Abstract:
BACKGROUND:Decentralization through the establishment of hospital governing boards has been touted as an effective way to improve the quality and efficiency of hospitals in low-income countries. Although several studies have examined the process of decentralization, few have quantitatively assessed the implementation of hospital governing boards and their impact on hospital performance. Therefore, we sought to describe the functioning of governing boards and to determine the association between governing board functioning and hospital performance. METHODS:We conducted a cross-sectional study with governing board chairpersons to assess board (1) structure, (2) roles and responsibilities and (3) training and orientation practices. Using bivariate analysis and multivariable regression, we examined the association between governing board functioning and hospital performance. Hospital performance indicators: 1) percent of hospital management standards met, measured with the Ethiopian Hospital Reform Implementation Guidelines and 2) patient experience, measured with the Inpatient and Outpatient Assessment of Healthcare surveys. RESULTS:A total of 92 boards responded to the survey (96% response rate). The average percentage of EHRIG standards met was 58.1% (standard deviation (SD) 21.7 percentage points), and the mean overall patient experience score was 7.2 (SD 2.2). Hospitals with greater hospital management standards met had governing boards that paid members, reviewed performance in several domains quarterly or more frequently, developed new revenue sources, determined services to be outsourced, reviewed patient complaints, and had members with knowledge in business and financial management (all P-values < 0.05). Hospitals with more positive patient experience had governing boards that developed new revenue sources, determined services to be outsourced, and reviewed patient complaints (all P-values < 0.05). CONCLUSIONS:These cross-sectional data suggest that strengthening governing boards to perform essential responsibilities may result in improved hospital performance.
journal_name
BMC Health Serv Resjournal_title
BMC health services researchauthors
McNatt Z,Thompson JW,Mengistu A,Tatek D,Linnander E,Ageze L,Lawson R,Berhanu N,Bradley EHdoi
10.1186/1472-6963-14-178subject
Has Abstractpub_date
2014-04-17 00:00:00pages
178issn
1472-6963pii
1472-6963-14-178journal_volume
14pub_type
杂志文章abstract:BACKGROUND:This study aims to identify the statistical software applications most commonly employed for data analysis in health services research (HSR) studies in the U.S. The study also examines the extent to which information describing the specific analytical software utilized is provided in published articles repor...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-11-252
更新日期:2011-10-06 00:00:00
abstract:BACKGROUND:Strengthening routine information systems for mental health can augment scale up of community mental health services in India and other low- and middle-income countries. Currently little routine data is available in Indian settings. This study aimed to develop a core set of indicators for monitoring mental h...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-018-3695-4
更新日期:2018-11-19 00:00:00
abstract:BACKGROUND:Whether activity-based financing of hospitals creates incentives to treat more patients and to reduce the length of each hospital stay is an empirical question that needs investigation. This paper examines how the level of the activity-based component in the financing system of Norwegian hospitals influences...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-13-172
更新日期:2013-05-07 00:00:00
abstract:BACKGROUND:The republic of Trinidad and Tobago (T&T) is a middle income country with a comparatively high prevalence of diabetes mellitus (DM) compared to others in the Caribbean. To date, there have been no studies on health care professionals' (HCP) perspectives regarding the barriers to achieving optimal care of pat...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-015-1066-y
更新日期:2015-09-19 00:00:00
abstract:BACKGROUND:There is a lack of practical research frameworks to guide the development of patient decision aids [PtDAs]. This paper described how a PtDA was developed using the International Patient Decision Aids (IPDAS) guideline and UK Medical Research Council (UKMRC) frameworks to support patients when making treatmen...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-014-0503-7
更新日期:2014-10-24 00:00:00
abstract:BACKGROUND:The recognition of chronic pain as a biopsychosocial phenomenon has led to the establishment of multidisciplinary pain treatment facilities, such as pain centres. Previous studies have focussed on inpatient, group-based or time-limited multidisciplinary pain programmes. The aim was to investigate variation i...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-019-4876-5
更新日期:2019-12-30 00:00:00
abstract:BACKGROUND:The clinical environment in which health care providers have to work everyday is highly complex; this increases the risk for the occurrence of unintended events. The aim of this randomised controlled trial is to improve patient safety for a vulnerable group of patients that have to go through a complex care ...
journal_title:BMC health services research
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1186/1472-6963-11-59
更新日期:2011-03-21 00:00:00
abstract:BACKGROUND:The shortage of organs for kidney transplantation for patients with end-stage renal disease (ESRD) is magnified in Hispanics/Latin Americans in the United States. Living donor kidney transplantation (LDKT) is the treatment of choice for ESRD. However, compared to their representation on the transplant waitli...
journal_title:BMC health services research
pub_type: 杂志文章,多中心研究
doi:10.1186/s12913-018-3151-5
更新日期:2018-05-16 00:00:00
abstract:BACKGROUND:Routine health information is an essential health system building block. In low and low-middle income countries however, concerns about the quality of routine administrative data have often undermined their use. The purpose of the present study was to verify the data availability, and consistency of six key ...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-14-255
更新日期:2014-06-14 00:00:00
abstract:BACKGROUND:Long waiting times result in low satisfaction. Although several methods are used to shorten the actual waiting time (AWT) in large hospitals of China, the outpatients still have a long actual waiting time. This study aimed to explore whether satisfaction could be improved by extending the expected waiting ti...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-019-4408-3
更新日期:2019-08-13 00:00:00
abstract:BACKGROUND:While previous research establishes an association between social relations, health and use of healthcare services among older people, how to implement this knowledge in real-life settings has received much less attention. This study will explore the relationship between social relations, health and use of h...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-017-2650-0
更新日期:2017-11-15 00:00:00
abstract:BACKGROUND:This study examined access to health care in an occupational context in an urban city of India. Many people migrate from rural areas to cities, often across Indian states, for employment prospects. The purpose of the study is to explore the barriers to accessing health care among a vulnerable group - interna...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-020-05482-1
更新日期:2020-07-06 00:00:00
abstract:BACKGROUND:HIV diagnosis in South Africa is based on a point-of-care testing (PoCT) algorithm with paper-based record-keeping. Aggregated testing data are reported routinely. To facilitate improved HIV case-based surveillance, the Western Cape Province implemented a unique pilot intervention to digitise PoCT results, a...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-020-05517-7
更新日期:2020-08-06 00:00:00
abstract:BACKGROUND:Concerns have been raised regarding the reasonableness of using personal health responsibility as a principle or criterion for setting priorities in healthcare. While this debate continues, little is known about clinicians' views on the role of patient responsibility in clinical contexts. This paper contribu...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-020-05364-6
更新日期:2020-06-03 00:00:00
abstract:BACKGROUND:Identifying heart failure patients most likely to suffer poor outcomes is an essential part of delivering interventions to those most likely to benefit. We sought a comprehensive account of heart failure events and their cumulative economic burden by examining patient characteristics that predict increased c...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-12-434
更新日期:2012-11-30 00:00:00
abstract:BACKGROUND:Lack of adherence to international normalised ratio (INR) monitoring in rheumatic heart disease (RHD) patients is a contributor to cardio-embolic complications. This population-based observational study investigated whether the distance between home and an INR clinic affects the maintenance of therapeutic IN...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-015-0890-4
更新日期:2015-06-05 00:00:00
abstract:BACKGROUND:Uganda's under-five mortality is high, currently estimated at 66/1000 live births. Poor referral of sick children that seek care from the private sector is one of the contributory factors. The proposed intervention aims to improve referral and uptake of referral advice for children that seek care from privat...
journal_title:BMC health services research
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12913-016-1885-5
更新日期:2016-11-11 00:00:00
abstract:BACKGROUND:The high incidence of workplace violence (WPV) in clinical mental health settings has caused a series of negative impacts on nurses, which has subsequently increased public concern. De-escalation (DE) is recommended as a training program which aims at providing nurses with skills and strategies to more effec...
journal_title:BMC health services research
pub_type: 杂志文章,多中心研究
doi:10.1186/s12913-020-05506-w
更新日期:2020-07-10 00:00:00
abstract:BACKGROUND:Patient enrolment into clinical trials is based on oral information and informed consent, which includes an information sheet and a consent certificate. The written information should be complete, but at the same time risks being so complex that it may be questioned if a fully informed consent is possible to...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-016-1272-2
更新日期:2016-02-01 00:00:00
abstract:BACKGROUND:Health services research is a well-articulated research methodology and can be a powerful vehicle to implement sustainable health service reform. This paper presents a summary of a five-year collaborative program between stakeholders and researchers that led to sustainable improvements in the maternity servi...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-14-241
更新日期:2014-06-02 00:00:00
abstract:BACKGROUND:Problem gambling and homelessness are recognized as important public health concerns that significantly impact individuals, their friends and families, communities and broader society. We aimed to explore the experiences with health and social services of men who had histories of problem gambling and housing...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-016-1583-3
更新日期:2016-08-02 00:00:00
abstract:BACKGROUND:Understanding the factors that influence the hospital length of stay (LOS) for patients with stroke will help in discharge planning and stroke unit management. We explored how intravenous thrombolysis (IVT) affects LOS in an acute-care hospital setting. METHODS:We analyzed adult patients with ischemic strok...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-015-1080-0
更新日期:2015-09-23 00:00:00
abstract:BACKGROUND:A growing body of evidence supports the link between hospital organisational culture and health outcomes. Organisational culture is thus an essential consideration for hospital accreditation, a practice of systematically assessing the quality of hospital care against accepted standards. This study assesses t...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-019-4279-7
更新日期:2019-07-09 00:00:00
abstract:BACKGROUND:Maintaining the health and well-being of family carers of people with dementia is vital, given their potential for experiencing burden associated with the role. The study aimed to help dementia carers develop self-efficacy, be less hassled by the caring role and improve their health and well-being with goal-...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-016-1410-x
更新日期:2016-05-04 00:00:00
abstract:BACKGROUND:The need for institutional long-term care is increasing as the population ages and the pool of informal care givers declines. Care services are often limited when funding is controlled publicly. Fees for Japanese institutional care are publicly fixed and supply is short, particularly in expensive metropolita...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-14-48
更新日期:2014-02-01 00:00:00
abstract:BACKGROUND:Over the last decade, active surveillance has proven to be a safe approach for patients with low-risk prostate cancer. Although active surveillance presents several advantages for both patients and the health care system, all eligible patients do not adopt this approach. Our goal was to evaluate the factors ...
journal_title:BMC health services research
pub_type: 杂志文章,多中心研究
doi:10.1186/s12913-018-3273-9
更新日期:2018-06-08 00:00:00
abstract::An amendment to this paper has been published and can be accessed via the original article. ...
journal_title:BMC health services research
pub_type: 已发布勘误
doi:10.1186/s12913-020-05345-9
更新日期:2020-08-12 00:00:00
abstract:BACKGROUND:Health worker motivation can potentially affect the provision of health services. The HIV pandemic has placed additional strain on health service provision through the extra burden of increased testing and counselling, treating opportunistic infections and providing antiretroviral treatment. The aim of this ...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-11-266
更新日期:2011-10-12 00:00:00
abstract:BACKGROUND:Chronic low back pain (CLBP) is a highly prevalent condition that has substantial impact on patients, the healthcare system and society. Pain management services (PMS), which aim to address the complex nature of back pain, are recommended in clinical practice guidelines to manage CLBP. Although the effective...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-020-5013-1
更新日期:2020-03-12 00:00:00
abstract:BACKGROUND:Treat-to-target is the recommended strategy for the management of rheumatoid arthritis (RA) and involves regular assessment of disease activity using validated measures and subsequent adjustment of medical therapy if patients are not in remission or low disease activity. Recommendations published in 2012 det...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-016-1633-x
更新日期:2016-08-15 00:00:00