journal
https://read.qxmd.com/read/38898457/does-assistive-technology-contribute-to-safety-among-home-dwelling-older-adults
#1
JOURNAL ARTICLE
Mariya Bikova, Eliva Atieno Ambugo, Trond Tjerbo, Djenana Jalovcic, Oddvar Førland
BACKGROUND: Assistive technology carries the promise of alleviating public expenditure on long-term care, while at the same time enabling older adults to live more safely at home for as long as possible. Home-dwelling older people receiving reablement and dementia care at their homes are two important target groups for assistive technology. However, the need for help, the type of help and the progression of their needs differ. These two groups are seldom compared even though they are two large groups of service users in Norway and their care needs constitute considerable costs to Norwegian municipalities...
June 19, 2024: BMC Health Services Research
https://read.qxmd.com/read/38898443/sustaining-our-rural-allied-health-workforce-experiences-and-impacts-of-the-allied-health-rural-generalist-pathway
#2
JOURNAL ARTICLE
Alison Dymmott, Stacey George, Narelle Campbell, Chris Brebner
INTRODUCTION: Rural and remote communities face significant disadvantages accessing health services and have a high risk of poor health outcomes. Workforce challenges in these areas are multifaceted, with allied health professionals requiring broad skills and knowledge to provide vital services to local communities. To develop the expertise for rural and remote practice, the allied health rural generalist pathway (AHRGP) was introduced to develop and recognise specialist skills and knowledge required for rural and remote practice, however the experiences of professionals has not been explored...
June 19, 2024: BMC Health Services Research
https://read.qxmd.com/read/38898441/patient-supporter-and-primary-healthcare-professional-perspectives-on-health-risks-in-over-16s-with-attention-deficit-hyperactivity-disorder-adhd-in-england-a-national-survey-study
#3
JOURNAL ARTICLE
John H Ward, Kieran Becker, Jane Smith, Anna Price, Tamsin Newlove-Delgado
BACKGROUND: Current research suggests that people with attention deficit hyperactivity disorder (ADHD) are at higher risk of physical and mental health disorders. This study aimed to explore these health risks in ADHD from the perspectives of multiple stakeholders. METHODS: This study forms part of the 'Managing young people with ADHD in Primary care (MAP) study'. A survey developed by the study team was distributed to over 16 year olds with ADHD, their supporters, primary healthcare professionals and health commissioners across England, via social media and through patient/clinical networks (September-October 2022)...
June 19, 2024: BMC Health Services Research
https://read.qxmd.com/read/38890733/new-insights-into-physician-burnout-and-turnover-intent-a-validated-measure-of-physician-fortitude
#4
JOURNAL ARTICLE
Laurence Weinzimmer, Stephen Hippler
BACKGROUND: Given the increasing prevalence of the physician burnout, this study provides new insights into the antecedents driving burnout and turnover intent. By introducing the concept of physician fortitude, we develop a valid and statistically-reliable measure that increases our understanding of these issues. METHODS: A two-sample design was employed. Using a sample of 909 physicians, Advanced Practice Providers (APPs) and healthcare leaders, exploratory factor analysis was employed to create a 12-item fortitude scale...
June 18, 2024: BMC Health Services Research
https://read.qxmd.com/read/38890705/impact-of-a-multi-disciplinary-team-based-care-model-for-patients-living-with-diabetes-on-health-outcomes-a-mixed-methods-study
#5
JOURNAL ARTICLE
Jacquelyn Jacobs, Alyn Dougherty, Banita McCarn, Nazia S Saiyed, Stacy Ignoffo, Christina Wagener, Cindy San Miguel, Linda Martinez
BACKGROUND: Individuals facing socioeconomic hardship experience higher than average rates of chronic disease, such as diabetes, with less access to evidence-based treatment. One solution to address these inequities is a team-based care (TBC) model, defined as one in which at least two providers work collaboratively with a patient and their caregiver(s) to make healthcare decisions. This paper seeks to describe the implementation of a TBC model within a safety-net healthcare setting and determine the extent to which it can be an effective, patient-centered approach to treating individuals with diabetes...
June 18, 2024: BMC Health Services Research
https://read.qxmd.com/read/38890678/use-of-self-efficacy-scale-in-mass-casualty-incidents-during-drill-exercises
#6
JOURNAL ARTICLE
María Carmen Cardós-Alonso, Miguel Inzunza, Lina Gyllencreutz, Salvador Espinosa, Tatiana Vázquez, Maria Aranzazu Fernandez, Alberto Blanco, Ana María Cintora-Sanz
INTRODUCTION: Medical First Responders (MFRs) in the emergency department SUMMA 112 are tasked with handling the initial management of Mass Casualty Incidents (MCI) and building response capabilities. Training plays a crucial role in preparing these responders for effective disaster management. Yet, evaluating the impact of such training poses challenges since true competency can only be proven amid a major event. As a substitute gauge for training effectiveness, self-efficacy has been suggested...
June 18, 2024: BMC Health Services Research
https://read.qxmd.com/read/38890619/unveiling-the-interplay-between-rational-psychological-and-functional-factors-in-continuous-glucose-monitoring-early-adoption-novel-evidence-from-the-dexcom-one-case-in-italy
#7
JOURNAL ARTICLE
Francesca Zoccarato, Martina Manzoni, Davide Minotti, Emanuele Lettieri, Andrea Boaretto
BACKGROUND: The escalating prevalence of diabetes, with its multifaceted complications, poses a pressing challenge for healthcare systems globally. In response, the advent of continuous glucose monitoring (CGM) systems, offering technological solutions for daily diabetes management, presents significant opportunities. However, the widespread adoption faces several barriers, linked both to the technological configuration of the devices and to the psychological dimension of patients. Therefore, this study aims to apply and test a theoretical model that investigates the antecedents of the intention to use Continuous Glucose Monitoring systems...
June 18, 2024: BMC Health Services Research
https://read.qxmd.com/read/38886792/adapting-and-testing-measures-of-organizational-context-in-primary-care-clinics-in-kwazulu-natal-south-africa
#8
JOURNAL ARTICLE
Hannah H Leslie, Sheri A Lippman, Alastair van Heerden, Mbali Nokulunga Manaka, Phillip Joseph, Bryan J Weiner, Wayne T Steward
BACKGROUND: Implementation science frameworks situate intervention implementation and sustainment within the context of the implementing organization and system. Aspects of organizational context such as leadership have been defined and measured largely within US health care settings characterized by decentralization and individual autonomy. The relevance of these constructs in other settings may be limited by differences like collectivist orientation, resource constraints, and hierarchical power structures...
June 18, 2024: BMC Health Services Research
https://read.qxmd.com/read/38886768/medication-error-rates-in-iranian-hospitals-a-meta-analysis
#9
JOURNAL ARTICLE
Parvaneh Isfahani, Aliyeh Bazi, Samira Alirezaei, Somayeh Samani, Mohammad Sarani, Fatemeh Boulagh, Mahdieh Poodineh Moghadam, Mahnaz Afshari
BACKGROUND AND AIM: Medication errors (MEs) in hospitals decrease patient satisfaction, increase hospital mortality, lower hospital productivity, and increase in the costs of the health system. This study was conducted to determine the rate of MEs in Iranian hospitals. METHOD: In this meta-analysis, all published articles on ME rates in Iranian hospitals were identified from five databases and Google Scholar and assessed for quality. The heterogeneity of the studies was examined using the I2 index and a meta-regression model was used to evaluate the variables suspected of heterogeneity at the 0...
June 17, 2024: BMC Health Services Research
https://read.qxmd.com/read/38886764/implementation-of-an-opt-out-tobacco-treatment-program-in-six-hospitals-in-south-carolina
#10
JOURNAL ARTICLE
K Michael Cummings, Vincent Talbot, Avery Roberson, Asia A Bliss, Emily Likins, Naomi C Brownstein, Stephanie Stansell, Demetress Adams-Ludd, Bridget Harris, David Louder, Edward McCutcheon, Rami Zebian, Alana M Rojewski, Benjamin A Toll
OBJECTIVE: Describe the screening, referral, and treatment delivery associated with an opt-out tobacco treatment program (TTP) implemented in six hospitals varying in size, rurality and patient populations. METHODS: Between March 6, 2021 and December 17, 2021, adult patients (≥ 18 years) admitted to six hospitals affiliated with the Medical University of South Carolina were screened for smoking status. The hospitals ranged in size from 82 to 715 beds...
June 17, 2024: BMC Health Services Research
https://read.qxmd.com/read/38886752/community-based-health-planning-and-services-chps-concept-and-access-to-healthcare-delivery-in-sefwi-wiawso-municipal-ghana
#11
JOURNAL ARTICLE
Abraham D Koyaara, Benjamin Noble Adjei, Eric Adjei Boadu, Edward T Dassah
BACKGROUND: In spite of the successes of the community-based health planning and services (CHPS) policy since its inception in the mid-1990s in Ghana, data pertaining to the implementation and use of CHPS facilities in Sefwi Wiawso Municipal is scant. We assessed access to healthcare delivery and factors influencing the use of CHPS in Sefwi Wiawso Municipal. METHODS: An analytical community-based cross-sectional study was conducted in the Sefwi Wiawo Municipal from September to October 2020...
June 17, 2024: BMC Health Services Research
https://read.qxmd.com/read/38886718/cost-utility-analysis-of-an-alcohol-policy-in-thailand-a-case-study-of-a-random-breath-testing-intervention
#12
JOURNAL ARTICLE
Polathep Vichitkunakorn, Roongnapa Khampang, Pattara Leelahavarong, Jiraluck Nontarak, Sawitri Assanangkornchai
BACKGROUND: Road traffic injuries are a major concern worldwide, with Thailand facing high accident mortality rates. Drunk driving is a key factor that requires countermeasures. Random breath testing (RBT) and mass media campaigns recommended by the World Health Organisation intend to deter such behaviour. This study aimed to evaluate the cost-effectiveness of implementing RBT in combination with mass media campaigns in Thailand. METHODS: A Markov simulation model estimated the lifetime cost and health benefits of RBT with mass media campaigns compared to mass media campaigns only...
June 17, 2024: BMC Health Services Research
https://read.qxmd.com/read/38886714/healthcare-professionals-experiences-of-video-consultations-in-palliative-care-in-rural-areas-an-intervention-study-in-community-care
#13
JOURNAL ARTICLE
Margareta Brännström, Johan Philipsson, Sofia Andersson
BACKGROUND: The population is aging, leading to an increased need for palliative care and end-of-life care. There is a lack of research on the use of video consultations for knowledge transfer between specialist and general palliative care. The aim of this study was to describe healthcare professionals' experiences of video consultations in palliative care in community homecare and nursing homes in rural areas. METHODS: Individual interviews (n = 11) were conducted with five community nurses, one occupational therapist, two specialist palliative nurses, and three specialist palliative care physicians...
June 17, 2024: BMC Health Services Research
https://read.qxmd.com/read/38877493/barriers-to-help-seeking-accessing-and-providing-mental-health-support-for-medical-students-a-mixed-methods-study-using-the-candidacy-framework
#14
JOURNAL ARTICLE
Elena Sheldon, Naseeb Ezaydi, Lauren Desoysa, Jasmine Young, Melanie Simmonds-Buckley, Prof Daniel Hind, Prof Chris Burton
BACKGROUND: The mental health of medical students is a national and international problem increasing in both demand and acuity. Medical students face barriers to accessing mental health support that is clinically effective, timely and appropriate for their needs. This mixed methods study aimed to explore experiences of these barriers and the challenges to health service delivery aligned to the Candidacy Framework. METHODS: One hundred three medical students studying at The University of Sheffield completed an online survey comprising the CCAPS-34 and follow-up questions about service access and use...
June 15, 2024: BMC Health Services Research
https://read.qxmd.com/read/38877558/job-satisfaction-professional-competence-and-self-efficacy-a-multicenter-cross-sectional-study-among-registered-nurses-in-sweden-and-norway
#15
MULTICENTER STUDY
Stina Kallerhult Hermansson, Fredrik Norström, Yvonne Hilli, Jonas Rennemo Vaag, Karin Bölenius
BACKGROUND: Healthcare organizations worldwide face persistent challenges relating to turnover and intention to leave the nursing profession among registered nurses. Factors contributing to their retention and well-being at work include high job satisfaction, professional competence, and self-efficacy. Few multicenter studies have investigated these factors in relation to work experience in a Nordic context. Therefore, this study aimed to investigate job satisfaction, professional competence, and self-efficacy among registered nurses...
June 14, 2024: BMC Health Services Research
https://read.qxmd.com/read/38877556/patient-driven-research-priorities-for-patient-centered-measurement
#16
JOURNAL ARTICLE
A Fuchsia Howard, Linda Warner, Lena Cuthbertson, Richard Sawatzky
BACKGROUND: Patient-centred measurement (PCM) emphasizes a holistic approach wherein the voices of patients are reflected in the standardized use of patient-reported outcome and experience measures and are represented throughout the continuum of measurement activities. Given the challenges of routinely integrating patient self-reports into clinical care decisions, the perspectives of all healthcare system stakeholders, especially patients, is necessary to advance the science of PCM. The purpose of the analysis we report on here was to identify patient-driven research priorities for advancing the science of PCM...
June 14, 2024: BMC Health Services Research
https://read.qxmd.com/read/38877555/association-between-multiple-dimensions-of-access-to-care-and-cervical-cancer-screening-among-kenyan-women-a-cross-sectional-analysis-of-the-demographic-health-survey
#17
JOURNAL ARTICLE
Xiaowan Li, Sanmei Chen, Naoki Hirose, Yoko Shimpuku
BACKGROUND: Cervical cancer remains the second most common cause of death in women and poses a growing public health challenge. It is urgent to increase cervical cancer screening rates in Kenya as per the 2018 Kenya National Cancer Screening Guidelines. Addressing access to care may serve as a target to achieve this goal; however, how individual dimensions of access to care are associated with the utilization of cervical cancer screening services in low- and middle-income countries, including Kenya, remains unclear...
June 14, 2024: BMC Health Services Research
https://read.qxmd.com/read/38877550/development-of-an-outcome-indicator-framework-for-a-universal-health-visiting-programme-using-routinely-collected-data
#18
JOURNAL ARTICLE
Margaret Horne, Louise Marryat, D Helen Corby, Lawrence Doi, Ruth Astbury, Ruth Jepson, Kathleen Morrison, Rachael Wood
BACKGROUND: Universal health visiting has been a cornerstone of preventative healthcare for children in the United Kingdom (UK) for over 100 years. In 2016, Scotland introduced a new Universal Health Visiting Pathway (UHVP), involving a greater number of contacts with a particular emphasis on the first year, visits within the home setting, and rigorous developmental assessment conducted by a qualified Health Visitor. To evaluate the UHVP, an outcome indicator framework was developed using routine administrative data...
June 14, 2024: BMC Health Services Research
https://read.qxmd.com/read/38877542/gender-differences-in-family-caregiving-do-female-caregivers-do-more-or-undertake-different-tasks
#19
JOURNAL ARTICLE
Diana Pacheco Barzallo, Aline Schnyder, Claudia Zanini, Armin Gemperli
BACKGROUND: Two out of three family caregivers are female. However, current trends show that men are more likely to undertake caregiving duties, yet female caregivers report a higher burden. This paper analyzed data from long-term family caregivers to determine whether, under similar circumstances, gender differences in caregiving persist. We examined whether the observed gender gap affects caregivers' satisfaction with their health and quality of life. METHODS: We analyze cross-sectional data from family caregivers of persons with spinal cord injury (SCI) in Switzerland...
June 14, 2024: BMC Health Services Research
https://read.qxmd.com/read/38877526/inequalities-in-patients-experiences-with-cancer-care-the-role-of-economic-and-health-literacy-determinants
#20
JOURNAL ARTICLE
Vladimir Jolidon, Manuela Eicher, Isabelle Peytremann-Bridevaux, Chantal Arditi
BACKGROUND: Patients with fewer socioeconomic and health literacy resources are disadvantaged in their access and use of healthcare, which may give rise to worse experiences with care and thus inequalities in patient experiences. However, only a limited number of studies have examined how socioeconomic and health literacy factors shape inequalities in patients' experiences with cancer care. OBJECTIVE: To examine whether patients' experiences with cancer care differ according to their economic status and health literacy...
June 14, 2024: BMC Health Services Research
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