Abstract:
OBJECTIVES:Responsibility for the commissioning of sexual and reproductive health (SRH) services transferred from the National Health Service to local authorities in England in 2013. This transfer prompted many local authorities to undertake new procurements of these SRH services. This study was undertaken to capture some of the lessons learnt in order to inform future commissioning and system redesign. STUDY DESIGN:A qualitative study was carried out involving semi-structured interviews. METHODS:Interviews were conducted with 13 local authority sexual health commissioners in Yorkshire and the Humber from 11 interviews. Thematic analysis was used to identify themes from transcripts of the interviews with the 13 participants. RESULTS:Key themes identified were as follows: the challenge and complexity to those new to clinical commissioning; the prerequisites of robust infrastructural inputs to undertake the process, including technical expertise, a dependable project team, with clarity over the timescales and the budget; the requirement for good governance, stakeholder engagement and successful management of relationships with the latter; and the need to focus on the outcomes, aiming for value for money and improved system performance. CONCLUSIONS:Several key issues emerged from our study that significantly influenced the outcome of the redesign and commissioning process for sexual health services. An adapted model of the Donabedian evaluation framework was developed to provide a tool to inform future system redesign. Our model helps identify the key determinants for successful redesign in this context which is essential to both mitigate potential risks and maximize the likelihood of successful outcomes. Our model may have wider applications.
journal_name
Public Healthjournal_title
Public healthauthors
Walker IF,Leigh-Hunt N,Lee ACKdoi
10.1016/j.puhe.2016.05.018subject
Has Abstractpub_date
2016-10-01 00:00:00pages
134-140eissn
0033-3506issn
1476-5616pii
S0033-3506(16)30080-4journal_volume
139pub_type
杂志文章相关文献
PUBLIC HEALTH文献大全abstract:OBJECTIVE:To examine the association between diabetes and the prevalence of depression in different sex and age groups by analysing the cross-sectional data from the National Population Health Survey, conducted in Canada in 1996-1997. STUDY DESIGN:A total of 53072 people aged 20-64 years were included in the analysis....
journal_title:Public health
pub_type: 杂志文章
doi:10.1016/j.puhe.2006.04.012
更新日期:2006-08-01 00:00:00
abstract:OBJECTIVES:To evaluate the delay in breast cancer (BC) diagnosis and its risk factors. STUDY DESIGN:A cohort study of BC patients referred to treatment at oncological reference hospital, Brazil. Delay in BC diagnosis was defined as a time interval ≥90 days between the first contact with a care provider and a BC diagno...
journal_title:Public health
pub_type: 杂志文章
doi:10.1016/j.puhe.2018.10.012
更新日期:2019-02-01 00:00:00
abstract:OBJECTIVE:To investigate the meaning of the experiences of patients infected by HIV using antiretroviral therapy, regarding the use of alcohol and drugs. STUDY DESIGN:A qualitative phenomenological study. METHOD:A total of 25 patients receiving antiretroviral treatment participated in the investigation, of which 14 w...
journal_title:Public health
pub_type: 杂志文章
doi:10.1016/j.puhe.2017.04.014
更新日期:2017-08-01 00:00:00
abstract:OBJECTIVES:The aim of the study was to model dementia prevalence and outcomes within an ageing population using a novel hybrid simulation model that simultaneously takes population-level and patient-level perspectives to better inform dementia care service planning, taking into account severity progression variability....
journal_title:Public health
pub_type: 杂志文章
doi:10.1016/j.puhe.2020.07.018
更新日期:2020-09-01 00:00:00
abstract:OBJECTIVES:The objective of the study is the identification of racial differences in characteristics and comorbidities in patients hospitalized for COVID-19 and the impact on outcomes. STUDY DESIGN:The study design is a retrospective observational study. METHODS:Data for all patients admitted to seven community hospi...
journal_title:Public health
pub_type: 杂志文章
doi:10.1016/j.puhe.2020.11.021
更新日期:2021-01-01 00:00:00
abstract:OBJECTIVES:Information on multimorbidity in the general populations of developing countries is lacking. We examine the prevalence and patterns of multimorbidity in northeastern China. STUDY DESIGN:A cross-sectional study was conducted on adult residents in Jilin Province, northeastern China from June 2012 to August 20...
journal_title:Public health
pub_type: 杂志文章
doi:10.1016/j.puhe.2015.06.013
更新日期:2015-11-01 00:00:00
abstract:OBJECTIVES:We supplement existing findings on a link between social support and cognitive function in later life by considering the role of personality as an antecedent to both, and of social support as a mediator of the link between personality and cognitive function. STUDY DESIGN:An observational cohort study. METH...
journal_title:Public health
pub_type: 杂志文章
doi:10.1016/j.puhe.2017.02.015
更新日期:2017-06-01 00:00:00
abstract:OBJECTIVES:Aboriginal people are under-represented in epidemiological research, largely due to past failures to engage and recruit Aboriginal communities, research fatigue and the use of culturally inappropriate methods. A qualitative study was undertaken in rural and urban Aboriginal communities in north-eastern and s...
journal_title:Public health
pub_type: 杂志文章
doi:10.1016/j.puhe.2011.08.006
更新日期:2011-11-01 00:00:00
abstract:OBJECTIVES:We analysed the degree and impact of consent bias in the prospective study 'leben in der Arbeit (lidA)' after linking primary interview data with claims data from German statutory health insurance funds as well as with administrative data provided by the German Federal Employment Agency. STUDY DESIGN:Prospe...
journal_title:Public health
pub_type: 杂志文章
doi:10.1016/j.puhe.2017.05.001
更新日期:2017-09-01 00:00:00
abstract:OBJECTIVES:We present findings from a national online survey of uptake and implementation of the National Health Service Health Check (NHSHC) programme. The research aimed to understand national variation in implementation of NHSHCs and to explore the relationship between uptake and different components of implementati...
journal_title:Public health
pub_type: 杂志文章
doi:10.1016/j.puhe.2018.01.024
更新日期:2018-06-01 00:00:00
abstract:OBJECTIVES:To assess the utilization and efficiency of the primary health care (PHC) centres in the delivery of care to epileptic patients. DESIGN:Sixty health centres were randomly selected to represent various socioeconomic classes and urban/ rural population in Riyadh. The study was conducted during August 1993. A ...
journal_title:Public health
pub_type: 杂志文章
doi:10.1016/s0033-3506(96)80035-7
更新日期:1996-01-01 00:00:00
abstract::Family Health Service Authorities (FHSAs), since 1st April 1991, have been both 'managed', by the Regional Health Authority, and 'managing', their contractor services. Both situations are relatively new to them, their Region and the contractors. We examine the opportunities and potential problems of this major strateg...
journal_title:Public health
pub_type: 杂志文章
doi:10.1016/s0033-3506(05)80184-2
更新日期:1992-09-01 00:00:00
abstract:OBJECTIVES:Investigating the current, intended and potential reach of two effective smoking prevention programs in Dutch vocational schools and identifying determinants of school directors' intention to adopt these programs. STUDY DESIGN:Cross-sectional survey. METHODS:Two questionnaires were developed based on the D...
journal_title:Public health
pub_type: 杂志文章
doi:10.1016/j.puhe.2012.01.002
更新日期:2012-04-01 00:00:00
abstract:OBJECTIVES:It was estimated that approximately 60% of the world's population is classified as inactive or insufficiently active. This meta-analysis investigated the effect of web-based interventions on different types of physical activity (PA) measurements in general population and potential moderating variables. STUD...
journal_title:Public health
pub_type: 杂志文章,meta分析,评审
doi:10.1016/j.puhe.2017.06.005
更新日期:2017-11-01 00:00:00
abstract:OBJECTIVES:To examine the impact, acceptability, practicability and implementation of a training intervention, designed using the Behaviour Change Wheel, on the delivery of very brief advice on physical activity, by nurses to cancer patients. STUDY DESIGN:A mixed methods feasibility study. METHOD:A purposeful sample ...
journal_title:Public health
pub_type: 杂志文章
doi:10.1016/j.puhe.2016.05.015
更新日期:2016-10-01 00:00:00
abstract:OBJECTIVE:In order to set the foundation for the possible development of injury surveillance initiatives in north-west London, data on all presentations during 2002 at the nine accident and emergency departments (AEDs) in the relevant strategic health authority were examined. STUDY DESIGN:Descriptive, cross-sectional ...
journal_title:Public health
pub_type: 杂志文章
doi:10.1016/j.puhe.2007.10.011
更新日期:2008-09-01 00:00:00
abstract:OBJECTIVE:Israeli Arab citizens comprise Israel's largest minority group (15.6% of Israelis>12 years old). The objectives of this study were to describe the epidemiology of human immunodeficiency virus (HIV) in this group for the first time at a national level, and to identify health promotion and treatment needs. MET...
journal_title:Public health
pub_type: 杂志文章
doi:10.1016/j.puhe.2004.02.011
更新日期:2005-02-01 00:00:00
abstract:OBJECTIVE:To assess knowledge and attitudes towards cervical cancer prevention in a sample of 2400 Italian women. STUDY DESIGN:Cross-sectional study. METHODS:The study was conducted through a standardized questionnaire administered in the workplace. RESULTS:Regular Pap testing was reported by 65.6% of the sample, an...
journal_title:Public health
pub_type: 杂志文章
doi:10.1016/j.puhe.2011.05.009
更新日期:2011-09-01 00:00:00
abstract:BACKGROUND:This paper presents the methods and findings of a survey of current service configuration in tuberculosis screening, treatment and prevention in England and Wales, which was conducted as part of the development of the National Institute for Health and Clinical Excellence guidelines on tuberculosis for the co...
journal_title:Public health
pub_type: 杂志文章
doi:10.1016/j.puhe.2007.09.015
更新日期:2008-06-01 00:00:00
abstract::Afflicting the majority of female offenders, mental illness is grossly over-represented among incarcerated women. It is a substantial contributor to the poor health status of this population. Of particular concern are the effects of trauma and substance use disorders, which are often a result of past victimization. Th...
journal_title:Public health
pub_type: 杂志文章
doi:10.1016/j.puhe.2009.04.007
更新日期:2009-06-01 00:00:00
abstract:OBJECTIVES:A precise knowledge of the risk factors for childhood and adolescent smoking is crucial for the development of appropriate preventive measures. This study investigated current smoking prevalence and the social and regional correlates for smoking among minors (children and adolescents aged 12-17 years) in Ger...
journal_title:Public health
pub_type: 杂志文章
doi:10.1016/j.puhe.2007.12.011
更新日期:2008-12-01 00:00:00
abstract:OBJECTIVE:Obesity is one of the most common risk factors for cardiometabolic diseases in Australia and worldwide. Recent studies show that people with normal body mass index (BMI) but with central obesity are at increased risk of morbidity and mortality from cardiometabolic diseases. This risk has not been explained we...
journal_title:Public health
pub_type: 杂志文章
doi:10.1016/j.puhe.2020.03.013
更新日期:2020-06-01 00:00:00
abstract:OBJECTIVES:To explore the contribution of social enterprises to publicly commissioned public health improvement and assess the risks and benefits of their role. STUDY DESIGN:Qualitative case study of four south London boroughs. METHODS:Documentary research; in-depth interviews with 19 key informants. RESULTS:This st...
journal_title:Public health
pub_type: 杂志文章
doi:10.1016/j.puhe.2018.04.019
更新日期:2018-08-01 00:00:00
abstract:OBJECTIVES:Given the increased risk of foodborne infection to cancer patients receiving chemotherapy treatment, and the risk of listeriosis reportedly five-times greater to this immunocompromised patient group, there is a need to ensure the implementation of domestic food safety practices among chemotherapy patients an...
journal_title:Public health
pub_type: 杂志文章
doi:10.1016/j.puhe.2017.06.017
更新日期:2017-12-01 00:00:00
abstract:OBJECTIVE:To develop a model for quick and accurate evaluation of unusual epidemic events (UEE), based on the original model of bioterrorism risk assessment. METHODS:A new scoring system was developed for quick differentiation between a biological attack and other epidemics, using eight qualitative and six quantitativ...
journal_title:Public health
pub_type: 杂志文章
doi:10.1016/j.puhe.2011.11.006
更新日期:2012-01-01 00:00:00
abstract:OBJECTIVES:In Sub-Saharan African countries, including South Africa, uptake of human immunodeficiency virus (HIV) testing among men remains a major challenge. Few studies have explored HIV testing uptake among men and factors that influence their testing behaviours. This article explores trends in HIV testing uptake an...
journal_title:Public health
pub_type: 杂志文章
doi:10.1016/j.puhe.2016.10.017
更新日期:2017-02-01 00:00:00
abstract:OBJECTIVES:To investigate the associations between vertical (institutional) political trust in the Riksdag and daily smoking and smoking cessation. STUDY DESIGN:Cross-sectional study. METHODS:In total, 27,757 individuals aged 18-80 years answered a postal questionnaire, which represents 59% of the random sample. A lo...
journal_title:Public health
pub_type: 杂志文章
doi:10.1016/j.puhe.2009.06.010
更新日期:2009-07-01 00:00:00
abstract::Although some items from a questionnaire used to assess occupational and leisure activity in a cohort of male factory workers have reasonable validity, their reliability is unknown. In this study the reliability of this questionnaire was assessed in 54 middle-aged male factory employees by test-retest administration o...
journal_title:Public health
pub_type: 杂志文章
doi:10.1038/sj.ph.1900703
更新日期:2000-11-01 00:00:00
abstract:OBJECTIVES:The objective of this study is to discuss the strong rationale for training medical students in health coaching and explain the structure of a planned programme at the University of Cambridge. STUDY DESIGN:This is a perspective piece. METHODS:This article explores the concept of health coaching and evidenc...
journal_title:Public health
pub_type: 杂志文章
doi:10.1016/j.puhe.2020.11.001
更新日期:2021-01-01 00:00:00
abstract:OBJECTIVES:Health insurance availability and affordability are vital elements in diagnosis and treatment of patients with cancer and thus constitute clinical significance as well. Although past studies have explored the disparity in mortality figures for patients with different insurance statuses, this population-based...
journal_title:Public health
pub_type: 杂志文章
doi:10.1016/j.puhe.2020.03.006
更新日期:2020-08-01 00:00:00