journal
https://read.qxmd.com/read/38992658/hospital-personnel-perspectives-on-factors-influencing-acute-care-patient-outcomes-a-qualitative-approach-to-model-refinement
#21
JOURNAL ARTICLE
Jessica Ziemek, Natalie Hoge, Kyla F Woodward, Emily Doerfler, Alison Bradywood, Alix Pletcher, Abraham D Flaxman, Sarah J Iribarren
BACKGROUND: Health systems have long been interested in the best practices for staffing in the acute care setting. Studies on staffing often focus on registered nurses and nurse-to-patient staffing ratios. There were fewer studies on the relationship between interprofessional team members or contextual factors such as hospital and community characteristics and patient outcomes. This qualitative study aimed to refine an explanatory model by soliciting hospital personnel feedback on staffing and patient outcomes...
July 12, 2024: BMC Health Services Research
https://read.qxmd.com/read/38992687/access-to-essential-and-innovative-anti-cancer-medicines-a-longitudinal-study-in-nanjing-china
#22
JOURNAL ARTICLE
Zhaoliu Cao, Lili Wang, Rui Ma, Yun Hu, Baiyi Bao, Xiaohua Liu, Mengyuan Li, Xiao Wang, Pingyu Liu, Xin Li
PURPOSE: To evaluate the availability, cost, affordability of anti-cancer medicines in Nanjing, Jiangsu. METHODS: A longitudinal tracking investigation study was performed to collect information about 24 essential anti-cancer medicines (EAMs) and 17 innovative anti-cancer medicines (IAMs) in 26 healthcare institutions in Nanjing from 2016 to 2020. The availability, cost, drug utilization and affordability of EAMs and IAMs were investigated. RESULTS: The availability of EAMs showed no significant changes in Nanjing, but the availability of IAMs showed a significant increase in 2018 and 2019 and tended to stabilize in 2020...
July 11, 2024: BMC Health Services Research
https://read.qxmd.com/read/38992683/challenges-of-pre-hospital-emergency-care-at-addis-ababa-fire-and-disaster-risk-management-commission-addis-ababa-ethiopia-a-qualitative-study
#23
JOURNAL ARTICLE
Feleku Yimer Seid, Birhanu Chekol Gete, Amanuel Sisay Endeshaw
BACKGROUND: A challenge to pre-hospital emergency care is any barrier or obstacle that impedes quality pre-hospital care or impacts community pre-hospital utilization. The Addis Ababa Fire and Disaster Risk Management Commission (AAFDRMC) provides pre-hospital emergency services in Addis Ababa, Ethiopia. These services operate under a government-funded organization that delivers free emergency services, including out-of-hospital medical care and transportation to the most appropriate health facility...
July 11, 2024: BMC Health Services Research
https://read.qxmd.com/read/38992665/healthcare-workers-views-on-decentralized-primary-health-care-management-in-lesotho-a-qualitative-study
#24
JOURNAL ARTICLE
Ermyas Birru, Melino Ndayizigiye, George Wanje, Tholoana Marole, Patrick D Smith, Masebeo Koto, Ryan McBain, Lisa R Hirschhorn, Mathabang Mokoena, Annie Michaelis, Joel Curtain, Emily Dally, Afom T Andom, Joia Mukherjee
BACKGROUND: Lesotho experienced high rates of maternal (566/100,000 live births) and under-five mortality (72.9/1000 live births). A 2013 national assessment found centralized healthcare management in Ministry of Health led to fragmented, ineffective district health team management. Launched in 2014 through collaboration between the Ministry of Health and Partners In Health, Lesotho's Primary Health Care Reform (LPHCR) aimed to improve service quality and quantity by decentralizing healthcare management to the district level...
July 11, 2024: BMC Health Services Research
https://read.qxmd.com/read/38992652/access-to-colorectal-cancer-screening-for-pakistani-immigrants-in-norway-a-qualitative-study
#25
JOURNAL ARTICLE
Nadia Iqbal, Paula Berstad, Marit Solbjør, Esperanza Diaz, Elżbieta Czapka, Solveig Hofvind, Sameer Bhargava
BACKGROUND: The Norwegian colorectal cancer (CRC) screening program started in May 2022. Inequalities in CRC screening participation are a challenge, and we expect that certain groups, such as immigrants, are at risk of non-participation. Prior to the start of the national screening program, a pilot study showed lower participation rates in CRC screening among immigrants from Pakistan. These immigrants are a populous group with a long history in Norway and yet have a relatively low participation rate also in other cancer screening programs...
July 11, 2024: BMC Health Services Research
https://read.qxmd.com/read/38992648/specialist-care-visits-outside-the-hospital-by-south-australian-older-adults
#26
COMPARATIVE STUDY
Dennis Asante, Williams Agyemang-Duah, Paul Worley, Gloria Essilfie, Vivian Isaac
BACKGROUND: Limited access to specialist medical services is a major barrier to healthcare in rural areas. We compared rural-urban specialist doctor consultations outside hospital by older adults (≥ 60 years) across South Australia. METHODS: Cross-sectional data were available from the South Australia's Department of Health. The Modified Monash Model (MM1-7) of remoteness was used to categorize data into rural (MM 3-4), remote (MM5-7), and urban (MM1-MM2) of participants in urban and non-urban South Australia...
July 11, 2024: BMC Health Services Research
https://read.qxmd.com/read/38992627/the-implementation-and-impacts-of-the-comprehensive-care-standard-in-australian-acute-care-hospitals-a-survey-study
#27
JOURNAL ARTICLE
Beibei Xiong, Christine Stirling, Daniel X Bailey, Melinda Martin-Khan
BACKGROUND: Comprehensive care (CC) is becoming a widely acknowledged standard for modern healthcare as it has the potential to improve health service delivery impacting both patient-centred care and clinical outcomes. In 2019, the Australian Commission on Safety and Quality in Health Care mandated the implementation of the Comprehensive Care Standard (CCS). However, little is known about the implementation and impacts of the CCS in acute care hospitals. Our study aimed to explore care professionals' self-reported knowledge, experiences, and perceptions about the implementation and impacts of the CCS in Australian acute care hospitals...
July 11, 2024: BMC Health Services Research
https://read.qxmd.com/read/38987809/unveiling-the-factors-influencing-public-knowledge-and-behaviours-towards-medication-errors-in-jordan-a-cross-sectional-study
#28
JOURNAL ARTICLE
Sura Al Zoubi, Lobna Gharaibeh, Enas A Amaireh, Husam AlSalamat, Mohammad Ghassab Deameh, Amjad Almansi, Yaqeen Majed Al Asoufi, Hadeel Alshahwan, Zaha Al-Zoubi
BACKGROUND: Medication errors are preventable incidents resulting from improper use of drugs that may cause harm to patients. They thus endanger patient safety and offer a challenge to the efficiency and efficacy of the healthcare system. Both healthcare professionals and patients may commit medication errors. METHODS AND OBJECTIVES: A cross-sectional, observational study was designed using a self-developed, self-administered online questionnaire. A sample was collected using convenience sampling followed by snowball sampling...
July 10, 2024: BMC Health Services Research
https://read.qxmd.com/read/38987769/ready-to-leave-adolescents-and-parents-perceptions-of-transition-from-paediatric-to-adult-rheumatology-care
#29
JOURNAL ARTICLE
A Vermé, Marika Wenemark, J Granhagen Jungner, E Broström, C Bartholdson
BACKGROUND: In Sweden, approximately 2000 children live with Juvenile Idiopathic Arthritis (JIA). About half of them continue to have an active disease and need to transfer to adult rheumatology care. This study aimed to investigate Swedish adolescents' and parents´ perceptions of readiness for transition from pediatric to adult rheumatology care. METHODS: The study was a cross-sectional quantitative study. Patients at the pediatric rheumatology clinic at a university hospital in Sweden and members of The Swedish National Organization for Young Rheumatics aged 14-18 and their parents were invited to participate in the study...
July 10, 2024: BMC Health Services Research
https://read.qxmd.com/read/38987761/barriers-to-and-facilitators-of-implementing-colorectal-cancer-screening-evidence-based-interventions-in-federally-qualified-health-centers-a-qualitative-study
#30
JOURNAL ARTICLE
Emanuelle M Dias, Joe R Padilla, Paula M Cuccaro, Timothy J Walker, Bijal A Balasubramanian, Lara S Savas, Melissa A Valerio-Shewmaker, Roshanda S Chenier, Maria E Fernandez
BACKGROUND: There is an urgent need to increase colorectal cancer screening (CRCS) uptake in Texas federally qualified health centers (FQHCs), which serve a predominantly vulnerable population with high demands. Empirical support exists for evidence-based interventions (EBIs) that are proven to increase CRCS; however, as with screening, their use remains low in FQHCs. This study aimed to identify barriers to and facilitators of implementing colorectal cancer screening (CRCS) evidence-based interventions (EBIs) in federally qualified health centers (FQHCs), guided by the Consolidated Framework for Implementation Research (CFIR)...
July 10, 2024: BMC Health Services Research
https://read.qxmd.com/read/38987760/primary-health-care-response-to-noncommunicable-diseases-an-assessment-of-wellness-clinics-in-ghana
#31
JOURNAL ARTICLE
Mawuli Komla Kushitor, Judith William, Deborah Esaa Larbi-Sarpong, Mary Akua Ampomah, Prince Owusu Adoma, Kennedy T C Brightson, Sandra Boatemaa Kushitor
BACKGROUND: Globally, there is a significant unmet need for the rapidly growing burden of Non-Communicable Diseases (NCDs). Ghana has adopted and implemented Wellness Clinics (WC) nationwide to respond to the rising burden of NCDs. Regrettably, very little is known about WCs, including their structure and the services they offer. This study explores the concept of WC, their structure, position within the hospital environment, and services from the perspectives of healthcare providers and clients...
July 10, 2024: BMC Health Services Research
https://read.qxmd.com/read/38987739/prediction-of-covid-19-patients-participation-in-financing-informal-care-using-machine-learning-methods-willingness-to-pay-and-willingness-to-accept-approaches
#32
JOURNAL ARTICLE
Vajihe Ramezani-Doroh, Somayeh Najafi-Ghobadi, Faride Karimi, Maryam Rangchian, Omid Hamidi
BACKGROUND: Informal care plays an essential role in managing the COVID-19 pandemic. Expanding health insurance packages that reimburse caregivers' services through cost-sharing policies could increase financial resources. Predicting payers' willingness to contribute financially accurately is essential for implementing such a policy. This study aimed to identify the key variables related to WTP/WTA of COVID-19 patients for informal care in Sanandaj city, Iran. METHODS: This cross-sectional study involved 425 COVID-19 patients in Sanandaj city, Iran, and 23 potential risk factors...
July 10, 2024: BMC Health Services Research
https://read.qxmd.com/read/38982479/development-and-validity-testing-of-a-matrix-to-evaluate-maturity-of-clinical-pathways-a-case-study-in-saskatchewan-canada
#33
JOURNAL ARTICLE
Crystal Lynn Larson, Jason Robert Vanstone, Taysa-Rhea Mise, Susan Mary Tupper, Gary Groot, Amir Reza Azizian
BACKGROUND: Healthcare systems are transforming into learning health systems that use data-driven and research-informed approaches to achieve continuous improvement. One of these approaches is the use of clinical pathways, which are tools to standardize care for a specific population and improve healthcare quality. Evaluating the maturity of clinical pathways is necessary to inform pathway development teams and health system decision makers about required pathway revisions or implementation supports...
July 10, 2024: BMC Health Services Research
https://read.qxmd.com/read/38982493/identifying-the-challenges-of-policy-content-related-to-high-risk-sexual-behaviors-stimulant-drugs-and-alcohol-consumption-in-adolescents
#34
JOURNAL ARTICLE
Saeid Mirzaei, Mohammad Hossein Mehrolhassani, Vahid Yazdi-Feyzabadi, Abbas Jahanara, Ali Akbar Haghdoost, Nadia Oroomiei
BACKGROUND: This study aims to identify policy content challenges related to high-risk sexual behaviors, stimulant drugs, and alcohol consumption in Iranian adolescents. METHODS: This qualitative study analyzed high-level and national documents pertaining to adolescent health, high-risk sexual behaviors, stimulant, and alcohol consumption in adolescents. The documents, which were published by public organizations between January 1979 and February 2023 and publicly available, were complemented by interviews with policymakers and executives...
July 9, 2024: BMC Health Services Research
https://read.qxmd.com/read/38982478/adolescent-girls-and-young-women-s-agyw-access-to-and-use-of-contraception-services-in-cape-town-perspectives-from-agyw-and-health-care-providers
#35
JOURNAL ARTICLE
Tsidiso Tolla, Kate Bergh, Zoe Duby, Nandipha Gana, Catherine Mathews, Kim Jonas
BACKGROUND: Access and use of contraception services by adolescent girls and young women (AGYW) remains suboptimal, exposing AGYW to early and often unexpected pregnancy. Unexpected pregnancies are a public health concern, associated with poor neonatal and maternal health outcomes, as well as school dropout, which may result in economic hardships. This study aimed to explore (a) AGYW perceptions and experiences of receiving contraception services from health care providers and (b) health care providers' perceptions and experiences of providing contraception services to AGYW...
July 9, 2024: BMC Health Services Research
https://read.qxmd.com/read/38982474/perceived-barriers-and-opportunities-of-providing-quality-family-planning-services-among-palestinian-midwives-physicians-and-nurses-in-the-west-bank-a-qualitative-study
#36
JOURNAL ARTICLE
Sahar Hassan, Hadeel Masri, Isra' Sawalha, Berit Mortensen
BACKGROUND: Despite advancements in family planning (FP) services, several barriers persist in the Occupied Palestinian territory (oPt), blocking women's access to suitable, high-quality and equitable FP services. The aim of this study was to understand how healthcare providers perceive their abilities, barriers and opportunities in providing good quality FP services. Furthermore, it seeks to explore knowledge and training regarding FP among healthcare providers engaged in providing FP services...
July 9, 2024: BMC Health Services Research
https://read.qxmd.com/read/38982469/implementation-of-social-needs-screening-for-minoritized-patients-newly-diagnosed-with-breast-cancer-a-mixed-methods-evaluation-in-a-pragmatic-patient-navigation-trial
#37
JOURNAL ARTICLE
Stephenie C Lemon, Amy M LeClair, Erika Christenson, Deborah Amburgey, Madyson FitzGerald, Howard Cabral, Chris Lloyd-Travaglini, Cheryl R Clark, Feng Qing Wang, Joellen Ross, Ellen Ohrenberger, Jennifer S Haas, Karen N Freund, Tracy A Battaglia
BACKGROUND: Social needs inhibit receipt of timely medical care. Social needs screening is a vital part of comprehensive cancer care, and patient navigators are well-positioned to screen for and address social needs. This mixed methods project describes social needs screening implementation in a prospective pragmatic patient navigation intervention trial for minoritized women newly diagnosed with breast cancer. METHODS: Translating Research Into Practice (TRIP) was conducted at five cancer care sites in Boston, MA from 2018 to 2022...
July 9, 2024: BMC Health Services Research
https://read.qxmd.com/read/38982462/the-interplay-between-patients-and-healthcare-professionals-in-a-cross-sectoral-setting-in-connection-with-the-treatment-and-care-of-patients-with-diabetic-foot-ulcers-a-realistic-evaluation
#38
JOURNAL ARTICLE
Susanne Friis Søndergaard, Jørn Fryd Christensen, Marie Dahl, Milica Drejer, Annette Høgh
BACKGROUND: Diabetes-related lower extremity complications such as diabetic foot ulcer (DFU) are a global disability burden. Treatment and care for patients with DFU call for a multisectoral approach that incorporates interdisciplinary care pathways. We aimed to explore the interplay between patients with DFU and healthcare professionals in cross-sectoral settings that address treatment and care and to determine "what works, for whom, and under what circumstances". METHOD: The study was designed as a realistic evaluation...
July 9, 2024: BMC Health Services Research
https://read.qxmd.com/read/38982454/outcome-evaluation-of-technical-strategies-on-reduction-of-patient-waiting-time-in-the-outpatient-department-at-kilimanjaro-christian-medical-centre-northern-tanzania
#39
JOURNAL ARTICLE
Manasseh J Mwanswila, Henry A Mollel, Lawrencia D Mushi
BACKGROUND: The Tanzania healthcare system is beset by prolonged waiting time in its hospitals particularly in the outpatient departments (OPD). Previous studies conducted at Kilimanjaro Christian Medical Centre (KCMC) revealed that patients typically waited an average of six hours before receiving the services at the OPD making KCMC have the longest waiting time of all the Zonal and National Referral Hospitals. KCMC implemented various interventions from 2016 to 2021 to reduce the waiting time...
July 9, 2024: BMC Health Services Research
https://read.qxmd.com/read/38982438/cost-utility-analysis-of-early-reconstruction-surgery-versus-conservative-treatment-for-anterior-cruciate-ligament-injury-in-a-lower-middle-income-country
#40
COMPARATIVE STUDY
Romy Deviandri, Hugo C van der Veen, Abdul Khairul R Purba, Ajeng V Icanervilia, Andri Mt Lubis, Inge van den Akker-Scheek, Maarten J Postma
BACKGROUND: The ideal approach for treating anterior cruciate ligament (ACL) injury is still disputed. This study aimed to determine the more cost-effective strategy by comparing early ACL reconstruction (ACLR) surgery to conservative treatment (rehabilitation with optional delayed reconstruction) for ACL injury in a lower/middle-income country (LMIC), Indonesia. METHODS: A decision tree model was constructed for cost-utility analysis of early ACLR versus conservative treatment...
July 9, 2024: BMC Health Services Research
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