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BMC Health Services Research

Davorina Petek, Kristina Kamnik-Jug
BACKGROUND: Over the last decade, the vaccination rates amongst the general population in Slovenia were declining. According to the World Health Organisation, the vaccination rates amongst healthcare workers are also low throughout Europe. The aim of this study was to evaluate vaccination rates for seasonal flu amongst healthcare workers on the primary care level in the Koroška region and to find motivators and barriers for vaccination. METHODS: In a cross-sectional study, an anonymous questionnaire was distributed to all health centres, nursing homes and private contractors, who agreed to participate...
November 14, 2018: BMC Health Services Research
Elizabeth A Lynch, Alison Mudge, Sarah Knowles, Alison L Kitson, Sarah C Hunter, Gill Harvey
BACKGROUND: A multitude of theories, models and frameworks relating to implementing evidence-based practice in health care exist, which can be overwhelming for clinicians and clinical researchers new to the field of implementation science. Clinicians often bear responsibility for implementation, but may be unfamiliar with theoretical approaches designed to inform or understand implementation. MAIN TEXT: In this article, a multidisciplinary group of clinicians and health service researchers present a pragmatic guide to help clinicians and clinical researchers understand what implementation theories, models and frameworks are; how a theoretical approach to implementation might be used; and some prompts to consider when selecting a theoretical approach for an implementation project...
November 14, 2018: BMC Health Services Research
Sara Gullo, Anne Sebert Kuhlmann, Christine Galavotti, Thumbiko Msiska, C Nathan Marti, Philip Hastings
BACKGROUND: Social accountability interventions such as CARE's Community Score Card© show promise for improving sexual, reproductive, and maternal health outcomes. A key component of the intervention is creation of spaces where community members, healthcare workers, and district officials can safely interact and collaborate to improve health-related outcomes. Here, we evaluate the intervention's effect on governance constructs such as power sharing and equity that are central to our theory of change...
November 14, 2018: BMC Health Services Research
Trine Stub, Sara A Quandt, Thomas A Arcury, Joanne C Sandberg, Agnete E Kristoffersen
BACKGROUND: Both conventional health care providers and complementary therapists treat cancer patients. To provide effective treatment, both types of providers should to be familiar with their own as well as alternative types of treatment. Our aim was to compare how conventional health care providers (oncology doctors, oncology nurses, family physicians) and complementary therapists (acupuncturists, reflexologists, massage therapists) seek information about conventional and complementary cancer treatments...
November 14, 2018: BMC Health Services Research
Justin D Gatwood, Marie Chisholm-Burns, Robert Davis, Fridtjof Thomas, Praveen Potukuchi, Adriana Hung, M Shawn McFarland, Csaba P Kovesdy
BACKGROUND: Diabetes remains a growing public health threat but evidence supports the role that pharmacists can play in improving diabetes medication use and outcomes. To improve the quality of care, the Veterans Health Administration has widely adopted care models that integrate clinical pharmacists, but more data are needed to interpret the impact of these services. Our objective was to assess clinical pharmacy services' impact on outcomes and oral antidiabetic medication (OAD) use among veterans with uncontrolled diabetes in the first year of therapy...
November 14, 2018: BMC Health Services Research
Yuanyuan Yao, Jun Li, Mingcang Wang, Zhonghua Chen, Weixing Wang, Lipei Lei, Changshun Huang, Ming Yao, Guihua Yuan, Min Yan
BACKGROUND: Since 2008, updated perioperative blood management (PoBM) guidelines have been implemented in Zhejiang, China. These guidelines ensure that the limited blood resources meet increasing clinical needs and patient safety requirements. We assessed the effects of implementing updated PoBM guidelines in hospitals in Zhejiang, China. METHODS: We performed a retrospective multicenter study that included adult patients who received blood transfusions during surgical care in the years 2007 and 2011...
November 14, 2018: BMC Health Services Research
Cathrine S Nakken, Marie Norredam, Morten Skovdal
BACKGROUND: Many asylum-seekers to Denmark come from war-torn countries where conflict and insufficient health care infrastructures disrupt vaccine programmes and result in very few children and their families presenting documentation of vaccinations on their arrival in asylum-centers. There is a need to explore how healthcare providers, in the absence of vaccine documentation, determine the vaccination needs of newly arrived refugee children. METHODS: To explore the tactics employed by healthcare professionals who screen and vaccinate asylum-seeking children in Denmark, we conducted semi-structured interviews between December 2015 and January 2016 with six healthcare professionals, including three doctors and three public health nurses...
November 14, 2018: BMC Health Services Research
Egui Zhu, Uno Fors, Åsa Smedberg
BACKGROUND: Antimicrobial resistance (AMR) is a growing public health threat. Primary care physicians are important inducers of the overuse of antimicrobials and inappropriate prescribing. Augmented reality (AR) might provide a potential educational tool in health care. The aim of this study was to identify the need for education and expectations for AR-based education in the context of improving the rational use of antibiotics by primary care physicians in China. METHODS: The study used a qualitative approach based on face-to-face interviews with eleven physicians from three community health service centers and stations in China...
November 14, 2018: BMC Health Services Research
Dawit Shawel Abebe, Jon Ivar Elstad, Lars Lien
BACKGROUND: Amongst psychiatric patients, the leading causes of reduced quality of life and premature death are chronic viral infections and cardiovascular diseases. In spite of this, there are extremely high levels of disparity in somatic healthcare amongst such populations. Little research has explored patterns of healthcare utilisation and, therefore, this study aims to examine the use of somatic specialist healthcare for infectious diseases and diseases of circulatory system among psychiatric patients from different immigrant groups and ethnic Norwegians...
November 13, 2018: BMC Health Services Research
Julia Dickson-Gomez, Laura A Glasman, Gloria Bodnar, Molly Murphy
BACKGROUND: Global Health Initiatives (GHIs) have been instrumental in the rapid acceleration of HIV prevention, treatment access, and availability of care and support services for people living with HIV (PLH) in low and middle income countries (LMIC). These efforts have increasingly used combination prevention approaches that include biomedical, behavioral, social and structural interventions to reduce HIV incidence. However, little research has evaluated their implementation. We report results of qualitative research to examine the implementation of a national HIV combination prevention strategy in El Salvador funded by the Global Fund to Fight AIDS, Tuberculosis and Malaria...
November 12, 2018: BMC Health Services Research
Feras Darwish Elhajji, Ghaith M Al-Taani, Lana Anani, Sahar Al-Masri, Haneen Abdalaziz, Su'ad H Qabba'h, Abdel Qader Al Bawab, Michael Scott, David Farren, Fiona Gilmore, Ann Versporten, Herman Goossens, Mamoon A Aldeyab
BACKGROUND: To assess antimicrobial prescribing in a Northern Ireland hospital (Antrim Area Hospital (AAH)) and compare them with those of a hospital in Jordan (Specialty Hospital). METHODS: Using the Global-PPS approach, the present study surveyed patients admitted to the hospital in 2015, the prescribed antibiotics, and a set of quality control indicators related to antibiotics. RESULTS: Ultimately, 444 and 112 inpatients in the AAH and the Specialty Hospital, respectively, were surveyed...
November 12, 2018: BMC Health Services Research
Virgil Beauvais, Annabelle Marque, Guillaume Ferté, Jan Chrusciel, Julie Souille, Pierre Nazeyrollas, Stéphane Sanchez
BACKGROUND: Generic drug substitution is a public health policy challenge with high economic potential. Generic drugs are generally cheaper than brand-name drugs. Drugs are a significant part of the total health expenditure, especially in ambulatory care. We conducted a cross-sectional study with general practitioners in the Champagne-Ardenne region to determine physician-related factors and beliefs causing doctors to use the Not for Generic Substitution (NGS) mention. METHODS: Questionnaires were sent to General Practitioners (GPs) practicing in Champagne-Ardenne via 3 shipments, from January 2015 to May 2015...
November 12, 2018: BMC Health Services Research
Nancy Pandhi, Sally Kraft, Stephanie Berkson, Sarah Davis, Sandra Kamnetz, Steven Koslov, Elizabeth Trowbridge, William Caplan
BACKGROUND: Health systems in the United States are increasingly required to become leaders in quality to compete successfully in a value-conscious purchasing market. Doing so involves developing effective clinical teams using approaches like the clinical microsystems framework. However, there has been limited assessment of this approach within United States primary care settings. METHODS: This paper describes the implementation, mixed-methods evaluation results, and lessons learned from instituting a Microsystems approach across 6 years with 58 primary care teams at a large Midwestern academic health care system...
November 9, 2018: BMC Health Services Research
Xuemei Zhen, Hao Zhang, Xiaoqian Hu, Shuyan Gu, Yuanyuan Li, Yuxuan Gu, Minzhuo Huang, Xueshan Sun, Jingming Wei, Hengjin Dong
BACKGROUND: China has made great achievements in health insurance coverage and healthcare financing; however, the rate of catastrophic health expenditure (CHE) was 13.0% in China in 2008, which is higher than that in some other countries. There remain some differences in life-style, national customs, medical conditions, and health consciousness in different provinces in China. This study aimed to compare the rates of households with CHE, further to explore the different performance of factors influencing CHE between Zhejiang and Qinghai province, China...
November 9, 2018: BMC Health Services Research
Fiona G Kouyoumdjian, Stephanie Y Cheng, Kinwah Fung, Stephen Humphreys-Mahaffey, Aaron M Orkin, Claire Kendall, Lori Kiefer, Flora I Matheson, Samantha E Green, Stephen W Hwang
BACKGROUND: Access to primary care is an important determinant of health, and data are sparse on primary care utilization for people who experience imprisonment. We aimed to describe primary care utilization for persons released from prison, and to compare utilization with the general population. METHODS: We linked correctional data for all persons released from provincial prison in Ontario, Canada in 2010 with health administrative data. We matched each person by age and sex with four general population controls...
November 9, 2018: BMC Health Services Research
Håkon A Bolkan, Alex van Duinen, Mohammed Samai, Donald Alpha Bash-Taqi, Ibrahim Gassama, Bart Waalewijn, Arne Wibe, Johan von Schreeb
BACKGROUND: In an attempt to assess the effects of the Ebola viral disease (EVD) on hospital functions in Sierra Leone, the aim of this study was to evaluate changes in provisions of surgery and non-Ebola admissions during the first year of the EVD outbreak. METHODS: All hospitals in Sierra Leone known to perform inpatient surgery were assessed for non-Ebola admissions, volume of surgery, caesarean deliveries and inguinal hernia repairs between January 2014 and May 2015, which was a total of 72 weeks...
November 9, 2018: BMC Health Services Research
Ian Koper, H Roeline W Pasman, Bregje D Onwuteaka-Philipsen
BACKGROUND: Generals practitioners (GPs) and district nurses (DNs) play a leading role in providing palliative care at home. Many services and facilities are available to support them in providing this complex care. This study aimed to examine the extent to which GPs and DNs involve these services, what their experiences are, and how involvement of these services and facilities can be improved. METHODS: Sequential mixed methods consisting of an online questionnaire with structured and open questions completed by 108 GPs and 258 DNs, followed by three homogenous online focus groups with 8 GPs and 19 DNs, analyzed through open coding...
November 8, 2018: BMC Health Services Research
Fitsum Sebsibe Teni, Begashaw Melaku Gebresillassie, Eshetie Melese Birru, Sewunet Admasu Belachew, Yonas Getaye Tefera, Befikadu Legesse Wubishet, Bethelhem Hailu Tekleyes, Bilal Tessema Yimer
BACKGROUND: Out-of-pocket expenditure constitutes high proportion of healthcare spending in low-income countries. It can affect patients' adherence to treatments leading to serious health consequences. The objective of this study was to document costs incurred by patients visiting Gondar University Referral Hospital, in Gondar, northwestern Ethiopia. METHODS: An institution-based cross-sectional study was conducted among 346 outpatients at the hospital from 2nd to 20th of May 2016...
November 8, 2018: BMC Health Services Research
Jon Erik Finnvold
BACKGROUND: The foreign-born population in Norway displays considerable diversity in terms of source country, socioeconomic status and settlement experience. This study assessed the consequences of this diversity for the risk of being admitted to hospital with a serious condition. To what extent could variations between immigrant and native-born hospitalisation patterns be accounted for by variations in income, education and residential area characteristics? METHODS: The study linked information on socioeconomic and geographical level-of-living factors involving 2,820,283 individuals between 20 and 69 years old to hospital admissions recorded in Norway's National Patient Registry...
November 8, 2018: BMC Health Services Research
Anders Ersson, Anders Beckman, Johan Jarl, Jonas Borell
BACKGROUND: To benefit from the increasing clinical evidence, organisational changes have been among the main drivers behind the reduction of ICU mortality during the last decade. Increasing demand, costs and complexity, amplifies the need for optimisation of clinical processes and resource utilisation. Thus, multidisciplinary teamwork and critical care processes needs to be adapted to profit from increased availability of human skill and technical resources in a cost-effective manner...
November 7, 2018: BMC Health Services Research
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