Articles

Out of pocket expenditures of patients with a chronic condition consulting a primary care provider in Tajikistan: a cross-sectional household survey

Within its reform efforts, the Government of Tajikistan is embracing the essential role of primary health care (PHC) in decreasing out of pocket (OOP) expenditures and increasing equity in access to health ser...

Authors: Fabienne B. Fischer, Zulfira Mengliboeva, Gulzira Karimova, Nasrullo Abdujabarov, Helen Prytherch and Kaspar Wyss

Development of the prototype concise safe systems checklist tool for general practice

In the course of producing a patient safety toolkit for primary care, we identified the need for a concise safe-systems checklist designed to address areas of patient safety which are under-represented in mand...

Authors: Ian Litchfield, Rachel Spencer, Brian G. Bell, Anthony Avery, Katherine Perryman, Kate Marsden, Sheila Greenfield and Stephen Campbell

Diabetic patient assessment of chronic illness care using PACIC+

The Patient Assessment of Chronic Illness Care plus is used in order to assess whether provided care is congruent with the Chronic Care Model, according to patients. The purpose of this study was to correlate ...

Authors: Maria Malliarou, Christina Desikou, Eleni Lahana, Styliani Kotrotsiou, Theodosios Paralikas, Athanasios Nikolentzos, Evangelia Kotrotsiou and Pavlos Sarafis

Similarities and differences in people accessing prevention and recovery care services and inpatient units in Victoria, Australia

There is an emerging international literature demonstrating clinical and cost-effectiveness of sub-acute residential mental health services. To date, however, there is limited information on the profile of con...

Authors: Georgina Sutherland, Carol Harvey, Holly Tibble, Matthew J. Spittal, John Farhall, Justine Fletcher, Graham Meadows, J. Richard Newton, Ruth Vine and Lisa Brophy

A qualitative study to explore the role of pharmacists in healthy weight management in adults in Pakistan: current scenario and future perspectives

Pharmacists possess significant potential for providing health services to the public when it comes to issues of weight management. However, this practice has not been observed in most parts of the world inclu...

Authors: Muhammad Atif, Sanah Hasan, Irem Mushtaq, Sareema Javaid, Noureena Asghar and Shane Scahill

Country of first birth and neonatal outcomes in migrant and Norwegian-born parous women in Norway: a population-based study

This study compares subsequent birth outcomes in migrant women who had already had a child before arriving in Norway with those in migrant women whose first birth occurred in Norway. The aim of this study was ...

Authors: Eline S. Vik, Roy M. Nilsen, Vigdis Aasheim, Rhonda Small, Dag Moster and Erica Schytt

Determinants of healthcare providers’ confidence in their clinical skills to deliver quality obstetric and newborn care in Uganda and Zambia

Poor quality obstetric and newborn care persists in sub-Saharan Africa and weak provider competence is an important contributor. To be competent, providers need to be both knowledgeable and confident in their ...

Authors: Min Kyung Kim, Catherine Arsenault, Lynn M. Atuyambe, Mubiana Macwan’gi and Margaret E. Kruk

Implementation of the clinical practice guideline for individuals with amputations in Colombia: a qualitative study on perceived barriers and facilitators

The issue of lower extremity amputation has been in the Colombian political agenda for its relationship with the armed conflict and antipersonnel mines. In 2015 the Colombian Ministry of Health published a nat...

Authors: Daniel F. Patiño-Lugo, María del Pilar Pastor Durango, Luz Helena Lugo-Agudelo, Ana María Posada Borrero, Verónica Ciro Correa, Jesús Alberto Plata Contreras, Claudia Yaneth Vera Giraldo and Daniel Camilo Aguirre-Acevedo

Adult patient perspectives on receiving hospital discharge letters: a corpus analysis of patient interviews

UK government guidelines and initiatives emphasise equity in delivery of care, shared decision-making, and patient-centred care. This includes sharing information with patients as partners in health decisions ...

Authors: Katharine Weetman, Jeremy Dale, Emma Scott and Stephanie Schnurr

The journey of aftercare for Australia’s First Nations families whose child had sustained a burn injury: a qualitative study

Access to ongoing multidisciplinary healthcare services for children who have sustained a burn injury is critical for optimal recovery. This paper reports on barriers and facilitators to culturally safe and ap...

Authors: Julieann Coombes, Kate Hunter, Tamara Mackean and Rebecca Ivers

Home care clients: a research protocol for studying their pathways

Enhancing non-clinical home care supports and services for older adults to live well is a strategic priority in developed countries, including Canada. Underpinning these supports and services are structures of...

Authors: Janice M. Keefe, Laura Funk, Lucy Knight, Michelle Lobchuk, Marilyn Macdonald, Lori Mitchell, Julie Rempel, Grace Warner and Susan Stevens

Challenges of managing diabetes in Iran: meta-synthesis of qualitative studies

Although several diabetes management and control programmes are introduced in Iran, many patients do not achieve diabetes-related clinical goals as recommended. The aim of this study was to identify the qualit...

Authors: Mohammad Mohseni, Tahereh Shams Ghoreishi, Sousan Houshmandi, Ahmad Moosavi, Saber Azami-Aghdash and Zoleykha Asgarlou

Evaluating the effect of healthcare providers on the clinical path of heart failure patients through a semi-Markov, multi-state model

Investigating similarities and differences among healthcare providers, on the basis of patient healthcare experience, is of interest for policy making. Availability of high quality, routine health databases al...

Authors: Francesca Gasperoni, Francesca Ieva, Anna Maria Paganoni, Christopher H Jackson and Linda Sharples

Pediatric outpatient utilization by differing Medicaid payment models in the United States

In the United States (US), Medicaid capitated managed care costs are controlled by optimizing patients’ healthcare utilization. Adults in capitated plans utilize primary care providers (PCP) more than emergenc...

Authors: Therese L. Canares, Ari Friedman, Jonathan Rodean, Rebecca R. Burns, Deena Berkowitz, Matt Hall, Elizabeth Alpern and Amanda Montalbano

Examining racial and ethnic trends and differences in annual healthcare expenditures among a nationally representative sample of adults with arthritis from 2008 to 2016

Disparities in health care utilization and outcomes for racial and ethnic minorities with arthritis are well-established. However, there is a paucity of research on racial and ethnic differences in healthcare ...

Authors: Antoinette L. Spector, Sneha Nagavally, Aprill Z. Dawson, Rebekah J. Walker and Leonard E. Egede

Patient feedback to improve quality of patient-centred care in public hospitals: a systematic review of the evidence

To review systematically the published literature relating to interventions informed by patient feedback for improvement to quality of care in hospital settings.

Authors: Eunice Wong, Felix Mavondo and Jane Fisher

Fuzzy cognitive mapping with Inuit women: what needs to change to improve cervical cancer screening in Nunavik, northern Quebec?

Among Canadian Inuit, cervical cancer incidence and mortality rates are up to three times higher than the Canadian average. Cervical cancer is preventable through regular screening which, in Quebec, is opportu...

Authors: Elyse Tratt, Ivan Sarmiento, Rachel Gamelin, Jeannie Nayoumealuk, Neil Andersson and Paul Brassard

Coverage, reporting degree and design of the Swedish quality registry for patients born with cleft lip and/or palate

The objective of the Swedish cleft lip and palate (CLP) registry is to promote quality control, research and improvement of treatment, by comparison of the long-term results of surgery, orthodontics and speech...

Authors: Kristina Klintö, Agneta Karsten, Agneta Marcusson, Anna Paganini, Sara Rizell, Jenny Cajander, Karin Brunnegård, Malin Hakelius, Åsa Okhiria, Petra Peterson, Avni Abdiu, Christina Havstam, Hans Mark, Emilie Hagberg, Lena Björnström, Anna-Paulina Wiedel…

Clinical characteristics and health care received among patients with type 2 diabetes attending secondary and tertiary healthcare facilities in Mwanza Region, Tanzania: a cross-sectional study

Tanzania is among the sub-Saharan African countries facing a tremendous increase in the burden of type 2 diabetes mellitus. In order to provide diabetes health care services, the government has established dia...

Authors: Mariam J. Munyogwa, Reuben William, Stephen M. Kibusi and Nyasiro S. Gibore

Understanding the costs and the cost structure of a community-based HIV and gender-based violence (GBV) prevention program: the Woza Asibonisane Community Responses Program in South Africa

The Woza Asibonisane Community Responses (CR) Programme was developed to prevent HIV infections and gender-based violence (GBV) within four provinces in South Africa. The Centre for Communication Impact (CCI) in ...

Authors: Bruce Larson, Refiloe Cele, Sarah Girdwood, Lawrence Long and Jacqui Miot

Reducing barriers to post-9/11 veterans’ use of programs and services as they transition to civilian life

Numerous programs exist to support veterans in their transitions to civilian life. Programs are offered by a host of governmental and non-governmental stakeholders. Veterans report encountering many barriers t...

Authors: Nicole R. Morgan, Keith R. Aronson, Daniel F. Perkins, Julia A. Bleser, Katie Davenport, Dawne Vogt, Laurel A. Copeland, Erin P. Finley and Cynthia L. Gilman

“I cannot say no when a pregnant woman needs my support to get to the health centre”: involvement of community health workers in Rwanda’s maternal health

In Rwanda, maternal community health workers (M-CHWs) are involved in the country’s overall health system. In maternal health, their role includes the provision of preventive and promotional health services at...

Authors: Germaine Tuyisenge, Celestin Hategeka, Isaac Luginaah, David F. Cechetto and Stephen Rulisa

Using intervention mapping to develop an occupational advice intervention to aid return to work following hip and knee replacement in the United Kingdom

There are increasing numbers of total hip replacements (THR) and total knee replacements (TKR) being performed in patients of working age. Providing patients undergoing TKR and THR with return to work advice m...

Authors: Carol Coole, Paul Baker, Catriona McDaid and Avril Drummond

The impacts of quality improvement on maternal and newborn health: preliminary findings from a health system integrated intervention in four Ethiopian regions

Quality improvement (QI) methods are effective in improving healthcare delivery using sustainable, collaborative, and cost-effective approaches. Systems-integrated interventions offer promise in terms of produ...

Authors: Ashley K. Hagaman, Kavita Singh, Mehiret Abate, Haregeweyni Alemu, Abera Biadgo Kefale, Befikadu Bitewulign, Abiy Seifu Estifanos, Abiyou Kiflie, Zewdie Mulissa, Hillina Tiyo, Yakob Seman, Meseret Zelalem Tadesse and Hema Magge

Clinical perspectives on hospitals’ role in the opioid epidemic

Policymakers, legislators, and clinicians have raised concerns that hospital-based clinicians may be incentivized to inappropriately prescribe and administer opioids when addressing pain care needs of their pa...

Authors: Olena Mazurenko, Barbara T. Andraka-Christou, Matthew J. Bair, Areeba Y. Kara and Christopher A. Harle

The influence of mobile phone-based health reminders on patient adherence to medications and healthy lifestyle recommendations for effective management of diabetes type 2: a randomized control trial in Dhaka, Bangladesh

In 2017, 80% of 425 million adults with diabetes worldwide were living in low and middle-income countries. Diabetes affected 6.9 million adults in Bangladesh and accounted for 3% of the country’s total mortali...

Authors: Farzana Yasmin, Nazmun Nahar, Bilkis Banu, Liaquat Ali, Rainer Sauerborn and Aurélia Souares

Impacts of the zero mark-up drug policy on hospitalization expenses of COPD inpatients in Sichuan province, western China: an interrupted time series analysis

Since 1950, the hospitals had been permitted to take a 15% mark-up of drug purchase price to remedy the loss of public hospitals and doctors’ salaries in China due to tight government budget. This policy resul...

Authors: Junman Wang, Peiyi Li and Jin Wen

The current status of pharmaceutical care provision in tertiary hospitals: results of a cross-sectional survey in China

Pharmaceutical care is attached with increasing importance around the world due to its clinical and economical effects. Tertiary hospitals are equipped with the richest healthcare resources and pioneer in the ...

Authors: Xiaobo Guo, Dongning Yao, Jie Liu, Yuankai Huang, Yitao Wang and Wenbing Yao

Exploring the role of managers in the development of a safety culture in seven French healthcare facilities: a qualitative study

Numerous studies have been conducted over the past 15 years to assess safety culture within healthcare facilities; in general, these studies have shown the pivotal role that managers play in its development. H...

Authors: Jean-Luc Quenon, Anthony Vacher, Marc Faget, Marie Levif-Lecourt, Tamara Roberts, Isabelle Fucks, Myriam Promé-Visinoni, Christine Cadot, Jean-Yves Bousigue, Bruno Quintard, Pierre Parneix and Catherine Pourin

Nonspecific chest pain and hospital revisits within 7 days of care: variation across emergency department, observation and inpatient visits

Authors: Grant R. Martsolf, Teryl K. Nuckols, Kathryn R. Fingar, Marguerite L. Barrett, Carol Stocks and Pamela L. Owens

Measuring the benefits of the integration of health and social care: qualitative interviews with professional stakeholders and patient representatives

Integrated care has the potential to ease the increasing pressures faced by health and social care systems, however, challenges around measuring the benefits for providers, patients, and service users remain. ...

Authors: Helen Crocker, Laura Kelly, Jenny Harlock, Ray Fitzpatrick and Michele Peters

Utilization of the national cluster of district health information system for health service decision-making at the district, sub-district and community levels in selected districts of the Brong Ahafo region in Ghana

There is growing interest in the use of reliable evidence for health decision-making among low-and middle-income countries. Ghana has deployed DHIMS2 to replace the previously existing manual data harmonizatio...

Authors: Eliezer Ofori Odei-Lartey, Rebecca Kyerewaa Dwommoh Prah, Edward Apraku Anane, Harry Danwonno, Stephaney Gyaase, Felix Boakye Oppong, Godwin Afenyadu and Kwaku Poku Asante

Impact of peer-trainer leadership style on uptake of a peer led educational outreach intervention to improve tuberculosis care and outcomes in Malawi: a qualitative study

Little is known about how to build leadership capacity to support implementation of evidence-based practices within health systems. We observed substantial variability across sites in uptake and sustainability...

Authors: L. M. Puchalski Ritchie, H. Mundeva, Monique van Lettow, S. E. Straus, E. Kip and A. Makwakwa

The barriers and facilitators to implementing dementia education and training in health and social care services: a mixed-methods study

The health and social care workforce requires access to appropriate education and training to provide quality care for people with dementia. Success of a training programme depends on staff ability to put thei...

Authors: Claire A. Surr, Sahdia Parveen, Sarah J. Smith, Michelle Drury, Cara Sass, Sarah Burden and Jan Oyebode

Chronic patients’ satisfaction and priorities regarding medical care, information and services and quality of life: a French online patient community survey

The French healthcare system is evolving to meet the challenges of an aging population, the growing prevalence of chronic diseases, the development of new technologies and the increasing involvement of patient...

Authors: Apolline Adé, Frédérique Debroucker, Laura Delporte, Cécile De Monclin, Emmanuel Fayet, Pierre Legendre, Lise Radoszycki and Michael Chekroun

Reorganising dermatology care: predictors of the substitution of secondary care with primary care

The substitution of healthcare is a way to control rising healthcare costs. The Primary Care Plus (PC+) intervention of the Dutch ‘Blue Care’ pioneer site aims to achieve this feat by facilitating consultation...

Authors: Esther H. A. van den Bogaart, Mariëlle E. A. L. Kroese, Marieke D. Spreeuwenberg, Herm Martens, Peter M. Steijlen and Dirk Ruwaard

How well does Malaysia achieve value for money in public sector purchasing of medicines? Evidence from medicines procurement prices from 2010 to 2014

Malaysia’s public healthcare sector provides a greater volume of medicines at lower overall cost compared to the private sector, indicating its importance in providing access to medicines for Malaysians. Howev...

Authors: NM Hamzah, P. N. Perera and R. P. Rannan-Eliya

Post-hospital medical respite care for homeless people in Denmark: a randomized controlled trial and cost-utility analysis

Being homeless entails higher mortality, morbidity, and prevalence of psychiatric diseases. This leads to more frequent and expensive use of health care services. Medical respite care enables an opportunity to...

Authors: Camilla Bring, Marie Kruse, Mikkel Z. Ankarfeldt, Nina Brünés, Maja Pedersen, Janne Petersen and Ove Andersen

Our first review: an evaluation of effectiveness of root cause analysis recommendations in Hong Kong public hospitals

To evaluate the effectiveness of root cause analysis (RCA) recommendations and propose possible ways to enhance its quality in Hong Kong public hospitals.

Authors: Yick Ting A Kwok, Alastair PY Mah and Katherine MC Pang

A method to audit and score implementation of knowledge translation (KT) interventions in large health regions – an observational pilot study using rectal cancer surgery in Ontario

Across Ontario, since the year 2006 various knowledge translation (KT) interventions designed to improve the quality of rectal cancer surgery have been implemented by the provincial cancer agency or by individ...

Authors: Marko Simunovic, Christine Fahim, Angela Coates, David Urbach, Craig Earle, Vanja Grubac, Melissa Brouwers, Mary Ann O’Brien and Nancy Baxter

A survey to assess awareness and opinion of initiatives and recommendations on low-value diagnostic practices

The need to reduce healthcare practices that provide no value has led to the development of initiatives that generate and publish recommendations to improve the appropriateness of clinical practice by identify...

Authors: Xavier Bonfill, Karla Salas-Gama, Carolina Requeijo, Angela Merchán-Galvis, Antonio Sánchez, Elena Medarde and M. Jesús Quintana

Co-production in health policy and management: a comprehensive bibliometric review

Due to an increasingly elderly population, a higher incidence of chronic diseases and higher expectations regarding public service provision, healthcare services are under increasing strain to cut costs while ...

Authors: Floriana Fusco, Marta Marsilio and Chiara Guglielmetti

Patient and service-related barriers and facitators to the acceptance and use of interventions to promote communication in health and social care: a realist review

More people living into old age with dementia. The complexity of treatment and care, particularly those with multiple health problems, can be experienced as disjointed. As part of an evaluation of a ‘healthcar...

Authors: Gerard Leavey, Emma Curran, Deirdre Fullerton, Steven Todd, Sonja McIlfatrick, Vivien Coates, Max Watson, Aine Abbott and Dagmar Corry

Decommissioning in a local healthcare system in Sweden: responses to fiscal stress

Drawing on the literature on cutback management, this article deals with healthcare decommissioning in times of austerity. Politicians and decision-makers are typically reluctant to decommission healthcare, an...

Authors: Linda Moberg and Mio Fredriksson

Infectious disease specialist consultations in a Japanese cancer center: a retrospective review of 776 cases

Little is known about the impact of infectious disease (ID) consultations on the management of patients with cancer. This study aimed to describe the consultation services provided by ID specialists to all dep...

Authors: Naoya Itoh, Yoshiro Hadano, Yasumasa Yamamoto, Norihiko Terada and Hanako Kurai

Exploring pathways to Hospital Care for Patients with Alzheimer’s disease and related dementias in rural South Western Uganda

In order to analyze use of health services and identify sources of delays in accessing the right care for patients with Alzheimer’s disease and related dementias (AD/ADRD), understanding of care seeking pathwa...

Authors: Nathan Kakongi, Godfrey Zari Rukundo, Bizu Gelaye, Edith K. Wakida, Celestino Obua and Elialilia S. Okello

Improving clinical outcomes and patient satisfaction among patients with coronary artery disease: an example of enhancing regional integration between a cardiac centre and a referring hospital

Value-based healthcare (VBHC) is a promising strategy to increase patient value. For a successful implementation of VBHC, intensive collaborations between organizations and integrated care delivery systems are...

Authors: Dennis van Veghel, Mohamed Soliman-Hamad, Daniela N. Schulz, Bernard Cost, Timothy A. Simmers and Lukas R. C. Dekker

Smart triage: triage and management of sepsis in children using the point-of-care Pediatric Rapid Sepsis Trigger (PRST) tool

Sepsis is the leading cause of death and disability in children. Every hour of delay in treatment is associated with an escalating risk of morbidity and mortality. The burden of sepsis is greatest in low- and ...

Authors: Alishah Mawji, Edmond Li, Clare Komugisha, Samuel Akech, Dustin Dunsmuir, Matthew O. Wiens, Niranjan Kissoon, Nathan Kenya-Mugisha, Abner Tagoola, David Kimutai, Jeffrey N. Bone, Guy Dumont and J. Mark Ansermino

Estimating the costs of genomic sequencing in cancer control

Despite the rapid uptake of genomic technologies within cancer care, few studies provide detailed information on the costs of sequencing across different applications. The objective of the study was to examine...

Authors: Louisa G. Gordon, Nicole M. White, Thomas M. Elliott, Katia Nones, Anthony G. Beckhouse, Astrid J. Rodriguez-Acevedo, Penelope M. Webb, Xing J. Lee, Nicholas Graves and Deborah J. Schofield

Control of unreasonable growth of medical expenses in public hospitals in Shanghai, China: a multi-agent system model

This study aims to establish a multi-agent system model to provide accurate suggestions for the policy proposal of controlling the unreasonable growth of medical expenses charged by public hospitals in China.

Authors: Wenya Yu, Xiang Liu, Fangjie Zhao, Meina Li and Lulu Zhang