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Journal of Health Services Research & Policy

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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
#1
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
#2
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/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
#3
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
#4
Julia Abelson
No abstract text is available yet for this article.
April 2018: Journal of Health Services Research & Policy
https://www.readbyqxmd.com/read/29768942/updated-meta-review-of-evidence-on-support-for-carers
#5
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...
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
#6
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
#7
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
#8
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
#9
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/29624087/what-does-meaningful-look-like-a-qualitative-study-of-patient-engagement-at-the-pan-canadian-oncology-drug-review-perspectives-of-reviewers-and-payers
#10
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...
January 1, 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
#11
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...
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
#12
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
#13
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
#14
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
#15
Joanna Davies, Irene Higginson, Katherine Sleeman
No abstract text is available yet for this article.
January 1, 2018: Journal of Health Services Research & Policy
https://www.readbyqxmd.com/read/29329509/audit-of-submissions-july-2016-june-2017
#16
(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
#17
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
#18
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/29325443/moving-upstream-in-health-promoting-policies-for-older-people-with-early-frailty-in-england-a-policy-analysis
#19
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
#20
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
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