journal
https://read.qxmd.com/read/37264450/variations-in-the-impact-of-the-new-case-based-payment-reform-on-medical-costs-length-of-stay-and-quality-across-different-hospitals-in-china-an-interrupted-time-series-analysis
#1
JOURNAL ARTICLE
Xue Tang, Xinyu Zhang, Yajing Chen, Jiaqi Yan, Mengcen Qian, Xiaohua Ying
BACKGROUND: In 2018, an innovative case-based payment scheme called Diagnosis-Intervention Packet (DIP) was piloted in a large developed city in southern China. This study aimed to investigate the impact of the new payment method on total medical expenditure per case, length of stay (LOS), and in-hospital mortality rate across different hospitals. METHODS: We used the de-identified patient-level discharge data of hospitalized patients from 2016 to 2019 in our study city...
June 2, 2023: BMC Health Services Research
https://read.qxmd.com/read/37264401/telehealth-services-for-global-emergencies-implications-for-covid-19-a-scoping-review-based-on-current-evidence
#2
JOURNAL ARTICLE
Jonathan Kissi, Caleb Annobil, Nathan Kumasenu Mensah, Joseph Owusu-Marfo, Ernest Osei, Zenobia Wooduwa Asmah
INTRODUCTION: The availability of low-cost computing and digital telecommunication in the 1980s made telehealth practicable. Telehealth has the capacity to improve healthcare access and outcomes for patients while reducing healthcare costs across a wide range of health conditions and situations. OBJECTIVE: This study compares the adoption, advantages, and challenges of telehealth services between high-income (HICs) and low-and-middle-income countries (LMICs) before and during the COVID-19 pandemic...
June 1, 2023: BMC Health Services Research
https://read.qxmd.com/read/37264350/effect-of-an-app-for-promoting-advance-care-planning-and-motivating-patients-to-write-their-advance-directives
#3
JOURNAL ARTICLE
Céline Schöpfer, Catherine Bollondi, Mohamed Amir Moussa, Johanna Sommer, Christine Clavien
BACKGROUND: Accordons-nous, a smartphone app, was developed to support patients in the advance care planning (ACP) process. The app raises awareness and facilitates communication on this sensitive topic. It helps patients express their values and preferences for care and write their advance directives (AD). OBJECTIVE: Measure the impact of distributing Accordons-nous on patients' propensity to engage in the ACP process, compared with the distribution of a leaflet...
June 1, 2023: BMC Health Services Research
https://read.qxmd.com/read/37259064/facilitating-implementation-of-primary-care-mental-health-over-time-and-across-organizational-contexts-a-qualitative-study-of-role-and-process
#4
REVIEW
Mona J Ritchie, Louise E Parker, JoAnn E Kirchner
BACKGROUND: Healthcare organizations have increasingly utilized facilitation to improve implementation of evidence-based practices and programs (e.g., primary care mental health integration). Facilitation is both a role, related to the purpose of facilitation, and a process, i.e., how a facilitator operationalizes the role. Scholars continue to call for a better understanding of this implementation strategy. Although facilitation is described as dynamic, activities are often framed within the context of a staged process...
June 1, 2023: BMC Health Services Research
https://read.qxmd.com/read/37259121/social-prescribing-practices-and-learning-across-the-north-west-coast-region-essential-elements-and-key-challenges-to-implementing-effective-and-sustainable-social-prescribing-services
#5
JOURNAL ARTICLE
Shaima M Hassan, Adele Ring, Mark Goodall, Katharine Abba, Mark Gabbay, Nadja van Ginneken
INTRODUCTION: Social prescribing has become an important feature of the UK primary care offer. However, there remains limited evidence on how best to implement and deliver social prescribing programmes to maximise effectiveness and long-term sustainability. AIM: To explore social prescribing practices and experience of implementing social prescribing programmes across National Institute for Health and Social Care Research (NIHR) Collaborative Leadership for Applied Health and Care Research (CLAHRC) North West Coast (NWC) and NIHR Applied Research Collaboration (ARC) NWC region to identify key learning points that can be applied to other settings...
May 31, 2023: BMC Health Services Research
https://read.qxmd.com/read/37259109/assessing-needs-based-supply-of-physicians-a-criteria-led-methodological-review-of-international-studies-in-high-resource-settings
#6
JOURNAL ARTICLE
Isabel Geiger, Laura Schang, Leonie Sundmacher
BACKGROUND: Many health systems embrace the normative principle that the supply of health services ought to be based on the need for healthcare. However, a theoretically grounded framework to operationalize needs-based supply of healthcare remains elusive. The aim of this paper is to critically assess current methodologies that quantify needs-based supply of physicians and identify potential gaps in approaches for physician planning. To this end, we propose a set of criteria for consideration when estimating needs-based supply...
May 31, 2023: BMC Health Services Research
https://read.qxmd.com/read/37259098/implementing-six-multi-month-dispensing-of-antiretroviral-therapy-in-ethiopia-perspectives-of-clients-and-healthcare-workers
#7
JOURNAL ARTICLE
Joanne E Mantell, Jennifer M Zech, Tsitsi B Masvawure, Tamrat Assefa, Mitike Molla, Laura Block, Dereje Duguma, Zenebe Yirsaw, Miriam Rabkin
BACKGROUND: Multi-month dispensing (MMD) of antiretroviral therapy (ART) is an integral component of differentiated HIV service delivery for people living with HIV (PLHIV). Although many countries have scaled up ART dispensing to 3-month intervals, Ethiopia was the first African country to implement six-month dispensing (6-MMD) at scale, introducing its Appointment Spacing Model (ASM) for people doing well on ART in 2017. As of June 2021, 51.4% (n = 215,101) of PLHIV on ART aged ≥ 15 years had enrolled in ASM...
May 31, 2023: BMC Health Services Research
https://read.qxmd.com/read/37259090/cost-utility-analysis-of-biologic-disease-modifying-antirheumatic-drugs-bdmards-targeted-synthetic-dmards-tsdmards-and-biosimilar-dmards-bsdmards-combined-with-methotrexate-for-thai-rheumatoid-arthritis-patients-with-high-disease-activity
#8
JOURNAL ARTICLE
Juthamas Prawjaeng, Pattara Leelahavarong, Nuttakarn Budtarad, Songyot Pilasant, Chonticha Chanjam, Wanruchada Katchamart, Pongthorn Narongroeknawin, Tasanee Kitumnuaypong
BACKGROUND: New biologic disease-modifying antirheumatic drugs (bDMARDs), targeted synthetic DMARDs (tsDMARDs) and biosimilar DMARDs (bsDMARDs) all showed greater clinical benefits in the treatment of patients with rheumatoid arthritis (RA) with high disease activity, but imposed higher costs than standard treatment. This study evaluated the cost-effectiveness of 11 alternative treatment strategies for RA patients with high disease activity whose treatment with three conventional synthetic DMARDs (csDMARDs) failed...
May 31, 2023: BMC Health Services Research
https://read.qxmd.com/read/37259081/facilitation-of-team-based-care-to-improve-htn-management-and-outcomes-a-protocol-for-a-randomized-stepped-wedge-trial
#9
JOURNAL ARTICLE
Donna R Shelley, Dominique Brown, Charles M Cleland, Hang Pham-Singer, Dina Zein, Ji Eun Chang, Winfred Y Wu
BACKGROUND: There are well-established guidelines for treating hypertension (HTN), yet only half of patients with HTN meet the defined target of < 140/90. Team-based care (TBC) is an evidence-based strategy for improving blood pressure (BP) management and control. TBC is defined as the provision of health services by at least two health professionals "who work collaboratively with patients and their caregivers to accomplish shared goals to achieve coordinated, high-quality care"...
May 31, 2023: BMC Health Services Research
https://read.qxmd.com/read/37254172/the-impact-of-covid-19-on-the-interpretation-of-psycho-oncological-support-trial-results-a-quasi-experimental-approach-using-the-data-from-the-new-form-of-care-integrated-cross-sectoral-psycho-oncology-nfc-ispo
#10
JOURNAL ARTICLE
Anna Hagemeier, Anne Adams, Theresia Krieger, Sandra Salm, Natalia Cecon-Stabel, Antje Dresen, Martin Hellmich
OBJECTIVE: In addition to the common difficulties of ongoing trials, the COVID-19 pandemic posed several challenges to scientists worldwide and created an additional burden for vulnerable patient groups. In the nFC-isPO of individualised treatment for anxiety and depression in newly diagnosed patients with cancer caregivers (e.g. psycho-oncologists) reported elevated HADS scores in newly enrolled patients after the outbreak of the COVID-19 pandemic. Accordingly, the question arises whether the pandemic affected HADS scores...
May 30, 2023: BMC Health Services Research
https://read.qxmd.com/read/37254171/a-qualitative-analysis-of-pharmacists-attitudes-towards-provision-of-medication-abortion
#11
JOURNAL ARTICLE
Selina Sandoval, Grace Chen, Sally Rafie, Borsika Rabin, Sheila Mody, Sarah Averbach
BACKGROUND: 90% of United States' counties do not have a single clinic offering abortion care, and barriers to care disproportionately affect low-income families. Novel models of abortion care delivery, including provision of medication abortion in pharmacies, with pharmacists prescribing medication, have the potential to expand access to abortion care. Pharmacists are well-positioned to independently provide abortion care and are highly accessible to patients, however medication abortion provision by pharmacists is not currently legal or available in the United States...
May 30, 2023: BMC Health Services Research
https://read.qxmd.com/read/37254117/telemedicine-consultation-for-emergency-patients-attention-a-clinical-experience-from-a-high-complex-university-hospital-from-latin-america
#12
JOURNAL ARTICLE
Laura Libreros-Peña, Jaime A Quintero, Arnold Gelves, Juliana Alarcón, Sergio Morales, María Fernanda Escobar, Andres M Valencia, Sara Guzmán, Julio Diez-Sepulveda
INTRODUCTION: As a result of the new coronavirus pandemic, a highly complex academic hospital in Latin America implemented a telemedicine service for the care of obstetric, pediatric, and adult patients. In 2020, regional emergency services collapsed due to the increase in demand for care, generating the need to open expansion services and seek strategies to provide timely care to consulting patients. OBJECTIVE: We retrospectively describe the clinical experience of patients who consulted the emergency department via telemedicine across a videoconference tool using digital platforms...
May 30, 2023: BMC Health Services Research
https://read.qxmd.com/read/37254102/association-between-quality-antenatal-care-and-low-birth-weight-in-rwanda-a-cross-sectional-study-design-using-the-rwanda-demographic-and-health-surveys-data
#13
JOURNAL ARTICLE
Gérard Uwimana, Mohamed Elhoumed, Mitslal Abrha Gebremedhin, Mougni Mohamed Azalati, Lin Nan, Lingxia Zeng
BACKGROUND: Low birth weight (LBW) is an important factor influencing infant morbidity and mortality. Pregnant women should receive a variety of interventions during antenatal care (ANC) that are crucial in improving birth weight. ANC visits alone do not promise that women have received all recommended antenatal services. However, there are limited evidence of the relationship between ANC quality and LBW in Rwanda. Therefore, the purpose of this study was to assess the association between quality ANC and LBW along with the factors influencing LBW and how quality ANC affects LBW in Rwandan pregnant women...
May 30, 2023: BMC Health Services Research
https://read.qxmd.com/read/37244985/exploring-the-organisational-structure-of-networks-for-exercise-oncology-provision-a-social-network-analysis-of-onkoaktiv
#14
JOURNAL ARTICLE
Annelie Voland, Maximilian Köppel, Stefan Peters, Joachim Wiskemann, Hagen Wäsche
BACKGROUND: Structured exercise programs provide considerable health benefits for cancer patients. Therefore, various OnkoAktiv (OA) networks were established in Germany with the aim to connect cancer patients with certified exercise programs. However, knowledge about the integration of exercise networks into cancer care systems and conditions of interorganisational collaboration is lacking. The aim of this work was to analyse the OA networks to guide further network development and implementation work...
May 27, 2023: BMC Health Services Research
https://read.qxmd.com/read/37244982/longitudinal-care-continuity-and-avoidable-hospitalization-the-application-of-claims-based-measures
#15
JOURNAL ARTICLE
Shou-Hsia Cheng, Chi-Chen Chen, Yueh-Yun Lin
BACKGROUND: Longitudinal continuity between a patient and his/her primary care physician is an important aspect in measuring continuity of care (COC). The majority of previous studies employed questionnaire surveys to patients to measure the continual relationship between patients and their physicians. This study aimed to construct a provider duration continuity index (PDCI) by using longitudinal claims data and to examine its agreement with commonly used COC measures. Then, this study investigated the effects of the various types of COC measure on the likelihood of avoidable hospitalization while considering the level of comorbidity...
May 27, 2023: BMC Health Services Research
https://read.qxmd.com/read/37237408/patient-and-provider-factors-associated-with-colorectal-cancer-screening-among-average-risk-health-plan-enrollees-in-the-us-2015-2018
#16
JOURNAL ARTICLE
Nicole M Engel-Nitz, Lesley-Ann Miller-Wilson, Lisa Le, Paul Limburg, Deborah A Fisher
BACKGROUND: To assess patient and primary care provider (PCP) factors associated with adherence to American Cancer Society (ACS) and United States Preventive Services Task Force (USPSTF) guidelines for average risk colorectal cancer (CRC) screening. METHODS: Retrospective case-control study of medical and pharmacy claims from the Optum Research Database from 01/01/2014 - 12/31/2018. Enrollee sample was adults aged 50 - 75 years with ≥ 24 months continuous health plan enrollment...
May 26, 2023: BMC Health Services Research
https://read.qxmd.com/read/37237372/the-black-women-first-initiative-using-implementation-science-to-examine-bundled-interventions-to-improve-care-and-treatment-coordination-for-black-women-with-hiv
#17
JOURNAL ARTICLE
Serena Rajabiun, Corliss Heath, Angela Wangari Walter, Judith C Scott, Alicia Downes, Esther Jennings, Howard J Cabral, Cecilia Flores-Rodriguez, Linda Sprague Martinez
BACKGROUND: Black cisgender and transgender women are disproportionately affected by the HIV epidemic compared to women of other racial and ethnic identities. Twelve demonstration sites across the United States are adapting, implementing and evaluating a comprehensive bundle of two or more evidence informed interventions to improve health and outcomes and quality of life for Black women with HIV. METHODS: Guided by Greenhalgh's Conceptual Model of Diffusion of Innovations in Health Service Organizations and Proctor's model for use of implementation strategies and evaluating implementation, service and client outcomes, this mixed methods study documents outcomes at the client, organization, and system level...
May 26, 2023: BMC Health Services Research
https://read.qxmd.com/read/37237257/clinical-and-economic-evaluations-of-natalizumab-rituximab-and-ocrelizumab-for-the-management-of-relapsing-remitting-multiple-sclerosis-in-saudi-arabia
#18
JOURNAL ARTICLE
Mansour A Alharbi, Fahad Aldosari, Ahmed Hasan Althobaiti, Faris M Abdullah, Salman Aljarallah, Nuha M Alkhawajah, Miteb Alanazi, Yazed AlRuthia
INTRODUCTION: The advent of new disease-modifying therapies (DMTs), such as monoclonal antibodies (mAbs), resulted in significant changes in the treatment guidelines for Multiple sclerosis (MS) and improvement in the clinical outcomes. However, mAbs, such as rituximab, natalizumab, and ocrelizumab, are expensive with variable effectiveness rates. Thus, the present study aimed to compare the direct medical cost and consequences (e.g., clinical relapse, disability progression, and new MRI lesions) between rituximab and natalizumab in managing relapsing-remitting multiple sclerosis (RRMS) in Saudi Arabia...
May 26, 2023: BMC Health Services Research
https://read.qxmd.com/read/37237256/clients-experiences-on-north-america-s-first-take-home-injectable-opioid-agonist-treatment-ioat-program-a-qualitative-study
#19
JOURNAL ARTICLE
Eugenia Oviedo-Joekes, Sophia Dobischok, José Carvajal, Scott MacDonald, Cheryl McDermid, Piotr Klakowicz, Scott Harrison, Julie LaJeunesse, Nancy Chow, Murray Brown, Sam Gill, Martin Schechter
BACKGROUND: To support public health measures during the COVID-19 pandemic, oral opioid agonist treatment (OAT) take-home doses were expanded in Western countries with positive results. Injectable OAT (iOAT) take-home doses were previously not an eligible option, and were made available for the first time in several sites to align with public health measures. Building upon these temporary risk-mitigating guidelines, a clinic in Vancouver, BC continued to offer two of a possible three daily doses of take-home injectable medications to eligible clients...
May 26, 2023: BMC Health Services Research
https://read.qxmd.com/read/37237255/feasibility-and-efficacy-of-implementing-group-visits-for-women-s-health-conditions-a-systematic-review
#20
JOURNAL ARTICLE
Sophia Gerontakos, Matthew Leach, Amie Steel, Jon Wardle
BACKGROUND: Shared medical appointments, also known as group visits, are a feasible and well-accepted approach for women receiving antenatal care, yet the feasibility and efficacy of this approach for female-specific reproductive conditions is uncertain. OBJECTIVE: The aim of this systematic review was to (a) determine the feasibility of group visits in adults with any female-specific reproductive condition, and (b) identify whether delivering group care for these conditions impacts clinical outcomes...
May 26, 2023: BMC Health Services Research
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