Why we need to move beyond diagnosis-related groups and how we might do so.

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：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：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：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：:The National Health Service (NHS) in England is not only a commissioner and provider of health care to the sick, but also offers certainty and peace of mind to all citizens--even those who do not use the health service in any year. However, due to the recent dominance of cost-effectiveness and cost-utility analysis as...

journal_title：Journal of health services research & policy

authors： Vaithianathan R,Lewis G

更新日期：2010-07-01 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: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：: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：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：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：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：:'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：: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：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：: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：OBJECTIVE:To explore the tensions across the primary-secondary interface when referral from primary care is to a team and to inform service developments in other specialties. METHODS:A nested qualitative study within a randomized controlled trial of primary care and Community Mental Health Teams (CMHTs) in Croydon and...

journal_title：Journal of health services research & policy

authors： Chew-Graham C,Slade M,Montâna C,Stewart M,Gask L

更新日期：2008-01-01 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：: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：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：:Continuity of care is concerned with the quality of care over time. There are two important perspectives on this. Traditionally, continuity of care is idealized in the patient's experience of a 'continuous caring relationship' with an identified health care professional. For providers in vertically integrated systems ...

journal_title：Journal of health services research & policy

authors： Gulliford M,Naithani S,Morgan M

更新日期：2006-10-01 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：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：: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：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：: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：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：OBJECTIVES:To conduct an economic evaluation comparing a traditional antenatal visiting schedule (traditional care) with a reduced schedule of visits (new style care) for women at low risk of complications. METHODS:Economic evaluation using the results of a randomised controlled trial, the Antenatal Care Project. This...

journal_title：Journal of health services research & policy

authors： Henderson J,Roberts T,Sikorski J,Wilson J,Clement S

更新日期：2000-04-01 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：: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 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