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BMC Health Services Research

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https://www.readbyqxmd.com/read/27905957/factors-associated-with-no-shows-and-rescheduling-mri-appointments
#1
Majeed O AlRowaili, Anwar E Ahmed, Hasan A Areabi
BACKGROUND: One of the major challenges facing global radiology services comes from delays connected to long waiting lists for magnetic resonance imaging (MRI) procedures. Such delays in diagnostic procedures could lead to poorer patient care outcomes. This study intended to estimate the rate of "No-Shows" or "Reschedule" MRI appointments. We also investigated the factors correlating No-Shows and Reschedule MRI appointments. METHODS: A cross-sectional study was conducted in Saudi Arabia using data obtained via MRI schedule reviews and self-administrated questionnaires...
December 1, 2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27905923/navigating-the-journey-of-aboriginal-childhood-disability-a-qualitative-study-of-carers-interface-with-services
#2
Anna Green, Penelope Abbott, Patricia Delaney, Patrick Patradoon-Ho, John Delaney, Patricia Mary Davidson, Michelle DiGiacomo
BACKGROUND: The disadvantage experienced by Aboriginal and Torres Strait Islander children with a disability is well recognized. The long term consequences of failing to address disability on health, education and employment underlies the importance of early intervention. Caregivers experience a disproportionate burden and have challenges accessing services. The aim of this study was to describe the carer journey of accessing support and services. METHODS: We conducted in-depth semi-structured interviews with nineteen parents and carers of Aboriginal children aged 0-8 years...
December 1, 2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27903252/shifting-tides-in-the-emigration-patterns-of-canadian-physicians-to-the-united-states-a-cross-sectional-secondary-data-analysis
#3
Thomas R Freeman, Stephen Petterson, Sean Finnegan, Andrew Bazemore
BACKGROUND: The relative ease of movement of physicians across the Canada/US border has led to what is sometimes referred to as a 'brain drain' and previous analysis estimated that the equivalent of two graduating classes from Canadian medical schools were leaving to practice in the US each year. Both countries fill gaps in physician supply with international medical graduates (IMGs) so the movement of Canadian trained physicians to the US has international ramifications. Medical school enrolments have been increased on both sides of the border, yet there continues to be concerns about adequacy of physician human resources...
December 1, 2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27899106/which-aspects-of-health-care-are-most-valued-by-people-living-with-hiv-in-high-income-countries-a-systematic-review
#4
V Cooper, J Clatworthy, E Youssef, C Llewellyn, A Miners, M Lagarde, M Sachikonye, N Perry, E Nixon, A Pollard, C Sabin, C Foreman, M Fisher
BACKGROUND: Increasing numbers of people with HIV are living into older age and experiencing comorbidities. The development of new models of care to meet the needs of this population is now a priority. It is important that the views and preferences of patients inform the development of services in order to maintain high levels of patient satisfaction and engagement. The aim of this systematic review was to determine which aspects of healthcare are particularly valued by people living with HIV...
November 30, 2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27894301/erratum-to-advanced-practice-pharmacists-a-retrospective-evaluation-of-the-efficacy-and-cost-of-clinical-pharmacist-practitioners-managing-ambulatory-medicare-patients-in-north-carolina-apple-nc
#5
Michèle M Kislan, Adam T Bernstein, Loretta R Fearrington, Timothy J Ives
No abstract text is available yet for this article.
November 28, 2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27894298/effect-of-continuity-of-care-on-health-related-quality-of-life-in-adult-patients-with-hypertension-a-cohort-study-in-china
#6
Ting Ye, Xiaowei Sun, Wenxi Tang, Yudong Miao, Yan Zhang, Liang Zhang
BACKGROUND: Continuity of care is widely considered a principle of primary care that decreases healthcare utilization and mortality. However, the effect of continuity of care on health-related quality of life (HRQoL) for adult patients with hypertension remains unclear. METHODS: To further evaluate the effect of continuity of care, we implemented a cohort study among hypertensive patients aged over 35 years (n = 1200) in six townships in Qianjiang District, Chongqing, China, between 2012 and 2014...
November 28, 2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27894289/the-patient-reporting-and-action-for-a-safe-environment-prase-intervention-a-feasibility-study
#7
Jane K O'Hara, Rebecca J Lawton, Gerry Armitage, Laura Sheard, Claire Marsh, Kim Cocks, Rosie R C McEachan, Caroline Reynolds, Ian Watt, John Wright
BACKGROUND: There is growing interest in the role of patients in improving patient safety. One such role is providing feedback on the safety of their care. Here we describe the development and feasibility testing of an intervention that collects patient feedback on patient safety, brings together staff to consider this feedback and to plan improvement strategies. We address two research questions: i) to explore the feasibility of the process of systematically collecting feedback from patients about the safety of care as part of the PRASE intervention; and, ii) to explore the feasibility and acceptability of the PRASE intervention for staff, and to understand more about how staff use the patient feedback for service improvement...
November 28, 2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27894286/the-family-experiences-of-in-hospital-care-questionnaire-in-severe-traumatic-brain-injury-fecq-tbi-a-validation-study
#8
Audny Anke, Unn Sollid Manskow, Oddgeir Friborg, Cecilie Røe, Cathrine Arntzen
BACKGROUND: Family members are important for support and care of their close relative after severe traumas, and their experiences are vital health care quality indicators. The objective was to describe the development of the Family Experiences of in-hospital Care Questionnaire for family members of patients with severe Traumatic Brain Injury (FECQ-TBI), and to evaluate its psychometric properties and validity. METHODS: The design of the study is a Norwegian multicentre study inviting 171 family members...
November 28, 2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27884186/general-practitioners-in-german-metropolitan-areas-distribution-patterns-and-their-relationship-with-area-level-measures-of-the-socioeconomic-status
#9
Jan Bauer, Doerthe Brueggmann, Daniela Ohlendorf, David A Groneberg
BACKGROUND: Geographical variation of the general practitioner (GP) workforce is known between rural and urban areas. However, data about the variation between and within urban areas are lacking. METHOD: We analyzed distribution patterns of GP full time equivalents (FTE) in German cities with a population size of more than 500,000. We correlated their distribution with area measures of social deprivation in order to analyze preferences within neighborhood characteristics...
November 25, 2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27876047/effects-of-longitudinal-changes-in-charlson-comorbidity-on-prognostic-survival-model-performance-among-newly-diagnosed-patients-with-hypertension
#10
Peter Rymkiewicz, Pietro Ravani, Brenda R Hemmelgarn, Finlay A McAlister, Danielle A Southern, Robin Walker, Guanmin Chen, Hude Quan
BACKGROUND: To assess the use of updated comorbidity information over time on ability to predict mortality among adults with newly diagnosed hypertension. METHODS: We studied adults 18 years and older with an incident diagnosis of hypertension from Alberta, Canada. We compared the prognostic performance of Cox regression models using Charlson comorbidities as time-invariant covariates at baseline (TIC) versus models including Charlson comorbidities as time-varying covariates (TVC) using Akaike Information Criterion (AIC) for testing goodness of fit...
November 22, 2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27876035/study-protocol-evaluation-of-a-dvd-intervention-designed-to-meet-the-informaton-needs-of-patients-with-head-and-neck-cancer-and-their-partner-carer-and-families
#11
Vicki Parker, Leearna Bennett, Douglas Bellamy, Benjamin Britton, Sylvia Lambert
BACKGROUND: Patients who undergo surgery for cancer of the head and neck and their families face complex and difficult challenges and are at risk of anxiety and depression and inability to cope with symptom and treatment burden. Information available to support them is not flexible enough to adjust to individual need. DESIGN/METHODS: A randomised clinical trial pre and post intervention design, comparing the use of a tailored DVD intervention, provided preoperatively and used throughout the post- operative period, with usual treatment...
November 22, 2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27871333/building-a-competent-health-manager-at-district-level-a-grounded-theory-study-from-eastern-uganda
#12
Moses Tetui, Anna-Karin Hurtig, Elizabeth Ekirpa-Kiracho, Suzanne N Kiwanuka, Anna-Britt Coe
BACKGROUND: Health systems in low-income countries are often characterized by poor health outcomes. While many reasons have been advanced to explain the persistently poor outcomes, management of the system has been found to play a key role. According to a WHO framework, the management of health systems is central to its ability to deliver needed health services. In this study, we examined how district managers in a rural setting in Uganda perceived existing approaches to strengthening management so as to provide a pragmatic and synergistic model for improving management capacity building...
November 21, 2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27871324/factors-affecting-the-delivery-of-community-pharmacist-led-medication-reviews-evidence-from-the-medscheck-annual-service-in-ontario
#13
Petros Pechlivanoglou, Lusine Abrahamyan, Linda MacKeigan, Giulia P Consiglio, Lisa Dolovich, Ping Li, Suzanne M Cadarette, Valeria E Rac, Jonghyun Shin, Murray Krahn
BACKGROUND: Medication reviews have become part of pharmacy practice across developed countries. This study aimed to identify factors affecting the likelihood of eligible Ontario seniors receiving a pharmacy-led medication review called MedsCheck annual (MCA). METHODS: We designed a cohort study using a random sample of pharmacy claims for MCA-eligible Ontario seniors using linked administrative data from April 2012 to March 2013. Guided by a conceptual framework, we constructed a generalized-estimating-equations model to estimate the effect of patient, pharmacy and community factors on the likelihood of receiving MCA...
November 21, 2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27871296/work-hours-and-turnover-intention-among-hospital-physicians-in-taiwan-does-income-matter
#14
Yu-Hsuan Tsai, Nicole Huang, Li-Yin Chien, Jen-Huai Chiang, Shu-Ti Chiou
BACKGROUND: Physician shortage has become an urgent and critical challenge to many countries. According to the workforce dynamic model, long work hours may be one major pressure point to the attrition of physicians. Financial incentive is a common tool to human power retention. Therefore, this large-scale physician study investigated how pay satisfaction may influence the relationship between work hours and hospital physician's turnover intention. METHODS: Data were obtained from a nationwide survey of full-time hospital staff members working at 100 hospitals in Taiwan...
November 21, 2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27871283/improving-the-quality-of-primary-care-by-allocating-performance-based-targets-in-a-diverse-insured-population
#15
Ronit Peled, Avi Porath, Rachel Wilf-Miron
BACKGROUND: Primary Care Health organizations, operating under universal coverage and a regulated package of benefits, compete mainly over quality of care. Monitoring, primary care clinical performance, has been repeatedly proven effective in improving the quality of care. In 2004, Maccabi Healthcare Services (MHS), the second largest Israeli HMO, launched its Performance Measurement System (PMS) based on clinical quality indicators. A unique module was built in the PMS to adjust for case mix while tailoring targets to the local units...
November 21, 2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27871282/a-mother-s-choice-a-qualitative-study-of-mothers-health-seeking-behaviour-for-their-children-with-acute-diarrhoea
#16
Lucy Cunnama, Ayako Honda
BACKGROUND: Diarrhoea presents a considerable health risk to young children and is one of the leading causes of infant mortality. Although proven cost-effective interventions exist, South Africa is yet to reach the Sustainable Development Goals set for the elimination of preventable under-five mortality and water-borne diseases. The rural study area in the Eastern Cape of South Africa continues to have a parallel health system comprising traditional and modern healthcare services. It is in this setting that this study aimed to qualitatively examine the beliefs surrounding and perceived quality of healthcare accessed for children's acute diarrhoea...
November 21, 2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27863486/costs-of-conservative-management-of-early-stage-prostate-cancer-compared-to-radical-prostatectomy-a-claims-data-analysis
#17
Alina Brandes, Florian Koerber, Larissa Schwarzkopf, Matthias Hunger, Wolf H Rogowski, Raphaela Waidelich
BACKGROUND: Due to widespread PSA testing incidence rates of localized prostate cancer increase but curative treatment is often not required. Overtreatment imposes a substantial economic burden on health care systems. We compared the direct medical costs of conservative management and radical therapy for the management of early-stage prostate cancer in routine care. METHODS: An observational study design is chosen based on claims data of a German statutory health insurance fund for the years 2008-2011...
November 18, 2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27863484/methods-used-to-address-fidelity-of-receipt-in-health-intervention-research-a-citation-analysis-and-systematic-review
#18
Lorna Rixon, Justine Baron, Nadine McGale, Fabiana Lorencatto, Jill Francis, Anna Davies
BACKGROUND: The American Behaviour Change Consortium (BCC) framework acknowledges patients as active participants and supports the need to investigate the fidelity with which they receive interventions, i.e. receipt. According to this framework, addressing receipt consists in using strategies to assess or enhance participants' understanding and/or performance of intervention skills. This systematic review aims to establish the frequency with which receipt is addressed as defined in the BCC framework in health research, and to describe the methods used in papers informed by the BCC framework and in the wider literature...
November 18, 2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27855673/gender-and-physician-specialization-and-practice-settings-in-ecuador-a-qualitative-study
#19
Rita Bedoya-Vaca, Kathryn P Derose, Natalia Romero-Sandoval
BACKGROUND: The increasing proportion of women in the medical profession is a worldwide phenomenon often called the "feminization of medicine." However, it is understudied in low and middle-income countries, particularly in Latin America. METHODS: Using a qualitative, descriptive design, we explored the influence of gender and other factors on physician career decision-making and experiences, including medical specialty and public vs. private practice, in Quito, Ecuador, through in-depth, semi-structured interviews (n = 31) in 2014...
November 17, 2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27852291/shifting-human-resources-for-health-in-the-context-of-art-provision-qualitative-and-quantitative-findings-from-the-lablite-baseline-study
#20
Misheck J Nkhata, Margaret Muzambi, Deborah Ford, Adrienne K Chan, George Abongomera, Harriet Namata, Ivan Mambule, Annabelle South, Paul Revill, Caroline Grundy, Travor Mabugu, Levison Chiwaula, James Hakim, Cissy Kityo, Andrew Reid, Elly Katabira, Sumeet Sodhi, Charles F Gilks, Diana M Gibb, Janet Seeley, Fabian Cataldo
BACKGROUND: Lablite is an implementation project supporting and studying decentralized antiretroviral therapy (ART) rollout to rural communities in Malawi, Uganda and Zimbabwe. Task shifting is one of the strategies to deal with shortage of health care workers (HCWs) in ART provision. Evaluating Human Resources for Health (HRH) optimization is essential for ensuring access to ART. The Lablite project started with a baseline survey whose aim was to describe and compare national and intercountry delivery of ART services including training, use of laboratories and clinical care...
November 16, 2016: BMC Health Services Research
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