Ethnicity, socioeconomic deprivation and consultation rates in New Zealand general practice.

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：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 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：: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：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：: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 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: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：: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 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 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：: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: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：OBJECTIVES:This paper focuses upon health status, need for care, and use of health care from 1994/95 to 2000/01 in the Canadian foreign-born population. METHODS:Using Statistics Canada's longitudinal National Population Health Survey, descriptive and survival analyses are used to explore immigrant health status and he...

journal_title：Journal of health services research & policy

authors： Newbold B

更新日期：2005-04-01 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：:The purpose of this paper is to expand understanding of academic-practitioner knowledge-sharing in the service of enhanced knowledge creation in health care. To this end, we describe the tacit and explicit knowledge of academics and practitioners and how this knowledge exists within their communities of practice. We a...

journal_title：Journal of health services research & policy

authors： Bartunek J,Trullen J,Bonet E,Sauquet A

更新日期：2003-10-01 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：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：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 determine the extent to which reports of Cochrane reviews recommend the need for further research and, if so, the extent to which they make suggestions regarding that research. METHODS:We examined all 2535 reviews in Issue 4, 2005 of The Cochrane Library. Each review was categorized on the basis of wheth...

journal_title：Journal of health services research & policy

authors： Clarke L,Clarke M,Clarke T

更新日期：2007-04-01 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：: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 the barriers to shifting services from secondary to primary care perceived by the involved stakeholders. METHODS:Forty-five semi-structured interviews with stakeholders from primary care, acute and community hospitals, purchasers (health authorities) and other agencies involved in two contrastin...

journal_title：Journal of health services research & policy

authors： O'Cathain A,Musson G,Munro J

更新日期：1999-07-01 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：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：:Medicaid waivers have been a principal tool of innovation in health policy in the US since at least the mid 1970s. As Republicans seek to give the states more flexibility in their implementation and management of both Medicaid and the Affordable Care Act or its replacement, waiver authority is likely to be one of the ...

journal_title：Journal of health services research & policy

authors： Weissert CS,Weissert WG

更新日期：2017-10-01 00:00:00

abstract：OBJECTIVES:To assess whether it is feasible to elicit patients' preferences for treatments and then to proceed with randomisation which may allocate those with preferences to their less preferred treatment; and to describe which prognostic variables were associated with such preferences within the context of a randomis...

journal_title：Journal of health services research & policy

authors： Torgerson DJ,Klaber-Moffett J,Russell IT

更新日期：1996-10-01 00:00:00

abstract：OBJECTIVE:Poor people receive shorter consultations in general practice than more affluent people. Our aim was to study the two reasons generally advanced for this for patients consulting with mental health problems: people of low socioeconomic status (SES) demand shorter consultations or they tend to match with practi...

journal_title：Journal of health services research & policy

authors： Videau Y,Saliba-Serre B,Paraponaris A,Ventelou B

更新日期：2010-04-01 00:00:00

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