Patient preferences in randomised trials: threat or opportunity?

abstract：OBJECTIVES:To investigate the organisational factors that impede or facilitate transition of young people from child and adolescent (CAMHS) to adult mental health services (AMHS). METHODS:Thirty-four semi-structured interviews were conducted with health and social care professionals working in child and adult services...

journal_title：Journal of health services research & policy

authors： Belling R,McLaren S,Paul M,Ford T,Kramer T,Weaver T,Hovish K,Islam Z,White S,Singh SP

更新日期：2014-07-01 00:00:00

abstract：:Diagnosis-related groups are widespread across Europe and they are meant to be a central instrument to improve the activity and efficiency of hospitals. However, there are many examples of diagnosis-related groups having adverse effects which are difficult to control and which endanger the goals of health care systems...

journal_title：Journal of health services research & policy

authors： Sørensen ML,Burau V

更新日期：2016-01-01 00:00:00

abstract：OBJECTIVE:To explore the tensions across the primary-secondary interface when referral from primary care is to a team and to inform service developments in other specialties. METHODS:A nested qualitative study within a randomized controlled trial of primary care and Community Mental Health Teams (CMHTs) in Croydon and...

journal_title：Journal of health services research & policy

authors： Chew-Graham C,Slade M,Montâna C,Stewart M,Gask L

更新日期：2008-01-01 00:00:00

abstract：:Hospitals are awash with patient experience data, much of it collected with the ostensible purpose of improving the quality of patient care. However, there has been comparatively little consideration of the nature and capacities of data itself. Using insights from actor-network theory, we propose that paying attention...

journal_title：Journal of health services research & policy

authors： Desai A,Zoccatelli G,Adams M,Allen D,Brearley S,Rafferty AM,Robert G,Donetto S

更新日期：2017-04-01 00:00:00

abstract：:The rationales used in chiropractic are largely in keeping with current evidence-based guidance. When listening to debates for and against the scientific basis of chiropractic, it is important to be aware of the selective use of evidence on both sides and of the limitations of logical positivistic arguments when it co...

journal_title：Journal of health services research & policy

authors： Breen A

更新日期：2009-07-01 00:00:00

abstract：:Research can contribute to resolving some of the workforce challenges that all heath care systems face. In an attempt to identify the research agenda, key stakeholders in the UK were brought together and background papers were presented by academics with expertise in seven related but distinct areas: global issues; pr...

journal_title：Journal of health services research & policy

authors： Black N,Rafferty AM,West E,Gough P

更新日期：2004-01-01 00:00:00

abstract：AIMS:To evaluate the extent to which structural variation between English general practices is accounted for at higher organisational levels in the National Health Service (NHS). METHODS:We analysed data for 11 structural characteristics of all general practices in England. These included characteristics of general pr...

journal_title：Journal of health services research & policy

authors： Adams G,Gulliford M,Ukoumunne O,Chinn S,Campbell M

更新日期：2003-04-01 00:00:00

abstract：OBJECTIVE:Non-surgical treatment can be effective for many musculoskeletal conditions. Improving access to these options may improve the efficiency of hospitals. The Orthopaedic Physiotherapy Screening Clinic and Multidisciplinary Service offers early comprehensive assessment and coordinated, patient-centred care withi...

journal_title：Journal of health services research & policy

authors： Comans T,Raymer M,O'Leary S,Smith D,Scuffham P

更新日期：2014-10-01 00:00:00

abstract：OBJECTIVE:Cost-utility analysis is gaining importance as a tool for setting priorities in health care. The approach requires quality-of-life weights on a scale from 0.00 (corresponding to death) to 1.00 (corresponding to perfect health). Different methods and perspectives of the evaluators tend to give different result...

journal_title：Journal of health services research & policy

authors： Arnesen T,Trommald M

更新日期：2004-01-01 00:00:00

abstract：OBJECTIVE:To explore some of the impacts of star performance ratings in acute hospital trusts in England. METHODS:A multiple case study design was used which incorporated purposeful sampling of 'low' and 'high' performing trusts using the star rating system. In each case study site, data collection comprised semi-stru...

journal_title：Journal of health services research & policy

authors： Mannion R,Davies H,Marshall M

更新日期：2005-01-01 00:00:00

abstract：OBJECTIVE:Physician gender may be a source of differences in communication between physicians and their patients, which may in turn contribute to patient satisfaction and other outcomes. Our aim was to review systematically research on gender differences in the length, style and content of communication with patients. ...

journal_title：Journal of health services research & policy

authors： Jefferson L,Bloor K,Birks Y,Hewitt C,Bland M

更新日期：2013-10-01 00:00:00

abstract：OBJECTIVE:To review the impact of payment systems on the behaviour of primary care physicians. METHODS:All randomised trials, controlled before and after studies, and interrupted time series studies that compared capitation, salary, fee-for-service or target payments (mixed or separately) that were identified by compu...

journal_title：Journal of health services research & policy

authors： Gosden T,Forland F,Kristiansen IS,Sutton M,Leese B,Giuffrida A,Sergison M,Pedersen L

更新日期：2001-01-01 00:00:00

abstract：:People with serious and persistent mental illness require a range of community services typically provided by different specialized agencies. At the clinical level, assertive team case management is the strategy commonly used to achieve integration of services across specialized sectors. The USA also has used various ...

journal_title：Journal of health services research & policy

authors： Mechanic D

更新日期：1997-04-01 00:00:00

abstract：:The incorporation of genetics into health services research has largely floundered, despite the rapidly accelerating availability of, and access to, such data. This is expected given the ethical questions involved. However, using these new resources robustly to examine population choices when it comes to health insure...

journal_title：Journal of health services research & policy

authors： Fluegge K

更新日期：2017-01-01 00:00:00

abstract：OBJECTIVES:To critically evaluate the quality of hospital medical care at the beginning, during and shortly after regionalization of health boards in Newfoundland and Labrador, and aggregation of hospitals in the St John's region. METHODS:Retrospective chart audits for the years 1995/96, 1998/99 and 2000/01 (at the be...

journal_title：Journal of health services research & policy

authors： Curtis B,Gregory D,Parfrey P,Kent G,Jelinski S,Kraft S,O'Reilly D,Barrett B

更新日期：2005-10-01 00:00:00

abstract：:This essay considers some limitations of programme theory evaluation in relation to healthcare policies. This approach, which seeks to surface 'programme theories' or construct 'logic models', is often unable to account for empirical observations of policy implementation in real-world contexts. I argue that this failu...

journal_title：Journal of health services research & policy

authors： Jones L

更新日期：2018-10-01 00:00:00

abstract：OBJECTIVES:To evaluate the effect of a risk factor checklist and training video for general practitioners in reducing inter-practice variation and improving the appropriateness of referrals (assessed by their positive predictive value or PPV) of patients with suspected otitis media with effusion (OME or 'glue ear') to ...

journal_title：Journal of health services research & policy

authors： Bennett K,Haggard M,Churchill R,Wood S

更新日期：2001-07-01 00:00:00

abstract：INTRODUCTION:Levels of management staffing in the UK National Health Service (NHS) have received considerable political and media attention in the last four years or so. Both the previous and current governments committed themselves to reducing management expenditure in the health service, and significant cuts appear t...

journal_title：Journal of health services research & policy

authors： Söderlund N

更新日期：1999-01-01 00:00:00

abstract：:Objectives To investigate the effects of four factors on perceptions of fairness in access to outpatient services: proportions of walk-in versus scheduled registration, consultation queues, regulations for late patients and particular categories of patients getting better access. Methods A total of 124 young adults we...

journal_title：Journal of health services research & policy

authors： Lu TP,Rau PP,Guo Z,Chen CL

更新日期：2018-01-01 00:00:00

abstract：:It has previously been suggested that the English Department of Health seems, wittingly or not, to have drawn on the experiences of Stalinist Russia in devising policies for the National Health Service. The development of general practitioner fundholding during the 1990s could be compared to the Soviet support for the...

journal_title：Journal of health services research & policy

authors： Clegg K

更新日期：2000-07-01 00:00:00

abstract：:Health services researchers have an important role to play in helping health care systems around the world provide high quality, affordable services. However, gaps between the best evidence and current practice suggest that researchers need to work in new ways. The production of research that meets the needs and prior...

journal_title：Journal of health services research & policy

authors： Barratt H,Shaw J,Simpson L,Bhatia S,Fulop N

更新日期：2017-10-01 00:00:00

abstract：:Understanding the environmental and behavioural predictors of wellbeing is a key driver of health and social care research. Research set in the social world examines the relationships between behavioural, cognitive, emotional and environmental factors, linking these to disease or social ills with the aim of providing ...

journal_title：Journal of health services research & policy

authors： Jones M,Johnston D

更新日期：2011-07-01 00:00:00

abstract：OBJECTIVES:To illustrate the complexity of setting up evaluative research when it is perceived to threaten professional and financial interests. METHODS:A case study based on participatory observation of attempts to study the delivery and health consequences of in vitro fertilization (IVF). Two research projects were ...

journal_title：Journal of health services research & policy

authors： Hemminki E

更新日期：2002-01-01 00:00:00

abstract：OBJECTIVES:To test the effects of adding text messages to weekly email communications on recipients' total physical activity (leisure-time; workplace; domestic and garden; and active transportation) in employees of universities and colleges in the UK. METHODS:A randomised trial with two study groups (email only or ema...

journal_title：Journal of health services research & policy

authors： Suggs S,Blake H,Bardus M,Lloyd S

更新日期：2013-04-01 00:00:00

abstract：:Patients are increasingly using the internet to access information on health care and services, as well as writing reviews of their own experiences. With patient choice increasing in many health systems, payers, purchasers and providers are attempting to take control of this trend by designing and managing their own p...

journal_title：Journal of health services research & policy

authors： Trigg L

更新日期：2011-04-01 00:00:00

abstract：:Moral hazard in public insurance for long-term care may be counteracted by strategies influencing supply or demand. Demand-side strategies may target the patient or the insurer. Various demand-side strategies and how they are implemented in four European countries (Germany, Belgium, Switzerland and the Netherlands) ar...

journal_title：Journal of health services research & policy

authors： Bakx P,Chernichovsky D,Paolucci F,Schokkaert E,Trottmann M,Wasem J,Schut F

更新日期：2015-07-01 00:00:00

abstract：:Discussion of unanticipated problems in care with patients and their families ('open disclosure') is now widely advocated. Despite international efforts and the introduction of a range of policies and guidance to promote such discussions, the expectations of policy makers and patients are often not matched in practice...

journal_title：Journal of health services research & policy

authors： Birks Y,Entwistle V,Harrison R,Bosanquet K,Watt I,Iedema R

更新日期：2015-01-01 00:00:00

abstract：OBJECTIVES:Increasingly health care performance data are being disseminated in the form of 'league tables' of health care providers, with the implication that such publication helps purchasers select the better providers, and spurs providers into improvements. This paper examines progress to date. METHODS:Three stages...

journal_title：Journal of health services research & policy

authors： Nutley S,Smith PC

更新日期：1998-01-01 00:00:00

abstract：OBJECTIVES:English primary care organisations (primary care groups and trusts - PCGs, PCTs) were, and are, responsible for the quality of general practice but lack hierarchical structures and, frequently, contractual relationships through which to influence it. The theory of soft governance describes how managers can i...

journal_title：Journal of health services research & policy

authors： Sheaff R,Sibbald B,Campbell S,Roland M,Marshall M,Pickard S,Gask L,Rogers A,Halliwell S

更新日期：2004-07-01 00:00:00

abstract：:An important component of the reforms of the British National Health Service (NHS) has been devolution of a previously highly centralised pay bargaining system to the local provider level. As the wage bill is by far the single largest item of health care expenditure, the implications of this change may be far-reaching...

journal_title：Journal of health services research & policy

authors： Gray A,Buchan J

更新日期：1998-04-01 00:00:00