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Journal of Health Services Research & Policy

Si Ying Tan, G J Melendez-Torres, Tikki Pang
OBJECTIVE: Launched to assist in achieving universal health coverage, provider payment reform (PPR) is one of the most important policy tools deployed to transform incentives within a health system that is plagued with allocative inefficiency and high out-of-pocket payments to one that is able to deliver basic services and be cost-efficient. However, the black box of such reform - that is, the contexts in which reform operates, the mechanisms by which it changes health systems and behaviour within health systems, and the outcome patterns that arise from - remains unexplored...
April 20, 2019: Journal of Health Services Research & Policy
Alex Pollock, Pauline Campbell, Caroline Struthers, Anneliese Synnot, Jack Nunn, Sophie Hill, Heather Goodare, Jacqui Morris, Chris Watts, Richard Morley
OBJECTIVES: Involvement of patients, health professionals, and the wider public ('stakeholders') is seen to be beneficial to the quality, relevance and impact of research and may enhance the usefulness and uptake of systematic reviews. However, there is a lack of evidence and resources to guide researchers in how to actively involve stakeholders in systematic reviews. In this paper, we report the development of the ACTIVE framework to describe how stakeholders are involved in systematic reviews...
April 18, 2019: Journal of Health Services Research & Policy
Lynsey Warwick-Giles, Imelda McDermott, Kath Checkland, Valerie Moran
OBJECTIVE: This paper aims to explore the nature of clinical commissioning groups (CCGs) in England as membership organizations. Utilizing the concept of meta-organization as a lens, we discuss the impact that this organizational form might have on CCGs' ability to become 'strategic commissioners'. METHODS: We used a longitudinal qualitative approach to explore the adoption and implementation of primary care co-commissioning. The study was undertaken between May 2015 and June 2017 and included interviews with senior policy makers, analysis of policy documents, two telephone surveys, and case studies in four CCGs nationally...
April 16, 2019: Journal of Health Services Research & Policy
Ana Castro-Avila, Karen Bloor, Carl Thompson
OBJECTIVES: To evaluate the effect of Care Quality Commission external inspections of acute trusts on adverse event rates in the English National Health Service. METHODS: Interrupted time-series analysis including all acute NHS trusts in England ( nā€‰=ā€‰155) using two control groups (new versus historical inspection regime and trusts not inspected). Multilevel random-coefficient modelling of (1) rates of falls with harm and (2) pressure ulcers, from April 2012 to June 2016, was undertaken using the new, resource-intensive regime of Care Quality Commission inspections as an intervention...
April 12, 2019: Journal of Health Services Research & Policy
Trevor A Sheldon
No abstract text is available yet for this article.
April 12, 2019: Journal of Health Services Research & Policy
Graham Martin, Piotr Ozieranski, Myles Leslie, Mary Dixon-Woods
OBJECTIVES: The prominence given to issues of patient safety in health care organizations varies, but little is known about how or why this variation occurs. We sought to compare and contrast how three English hospitals came to identify, prioritize and address patient safety issues, drawing on insights from the sociological and political science literature on the process of problem definition. METHODS: In-depth qualitative fieldwork, involving 99 interviews, 246 hours of ethnographic observation, and document collection, was carried out in three case-study hospitals as part of a wider mixed-methods study...
March 1, 2019: Journal of Health Services Research & Policy
Tazeen Majeed, Meredith Tavener, Xenia Dolja-Gore, Balakrishnan Nair, Catherine Chojenta, Julie Byles
OBJECTIVE: To assess which older Australian women had Medicare subsidized health assessments between 1999 and 2013. METHODS: This study used prospective, longitudinal survey data from the 1921 to 1926 birth cohort of Australian Longitudinal Study on Women's Health (ALSWH) linked with Medicare Australia data on health services use. Over 11,000 Australian women were included in the study. Latent class analysis was used to identify assessment patterns over time, accounting for death, and based on three categories ('no assessment'; 'assessment; 'deceased') for each year between 1999 and 2013...
April 2019: Journal of Health Services Research & Policy
Arlanna Pugh, Heather Castleden, Melissa Giesbrecht, Colleen Davison, Valorie Crooks
OBJECTIVES: In Canada, the rural elderly population is increasing in size, as is their need for palliative care services in these settings. This analysis aims to identify awareness-associated barriers to delivering rural palliative care services, along with suggestions for improving service delivery from the perspective of local health care providers. METHODS: A total of 40 semi-structured interviews with various formal and informal health care providers were conducted in four rural and/or remote Canadian communities with limited palliative care resources...
April 2019: Journal of Health Services Research & Policy
Neil Chadborn, Chris Craig, Gina Sands, Justine Schneider, John Gladman
AIM: This exploratory study of commissioning third sector services for older people aimed to explore whether service data was fed back to commissioners and whether this could improve intelligence about the population and hence inform future commissioning decisions. BACKGROUND: Third sector services are provided through charities and non-profit community organizations, and over recent years services have developed that assess and advise people for self-management or provide wellbeing support in the community...
April 2019: Journal of Health Services Research & Policy
Sarah A Birken
No abstract text is available yet for this article.
January 22, 2019: Journal of Health Services Research & Policy
Arash Rashidian, Sedigheh Salavati, Hanan Hajimahmoodi, Mehrnaz Kheirandish
OBJECTIVES: To evaluate the effects of rural health insurance and family physician reforms on hospitalization rates in Iran. METHODS: An interrupted time series analysis of national monthly hospitalization rates in Iran (2003-2014), starting from two years before the intervention. Segmented regression analysis was used to assess the effects of the reforms on hospitalization rates. RESULTS: The analyses showed that hospitalization rates increased one year after the initiation of the reforms: 1...
January 12, 2019: Journal of Health Services Research & Policy
Ellen Nolte, Jacqueline Cumming, Christine Rivett-Carnac
No abstract text is available yet for this article.
January 2019: Journal of Health Services Research & Policy
Jason Sutherland, Guiping Liu, Trafford Crump, Matthew Bair, Ahmer Karimuddin
OBJECTIVES: As an aging population drives more demand for elective inpatient surgery, one approach to reducing length of stay is enhanced evaluation of patients' preoperative health status. The objective of this research was to determine whether patient-reported outcome measures collected preoperatively can identify patients at risk for longer lengths of stay. METHODS: This study was based on a prospectively recruited cohort of patients who were scheduled for elective inpatient general surgery in Vancouver, Canada...
January 2019: Journal of Health Services Research & Policy
Ian Coulter, Patricia Herman, Gery Ryan, Lara Hilton, Ron D Hays
Appropriateness of care is typically determined in the United States by evidence on efficacy and safety, combined with the judgments of experts in research and clinical practice, but without consideration of the cost of care or patient preferences. The shift in focus towards patient-centered care calls for consideration of outcomes that are important to patients, accommodation of patient preferences, and incorporation of the costs of care in patient-provider shared clinical decisions. The RAND/UCLA Appropriateness method was designed to determine rates of appropriate or inappropriate care, but the method did not include patient preferences or costs...
December 24, 2018: Journal of Health Services Research & Policy
Kate Levin, Jill Carson
Current power of attorney legislation in many European countries seeks to protect the rights of adult patients who lack capacity by ensuring that discharge from hospital to an alternative care setting only occurs when there is legal authority to do so, via a named guardian or power of attorney. In Scotland, a clause introduced in 2007 allows some patients who lack capacity to be transferred from hospital to a community care service provided all relevant parties are agreed that this is in keeping with the legislation (the 'least restrictive option') and the patient does not resist the move...
December 1, 2018: Journal of Health Services Research & Policy
Rebecca Baines, John Donovan, Sam Regan de Bere, Julian Archer, Ray Jones
BACKGROUND: Patient feedback is considered integral to healthcare design, delivery and reform. However, while there is a strong policy commitment to evidencing patient and public involvement (PPI) in the design of patient feedback tools, it remains unclear whether this happens in practice. METHODS: A systematic review using thematic analysis and critical interpretative synthesis of peer-reviewed and grey literature published between 2007 and 2017 exploring the presence of PPI in the design, administration and evaluation of patient feedback tools for practising psychiatrists...
November 26, 2018: Journal of Health Services Research & Policy
De-Chih Lee, Leiyu Shi, Hailun Liang
OBJECTIVES: The United States Government's Medicaid expansion policy has important implications for health centres, since a large proportion of health centre patients are Medicaid enrollees. The objective of this study was to compare primary care utilization and clinical quality performance between health centres in Medicaid expansion states and those in Medicaid non-expansion states. METHODS: We conducted a cross-sectional study. Multiple regressions, using a standard linear model, were performed to examine the relationship between Medicaid expansion status and performance measures, accounting for covariates...
November 21, 2018: Journal of Health Services Research & Policy
Nils Gutacker, Andrew Street
No abstract text is available yet for this article.
November 20, 2018: Journal of Health Services Research & Policy
Amary Mey, Michelle King, Fiona Kelly, Gary Grant, James Townshend, Lyndsee Baumann-Birkbeck, Phillip Woods, Denise Hope
OBJECTIVES: Availability of medicines without prescription can increase consumers' timely access to treatment and promote self-management of minor ailments and adherence to long-term medications. Globally, access to relevant medicines has improved through increased reclassification of medicines from prescription to non-prescription availability. However, Australian reclassification lags behind countries with comparable health systems, and the factors influencing this are poorly understood...
October 23, 2018: Journal of Health Services Research & Policy
Robin Urquhart, Cynthia Kendell, Amy Folkes, Tony Reiman, Eva Grunfeld, Geoff Porter
Objective To identify and illuminate influences on middle managers' commitment to innovation implementation. Methods A qualitative study was conducted, employing the methods of grounded theory. Semi-structured interviews were used to collect data from middle managers (nā€‰=ā€‰15) in Nova Scotia and New Brunswick, Canada. Data were collected and analysed concurrently, using an inductive constant comparative approach. Data collection and analysis continued until theoretical saturation was reached. Results The data revealed middle managers contemplate two central issues in terms of their commitment to implementation, that is whether or not they fully engage in and support the implementation of a particular innovation...
October 5, 2018: Journal of Health Services Research & Policy
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