Abstract:
BACKGROUND:There are currently several concerns about the ways in which people are recruited to participate in randomised controlled trials, the low acceptance rates among people invited to participate, and the experiences of trial participants. An information resource about on-going clinical trials designed for potential and current participants could help overcome some of these problems. METHODS:We carried out a scoping exercise to explore the desirability and feasibility of establishing such a resource. We sought the views of a range of people including people who were considering taking part in a trial, current trial participants, people who had been asked but refused to participate in a trial, consumer group representatives and researchers who design and conduct trials. RESULTS:There was broad-based support for the concept of a centralised information resource for members of the public about on-going and recently completed clinical trials. Such an information resource could be based on a database containing standardised information for each trial relating to the purpose of the trial; the interventions being compared; the implications of participation for participants; and features indicative of scientific quality and ethical probity. The usefulness of the database could be enhanced if its search facility could allow people to enter criteria such as a disease and geographic area and be presented with all the trials relevant to them, and if optional display formats could allow them to view information in varying levels of detail. Access via the Internet was considered desirable, with complementary supported access via health information services. The development of such a resource is technically feasible, but the collation of the required information would take a significant investment of resources. CONCLUSION:A centralised participant oriented information resource about clinical trials could serve several purposes. A more detailed investigation of its feasibility and exploration of its potential impacts are required.
journal_name
BMC Health Serv Resjournal_title
BMC health services researchauthors
Langston AL,Campbell MK,Entwistle VA,Skea Zdoi
10.1186/1472-6963-5-39keywords:
subject
Has Abstractpub_date
2005-05-24 00:00:00pages
39issn
1472-6963pii
1472-6963-5-39journal_volume
5pub_type
杂志文章abstract:BACKGROUND:The Italian National Health System was revised in the last 20 years, introducing new elements such as efficacy, efficiency and competitiveness. Devolution to regional authorities has created a quasi-market system where patients can choose the hospital in which to be treated. Patient mobility therefore become...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-13-56
更新日期:2013-02-12 00:00:00
abstract:BACKGROUND:Implementation of interventions concerning prevention and health promotion in health care has faced particular challenges resulting in a low frequency and quality of these services. In November 2011, the Swedish National Board of Health and Welfare released national clinical practice guidelines to counteract...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-018-3023-z
更新日期:2018-04-02 00:00:00
abstract:BACKGROUND:Having a tax-funded and supposedly 'National' Health Service (NHS), one might assume that the UK is well-positioned to roll out eHealth innovations at scale. Yet, despite a strong policy push, the English NHS has been limited in the extent to which it has exploited the potential of eHealth. MAIN BODY:This p...
journal_title:BMC health services research
pub_type: 杂志文章,评审
doi:10.1186/s12913-019-4790-x
更新日期:2019-12-21 00:00:00
abstract:BACKGROUND:Perinatal depression is common in low and middle income countries (LAMICs). Task sharing interventions have been implemented to treat perinatal depression in these settings, as a way of dealing with staff shortages. Task sharing allows lay health workers to provide services for less complex cases while being...
journal_title:BMC health services research
pub_type: 杂志文章,meta分析,评审
doi:10.1186/s12913-018-3030-0
更新日期:2018-03-23 00:00:00
abstract:BACKGROUND:Since the inception of the National Institute for Health and Clinical Excellence (NICE) in England, there have been questions about the empirical basis for the cost-per-QALY threshold used by NICE and whether QALYs gained by different beneficiaries of health care should be weighted equally. The Social Value ...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-11-8
更新日期:2011-01-11 00:00:00
abstract:BACKGROUND:The ineffective implementation of evidence based practice guidelines can mean that the best health outcomes are not achieved. This study examined the barriers and enablers to the uptake and implementation of the new bi-national (Australia and New Zealand) antenatal corticosteroid clinical practice guidelines...
journal_title:BMC health services research
pub_type: 杂志文章,多中心研究
doi:10.1186/s12913-016-1858-8
更新日期:2016-10-28 00:00:00
abstract:BACKGROUND:Almost all studies of pathologic fractures have been conducted based on patients with tumours and hospital-based data; however, in the present study, a nationwide epidemiological survey of pathologic fractures in Taiwan was performed and the medical utilization was calculated. METHODS:All claimants of Taiwa...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-11-230
更新日期:2011-09-22 00:00:00
abstract:BACKGROUND:About one-third of the world's population lack access to essential medicines and this is further compounded by inappropriate prescription, dispensing, sale and use of the available medicines. The objective of the study was to assess the patterns of medicine use among health facilities in eastern Ethiopia usi...
journal_title:BMC health services research
pub_type: 杂志文章,多中心研究
doi:10.1186/s12913-016-1414-6
更新日期:2016-04-23 00:00:00
abstract:BACKGROUND:Academic detailing (AD; also known as educational visiting) facilitates the translation of evidence into practice and has been widely adopted internationally to facilitate practice change. The potential of AD linked to a specific patient and delivered by a specialist physician to general practitioners has no...
journal_title:BMC health services research
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12913-015-0861-9
更新日期:2015-05-09 00:00:00
abstract:BACKGROUND:Internationally, key health care reform elements rely on improved integration of care between the primary and secondary sectors. The objective of this systematic review is to synthesise the existing published literature on elements of current integrated primary/secondary health care. These elements and how t...
journal_title:BMC health services research
pub_type: 杂志文章,评审
doi:10.1186/1472-6963-13-528
更新日期:2013-12-20 00:00:00
abstract:BACKGROUND:In the Netherlands, the obstetric and neonatal healthcare system consists of multiple healthcare organizations. Due to this system, transfers between healthcare professionals are inevitable. Transfers can interrupt the continuity of care, which is an important aspect of care quality. The aim of this study is...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-020-4941-0
更新日期:2020-02-11 00:00:00
abstract:BACKGROUND:Family-friendly spaces for children and families to visit inpatient mental health units are recommended in international mental health guidelines as one way to provide service delivery that is responsive to the needs of parent-consumers and families. There is a lack of evidence on the implementation of famil...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-015-0914-0
更新日期:2015-06-19 00:00:00
abstract:BACKGROUND:Accurate and valid measures for implementation constructs are critical to advance research and guide implementation efforts. However, there is a continued need for valid and reliable measures for implementation research. The purpose of this study was to assess the psychometric properties of measures for the ...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-019-4021-5
更新日期:2019-03-29 00:00:00
abstract:BACKGROUND:Disrespectful and abusive care of women during their pregnancies has been shown to be a barrier for women accessing health care services for antenatal care and delivery. As part of an implementation research study to improve women's access to health care services in Rorya District, Mara, Tanzania, we conduct...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-018-3463-5
更新日期:2018-08-22 00:00:00
abstract:BACKGROUND:Malawi is reassessing its HIV prevention strategy in the light of a limited reduction in the epidemic. No community based incidence studies have been carried out in Malawi, so estimates of where new infections are occurring require the use of mathematical models and knowledge of the size and sexual behaviour...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-10-243
更新日期:2010-08-19 00:00:00
abstract:BACKGROUND:While much research has been conducted on medication safety, few of these studies have addressed primary care, despite the high volume of prescribing and dispensing of medicines that occurs in this setting. Those studies that have examined primary care dispensing emphasised the need to understand the role of...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-9-158
更新日期:2009-09-07 00:00:00
abstract:BACKGROUND:Both availability and quality of family planning services are believed to have contributed to increasing contraceptive use and declining fertility rates in developing countries. Yet, there is limited empirical evidence to show the relationship between the quality of family planning services and the populatio...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-6-79
更新日期:2006-06-22 00:00:00
abstract:BACKGROUND:The performance of activities of daily living (ADL) at home is important for the recovery of older individuals after hip fracture. However, 20-90% of these individuals lose ADL function and never fully recover. It is currently unknown to what extent occupational therapy (OT) with coaching based on cognitive ...
journal_title:BMC health services research
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12913-016-1934-0
更新日期:2017-01-03 00:00:00
abstract:BACKGROUND:Elevated blood pressure is a major risk factor for cardiovascular disease and stroke but patients often discount recommended behavioral changes and prescribed medications. While effective interventions to promote adherence have been developed, cost-effectiveness from the patient's perspective, has not been w...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-017-2451-5
更新日期:2017-08-07 00:00:00
abstract:BACKGROUND:All countries face challenging decisions about healthcare coverage. Malawi has committed to achieving Universal Health Coverage (UHC) by 2030, the timeframe set out by the Sustainable Development Goals (SDGs). As in other low income countries, scarce resources stand in the way of more equitable health access...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-020-06002-x
更新日期:2020-12-14 00:00:00
abstract:BACKGROUND:Payers and policy makers across the international healthcare market are increasingly using publicly available summary measures to designate providers as "high-performing", but no consistently-applied approach exists to identifying high performers. This paper uses publicly available data to examine how differ...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-019-4293-9
更新日期:2019-07-18 00:00:00
abstract:BACKGROUND:India has the distinction of financing its healthcare mainly through out-of-pocket expenses by individual families contributing to catastrophic health expenditure and impoverishment. Nearly 70 % of the expenditure is on medicines purchased at private pharmacies. Patients with chronic ailments are especially ...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-016-1680-3
更新日期:2016-08-22 00:00:00
abstract:BACKGROUND:Residents living in sheltered housing depend on help from healthcare personnel (HCP) with medication management, regarding regular long-term and pro re nata (PRN) medication. The HCP assess the need for PRN medication prior to administration to the residents. The purpose of this study was to describe HCP's p...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-020-05439-4
更新日期:2020-07-08 00:00:00
abstract:BACKGROUND:Policy that supports rural allied health service delivery is important given the shortage of services outside of Australian metropolitan centres. The shortage of allied health professionals means that rural clinicians work long hours and have little peer or service support. Service delivery to rural and remo...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-12-70
更新日期:2012-03-21 00:00:00
abstract:BACKGROUND:Pharmacy databases are commonly used to assess medication usage, and a number of measures have been developed to measure patients' adherence to medication. An extensive literature now supports these measures, although few studies have systematically compared the properties of different adherence measures. M...
journal_title:BMC health services research
pub_type: 杂志文章,随机对照试验
doi:10.1186/1472-6963-12-155
更新日期:2012-06-12 00:00:00
abstract:BACKGROUND:Costs and consumer preference have led to a shift from the long-term institutional care of aged older people to home and community based care. The aim of this review is to evaluate the outcomes of case managed, integrated or consumer directed home and community care services for older persons, including thos...
journal_title:BMC health services research
pub_type: 杂志文章,评审
doi:10.1186/1472-6963-11-93
更新日期:2011-05-09 00:00:00
abstract:BACKGROUND:Delayed diagnosis of Oral Cancer (OC) can mean a difference in quality and expectancy of life for the patient. This delay could be from the healthcare side, or more importantly from the patient's side. Globally, there are studies enumerating the causes for delays from the patients' side in seeking healthcare...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-019-4521-3
更新日期:2019-10-21 00:00:00
abstract:BACKGROUND:In China, the New Co-operative Medical System (NCMS), a rural health insurance system, has expanded nationwide since 2003. This study aims to describe prenatal care use, content and costs of care in one county where prenatal care is included in the NCMS and two counties where it is not. It also explores the ...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-10-301
更新日期:2010-11-01 00:00:00
abstract:BACKGROUND:Aligned with the international call for universal coverage of affordable and quality health care, the government of Tajikistan is undertaking reforms of its health system aiming amongst others at reducing the out-of-pocket expenditures (OPE) of patients seeking care. Household surveys were conducted in 2005,...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-13-103
更新日期:2013-03-18 00:00:00
abstract:BACKGROUND:Health services research is a well-articulated research methodology and can be a powerful vehicle to implement sustainable health service reform. This paper presents a summary of a five-year collaborative program between stakeholders and researchers that led to sustainable improvements in the maternity servi...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-14-241
更新日期:2014-06-02 00:00:00