Shifting services from secondary to primary care: stakeholders' views of the barriers.

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：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：: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：: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：OBJECTIVE:To explain recent rapid audited change in the uptake of locally implemented, evidence-based clinical guidelines for asthma and angina in primary care. METHODS:A case study of primary care in two matched, adjacent districts in Northern England, focusing on a stratified random sample of 49 general practitioner...

journal_title：Journal of health services research & policy

authors： Harrison S,Dowswell G,Wright J,Russell I

更新日期：2003-07-01 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：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：:The study, first published in 2003, looks at the root causes of adverse events and near misses in obstetrics at seven hospital maternity units by interviewing 93 members of staff, identifying the areas of mismanagement in each case and thematically analysing them. ...

journal_title：Journal of health services research & policy

authors： Ashcroft B

更新日期：2010-01-01 00:00:00

abstract：OBJECTIVES:In developed countries, community pharmacists are increasingly involved in clinical care. This study aimed to explore the acceptability to users of pharmaceutical care (drug therapy monitoring and management) provided in Portuguese community pharmacies, thereby informing future practice, policy and research....

journal_title：Journal of health services research & policy

authors： Guerreiro M,Cantrill J,Martins P

更新日期：2010-10-01 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：:'Integrated care' is pitched as the solution to current health system challenges. In the literature, what integrated care actually involves is complex and contested. Multi-disciplinary team case management is frequently the primary focus of integrated care when implemented internationally. We examine the practical app...

journal_title：Journal of health services research & policy

authors： Stokes J,Checkland K,Kristensen SR

更新日期：2016-10-01 00:00:00

abstract：OBJECTIVES:The National Service Framework (NSF) for Coronary Heart Disease--published by the English Department of Health in 2000--sets out how those within the health service should seek to prevent and treat coronary heart disease and care for people with the disease. Its prescriptions are partly based on what is know...

journal_title：Journal of health services research & policy

authors： Rayner M,Scarborough P,Allender S

更新日期：2006-04-01 00:00:00

abstract：OBJECTIVES:To understand the challenges and opportunities associated with the introduction of assistant practitioner (AP) roles supporting the work of ward-based registered nurses (RNs) in National Health Service (NHS) acute hospital trusts in England. METHODS:Three case studies of NHS acute hospital trusts. This pape...

journal_title：Journal of health services research & policy

authors： Spilsbury K,Adamson J,Atkin K,Bloor K,Carr-Hill R,McCaughan D,McKenna H,Wakefield A

更新日期：2011-04-01 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：:This article raises the concern that biobanks are failing to realize the expected research and health service outcomes. Rather than biobanking, we have been engaging in 'biohoarding', where building a quantifiable collection of tissue samples is the primary basis of the bio-resource. The root cause of 'biohoarding' is...

journal_title：Journal of health services research & policy

authors： Catchpoole D

更新日期：2016-04-01 00:00:00

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：: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：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：OBJECTIVE:Effective use of staff is a major aim in all health-care systems both to maximize their impact and to minimize costs. In England, a few general practitioners (GPs) have been recruiting physician assistants (PAs) to work in their practices, independent of any pilot schemes. Our objective was to study the motiv...

journal_title：Journal of health services research & policy

authors： Drennan V,Levenson R,Halter M,Tye C

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：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：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

abstract：BACKGROUND:Improvements in health service provision need not be costly and indeed may save money. Administration of radio iodine ((131)I) to patients with thyrotoxicosis in the UK is often delayed because few endocrinologists have appropriate Administration of Radioactive Substances Advisory Committee (ARSAC) certifica...

journal_title：Journal of health services research & policy

authors： Singh R,Aitken M

更新日期：2007-10-01 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：BACKGROUND:Scholarship cites health care managers (HCMs) as not using research evidence in their management practice. The purpose of this review was to evaluate the effectiveness of interventions to enhance HCMs use of research evidence in practice. METHODS:We carried out a systematic review and focus groups to valida...

journal_title：Journal of health services research & policy

authors： Tate K,Hewko S,McLane P,Baxter P,Perry K,Armijo-Olivo S,Estabrooks C,Gordon D,Cummings G

更新日期：2019-01-01 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：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：: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：OBJECTIVE:Our aim was to evaluate whether the involvement of health care managers in research projects improves the quality and relevance of research, and whether collaboration builds capacity in the managerial community. METHODS:The NIHR Service Delivery and Organization Management Fellowship programme supports the d...

journal_title：Journal of health services research & policy

authors： Bullock A,Morris ZS,Atwell C

更新日期：2012-04-01 00:00:00