Abstract:
BACKGROUND:Intermediate care (IC) describes a range of services targeted at older people, aimed at preventing unnecessary hospitalisation, promoting faster recovery from illness and maximising independence. Older people are at increased risk of medication-related adverse events, but little is known about the provision of medicines management services in IC facilities. This study aimed to describe the current provision of medicines management services in IC facilities in Northern Ireland (NI) and to explore healthcare workers' (HCWs) and patients' views of, and attitudes towards these services and the IC concept. METHODS:Semi-structured interviews were conducted, recorded, transcribed verbatim and analysed using a constant comparative approach with HCWs and patients from IC facilities in NI. RESULTS:Interviews were conducted with 25 HCWs and 18 patients from 12 IC facilities in NI. Three themes were identified: 'concept and reality', 'setting and supply' and 'responsibility and review'. A mismatch between the concept of IC and the reality was evident. The IC facility setting dictated prescribing responsibilities and the supply of medicines, presenting challenges for HCWs. A lack of a standardised approach to responsibility for the provision of medicines management services including clinical review was identified. Whilst pharmacists were not considered part of the multidisciplinary team, most HCWs recognised a need for their input. Medicines management was not a concern for the majority of IC patients. CONCLUSIONS:Medicines management services are not integral to IC and medicine-related challenges are frequently encountered. Integration of pharmacists into the multidisciplinary team could potentially improve medicines management in IC.
journal_name
BMC Health Serv Resjournal_title
BMC health services researchauthors
Millar AN,Hughes CM,Ryan Cdoi
10.1186/s12913-015-0869-1subject
Has Abstractpub_date
2015-06-02 00:00:00pages
216issn
1472-6963pii
10.1186/s12913-015-0869-1journal_volume
15pub_type
杂志文章abstract:BACKGROUND:To describe the maternity care experiences of Aboriginal and/or Torres Strait Islander women in Queensland, Australia and to identify areas for policy and practice improvements. METHODS:A culturally-tailored survey requesting both quantitative and qualitative information was completed by respondents either ...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-14-196
更新日期:2014-05-01 00:00:00
abstract:BACKGROUND:In Vietnam, the health-sector reforms since 1989 have lead to a rapid increase in out-of-pocket expenses. This paper examines the choice of medical provider and household healthcare expenditure for different providers in a rural district of Vietnam following healthcare reform. METHODS:The study consisted of...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-8-162
更新日期:2008-07-30 00:00:00
abstract:BACKGROUND:The existence of publicly-accessible datasets comprised a significant opportunity for health services research to evolve into a science that supports health policy making and evaluation, proper inter- and intra-organizational decisions and optimal clinical interventions. This paper investigated the role of p...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-9-197
更新日期:2009-10-29 00:00:00
abstract:BACKGROUND:Previous studies have investigated process and structure indicators of nutritional care as well as their use in nursing homes (NHs), but the relative weight of these indicators in predicting the risk of malnutrition remains unclear. Aims of the present study are to describe the quality indicators of nutritio...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-015-0881-5
更新日期:2015-06-06 00:00:00
abstract:BACKGROUND:Albanian immigrants in Greece comprise a highly mobile population with unknown health care profile. We aimed to assess whether these immigrants were more or less likely to undergo laparotomy for suspected appendicitis with negative findings (negative appendicectomy), by performing a controlled study with ind...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-1-5
更新日期:2001-01-01 00:00:00
abstract:BACKGROUND:Recognition of the importance of the early years in determining health and educational attainment and promotion of the World Health Organization Health for All (HFA) principles has led to an international trend towards community-based initiatives to improve developmental outcomes among socio-economically dis...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-9-53
更新日期:2009-03-25 00:00:00
abstract:BACKGROUND:Travel burden is a key element in conceptualizing geographic access to health care. Prior research has shown that both rural and minority populations bear disproportionate travel burdens. However, many studies are limited to specific types of patient or specific locales. The purpose of our study was to quant...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-7-40
更新日期:2007-03-09 00:00:00
abstract:BACKGROUND:Ghana has been providing HIV and AIDS services since the identification of the first case in 1986 and added highly active antiretroviral therapy to its comprehensive care in 2003.This study aimed at assessing availability of HIV services along the continuum of HIV care in Ghana. METHOD:A cross sectional stu...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-018-3485-z
更新日期:2018-09-26 00:00:00
abstract:BACKGROUND:Obesity in Canada is a growing concern, but little is known about the available services for managing obesity in adults. Our objectives were to (a) survey and describe programs dedicated to weight management and (b) evaluate program adherence to established recommendations for care. METHODS:We conducted an ...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-14-69
更新日期:2014-02-12 00:00:00
abstract:BACKGROUND:A research project, which aims to improve the situation of children of parents with a mental illness (COPMI) is currently underway in the Austrian region of Tyrol. The project aims to strengthen formal and informal support structures around the child, through enhancing their village of collaborative support....
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-020-05184-8
更新日期:2020-04-19 00:00:00
abstract:BACKGROUND:The Emergency Department (ED) is consistently described as a high-risk environment for patients and clinicians that demands colleagues quickly work together as a cohesive group. Communication between nurses, physicians, and other ED clinicians is complex and difficult to track. A clear understanding of commu...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-13-109
更新日期:2013-03-22 00:00:00
abstract:BACKGROUND:Physicians are encouraged to counsel obese patients to lose weight, but studies measuring the quality of physicians' counseling are rare. We sought to describe the quality of physicians' obesity counseling and to determine associations between the quality of counseling and obese patients' motivation and inte...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-10-159
更新日期:2010-06-09 00:00:00
abstract:BACKGROUND:Osteoporosis has significant impact on healthcare costs and quality of life. Amongst the models for collaborative disease state management services published internationally, there is sparse evidence regarding the role of community pharmacists in the provision of osteoporosis care. Hence, the aim of our stud...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-016-1686-x
更新日期:2016-08-30 00:00:00
abstract:BACKGROUND:Recently, there has been growing interest in providing more tailored, patient-centered care for the treatment of type 2 diabetes mellitus (T2DM). Yet it remains unclear which patient characteristics should be determined to guide such an approach. Therefore, the opinions of healthcare providers (HCP) and peop...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-019-4371-z
更新日期:2019-08-16 00:00:00
abstract:BACKGROUND:Human resources play a critical role in encouraging efficient performance within organisations, especially for public healthcare organisations, where competences of staff are key aspects of the quality of services provided. In this context, the enhancement of competences are strategic objectives for Human Re...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-020-05179-5
更新日期:2020-04-15 00:00:00
abstract:BACKGROUND:In 2017, ostomy patients gained access to ostomy products in community pharmacies that are fully reimbursed by the Portuguese National Health Service. This impacted the daily lives of people with ostomy and opened a new market of products and services for pharmacies. However, little is known about the sociod...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-020-05765-7
更新日期:2020-10-02 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:Human resources for rehabilitation are often a neglected component of health services strengthening and health workforce development. This may be partly related to weaknesses in the available research and evidence to inform advocacy and programmatic strategies. The objective of this study was to quantitative...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-11-276
更新日期:2011-10-17 00:00:00
abstract:BACKGROUND:Nursing care plays a prominent role in determining the overall satisfaction of patients' hospitalization experience. Studies have shown that satisfaction with nursing care is the best indicator of patients' satisfaction with healthcare facilities. The aim of the current study was intended to determine the le...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-019-3898-3
更新日期:2019-01-21 00:00:00
abstract:BACKGROUND:The National Institute for Clinical Excellence (NICE) has produced guidelines on the early management of head injury. This study audits the process of the management of patients with head injury presenting at Accident and Emergency (A&E) departments and examines the impact upon resources of introducing NICE ...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-4-7
更新日期:2004-05-03 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:Length measurements are important in growth, monitoring and promotion (GMP) for the surveillance of a child's weight-for-length and length-for-age. These two indices provide an indication of a child's risk of becoming wasted or stunted, and are more informative about a child's growth than the widely used wei...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-018-2909-0
更新日期:2018-02-17 00:00:00
abstract:BACKGROUND:Reimbursement systems provide incentives to health care providers and may drive physician behaviour. This review assesses the impact of reimbursement system on socioeconomic and racial inequalities in access, utilization and quality of primary care. METHODS:A systematic search was performed in Web of Scienc...
journal_title:BMC health services research
pub_type: 杂志文章,评审
doi:10.1186/s12913-016-1805-8
更新日期:2016-10-04 00:00:00
abstract:BACKGROUND:To our knowledge no study has at the same time assessed patients' satisfaction and their expectations concerning the organizational and contextual aspects of health care provided by their primary care physician (PCP). Assessing these aspects is important to inform future primary healthcare service planning. ...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-015-0985-y
更新日期:2015-08-14 00:00:00
abstract:BACKGROUND:Timely access is a challenge for providers of outpatient and community-based health services, as seen by the often lengthy waiting lists to manage demand. The Specific Timely Appointments for Triage (STAT) model, an alternative approach for managing access and triage, reduced waiting time by 34% in a stepped...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-020-05824-z
更新日期:2020-10-21 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:Clinical networks have been established to improve patient outcomes and processes of care by implementing a range of innovations and undertaking projects based on the needs of local health services. Given the significant investment in clinical networks internationally, it is important to assess their effecti...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-015-1096-5
更新日期:2015-11-05 00:00:00
abstract:BACKGROUND:Many health systems in Africa are funded primarily through out-of-pocket payments. Out-of-pocket payments prevent people from seeking care, can result to catastrophic health spending and lead to impoverishment. This paper estimates the burden of out-of-pocket payments in Kenya; the incidence and intensity of...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-12-413
更新日期:2012-11-21 00:00:00
abstract:BACKGROUND:Electronic medical records contain valuable clinical information not readily available elsewhere. Accordingly, they hold important potential for contributing to and enhancing chronic disease registries with the goal of improving chronic disease management; however a standard for diagnoses of conditions such ...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-10-347
更新日期:2010-12-23 00:00:00
abstract:BACKGROUND:The use of increasingly complex payment schemes in primary care may represent a barrier to recruiting general practitioners (GP). The existing Norwegian remuneration system is fully activity based - 2/3 fee-for-service and 1/3 capitation. Given that the system has been designed and revised in close collabora...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-12-68
更新日期:2012-03-20 00:00:00