In Asia, over 50% of patients with symptoms of tuberculosis (TB) access health care from private providers. These patients are usually not notified to the National TB Control Programs, which contributes to low no...
Authors: Hamidah Hussain, Amani Thomas Mori, Aamir J. Khan, Saira Khowaja, Jacob Creswel, Thorkild Tylleskar and Bjarne Robberstad
Antimicrobial resistance is an increasing problem in hospitals world-wide. Following other countries, English hospitals experienced outbreaks of carbapenemase-producing Enterobacteriaceae (CPE), a bacterial in...
Authors: Annegret Schneider, Caroline Coope, Susan Michie, Richard Puleston, Susan Hopkins and Isabel Oliver
The main purpose of health service systems is to improve patients’ quality of life (QoL) and to ensure equitable access to health services. However, in reality, nearly half of knee osteoarthritis (OA) patients...
Authors: Siriwan Choojaturo, Siriorn Sindhu, Ketsarin Utriyaprasit and Chukiat Viwatwongkasem
Social inequities are widening globally, contributing to growing health and health care inequities. Health inequities are unjust differences in health and well-being between and within groups of people caused ...
Authors: Colleen Varcoe, Vicky Bungay, Annette J. Browne, Erin Wilson, C. Nadine Wathen, Kat Kolar, Nancy Perrin, Scott Comber, Amélie Blanchet Garneau, David Byres, Agnes Black and Elder Roberta Price
Low-intensity treatments imply reduced therapist contact due to an emphasis on self-help and the use of technologies to deliver treatment. The role of the remoteness, the reduced therapist contact, and the int...
Authors: Elisa Haller, Nicole Besson and Birgit Watzke
Schistosomiasis is endemic in the uMkhanyakude district of KwaZulu-Natal, South Africa. The South Africa Department of Health (DoH) has decided to implement a schistosomiasis preventive mass drug administratio...
Authors: Mhlengi Vella Ncube and Moses John Chimbari
This study aimed to assess the quality of antenatal care (ANC) women received in Migori county, Kenya—including both service provision and experience dimensions—and to examine factors associated with each dime...
Authors: Patience A. Afulani, Laura Buback, Francisca Essandoh, Joyceline Kinyua, Leah Kirumbi and Craig R. Cohen
The Plan-Do-Study-Act (PDSA) method is widely used in quality improvement (QI) strategies. However, previous studies have indicated that methodological problems are frequent in PDSA-based QI projects. Furtherm...
Authors: Søren Valgreen Knudsen, Henrik Vitus Bering Laursen, Søren Paaske Johnsen, Paul Daniel Bartels, Lars Holger Ehlers and Jan Mainz
Person-centred care (PCC) focusing on personalised goals and care plans derived from “What matters to you?” has an impact on single disease outcomes, but studies on multi-morbid elderly are lacking. Furthermor...
Authors: G. K. R. Berntsen, M. Dalbakk, J. S. Hurley, T. Bergmo, B. Solbakken, L. Spansvoll, J. G. Bellika, S. O. Skrøvseth, T. Brattland and M. Rumpsfeld
Telemedicine services are promoting more access to healthcare. Portugal was an early adopter of telemedicine to overcome both its geological barriers and the shortage of healthcare professionals. The Pediatric...
To evaluate the impact of the Dementia Care in Hospitals Program (DCHP) on clinical and non-clinical staff job satisfaction, level of confidence and comfort in caring for patients with cognitive impairment (CI...
Authors: Margaret E. Murray, Anna Wong Shee, Emma West, Michelle Morvell, Meredith Theobald, Vincent Versace and Mark Yates
Minimizing the time until start of cancer treatment is a political goal. In Norway, the target time for lung cancer is 42 days. The aim of this study was to identify reasons for delays and estimate the effect ...
Authors: Trine Stokstad, Sveinung Sørhaug, Tore Amundsen and Bjørn H. Grønberg
The psychological and professional impact of adverse events on doctors and nurses is well-established, but limited data has emerged from low- and middle-income. This article reports the experiences of being in...
Authors: Reema Harrison, Anurag Sharma, Merrilyn Walton, Esmond Esguerra, Seinyenede Onobrakpor, Bui Trung Nghia and Nguyen Duc Chinh
Asylum seekers coming to most countries are offered a specific health examination. A previous study concluded that a considerable proportion of those taking part of it in Sweden had poor experiences of the com...
Authors: Josefin Wångdahl, Ragnar Westerling, Per Lytsy and Lena Mårtensson
The Ghana Community-based Health Planning and Services (CHPS) initiative is a national strategy for improving access to primary health care services for underserved communities. Following a successful trial in...
Authors: Mawuli K. Kushitor, Adriana A. Biney, Kalifa Wright, James F Phillips, John Koku Awoonor-Williams and Ayaga A. Bawah
Little research exists on patient safety climate in the prehospital context. The purpose of this article is to test and validate a safety climate measurement model for the prehospital environment, and to explo...
Authors: Leif Inge K. Sørskår, Espen Olsen, Eirik B. Abrahamsen, Gunnar Tschudi Bondevik and Håkon B. Abrahamsen
To investigate timely access to and the time needed to complete the diagnostic path of children and adolescents with suspected attention deficit hyperactivity disorder (ADHD) in the 18 Italian Lombardy Region ...
Authors: Maurizio Bonati, Massimo Cartabia and Michele Zanetti
The transplantation process usually takes place without transplant teams being able to use imaging data to assess graft quality. The decision of whether to go get the graft or not is therefore limited and subo...
Authors: Kevin Zarca, Jean-Claude K. Dupont, Lorène Jacoud, Julie Bulsei, Olivier Huot, Hélène Logerot and Isabelle Durand-Zaleski
Stroke remains a major global health problem. In China, stroke was the leading cause of death and imposed a large impact on the healthcare system. This study aimed to examine the hospitalization costs by five ...
Authors: Hui Zhang, Yujie Yin, Chao Zhang and Donglan Zhang
Health systems reform is inevitable due to the never-ending changing nature of societal health needs and policy dynamism. Today, the Health Transformation Plan (HTP) remains the major tool to facilitate the ac...
Authors: Leila Doshmangir, Esmaeil Moshiri, Hakimeh Mostafavi, Minoo Alipouri Sakha and Abraham Assan
Measuring patient satisfaction has become an important parameter of the continuous quality assessment and improvement in anaesthesia services. The aim of this study was to assess the level of patient satisfact...
Authors: Yonatan Mehari Andemeskel, Traudl Elsholz, Ghidey Gebreyohannes and Eyasu H. Tesfamariam
In England, people of Black Caribbean (BC) ethnicity are disproportionately affected by sexually transmitted infections (STI). We examined whether differences in sexual healthcare behaviours contribute to thes...
Authors: Catherine R. H. Aicken, Sonali Wayal, Paula B. Blomquist, Stella M. Fabiane, Makeda Gerressu, Gwenda Hughes and Catherine H. Mercer
Combined lifestyle interventions (CLIs) are designed to help people who are overweight or obese maintain a healthy new lifestyle. The CooL intervention is a CLI in the Netherlands, in which lifestyle coaches c...
Authors: Celeste van Rinsum, Sanne Gerards, Geert Rutten, Madelon Johannesma, Ien van de Goor and Stef Kremers
Updating, improving and spreading the evidence base for healthcare practices has proven to be a challenge of considerable magnitude – a wicked, multi-dimensional problem. There are many interlinked factors whi...
Authors: Hanna Augustsson, Kate Churruca and Jeffrey Braithwaite
A high proportion of African women utilize family planning (FP) services. Accordingly, incorporating HIV testing into FP services may strategically target the first WHO 90–90-90 goal of 90% of people living wi...
Authors: McKenna C. Eastment, George Wanje, Barbra A. Richardson, Faiza Nassir, Emily Mwaringa, Ruanne V. Barnabas, Kenneth Sherr, Kishorchandra Mandaliya, Walter Jaoko and R. Scott McClelland
Health workers (HWs) providing routine immunization (RI) services play a crucial role in influencing vaccine uptake, a key determinant of improved immunization coverage. Over the years, Training Needs Assessme...
Authors: Linda Arogundade, Titilola Akinwumi, Shola Molemodile, Ebubechi Nwaononiwu, Joshua Ezika, Inuwa Yau and Chizoba Wonodi
Although opioid agonist therapy is effective in treating opioid use disorders (OUD), retention in opioid agonist therapy is suboptimal, in part, due to quality of care issues. Therefore, we sought to describe ...
Authors: Laura Beamish, Zach Sagorin, Cole Stanley, Krista English, Rana Garelnabi, Danielle Cousineau, Rolando Barrios and Jan Klimas
Pre-gestational and gestational diabetes mellitus are common complications in pregnancy affecting one in six pregnancies. The maternity services are under significant strain managing the increasing number of c...
Authors: Abdelrahim Alqudah, Paul McMullan, Anna Todd, Conor O’Doherty, Anne McVey, Mae McConnell, John O’Donoghue, Joe Gallagher, Chris J. Watson and Lana McClements
Various attempts to examine health financing mechanisms in Nigeria highlight the fact that there is no single mechanism that fits all contexts and people. This paper sets out findings of an in-depth assessment...
Authors: Obinna Onwujekwe, Nkoli Ezumah, Chinyere Mbachu, Felix Obi, Hyacinth Ichoku, Benjamin Uzochukwu and Hong Wang
Healthcare worker absenteeism is common in resource limited settings and contributes to poor quality of care in maternal and child health service delivery. There is a dearth of qualitative information on the s...
Authors: Katherine Tumlinson, Margaret W. Gichane, Siân L. Curtis and Katherine LeMasters
The first Multi-center Medication Reconciliation Quality Improvement Study (MARQUIS1) demonstrated that implementation of a medication reconciliation best practices toolkit decreased total unintentional medica...
Authors: Amanda S. Mixon, G. Randy Smith Jr, Meghan Mallouk, Harry Reyes Nieva, Sunil Kripalani, Stephanie Rennke, Eugene Chu, Anirudh Sridharan, Anuj Dalal, Stephanie Mueller, Mark Williams, Tosha Wetterneck, Jason M. Stein, Deonni Stolldorf, Eric Howell, John Orav…
In 2009, the prevention service “Familieambulatoriet” (FA) was established in three pilot hospital areas offering psychosocial support and health monitoring to parents in high risk regarding mental health and ...
A key challenge for most systems is how to provide effective access to urgent and emergency care across rural and urban populations. Tensions about the placement and scope of hospital emergency services are lo...
Authors: Steve Thomas, Conor Foley, Bridget Kane, Bridget M. Johnston, Brenda Lynch, Susan Smith, Orla Healy, Elsa Droog and John Browne
In Thailand, two community-based drug treatment approaches are common. The first one is the traditional community-based treatment program (FAST) which brings the principles of community therapy as a guideline ...
Authors: Niramon Kaewkham, Thawatchai Leelahanaj, Jatsada Yingwiwattanapong and Wanida Rattanasumawong
Uganda, a low resource country, implemented the skilled attendance at birth strategy, to meet a key target of the 5th Millenium Development Goal (MDG), 75% reduction in maternal mortality ratio. Maternal morta...
Authors: Susan Munabi-Babigumira, Harriet Nabudere, Delius Asiimwe, Atle Fretheim and Kristin Sandberg
Integration of medical insurance schemes has been prioritized as one of the key strategies to address inequity in China’s health system. The first pilot attempt to integrate started in 2003 and later expanded ...
Authors: Miaomiao Zhao, Baohua Liu, Linghan Shan, Cui Li, Qunhong Wu, Yanhua Hao, Zhuo Chen, Lan Lan, Zheng Kang, Libo Liang, Ning Ning and Mingli Jiao
Hokkaido’s demographic trend of population decrease with aging population is remarkable even in Japan. Although healthcare policy decision-makers need to appropriately allocate resources while grasping regiona...
Lean is commonly adopted in healthcare to increase quality of care and efficiency. Few studies of Lean involve staff-related outcomes, and few have a longitudinal design. Thus, the aim was to examine the exten...
Authors: Monica Kaltenbrunner, Lars Bengtsson, Svend Erik Mathiassen, Hans Högberg and Maria Engström
Obstetric guidelines are useful to improve the quality of care. Availability of international guidelines has rapidly increased, however the contextualization to enhance feasibility of implementation in health ...
Authors: Kim J. C. Verschueren, Lachmi R. Kodan, Tom K. Brinkman, Raez R. Paidin, Sheran S. Henar, Humphrey H. H. Kanhai, Joyce L. Browne, Marcus J. Rijken and Kitty W. M. Bloemenkamp
Conducting post-fall huddles is considered an integral component of a fall-risk-reduction program. However, there is no evidence linking post-fall huddles to patient outcomes or perceptions of teamwork and saf...
Authors: Katherine J. Jones, John Crowe, Joseph A. Allen, Anne M. Skinner, Robin High, Victoria Kennel and Roni Reiter-Palmon
Fetal alcohol spectrum disorder (FASD) is a highly prevalent neurodevelopmental disorder associated with prenatal alcohol exposure. Early identification can improve functioning for individuals and reduce costs...
Authors: Dianne C. Shanley, Erinn Hawkins, Marjad Page, Doug Shelton, Wei Liu, Heidi Webster, Karen M. Moritz, Linda Barry, Jenny Ziviani, Shirley Morrissey, Frances O’Callaghan, Andrew Wood, Mary Katsikitis and Natasha Reid
Emergency department (ED) presentations made by patients having cancer treatment are associated with worse outcomes. This study aimed to explore the socio-demographic and disease related characteristics associ...
Authors: Polly H. Dufton, Allison Drosdowsky, Marie F. Gerdtz and Mei Krishnasamy
Health care systems are continually being reformed, however care improvement and intervention effectiveness are often assumed, not measured. This paper aimed to review findings from published studies about the...
Authors: Kam Chun Ho, Fiona Stapleton, Louise Wiles, Peter Hibbert, Sally Alkhawajah, Andrew White and Isabelle Jalbert
Maternal and perinatal mortality is a major public health concern across the globe and more so in low and middle-income countries. In Kenya, more than 6000 maternal deaths, and 35,000 stillbirths occur each ye...
Authors: Evaline Lang’at, Lillian Mwanri and Marleen Temmerman
Medication transcription errors (MTEs) are frequent in hospitalized patient settings. Definitions and scenarios that represent potential MTEs in the Palestinian nursing practice were not previously approached ...
Authors: Ramzi Shawahna, Abbas Abbas and Ameed Ghanem
Value-based healthcare (VBHC) is a concept that focuses on outcome measurement to contribute to quality improvement. However, VBHC does not offer a systematic approach for implementing improvement as implement...
Authors: Nina Zipfel, Paul B. van der Nat, Benno J. W. M. Rensing, Edgar J. Daeter, Gert P. Westert and A. Stef Groenewoud
Malnutrition is a comprehensive challenge for the nursing home, home care- and home nursing sector. Nutritional care and the subsequent documentation are a common and multifaceted healthcare practice that requ...
Authors: S. J. Håkonsen, P. U. Pedersen, A. Bygholm, C. N. Thisted and M. Bjerrum
The use of mobile health apps is now common in diabetes self-management and acceptability of such tools could help predict further use. There is limited research on the acceptability of such apps: use over tim...
Authors: Astrid Torbjørnsen, Lis Ribu, Marit Rønnevig, Astrid Grøttland and Sølvi Helseth
Medication errors are a serious and complex problem in clinical practice, especially in intensive care units whose patients can suffer potentially very serious consequences because of the critical nature of th...
Authors: Juan Escrivá Gracia, Ricardo Brage Serrano and Julio Fernández Garrido
