Soft governance and attitudes to clinical quality in English general practice.

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：: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: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 explore patients' and carers' views on what constitutes high-quality communication and information provision during diagnostic assessment in memory clinic services in three areas of England. METHODS:Interviews with 27 people with cognitive impairment (13 with confirmed dementia) and 26 carers (20 matched...

journal_title：Journal of health services research & policy

authors： Abley C,Manthorpe J,Bond J,Keady J,Samsi K,Campbell S,Watts S,Robinson L

更新日期：2013-07-01 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：OBJECTIVES:The introduction of an internal market in the British National Health Service (NHS) has highlighted the importance of developing appropriate, valid and timely measures of hospital activity, both for the purposes of specifying and monitoring contracts and for evaluating the success of the NHS reforms in gener...

journal_title：Journal of health services research & policy

authors： Söderlund N,Gray A,Milne R,Raftery J

更新日期：1996-01-01 00:00:00

abstract：OBJECTIVES:To determine whether geographical areas with relatively low overall hospitalization rates have higher population-based rates of admission of patients with advanced stages of disease. METHODS:Age- and sex-standardized hospital admission rate were calculated for the residents of the 80 Local Health Units in L...

journal_title：Journal of health services research & policy

authors： Taroni F,Repetto F,Louis DZ,Moro ML,Yuen EJ,Gonnella JS

更新日期：1997-10-01 00:00:00

abstract：OBJECTIVES:To compare open heart surgery services provided by public and private hospitals in Catalonia (Spain) according to case mix, procedures undergone and surgical mortality. METHODS:Data on all adult patients undergoing open heart surgery procedures were collected prospectively in a sample of public and privatel...

journal_title：Journal of health services research & policy

authors： Pons J,Moreno V,Borras J,Espinas J,Almazan C,Granados A

更新日期：1999-04-01 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：: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: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：: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：:Evidence-based medicine (EBM) and evidence-based decision-making (EBDM) were intended to revolutionize health care and health policy. Thus far they have not. A great deal of research has demonstrated the persistent ubiquity of error in health care, wide and unjustifiable variations in practice and the minimal impact o...

journal_title：Journal of health services research & policy

authors： Lewis S

更新日期：2007-07-01 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：: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：: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：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：: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：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：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:The effects of demographic, locational and socio-economic disadvantage, and the influence of private health care on five-year mortality rates in patients with lung cancer or after breast cancer surgery in Western Australia were examined. METHODS:The Western Australian Record Linkage Project was used to extra...

journal_title：Journal of health services research & policy

authors： Hall S,Holman CD,Sheiner H,Hendrie D

更新日期：2004-10-01 00:00:00

abstract：OBJECTIVES:To demonstrate the benefits of applying meta ethnography to the synthesis of qualitative research, by means of a worked example. METHODS:Four papers about lay meanings of medicines were arbitrarily chosen. Noblit and Hare's seven-step process for conducting a meta ethnography was employed: getting started; ...

journal_title：Journal of health services research & policy

authors： Britten N,Campbell R,Pope C,Donovan J,Morgan M,Pill R

更新日期：2002-10-01 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: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：OBJECTIVES:To examine the extent to which proximity to the income threshold for free GP care results in significant differences in GP visiting. Approximately 30% of the Irish population receives free GP care (medical card patients), while the remaining 70% pays in full (private patients). Medical card eligibility exert...

journal_title：Journal of health services research & policy

authors： Nolan A

更新日期：2008-10-01 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：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:Successful partnership working has theoretically been linked to improvements in service delivery and is dependent on the strength of the partnership, trust, communication, professional roles and resource sharing. Empirical evidence to confirm the relationships between these factors and improved service provi...

journal_title：Journal of health services research & policy

authors： Pow J,Elliott L,Raeside R,Themessl-Huber M,Claveirole A

更新日期：2013-07-01 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