Abstract：
BACKGROUND:Small Canadian rural maternity services are struggling to maintain core staffing and remain open. Existing evidence states that having to travel to access maternity services is associated with adverse outcomes. The goal of this study is to systematically examine rural maternal and newborn outcomes across three Canadian provinces. METHODS:We analyzed maternal newborn outcomes data through provincial perinatal registries in British Columbia, Alberta and Nova Scotia for deliveries that occurred between April 1st 2003 and March 31st 2008. All births were allocated to maternity service catchments based on the residence of the mothers. Individual catchments were stratified to service levels based on distance to access intrapartum maternity services or the model of maternity services available in the community. The amalgamation of analyses from each jurisdiction involved comparison of logistic regression effect estimates. RESULTS:The number of singleton births included in the study is 150,797. Perinatal mortality is highest in communities that are greater than 4 h from maternity services overall. Rates of prematurity at less than 37 weeks gestation are higher for rural women without local access to services. Caesarean section rates are highest in communities served by general surgical models. CONCLUSION:Composite analysis of data from three Canadian provinces provides the strongest evidence to date demonstrating that we need to sustain small community maternity services with and without caesarean section capability.
journal_name
BMC Health Serv Resjournal_title
BMC health services researchauthors
Grzybowski S,Fahey J,Lai B,Zhang S,Aelicks N,Leung BM,Stoll K,Attenborough Rdoi
10.1186/s12913-015-1034-6subject
Has Abstractpub_date
2015-09-23 00:00:00pages
410issn
1472-6963pii
10.1186/s12913-015-1034-6journal_volume
15pub_type
杂志文章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: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:Rates of noncommunicable diseases (NCDs) such as type 2 diabetes are escalating in low and middle-income countries such as Brazil. Scalable primary care-based interventions are needed to improve self-management and clinical outcomes of adults with diabetes. This pilot study examines the feasibility, acceptab...
journal_title：BMC health services research
pub_type： 临床试验,杂志文章
doi：10.1186/s12913-016-1968-3
更新日期：2017-01-13 00:00:00
abstract：BACKGROUND:There are currently several concerns about the ways in which people are recruited to participate in randomised controlled trials, the low acceptance rates among people invited to participate, and the experiences of trial participants. An information resource about on-going clinical trials designed for potent...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-5-39
更新日期：2005-05-24 00:00:00
abstract：BACKGROUND:The increasing diversity of population in European Countries poses new challenges to national health systems. There is a lack of data on accessibility and use of health care services by migrants, appropriateness of the care provided, client satisfaction and problems experienced when confronting the health ca...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-8-207
更新日期：2008-10-07 00:00:00
abstract：BACKGROUND:The ineffective implementation of evidence based practice guidelines can mean that the best health outcomes are not achieved. This study examined the barriers and enablers to the uptake and implementation of the new bi-national (Australia and New Zealand) antenatal corticosteroid clinical practice guidelines...
journal_title：BMC health services research
pub_type： 杂志文章,多中心研究
doi：10.1186/s12913-016-1858-8
更新日期：2016-10-28 00:00:00
abstract：BACKGROUND:To investigate the effects after twelve months related to patient activation and a range of secondary outcomes on persons with chronic pain of a chronic pain self-management course compared to a low-impact outdoor physical activity, delivered in an easily accessible healthcare service in public primary care....
journal_title：BMC health services research
pub_type： 杂志文章,随机对照试验
doi：10.1186/s12913-018-3843-x
更新日期：2018-12-29 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:Due to a continuing age shift in the German society hospital providers are concerned about the additional costs associated with the treatment of elderly patients. It is not clear if cardiac catheterization in aged patients leads to higher resource utilization and if DRG-revenues do compensate for this factor...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-017-1999-4
更新日期：2017-01-18 00:00:00
abstract：BACKGROUND:Health systems reform is inevitable due to the never-ending changing nature of societal health needs and policy dynamism. Today, the Health Transformation Plan (HTP) remains the major tool to facilitate the achievements of universal health coverage (UHC) in Iran. It was initially implemented in hospital-base...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-019-4505-3
更新日期：2019-09-18 00:00:00
abstract：BACKGROUND:Dementia is an irreversible chronic disease with wide-ranging effects on patients', caregivers' and families' lives. Hospitalizations are significant events for people with dementia. They tend to have poorer outcomes compared to those without dementia. Most of the previous studies focused on diagnoses leadin...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-017-2484-9
更新日期：2017-08-04 00:00:00
abstract：BACKGROUND:Failure to keep medical appointments results in inefficiencies and, potentially, in poor outcomes for patients. The aim of this study is to describe non-attendance rate and to investigate predictors of non-attendance among patients receiving hospital outpatient treatment for chronic diseases. METHODS:We con...
journal_title：BMC health services research
pub_type： 杂志文章,多中心研究
doi：10.1186/s12913-019-4208-9
更新日期：2019-06-14 00:00:00
abstract：BACKGROUND:The aim of this study was to understand the quality of discharge guidance for patients with chronic diseases, to clarify the gap between patient needs and the content of discharge guidance, and to provide a reference for health education and clinical path management of patients with chronic diseases in the f...
journal_title：BMC health services research
pub_type： 杂志文章,多中心研究
doi：10.1186/s12913-020-05518-6
更新日期：2020-07-11 00:00:00
abstract：BACKGROUND:The number of independent treatment centres (ITCs) has grown substantially. However, little is known as to whether the volume-quality relationship exists within this sector and whether other possible organisational factors mediate this relationship. The aim of this study is to gain a better understanding of ...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-019-4467-5
更新日期：2019-11-21 00:00:00
abstract：BACKGROUND:To examine the association between rurality and health in Scotland, after adjusting for differences in individual and practice characteristics. METHODS: DESIGN:Mortality and hospital record data linked to two cross sectional health surveys. SETTING:Respondents in the community-based 1995 and 1998 Scottish...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-12-43
更新日期：2012-02-17 00:00:00
abstract：BACKGROUND:Implementation of person-centred care (PCC) is a challenging undertaking. Thus, a call has been issued for a robust and generic instrument to measure and enable evaluation of PCC across settings and patient groups. This study aimed to develop a generic questionnaire measuring patients' perceptions of PCC. Fu...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-020-05770-w
更新日期：2020-10-20 00:00:00
abstract：BACKGROUND:The healthcare industry is characterized by intensive, never-ending change occurring on a multitude of fronts. Success in such tumultuous environments requires healthcare providers to be proficient in myriad areas, including the manner in which they organize and deliver services. Less efficient designs drain...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-017-2341-x
更新日期：2017-07-11 00:00:00
abstract：BACKGROUND:The first aim was to present descriptive data on the frequency of dental visits among older adults in Germany. The second aim was to identify the determinants of the number of dental visits using a longitudinal approach. METHODS:Longitudinal data were derived from the German Ageing Survey, which is a nation...
journal_title：BMC health services research
pub_type： 杂志文章,多中心研究
doi：10.1186/s12913-019-4427-0
更新日期：2019-08-20 00:00:00
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 ...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-015-0869-1
更新日期：2015-06-02 00:00:00
abstract：BACKGROUND:To improve and assess the effectiveness of disease management programs (DMPs), it is critical to understand how many people drop out of disease management programs and why. METHODS:We used routine data provided by a statutory health insurance fund from the regions North Rhine, North Wurttemberg and Hesse. A...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-12-8
更新日期：2012-01-10 00:00:00
abstract：BACKGROUND:Studies comparing the access to health care of rural and urban populations have been contradictory and inconclusive. These studies are complicated by the influence of other factor which have been shown to be related to access and utilization. This study assesses the equity of access to health care services a...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-11-20
更新日期：2011-01-31 00:00:00
abstract：BACKGROUND:Hypertensive disorders in pregnancy are the second most common cause of maternal mortality in the Democratic Republic of Congo (DRC), accounting for 23% of maternal deaths. This study aimed to assess facility readiness, and providers' knowledge to prevent, diagnose, and treat pre-eclampsia. METHODS:A facili...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-020-05795-1
更新日期：2020-10-07 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:There are no empirically-grounded criteria or tools to define or benchmark the quality of outpatient clinical documentation. Outpatient clinical notes document care, communicate treatment plans and support patient safety, medical education, medico-legal investigations and reimbursement. Accurately describing...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-12-407
更新日期：2012-11-19 00:00:00
abstract：BACKGROUND:Disease management programmes (DMPs) have been developed to improve effectiveness and economic efficiency within chronic care delivery by combining patient-related, professional-directed, and organisational interventions. The benefits of DMPs within different settings, patient groups, and versions remain unc...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-11-6
更新日期：2011-01-10 00:00:00
abstract：BACKGROUND:Our previous work showed that providing additional rehabilitation on a Saturday was cost effective in the short term from the perspective of the health service provider. This study aimed to evaluate if providing additional rehabilitation on a Saturday was cost effective at 12 months, from a health system per...
journal_title：BMC health services research
pub_type： 杂志文章,随机对照试验
doi：10.1186/s12913-015-0822-3
更新日期：2015-04-18 00:00:00
abstract：BACKGROUND:Waiting times for hospital appointments, treatment and/or surgery have become a major political and health service problem, leading to national maximum waiting times and policies to reduce waiting times. Quantitative studies have documented waiting times for various types of surgery and longer waiting times ...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-017-2281-5
更新日期：2017-05-05 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: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
更新日期：2020-04-15 00:00:00
abstract：BACKGROUND:Patients' expectations and perceptions of the medical encounter and interactions are important tools in diabetes management. Some problems regarding the interaction during encounters may be related to a lack of communication skills on the part of either the physician or the patient. This study aimed at explo...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-7-162
更新日期：2007-10-09 00:00:00
