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"Health services research"

Gunter Laux, Sarah Berger, Joachim Szecsenyi, Petra Kaufmann-Kolle, Rüdiger Leutgeb
BACKGROUND: The objective of this study was to analyze prescription decisions for family practice (FP) patients with Diabetes mellitus type 2 (DM2) using the case of the incretin mimetics Dipeptidyl peptidase-4 (DDP-4) inhibitors and Glucagon-like peptide-1 (GLP-1) agonists dependent on patients' health insurance status (statutory or private) in Germany. This study is important since the scientific debate is still open with regard to DPP-4-inhibitors and GLP-1-agonists, where some critics are raising questions on potential long-term risks for patients...
October 19, 2016: BMC Family Practice
M Schrappe, H Pfaff
In Germany, Health Services Research (HSR) is undergoing rapid and impressive development. Starting from the translation of methods in individual health care (efficacy-effectiveness gap) and the social-scientific description as well as analysis of health care structures and processes, now it is the implementation of complex interventions on the organizational and system level that is the center of interest. This development is mainly triggered by the establishment of the so-called innovation funds by means of legislation in 2015, which has the task to evaluate structural changes and reforms in outpatient and integrated health care...
October 18, 2016: Das Gesundheitswesen
Kathryn Macapagal, Ramona Bhatia, George J Greene
PURPOSE: Health services research involving lesbian, gay, bisexual, transgender, queer, and questioning (LGBTQ) individuals has focused on differences in healthcare access, use, and experiences between cisgender, heterosexual adults and LGBTQ adults. Yet these factors may differ within the LGBTQ community and have not been well-studied among emerging adults (18-29 years), a group with unique barriers to healthcare. We sought to characterize healthcare challenges within a sample of LGBTQ emerging adults...
October 11, 2016: LGBT Health
Heather Douglas, Andrew Georgiou, Johanna Westbrook
Objectives Social participation has generated a wealth of research in gerontology, but the concept suffers from a lack of conceptual clarity that renders it difficult to define and measure. This means that research on social participation is difficult to compare directly. The aim of the present study was to draw the literature on social participation in older adults together to inform health services researchers seeking to investigate social participation as an indicator of successful aging.Methods A narrative review of studies investigating the association between social participation and health in adults aged 65 years and older was conducted...
October 7, 2016: Australian Health Review: a Publication of the Australian Hospital Association
Lusine Poghosyan, Robert J Lucero, Ashley R Knutson, Mark W Friedberg, Hermine Poghosyan
Purpose The purpose of this paper is to synthesize existing evidence regarding health care team networks, including their formation and association with outcomes in various health care settings. Design/methodology/approach Network theory informed this review. A literature search was conducted in major databases for studies that used social network analysis methods to study health care teams in the USA between 2000 and 2014. Retrieved studies were reviewed against inclusion and exclusion criteria. Findings Overall, 25 studies were included in this review...
October 10, 2016: Journal of Health Organization and Management
Joan Stephenson
No abstract text is available yet for this article.
September 30, 2016: JAMA: the Journal of the American Medical Association
Roderick S Hooker, Douglas W Roblin, James F Cawley
No abstract text is available yet for this article.
October 2016: JAAPA: Official Journal of the American Academy of Physician Assistants
Katrin Straubhaar, Philipp Schuetz, Claudine Angela Blum, Nicole Nigro, Briel Matthias, Mirjam Christ-Crain, Beat Mueller, Step Study Group
PRINCIPLES: In-hospital care of patients with community-acquired pneumonia (CAP) varies across hospitals. Understanding of the underlying factors is the basis for tailored quality improvements. Using data from a randomised controlled Swiss-wide multicentre trial, we compared length of stay (LOS) and other patient outcomes according to (A) the use of a procalcitonin (PCT)-based antibiotic stewardship protocol, (B) institution type (university vs non-university), and (C) historical time period in relation to the introduction of Diagnosis Related Group (DRG) reimbursement (2012)...
2016: Swiss Medical Weekly
Cristina Martínez, Montse Ballbè, Miquel Vilardell, Marcela Fu, Esteve Fernández
BACKGROUND: Much of the recent health services research on tobacco control implementation has explored general views and perceptions of health professionals and has rarely taken into account middle management's perspectives. We state that middle managers may facilitate the implementation of smoke-free campus bans and thereby improve their effectiveness. The aim of this study was to assess middle managers' behaviors to enforce a new national smoke-free hospital campus ban, to evaluate their perceptions of the level of compliance of the new regulation, and to explore their attitudes towards how smoking affects the work environment...
2016: BMC Health Services Research
Feryal Erhun, Elizabeth Malcolm, Maziyar Kalani, Kimberly Brayton, Christine Nguyen, Steven M Asch, Terry Platchek, Arnold Milstein
OBJECTIVES: Nearly 57 million outpatient surgeries-invasive procedures performed on an outpatient basis in hospital outpatient departments (HOPDs) or ambulatory surgery centers (ASCs)-produced annually in the United States account for roughly 7% of healthcare expenditures. Although moving inpatient surgeries to outpatient settings has lowered the cost of care, substantial opportunities to improve the value of outpatient surgery remain. To exploit these remaining opportunities, we composed an evidence-based care delivery composite for national discussion and pilot testing...
2016: American Journal of Managed Care
Amie Steel, Jayne Lucke, Rebecca Reid, Jon Adams
BACKGROUND: The value and importance of preconception care (PCC) have been acknowledged by leading health organizations as a vital element within preventive medicine and health promotion for the wider population. The translation of PCC from position statement to relevant service and programme delivery is essential for the benefits of PCC to be realized and relies on insights from health services research. This article aims to review contemporary health services research literature examining women's and health professionals' perceptions and experiences of PCC services...
September 20, 2016: Family Practice
Jessica Chubak, Rebecca Ziebell, Robert T Greenlee, Stacey Honda, Mark C Hornbrook, Mara Epstein, Larissa Nekhlyudov, Pamala A Pawloski, Debra P Ritzwoller, Nirupa R Ghai, Heather Spencer Feigelson, Heather A Clancy, V Paul Doria-Rose, Lawrence H Kushi
PURPOSE: The ability to collect data on patients for long periods prior to, during, and after a cancer diagnosis is critical for studies of cancer etiology, prevention, treatment, outcomes, and costs. We describe such data capacities within the Cancer Research Network (CRN), a cooperative agreement between the National Cancer Institute (NCI) and organized health care systems across the United States. METHODS: Data were extracted from each CRN site's virtual data warehouse using a centrally written and locally executed program...
September 17, 2016: Cancer Causes & Control: CCC
Eric B Larson, Chris Tachibana, Ella Thompson, Gloria D Coronado, Lynn DeBar, Laura M Dember, Stacey Honda, Susan S Huang, Jeffrey G Jarvik, Christine Nelson, Edward Septimus, Greg Simon, Karin E Johnson
Pragmatic clinical trials are increasingly common because they have the potential to yield findings that are directly translatable to real-world healthcare settings. Pragmatic clinical trials need to integrate research into clinical workflow without placing an undue burden on the delivery system. This requires a research partnership between investigators and healthcare system representatives. This paper, organized as a series of case studies drawn from our experience in the NIH Health Care Systems Research Collaboratory, presents guidance from informational interviews of physician-scientists, health services researchers, and delivery system leaders who recently launched pragmatic clinical trials...
September 2016: Healthcare
Michael O Falster, Louisa R Jorm, Alastair H Leyland
OBJECTIVE: To explore patterns of health service use in the lead-up to, and following, admission for a 'preventable' hospitalisation. SETTING: 266 950 participants in the 45 and Up Study, New South Wales (NSW) Australia METHODS: Linked data on hospital admissions, general practitioner (GP) visits and other health events were used to create visual representations of health service use. For each participant, health events were plotted against time, with different events juxtaposed using different markers and panels of data...
2016: BMJ Open
Liam J Caffery, Melinda Martin-Khan, Victoria Wade
Mixed methods research is important to health services research because the integrated qualitative and quantitative investigation can give a more comprehensive understanding of complex interventions such as telehealth than can a single-method study. Further, mixed methods research is applicable to translational research and program evaluation. Study designs relevant to telehealth research are described and supported by examples. Quality assessment tools, frameworks to assist in the reporting and review of mixed methods research, and related methodologies are also discussed...
September 3, 2016: Journal of Telemedicine and Telecare
Josée G Lavoie, Sabrina Wong, Alan Katz, Stephanie Sinclair
Access to geographically disaggregated data is essential for the pursuit of meaningful rural, remote and First Nation health services research. This paper explores the opportunities and challenges associated with undertaking administrative claims data research in the context of two different models of administrative data management: the Manitoba and British Columbia models. We argue that two conditions must be in place to support rural, remote and First Nation health services research: (1) pathways to data access that reconcile the need to protect privacy with the imperative to conduct analyses on disaggregated data; and (2) a trust-based relationship with data providers...
August 2016: Healthcare Policy, Politiques de Santé
Guanmin Chen, Lisa Lix, Karen Tu, Brenda R Hemmelgarn, Norm R C Campbell, Finlay A McAlister, Hude Quan
OBJECTIVE: To determine the data sources and 'look back' intervals to define comorbidities. DATA SOURCES: Hospital discharge abstracts database (DAD), physician claims, population registry and death registry from April 1, 1994 to March 31, 2010 in Alberta, Canada. STUDY DESIGN: Newly-diagnosed hypertension cases from 1997 to 2008 fiscal years were identified and followed up to 12 years. We defined comorbidities using data sources and duration of retrospective observation (6 months, 1 year, 2 years, and 3 years)...
2016: PloS One
Monika Pobiruchin, Sylvia Bochum, Uwe M Martens, Wendelin Schramm
Clinical cancer registries are a valuable data source for health services research (HSR). HSR is in need of high quality routine care data for its evaluations. However, the secondary use of routine data - such as documented cancer cases in a disease registry - poses new challenges in terms of data quality, IT-management, documentation processes and data privacy. In the clinical cancer registry Heilbronn-Franken, real-world data from the Giessen Tumor Documentation System (GTDS) was utilized for analyses of patients' disease processes and guideline adherence in follow-up care...
2016: Studies in Health Technology and Informatics
Richard W Dehn, James F Cawley, Jennifer M Coombs
No abstract text is available yet for this article.
September 2016: JAAPA: Official Journal of the American Academy of Physician Assistants
Allan Riis, Cathrine E Jensen, Helle T Maindal, Flemming Bro, Martin B Jensen
INTRODUCTION: Health service research often involves the active participation of healthcare professionals. However, their ability and commitment to research varies. This can cause recruitment difficulties and thereby prolong the study period and inflate budgets. Solberg has identified seven R-factors as determinants for successfully recruiting healthcare professionals: relationships, reputation, requirements, rewards, reciprocity, resolution, and respect. METHOD: This is a process evaluation of the seven R-factors...
2016: SAGE Open Medicine
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