Abstract：
BACKGROUND:Quality improvement initiatives have expanded recently within the healthcare sector. Studies have shown that less than 40% of these initiatives are successful, indicating the need for an instrument that can measure the progress and results of quality improvement initiatives and answer questions about how quality initiatives are conducted. The aim of the present study was to develop and test an instrument to measure improvement process and outcome in Swedish healthcare. METHODS:A questionnaire, founded on the Minnesota Innovation Survey (MIS), was developed in several steps. Items were merged and answer alternatives were revised. Employees participating in a county council improvement program received the web-based questionnaire. Data was analysed by descriptive statistics and correlation analysis. The questionnaire psychometric properties were investigated and an exploratory factor analysis was conducted. RESULTS:The Swedish Improvement Measurement Questionnaire consists of 27 items. The Improvement Effectiveness Outcome dimension consists of three items and has a Cronbach's alpha coefficient of 0.67. The Internal Improvement Processes dimension consists of eight sub-dimensions with a total of 24 items. Cronbach's alpha coefficient for the complete dimension was 0.72. Three significant item correlations were found. A large involvement in the improvement initiative was shown and the majority of the respondents were satisfied with their work. CONCLUSIONS:The psychometric property tests suggest initial support for the questionnaire to study and evaluate quality improvement initiatives in Swedish healthcare settings. The overall satisfaction with the quality improvement initiative correlates positively to the awareness of individual responsibilities.
journal_name
BMC Health Serv Resjournal_title
BMC health services researchauthors
Andersson AC,Elg M,Perseius KI,Idvall Edoi
10.1186/1472-6963-13-48subject
Has Abstractpub_date
2013-02-07 00:00:00pages
48issn
1472-6963pii
1472-6963-13-48journal_volume
13pub_type
杂志文章abstract：BACKGROUND:Whilst evidence suggests cognitive behaviour therapy (CBT) may be effective for depressed older people in a primary care setting, few studies have examined its cost-effectiveness. The aim of this study was to compare the cost-effectiveness of cognitive behaviour therapy (CBT), a talking control (TC) and trea...
journal_title：BMC health services research
pub_type： 杂志文章,随机对照试验
doi：10.1186/1472-6963-11-33
更新日期：2011-02-11 00:00:00
abstract：BACKGROUND:Inequity of accessibility to and utilization of reproductive health (RH) services among youths is a global concern, especially in resource-limited areas. The level of inequity also varies by cultural and socio-economic contexts. To tailor RH services to the needs of youths, relevant solutions are required. T...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-12-458
更新日期：2012-12-15 00:00:00
abstract：BACKGROUND:Strategies adopted by health administrations and directed towards drug cost control in primary care (PC) can, according to earlier studies, generate tension between health administrators and healthcare professionals. This study collects and analyzes the opinions of general practitioners (GPs) regarding curre...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-9-209
更新日期：2009-11-18 00:00:00
abstract：BACKGROUND:Abortion related deaths as a proportion of maternal mortality appears to have fallen dramatically in Bangladesh from 5 % in 2001 to 1 % in 2010. Yet complications from menstrual regulation (MR) and unsafe abortion continue to cause deleterious health, economic and social consequences for women in the country...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-015-1115-6
更新日期：2015-09-28 00:00:00
abstract：BACKGROUND:The South African (SA) health system has employed an Essential Medicines List (EML) with Standard Treatment Guidelines (STGs) since 1996. To date no studies have reported the changes in SA STG/EMLs. This study describes these changes over time (1996-2013) and compares latest SA STG/EMLs with the latest World...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-016-1937-x
更新日期：2016-12-12 00:00:00
abstract：BACKGROUND:Language barriers play a decisive role in determining the outcomes of medical consultations between healthcare providers and their foreign patients. This issue is a significant challenge to the German healthcare system, especially with the rising number of refugees in recent years. The communication gap betw...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-019-3928-1
更新日期：2019-02-06 00:00:00
abstract：BACKGROUND:The adherence pattern of antiepileptic drugs (AEDs) among patients with epilepsy is relatively lower in the United States and different European countries. However, adherence and cost analysis of AEDs in Asian countries have not been thoroughly studied. Therefore, the present study aimed to analyze the cost ...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-021-06085-0
更新日期：2021-01-19 00:00:00
abstract：BACKGROUND:The aim of this study was to assess the relation between perceived social support and personal autonomy of individuals with intellectual disabilities and Health-Related Quality of Life. METHODS:A cross-sectional study with a multicentre sample was carried out including 162 institutionalized individuals with...
journal_title：BMC health services research
pub_type： 杂志文章,多中心研究
doi：10.1186/s12913-018-3856-5
更新日期：2019-01-23 00:00:00
abstract：BACKGROUND:Cardiovascular disease (CVD) is the leading cause of death in the US and incurs high health care costs. While many initiatives promote the implementation of ABCS (aspirin therapy, blood pressure control, cholesterol management, and smoking cessation) measures, most primary care practices (PCPs) lack quality ...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-018-3189-4
更新日期：2018-06-04 00:00:00
abstract：BACKGROUND:There is a growing body of international research that displays the prevalence and character of abuse in health care. Even though most of these studies are conducted from a patient perspective little is known about how patients conceptualize their agency in relation to such situations. This study aimed to ex...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-019-3902-y
更新日期：2019-01-23 00:00:00
abstract：BACKGROUND:The concept of frailty is rapidly gaining attention as an independent syndrome with high prevalence in older adults. Thereby, frailty is often related to certain adverse outcomes like mortality or disability. Another adverse outcome discussed is increased health care utilization. However, only few studies ex...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-016-1360-3
更新日期：2016-04-14 00:00:00
abstract：BACKGROUND:The aim of this study is to understand the determinants of adherence to wrap-around care (WAC) by professional care providers working in child and family services. WAC is a care coordination method targeting families with complex needs. The core components of WAC involve activating family members and the soc...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-018-3774-6
更新日期：2019-01-28 00:00:00
abstract：BACKGROUND:Strengthening primary care is key to Hong Kong's ongoing health system reform. Primary care remains unregulated, private sector dominated and financed mainly out-of-pocket. This study sought to examine the association between patients' socioeconomic status (SES), source of health payments and the quality of ...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-13-487
更新日期：2013-11-25 00:00:00
abstract：BACKGROUND:Cost-effectiveness acceptability curves (CEACs) describe the probability that a new treatment or intervention is cost-effective. The net benefit regression framework (NBRF) allows cost-effectiveness analysis to be done in a simple regression framework. The objective of the paper is to illustrate how net bene...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-6-68
更新日期：2006-06-06 00:00:00
abstract：BACKGROUND:General practice clinics are the main primary care institutions providing ambulatory care in the rural areas of Beijing, rational use of medicines is crucial for the rural primary care system. This study investigated the prescribing patterns of general practice clinics in rural Beijing to provide a baseline ...
journal_title：BMC health services research
pub_type： 杂志文章,多中心研究
doi：10.1186/s12913-019-4656-2
更新日期：2019-11-06 00:00:00
abstract：BACKGROUND:The Australian federal government introduced private health insurance incentive policy reforms in 2000 that increased the uptake of private health insurance in Australia. There is currently a lack of evidence on the effect of the policy reforms on access to cardiovascular interventions in public and private ...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-13-280
更新日期：2013-07-22 00:00:00
abstract：BACKGROUND:Potentially avoidable hospitalizations represent an indirect measure of access to effective primary care. However many approaches have been proposed to measure them and results may differ considerably. This work aimed at examining the agreement between the Weissman and Ansari approaches in order to measure p...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-014-0661-7
更新日期：2015-01-22 00:00:00
abstract：BACKGROUND:Work stress is a major problem for nurses and it can negatively influence job performance. Therefore, it is critical to explore variables that can reduce or buffer the negative effects of work stress. This study explores the moderating effects of coping strategies on the relationship between work stress and ...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-017-2348-3
更新日期：2017-06-12 00:00:00
abstract：BACKGROUND:Teamwork and job satisfaction are important among the multidisciplinary team who care patients with chronic illnesses such as heart failure (HF) patients. TeamSTEPPS teamwork perceptions questionnaire (T-TPQ) and Minnesota Satisfaction Questionnaire "short form" (MSQ-short) are both self-report questionnaire...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-020-05451-8
更新日期：2020-06-26 00:00:00
abstract：BACKGROUND:The disparity between government health expenditures across regions is more severe in developing countries than it is in developed countries. The capitation subsidy method has been proven effective in developed countries in reducing this disparity, but it has not been tested in China, the world's largest dev...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-016-1635-8
更新日期：2016-08-19 00:00:00
abstract：BACKGROUND:Physicians, particularly in hospitals, suffer from adverse working conditions. There is a close link between physicians' psychosocial work environment and the quality of the work they deliver. Our study aimed to explore whether a participatory work-design intervention involving hospital physicians is effecti...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-13-401
更新日期：2013-10-09 00:00:00
abstract：BACKGROUND:In Mexico, patients with hematologic malignancies (HMs) are characterized by being at high risk and advanced stages at diagnosis and by having a low cure rate; yet information on their experiences with health care and health-related quality of life (HRQL) is scarce. We aimed to evaluate experiences with heal...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-020-05498-7
更新日期：2020-07-10 00:00:00
abstract：BACKGROUND:Adverse events are considered a major international problem related to the performance of health systems. Evaluating the occurrence of adverse events involves, as any other outcome measure, determining the extent to which the observed differences can be attributed to the patient's risk factors or to variatio...
journal_title：BMC health services research
pub_type： 杂志文章,多中心研究
doi：10.1186/1472-6963-11-223
更新日期：2011-09-19 00:00:00
abstract：BACKGROUND:The involvement of mental health service users and their caregivers in health system policy and planning, service monitoring and research can contribute to mental health system strengthening, but as yet there have been very few efforts to do so in low- and middle-income countries (LMICs). METHODS:This syste...
journal_title：BMC health services research
pub_type： 杂志文章,评审
doi：10.1186/s12913-016-1323-8
更新日期：2016-03-01 00:00:00
abstract：BACKGROUND:For mothers who have just given birth, the postpartum hospital stay is meant to promote an environment where resting, healing and bonding can take place. New mothers, however, face many interruptions throughout the day including multiple visitors and noise caused by medical equipment, corridor conversations ...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-014-0604-3
更新日期：2014-11-29 00:00:00
abstract：BACKGROUND:Although the expenses of liver cirrhosis are covered by a critical illness fund under the current health insurance program in China, the economic burden associated with hepatitis B virus (HBV) related diseases is not well addressed. In order to provide evidence to address the economic disease burden of HBV, ...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-13-37
更新日期：2013-01-31 00:00:00
abstract：BACKGROUND:Intermittent preventive treatment of malaria in pregnancy (IPTp) using sulphurdoxine-pyrimethamine (SP) is one of key malaria control strategies in Africa. Yet, IPTp coverage rates across Africa are still low due to several demand and supply constraints. Many countries implement the IPTp-SP strategy at anten...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-14-15
更新日期：2014-01-13 00:00:00
abstract：BACKGROUND:Several approaches to medication optimisation by identifying drug-related problems in older people have been described. Although some interventions have shown reductions in drug-related problems (DRPs), evidence supporting the effectiveness of medication reviews on clinical and economic outcomes is lacking. ...
journal_title：BMC health services research
pub_type： 杂志文章,多中心研究,随机对照试验
doi：10.1186/s12913-020-5056-3
更新日期：2020-03-17 00:00:00
abstract：BACKGROUND:Since the advent of democracy, the South African government has been putting charters, policies, strategies and plans in place in an effort to strengthen public health system performance and enhance service delivery. However, public health programme performance and outcomes remained poor while the burden of ...
journal_title：BMC health services research
pub_type： 杂志文章,评审
doi：10.1186/s12913-019-4862-y
更新日期：2020-01-23 00:00:00
abstract：BACKGROUND:Compare changes in types of hospital service revenues between traditional Chinese medicine (TCM) hospitals and Western-medicine based general hospitals. METHODS:97 TCM hospitals and 103 general hospitals were surveyed in years of 2000 and 2004. Six types of medical service revenue between the two types of h...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-11-212
更新日期：2011-09-06 00:00:00
