Health care resource allocation: is the threshold rule good enough?

abstract：OBJECTIVE:To evaluate the effectiveness and cost of obtaining consent for review of medical records within the passively observed non-intervention arm of a cluster randomized controlled trial, 'Comparison Arm for ProtecT'. METHODS:Two hundred and thirty men, who had been notified to the trial by cancer registries as h...

journal_title：Journal of health services research & policy

authors： Noble S,Donovan J,Turner E,Metcalfe C,Lane A,Rowlands MA,Neal D,Hamdy F,Ben-Shlomo Y,Martin R

更新日期：2009-04-01 00:00:00

abstract：:This paper takes an overview of the organizational and managerial literature on recent large-scale change efforts within health care organizations. Such literature refers to issues of enhanced policy significance, as a succession of such changes has swept through health care, at an international level. Interpretive an...

journal_title：Journal of health services research & policy

authors： Ferlie E

更新日期：1997-07-01 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：OBJECTIVES:The United States Government's Medicaid expansion policy has important implications for health centres, since a large proportion of health centre patients are Medicaid enrollees. The objective of this study was to compare primary care utilization and clinical quality performance between health centres in Med...

journal_title：Journal of health services research & policy

authors： Lee DC,Shi L,Liang H

更新日期：2019-01-01 00:00:00

abstract：BACKGROUND:The Capital Health (CH) region in Alberta serves the population of the Edmonton area as well as a large referral population in western Canada. CH is responsible for the delivery of the spectrum of patient care, from inpatient to outpatient services. Growth in outpatient care, in particular, has led to the de...

journal_title：Journal of health services research & policy

authors： Taylor D,Lahey M

更新日期：2008-01-01 00:00:00

abstract：OBJECTIVES:The National Health Insurance (NHI) system in Taiwan launched a trial capitation provider payment programme in 2011, with the capitation formula based on patients' average NHI expenditure in the previous year. This study seeks to examine the concentration and persistence of health care expenditure among the ...

journal_title：Journal of health services research & policy

authors： Ku LJ,Chiou MJ,Liu LF

更新日期：2015-07-01 00:00:00

abstract：:In most jurisdictions, public policy regarding assisted death has not advanced beyond simple prohibition. However, this issue is increasingly likely to reach the policy agenda. Policy-makers may be tempted to turn for guidance to the three places in the world with developed policy or legislation: the Netherlands; the ...

journal_title：Journal of health services research & policy

authors： Shortt S,Lavery J

更新日期：1999-10-01 00:00:00

abstract：:Health services research must continually address the question: Under what conditions may data not collected specifically for research, such as primary medical data, be re-used for research without compromising the privacy of the data-subjects? For secondary use of data in research there are basically three options. O...

journal_title：Journal of health services research & policy

authors： Lowrance W

更新日期：2003-07-01 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：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：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：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 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：: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：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：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 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：:Though the science of medicine subscribes to learning from best practices and the transmission of superior treatment regimens across national boundaries, the same ethos does not inform political debates surrounding health system reform. The Canadian and English health systems have been used - and, more frequently - ab...

journal_title：Journal of health services research & policy

authors： Ehlke D

更新日期：2011-07-01 00:00:00

abstract：:This paper deals with three concerns about the evaluative framework that is currently dominant within health economics. These concerns are: that the evaluative framework is concerned entirely with health; that the evaluative framework has an individualistic focus on patients alone; and that the methods used to estimat...

journal_title：Journal of health services research & policy

authors： Coast J,Flynn T,Sutton E,Al-Janabi H,Vosper J,Lavender S,Louviere J,Peters T

更新日期：2008-10-01 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：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：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：OBJECTIVE:To evaluate how UK maternity unit protocols conformed to national recommendations for preventing early-onset neonatal Group B Streptococcal (GBS) disease. METHODS:In December 2005, all UK obstetric maternity units were contacted and asked to provide a copy of their protocol on preventing GBS disease. Informa...

journal_title：Journal of health services research & policy

authors： Cromwell D,Joffe T,Hughes R,Murphy D,Dhillon C,van der Meulen J

更新日期：2008-04-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:Automated pharmacy data have been used to develop a measure of chronic disease status in the general population. The objectives of this project were to refine and apply a model of chronic disease identification using Italian automated pharmacy data; to describe how this model may identify patt...

journal_title：Journal of health services research & policy

authors： Maio V,Yuen E,Rabinowitz C,Louis D,Jimbo M,Donatini A,Mall S,Taroni F

更新日期：2005-10-01 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：: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：: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 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：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 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