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Health service resource management

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https://www.readbyqxmd.com/read/29224590/comparative-emergency-department-resource-utilisation-across-age-groups
#1
Ellen Burkett, Melinda G Martin-Khan, Leonard C Gray
Objectives The aim of the present study was to assess comparative emergency department (ED) resource utilisation across age groups.Methods A retrospective analysis of data collected in the National Non-admitted Patient Emergency Department Care Database was undertaken to assess comparative ED resource utilisation across six age groups (0-14, 15-35, 36-64, 65-74, 75-84 and ≥85 years) with previously used surrogate markers of ED resource utilisation.Results Older people had significantly higher resource utilisation for their individual ED episodes of care than younger people, with the effect increasing with advancing age...
December 11, 2017: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/29222704/healthcare-system-barriers-to-long-term-follow-up-for-adult-survivors-of-childhood-cancer-in-british-columbia-canada-a-qualitative-study
#2
A Fuchsia Howard, Arminee Kazanjian, Sheila Pritchard, Rob Olson, Haroon Hasan, Kelly Newton, Karen Goddard
PURPOSE: Risk-stratified life-long follow-up care is recommended for adult childhood cancer survivors (CCS) to ensure appropriate prevention, screening, and management of late effects. The identification of barriers to long-term follow-up (LTFU), particularly in varying healthcare service contexts, is essential to develop and refine services that are responsive to survivor needs. We aimed to explore CCS and healthcare professionals (HCP) perspectives of healthcare system factors that function as barriers to LTFU in British Columbia, Canada...
December 8, 2017: Journal of Cancer Survivorship: Research and Practice
https://www.readbyqxmd.com/read/29219128/economic-burden-of-managing-type-2-diabetes-mellitus-analysis-from-a-teaching-hospital-in-malaysia
#3
Aniza Ismail, Leny Suzana Suddin, Saperi Sulong, Zafar Ahmed, Nor Azmi Kamaruddin, Norlela Sukor
BACKGROUND: Type 2 diabetes mellitus (T2DM) is a chronic disease that consumes a large amount of health-care resources. It is essential to estimate the cost of managing T2DM to the society, especially in developing countries. Economic studies of T2DM as a primary diagnosis would assist efficient health-care resource allocation for disease management. OBJECTIVE: This study aims to measure the economic burden of T2DM as the primary diagnosis for hospitalization from provider's perspective...
October 2017: Indian Journal of Public Health
https://www.readbyqxmd.com/read/29219085/perceptions-about-data-informed-decisions-an-assessment-of-information-use-in-high-hiv-prevalence-settings-in-south-africa
#4
Edward Nicol, Debbie Bradshaw, Jeannine Uwimana-Nicol, Lilian Dudley
BACKGROUND: Information-use is an integral component of a routine health information system and essential to influence policy-making, program actions and research. Despite an increased amount of routine data collected, planning and resource-allocation decisions made by health managers for managing HIV programs are often not based on data. This study investigated the use of information, and barriers to using routine data for monitoring the prevention of mother-to-child transmission of HIV (PMTCT) programs in two high HIV-prevalence districts in South Africa...
December 4, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/29218714/using-a-service-design-model-to-develop-the-passport-to-safer-birth-in-nigeria-and-uganda
#5
Mariana Salgado, Melanie Wendland, Damaris Rodriguez, Meghan A Bohren, Olufemi T Oladapo, Olubunmi A Ojelade, Adebimpe A Olalere, Ronald Luwangula, Kidza Mugerwa, Bukola Fawole
OBJECTIVE: To demonstrate how a human-centered service design approach can generate practical tools for good-quality childbirth care in low-resource settings. METHODS: As part of the WHO "Better Outcomes in Labour Difficulty" (BOLD) project, a service design approach was used in eight Ugandan and Nigerian health facilities and communities to develop the "Passport to Safer Birth." There are three phases: Research for Design, Concept Design, and Detail Design. These generated design principles, design archetype personas, and Passport prototypes...
December 7, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/29216816/acute-kidney-injury-in-low-and-middle-income-countries-investigations-management-and-prevention
#6
Mohamed B Abdelraheem
Acute kidney injury (AKI) is a relatively common condition, encountered in everyday paediatric clinical practice. It is an important cause of morbidity and mortality in children both inside and outside intensive care units. It is associated with prolonged hospital stay and progression to chronic kidney disease. The burden of AKI is particularly high in low- and middle-income countries where rural areas and smaller cities in the countryside predominate. Most of these areas suffer from poverty, poor sanitation, water quality and hygiene, lack of education and poor access to health care...
November 2017: Paediatrics and International Child Health
https://www.readbyqxmd.com/read/29215810/pediatric-deaths-attributed-to-complex-chronic-conditions-over-10-years-in-korea-evidence-for-the-need-to-provide-pediatric-palliative-care
#7
Min Sun Kim, Nam Gu Lim, Hyun Joo Kim, Chohee Kim, Jin Yong Lee
BACKGROUND: Pediatric palliative care (PPC) is the active total care of children suffering from life-threatening illnesses. Palliative care includes symptom management, psychosocial support, and end-of-life care. Despite significant advances in disease diagnosis and treatment, resources for PPC of children with serious illnesses are limited in Korea. This study aimed to investigate the scale, time trends, disease composition, regional distribution, and unmet needs of children dying from complex chronic conditions (CCCs)...
January 1, 2018: Journal of Korean Medical Science
https://www.readbyqxmd.com/read/29208755/home-mechanical-ventilation-a-12-year-population-based-retrospective-cohort-study
#8
Marcus Povitz, Louise Rose, Salimah Z Shariff, Sean Leonard, Blayne Welk, Krista Bray Jenkyn, David J Leasa, Andrea S Gershon
BACKGROUND: Increasing numbers of individuals are being initiated on home mechanical ventilation, including noninvasive (bi-level) and invasive mechanical ventilation delivered via tracheostomy due to chronic respiratory failure to enable symptom management and promote quality of life. Given the high care needs of these individuals, a better understanding of the indications for home mechanical ventilation, and health-care utilization is needed. METHODS: We performed a retrospective cohort study using provincial health administrative data from Ontario, Canada (population ∼13,000,000)...
December 5, 2017: Respiratory Care
https://www.readbyqxmd.com/read/29208588/app-supported-promotion-of-child-growth-and-development-by-community-health-workers-in-kenya-feasibility-and-acceptability-study
#9
Alastair van Heerden, Debjeet Sen, Chris Desmond, Julia Louw, Linda Richter
BACKGROUND: Early childhood is a critical phase of development. In low resource settings, monitoring this stage of development and providing appropriate and timely feedback is a challenge. Community-based service providers play a key role in promoting early childhood development in areas where government services are weak. These community-based service providers are also tasked with the collection of monitoring and evaluation data for donors and local government. Usually, collection of these data aims to provide accountability, learning, and correction leading to improvement...
December 5, 2017: JMIR MHealth and UHealth
https://www.readbyqxmd.com/read/29207973/identifying-models-of-hiv-care-and-treatment-service-delivery-in-tanzania-uganda-and-zambia-using-cluster-analysis-and-delphi-survey
#10
Sharon Tsui, Julie A Denison, Caitlin E Kennedy, Larry W Chang, Olivier Koole, Kwasi Torpey, Eric Van Praag, Jason Farley, Nathan Ford, Leine Stuart, Fred Wabwire-Mangen
BACKGROUND: Organization of HIV care and treatment services, including clinic staffing and services, may shape clinical and financial outcomes, yet there has been little attempt to describe different models of HIV care in sub-Saharan Africa (SSA). Information about the relative benefits and drawbacks of different models could inform the scale-up of antiretroviral therapy (ART) and associated services in resource-limited settings (RLS), especially in light of expanded client populations with country adoption of WHO's test and treat recommendation...
December 6, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/29205613/survival-of-extensive-restorations-in-primary-molars-15-year-practice-based-study
#11
Battsetseg Tseveenjav, Jussi Furuholm, Aida Mulic, Håkon Valen, Tuomo Maisala, Seppo Turunen, Sinikka Varsio, Merja Auero, Leo Tjäderhane
BACKGROUND: Caries decline in the western world is accompanied by strong polarization among children; 8% of Finnish 5-year-olds having 76% of untreated caries. This high caries risk group needs preventive and restorative strategies. AIM: To explore survival of extensive restorations in primary molars. DESIGN: This study was based on health records from 2002 to 2016 of children under 18 years. RESULTS: Of severely affected primary molars (n = 1061), 41% were restored with preformed metal crowns (PMCs), 38% with glass-ionomer cement (GIC)/polyacid-modified resin composite (PAMRC)/resin-modified GIC (RMGIC), and 21% with resin composites (RC)...
December 3, 2017: International Journal of Paediatric Dentistry
https://www.readbyqxmd.com/read/29202307/the-impact-of-free-healthcare-on-women-s-capability-a-qualitative-study-in-rural-burkina-faso
#12
Oumar Mallé Samb, Valery Ridde
In March 2006, the government of Burkina Faso implemented an 80% subsidy for emergency obstetric and neonatal care (EmONC). To complement this subsidy, an NGO decided to cover the remaining 20% in two districts of the country, making EmONC completely free for women there. In addition, the NGO instituted fee exemptions for children under five years of age in those two districts. We conducted a qualitative study in 2011 to examine the impact of these free healthcare interventions on women's capability. We conducted semi-structured interviews with 40 women, 16 members of health centre management committees, and eight healthcare workers in three health districts, as well as a documentary analysis...
November 28, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/29199517/determinants-of-variable-resource-use-for-multidisciplinary-team-meetings-in-cancer-care
#13
Nathalie Alexandersson, Linn Rosell, Jessica Wihl, Björn Ohlsson, Katarina Steen Carlsson, Mef Nilbert
BACKGROUND: Multidisciplinary team meetings (MDTMs) have developed into standard of care to provide expert opinion and to grant evidence-based recommendations on diagnostics and treatment of cancer. Though MDTMs are associated with a range of benefits, a growing number of cases, complex case discussion and an increasing number of participants raise questions on cost versus benefit. We aimed to determine cost of MDTMs and to define determinants hereof based on observations in Swedish cancer care...
December 3, 2017: Acta Oncologica
https://www.readbyqxmd.com/read/29196350/frequency-of-stepping-down-antibiotics-and-nebuliser-treatment-is-lower-at-weekends-compared-to-weekdays-an-observational-study
#14
Sarah Lewis, Tessa Langley, Julia Lacey, Rob Skelly, Mark Norwood, Nigel Sturrock, Andrew Fogarty
We hypothesised that delays in providing non-urgent medication step-downs at weekends to medical management may be associated with increased length of stay.In a novel use of electronic prescribing data, we analysed emergency admissions from a busy acute medical hospital over 52 weeks from November 2014 to October 2015. The main outcomes of interest were switching from intravenous antibiotics to oral antibiotics and stopping nebulised bronchodilators. The rate of switching from intravenous to oral antibiotics was lower on Saturdays and Sundays compared with weekdays, and the rate of stopping nebulised bronchodilators was similarly lower at weekends (p<0...
December 2017: Clinical Medicine: Journal of the Royal College of Physicians of London
https://www.readbyqxmd.com/read/29194544/numbers-systems-people-how-interactions-influence-integration-insights-from-case-studies-of-hiv-and-reproductive-health-services-delivery-in-kenya
#15
Susannah H Mayhew, Sedona Sweeney, Charlotte E Warren, Martine Collumbien, Charity Ndwiga, Richard Mutemwa, Irina Lut, Manuela Colombini, Anna Vassall
Drawing on rich data from the Integra evaluation of integrated HIV and reproductive-health services, we explored the interaction of systems hardware and software factors to explain why some facilities were able to implement and sustain integrated service delivery while others were not. This article draws on detailed mixed-methods data for four case-study facilities offering reproductive-health and HIV services between 2009 and 2013 in Kenya: (i) time-series client flow, tracking service uptake for 8841 clients; (ii) structured questionnaires with 24 providers; (iii) in-depth interviews with 17 providers; (iv) workload and facility data using a periodic activity review and cost-instruments; and (v) contextual data on external activities related to integration in study sites...
November 1, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/29191798/using-android-and-open-data-kit-technology-in-data-management-for-research-in-resource-limited-settings-in-the-niger-delta-region-of-nigeria-cross-sectional-household-survey
#16
Omosivie Maduka, Godwin Akpan, Sylvester Maleghemi
BACKGROUND: Data collection in Sub-Saharan Africa has traditionally been paper-based. However, the popularization of Android mobile devices and data capture software has brought paperless data management within reach. We used Open Data Kit (ODK) technology on Android mobile devices during a household survey in the Niger Delta region of Nigeria. OBJECTIVE: The aim of this study was to describe the pros and cons of deploying ODK for data management. METHODS: A descriptive cross-sectional household survey was carried out by 6 data collectors between April and May 2016...
November 30, 2017: JMIR MHealth and UHealth
https://www.readbyqxmd.com/read/29190816/a-national-survey-of-clinical-pharmacy-services-in-county-hospitals-in-china
#17
Dongning Yao, Xiaoyu Xi, Yuankai Huang, Hao Hu, Yuanjia Hu, Yitao Wang, Wenbing Yao
BACKGROUND: Clinical pharmacy is not only a medical science but also an elaborate public health care system firmly related to its subsystems of education, training, qualification authentication, scientific research, management, and human resources. China is a developing country with a tremendous need for improvements in the public health system, including the clinical pharmacy service system. OBJECTIVES: The aim of this research was to evaluate the infrastructure and personnel qualities of clinical pharmacy services in China...
2017: PloS One
https://www.readbyqxmd.com/read/29189059/pilot-evaluation-of-the-management-of-chronic-oedema-in-community-settings-project
#18
Ioan Humphreys, Melanie J Thomas, Karen M Morgan
AIMS: The aim of this economic analysis was to estimate the economic impact of the On the Ground Education Programme (OGEP) within one local University Health Board (UHB) in Wales. BACKGROUND: The burden of managing chronic oedema can be considerable to the NHS. Developing innovative solutions to the care and management of patients with chronic oedema has the potential to deliver prudent, cost-effective and high quality care within NHS Wales. DESIGN: The study was a pilot Evaluation of the OGEP using retrospectively and prospectively collected patient recalled data...
December 2, 2017: British Journal of Community Nursing
https://www.readbyqxmd.com/read/29187927/our-chairman-is-very-efficient-community-participation-in-the-delivery-of-primary-health-care-in-ibadan-southwest-nigeria
#19
Omowunmi Folake Iyanda, Oluwaseun Oladapo Akinyemi
Introduction: Community participation is rapidly being viewed as a requirement for the successful acceptance of health services; it integrates a complicated process which involves customs, beliefs, culture and power relations, not only structures and policies. Yet, there is a wide knowledge gap and changes favouring community participation in primary health care is still minimal. This study aims to assess the process indicators and other factors influencing community participation in the delivery of primary health care...
2017: Pan African Medical Journal
https://www.readbyqxmd.com/read/29187196/development-of-a-monitoring-instrument-to-assess-the-performance-of-the-swiss-primary-care-system
#20
Sonja T Ebert, Valérie Pittet, Jacques Cornuz, Nicolas Senn
BACKGROUND: The Swiss health system is customer-driven with fee-for-service paiement scheme and universal coverage. It is highly performing but expensive and health information systems are scarcely implemented. The Swiss Primary Care Active Monitoring (SPAM) program aims to develop an instrument able to describe the performance and effectiveness of the Swiss PC system. METHODS: Based on a Literature review we developed a conceptual framework and selected indicators according to their ability to reflect the Swiss PC system...
November 29, 2017: BMC Health Services Research
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