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Journal of Health Services Research & Policy

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https://www.readbyqxmd.com/read/29325443/moving-upstream-in-health-promoting-policies-for-older-people-with-early-frailty-in-england-a-policy-analysis
#1
Vari Drennan, Kate Walters, Christina Avgerinou, Benjamin Gardner, Claire Goodman, Rachael Frost, Kalpa Kharicha, Steve Iliffe, Jill Manthorpe
Objectives Globally, populations are rapidly ageing and countries have developed health promotion and wellbeing strategies to address increasing demand for health care and old-age support. The older population is not homogeneous however, and includes a large group in transition between being active and healthy to being frail, i.e. with early frailty. This review explores the extent to which policy in England has addressed this group with a view to supporting independence and preventing further progression towards frailty...
January 1, 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
#2
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...
January 1, 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
#3
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...
January 1, 2018: Journal of Health Services Research & Policy
https://www.readbyqxmd.com/read/29329509/audit-of-submissions-july-2016-june-2017
#4
(no author information available yet)
No abstract text is available yet for this article.
January 2018: Journal of Health Services Research & Policy
https://www.readbyqxmd.com/read/29329508/hospital-readmissions-and-the-day-of-the-week
#5
Aman Verma, Christian Rochefort, Guido Powell, David Buckeridge
Objectives Patients discharged from hospitals on a Friday (Friday discharges) are readmitted sooner (a shorter time-to-emergency-readmission) than those discharged on any other day of the week. To evaluate the cost-effectiveness of increasing weekend capacity, the effect estimate of Friday discharge on time-to-emergency-readmission needs to be precise. However, precise effect estimation is complicated by the confounding effect of differing healthcare-seeking behaviour and admission practices, and therefore different admission probability, by day of the week...
January 2018: Journal of Health Services Research & Policy
https://www.readbyqxmd.com/read/29329507/differences-in-salaries-of-physician-assistants-in-the-usa-by-race-ethnicity-and-sex
#6
Darron Smith, Cardell Jacobson
Objectives Data from the Academy of American Physician Assistants have suggested there are no differences in salaries by race and ethnic group. Our objective was to compare salaries of physician assistants for different racial and ethnic groups and sexes using another data source. Methods Data from the American Community Surveys (2010-2012) to examine pay differentials of physician assistants. Ordinary least squares regression analysis to compare the salaries of males and females, and those of racial and ethnic groups...
January 2018: Journal of Health Services Research & Policy
https://www.readbyqxmd.com/read/29235377/how-important-is-information-and-communication-technology-in-enabling-interprofessional-collaboration
#7
Nicholas Goodwin
No abstract text is available yet for this article.
October 2017: Journal of Health Services Research & Policy
https://www.readbyqxmd.com/read/28429979/from-cutting-costs-to-eliminating-waste-reframing-the-challenge
#8
Nick Black
No abstract text is available yet for this article.
April 2017: Journal of Health Services Research & Policy
https://www.readbyqxmd.com/read/28429978/the-cost-quality-relationship-in-european-hospitals-a-systematic-review
#9
Rikke S√łgaard, Ulrika Enemark
Objective To determine the relationship between cost and quality in European hospitals. Methods Juran's cost-quality curve served as a theoretical framework, linked to basic efficiency concepts. Based on systematic database searches, citation searches and cross-referencing, we identify 1093 empirical studies. After exclusion of studies from outside Europe (699), non-hospital settings (10 studies), lack of a cost parameter (194) or a quality parameter (27 studies), 22 studies (28 analyses) were assessed for direction of association and methodological heterogeneity...
April 2017: Journal of Health Services Research & Policy
https://www.readbyqxmd.com/read/28429977/are-some-areas-more-equal-than-others-socioeconomic-inequality-in-potentially-avoidable-emergency-hospital-admissions-within-english-local-authority-areas
#10
Jessica Sheringham, Miqdad Asaria, Helen Barratt, Rosalind Raine, Richard Cookson
Objectives Reducing health inequalities is an explicit goal of England's health system. Our aim was to compare the performance of English local administrative areas in reducing socioeconomic inequality in emergency hospital admissions for ambulatory care sensitive chronic conditions. Methods We used local authority area as a stable proxy for health and long-term care administrative geography between 2004/5 and 2011/12. We linked inpatient hospital activity, deprivation, primary care, and population data to small area neighbourhoods (typical population 1500) within administrative areas (typical population 250,000)...
April 2017: Journal of Health Services Research & Policy
https://www.readbyqxmd.com/read/28429976/reimbursement-changes-and-drug-switching-are-severe-patients-more-affected
#11
Shou-Hsia Cheng, Chi-Chen Chen, Hung-Chih Kuo, Chi-Chuan Wang
Objectives To examine the long-term effects of drug reimbursement adjustments on drug-switching decisions and to investigate whether patients with complicated or severe conditions are more affected. Methods A population-based, longitudinal study with a before-and-after design. Analysis of 141,703 patients with type 2 diabetes covered by the universal health insurance program in Taiwan. Observation of five 6-month phases before and after a drug reimbursement adjustment implemented in October 2009. Drug switching was defined as a brand change within the same anatomical therapeutic chemical group between two consecutive physician visits...
April 2017: Journal of Health Services Research & Policy
https://www.readbyqxmd.com/read/28429975/the-real-cost-of-training-health-professionals-in-australia-it-costs-as-much-to-build-a-dietician-workforce-as-a-dental-workforce
#12
Leonie Segal, Claire Marsh, Rob Heyes
Objectives We explored the real cost of training the workforce in a range of primary health care professions in Australia with a focus on the impact of retention to contribute to the debate on how best to achieve the optimal health workforce mix. Methods The cost to train an entry-level health professional across 12 disciplines was derived from university fees, payment for clinical placements and, where relevant, cost of internship, adjusted for student drop-out. Census data were used to identify the number of qualified professionals working in their profession over a working life and to model expected years of practice by discipline...
April 2017: Journal of Health Services Research & Policy
https://www.readbyqxmd.com/read/28429974/the-dark-side-of-knowledge-brokering
#13
Roman Kislov, Paul Wilson, Ruth Boaden
Deploying knowledge brokers to bridge the 'gap' between researchers and practitioners continues to be seen as an unquestionable enabler of evidence-based practice and is often endorsed uncritically. We explore the 'dark side' of knowledge brokering, reflecting on its inherent challenges which we categorize as: (1) tensions between different aspects of brokering; (2) tensions between different types and sources of knowledge; and (3) tensions resulting from the 'in-between' position of brokers. As a result of these tensions, individual brokers may struggle to maintain their fragile and ambiguous intermediary position, and some of the knowledge may be lost in the 'in-between world', whereby research evidence is transferred to research users without being mobilized in their day-to-day practice...
April 2017: Journal of Health Services Research & Policy
https://www.readbyqxmd.com/read/28429973/the-role-of-paediatric-nurses-in-medication-safety-prior-to-the-implementation-of-electronic-prescribing-a-qualitative-case-study
#14
Albert Farre, Gemma Heath, Karen Shaw, Teresa Jordan, Carole Cummins
Objectives To explore paediatric nurses' experiences and perspectives of their role in the medication process and how this role is enacted in everyday practice. Methods A qualitative case study on a general surgical ward of a paediatric hospital in England, one year prior to the planned implementation of ePrescribing. Three focus groups and six individual semi-structured interviews were conducted, involving 24 nurses. Focus groups and interviews were audio-recorded, transcribed, anonymized and subjected to thematic analysis...
April 2017: Journal of Health Services Research & Policy
https://www.readbyqxmd.com/read/28429972/impact-case-studies-mental-health-services-for-depression-and-anxiety
#15
(no author information available yet)
No abstract text is available yet for this article.
April 2017: Journal of Health Services Research & Policy
https://www.readbyqxmd.com/read/28429971/evidence-based-policy-as-reflexive-practice-what-can-we-learn-from-evidence-based-medicine
#16
Roland Bal
The call for evidence-based policy is often accompanied by rather uncritical references to the success of evidence-based medicine, leading to often unsuccessful translation attempts. In this paper, I reflect on the practice of evidence-based medicine in an attempt to sketch a more productive approach to translating evidence into the practice of policy making. Discussing three episodes in the history of evidence-based medicine - clinical trials, and the production and use of clinical guidelines - I conclude that the success of evidence-based medicine is based on the creation of reflexive practices in which evidence and practice can be combined productively...
April 2017: Journal of Health Services Research & Policy
https://www.readbyqxmd.com/read/28429970/taking-data-seriously-the-value-of-actor-network-theory-in-rethinking-patient-experience-data
#17
Amit Desai, Giulia Zoccatelli, Mary Adams, Davina Allen, Sally Brearley, Anne Marie Rafferty, Glenn Robert, Sara Donetto
Hospitals are awash with patient experience data, much of it collected with the ostensible purpose of improving the quality of patient care. However, there has been comparatively little consideration of the nature and capacities of data itself. Using insights from actor-network theory, we propose that paying attention to patient experience data as having agency in particular hospital interactions allows us to better trace how and in what circumstances data lead (or fail to lead) to quality improvement.
April 2017: Journal of Health Services Research & Policy
https://www.readbyqxmd.com/read/29260592/how-do-aggregated-patient-reported-outcome-measures-data-stimulate-health-care-improvement-a-realist-synthesis
#18
Joanne Greenhalgh, Sonia Dalkin, Elizabeth Gibbons, Judy Wright, Jose Maria Valderas, David Meads, Nick Black
Objectives Internationally, there has been considerable debate about the role of data in supporting quality improvement in health care. Our objective was to understand how, why and in what circumstances the feedback of aggregated patient-reported outcome measures data improved patient care. Methods We conducted a realist synthesis. We identified three main programme theories underlying the use of patient-reported outcome measures as a quality improvement strategy and expressed them as nine 'if then' propositions...
January 1, 2017: Journal of Health Services Research & Policy
https://www.readbyqxmd.com/read/29256273/integration-reflections-from-northern-ireland
#19
Michael Donnelly, Ciaran O'Neill
No abstract text is available yet for this article.
January 1, 2017: Journal of Health Services Research & Policy
https://www.readbyqxmd.com/read/29256272/enacting-localist-health-policy-in-the-english-nhs-the-governing-assemblage-of-clinical-commissioning-groups
#20
Jonathan Hammond, Anna Coleman, Kath Checkland
Objectives The Health and Social Care Act 2012 introduced Clinical Commissioning Groups to take responsibility for commissioning (i.e. planning and purchasing) the majority of services for local populations in the English NHS. Constituted as 'membership organizations', with membership compulsory for all GP practices, Clinical Commissioning Groups are overseen by, and are accountable to, a new arm's-length body, NHS England. This paper critically engages with the content and policy narrative of the 2012 Act and explores this in relation to the reality of local policy enactment...
January 1, 2017: Journal of Health Services Research & Policy
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