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Satisfaction with clinical pathway implementation versus job performance of clinicians: empirical evidence on the mediating role of work engagement from public hospitals in Sichuan, China BMC Health Serv. Res. (IF 2.8) Pub Date : 2024-03-16 Junlong Li, Lu Ao, Jay Pan
The job performance of clinicians is a clear indicator of both hospital capacity and the level of hospital service. It plays a crucial role in maintaining the effectiveness and quality of medical care. Clinical pathways are a systematic method of quality improvement successfully recommended by broader healthcare systems. Since clinicians play a key role in implementing clinical pathways in public hospitals
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Core outcomes for speech-language services in Ontario schools: a group concept mapping study and guiding framework BMC Health Serv. Res. (IF 2.8) Pub Date : 2024-03-16 Peter T. Cahill, Mark A. Ferro, Stella Ng, Lyn S. Turkstra, Wenonah N. Campbell
Establishing the most important outcomes for school-based speech-language therapy is essential to guide future research and program evaluation for these services. Many health disciplines have developed core outcomes sets (COS) for this purpose. A COS encompasses the most important outcomes for particular health services as identified by appropriate interested parties. These interested parties usually
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Equity and unmet need of non-communicable diseases services in Saudi Arabia using a National Household Survey (2019) BMC Health Serv. Res. (IF 2.8) Pub Date : 2024-03-16 Maha Alattas, Sarah Gordon, Lora L. Sabin, Fadi El-jardali, Veronika J. Wirtz
Saudi Arabia is implementing a comprehensive health system transformation in health services provision, governance, and financing. Given the high burden of non-communicable diseases (NCD), a key objective of the transformation is to integrate NCD prevention and treatment into primary care. The study objectives were to assess primary care service use for treatment of NCDs, to quantify existing inequities
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The implementation of a perioperative medicine for older people undergoing surgery service: a qualitative case study BMC Health Serv. Res. (IF 2.8) Pub Date : 2024-03-15 Margot E Lodge, Jugdeep Dhesi, David JH Shipway, Philip Braude, Catherine Meilak, Judith Partridge, Nadine E Andrew, Velandai Srikanth, Darshini R Ayton, Chris Moran
The international scale and spread of evidence-based perioperative medicine for older people undergoing surgery (POPS) services has not yet been fully realised. Implementation science provides a structured approach to understanding factors that act as barriers and facilitators to the implementation of POPS services. In this study, we aimed to identify factors that influence the implementation of POPS
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Fluid professional boundaries: ethnographic observations of co-located chiropractors, osteopaths and physiotherapists BMC Health Serv. Res. (IF 2.8) Pub Date : 2024-03-15 Joshua Toloui-Wallace, Roma Forbes, Oliver P. Thomson, Nathalia Costa
Chiropractors, osteopaths and physiotherapists (COPs) can assess and manage musculoskeletal conditions with similar manual or physical therapy techniques. This overlap in scope of practice raises questions about the boundaries between the three professions. Clinical settings where they are co-located are one of several possible influences on professional boundaries and may provide insight into the
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Can the Reboot coaching programme support critical care nurses in coping with stressful clinical events? A mixed-methods evaluation assessing resilience, burnout, depression and turnover intentions BMC Health Serv. Res. (IF 2.8) Pub Date : 2024-03-15 K. S. Vogt, J. Johnson, R. Coleman, R. Simms-Ellis, R. Harrison, N. Shearman, J. Marran, L. Budworth, C. Horsfield, R. Lawton, A. Grange
Critical care nurses (CCNs) are routinely exposed to highly stressful situations, and at high-risk of suffering from work-related stress and developing burnout. Thus, supporting CCN wellbeing is crucial. One approach for delivering this support is by preparing CCNs for situations they may encounter, drawing on evidence-based techniques to strengthen psychological coping strategies. The current study
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Access to child developmental assessment services in culturally and linguistically diverse metropolitan Sydney: a retrospective cohort analysis BMC Health Serv. Res. (IF 2.8) Pub Date : 2024-03-14 Sibella E. Bentley, Pankaj Garg, Ori Gudes, Romy Hurwitz, Sinthu Vivekanandarajah, Lydia Y.L. So
Despite the increasing prevalence of neurodevelopmental disorders (NDD), data regarding access to child development services have remained limited globally. Long wait times are a major barrier to developmental assessments, impacting on care and outcomes. The aim is to retrospectively analyse the demographic profile and prioritisation of patients seen at a child developmental assessment service (CDAS)
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Experiences with telemedicine-based follow-up of chronic conditions: the views of patients and health personnel enrolled in a pragmatic randomized controlled trial BMC Health Serv. Res. (IF 2.8) Pub Date : 2024-03-14 Susanna Sten-Gahmberg, Kine Pedersen, Ingrid Gaarder Harsheim, Hanna Isabel Løyland, Birgit Abelsen
Telemedicine is often promoted as a possible solution to some of the challenges healthcare systems in many countries face, and an increasing number of studies evaluate the clinical effects. So far, the studies show varying results. Less attention has been paid to systemic factors, such as the context, implementation, and mechanisms of these interventions. This study evaluates the experiences of patients
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Exploring homecare leaders’ risk perception and the link to resilience and adaptive capacity: a multiple case study BMC Health Serv. Res. (IF 2.8) Pub Date : 2024-03-14 Ingvild Idsøe-Jakobsen, Heidi Dombestein, Siri Wiig
Home-based healthcare is considered crucial for the sustainability of healthcare systems worldwide. In the homecare context, however, adverse events may occur due to error-prone medication management processes and prevalent healthcare-associated infections, falls, and pressure ulcers. When dealing with risks in any form, it is fundamental for leaders to build a shared situational awareness of what
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Experiences of participants in the co-design of a community-based health service for people with high healthcare service use BMC Health Serv. Res. (IF 2.8) Pub Date : 2024-03-14 Deirdre McGowan, Claire Morley, Emily Hansen, Kelly Shaw, Tania Winzenberg
Incorporating perspectives of health consumers, healthcare workers, policy makers and stakeholders through co-design is essential to design services that are fit for purpose. However, the experiences of co-design participants are poorly understood. The aim of this study is to explore the experiences and perceptions of people involved in the co-design of a new service for people with high healthcare
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Aligning organisational priorities and implementation science for cancer research BMC Health Serv. Res. (IF 2.8) Pub Date : 2024-03-14 Stephanie Best, Karin Thursky, Mark Buzza, Marlena Klaic, Sanne Peters, Lisa Guccione, Alison Trainer, Jillian Francis
The challenge of implementing evidence into routine clinical practice is well recognised and implementation science offers theories, models and frameworks to promote investigation into delivery of evidence-based care. Embedding implementation researchers into health systems is a novel approach to ensuring research is situated in day-to-day practice dilemmas. To optimise the value of embedded implementation
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Understanding the unique and common perspectives of partners engaged in knowledge mobilization activities within pediatric pain management: a mixed methods study BMC Health Serv. Res. (IF 2.8) Pub Date : 2024-03-14 Nicole E. MacKenzie, Christine T. Chambers, Christine E. Cassidy, Penny V. Corkum, Meghan E. McGrady, Jennifer A. Parker, Kathryn A. Birnie
Knowledge mobilization (KM) is essential to close the longstanding evidence to practice gap in pediatric pain management. Engaging various partners (i.e., those with expertise in a given topic area) in KM is best practice; however, little is known about how different partners engage and collaborate on KM activities. This mixed-methods study aimed to understand what different KM partner groups (i.e
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Real-time evaluation and adaptation to facilitate rapid recruitment in a large, prospective cohort study BMC Health Serv. Res. (IF 2.8) Pub Date : 2024-03-13 Ashley Honushefsky, Eric S. Wagner, Kathleen Sheridan, Kathleen M. Spickard, William R. LeMasters, Carroll N. Walter, Taryn Beaver, Anne Marie Lennon, Nickolas Papadopoulos, Alanna Kulchak Rahm, Adam H. Buchanan
Recruiting large cohorts efficiently can speed the translation of findings into care across a range of scientific disciplines and medical specialties. Recruitment can be hampered by factors such as financial barriers, logistical concerns, and lack of resources for patients and clinicians. These and other challenges can lead to underrepresentation in groups such as rural residents and racial and ethnic
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Correction: The complexity of leadership in coproduction practices: a guiding framework based on a systematic literature review BMC Health Serv. Res. (IF 2.8) Pub Date : 2024-03-13 Sofia Kjellström, Sophie Sarre, Daniel Masterson
Correction to: BMC Health Services Research (2024) 24:219 https://doi.org/10.1186/s12913-023-09522-4 In this article, affiliation 2 (Florence Nightingale Faculty of Nursing, Midwifery & Palliative Care, King’s College London, London, UK) was incorrectly assigned as a second affiliation for the author Sofia Kjellström due to a typesetting mistake. The sole affiliation for Sofia Kjellström should be
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How to select and understand guidelines for patient-reported outcomes: a scoping review of existing guidance BMC Health Serv. Res. (IF 2.8) Pub Date : 2024-03-13 Takako Kaneyasu, Eri Hoshino, Mariko Naito, Yoshimi Suzukamo, Kikuko Miyazaki, Satomi Kojima, Takuhiro Yamaguchi, Takashi Kawaguchi, Tempei Miyaji, Takako Eguchi Nakajima, Kojiro Shimozuma
Over the past few decades, patient-reported outcomes (PROs) have been used to understand patient health conditions better. Therefore, numerous PRO measures (questionnaires) and guidelines or guidance have been developed. However, it is challenging to select target guidance from among the many available guidance and to understand the chosen guidance. This study comprehensively collected the existing
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Patient’s and healthcare provider’s experiences with Opioid Maintenance Treatment (OMT): a qualitative evidence synthesis BMC Health Serv. Res. (IF 2.8) Pub Date : 2024-03-13 Asbjørn Steiro, Christine Hillestad Hestevik, Ashley Elizabeth Muller
Opioid Maintenance Treatment (OMT) is the gold standard for people with opioid dependence. However, drop-out rates are high, and many patients do not reach desired outcomes. Understanding patients’ and healthcare providers’ experiences with the treatment can provide valuable information to improve the quality of OMT and to increase acceptability and accessibility of services. The aim of this systematic
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Quality improvement in public–private partnerships in low- and middle-income countries: a systematic review BMC Health Serv. Res. (IF 2.8) Pub Date : 2024-03-13 Cassandra B. Iroz, Rohit Ramaswamy, Zulfiqar A. Bhutta, Paul Barach
Public–private partnerships (PPP) are often how health improvement programs are implemented in low-and-middle-income countries (LMICs). We therefore aimed to systematically review the literature about the aim and impacts of quality improvement (QI) approaches in PPP in LMICs. We searched SCOPUS and grey literature for studies published before March 2022. One reviewer screened abstracts and full-text
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Comparing risk-adjusted inpatient fall rates internationally: validation of a risk-adjustment model using multicentre cross-sectional data from hospitals in Switzerland and Austria BMC Health Serv. Res. (IF 2.8) Pub Date : 2024-03-13 Niklaus S. Bernet, Irma H. J. Everink, Sabine Hahn, Silvia Bauer, Jos M. G. A. Schols
Inpatient falls in hospitals are an acknowledged indicator of quality of care. International comparisons could highlight quality improvement potential and enable cross-national learning. Key to fair cross-national comparison is the availability of a risk adjustment model validated in an international context. This study aimed to 1) ascertain that the variables of the inpatient fall risk adjustment
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Views and experiences of healthcare professionals and patients on the implementation of a 23-hour accelerated enhanced recovery programme: a mixed-method study BMC Health Serv. Res. (IF 2.8) Pub Date : 2024-03-13 Misha A. T. Sier, Eva Godina, Thaís T. T. Tweed, Imane Daher, Jan H. M. B. Stoot
An accumulating body of research suggests that an accelerating enhanced recovery after colon surgery protocol is beneficial for patients, however, to obtain these effects, adherence to all elements of the protocol is important. The implementation of complex interventions, such as the Enhanced Recovery After Surgery protocol (ERAS), and their strict adherence have proven to be difficult. The same challenges
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Unveiling spatial disparities in basic medical and health services: insights from China’s provincial analysis BMC Health Serv. Res. (IF 2.8) Pub Date : 2024-03-12 Dainan Hou, Xin Wang
Based on the panel data of 31 provinces (municipalities and autonomous regions) in China from 2012 to 2019, this paper constructs the evaluation index system of basic medical and health services in China from seven dimensions: medical and health facilities, health expenditure, medical services, traditional Chinese medicine hospital services, maternal and child health care, people’s health and medical
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Knowledge, attitudes and practices among medical workers toward outpatient diabetes information platform BMC Health Serv. Res. (IF 2.8) Pub Date : 2024-03-12 Yi Peng, Jianying Duan, Jian Hou, Nan Xu, Jiaming Wu, Xijing Bao, Qian Yao, Yang Li
This study aimed to assess the knowledge, attitudes and practices among medical workers toward outpatient diabetes information platform. This web-based cross-sectional study was conducted between May 2023 and June 2023 at the First Hospital of Zhangjiakou, China. A self-designed questionnaire was developed to collect demographic information of medical workers, and assess their knowledge, attitudes
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Assessing catastrophic health expenditure and impoverishment in adult asthma care: a cross-sectional study of patients attending six public health clinics in Klang District, Malaysia BMC Health Serv. Res. (IF 2.8) Pub Date : 2024-03-12 Norita Hussein, Chiu Wan Ng, Rizawati Ramli, Su May Liew, Nik Sherina Hanafi, Ping Yein Lee, Ai Theng Cheong, Sazlina Shariff Ghazali, Hilary Pinnock, Andrew Stoddart, Jürgen Schwarze, Ee Ming Khoo
In Malaysia, asthma is a common chronic respiratory illness. Poor asthma control may increase out-of-pocket payment for asthma care, leading to financial hardships Malaysia provides Universal Health Coverage for the population with low user fees in the public health system to reduce financial hardship. We aimed to determine out-of-pocket expenditure on outpatient care for adult patients with asthma
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Hematologic health services and practical characteristics: report of a nationwide survey among Chinese hematologists BMC Health Serv. Res. (IF 2.8) Pub Date : 2024-03-12 Jia Chen, Jiali Gu, Yuhua Ru, Jianxiang Wang, Yu Hu, Kaiyan Liu, Qifa Liu, Xiaohui Zhang, Zhijian Xiao, Weili Zhao, Yang Xu, Xiaojun Huang, Depei Wu
In the past 40 years, China has experienced tremendous economic development, but the current situation of hematologists has rarely been reported. A landscape survey of human resources is essential for healthcare development and policy formulation in the future. The Chinese Society of Hematology initiated a survey of Chinese hematologists in mainland China for evaluating demographic and practice characteristics
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Optimizing the Maastricht Work-Related Support intervention in clinical patient care: the value of integrating action research into intervention mapping BMC Health Serv. Res. (IF 2.8) Pub Date : 2024-03-11 Maarten Butink, Shari Hooper, Annelies Boonen, Vera Baadjou, Tim Boymans, Marieke Pierik, Angelique de Rijk
Healthcare professionals (HCPs) are increasingly recommended to play an important role in supporting people with chronic disease in work participation. An intervention for HCPs to provide work-related support to their patients in clinical care was developed with intervention mapping (Maastricht Work-Related Support; Maastricht WRS). Action research proposes ‘combining research and practice’, which
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Gap analysis of diabetes-related foot disease management systems in Pacific Islands Countries and Territories BMC Health Serv. Res. (IF 2.8) Pub Date : 2024-03-11 Kay Y. Hon, Neil McMillan, Robert A. Fitridge
Pacific Island Countries and Territories (PICTs) are known to have high prevalence of Diabetes Mellitus and high incidence of diabetes-related foot disease. Diabetes-related foot disease can lead to lower limb amputation and is associated with poor outcomes, with increased morbidity and mortality. The purpose of this study was to gain a better understanding of diabetes-related foot disease management
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Understanding the use of digital technologies to provide disability services remotely during the COVID-19 pandemic; a multiple case study design BMC Health Serv. Res. (IF 2.8) Pub Date : 2024-03-11 Jennifer Fortune, Manjula Manikandan, Sarah Harrington, Owen Hensey, Claire Kerr, Sebastian Koppe, Thilo Kroll, Grace Lavelle, Siobhán Long, Malcolm MacLachlan, Denis Nolan, Meriel Norris, Jason O’Reilly, Mary Owens, Aisling Walsh, Michael Walsh, Jennifer M. Ryan
Using digital technologies to provide services and supports remotely may improve efficiency and accessibility of healthcare, and support people with disabilities to live independently. This study aimed to explore the experience of using digital technologies to access and provide disability services and supports during the Covid-19 pandemic, from the perspective of people with disabilities, families
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Exploring cross-boundary collaboration for youth mental health in Sweden – a qualitative study using the integrative framework for collaborative governance BMC Health Serv. Res. (IF 2.8) Pub Date : 2024-03-11 Linda Richter Sundberg, Anne Gotfredsen, Monica Christianson, Maria Wiklund, Anna-Karin Hurtig, Isabel Goicolea
Youth mental health is a major health concern in almost every country. Mental health accounts for about 13% of the global burden of disease in the 10-to-19-year age group. Still there are significant gaps between the mental health needs of young people and the quality and accessibility of available services. Collaboration between health and social service actors is a recognized way of reducing gaps
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COVID-19-associated costs and mortality in Germany: an incidence-based analysis from a payer’s perspective BMC Health Serv. Res. (IF 2.8) Pub Date : 2024-03-11 Florian Brandt, Giancarlo Simone, Jörg Loth, Daniel Schilling
This study aims to estimate average COVID-19-associated healthcare costs per capita in Germany from a payer perspective. In addition, insights into COVID-19-associated mortality should be gained. For this purpose, a retrospective longitudinal analysis using health insurance claims data was performed. Patients affected by COVID-19 in Q1/2021 (investigation group (IG)) were compared to a matched non-COVID-19
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The impact of a regionally based translational cancer research collaborative in Australia using the FAIT methodology BMC Health Serv. Res. (IF 2.8) Pub Date : 2024-03-11 Christine L. Paul, Nicole M. Verrills, Stephen Ackland, Rodney Scott, Susan Goode, Ann Thomas, Sarah Lukeman, Sarah Nielsen, Judith Weidenhofer, James Lynam, Elizabeth A. Fradgley, Jarad Martin, Peter Greer, Stephen Smith, Cassandra Griffin, Kelly A. Avery-Kiejda, Nick Zdenkowski, Andrew Searles, Shanthi Ramanathan
Translating research, achieving impact, and assessing impact are important aspirations for all research collaboratives but can prove challenging. The Hunter Cancer Research Alliance (HCRA) was funded from 2014 to 2021 to enhance capacity and productivity in cancer research in a regional centre in Australia. This study aimed to assess the impact and benefit of the HCRA to help inform future research
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Acceptance of assisted partner notification among HIV-positive adults with severe mental illness at a national referral hospital in Uganda: a cross-sectional study BMC Health Serv. Res. (IF 2.8) Pub Date : 2024-03-08 Rachel Wangi Nante, Herbert Muyinda, John M. Kiweewa, Regina Ndagire, Emmanuel Ssendikwanawa, Kevin Ouma Ojiambo, Joanita Nangendo, Juliet Nakku, Fred C. Semitala
HIV mostly affects people with severe mental illnesses (SMIs) than the general population. In 2015, the World Health Organization (WHO) introduced assisted partner notification (APN) as a strategy to increase HIV testing. Although research has demonstrated the effectiveness of APN in the general population, its use among people living with HIV (PLHIV) who have SMI is not well understood. This study
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Factors associated with the performance and achieving goals of specialized periodontal procedures in Brazilian dental specialties centers BMC Health Serv. Res. (IF 2.8) Pub Date : 2024-03-08 Raíres Chaves da Silva Rodrigues, Yuri Wanderley Cavalcanti, Edson Hilan Gomes de Lucena
The Brazilian Dental Specialty Centers (CEO, in Portuguese) represent the strategy of the National Oral Health Policy to provide secondary-level dental care. They offer more complex procedures, such as the treatment of periodontitis. This study aims to investigate the factors associated with the performance and the achievement goals of specialized procedures and the achievement gols of periodontics
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Value-based pricing of cognitive behavioral therapy for depression in primary care: an economic evaluation BMC Health Serv. Res. (IF 2.8) Pub Date : 2024-03-08 Afschin Gandjour
Value-based pricing (VBP) determines product prices based on their perceived benefits. In healthcare, VBP prices medical technologies considering health outcomes and other relevant factors. This study applies VBP using economic evaluation to provider-patient communication, taking cognitive behavioral therapy (CBT) for adult primary care patients with depressive disorders as a case study. A 12-week
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Structural and relational factors for successful cross-sector collaboration in home visiting: a multiple case study BMC Health Serv. Res. (IF 2.8) Pub Date : 2024-03-08 Venice Ng Williams, Carol Yvette Franco-Rowe, Connie Cignetti Lopez, Mandy A. Allison, Gregory J. Tung
Aligning delivery and financing systems across sectors to create broader systems of care can improve the health and well-being of families experiencing adversities. We aimed to identify structural and relational factors for best practices to achieve successful cross-sector collaboration among home visiting programs in the United States. We used a multiple case study approach to identify best practices
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Evaluating a targeted person-centred pain management intervention programme in lumbar spine surgery - a controlled segment-specific before-and-after interventional design BMC Health Serv. Res. (IF 2.8) Pub Date : 2024-03-08 Eva Angelini, Axel Wolf, Helle Wijk, Helena Brisby, Adad Baranto
Postoperative pain management in lumbar spine surgery care remains a challenge. The aim of this study was to evaluate the impact of a person-centred postoperative pain management intervention programme on lumbar spine surgery patients on postoperative pain, shared decision-making, and satisfaction with postoperative pain management. The study was performed with a controlled before-and-after interventional
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Digital clinical empathy in a live chat: multiple findings from a formative qualitative study and usability tests BMC Health Serv. Res. (IF 2.8) Pub Date : 2024-03-08 Hanna Luetke Lanfer, Doreen Reifegerste, Winja Weber, Paula Memenga, Eva Baumann, Julia Geulen, Stefanie Klein, Anne Müller, Andrea Hahne, Susanne Weg-Remers
Clinical empathy is considered a crucial element in patient-centered care. The advent of digital technology in healthcare has introduced new dynamics to empathy which needs to be explored in the context of the technology, particularly within the context of written live chats. Given the growing prevalence of written live chats, this study aimed to explore and evaluate techniques of digital clinical
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Mid-level managers’ perspectives on implementing isoniazid preventive therapy for people living with HIV in Ugandan health districts: a qualitative study BMC Health Serv. Res. (IF 2.8) Pub Date : 2024-03-08 Canice Christian, Elijah Kakande, Violah Nahurira, Cecilia Akatukwasa, Fredrick Atwine, Robert Bakanoma, Harriet Itiakorit, Asiphas Owaraganise, William DiIeso, Derek Rast, Jane Kabami, Jason Johnson Peretz, Starley B. Shade, Moses R. Kamya, Diane V. Havlir, Gabriel Chamie, Carol S. Camlin
Isoniazid preventive therapy (IPT) works to prevent tuberculosis (TB) among people living with HIV (PLHIV), but uptake remains low in Sub-Saharan Africa. In this analysis, we sought to identify barriers mid-level managers face in scaling IPT in Uganda and the mechanisms by which the SEARCH-IPT trial intervention influenced their abilities to increase IPT uptake. The SEARCH-IPT study was a cluster randomized
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Health care needs, experiences, and satisfaction after terrorism: a longitudinal study of parents of survivors of the Utøya attack BMC Health Serv. Res. (IF 2.8) Pub Date : 2024-03-08 Ida Frugård Strøm, Tore Wentzel-Larsen, Synne Stensland, Grete Dyb, Lise Eilin Stene
There is scarce knowledge on the health care follow-up of parents of terror attack survivors. This study focused on the mothers and fathers of survivors and examined (1) their perceived health care needs relative to their psychological reactions, physical health problems (unmet health care needs), and adaptation to work; (2) whether sociodemographic characteristics, health problems and social support
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Examining nurses' understanding and knowledge about preparation for COVID-19 in Ardabil hospitals in Iran BMC Health Serv. Res. (IF 2.8) Pub Date : 2024-03-07 Milad Minehmorad, Reza Nemati-Vakilabad, Mohammad Badpeyma, Alireza Mirzaei
The purpose of this study was to evaluate the preparedness of Iranian nurses for potential pandemics. Nurses play a critical role in managing pandemics. They require adequate training, proper equipment, and organizational support to be well-prepared. A descriptive cross-sectional study was conducted in Ardabil, Iran, from July to September 2023, involving 233 nurses from five hospitals. The number
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Factors influencing inequality in government health expenditures within African regional economic communities BMC Health Serv. Res. (IF 2.8) Pub Date : 2024-03-07 Nicholas Ngepah, Ariane Ephemia Ndzignat Mouteyica
The unequal distribution of government health spending within African regional economic groupings is a significant barrier to achieving Universal Health Coverage and reaching health-related Sustainable Development targets. It also hampers the progress toward achieving the African Union’s vision of an integrated and prosperous Africa, free of its heavy disease burden. Based on panel data from 36 countries
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The role of human capital and stress for cost awareness in the healthcare system: a survey among German hospital physicians BMC Health Serv. Res. (IF 2.8) Pub Date : 2024-03-07 Christoph Lüdemann, Maike Gerken, Marcel Hülsbeck
Germany has the highest per capita health care spending among EU member states, but its hospitals face pressure to generate profits independently due to the government’s withdrawal of investment cost coverage. The diagnosis related groups (DRG) payment system was implemented to address the cost issue, challenging hospital physicians to provide services within predefined prices and an economic target
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Design and validation of a conceptual model regarding impact of open science on healthcare research processes BMC Health Serv. Res. (IF 2.8) Pub Date : 2024-03-07 Maryam Zarghani, Leila Nemati-Anaraki, Shahram Sedghi, Abdolreza Noroozi Chakoli, Anisa Rowhani-Farid
The development and use of digital tools in various stages of research highlight the importance of novel open science methods for an integrated and accessible research system. The objective of this study was to design and validate a conceptual model of open science on healthcare research processes. This research was conducted in three phases using a mixed-methods approach. The first phase employed
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Measuring the continuing care needs of inpatients in rural China BMC Health Serv. Res. (IF 2.8) Pub Date : 2024-03-07 Haoran Liu, Zhifan Wang, Juan Hu, Qiushuang Xu, Lei Yang, Weiyan Jian
International experience shows that the suitability of a high-performance healthcare system for its given purposes is reflected in its ability to provide a continuum of services that match the changing health status of the given population. Although many low- and middle-income countries have sought to bring movement away from hospital-centered and towards patient-centered healthcare, such efforts have
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Leagility in the healthcare research: a systematic review BMC Health Serv. Res. (IF 2.8) Pub Date : 2024-03-07 Xueying Li, Ana Lúcia Martins
Expenditure of healthcare services has been growing over the past decades. Lean and agile are two popular paradigms that could potentially contain cost and improve proficiency of the healthcare system. However no systematic review was found on leagilty in the healthcare research. This study aims at synthesizing the extant literature of leagility in the healthcare area to consolidate its potential and
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Implementing a new living concept for persons with dementia in long-term care: evaluation of a quality improvement process BMC Health Serv. Res. (IF 2.8) Pub Date : 2024-03-07 Suzanne Portegijs, Adriana Petronella Anna van Beek, Lilian Huibertina Davida van Tuyl, Cordula Wagner
Improving quality of nursing home care for residents is a constant focus of stakeholders involved within quality improvement projects. Though, achieving change in long-term care is challenging. Process evaluations provide insight into the nature, exposure and experiences of stakeholders and influencing mechanisms for implementation. The aim of this study is to gain insight into the process and facilitating
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Exploring the motivation of health professionals to engage with research at various career stages BMC Health Serv. Res. (IF 2.8) Pub Date : 2024-03-07 Louisa M. D’Arrietta, Venkat N. Vangaveti, Melissa J. Crowe, Bunmi S. Malau-Aduli
Research is crucial for improved healthcare and better patient outcomes, but there is a current shortage of clinician-researchers who can connect research and practice in the health professions field. This study aimed to investigate the effect of career stage, previous training and involvement in research on health professionals' (HPs) motivations to engage in research while in public hospital clinical
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Correction: Strategies to improve care for older adults who present to the emergency department: a systematic review BMC Health Serv. Res. (IF 2.8) Pub Date : 2024-03-07 Luke Testa, Lieke Richardson, Colleen Cheek, Theresa Hensel, Elizabeth Austin, Mariam Safi, Natália Ransolin, Ann Carrigan, Janet Long, Karen Hutchinson, Magali Goirand, Mia Bierbaum, Felicity Bleckly, Peter Hibbert, Kate Churruca, Robyn Clay-Williams
Correction to: BMC Health Services Research (2024) 24:123. https://doi.org/10.1186/s12913-024-10576-1. In this article, the author name Felicity Bleckly was incorrectly written as Felicity Bleckley. The author group has been updated above and the original article has been corrected. Authors and Affiliations Australian Institute of Health Innovation, Macquarie University, Level 6, 75 Talavera Road,
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Implementation of large, multi-site hospital interventions: a realist evaluation of strategies for developing capability BMC Health Serv. Res. (IF 2.8) Pub Date : 2024-03-06 Janet C Long, Natalie Roberts, Emilie Francis-Auton, Mitchell N Sarkies, Hoa Mi Nguyen, Johanna I Westbrook, Jean-Frederic Levesque, Diane E Watson, Rebecca Hardwick, Kate Churruca, Peter Hibbert, Jeffrey Braithwaite
This study presents guidelines for implementation distilled from the findings of a realist evaluation. The setting was local health districts in New South Wales, Australia that implemented three clinical improvement initiatives as part of a state-wide program. We focussed on implementation strategies designed to develop health professionals’ capability to deliver value-based care initiatives for multisite
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Workforce wellbeing centres and their positive role for wellbeing and presenteeism in healthcare workers during the COVID-19 pandemic: secondary analysis of COVID-Well data BMC Health Serv. Res. (IF 2.8) Pub Date : 2024-03-06 Holly Blake, Helen Mancini, Emma Coyne, Joanne Cooper, Natalia Stanulewicz-Buckley
Supported wellbeing centres established during the COVID-19 pandemic provided high quality rest spaces and access to peer-to-peer psychological first aid for healthcare workers (HCWs). The centres were well accessed and valued by HCWs, but their relationship with wellbeing and job-related factors is not well established. The aim of this study was to explore the relationship between wellbeing centre
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Developing a capacity-building intervention for healthcare workers to improve communication skills and awareness of hard of hearing and D/deaf patients: results from a participatory action research study BMC Health Serv. Res. (IF 2.8) Pub Date : 2024-03-06 Véronique S. Grazioli, Madison Graells, Elodie Schmutz, Odile Cantero, Tanya Sebaï, Vanessa Favre, Jessica Richème-Roos, Kevin Morisod, Michel Jeanneret, Pascal Singy, Patrick Bodenmann
Healthcare workers (HCWs) are commonly not prepared to properly communicate with D/deaf and hard of hearing (HoH) patients. The resulting communication challenges reinforce the existing barriers to accessing and benefiting from quality of care in these populations. In response, this study aimed to develop and evaluate a capacity-building intervention for HCWs to raise their awareness of D/deaf and
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External inspection approaches and involvement of stakeholders’ views in inspection following serious incidents - a qualitative mixed methods study from the perspectives of regulatory inspectors BMC Health Serv. Res. (IF 2.8) Pub Date : 2024-03-06 Sina Furnes Øyri, Siri Wiig, Janet E. Anderson, Inger Johanne Bergerød
The objective was to gain knowledge about how external inspections following serious incidents are played out in a Norwegian hospital context from the perspective of the inspectors, and whether stakeholders’ views are involved in the inspection. Based on a qualitative mixed methods design, 10 government bureaucrats and inspectors situated at the National Board of Health Supervision and three County
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The relationship between community social risk factors and regional hospital-reported cash, negotiated, and chargemaster prices for 14 common services BMC Health Serv. Res. (IF 2.8) Pub Date : 2024-03-06 Eva Chang, Wayne Psek
Social risk factors are key drivers of the geographic variation in spending in the United States but little is known how community-level social risk factors are associated with hospital prices. Our objective was to describe the relationship between regional hospital-reported prices and social risk factors by price type (chargemaster, cash, commercial, Medicare, and Medicaid). This cross-sectional analysis
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Community-embedded follow-up management intervention for geriatric primary care: a mixed-methods study of an integrated health services model BMC Health Serv. Res. (IF 2.8) Pub Date : 2024-03-06 Wenjing Shi, Lingling Wu, Xiaodong Li, Feng Qi, Wanyu Ji
To propose a community-embedded follow-up management model to provide health services for elderly patients with osteoporosis who live alone. Researchers randomly selected 396 people with osteoporosis living alone from five communities in Nantong, China, for the study. These participants were randomly assigned to control and intervention groups. Twenty-four community physicians in five communities provided
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Practical strategies to achieve resilient health systems: results from a scoping review BMC Health Serv. Res. (IF 2.8) Pub Date : 2024-03-06 David Bishai, Basma M. Saleh, Maryam Huda, Eman Mohammed Aly, Marwa Hafiz, Ali Ardalan, Awad Mataria
This paper presents the results of a systematic review to identify practical strategies to create the institutions, skills, values, and norms that will improve health systems resilience. A PRISMA 2020 compliant systematic review identified peer-reviewed and gray literature on practical strategies to make health systems more resilient. Investigators screened 970 papers to identify 65 English language
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Tensions experienced by case managers working in home care for older adults in Quebec: first level analysis of an institutional ethnography BMC Health Serv. Res. (IF 2.8) Pub Date : 2024-03-06 Alexandra Ethier, Marie-France Dubois, Virginie Savaria, Annie Carrier
Case managers play a vital role in integrating the necessary services to optimise health-related goals and outcomes. Studies suggest that in home care, case managers encounter tensions in their day-to-day work, that is, disjuncture between what they should do, in theory, and what they actually do, in practice. However, direct exploration of these tensions is lacking. As such, this study aimed to describe
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Physiotherapy and its service in Nepal: implementation and status reported from facility surveys and official registers BMC Health Serv. Res. (IF 2.8) Pub Date : 2024-03-06 Nishchal Ratna Shakya, Nistha Shrestha, Gillian Webb, Hellen Myezwa, Biraj Man Karmacharya, Ann-Katrin Stensdotter
Physiotherapy is a growing profession in Nepal. Despite efforts to promote strengthening and development, there are still challenges in providing equitable access and availability to services, particularly in underserved areas. Updated information is needed to address challenges to provide proper planning for resource allocation. To assess implementation of physiotherapy services and to explore plans
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Disruption of hospital care during the first year of the COVID-19 pandemic impacted socioeconomic groups differently: population based study using routine registration data BMC Health Serv. Res. (IF 2.8) Pub Date : 2024-03-06 Tessa Jansen, Sigur Gouwens, Lotta Meijerink, Iris Meulman, Lisanne H. J. A. Kouwenberg, G. Ardine de Wit, Johan J. Polder, Anton E. Kunst, Ellen Uiters
During the COVID-19 pandemic, provision of non-COVID healthcare was recurrently severely disrupted. The objective was to determine whether disruption of non-COVID hospital use, either due to cancelled, postponed, or forgone care, during the first pandemic year of COVID-19 impacted socioeconomic groups differently compared with pre-pandemic use. National population registry data, individually linked
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Governance models for historical hospitals: evidence from Italy BMC Health Serv. Res. (IF 2.8) Pub Date : 2024-03-06 Martina Giusti, Ilaria Elisa Vannini, Niccolò Persiani
Many hospitals and health care organizations over the centuries have inherited handcrafts of artistic value, objects of worships, donations from pilgrims, votive offerings, legates as a result of their centuries-old activity in the social and health care of their community. The value of these artistic assets and the role in the territory of these hospitals have transformed them into cultural heritage
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Lived experience of healthcare providers amidst war and siege: a phenomenological study of Ayder Comprehensive Specialized Hospital of Tigray, Northern Ethiopia BMC Health Serv. Res. (IF 2.8) Pub Date : 2024-03-06 Awol Yemane Legesse, Znabu Hadush, Hale Teka, Ephrem Berhe, Bisrat Tesfay Abera, Fasika Amdeselassie, Hiluf Ebuy Abraha, Daniel Gebre, Alessandra N Bazzano
Most wars are fought in poor countries and result in significant proportions of disabilities and mortalities. The consequences of wars and political instability on health workers and access to healthcare remain under-studied. This study aimed to explore the lived experience of healthcare providers amidst war and siege, in a teaching hospital in northern Ethiopia. The study was conducted between February
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Social determinants of health and treatment center affiliation: analysis from the sickle cell disease implementation consortium registry BMC Health Serv. Res. (IF 2.8) Pub Date : 2024-03-06 Gustavo G. Mendez, Judith M. Nocek, Donald J. Brambilla, Sara Jacobs, Oladipo Cole, Julie Kanter, Jeffrey Glassberg, Kay L. Saving, Cathy L. Melvin, Robert W. Gibson, Marsha Treadwell, George L. Jackson, Allison A. King, Victor R. Gordeuk, Barbara Kroner, Lewis L. Hsu
Adults with sickle cell disease (SCD) suffer early mortality and high morbidity. Many are not affiliated with SCD centers, defined as no ambulatory visit with a SCD specialist in 2 years. Negative social determinants of health (SDOH) can impair access to care. Hypothesis: Negative SDOH are more likely to be experienced by unaffiliated adults than adults who regularly receive expert SCD care. Cross-sectional
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Surgical waiting lists and queue management in a Brazilian tertiary public hospital BMC Health Serv. Res. (IF 2.8) Pub Date : 2024-03-06 Antonio Pazin-Filho, Maria Eulália Lessa do Valle Dallora, Tonicarlo Rodrigues Velasco, Roberto de Oliveira Cardoso dos Santos, Gustavo Jardim Volpe, Diego Marques Moroço, Danilo Arruda de Souza, Claudia Marques Canabrava, Luis Vicente Garcia, Edwaldo Edner Joviliano, Benedito Carlos Maciel
Centralized management of queues helps to reduce the surgical waiting time in the publicly funded healthcare system, but this is not a reality in the Brazilian Unified Healthcare System (BUHS). We describe the implementation of the “Patients with Surgical Indication” (PSI) in a Brazilian public tertiary hospital, the impact on waiting time, and its use in rationing oncological surgeries during the