The adoption of a new diagnostic technology for tuberculosis in two Brazilian cities from the perspective of patients and healthcare workers: a qualitative study.

Abstract:

BACKGROUND:This article presents the qualitative component linked to a larger study of implementation of the Xpert™ MTB/Rif technology in two Brazilian cities. Despite intrinsic advantages of new health technologies, its introduction can be disruptive to existing routines, and it is thus important to understand how these innovations are perceived by the different groups involved in its regular use. METHODS:This study was based on semi-structured interviews with patients, lab technicians, health care workers and managers involved with diagnosis and care of Tuberculosis (TB). The interviews had their content analyzed in order to abstract the different perspectives for the various actors. RESULTS:For patients the changes were not perceived as significant, since their greatest concerns were related to treatment and the stigma associated with TB. The professionals in general welcomed the new technique, which dramatically decreases the workload, time and reliability of diagnosis, in their view. However, we noted difficulties with the concomitant implementation of new IT technology for recording and reporting test results, which negatively impacted the time necessary to get lab diagnosis to physicians. CONCLUSIONS:Through this analysis we detected some bottlenecks in the surrounding environment, not necessarily linked to the technology itself but which could hamper considerably its advantages.

journal_name

BMC Health Serv Res

authors

de Camargo KR Jr,Guedes CR,Caetano R,Menezes A,Trajman A

doi

10.1186/s12913-015-0941-x

subject

Has Abstract

pub_date

2015-07-21 00:00:00

pages

275

issn

1472-6963

pii

10.1186/s12913-015-0941-x

journal_volume

15

pub_type

杂志文章
  • Investigating concordance in diabetes diagnosis between primary care charts (electronic medical records) and health administrative data: a retrospective cohort study.

    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

    authors: Harris SB,Glazier RH,Tompkins JW,Wilton AS,Chevendra V,Stewart MA,Thind A

    更新日期:2010-12-23 00:00:00

  • Implementing knowledge into practice for improved neonatal survival; a cluster-randomised, community-based trial in Quang Ninh province, Vietnam.

    abstract:BACKGROUND:Globally, almost 4 million newborns die during the first 4 weeks of life every year. By increased use of evidence-based knowledge in the healthcare system a large proportion of these neonatal deaths could be prevented. But there is a severe lack of knowledge on effective methods for successful implementation...

    journal_title:BMC health services research

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1186/1472-6963-11-239

    authors: Wallin L,Målqvist M,Nga NT,Eriksson L,Persson LÅ,Hoa DP,Huy TQ,Duc DM,Ewald U

    更新日期:2011-09-27 00:00:00

  • Using the net benefit regression framework to construct cost-effectiveness acceptability curves: an example using data from a trial of external loop recorders versus Holter monitoring for ambulatory monitoring of "community acquired" syncope.

    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

    authors: Hoch JS,Rockx MA,Krahn AD

    更新日期:2006-06-06 00:00:00

  • Sustainability in Health care by Allocating Resources Effectively (SHARE) 10: operationalising disinvestment in a conceptual framework for resource allocation.

    abstract:BACKGROUND:This is the tenth in a series of papers reporting a program of Sustainability in Health care by Allocating Resources Effectively (SHARE) in a local healthcare setting. After more than a decade of research, there is little published evidence of active and successful disinvestment. The paucity of frameworks, m...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-017-2506-7

    authors: Harris C,Green S,Elshaug AG

    更新日期:2017-09-08 00:00:00

  • Billboard advertising: an avenue for communicating healthcare information and opportunities to disadvantaged populations.

    abstract:BACKGROUND:Healthcare communications directed toward the disadvantaged have the potential to elevate the health status of these underprivileged and highly-challenged individuals. From conveying advice which encourages healthy lifestyles to communicating the location and availability of various medical resources, health...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-017-2754-6

    authors: Elrod JK,Fortenberry JL Jr

    更新日期:2017-12-13 00:00:00

  • The ecometric properties of a measurement instrument for prospective risk analysis in hospital departments.

    abstract:BACKGROUND:Safety management systems have been set up in healthcare institutions to reduce the number of adverse events. Safety management systems use a combination of activities, such as identifying and assessing safety risks in the organizational processes through retrospective and prospective risk assessments. A com...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-14-103

    authors: van Schoten SM,Baines RJ,Spreeuwenberg P,de Bruijne MC,Groenewegen PP,Groeneweg J,Wagner C

    更新日期:2014-03-03 00:00:00

  • "If you are on duty, you may be afraid to come out to attend to a person": fear of crime and security challenges in maternal acute care in Nigeria from a realist perspective.

    abstract:BACKGROUND:Maternal and Child Health is a global priority. Access and utilization of facility-based health services remain a challenge in low and middle-income countries. Evidence on barriers to providing and accessing services omits information on the role of security within facilities. This paper explores the role of...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-020-05747-9

    authors: Etiaba E,Manzano A,Agbawodikeizu U,Ogu U,Ebenso B,Uzochukwu B,Onwujekwe O,Ezumah N,Mirzoev T

    更新日期:2020-09-29 00:00:00

  • How are population-based funding formulae for healthcare composed? A comparative analysis of seven models.

    abstract:BACKGROUND:Population-based funding formulae act as an important means of promoting equitable health funding structures. To evaluate how policy makers in different jurisdictions construct health funding formulae and build an understanding of contextual influences underpinning formula construction we carried out a compa...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-13-470

    authors: Penno E,Gauld R,Audas R

    更新日期:2013-11-08 00:00:00

  • Making it work for me: beliefs about making a personal health record relevant and useable.

    abstract:BACKGROUND:A Personal Health Record (PHR) is an electronic record that individuals use to manage and share their health information, e.g. data from their medical records and data collected by apps. However, engagement with their record can be low if people do not find it beneficial to their health, wellbeing or interac...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-018-3254-z

    authors: Fylan F,Caveney L,Cartwright A,Fylan B

    更新日期:2018-06-14 00:00:00

  • The effects of oral clefts on hospital use throughout the lifespan.

    abstract:BACKGROUND:Oral clefts are one of the most common birth defects worldwide. They require multiple healthcare interventions and add significant burden on the health and quality of life of affected individuals. However, not much is known about the long term effects of oral clefts on health and healthcare use of affected i...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-12-58

    authors: Wehby GL,Pedersen DA,Murray JC,Christensen K

    更新日期:2012-03-09 00:00:00

  • Challenges to effective governance in a low income healthcare system: a qualitative study of stakeholder perceptions in Malawi.

    abstract:BACKGROUND:All countries face challenging decisions about healthcare coverage. Malawi has committed to achieving Universal Health Coverage (UHC) by 2030, the timeframe set out by the Sustainable Development Goals (SDGs). As in other low income countries, scarce resources stand in the way of more equitable health access...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-020-06002-x

    authors: Masefield SC,Msosa A,Grugel J

    更新日期:2020-12-14 00:00:00

  • Effectiveness of a transitional home care program in reducing acute hospital utilization: a quasi-experimental study.

    abstract:BACKGROUND:Improving healthcare utilization is essential as health systems around the world grapple with the escalating demands for acute hospital resources. Evidence suggests that transitional care programs are effective to improve utilization of healthcare. However, the evidence for transitional care programs that en...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-015-0750-2

    authors: Low LL,Vasanwala FF,Ng LB,Chen C,Lee KH,Tan SY

    更新日期:2015-03-14 00:00:00

  • Correction to: Human-centered design as a guide to intervention planning for non-communicable diseases: the BIGPIC study from Western Kenya.

    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

    authors: Leung CL,Naert M,Andama B,Dong R,Edelman D,Horowitz C,Kiptoo P,Manyara S,Matelong W,Matini E,Naanyu V,Nyariki S,Pastakia S,Valente T,Fuster V,Bloomfield GS,Kamano J,Vedanthan R

    更新日期:2020-08-12 00:00:00

  • COVID-19 pandemic and dental hygienists in Italy: a questionnaire survey.

    abstract:OBJECTIVE:This online cross-sectional survey assesses the signs/symptoms, the protective measures taken and the awareness and risk perception regarding COVID-19 among Italian dental hygienists. All Italian dental hygienists were invited to participate. The ad hoc online questionnaire was divided into four domains: pers...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-020-05842-x

    authors: Bontà G,Campus G,Cagetti MG

    更新日期:2020-10-31 00:00:00

  • Distance decay and persistent health care disparities in South Africa.

    abstract:BACKGROUND:Access to health care is a particular concern given the important role of poor access in perpetuating poverty and inequality. South Africa's apartheid history leaves large racial disparities in access despite post-apartheid health policy to increase the number of health facilities, even in remote rural areas...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-014-0541-1

    authors: McLaren ZM,Ardington C,Leibbrandt M

    更新日期:2014-11-04 00:00:00

  • Use frequency of traditional Chinese medicine in Taiwan.

    abstract:BACKGROUND:Use of Traditional Chinese medicine (TCM), an important category of complementary and alternative medicine (CAM), has increased substantially in Western countries during the past decade. Use of TCM is also widespread in the Chinese population. However, few informative data have been obtained to date by large...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-7-26

    authors: Chen FP,Chen TJ,Kung YY,Chen YC,Chou LF,Chen FJ,Hwang SJ

    更新日期:2007-02-23 00:00:00

  • The effect on potential adverse drug events of a pharmacist-acquired medication history in an emergency department: a multicentre, double-blind, randomised, controlled, parallel-group study.

    abstract:BACKGROUND:Potential adverse drug events (PADEs) are defined as being potentially harmful unintentional medication discrepancies. Discrepancies regarding medication history (MH) often occur when a patient is being admitted to a hospital's emergency department (ED); they are clinically important and represent a signific...

    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/s12913-015-0990-1

    authors: Becerra-Camargo J,Martínez-Martínez F,García-Jiménez E

    更新日期:2015-08-20 00:00:00

  • Legal access to medications: a threat to Brazil's public health system?

    abstract:BACKGROUND:In Brazil, health is fundamental human right guaranteed by the Constitution of 1988, which created the Brazilian Universal Health System (Sistema Único de Saúde - SUS). The SUS provides medications for outpatient care via policy of pharmaceutical assistance (PA) programmes. Despite the advances in PA policie...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-017-2430-x

    authors: Chieffi AL,Barradas RCB,Golbaum M

    更新日期:2017-07-19 00:00:00

  • Process evaluation of Prompt Mental Health Care (PMHC): the Norwegian version of Improving Access to Psychological Therapies.

    abstract:BACKGROUND:Prompt Mental Health Care (PMHC) is the Norwegian adaptation of Improving Access to Psychological Therapies (IAPT). Thus far, evaluations of PMHC have mostly focused on the effectiveness, rather than on contextual and implementation processes. Therefore, the objective of this study was to do a process evalua...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-020-05311-5

    authors: Lervik LV,Knapstad M,Smith ORF

    更新日期:2020-05-19 00:00:00

  • The effect of hospital mergers on long-term sickness absence among hospital employees: a fixed effects multivariate regression analysis using panel data.

    abstract:BACKGROUND:Hospitals are merging to become more cost-effective. Mergers are often complex and difficult processes with variable outcomes. The aim of this study was to analyze the effect of mergers on long-term sickness absence among hospital employees. METHODS:Long-term sickness absence was analyzed among hospital emp...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-14-50

    authors: Kjekshus LE,Bernstrøm VH,Dahl E,Lorentzen T

    更新日期:2014-02-03 00:00:00

  • "Invisible" visual impairments. A qualitative study of stroke survivors` experience of vision symptoms, health services and impact of visual impairments.

    abstract:BACKGROUND:Visual impairments (VIs) have a negative impact on life and affect up to 60% of stroke survivors. Despite this, VIs are often overlooked. This paper explores how persons with VIs experience vision care within stroke health services and how VIs impact everyday life the first 3 months post stroke. METHODS:Ind...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-020-05176-8

    authors: Falkenberg HK,Mathisen TS,Ormstad H,Eilertsen G

    更新日期:2020-04-15 00:00:00

  • Effectiveness, cost effectiveness, acceptability and implementation barriers/enablers of chronic kidney disease management programs for Indigenous people in Australia, New Zealand and Canada: a systematic review of mixed evidence.

    abstract:BACKGROUND:Indigenous peoples in Australia, New Zealand and Canada carry a greater burden of chronic kidney disease (CKD) than the general populations in each country, and this burden is predicted to increase. Given the human and economic cost of dialysis, understanding how to better manage CKD at earlier stages of dis...

    journal_title:BMC health services research

    pub_type: 杂志文章,评审

    doi:10.1186/s12913-016-1363-0

    authors: Reilly R,Evans K,Gomersall J,Gorham G,Peters MD,Warren S,O'Shea R,Cass A,Brown A

    更新日期:2016-04-06 00:00:00

  • Developing a model of family focused practice with consumers, families, practitioners and managers: a community based participatory research approach.

    abstract:BACKGROUND:While governments are urging adult mental health services to support consumers in the context of their family, there is little information about what family focused practice is, nor how it might be enacted. METHODS:Informed by the principles of Community Based Participatory Research, workshops were held in ...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-018-2844-0

    authors: Reupert A,Ward B,McCormick F,Ward C,Waller S,Kidd S

    更新日期:2018-01-30 00:00:00

  • "We've got the home care data, what do we do with it?": understanding data use in decision making and quality improvement.

    abstract:BACKGROUND:In the past decade the provision of home care services in Canada has doubled; with this increase there has been a growing interest in improving quality and safety. National-level data are captured in the Home Care Reporting System (HCRS), using the interRAI-HC tools. Data in the HCRS provide decision-makers ...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-020-5018-9

    authors: Elliott J,Gordon A,Tong CE,Stolee P

    更新日期:2020-03-25 00:00:00

  • Considering the case for an antidepressant drug trial involving temporary deception: a qualitative enquiry of potential participants.

    abstract:BACKGROUND:Systematic reviews of randomised placebo controlled trials of antidepressant medication show small and decreasing differences between pharmacological and placebo arms. In part this finding may relate to methodological problems with conventional trial designs, including their assumption of additivity between ...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-7-64

    authors: Dowrick CF,Hughes JG,Hiscock JJ,Wigglesworth M,Walley TJ

    更新日期:2007-04-30 00:00:00

  • A Teachable Moment Communication Process for smoking cessation talk: description of a group randomized clinician-focused intervention.

    abstract:BACKGROUND:Effective clinician-patient communication about health behavior change is one of the most important and most overlooked strategies to promote health and prevent disease. Existing guidelines for specific health behavior counseling have been created and promulgated, but not successfully adopted in primary care...

    journal_title:BMC health services research

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/1472-6963-12-109

    authors: Flocke SA,Antognoli E,Step MM,Marsh S,Parran T,Mason MJ

    更新日期:2012-05-03 00:00:00

  • Cost comparison of MRSA screening and management - a decision tree analysis.

    abstract:BACKGROUND:Methicillin-resistant Staphylococcus aureus (MRSA) infections represent a serious challenge for health-care institutions. Rapid and precise identification of MRSA carriers can help to reduce both nosocomial transmissions and unnecessary isolations and associated costs. The practical details of MRSA screening...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-12-438

    authors: Tübbicke A,Hübner C,Hübner NO,Wegner C,Kramer A,Fleßa S

    更新日期:2012-12-01 00:00:00

  • Factors associated with use of community mental health services by schizophrenia patients using multilevel analysis.

    abstract:BACKGROUND:Persons with schizophrenia and related disorders may be particularly sensitive to a number of determinants of service use, including those related with illness, socio-demographic characteristics and organizational factors. The objective of this study is to identify factors associated with outpatient contacts...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-11-257

    authors: Moreno-Küstner B,Mayoral F,Rivas F,Angona P,Requena J,García-Herrera JM,Navas D,Moreno P,Serrano-Blanco A,Bellón JA

    更新日期:2011-10-07 00:00:00

  • Impact of briefly-assessed depression on secondary prevention outcomes after acute coronary syndrome: a one-year longitudinal survey.

    abstract:BACKGROUND:Patients with acute coronary syndromes (ACS) are at increased risk of further acute cardiac events. Secondary prevention aims to decrease morbidity and mortality post-ACS. Depression is related to increased risk in this population, and to poorer secondary prevention activities. However, lengthy depression as...

    journal_title:BMC health services research

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/1472-6963-6-9

    authors: McGee HM,Doyle F,Conroy RM,De La Harpe D,Shelley E

    更新日期:2006-02-13 00:00:00

  • Out-of-pocket expenditures for primary health care in Tajikistan: a time-trend analysis.

    abstract:BACKGROUND:Aligned with the international call for universal coverage of affordable and quality health care, the government of Tajikistan is undertaking reforms of its health system aiming amongst others at reducing the out-of-pocket expenditures (OPE) of patients seeking care. Household surveys were conducted in 2005,...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-13-103

    authors: Schwarz J,Wyss K,Gulyamova ZM,Sharipov S

    更新日期:2013-03-18 00:00:00