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Journal of Health Services Research & Policy

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https://www.readbyqxmd.com/read/30638078/does-rural-health-system-reform-aimed-at-improving-access-to-primary-health-care-affect-hospitalization-rates-an-interrupted-time-series-analysis-of-national-policy-reforms-in-iran
#1
Arash Rashidian, Sedigheh Salavati, Hanan Hajimahmoodi, Mehrnaz Kheirandish
OBJECTIVES: To evaluate the effects of rural health insurance and family physician reforms on hospitalization rates in Iran. METHODS: An interrupted time series analysis of national monthly hospitalization rates in Iran (2003-2014), starting from two years before the intervention. Segmented regression analysis was used to assess the effects of the reforms on hospitalization rates. RESULTS: The analyses showed that hospitalization rates increased one year after the initiation of the reforms: 1...
January 12, 2019: Journal of Health Services Research & Policy
https://www.readbyqxmd.com/read/30582726/the-challenge-of-determining-appropriate-care-in-the-era-of-patient-centered-care-and-rising-health-care-costs
#2
Ian Coulter, Patricia Herman, Gery Ryan, Lara Hilton, Ron D Hays
Appropriateness of care is typically determined in the United States by evidence on efficacy and safety, combined with the judgments of experts in research and clinical practice, but without consideration of the cost of care or patient preferences. The shift in focus towards patient-centered care calls for consideration of outcomes that are important to patients, accommodation of patient preferences, and incorporation of the costs of care in patient-provider shared clinical decisions. The RAND/UCLA Appropriateness method was designed to determine rates of appropriate or inappropriate care, but the method did not include patient preferences or costs...
December 24, 2018: Journal of Health Services Research & Policy
https://www.readbyqxmd.com/read/30501528/the-hidden-health-care-costs-of-power-of-attorney-legislation-in-scotland-what-needs-to-be-done
#3
Kate Levin, Jill Carson
Current power of attorney legislation in many European countries seeks to protect the rights of adult patients who lack capacity by ensuring that discharge from hospital to an alternative care setting only occurs when there is legal authority to do so, via a named guardian or power of attorney. In Scotland, a clause introduced in 2007 allows some patients who lack capacity to be transferred from hospital to a community care service provided all relevant parties are agreed that this is in keeping with the legislation (the 'least restrictive option') and the patient does not resist the move...
December 1, 2018: Journal of Health Services Research & Policy
https://www.readbyqxmd.com/read/30477354/patient-and-public-involvement-in-the-design-administration-and-evaluation-of-patient-feedback-tools-an-example-in-psychiatry-a-systematic-review-and-critical-interpretative-synthesis
#4
Rebecca Baines, John Donovan, Sam Regan de Bere, Julian Archer, Ray Jones
BACKGROUND: Patient feedback is considered integral to healthcare design, delivery and reform. However, while there is a strong policy commitment to evidencing patient and public involvement (PPI) in the design of patient feedback tools, it remains unclear whether this happens in practice. METHODS: A systematic review using thematic analysis and critical interpretative synthesis of peer-reviewed and grey literature published between 2007 and 2017 exploring the presence of PPI in the design, administration and evaluation of patient feedback tools for practising psychiatrists...
November 26, 2018: Journal of Health Services Research & Policy
https://www.readbyqxmd.com/read/30463460/primary-care-utilization-and-clinical-quality-performance-a-comparison-between-health-centres-in-medicaid-expansion-states-and-non-expansion-states
#5
De-Chih Lee, Leiyu Shi, Hailun Liang
OBJECTIVES: The United States Government's Medicaid expansion policy has important implications for health centres, since a large proportion of health centre patients are Medicaid enrollees. The objective of this study was to compare primary care utilization and clinical quality performance between health centres in Medicaid expansion states and those in Medicaid non-expansion states. METHODS: We conducted a cross-sectional study. Multiple regressions, using a standard linear model, were performed to examine the relationship between Medicaid expansion status and performance measures, accounting for covariates...
November 21, 2018: Journal of Health Services Research & Policy
https://www.readbyqxmd.com/read/30458641/calls-for-routine-collection-of-patient-reported-outcome-measures-are-getting-louder
#6
Nils Gutacker, Andrew Street
No abstract text is available yet for this article.
November 20, 2018: Journal of Health Services Research & Policy
https://www.readbyqxmd.com/read/30352516/australian-pharmacy-perspectives-on-increasing-access-to-medicines-through-reclassification
#7
Amary Mey, Michelle King, Fiona Kelly, Gary Grant, James Townshend, Lyndsee Baumann-Birkbeck, Phillip Woods, Denise Hope
OBJECTIVES: Availability of medicines without prescription can increase consumers' timely access to treatment and promote self-management of minor ailments and adherence to long-term medications. Globally, access to relevant medicines has improved through increased reclassification of medicines from prescription to non-prescription availability. However, Australian reclassification lags behind countries with comparable health systems, and the factors influencing this are poorly understood...
October 23, 2018: Journal of Health Services Research & Policy
https://www.readbyqxmd.com/read/30290703/factors-influencing-middle-managers-commitment-to-the-implementation-of-innovations-in-cancer-care
#8
Robin Urquhart, Cynthia Kendell, Amy Folkes, Tony Reiman, Eva Grunfeld, Geoff Porter
Objective To identify and illuminate influences on middle managers' commitment to innovation implementation. Methods A qualitative study was conducted, employing the methods of grounded theory. Semi-structured interviews were used to collect data from middle managers (nā€‰=ā€‰15) in Nova Scotia and New Brunswick, Canada. Data were collected and analysed concurrently, using an inductive constant comparative approach. Data collection and analysis continued until theoretical saturation was reached. Results The data revealed middle managers contemplate two central issues in terms of their commitment to implementation, that is whether or not they fully engage in and support the implementation of a particular innovation...
October 5, 2018: Journal of Health Services Research & Policy
https://www.readbyqxmd.com/read/30282487/effects-of-results-based-financing-of-maternal-and-child-health-services-on-patient-satisfaction-in-afghanistan
#9
Essa Tawfiq, Jaikishan Desai, Dean Hyslop
Objective To examine the impact of a results-based financing programme on patient satisfaction in Afghanistan. Methods We analysed data collected from over 3000 patients from a stratified sample of 112 health facilities (56 results-based financing and 56 non-results-based financing) in 11 out of the 34 provinces of Afghanistan over a three-year period. The 112 facilities were part of 442 primary care facilities that were stratified on facility type and randomly assigned to the results-based financing (intervention) and non-results-based financing (control) groups in the 11 provinces...
October 3, 2018: Journal of Health Services Research & Policy
https://www.readbyqxmd.com/read/30309267/-the-harmony-of-social-theory-in-evaluation-commentary-on-the-art-and-science-of-non-evaluation-evaluation
#10
Joanne Greenhalgh, Nick Emmel
No abstract text is available yet for this article.
October 2018: Journal of Health Services Research & Policy
https://www.readbyqxmd.com/read/30309266/diagnostic-assessment-reviews-is-cost-effectiveness-analysis-helpful-or-necessary
#11
Hema Mistry, James Mason
Objective Diagnostic Assessment Reviews are part of the work programme of the National Institute of Health and Care Excellence (NICE) in England to evaluate emergent medical technologies and so ensure timely and consistent adoption within the National Health Service (NHS). New diagnostics have the potential to improve health outcomes and impact positively on health service resource use. This study sought to assess the quality of economic evidence informing Diagnostic Assessment Reviews. Methods We reviewed 27 Diagnostic Assessment Reviews that had been published by NICE as of 30 May 2017 by summarizing and interpreting the evidence that was used to carry out cost-effectiveness analyses...
October 2018: Journal of Health Services Research & Policy
https://www.readbyqxmd.com/read/30027771/patient-and-family-engagement-in-incident-investigations-exploring-hospital-manager-and-incident-investigators-experiences-and-challenges
#12
Josje Kok, Ian Leistikow, Roland Bal
Objective There is growing recognition among health care providers and policy makers that when things go wrong, the patient or their families should be heard and participate in the incident investigation process. This paper explores how Dutch hospitals organize patient or family engagement in incident investigations, maps out incident investigators' experiences of involving patients or their families in incident investigations and identifies the challenges encountered. Methods Semi-structured interviews were conducted with managers and incident investigators in 13 Dutch hospitals...
October 2018: Journal of Health Services Research & Policy
https://www.readbyqxmd.com/read/30269596/commentary-on-the-art-and-science-of-non-evaluation-evaluation
#13
Kath Checkland
No abstract text is available yet for this article.
September 30, 2018: Journal of Health Services Research & Policy
https://www.readbyqxmd.com/read/30249142/assessing-the-impact-of-retraction-on-the-citation-of-randomized-controlled-trial-reports-an-interrupted-time-series-analysis
#14
Andrew Mott, Caroline Fairhurst, David Torgerson
Objectives To assess the impact of retraction on the citation of randomized controlled trials. Methods We used an interrupted time-series with matched controls. PubMed, CINHAL, Google and the Retraction Watch Database were searched. We identified retracted publications reporting the results of randomized controlled trials involving human participants with two years of available data before and after retraction. We obtained monthly citation counts across all articles for the 24 months before and after retraction, from Web of Science...
September 24, 2018: Journal of Health Services Research & Policy
https://www.readbyqxmd.com/read/30235950/the-art-and-science-of-non-evaluation-evaluation
#15
Lorelei Jones
This essay considers some limitations of programme theory evaluation in relation to healthcare policies. This approach, which seeks to surface 'programme theories' or construct 'logic models', is often unable to account for empirical observations of policy implementation in real-world contexts. I argue that this failure stems from insufficient theoretical elaboration of the social, cultural and political dimensions of healthcare policies. Drawing from institutional theory, critical theory and discourse theory, I set out an alternative agenda for policy research...
September 20, 2018: Journal of Health Services Research & Policy
https://www.readbyqxmd.com/read/30223683/interviewing-older-people-about-their-experiences-of-emergency-hospital-admission-methodology-in-health-services-research
#16
Rachel Thwaites, Jon Glasby, Nick Le Mesurier, Rosemary Littlechild
This essay makes the case for increased use of patient-centred methodologies, which involve patients and the public, in the area of emergency admissions research in the United Kingdom. Emergency admission research has rarely made use of the patient voice when attempting to find a rate of 'inappropriate' admission for older people, instead focusing on professional viewpoints and more abstract tools. We argue for the important insights that patients and their families bring to emergency admissions research and for the need to listen to and use these voices to find more holistic responses to the issue of unplanned admissions to hospital for those aged over 65...
September 17, 2018: Journal of Health Services Research & Policy
https://www.readbyqxmd.com/read/30176742/understanding-the-determinants-of-public-trust-in-the-health-care-system-in-china-an-analysis-of-a-cross-sectional-survey
#17
Dahai Zhao, Hongyu Zhao, Paul D Cleary
Objectives Despite increasing research attention on public trust in health care systems, empirical evidence on this topic in the developing world is limited and inconclusive. This paper examines the level and determinants of public trust in the health care system in China. Methods We used data from a survey conducted with a sample of 5347 adults in all Chinese provincial areas between January and February 2016. Trust in the health care system was assessed with a question used by the 2011-2013 International Social Survey Programme (ISSP) to assess public trust in the health care systems of 29 industrialized countries and regions ('In general, how much confidence do you have in the health care system in your country?')...
September 3, 2018: Journal of Health Services Research & Policy
https://www.readbyqxmd.com/read/30170502/intimate-partner-violence-and-clinical-coding-issues-with-the-use-of-the-international-classification-of-disease-icd-10-in-england
#18
Philippa Olive
Objectives To investigate the availability of intimate partner violence-related population health information in England and the possibility of identifying intimate partner violence-exposed population sample frames from administrative health data systems in England employing the International Classification of Disease. Methods Research design was an exploratory mixed method approach that involved trend analysis of numbers of applications of International Classification of Disease intimate partner violence classifications for admissions to NHS hospitals in England over a five-year period and semi-structured focus group interviews with clinical coders at an NHS Hospital...
August 31, 2018: Journal of Health Services Research & Policy
https://www.readbyqxmd.com/read/30103632/relationship-between-preoperative-patient-reported-outcomes-and-hospital-length-of-stay-a-prospective-cohort-study-of-general-surgery-patients-in-vancouver-canada
#19
Jason Sutherland, Guiping Liu, Trafford Crump, Matthew Bair, Ahmer Karimuddin
Objectives As an aging population drives more demand for elective inpatient surgery, one approach to reducing length of stay is enhanced evaluation of patients' preoperative health status. The objective of this research was to determine whether patient-reported outcome measures collected preoperatively can identify patients at risk for longer lengths of stay. Methods This study was based on a prospectively recruited cohort of patients who were scheduled for elective inpatient general surgery in Vancouver, Canada...
August 13, 2018: Journal of Health Services Research & Policy
https://www.readbyqxmd.com/read/30060724/how-wide-is-the-goldilocks-zone-in-your-health-system
#20
Sue Ziebland, Birgit Rasmussen, John MacArtney, Senada Hajdarevic, Rikke Sand Andersen
In astrophysics, the 'Goldilocks Zone' describes the circumstellar habitable zone, in which planets, sufficiently similar to Earth, could support human life. The children's story of Goldilocks and the Three Bears, one of the most popular fairy tales in the English language, uses this metaphor to describe conditions for life that are neither too hot nor too cold and neither too close to the sun nor too far from its warmth. We propose that the 'Goldilocks Zone' also offers an apt metaphor for the struggle that people face when deciding if and when to consult a health care provider with a possible health problem...
July 31, 2018: Journal of Health Services Research & Policy
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