Variation in hospital use and avoidable patient morbidity.

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：OBJECTIVES:To compare the cost-effectiveness of four third molar guideline implementation strategies. METHODS:Fifty-one dental practices in Scotland were randomized to one of four implementation strategies. The effectiveness of the strategies was measured by general dental practitioners' compliance with the guideline....

journal_title：Journal of health services research & policy

authors： Tilley C,McIntosh E,Bahrami M,Clarkson J,Deery C,Pitts N

更新日期：2005-07-01 00:00:00

abstract：:We review the foundations of resource allocation rules based on cost-effectiveness information. Comprehensive approaches, where a total budget is allocated in one go, require estimation of the costs and effects of all available health care programmes, which is unlikely to be practical. A common alternative is to asses...

journal_title：Journal of health services research & policy

authors： Lord J,Laking G,Fischer A

更新日期：2004-10-01 00:00:00

abstract：OBJECTIVES:To estimate the costs and potential efficiency gains of changing the frequency of clinic appointments and drug dispensing arrangements for stable HIV patients compared to the costs of hospital pharmacy dispensing and home delivery. METHODS:We estimated the annual costs per patient (HIV clinic visits and eit...

journal_title：Journal of health services research & policy

authors： Adams E,Ogden D,Ehrlich A,Hay P

更新日期：2014-07-01 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：:We summarise and evaluate Harris' criticisms of cost-effectiveness analysis (CEA) and the alternative processes he commends to health care decision makers. In contrast to CEA, Harris' asserts that individuals have a right to life-saving treatment that cannot be denied on the basis of their capacity to benefit. We conc...

journal_title：Journal of health services research & policy

authors： Edlin R,McCabe C,Round J,Wright J,Claxton K,Sculpher M,Cookson R

更新日期：2013-01-01 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：: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：: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

abstract：BACKGROUND AND PURPOSE:The assessment of any health care intervention should consider both risks and benefits and take patients' preferences about these into account. The study reported in this paper aimed to elicit patient valuations of health states relevant to assessment of the prevention of stroke by warfarin antic...

journal_title：Journal of health services research & policy

authors： Robinson A,Thomson R,Parkin D,Sudlow M,Eccles M

更新日期：2001-04-01 00:00:00

abstract：:Almost everything you know about heroin addiction is wrong. Not only is it wrong, but it is obviously wrong. Heroin is not highly addictive; withdrawal from it is not medically serious; addicts do not become criminals to feed their habit; addicts do not need any medical assistance to stop taking heroin; and contrary t...

journal_title：Journal of health services research & policy

authors： Dalrymple T

更新日期：2008-04-01 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：:There has been much speculation about whether the National Institute for Health and Clinical Excellence (NICE) has, or ought to have, a 'threshold' figure for the cost of an additional quality-adjusted life-year above which a technology will not be recommended for use. We argue that it is not constitutionally appropri...

journal_title：Journal of health services research & policy

authors： Culyer A,McCabe C,Briggs A,Claxton K,Buxton M,Akehurst R,Sculpher M,Brazier J

更新日期：2007-01-01 00:00:00

abstract：OBJECTIVES:To examine the influence of the English National Health Service (NHS) South and West (S&W) region Development and Evaluation Committee (DEC) technology appraisal reports on purchasing and clinical decisions in the S&W and elsewhere in the NHS, and to estimate the cost of the DEC process. METHODS:Two postal ...

journal_title：Journal of health services research & policy

authors： Dixon S,Coleman P,Nicholl J,Brennan A,Touch S

更新日期：2003-01-01 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：OBJECTIVES:The nine NIHR CLAHRCs are collaborations between universities and local NHS organizations that seek to improve patient outcomes through the conduct and application of applied health research. The theoretical and practical context within which the CLAHRCs were set up was characterized by a considerable degree...

journal_title：Journal of health services research & policy

authors： Soper B,Yaqub O,Hinrichs S,Marjanovich S,Drabble S,Hanney S,Nolte E

更新日期：2013-10-01 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：BACKGROUND:Access to cardiac treatments has been documented to vary with patients' age. It is unknown whether these variations reflect patients' treatment preferences. We aimed to investigate patients' preferences for cardiology treatments and develop a Patients' Preferences Questionnaire. METHODS:Semi-structured inte...

journal_title：Journal of health services research & policy

authors： Bowling A,Reeves B,Rowe G

更新日期：2008-10-01 00:00:00

abstract：OBJECTIVE:the nature of care delivered in emergency departments has changed due to increased demand. In response, one relatively new change is the introduction of a physiotherapy service. There have been anecdotal reports that this may reduce patient waiting times and lead to more effective use of other health care sta...

journal_title：Journal of health services research & policy

authors： Kilner E

更新日期：2011-01-01 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：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：OBJECTIVES:To evaluate whether the Clinical Priority Assessment Criteria (CPAC), used to prioritise access to elective surgery, was associated with: (a) patients' access to surgery in practice; (b) patients' level of need; and (c) patients' ability to benefit from surgery. Patients' perceptions of the 'booking system' ...

journal_title：Journal of health services research & policy

authors： Derrett S,Paul C,Herbison P,Williams H

更新日期：2002-07-01 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：OBJECTIVES:to determine the extent and nature of the decisions individuals are asked to make as in-patients, and whether doctors, nurses, other health care practitioners, and housekeepers engaged in routine (non-emergency) medical assessments, investigations and treatments, or acts of personal care observe the Referenc...

journal_title：Journal of health services research & policy

authors： Redley M,Keeley H,Clare I,Hinds D,Luke L,Holland A

更新日期：2011-01-01 00:00:00

abstract：OBJECTIVES:Randomized controlled trials are important for evaluating health care interventions, but recruitment can be difficult. Studies of potential participants' perspectives on trial participation are accumulating, but their collective contribution is not obvious. In 2007, we conducted a meta-ethnographic synthesis...

journal_title：Journal of health services research & policy

authors： McCann S,Campbell M,Entwistle V

更新日期：2013-10-01 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:To assess the role of economics, in combination with clinical judgement, for setting research priorities, using osteoporosis prevention (and, as a result, hip fracture prevention) as an example. METHODS:Modelling the cost and effectiveness of each of six potential interventions to prevent hip fractures over...

journal_title：Journal of health services research & policy

authors： Torgerson D,Donaldson C,Reid D

更新日期：1996-07-01 00:00:00

abstract：:The way that public involvement in research has been evaluated as a complex intervention has derailed the development of an evidence base. Two alternative approaches are available for constructing and evaluating patient involvement, each of which requires us to revisit the purposes and values that underpin it in each ...

journal_title：Journal of health services research & policy

authors： Edelman N,Barron D

更新日期：2016-07-01 00:00:00

abstract：OBJECTIVES:To identify factors that explain patient satisfaction with general practice physicians and hence that may drive patients' choice of practice. METHODS:Logistic regression analysis of English National Health Service national patient survey data is used to identify the aspects of general practice care that are...

journal_title：Journal of health services research & policy

authors： Robertson R,Dixon A,Le Grand J

更新日期：2008-04-01 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