BMC Health Services Research Healthcare needs and demand
Health care providers’ experiences of pain management and attitudes towards digitally supported self-management interventions for chronic pain: a qualitative study. Chronic pain constitutes a significant burden for the individuals affected, and is a frequent reason why patients seek health …
Actived: 8 days ago
Health care utilization and health-related quality of life
(8 days ago) Health related quality of life (HRQoL) is a health outcome which quantifies overall health and previous studies showed socio-economic inequalities in HRQoL in general populations . It is important to examine socioeconomic inequalities in the utilization of health care, in order to shed a light on the role of health care in explaining health
BMC Health Services Research Health systems and services
(2 days ago) The public health care system in South Korea is a two-tiered system. The lowest-income population is covered by the Medical Aid program, and the remaining population is covered by the National Health Insurance Authors: Sooyeol Park. Citation: BMC Health …
BMC Health Services Research Journal news
(5 days ago) 20 June 2021. Launched to mark World Refugee Day 2021, our new Guest Edited collection aims to showcase research into how health services and systems can be sustainably strengthened in fragile and conflict-affected regions. The collection is open to submissions until June 2022. More information can be found here .
Advancing a new evidence-based professional in health care
(7 days ago) The pressing need to manage burgeoning chronic disease has led to the emergence of job roles such as health and wellness coaches (HWCs). As use of this title has increased dramatically, so has the need to ensure consistency, quality and safety for health and wellness coaching (HWC) provided in both practice and research. Clear and uniform role definitions and competencies are required to
Leveraging the private sector for child health: a
(7 days ago) The private health sector is a primary source of curative care for childhood illnesses in many low- and middle-income countries. Therefore ensuring appropriate private sector care is an important step towards improving outcomes from illnesses like pneumonia, which is the leading infectious cause of childhood mortality worldwide. This study aimed to provide evidence on private sector care …
Data-driven quality improvement in low-and middle-income
(7 days ago) Well-functioning health systems need to utilize data at all levels, from the provider, to local and national-level decision makers, in order to make evidence-based and needed adjustments to improve the quality of care provided. Over the last 7 years, the Doris Duke Charitable Foundation’s African Health Initiative funded health systems strengthening projects at the facility, district, and/or
Acceptability of healthcare interventions: an overview of
(2 days ago) Within the disciplines of health psychology, health services research and implementation science the appli-cation of theory is recognised as enhancing the develop-ment, evaluation and implementation of complex interventions [10, 11, 21–25]. Rimer and Glanz (2005) explain “a theory presents a systematic way of under-standing events or
Healthcare system inputs and patient-reported outcomes: a
(8 days ago) The relationship between healthcare system inputs (e.g., human resources and infrastructure) and mortality has been extensively studied. However, the association between healthcare system inputs and patient-reported outcomes remains unclear. Hence, we explored the predictive value of human resources and infrastructures of the countries’ healthcare system on patient-reported …
Public relations in health and medicine: using publicity
(8 days ago) Few institutions possess greater needs to communicate than those which offer health and medical services to the public. Hospitals, medical clinics, and myriad other healthcare providers offer services of extreme importance to the populace, with these offerings affording individuals with opportunities to witness improved health and well-being, ultimately influencing broad community health.
Evolutionary concept analysis of health seeking behavior
(7 days ago) The term “Health” conveys numerous definitions which differ across cultures, different age groups, as well as people with various life experiences .Every society provides a distinct definition of the terms disease and health and defines roles and activities of healthy, sick or disabled persons and adjusts the expectations and responsibilities of individuals, families and communities .
Public-private partnerships in primary health care: a
(8 days ago) Achieving the highest possible level of health is a fundamental right for every human being .Two years ago, 40 years after signing the Declaration of Alma-Ata (1978) , world leaders reinstated that ‘strengthening Primary Health Care (PHC) is the most inclusive, effective and efficient approach to enhance people’s physical and mental health, as well as social well-being’ .
Mental illness and well-being: the central importance of
(Just Now) health is empirically validated, with only modest correla-tions between measures of depression and measures of psychological well-being, ranging from -0.40 to -0.55 [4,5]. A more statistically robust approach is a confirma-tory factor model, which showed that the latent factors
The case of value-based healthcare for people living with
(7 days ago) There is a trend towards value-based health service, striving to cut costs while generating value for the patient. The overall objective comprises higher-quality health services and improved patient safety and cost efficiency. The approach could align with patient-centred care, as it entails a focus on the patient’s experience of her or his entire cycle of care, including the use of well
A new understanding of health related empowerment in the
(7 days ago) Recently, several initiatives have focused on how to create true person-centred health services. This calls for a new understanding of health-related empowerment in relation to people living with one or more chronic conditions. We report on a Delphi investigation among participants in the European Innovation Partnership on Active and Healthy Ageing that has led to a new understanding of health
Advertising in health and medicine: using mass media to
(8 days ago) Health and medical establishments provide arguably the most essential services offered in any given community. From quality-of-life enhancements to life-saving interventions, the services provided by healthcare organizations are without parallel, making these entities key community assets [1,2,3].But despite the skill of physicians, the magnitude of medical technologies, the compassion of
Patient satisfaction with the healthcare system: Assessing
(7 days ago) Patient satisfaction is an important measure of healthcare quality as it offers information on the provider’s success at meeting clients’ expectations and is a key determinant of patients’ perspective behavioral intention. The aim of this paper is first to assess the degree of patient satisfaction, and second, to study the relationship between patient satisfaction of healthcare system
A framework for assessing Health Economic Evaluation (HEE
(6 days ago) Health economic evaluations support the health care decision-making process by providing information on costs and consequences of health interventions. The quality of such studies is assessed by health economic evaluation (HEE) quality appraisal instruments. At present, there is no instrument for measuring and improving the quality of such HEE quality appraisal instruments.
Concept analysis of community health outreach BMC Health
(8 days ago) The definition of community health outreach to promote the health of vulnerable populations depends heavily on the particulars of the given health project and community. There is no consistency in the definitions attached to the concept itself. Our study aimed to clarify the general definition of community health outreach to facilitate its understanding and use.
Rapid assessment of infrastructure of primary health care
(7 days ago) Health services research and health care management have frequently focussed on the role of supplies and personnel for the quantity and quality of health care services .It is obvious that qualified and motivated personnel are crucial for preventive and curative medical services, and vaccines as well as drugs are of utmost importance for the health of people.
Assessment of medicines use pattern using World Health
(7 days ago) Among the eight health centers, the national EML was available only in six of the health centers at the time of the study. A shortlist of thirteen tracer medicines used to treat common health problems were made and the availability of these medicines in the pharmacy was evaluated (Table 5).Amoxicillin, mebendazole, paracetamol and gentamicin were found in all of the health centers, …
Organisational change in hospitals: a qualitative case
(7 days ago) Organisational change in health systems is common. Success is often tied to the actors involved, including their awareness of the change, personal engagement and ownership of it. In many health systems, one of the most common changes we are witnessing is the redevelopment of long-standing hospitals. However, we know little about how hospital staff understand and experience such …
Characteristics of successful changes in health care
(7 days ago) The only constant in health care organizations, as the saying goes, is change. Technological advancements, ageing populations, changing disease patterns and new discoveries for the treatment of diseases require health care organizations and professionals to change almost constantly [1,2,3,4].Organizational changes are also needed to account for evolving societal norms and values, …
Working together in Aboriginal health: a framework to
(8 days ago) Working effectively with Aboriginal and Torres Strait Islander people is important for maximising the effectiveness of a health care interaction between and Aboriginal and Torres Strait Islander patients and a health professional. This paper presents a framework to guide health professional practice in Aboriginal and Torres Strait Islander health.
Segmentation of health-care consumers: psychological
(8 days ago) There is an observable, growing trend toward tailoring support programs – in addition to medical treatment – more closely to individuals to help improve patients’ health status. The segmentation model developed by Bloem & Stalpers [Nyenrode Research Papers Series 12:1–22, 2012] may serve as a solid basis for such an approach. The model is focused on individuals’ ‘health experience
Public-private partnerships in primary health care: a
(3 days ago) Health Care (PHC) is the most inclusive, effective and effi-cient approach to enhance people’s physical and mental health, as well as social well-being’ . The Astana Declar-ation on PHC (2018) reiterated that PHC is a cornerstone of a sustainable health system for universal health cover-age (UHC) and health-related Sustainable
Predictors of healthy ageing: public health policy targets
(7 days ago) The analysis is performed based on the Survey of Health, Ageing and Retirement in Europe (SHARE) wave 4 (2010–2011). The SHARE is a multidisciplinary and cross-national panel database of micro data on health, socio-economic status as well as social and family networks of more than 80,000 individuals from 20 European countries (+Israel) aged 50 or over.
A study of leading indicators for occupational health and
(7 days ago) Occupational health and safety professionals believe focusing on managed systems and a health and safety culture within an organization, in most cases, is a more effective alternative to fines. This research proposes to give healthcare organizations an alternative to a compliance-based system.
A systematic review of modelling approaches in economic
(7 days ago) The overarching goal of health policies is to maximize health and societal benefits. Economic evaluations can play a vital role in assessing whether or not such benefits occur. This paper reviews the application of modelling techniques in economic evaluations of drug and alcohol interventions with regard to (i) modelling paradigms themselves; (ii) perspectives of costs and benefits and (iii
An effectiveness analysis of healthcare systems using a
(5 days ago) The use of accreditation systems to improve healthcare quality and patient safety has been widespread across many countries [1–4].Quality measurement incorporating clinical indicators and quality indicators, and reporting systems, have grown substantially as the more visible aspects of hospitals' quality improvement efforts [5–9].Taken together, these systems comprise the health
Evaluating the demographic and clinical minimum data sets
(7 days ago) Electronic health record (EHR) is one of the technologies that improves efficiency, management of health information, patient safety, and quality of health care by providing required health information to health care providers and policy makers .According to world health organization (WHO) definition, EHRs provide access to lifelong health information of patients concerning their inpatient
Cultural orientations and information systems success in
(7 days ago) The literature on IS in healthcare agrees that contingent factors, such as OC, are often overlooked or underemphasized in evaluating the success or failure of a technology adoption (e.g., [1,2,3]), suggesting the need for more research on health information systems success that focuses on OC.Information system success (IS) is a complex construct because the definition and measurement …
Patient predictors of health-seeking behaviour for persons
(7 days ago) This study aimed to analyse the patient predictors of health-seeking behaviour for persons coughing for more than 2 weeks to better understand this vulnerable and important population. The study analysed data from a cohort study (SOCS - Secondary Outcome Cohort Study) embedded in a community randomised trial ZAMSTAR (Zambia and South Africa TB and AIDS Reduction Study) in …
Towards improved health service quality in Tanzania
(7 days ago) Universal Health Coverage only leads to the desired health outcomes if quality of health services is ensured. In Tanzania, quality has been a major concern for many years, including the problem of ineffective and inadequate routine supportive supervision of healthcare providers by council health management teams. To address this, we developed and assessed an approach to improve quality of
Why caretakers bypass Primary Health Care facilities for
(6 days ago) Research on health care utilization in low income countries suggests that patients frequently bypass PHC facilities in favour of higher-level hospitals - despite substantial additional time and financial costs. There are limited number of studies focusing on user's experiences at such facilities and reasons for bypassing them. This study aimed to identify factors associated with bypassing PHC
A process evaluation plan for assessing a complex
(7 days ago) Despite increased investment in community-level maternal health interventions, process evaluations of such interventions are uncommon, and can be instrumental in understanding mediating factors leading to outcomes. In Nigeria, where an unacceptably number of maternal deaths occur (maternal mortality ratio of 814/100,000 livebirths), the Community Level Interventions for Pre …
Unit cost of healthcare services at 200-bed public
(7 days ago) Cost information is important for efficient allocation of healthcare expenditure, estimating future budget allocation, and setting user fees to start new financing systems. Myanmar is in political transition, and trying to achieve universal health coverage by 2030. This study assessed the unit cost of healthcare services at two public hospitals in the country from the provider perspective.
Technical efficiency of peripheral health units in Pujehun
(4 days ago) "Public health is the science and art of preventing disease, prolonging life and promoting health and efficiency through organized community effort." [Located in West Africa, Sierra Leone has a population of 4.6 million and a total fertility rate of 6.5.
The relationship between psychosocial risk factors
(7 days ago) Healthcare workers are often exposed to stressful working conditions at work which affect their quality of life. The study investigated the relationship between psychosocial risk factors, stress, burnout, and quality of life among primary healthcare workers in general medical practice in Qingyuan and Chaozhou cities in Guangdong province. The cross-sectional study was conducted in 108 primary
NGOs and government partnership for health systems
(6 days ago) Health system strengthening (HSS) is defined as any array of initiatives and strategies that improve one or more functions of the health system, leading to better health through improvements in the access, coverage, quality and safety .Importance of strengthening of the public, private and community health systems has been emphasized in a variety of documents by various international
Health system gaps in cardiovascular disease prevention
(3 days ago) to health care within six health system building blocks (governance, financing, service delivery, information sys-tem, human resources and medical products). This will help determine priorities and lead to the formation of specific, feasible, context-specific national goals for the
Policy analysis of the Iranian Health Transformation Plan
(7 days ago) Health systems reform is inevitable due to the never-ending changing nature of societal health needs and policy dynamism. Today, the Health Transformation Plan (HTP) remains the major tool to facilitate the achievements of universal health coverage (UHC) in Iran. It was initially implemented in hospital-based setting and later expanded to primary health care (PHC).
Accessing health services in India: experiences of
(8 days ago) Migration to India is a common livelihood strategy for poor people in remote Western Nepal. To date, little research has explored the degree and nature of healthcare access among Nepali migrant workers in India. This study explores the experiences of returnee Nepali migrants with regard to accessing healthcare and the perspectives of stakeholders in the government, support organizations, …