In praise of chiropractic.

abstract：OBJECTIVE:Limited resources mean that decision-makers must set priorities among competing opportunities. Programme budgeting and marginal analysis (PBMA) is an economic approach that focuses on optimizing benefits with available resources. Accountability for reasonableness (A4R) is an ethics approach that focuses on en...

journal_title：Journal of health services research & policy

authors： Gibson J,Mitton C,Martin D,Donaldson C,Singer P

更新日期：2006-01-01 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：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：:The economic evaluation of health care technologies has a key role within the new National Health Service health technology assessment process. There has, however, been little discussion of the best way of combining economic and clinical research. Economic evaluation should be iterative, generating progressively firme...

journal_title：Journal of health services research & policy

authors： Sculpher M,Drummond M,Buxton M

更新日期：1997-01-01 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：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 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：: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：: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：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: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: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: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：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：: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：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：:It is important to include non English speakers in health services research to ensure not only the generalisability of findings but also to address health inequalities and promote social justice. One approach is to use interpreters but there is little guidance for working with an interpreter in interviews. Involving a...

journal_title：Journal of health services research & policy

authors： Plumridge G,Redwood S,Greenfield S,Akhter N,Chowdhury R,Khalade A,Gill P

更新日期：2012-07-01 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：: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 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：: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：: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: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：:Policy-makers and managers have always used a wide range of sources of evidence in making decisions about policy and the organization of services. However, they are under increasing pressure to adopt a more systematic approach to the utilization of the complex evidence base. Decision-makers must address complicated qu...

journal_title：Journal of health services research & policy

authors： Mays N,Pope C,Popay J

更新日期：2005-07-01 00:00:00

abstract：:This paper analyses likely implications of two recent European Court rulings on the provision of health care across borders within the European Union. We argue that the two cases have fundamental implications for the provision of health services as free access to care across borders conflicts with the principle of sub...

journal_title：Journal of health services research & policy

authors： Kanavos P,McKee M

更新日期：2000-10-01 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：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：: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：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