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Journal of Health Services Research & Policy

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https://www.readbyqxmd.com/read/29783864/a-logic-model-for-pharmaceutical-care
#1
Carolina Moltó-Puigmartí, Robert Vonk, Gerlise van Ommeren, Ingrid Hegger
Objectives To develop a logic model for pharmaceutical care that can be used by stakeholders as a tool to support innovation and to monitor the performance of the pharmaceutical care system in the Netherlands and abroad. The ultimate aim of such a system is the responsible provision of drug therapy to improve patients' quality of life. Methods The logic model for pharmaceutical care was created following a process consisting of four steps: (1) a literature review to identify what pharmaceutical care is and what elements it consists of; (2) separate interviews with 10 stakeholder organizations to discuss the results of the literature review; (3) construction of the logic model based on the findings from steps 1 and 2; and (4) separate interviews with three stakeholder organizations to discuss and fine-tune the model...
July 2018: Journal of Health Services Research & Policy
https://www.readbyqxmd.com/read/29768942/updated-meta-review-of-evidence-on-support-for-carers
#2
Jane Dalton, Sian Thomas, Melissa Harden, Alison Eastwood, Gillian Parker
Objective To update a 2010 meta-review of systematic reviews of effective interventions to support carers of ill, disabled, or older adults. In this article, we report the most promising interventions based on the best available evidence. Methods Rapid meta-review of systematic reviews published from January 2009 to 2016. Results Sixty-one systematic reviews were included (27 high quality, 25 medium quality, and nine low quality). The quality of reviews has improved since the original review, but primary studies remain limited in quality and quantity...
July 2018: Journal of Health Services Research & Policy
https://www.readbyqxmd.com/read/29653504/how-embedded-is-public-involvement-in-mainstream-health-research-in-england-a-decade-after-policy-implementation-a-realist-evaluation
#3
Patricia Wilson, Elspeth Mathie, Fiona Poland, Julia Keenan, Amanda Howe, Diane Munday, Sally Kendall, Marion Cowe, Sophie Staniszewska, Claire Goodman
Objectives To explore how embedded patient and public involvement is within mainstream health research following two decades of policy-driven work to underpin health research with patient and public involvement in England. Methods Realist evaluation using Normalization Process Theory as a programme theory to understand what enabled patient and public involvement to be embedded as normal practice. Data were collected through a national scoping and survey, and qualitative methods to track patient and public involvement processes and impact over time within 22 nationally funded research projects...
April 2018: Journal of Health Services Research & Policy
https://www.readbyqxmd.com/read/29653503/systematic-review-of-participants-attitudes-towards-data-sharing-a-thematic-synthesis
#4
Nicola Howe, Emma Giles, Dorothy Newbury-Birch, Elaine McColl
Objectives Data sharing is well established in biological research, but evidence on sharing of clinical trial or public health research study data remains limited, in particular studies of research participants' perspectives of data sharing. This study systematically reviewed international evidence of research participants' attitudes towards the sharing of data for secondary research use. Methods Systematic search of seven databases, and author-, citation- and bibliography-follow up to identify studies examining research participants' attitudes towards data sharing...
April 2018: Journal of Health Services Research & Policy
https://www.readbyqxmd.com/read/29624087/what-does-meaningful-look-like-a-qualitative-study-of-patient-engagement-at-the-pan-canadian-oncology-drug-review-perspectives-of-reviewers-and-payers
#5
Linda Rozmovits, Helen Mai, Alexandra Chambers, Kelvin Chan
Objectives While there is wide support for patient engagement in health technology assessment, determining what constitutes meaningful (as opposed to tokenistic) engagement is complex. This paper explores reviewer and payer perceptions of what constitutes meaningful patient engagement in the Pan-Canadian Oncology Drug Review process. Methods Qualitative interview study comprising 24 semi-structured telephone interviews. A qualitative descriptive approach, employing the technique of constant comparison, was used to produce a thematic analysis...
April 2018: Journal of Health Services Research & Policy
https://www.readbyqxmd.com/read/29624086/does-acute-myocardial-infarction-kill-more-people-on-weekends-analysis-of-in-hospital-mortality-rates-for-weekend-admissions-in-portugal
#6
Francesca Fiorentino, Raquel Ascenção, Nicoletta Rosati
Objectives To investigate a possible weekend effect in the in-hospital mortality rate for acute myocardial infarction in Portugal, and whether the delay in invasive intervention contributes to this effect. Methods Data from the National 2011-2015 Diagnostic-Related-Group databases were analysed. The focus was on adult patients admitted via the emergency department and with the primary diagnosis of acute myocardial infarction. Patients were grouped according to ST-elevation myocardial infarction and non-ST-elevation myocardial infarction episodes...
April 2018: Journal of Health Services Research & Policy
https://www.readbyqxmd.com/read/29475369/falling-through-the-gaps-exploring-the-role-of-integrated-commissioning-in-improving-transition-from-children-s-to-adults-services-for-young-people-with-long-term-health-conditions-in-england
#7
Gregory Maniatopoulos, Ann Le Couteur, Luke Vale, Allan Colver
Objectives To explore the role of integrated commissioning in improving the transition of young people with long-term conditions from child to adult services. We aimed to identify organizational and policy gaps around transition services and provide recommendations for integrated commissioning practice. Methods Semi-structured in-depth interviews were conducted with two groups of participants: (1) twenty-four stakeholders involved in the commissioning and provision of transition services for young people with long-term conditions in two regions in England; (2) five professionals with national roles in relation to planning for transition...
April 2018: Journal of Health Services Research & Policy
https://www.readbyqxmd.com/read/29411660/patient-engagement-in-health-technology-assessment-what-constitutes-meaningful-and-how-we-might-get-there
#8
Julia Abelson
No abstract text is available yet for this article.
April 2018: Journal of Health Services Research & Policy
https://www.readbyqxmd.com/read/29320892/the-effect-of-the-global-financial-crisis-on-preventable-hospitalizations-among-the-homeless-in-new-york-state
#9
Brandi White, Charles Ellis, Walter Jones, William Moran, Kit Simpson
Objective Periods of economic instability may increase preventable hospitalizations because of increased barriers to accessing primary care. For underserved populations such as the homeless, these barriers may be more pronounced due to limited resources in the health care safety net. This study examined the impact of the global financial crisis of 2007-2008 on access to care for the homeless in New York State. Methods Hospitalizations for ambulatory care sensitive conditions (ACSCs) were used as a proxy measure for primary care access...
April 2018: Journal of Health Services Research & Policy
https://www.readbyqxmd.com/read/29320891/the-political-economy-of-the-assessment-of-value-of-new-health-technologies
#10
Jonathan Karnon, Laura Edney, Hossein Afzali
Health technology assessment provides a common framework for evaluating the costs and benefits of new health technologies to inform decisions on the public funding of new pharmaceuticals and other health technologies. In Australia and England, empirical analyses of the opportunity costs of government spending on new health technologies suggest more quality adjusted life years are being forgone than are being gained by a non-trivial proportion of funded health technologies. This essay considers the relevance of available empirical estimates of opportunity costs and explores the relationship between the public funding of health technologies and broader political and economic factors...
April 2018: Journal of Health Services Research & Policy
https://www.readbyqxmd.com/read/29235367/what-has-health-technology-assessment-ever-done-for-us
#11
Olga Löblová
Health technology assessment (HTA) has over the past three decades become a well-established part of decisions about allocation of resources in many countries. Despite this, little is known about HTA's impact on health systems. Few studies have evaluated the benefits of HTA for health outcomes, for access to care or for public budgets. In contrast, HTA has relatively clear upfront costs, which could potentially discourage policy-makers from establishing HTA agencies, especially in low income countries with restricted resources...
April 2018: Journal of Health Services Research & Policy
https://www.readbyqxmd.com/read/29984592/targeting-the-right-patients-for-integrated-care-stakeholder-perspectives-from-a-qualitative-study
#12
Jonathan Stokes, Lisa Riste, Sudeh Cheraghi-Sohi
Objective To explore the perceptions of relevant stakeholders in terms of targeting the 'right' patients for integrated care. Methods Secondary analysis of qualitative interviews with relevant stakeholders (including programme managers, programme initiators, a representative of the payers, medical and social care professionals and allied health services staff) from two integrated care sites in England. A thematic analysis was conducted of cross-cutting themes. Results Both sites focused on individualized management of 'high-risk' patients through multidisciplinary team case management...
January 1, 2018: Journal of Health Services Research & Policy
https://www.readbyqxmd.com/read/29754532/more-care-out-of-hospital-a-qualitative-exploration-of-the-factors-influencing-the-development-of-the-district-nursing-workforce-in-england
#13
Vari M Drennan
Objectives Many countries seek to improve care for people with chronic conditions and increase delivery of care outside of hospitals, including in the home. Despite these policy objectives in the United Kingdom, the home visiting nursing service workforce, known as district nursing, is declining. This study aimed to investigate the factors influencing the development of district nursing workforces in a metropolitan area of England. Methods A qualitative study in a metropolitan area of three million residents in diverse socio-economic communities using semi-structured interviews with a purposive sample of senior nurses in provider and commissioning organizations...
January 1, 2018: Journal of Health Services Research & Policy
https://www.readbyqxmd.com/read/29688041/post-compromise-democrats-medicare-for-all-and-the-possible-futures-of-american-health-policy
#14
Scott Greer
No abstract text is available yet for this article.
January 1, 2018: Journal of Health Services Research & Policy
https://www.readbyqxmd.com/read/29683358/the-evolving-role-of-paramedics-a-nice-problem-to-have
#15
Georgette Eaton, Kamal Mahtani, Matt Catterall
This short essay supports the growing role of paramedics in the clinical and academic workforce. We present a commentary of recent draft consultations by the National Institute for Health and Care Excellence in England that set out how the role of paramedics may be evolving to assist with the changing demands on the clinical workforce. Using these consultations as a basis, we extend their recommendations and suggest that the profession should also lead the academically driven evaluation of these new roles.
January 1, 2018: Journal of Health Services Research & Policy
https://www.readbyqxmd.com/read/29661033/dementia-buddying-as-a-vehicle-for-person-centred-care-the-performance-of-a-volunteer-led-pilot-on-two-hospital-wards
#16
Claire Preston, Sarah Burch
Objectives To understand and explain whether a dementia buddies pilot introduced into two adjacent mental health hospital wards in England was achieving its aim of enhancing person-centred care. Methods The research used a cultural lens to evaluate the dementia buddies pilot. It comprised 20 in-depth semi-structured interviews with staff, volunteers and carers in the two wards where the pilot was introduced. Results The pilot's ability to deliver positive outcomes depended on its compatibility with the culture of the ward and it performed better in the ward where a person-centred culture of care already existed...
January 1, 2018: Journal of Health Services Research & Policy
https://www.readbyqxmd.com/read/29566567/exploring-dutch-surgeons-views-on-volume-based-policies-a-qualitative-interview-study
#17
Roos Mesman, Marjan J Faber, Gert P Westert, Bart Berden
Objective In many countries, the evidence for volume-outcome associations in surgery has been transferred into policy. Despite the large body of research that exists on the topic, qualitative studies aimed at surgeons' views on, and experiences with, these volume-based policies are lacking. We interviewed Dutch surgeons to gain more insight into the implications of volume-outcome policies for daily clinical practice, as input for effective surgical quality improvement. Methods Semi-structured interviews were conducted with 20 purposively selected surgeons from a stratified sample for hospital type and speciality...
January 1, 2018: Journal of Health Services Research & Policy
https://www.readbyqxmd.com/read/29523047/introducing-consumer-directed-care-in-residential-care-settings-for-older-people-in-australia-views-of-a-citizens-jury
#18
Kate Laver, Emmanuel Gnanamanickam, Craig Whitehead, Susan Kurrle, Megan Corlis, Julie Ratcliffe, Wendy Shulver, Maria Crotty
Objectives Health services worldwide are increasingly adopting consumer directed care approaches. Traditionally, consumer directed care models have been implemented in home care services and there is little guidance as to how to implement them in residential care. This study used a citizens' jury to elicit views of members of the public regarding consumer directed care in residential care. Methods A citizens' jury involving 12 members of the public was held over two days in July 2016, exploring the question: For people with dementia living in residential care facilities, how do we enable increased personal decision making to ensure that care is based on their needs and preferences? Jury members were recruited through a market research company and selected to be broadly representative of the general public...
January 1, 2018: Journal of Health Services Research & Policy
https://www.readbyqxmd.com/read/29504424/what-constitutes-meaningful-engagement-for-patients-and-families-as-partners-on-research-teams
#19
Agnes Black, Kimberly Strain, Christine Wallsworth, Sara-Grey Charlton, Wilma Chang, Kate McNamee, Clayon Hamilton
Objective There is growing emphasis on health care organizations to ensure that lay people are meaningfully engaged as partners on research teams. Our aim was to explore the perspectives of patients, family members and informal caregivers who have been involved on health care research teams in Canada and elicit their recommendations for meaningful engagement. Methods We conducted a qualitative study guided by thematic analysis of transcripts of focus groups and interviews of 19 experienced patient research partners in Canada...
January 1, 2018: Journal of Health Services Research & Policy
https://www.readbyqxmd.com/read/29458262/time-to-go-beyond-observing-the-problem-response-to-dying-in-hospital-socioeconomic-inequality-trends-in-england-doi-10-1177-1355819616686807
#20
Joanna Davies, Irene Higginson, Katherine Sleeman
No abstract text is available yet for this article.
January 1, 2018: Journal of Health Services Research & Policy
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