: Nitikorn Phoosuwan, Pranee C. Lundberg, Sadiporn Phuthomdee and Leif Eriksson

A quasi-experiment assessing the six-months effects of a nurse care coordination program on patient care experiences and clinician teamwork in community health centers

Recognition that coordination among healthcare providers is associated with better quality of care and lower costs has increased interest in interventions designed to improve care coordination. One interventio...

Authors: Ingrid M. Nembhard, Eugenia Buta, Yuna S. H. Lee, Daren Anderson, Ianita Zlateva and Paul D. Cleary

Factors associated with the use of maternal health services by mothers in a post-conflict area of western Côte d’Ivoire in 2016

In Côte d’Ivoire, maternal health service utilization indicators remain low despite improvements in health coverage and the availability of free health care for pregnant women. The objective of the study was t...

Authors: Mamadou Samba, Akissi Régine Attia-Konan, Abou Dramane Sangaré, Gotré Jules Youan, Luc Philippe Kouadio and Ramata Bakayoko-Ly

Associations between utilization rates and patients’ health: a study of spine surgery and patient-reported outcomes (EQ-5D and ODI)

A vast body of literature has documented regional variations in healthcare utilization rates. The extent to which such variations are “unwarranted” critically depends on whether there are corresponding variati...

Authors: Jan Håkon Rudolfsen, Tore K. Solberg, Tor Ingebrigtsen and Jan Abel Olsen

Disabled and immigrant, a double minority challenge: a qualitative study about the experiences of immigrant parents of children with disabilities navigating health and rehabilitation services in Norway

Immigrants and their Norwegian-born children make up approximately 18% of the total population in Norway. While several studies have been conducted on immigrants’ utilization of healthcare services, immigrant ...

Authors: Shahrzad Arfa, Per Koren Solvang, Berit Berg and Reidun Jahnsen

Factors affecting the implementation of a whole school mindfulness program: a qualitative study using the consolidated framework for implementation research

Preventing the onset of poor mental health in adolescence is an international public health priority. Universal, whole school preventative approaches are valued for their reach, and anti-stigmatising and resil...

Authors: Kristian G. Hudson, Rebecca Lawton and Siobhan Hugh-Jones

First-year implementation of mailed FIT colorectal cancer screening programs in two Medicaid/Medicare health insurance plans: qualitative learnings from health plan quality improvement staff and leaders

Colorectal cancer screening rates remain low, especially among certain racial and ethnic groups and the uninsured and Medicaid insured. Clinics and health care systems have adopted population-based mailed feca...

Authors: Laura-Mae Baldwin, Jennifer L. Schneider, Malaika Schwartz, Jennifer S. Rivelli, Beverly B. Green, Amanda F. Petrik and Gloria D. Coronado

Defining patient communication needs during hospitalization to improve patient experience and health literacy

In order to play an active role in their health care, patients need information and motivation. Current delivery systems limit patients’ involvement because they do not routinely provide them with enough detai...

Authors: Guillem Marca-Frances, Joan Frigola-Reig, Jesica A. Menéndez-Signorini, Marc Compte-Pujol and Eulàlia Massana-Morera

“From taboo to routine”: a qualitative evaluation of a hospital-based advocacy intervention for domestic violence and abuse

Health services are often the first point of professional contact for people who have experienced domestic violence and abuse. We report on the evaluation of a multi-site, hospital-based advocacy intervention ...

Authors: Sandi Dheensa, Gemma Halliwell, Jennifer Daw, Sue K. Jones and Gene Feder