journal
https://read.qxmd.com/read/38409010/exploring-the-driving-forces-and-scenario-analysis-for-catastrophic-and-impoverishing-health-expenditures-in-iran
#21
JOURNAL ARTICLE
Maryam Hedayati, Mohammadreza Maleki, Iravan Masoudi Asl, Ali Akbar Fazaeli, Salime Goharinezhad
BACKGROUND: The extent of healthcare expenditure within households stands as a crucial indicator in low and middle-income countries (LMICs). When out-of-pocket healthcare expenses surpass household income or become unduly burdensome, it serves as a significant socio-economic alarm, resulting in a reduced quality of life, a phenomenon referred to as 'catastrophic health expenditure (CHE).' Multiple factors can contribute to the occurrence of CHE. The study's objective was to identify the key uncertainties and driving forces influencing CHE to develop scenarios in Iran on the horizon of 2030...
February 26, 2024: BMC Health Services Research
https://read.qxmd.com/read/38408975/understanding-health-systems-challenges-in-providing-advanced-hiv-disease-ahd-care-in-a-hub-and-spoke-model-a-qualitative-analysis-to-improve-ahd-care-program-in-malawi
#22
JOURNAL ARTICLE
Thulani Maphosa, Lise Denoeud-Ndam, Lester Kapanda, Sarah Khatib, Lloyd Chilikutali, Eddington Matiya, Boswell Munthali, Rosalia Dambe, Brown Chiwandira, Bilaal Wilson, Rose Nyirenda, Laywell Nyirenda, Bongani Chikwapulo, Owen Madeira Musopole, Appolinaire Tiam, Leila Katirayi
BACKGROUND: Despite tremendous progress in antiretroviral therapy (ART) and access to ART, many patients have advanced human immunodeficiency virus (HIV) disease (AHD). Patients on AHD, whether initiating ART or providing care after disengagement, have an increased risk of morbidity and mortality. The Elizabeth Glaser Pediatric AIDS Foundation (EGPAF) launched an enhanced care package using a hub-and-spoke model to optimize AHD care in Malawi. This model improves supply availability and appropriate linkage to care...
February 26, 2024: BMC Health Services Research
https://read.qxmd.com/read/38408946/a-qualitative-co-design-based-approach-to-identify-sources-of-workplace-related-distress-and-develop-well-being-strategies-for-cardiovascular-nurses-allied-health-professionals-and-physicians
#23
JOURNAL ARTICLE
Ahlexxi Jelen, Rebecca Goldfarb, Jennifer Rosart, Leanna Graham, Barry B Rubin
OBJECTIVE: Clinician distress is a multidimensional condition that includes burnout, decreased meaning in work, severe fatigue, poor work-life integration, reduced quality of life, and suicidal ideation. It has negative impacts on patients, providers, and healthcare systems. In this three-phase qualitative investigation, we identified workplace-related factors that drive clinician distress and co-designed actionable interventions with inter-professional cardiovascular clinicians to decrease their distress and improve well-being within a Canadian quaternary hospital network...
February 26, 2024: BMC Health Services Research
https://read.qxmd.com/read/38408938/barriers-and-facilitators-to-the-implementation-of-digital-technologies-in-mental-health-systems-a-qualitative-systematic-review-to-inform-a-policy-framework
#24
JOURNAL ARTICLE
Chiara Berardi, Marcello Antonini, Zephanie Jordan, Heidi Wechtler, Francesco Paolucci, Madeleine Hinwood
BACKGROUND: Despite the potential for improved population mental health and wellbeing, the integration of mental health digital interventions has been difficult to achieve. In this qualitative systematic review, we aimed to identify barriers and facilitators to the implementation of digital technologies in mental healthcare systems, and map these to an implementation framework to inform policy development. METHODS: We searched Medline, Embase, Scopus, PsycInfo, Web of Science, and Google Scholar for primary research articles published between January 2010 and 2022...
February 26, 2024: BMC Health Services Research
https://read.qxmd.com/read/38402190/exploring-the-influence-of-a-financial-incentive-scheme-on-early-mobilization-and-rehabilitation-in-icu-patients-an-interrupted-time-series-analysis
#25
JOURNAL ARTICLE
Yoko Unoki, Sachiko Ono, Yusuke Sasabuchi, Yohei Hashimoto, Hideo Yasunaga, Isao Yokota
BACKGROUND: Clinical guidelines recommend early mobilization and rehabilitation (EMR) for patients who are critically ill. However, various barriers impede its implementation in real-world clinical settings. In 2018, the Japanese universal healthcare coverage system announced a unique financial incentive scheme to facilitate EMR for patients in intensive care units (ICU). This study evaluated whether such an incentive improved patients' activities of daily living (ADL) and reduced their hospital length of stay (LOS)...
February 24, 2024: BMC Health Services Research
https://read.qxmd.com/read/38395910/experiences-of-an-interprofessional-follow-up-program-in-primary-care-practice
#26
JOURNAL ARTICLE
Beate-Christin Hope Kolltveit, Bjørg Frøysland Oftedal, Sally Thorne, Kirsten Lomborg, Marit Graue
BACKGROUND: An integrative cooperation of different healthcare professional is a key component for high quality health services. With an aging population and many with long-term conditions, more health tasks and follow-up care are being transferred to primary care and locally where people live. Interprofessional collaboration among providers of different professional designations will be of increasing importance to optimizing primary care capacity in years to come. There is a call for further exploration of models of interprofessional collaboration that might be applicable in Norwegian primary care...
February 23, 2024: BMC Health Services Research
https://read.qxmd.com/read/38395905/rewiring-care-delivery-through-digital-therapeutics-dtx-a-machine-learning-enhanced-assessment-and-development-m-lead-framework
#27
JOURNAL ARTICLE
Alessandro Carrera, Stefania Manetti, Emanuele Lettieri
BACKGROUND: Digital transformation has sparked profound change in the healthcare sector through the development of innovative digital technologies. Digital Therapeutics offer an innovative approach to disease management and treatment. Care delivery is increasingly patient-centered, data-driven, and based on real-time information. These technological innovations can lead to better patient outcomes and support for healthcare professionals, also considering resource scarcity. As these digital technologies continue to evolve, the healthcare field must be ready to integrate them into processes to take advantage of their benefits...
February 23, 2024: BMC Health Services Research
https://read.qxmd.com/read/38395852/simulating-the-healthcare-workforce-impact-and-capacity-for-pancreatic-cancer-care-in-victoria-a-model-based-analysis
#28
JOURNAL ARTICLE
Lan Gao, Anna Ugalde, Patricia M Livingston, Victoria White, Jennifer J Watts, Hannah Jongebloed, Nikki McCaffrey, David Menzies, Suzanne Robinson
BACKGROUND: The incidence of pancreatic cancer is rising. With improvements in knowledge for screening and early detection, earlier detection of pancreatic cancer will continue to be more common. To support workforce planning, our aim is to perform a model-based analysis that simulates the potential impact on the healthcare workforce, assuming an earlier diagnosis of pancreatic cancer. METHODS: We developed a simulation model to estimate the demand (i.e. new cases of pancreatic cancer) and supply (i...
February 23, 2024: BMC Health Services Research
https://read.qxmd.com/read/38395849/exploring-recent-trends-2014-21-in-preferencing-and-accepting-queensland-medical-internships-in-rural-hospitals
#29
JOURNAL ARTICLE
Matthew McGrail, Torres Woolley, Janani Pinidiyapathirage, Kath Paton, Deborah Smith, Kay Brumpton, Peta-Ann Teague
BACKGROUND: Medical internship is a key transition point in medical training from student to independent (junior) doctor. The national Regional Training Hubs (RTH) policy began across Australia in late 2017, which aims to build medical training pathways for junior doctors within a rural region and guide students, interns and trainees towards these. This study aims to explore preferencing and acceptance trends for rural medical internship positions in Queensland. Moreover, it focuses on internship preference and acceptance outcomes prior to and following the establishment of RTHs, and their association with key covariates such as rural training immersions offered by medical schools...
February 23, 2024: BMC Health Services Research
https://read.qxmd.com/read/38395843/facilitating-and-barrier-factors-to-the-implementation-of-a-transitional-care-program-a-qualitative-study-of-hospital-coordinators-in-south-korea
#30
JOURNAL ARTICLE
Yukyung Park, Su Mi Jung, Su Kyoung Kim, Heui Sug Jo
BACKGROUND: Transitional care is an integrated service to ensure coordination and continuity of patients' healthcare. Many models are being developed and implemented for this care. This study aims to identify the facilitators and obstacles of project performance through the experiences of the coordinator in charge of the Community Linkage Program for Discharge Patients (CLDP), a representative transitional care program in Korea. METHOD: Forty-one coordinators (nurses and social workers) from 21 hospitals were interviewed using a semi-structured questionnaire, and thematic analysis was performed...
February 23, 2024: BMC Health Services Research
https://read.qxmd.com/read/38395810/improving-care-for-veterans-environmental-exposure-concerns-applications-of-the-consolidated-framework-for-implementation-research-in-program-evaluation
#31
JOURNAL ARTICLE
Katharine Bloeser, Justin M Kimber, Susan L Santos, Chana B Krupka, Lisa M McAndrew
BACKGROUND: Healthcare systems, like the US Department of Veterans Affairs (VA), need policies and procedures for delivering care to special populations including those with environmental exposure concerns. Despite being common and pervasive, especially among Veterans, environmental exposures are largely overlooked by healthcare providers. To successfully implement care for Veterans with military environmental exposure concerns, an understanding of contextual factors impeding care on the provider (e...
February 23, 2024: BMC Health Services Research
https://read.qxmd.com/read/38388438/factors-predictive-of-hospital-admission-for-children-via-emergency-departments-in-australia-and-sweden-an-observational-cross-sectional-study
#32
JOURNAL ARTICLE
Julia Crilly, Amy Sweeny, Åsa Muntlin, David Green, Lorelle Malyon, Luke Christofis, Malcolm Higgins, Ann-Sofie Källberg, Sara Dellner, Åsa Myrelid, Therese Djärv, Katarina E Göransson
BACKGROUND: Identifying factors predictive of hospital admission can be useful to prospectively inform bed management and patient flow strategies and decrease emergency department (ED) crowding. It is largely unknown if admission rate or factors predictive of admission vary based on the population to which the ED served (i.e., children only, or both adults and children). This study aimed to describe the profile and identify factors predictive of hospital admission for children who presented to four EDs in Australia and one ED in Sweden...
February 23, 2024: BMC Health Services Research
https://read.qxmd.com/read/38389066/validation-of-human-immunodeficiency-virus-diagnosis-codes-among-women-enrollees-of-a-u-s-health-plan
#33
JOURNAL ARTICLE
Gaia Pocobelli, Malia Oliver, Ladia Albertson-Junkans, Gabrielle Gundersen, Aruna Kamineni
BACKGROUND: Efficiently identifying patients with human immunodeficiency virus (HIV) using administrative health care data (e.g., claims) can facilitate research on their quality of care and health outcomes. No prior study has validated the use of only ICD-10-CM HIV diagnosis codes to identify patients with HIV. METHODS: We validated HIV diagnosis codes among women enrolled in a large U.S. integrated health care system during 2010-2020. We examined HIV diagnosis code-based algorithms that varied by type, frequency, and timing of the codes in patients' claims data...
February 22, 2024: BMC Health Services Research
https://read.qxmd.com/read/38389055/correction-health-seeking-behaviours-and-private-sector-delivery-of-care-for-non-communicable-diseases-in-low-and-middle-income-countries-a-systematic-review
#34
Callum Brindley, Nilmini Wijemunige, Charlotte Dieteren, Judith Bom, Bruno Meessen, Igna Bonfrer
No abstract text is available yet for this article.
February 22, 2024: BMC Health Services Research
https://read.qxmd.com/read/38388919/spatio-temporal-modelling-of-referrals-to-outpatient-respiratory-clinics-in-the-integrated-care-system-of-the-morecambe-bay-area-england
#35
JOURNAL ARTICLE
Rachael Mountain, Jo Knight, Kelly Heys, Emanuele Giorgi, Timothy Gatheral
BACKGROUND: Promoting integrated care is a key goal of the NHS Long Term Plan to improve population respiratory health, yet there is limited data-driven evidence of its effectiveness. The Morecambe Bay Respiratory Network is an integrated care initiative operating in the North-West of England since 2017. A key target area has been reducing referrals to outpatient respiratory clinics by upskilling primary care teams. This study aims to explore space-time patterns in referrals from general practice in the Morecambe Bay area to evaluate the impact of the initiative...
February 22, 2024: BMC Health Services Research
https://read.qxmd.com/read/38388905/management-of-pain-in-cancer-patients-lessons-from-practices-during-the-covid-19-a-qualitative-study-of-cancer-care-providers-perspectives
#36
JOURNAL ARTICLE
Georgina Cornall, Emma Zhao, Tim Luckett, Ertugrul Erciyas, David Monck, Paul Glare, Andy Wang, Yi-Ching Lee
BACKGROUND: The ongoing COVID-19 pandemic has impacted health systems globally and affected managing many chronic conditions, including cancer. This study aimed to explore the perceptions of multi-disciplinary cancer care providers on how cancer pain management was affected by the COVID-19 pandemic. METHODS: Participants were eligible if they were cancer care providers of any specialty and discipline from two tertiary hospitals in Australia. Data were collected using semi-structured interviews to explore cancer care providers' perspectives on cancer pain management within COVID-19...
February 22, 2024: BMC Health Services Research
https://read.qxmd.com/read/38388408/identifying-categorising-and-mapping-actors-involved-in-resilience-in-healthcare-a-qualitative-stakeholder-analysis
#37
JOURNAL ARTICLE
Veslemøy Guise, Mary Chambers, Hilda Bø Lyng, Cecilie Haraldseid-Driftland, Lene Schibevaag, Birte Fagerdal, Heidi Dombestein, Eline Ree, Siri Wiig
BACKGROUND: Resilience in healthcare is the capacity to adapt to challenges and changes to maintain high-quality care across system levels. While healthcare system stakeholders such as patients, informal carers, healthcare professionals and service managers have all come to be acknowledged as important co-creators of resilient healthcare, our knowledge and understanding of who, how, and in which contexts different stakeholders come to facilitate and support resilience is still lacking...
February 22, 2024: BMC Health Services Research
https://read.qxmd.com/read/38388389/development-of-regional-pharmacy-intravenous-admixture-services-data-reporting-and-analysis-platform-for-enhanced-quality-control-ability
#38
JOURNAL ARTICLE
Shaowu Tian, Genyu Xie, Fan Xu, Jun Zhang
BACKGROUND: Pharmacy intravenous admixture service (PIVAS) center has emerged as an important department of hospitals as it can improve occupational protection and ensure the safety and effectiveness of intravenous infusions. However, there is little research on the standardized capability and risk evaluation of PIVAS by using modern information technology. In this research, we established Regional Pharmacy Intravenous Admixture Services Data Reporting and Analysis Platform (RPDRAP) to improve quality control ability for PIVAS management...
February 22, 2024: BMC Health Services Research
https://read.qxmd.com/read/38383409/perspectives-and-experiences-of-healthcare-providers-on-the-response-to-the-covid-19-pandemic-in-three-maternal-and-neonatal-referral-hospitals-in-guinea-in-2020-a-qualitative-study
#39
JOURNAL ARTICLE
Nafissatou Dioubaté, Mamadou Cellou Diallo, Cécé Maomou, Harissatou Niane, Tamba Mina Millimouno, Bienvenu Salim Camara, Telly Sy, Ibrahima Sory Diallo, Aline Semaan, Thérèse Delvaux, Lenka Beňová, Abdoul Habib Béavogui, Alexandre Delamou
BACKGROUND: The COVID-19 pandemic has adversely affected access to essential healthcare services. This study aimed to explore healthcare providers' perceptions and experiences of the response to the COVID-19 pandemic in three referral maternal and neonatal hospitals in Guinea. METHODS: We conducted a longitudinal qualitative study between June and December 2020 in two maternities and one neonatology referral ward in Conakry and Mamou. Participants were purposively recruited to capture diversity of professional cadres, seniority, and gender...
February 21, 2024: BMC Health Services Research
https://read.qxmd.com/read/38383405/the-effect-of-perceived-professional-benefits-on-health-professionals-job-engagement-the-role-of-psychological-availability-and-future-perceived-professional-benefits
#40
JOURNAL ARTICLE
Jin Wan, Wenjun Zhou, Mingyue Qin, Haiming Zhou
BACKGROUND: Improving the job engagement of health professionals can effectively enhance the quality of their medical services. However, few studies have investigated whether and how perceived professional benefits affect job engagement. Based on resource conservation theory, this study explored the effect of the influence of perceived professional benefits on job engagement, and also examined the mediating role of psychological availability and the moderating role of future perceived professional benefits...
February 21, 2024: BMC Health Services Research
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