A new model for health care delivery.

Abstract:

BACKGROUND:The health care delivery system in the United States is facing cost and quality pressures that will require fundamental changes to remain viable. The optimal structures of the relationships between the hospital, medical school, and physicians have not been determined but are likely to have a large impact on the future of healthcare delivery. Because it is generally agreed that academic medical centers will play a role in the sustainability of this future system, a fundamental understanding of the relative contributions of the stakeholders is important as well as creativity in developing novel strategies to achieve a shared vision. DISCUSSION:Core competencies of each of the stakeholders (the hospital, the medical school and the physicians) must complement the others and should act synergistically. At the same time, the stakeholders should determine the common core values and should be able to make a meaningful contribution to the delivery of health care. SUMMARY:Health care needs to achieve higher quality and lower cost. Therefore, in order for physicians, medical schools, and hospitals to serve the needs of society in a gratifying way, there will need to be change. There needs to be more scientific and social advances. It is obvious that there is a real and urgent need for relationship building among the professionals whose duty it is to provide these services.

journal_name

BMC Health Serv Res

authors

Kepros JP,Opreanu RC

doi

10.1186/1472-6963-9-57

subject

Has Abstract

pub_date

2009-04-01 00:00:00

pages

57

issn

1472-6963

pii

1472-6963-9-57

journal_volume

9

pub_type

杂志文章
  • Conceptualisation of job-related wellbeing, stress and burnout among healthcare workers in rural Ethiopia: a qualitative study.

    abstract:BACKGROUND:Wellbeing of healthcare workers is important for the effective functioning of health systems. The aim of this study was to explore the conceptualisations of wellbeing, stress and burnout among healthcare workers in primary healthcare settings in rural Ethiopia in order to inform the development of contextual...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-017-2370-5

    authors: Selamu M,Thornicroft G,Fekadu A,Hanlon C

    更新日期:2017-06-19 00:00:00

  • Effect of changed organisation of nutritional care of Danish medical inpatients.

    abstract:BACKGROUND:Many patients are undernourished during hospitalisation. The clinical consequences of this include lassitude, an increased risk of complications and prolonged convalescence. The aim of the study is 1) to implement a new organisation with a focus on improving the quality of the nutritional care of medical inp...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-8-168

    authors: Lassen KO,Grinderslev E,Nyholm R

    更新日期:2008-08-07 00:00:00

  • The effect of a monetary incentive on return of a postal health and development questionnaire: a randomised trial [ISRCTN53994660].

    abstract:BACKGROUND:Postal questionnaires are widely used to collect data in healthcare research but a poor response rate may reduce the validity and reliability of results. There was a lack of evidence available relating to use of a monetary incentive to improve the response rate in the healthcare setting. METHODS:The MRC ORA...

    journal_title:BMC health services research

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/1472-6963-5-55

    authors: Kenyon S,Pike K,Jones D,Taylor D,Salt A,Marlow N,Brocklehurst P

    更新日期:2005-08-18 00:00:00

  • Value of biopsy in a cohort of children with high-titer celiac serologies: observation of dynamic policy differences between Europe and North America.

    abstract:BACKGROUND:Healthcare systems implement change at different rates because of differences in incentives, organizational processes, key influencers, and management styles. A comparable set of forces may play out at the national and international levels as demonstrated in significant differences in the diagnostic manageme...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-020-05815-0

    authors: Badizadegan K,Vanlandingham DM,Hampton W,Thompson KM

    更新日期:2020-10-20 00:00:00

  • Benefits, barriers and opinions on multidisciplinary team meetings: a survey in Swedish cancer care.

    abstract:BACKGROUND:Case review and discussion at multidisciplinary team meetings (MDTMs) have evolved into standard practice in cancer care with the aim to provide evidence-based treatment recommendations. As a basis for work to optimize the MDTMs, we investigated participants' views on the meeting function, including perceive...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-018-2990-4

    authors: Rosell L,Alexandersson N,Hagberg O,Nilbert M

    更新日期:2018-04-05 00:00:00

  • Patients' understanding of genetic susceptibility testing in mainstream medicine: qualitative study on thrombophilia.

    abstract:BACKGROUND:UK and US policy initiatives have suggested that, in the future, patients and clinicians in mainstream medicine could use genetic information to prevent common illnesses. There are no studies on patients' experience and understanding of the process of testing for common genetic susceptibilities in mainstream...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-7-82

    authors: Saukko PM,Ellard S,Richards SH,Shepherd MH,Campbell JL

    更新日期:2007-06-12 00:00:00

  • Does the presence of a pharmacist in primary care clinics improve diabetes medication adherence?

    abstract:BACKGROUND:Although oral hypoglycemic agents (OHAs) are an essential element of therapy for the management of type 2 diabetes, OHA adherence is often suboptimal. Pharmacists are increasingly being integrated into primary care as part of the move towards a patient-centered medical home and may have a positive influence ...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-12-391

    authors: Kocarnik BM,Liu CF,Wong ES,Perkins M,Maciejewski ML,Yano EM,Au DH,Piette JD,Bryson CL

    更新日期:2012-11-13 00:00:00

  • Design of a Randomised Controlled Trial (RCT) on the effectiveness of a Dutch patient advocacy case management intervention among severely disabled Multiple Sclerosis patients.

    abstract:BACKGROUND:Case management has been suggested as an innovative strategy that facilitates the improvement of a patient's quality of life, reduction of hospital length of stay, optimization of self-care and improvement of satisfaction of patients and professionals involved. However, there is little evidence about the eff...

    journal_title:BMC health services research

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/1472-6963-10-142

    authors: Wynia K,Annema C,Nissen H,De Keyser J,Middel B

    更新日期:2010-05-27 00:00:00

  • No longer 'flying blind': how access has changed emergency mental health care in rural and remote emergency departments, a qualitative study.

    abstract:BACKGROUND:Mental health presentations are considered to be a difficult aspect of emergency care. Although emergency department (ED) staff is qualified to provide emergency mental health care, for some, such presentations pose a challenge to their training, confidence, and time. Providing access to relevant and respons...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-015-0839-7

    authors: Saurman E,Kirby SE,Lyle D

    更新日期:2015-04-14 00:00:00

  • Effectiveness of sensor monitoring in an occupational therapy rehabilitation program for older individuals after hip fracture, the SO-HIP trial: study protocol of a three-arm stepped wedge cluster randomized trial.

    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

    authors: Pol MC,Ter Riet G,van Hartingsveldt M,Kröse B,de Rooij SE,Buurman BM

    更新日期:2017-01-03 00:00:00

  • Risk perception of blood transfusions - a comparison of patients and allied healthcare professionals.

    abstract:BACKGROUND:Due to an increasing demand in health care services plans to substitute selective physician-conducted medical activities have become attractive. Because administration of a blood transfusion is a highly standardized procedure, it might be evaluated if obtaining a patient's consent for a blood transfusion can...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-018-2928-x

    authors: Graw JA,Eymann K,Kork F,Zoremba M,Burchard R

    更新日期:2018-02-17 00:00:00

  • The HIM (Health for Izhevsk Men) trial protocol.

    abstract:BACKGROUND:Russia is one of the very few industrialised countries in the world where life expectancy has been declining. Alcohol has been implicated as a major contributor to the rapid fluctuations observed in male life expectancy since 1985 that have been particularly marked among working-age men. One approach to redu...

    journal_title:BMC health services research

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/1472-6963-8-69

    authors: Tomkins S,Allen E,Savenko O,McCambridge J,Saburova L,Kiryanov N,Oralov A,Gil A,Leon DA,McKee M,Elbourne D

    更新日期:2008-03-31 00:00:00

  • Changes in proton pump inhibitor prescribing trend over the past decade and pharmacists' effect on prescribing practice at a tertiary hospital.

    abstract:BACKGROUND:Proton pump inhibitors (PPIs) remain one of the world's most frequently prescribed medications and there is a growing number of publications on correct versus incorrect use of PPIs worldwide. The objective of this observational retrospective study was to assess changes in PPI prescribing trends over the past...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-018-3358-5

    authors: Luo H,Fan Q,Xiao S,Chen K

    更新日期:2018-07-11 00:00:00

  • Health worker motivation in the context of HIV care and treatment challenges in Mbeya Region, Tanzania: a qualitative study.

    abstract:BACKGROUND:Health worker motivation can potentially affect the provision of health services. The HIV pandemic has placed additional strain on health service provision through the extra burden of increased testing and counselling, treating opportunistic infections and providing antiretroviral treatment. The aim of this ...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-11-266

    authors: Mbilinyi D,Daniel ML,Lie GT

    更新日期:2011-10-12 00:00:00

  • Emotional intelligence, emotional labor, and job satisfaction among physicians in Greece.

    abstract:BACKGROUND:There is increasing evidence that psychological constructs, such as emotional intelligence and emotional labor, play an important role in various organizational outcomes in service sector. Recently, in the "emotionally charged" healthcare field, emotional intelligence and emotional labor have both emerged as...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-12-463

    authors: Psilopanagioti A,Anagnostopoulos F,Mourtou E,Niakas D

    更新日期:2012-12-17 00:00:00

  • A Teachable Moment Communication Process for smoking cessation talk: description of a group randomized clinician-focused intervention.

    abstract:BACKGROUND:Effective clinician-patient communication about health behavior change is one of the most important and most overlooked strategies to promote health and prevent disease. Existing guidelines for specific health behavior counseling have been created and promulgated, but not successfully adopted in primary care...

    journal_title:BMC health services research

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/1472-6963-12-109

    authors: Flocke SA,Antognoli E,Step MM,Marsh S,Parran T,Mason MJ

    更新日期:2012-05-03 00:00:00

  • Does adding risk-trends to survival models improve in-hospital mortality predictions? A cohort study.

    abstract:BACKGROUND:Clinicians informally assess changes in patients' status over time to prognosticate their outcomes. The incorporation of trends in patient status into regression models could improve their ability to predict outcomes. In this study, we used a unique approach to measure trends in patient hospital death risk a...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-11-171

    authors: Wong J,Taljaard M,Forster AJ,van Walraven C

    更新日期:2011-07-21 00:00:00

  • Academic detailers' and general practitioners' views and experiences of their academic detailing visits to improve the quality of analgesic use: process evaluation alongside a pragmatic cluster randomized controlled trial.

    abstract:BACKGROUND:Continuous medical education strategies, including academic detailing (AD), have mixed effects on the quality of prescribing in general practice. Alongside a cluster-randomized controlled trial (cRCT) to assess the effectiveness of AD visits (on appropriate prescribing of analgesics for chronic pain in osteo...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-017-2797-8

    authors: Anthierens S,Verhoeven V,Schmitz O,Coenen S

    更新日期:2017-12-21 00:00:00

  • Exploring the usefulness of medical clowns in elevating satisfaction and reducing aggressive tendencies in pediatric and adult hospital wards.

    abstract:BACKGROUND:Most existing research on medical clowns in health care services has investigated their usefulness mainly among child health consumers. In this research we examined multiple viewpoints of medical staff, clowns, and health consumers aiming to identify the optimal audience (adult or child health consumers) for...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-020-05987-9

    authors: Efrat-Triester D,Altman D,Friedmann E,Margalit DL,Teodorescu K

    更新日期:2021-01-06 00:00:00

  • A systematic review of the effects of advance care planning facilitators training programs.

    abstract:BACKGROUND:Advance care planning (ACP) is the process of ongoing communication among patients, family and health care professionals regarding what plans for future care are preferred in the event that patients become unable to make their own decisions. Clinicians play an important role in ACP as both initiators and dec...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-019-4192-0

    authors: Chan CWH,Ng NHY,Chan HYL,Wong MMH,Chow KM

    更新日期:2019-06-07 00:00:00

  • Assessing participation in a community-based health planning and services programme in Ghana.

    abstract:BACKGROUND:Community participation is increasingly seen as a pre-requisite for successful health service uptake. It is notoriously difficult to assess participation and little has been done to advance tools for the assessment of community participation. In this paper we illustrate an approach that combines a 'social ps...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-13-233

    authors: Baatiema L,Skovdal M,Rifkin S,Campbell C

    更新日期:2013-06-26 00:00:00

  • Exploring Aboriginal aged care residents' cultural and spiritual needs in South Australia.

    abstract:BACKGROUND:Attention to culture and its impact on health care can improve the quality of care given, add to our understanding of health care among culturally diverse populations, and encourage a more holistic approach to health care within general care. Connection to culture is important to Aboriginal peoples, and inte...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-019-4322-8

    authors: Sivertsen N,Harrington A,Hamiduzzaman M

    更新日期:2019-07-12 00:00:00

  • Patient mobility for cardiac problems: a risk-adjusted analysis in Italy.

    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

    authors: Messina G,Forni S,Collini F,Quercioli C,Nante N

    更新日期:2013-02-12 00:00:00

  • Making doctors manage… but how? Recent developments in the Italian NHS.

    abstract:BACKGROUND:Involving doctors in management has been intended as one of the strategies to spread organizational principles in healthcare settings. However, professionals often resist taking on relevant managerial responsibility, and the question concerning by which means to engage doctors in management in a manner that ...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-016-1394-6

    authors: Lega F,Sartirana M

    更新日期:2016-05-24 00:00:00

  • Factors influencing health care utilisation among Aboriginal cardiac patients in central Australia: a qualitative study.

    abstract:BACKGROUND:Aboriginal Australians suffer from poorer overall health compared to the general Australian population, particularly in terms of cardiovascular disease and prognosis following a cardiac event. Despite such disparities, Aboriginal Australians utilise health care services at much lower rates than the general p...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-13-83

    authors: Artuso S,Cargo M,Brown A,Daniel M

    更新日期:2013-03-06 00:00:00

  • Optimising clinical effectiveness and quality along the atrial fibrillation anticoagulation pathway: an economic analysis.

    abstract:BACKGROUND:Atrial fibrillation (AF) represents the most common sustained cardiac arrhythmia. A service evaluation was carried out at an anticoagulation clinic in Newcastle upon-Tyne to explore the efficacy of introducing self-testing of anticoagulation status for AF patients on warfarin. The analysis presented aims to ...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-019-4841-3

    authors: Moloney E,Craig D,Holdsworth N,Smithson J

    更新日期:2019-12-28 00:00:00

  • Factors affecting collaboration between general practitioners and community pharmacists: a qualitative study.

    abstract:BACKGROUND:Although general practitioners (GPs) and community pharmacists (CPs) are encouraged to collaborate, a true collaborative relationship does not exist between them. Our objective was to identify and analyze factors affecting GP-CP collaboration. METHODS:This was a descriptive-exploratory qualitative study car...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-12-188

    authors: Rubio-Valera M,Jové AM,Hughes CM,Guillen-Solà M,Rovira M,Fernández A

    更新日期:2012-07-07 00:00:00

  • Understanding significant processes during work environment interventions to alleviate time pressure and associated sick leave of home care workers--a case study.

    abstract:BACKGROUND:Ergonomic and work stress interventions rarely show long-term positive effect. The municipality participating in this study received orders from the Norwegian Labour Inspectorate due to an identified unhealthy level of time pressure, and responded by effectuating several work environment interventions. The s...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-13-477

    authors: Andersen GR,Westgaard RH

    更新日期:2013-11-15 00:00:00

  • Palliative care for patients with heart failure: facilitators and barriers - a cross sectional survey of German health care professionals.

    abstract:BACKGROUND:Compared to patients with cancer, heart failure patients are seldom candidates for palliative care. Numerous studies have investigated reasons why heart failure patients do not receive palliative care; however, none of these studies have ever evaluated the situation in the German health care setting. This st...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-016-1609-x

    authors: Ziehm J,Farin E,Schäfer J,Woitha K,Becker G,Köberich S

    更新日期:2016-08-08 00:00:00

  • Experiences of mental illness stigma, prejudice and discrimination: a review of measures.

    abstract:BACKGROUND:There has been a substantial increase in research on mental illness related stigma over the past 10 years, with many measures in use. This study aims to review current practice in the survey measurement of mental illness stigma, prejudice and discrimination experienced by people who have personal experience ...

    journal_title:BMC health services research

    pub_type: 杂志文章,评审

    doi:10.1186/1472-6963-10-80

    authors: Brohan E,Slade M,Clement S,Thornicroft G

    更新日期:2010-03-25 00:00:00