Articles

Organisational factors affecting emergency medical services’ performance in rural and urban areas of Saudi Arabia

There is a disparity in outcomes between rural and urban emergency medical services (EMS) around the world. However, there is a scarcity of research that directly asks EMS staff in both rural and urban areas h...

Authors: Ahmed Ramdan M Alanazy, John Fraser and Stuart Wark

How do people choose to be informed? A survey of the information searched for in the choice of primary care provider in Sweden

To stimulate quality through choice of provider, patients need to seek and base their decisions on both relevant and reliable information describing providers’ clinical quality. The purpose of this study was f...

Authors: Caroline Hoffstedt, Magnus Fredriksson and Ulrika Winblad

Development of an Implementation Process Model: a Delphi study

There is general scarcity of research on key elements of implementation processes and the factors which impact implementation success. Implementation of healthcare interventions is a complex process. Tools to ...

Authors: Gillian Parker, Monika Kastner, Karen Born and Whitney Berta

Evaluation of older persons’ medications: a critical incident technique study exploring healthcare professionals’ experiences and actions

Older persons with polypharmacy are at increased risk of harm from medications. Therefore, it is important that physicians and nurses, together with the persons, evaluate medications to avoid hazardous polypha...

Authors: Malin Holmqvist, Johan Thor, Axel Ros and Linda Johansson

Network governance theory as basic pattern for promoting financial support system of the poor in Iranian health system

The share of out-of-pocket payments in Iranian families has the greatest burden on the poor and lead to an impoverishment caused by catastrophic health expenditures. In order to improve access of the poor to p...

Authors: Manal Etemadi, Patrick Kenis, Kioomars Ashtarian, Hasan Abolghasem Gorji and Hannaneh Mohammadi Kangarani

Factors associated with higher healthcare costs in a cohort of homeless adults with a mental illness and a general cohort of adults with a history of homelessness

Healthcare costs are disproportionately incurred by a relatively small group of people often described as high-cost users. Understanding the factors associated with high-cost use of health services among peopl...

Authors: Kathryn Wiens, Laura C. Rosella, Paul Kurdyak, Simon Chen, Tim Aubry, Vicky Stergiopoulos and Stephen W. Hwang

Telemedicine remote controlled stroke evaluation and treatment, the experience of radiographers, paramedics and junior doctors in a novel rural stroke management team

In the case of ischemic stroke, access to a Computed Tomography (CT) scanner and the start of thrombolytic therapy immediately is imperative. Transport to the nearest hospital from the remote, rural area of Ha...

Authors: Elin Kjelle and Aud Mette Myklebust

A qualitative study of what care workers do to provide patient safety at home through telecare

In health care, the work of keeping the patient safe and reducing the risk of harm is defined as safety work. In our digitised and technology-rich era, safety work usually involves a relationship between people a...

Authors: Randi Stokke, Line Melby, Jørn Isaksen, Aud Obstfelder and Hege Andreassen

Variation among hospitals in the continuity of care for older hospitalized patients: a cross-sectional cohort study

Little is known about how continuity of care for hospitalized patients varies among hospitals. We describe the number of different general internal medicine physicians seeing hospitalized patients during a med...

Authors: James S. Goodwin, Shuang Li, Jie Zhou, Yong-Fang Kuo and Ann Nattinger

Validity of algorithms for identifying five chronic conditions in MedicineInsight, an Australian national general practice database

MedicineInsight is a database containing de-identified electronic health records (EHRs) from over 700 Australian general practices. It is one of the largest and most widely used primary health care EHR databas...

Authors: Alys Havard, Jo-Anne Manski-Nankervis, Jill Thistlethwaite, Benjamin Daniels, Rimma Myton, Karen Tu and Kendal Chidwick

Barriers and facilitators to implementing evidence based bleeding management in Australian Cardiac Surgery Units: a qualitative interview study analysed with the theoretical domains framework and COM-B model

Bleeding during cardiac surgery is a common complication that often requires the transfusion of blood products. The combination of bleeding and blood product transfusion incrementally increases adverse outcome...

Authors: Bronwyn L. Pearse, Samantha Keogh, Claire M. Rickard and Yoke L. Fung

Correction to: Expansion of a national differentiated service delivery model to support people living with HIV and other chronic conditions in South Africa: a descriptive analysis

Authors: Lingrui Liu, Sarah Christie, Maggie Munsamy, Phil Roberts, Merlin Pillay, Sheela V. Shenoi, Mayur M. Desai and Erika L. Linnander

From “stuck” to satisfied: Aboriginal people’s experience of culturally safe care with interpreters in a Northern Territory hospital

Globally, interpreters are underused by health providers in hospitals, despite 40 years of evidence documenting benefits to both patients and providers. At Royal Darwin Hospital, in Australia’s Northern Territ...

Authors: Vicki Kerrigan, Stuart Yiwarr McGrath, Sandawana William Majoni, Michelle Walker, Mandy Ahmat, Bilawara Lee, Alan Cass, Marita Hefler and Anna P. Ralph

The individualized supervision strategy and effectiveness under the strength perspective: a pilot study for the case management model of the high-care elderly in communities

This study tried to improve the operational efficiency and service quality of the community case management model for the High-Care Elderly in Communities in Taiwan. This study tried to assistant social worker...

Authors: Yu-Ming Chen, Kuei-Min Chen, Chiang-Ching Chang, Meng-Chin Chen and Li-Yen Yang

Bypassing primary healthcare facilities for maternal healthcare in North West Ghana: socio-economic correlates and financial implications

Bypassing primary health care (PHC) facilities for maternal health care is an increasing phenomenon. In Ghana, however, there is a dearth of systematic evidence on bypassing PHC facilities for maternal healthc...

Authors: Valeria Avoayea Amoro, Gilbert Abotisem Abiiro and Kennedy A. Alatinga

Protocol for a two-arm pragmatic stepped-wedge hybrid effectiveness-implementation trial evaluating Engagement and Collaborative Management to Proactively Advance Sepsis Survivorship (ENCOMPASS)

Sepsis survivors experience high morbidity and mortality, and healthcare systems lack effective strategies to address patient needs after hospital discharge. The Sepsis Transition and Recovery (STAR) program i...

Authors: Marc Kowalkowski, Tara Eaton, Andrew McWilliams, Hazel Tapp, Aleta Rios, Stephanie Murphy, Ryan Burns, Bella Gutnik, Katherine O’Hare, Lewis McCurdy, Michael Dulin, Christopher Blanchette, Shih-Hsiung Chou, Scott Halpern, Derek C. Angus and Stephanie P. Taylor

Nudging healthcare professionals in clinical settings: a scoping review of the literature

Healthcare organisations are in constant need of improvement and change. Nudging has been proposed as a strategy to affect people’s choices and has been used to affect patients’ behaviour in healthcare setting...

Authors: Anita Sant’Anna, Andreas Vilhelmsson and Axel Wolf

Comparing models of delivery for cancer genetics services among patients receiving primary care who meet criteria for genetic evaluation in two healthcare systems: BRIDGE randomized controlled trial

Advances in genetics and sequencing technologies are enabling the identification of more individuals with inherited cancer susceptibility who could benefit from tailored screening and prevention recommendation...

Authors: Kimberly A. Kaphingst, Wendy Kohlmann, Rachelle Lorenz Chambers, Melody S. Goodman, Richard Bradshaw, Priscilla A. Chan, Daniel Chavez-Yenter, Sarah V. Colonna, Whitney F. Espinel, Jessica N. Everett, Amanda Gammon, Eric R. Goldberg, Javier Gonzalez, Kelsi J. Hagerty, Rachel Hess, Kelsey Kehoe…

Translation and psychometric evaluation of the German version of the IcanSDM measure – a cross-sectional study among healthcare professionals

Shared decision-making (SDM) between patients and healthcare professionals (HCPs) is a key component of patient-centred care. To implement SDM in clinical practice and to evaluate its effects, it is helpful to...

Authors: Anja Lindig, Pola Hahlweg, Eva Christalle, Anik Giguere, Martin Härter, Olaf von dem Knesebeck and Isabelle Scholl

Effects, barriers and facilitators in predischarge home assessments to improve the transition of care from the inpatient care to home in adult patients: an integrative review

Predischarge home assessments (PDHA) aim to support safe discharge from hospital or rehabilitation. There is insufficient evidence on the effectiveness of PDHA. For adults with any diagnosis, we aimed to deter...

Authors: Uta Kirchner-Heklau, Kai Krause and Susanne Saal

Correction to: Use of prescribing safety quality improvement reports in UK general practices: a qualitative assessment

Authors: Nada F. Khan, Helen P. Booth, Puja Myles, David Mullett, Arlene Gallagher, Catheryn Evans, Nicholas P. B. Thomas and Janet Valentine

Identifying individual hospital levels of maternal care using administrative data

The goal of regionalized perinatal care, specifically levels of maternal care, is to improve maternal outcomes through risk-appropriate obstetric care. Studies of levels of maternal care are limited by current...

Authors: Sara C. Handley, Molly Passarella, Sindhu K. Srinivas and Scott A. Lorch

Adolescent and caregiver attitudes towards telemedicine use in pediatric nephrology

Telemedicine is increasingly utilized as an alternative to in person consultation. Current pandemic conditions are providing additional impetus to virtual care delivery. We compared both adolescent and caregiv...

Authors: Yi Qiu, Sherry Coulson, Christopher William McIntyre, Brooke Wile and Guido Filler

Costs and healthcare utilisation of patients with chronic kidney disease in Spain

Data about the impact of chronic kidney disease (CKD) on health care costs in Spain are scarce This study was aimed to evaluate cumulative costs and healthcare utilisation in CKD in Spain.

Authors: Carlos Escobar, Beatriz Palacios, Unai Aranda, Margarita Capel, Antoni Sicras, Aram Sicras, Antonio Hormigo, Roberto Alcázar, Nicolás Manito and Manuel Botana

How do reminder systems in follow-up screening for women with previous gestational diabetes work? - a realist review

Women with previous gestational diabetes have an increased risk of developing type 2 diabetes later in life. Recommendations therefore urge these women to participate in follow-up screening, 4–12 weeks postpar...

Authors: Jane Hyldgaard Nielsen, G. J. Melendez-Torres, Torill Alise Rotevatn, Kimberly Peven, Kirsten Fonager and Charlotte Overgaard

Neuroticism, resilience, and social support: correlates of severe anxiety among hospital workers during the COVID-19 pandemic in Nigeria and Botswana

The role of healthcare workers (HCWs) during the COVID-19 pandemic may make them more susceptible to anxiety than the general population. This study aimed to determine the prevalence of anxiety and evaluate th...

Authors: Anthony A. Olashore, Oluyemi O. Akanni and Kehinde O. Oderinde

The impact of work-place social capital in hospitals on patient-reported quality of care: a cohort study of 5205 employees and 23,872 patients in Denmark

Decision-makers increasingly consider patient-reported outcomes as important measures of care quality. Studies on the importance of work-place social capital–a collective work-place resource–for the experience...

Authors: Alice Clark, Thim Prætorius, Eszter Török, Ulla Arthur Hvidtfeldt, Peter Hasle and Naja Hulvej Rod

The connected patient project: moving towards a population-based primary health care research registry

The NHS pledges to give all patients access to clinical research. In England, 32% of General Practices are research active and only 14% of patients engage in research. This project aimed to evaluate consent-fo...

Authors: Dorothy Coe, Angela Birt, Gareth Forbes, Jonathan Ling, Michael Foster, Stephen Robson, Joe McDonald and Yan Yiannakou

Care pathway and prioritization of rapid testing for COVID-19 in UK hospitals: a qualitative evaluation

The second wave of the coronavirus pandemic is now established, occurring at a time of winter pressure on acute care in the NHS. This is likely to be more challenging then the first wave for the diagnosis of C...

Authors: Timothy Hicks, Amanda Winter, Kile Green, Patrick Kierkegaard, D. Ashley Price, Richard Body, A. Joy Allen and Sara Graziadio

Prevention services via public long-term care insurance can be effective among a specific group of older adults in Japan

To evaluate the effects of prevention services provided by long-term care insurance (LTCI) for older adults who require support from LTCI in Kashiwa City, Japan.

Authors: Tomoko Ito, Takahiro Mori, Hideto Takahashi, Natsumi Shimafuji, Katsuya Iijima, Satoru Yoshie and Nanako Tamiya

Selecting contextually appropriate performance indicators in a circumpolar context: a modified Delphi approach

Meaningful performance measurement requires indicators to be scientifically robust and strategically focused. For many circumpolar states, indicators aligned with national strategies may ignore the priorities ...

Authors: Rebecca Rich, Thomsen D’Hont, Kellie E. Murphy, Jeremy Veillard and Susan Chatwood

Primary health care facilities capacity gaps regarding diagnosis, treatment and knowledge of schistosomiasis among healthcare workers in North-western Tanzania: a call to strengthen the horizontal system

The World Health Organization (WHO) calls for schistosomiasis endemic countries to integrate schistosomiasis control measures into the primary health care (PHC) services; however, in Tanzania, little is known ...

Authors: Humphrey Deogratias Mazigo, Cecilia Uisso, Paul Kazyoba and Upendo J. Mwingira

Mortality of major cardiovascular emergencies among patients admitted to hospitals on weekends as compared with weekdays in Taiwan

Several studies have found a so-called weekend effect that patients admitted at the weekends had worse clinical outcomes than patients admitted at the weekdays. We performed this retrospective cohort study to ...

Authors: Chao-Lun Lai, Raymond Nien-Chen Kuo, Ting-Chuan Wang and K. Arnold Chan

Effectiveness of clinical criteria in directing patient flow from the emergency department to a medical assessment unit in Queensland, Australia: a retrospective chart review of hospital administrative data

Medical Assessment Units (MAUs) have become a popular model of acute medical care to improve patient flow through timely clinical assessment and patient management. The purpose of this study was to determine t...

Authors: Sonya Osborne, Helen Cleak, Nicole White, Xing Lee, Anthony Deacon and Julian W M de Looze

Trends and determinants of catastrophic health expenditure in China 2010–2018: a national panel data analysis

Catastrophic health expenditures (CHE) are out-of-pocket payments (OOP) that exceed a predefined percentage or threshold of a household’s resources, usually 40 %, that can push households into poverty in China...

Authors: Cai Liu, Zhao-min Liu, Stephen Nicholas and Jian Wang

Holding the frontline: a cross-sectional survey of emergency department staff well-being and psychological distress in the course of the COVID-19 outbreak

The coronavirus disease 2019 (COVID-19) outbreak has been associated with stress and challenges for healthcare professionals, especially for those working in the front-line of treating COVID-19 patients. This ...

Authors: Gijs Hesselink, Lise Straten, Lars Gallée, Anne Brants, Joris Holkenborg, Dennis G. Barten and Yvonne Schoon

Using the electronic medical record to increase testing for HIV and hepatitis C virus in an Appalachian emergency department

The ongoing Appalachian opioid epidemic has led to increasing hepatitis C virus (HCV) infections among people who inject drugs (PWID), and Human Immunodeficiency Virus (HIV) outbreaks have been observed. The p...

Authors: Carmen N. Burrell, Melinda J. Sharon, Stephen Davis, Judith Feinberg, Elena M. Wojcik, Julia Nist, Owen Lander, Valerie Boley, Justin Burns and Ian B. K. Martin

The association between opening a short stay paediatric assessment unit and trends in short stay hospital admissions

Many inpatient facilities in Scotland have opened short stay paediatric assessment units (SSPAU) which are clinical areas separate from the usual inpatient ward area and these are where most short stay (also c...

Authors: Steve Turner and Edwin-Amalraj Raja

Potentially inappropriate medications and medication combinations before, during and after hospitalizations: an analysis of pathways and determinants in the Swiss healthcare setting

A hospitalization phase represents a challenge to medication safety especially for multimorbid patients as acute medical needs might interact with pre-existing medications or evoke adverse drug effects. This p...

Authors: Kevin Migliazza, Caroline Bähler, Daniel Liedtke, Andri Signorell, Stefan Boes and Eva Blozik

Measuring the impact of an acute visiting scheme on emergency department attendances – a pre-post cohort design

Emergency department (ED) attendances are contributing to rising costs of the National Health Service (NHS) in England. Critically assessing the impact of new services to reduce emergency department use can be...

Authors: Axel Kaehne and Paula Keating

A cross-case analyses of laboratory professionals-patients interaction for patients accessing laboratory services at University of Cape Coast hospital and Ewim Polyclinic in the Cape Coast Metropolis, Ghana

There is scarcity of data on experiences of patients who access laboratory services during hospital visits in sub-Saharan Africa. This study sought to evaluate the depth of laboratory professionals-patient int...

Authors: Patrick Adu

Constrains for seeking post-abortion care among adolescents and young women in Guangzhou, China: a cross-sectional study

In China, post-abortion care (PAC) services mainly focus on married couples, such that adolescents and unmarried young women have limited access to those services for contraception counseling. The provision of...

Authors: Yiding Wang, Jinzhi Liu, Ribo Xiong and Yan Liu

Using the theoretical domains framework to inform strategies to support dietitians undertaking body composition assessments in routine clinical care

Malnutrition, sarcopenia and cachexia are clinical wasting syndromes characterised by muscle loss. Systematic monitoring by body composition assessment (BCA) is recommended for the diagnosis, treatment and mon...

Authors: Chloe J. D. Jobber, Shelley A. Wilkinson, Elyssa K. Hughes, Fiona Nave and Barbara S. van der Meij

Improving performance intelligence for governing an integrated health and social care delivery network: a case study on the Amsterdam Noord district

A guiding principle of a successful integrated health and social care delivery network is to establish a governance approach based on learning, grounded in a data and knowledge infrastructure. The ‘Krijtmolen ...

Authors: Véronique L. L. C. Bos, Niek S. Klazinga and Dionne S. Kringos

State medical malpractice laws and utilization of surgical treatment for rotator cuff tear and proximal humerus fracture: an observational cohort study

How much does the medical malpractice system affect treatment decisions in orthopaedics? To further this inquiry, we sought to assess whether malpractice liability is associated with differences in surgery rat...

Authors: Brian Chen, Cole Chapman, Sarah Bauer Floyd, John Mobley and John Brooks

Implementing enhanced patient care to promote patient engagement in HIV care in a rural setting in Kenya

Patient engagement is effective in promoting adherence to HIV care. In an effort to promote patient-centered care, we implemented an enhanced patient care (EPC) intervention that addresses a combination of sys...

Authors: Juddy Wachira, Becky Genberg, Diana Chemutai, Ann Mwangi, Omar Galarraga, Siika Abraham and Ira Wilson

Assessment of an integrated knowledge translation intervention to improve nutrition intakes among patients undergoing elective bowel surgery: a mixed-method process evaluation

A large evidence-practice gap exists regarding provision of nutrition to patients following surgery. The aim of this study was to evaluate the processes supporting the implementation of an intervention designe...

Authors: Megan Rattray, Andrea P. Marshall, Ben Desbrow, Michael von Papen and Shelley Roberts

Care plus study: a multi-site implementation of early palliative care in routine practice to improve health outcomes and reduce hospital admissions for people with advanced cancer: a study protocol

Current international consensus is that ‘early’ referral to palliative care services improves cancer patient and family carer outcomes. In practice, however, these referrals are not routine. An approach which ...

Authors: Jennifer Philip, Roslyn Le Gautier, Anna Collins, Anna K. Nowak, Brian Le, Gregory B. Crawford, Nicole Rankin, Meinir Krishnasamy, Geoff Mitchell, Sue-Anne McLachlan, Maarten IJzerman, Robyn Hudson, Danny Rischin, Tanara Vieira Sousa and Vijaya Sundararajan

Health care workers’ experiences of workplace incidents that posed a risk of patient and worker injury: a critical incident technique analysis

Health care workers (HCWs) are at high risk of occupational injuries and approximately 10–15% of patients are affected by an adverse event during their hospital stay. There is scarce scientific literature abou...

Authors: Emma Nilsing Strid, Charlotte Wåhlin, Axel Ros and Susanne Kvarnström

Healthcare planning across healthcare sectors in Baden-Wuerttemberg, Germany: a stakeholder online survey to identify indicators

Stakeholders in the German state of Baden-Wuerttemberg agreed upon the central aims for healthcare planning. These include a focus on geographical districts; a comprehensive, cross-sectoral perspective on heal...

Authors: Pamela Wronski, Jan Koetsenruijter, Dominik Ose, Jan Paulus, Joachim Szecsenyi and Michel Wensing