Abstract:
BACKRGOUND:Good progress is being made towards universal access to contraceptives, however stock-outs still jeopardize progress. A seldom considered but important building block in optimizing supply management is the degree to which health workers feel motivated and responsible for monitoring supply. We explored how and to what extent motivation can be improved, and the impact this can have on avoiding stock-outs. METHODS:Fifteen health facilities in Maputo Province, Mozambique, were divided into 3 groups (2 intervention groups and 1 control), and 10 monthly audits were implemented in each of these 15 facilities to collect data through examination of stock cards and stock-counts of 6 contraceptives. Based on these audits, the 2 intervention groups received a monthly evaluation report reflecting the quality of their supply management. One of these 2 groups was also awarded material incentives conditional on their performance. A Wilcoxon-Mann Whitney test was used to detect differences between the groups in the average number of stocked-out centres, while changes over time were verified through applying a Friedman test. Additionally, staff motivation was measured through interviewing health care providers of all centres at baseline, and after 5 and 10 months. To detect differences between the groups and changes over time, a Kruskal Wallis and a Wilcoxon signed-rank test were applied, respectively. RESULTS:Motivation reported by providers (n = 55, n = 40 and n = 39 at baseline, 1st and 2nd follow-up respectively) was high in all groups, during all rounds, and did not change over time. Facilities in the intervention groups had better supply management results (including less stock-outs) during the entire intervention period compared with those in the control group, but the difference was only significant for the group receiving both material incentives and a monthly evaluation. However, our data also suggest that supply management also improved in control facilities, receiving only a monthly audit. During this study, more stock-outs occurred for family planning methods with lower demand, but the number of stock-outs per family planning method in the intervention groups was only significantly lower, compared with the control group, for female condoms. CONCLUSIONS:While a rise in motivation was not measurable, stock management was enhanced possibly as a result of the monthly audits. This activity was primarily for data collection, but was described as motivating and supportive, indicating the importance of feedback on health workers' accomplishments. More research is needed to quantify the additional impact of the interventions (distribution of evaluation reports and material incentives) on staff motivation and supply management. Special attention should be paid to supply management of less frequently used contraceptive methods.
journal_name
BMC Health Serv Resjournal_title
BMC health services researchauthors
Vermandere H,Galle A,Griffin S,de Melo M,Machaieie L,Van Braeckel D,Degomme Odoi
10.1186/s12913-017-2222-3subject
Has Abstractpub_date
2017-05-02 00:00:00pages
313issue
1issn
1472-6963pii
10.1186/s12913-017-2222-3journal_volume
17pub_type
杂志文章abstract:BACKGROUND:Family planning services in the post-partum period, termed post-partum family planning (PPFP) is critical to cover the unmet need for contraception, especially when institutional delivery rates have increased. However, the intention to choose PPFP methods such as post-partum intrauterine devices (PPIUD) rema...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-020-4969-1
更新日期:2020-02-17 00:00:00
abstract:BACKGROUND:Genetic counseling by a Genetic Counselor (GC) is a requirement prior to genetic testing for cancer susceptibility genes (GC-mandate policy) for some insurers. This study evaluated the impact of this policy from the patient perspective. METHODS:Surveys were sent to individuals for whom their insurer ordered...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-018-2957-5
更新日期:2018-03-07 00:00:00
abstract:BACKGROUND:HIV testing and counseling (HTC) remains critical in the global efforts to reach a goal of universal access to prevention and timely human immunodeficiency virus (HIV) treatment and health care. Routine HIV testing has been shown to be cost-effective and life-saving by prolonging the life expectancy of HIV p...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-14-267
更新日期:2014-06-19 00:00:00
abstract:BACKGROUND:In the Thai Universal Coverage health insurance scheme, hospital providers are paid for their inpatient care using Diagnosis Related Group-based retrospective payment, for which quality of the diagnosis and procedure codes is crucial. However, there has been limited understandings on which health care profes...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-11-71
更新日期:2011-04-08 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: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: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
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更新日期:2013-10-09 00:00:00
abstract:BACKGROUND:Potentially Preventable Hospitalizations (PPH) are hospital admissions for conditions which are preventable with timely and appropriate outpatient care being Chronic Obstructive Pulmonary Disease (COPD) admissions one of the most relevant PPH. We estimate the population age-sex standardized relative risk of ...
journal_title:BMC health services research
pub_type: 杂志文章,多中心研究
doi:10.1186/s12913-016-1624-y
更新日期:2016-08-09 00:00:00
abstract:BACKGROUND:Uncontrolled disease activity in inflammatory diseases of the joints, skin and bowel leads to morbidity and disability. Disease-modifying therapies are widely used to suppress this disease activity, but cost-coverage is variable. For Treaty First Nations and Inuit people in Canada without alternative private...
journal_title:BMC health services research
pub_type: 杂志文章
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更新日期:2016-08-24 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
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更新日期:2019-08-20 00:00:00
abstract:BACKGROUND:The health care delivery system in the United States is facing cost and quality pressures that will require fundamental changes to remain viable. The optimal structures of the relationships between the hospital, medical school, and physicians have not been determined but are likely to have a large impact on ...
journal_title:BMC health services research
pub_type: 杂志文章
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更新日期:2009-04-01 00:00:00
abstract:BACKGROUND:Although heart disease is a major cause of morbidity and mortality the majority of patients do not access existing rehabilitation programs and patient resources are not designed to facilitate patient choice and decision-making. The objective of this study was to develop and test a series of risk factor modul...
journal_title:BMC health services research
pub_type: 杂志文章
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更新日期:2006-08-06 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....
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pub_type: 杂志文章,随机对照试验
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更新日期:2018-12-29 00:00:00
abstract:BACKGROUND:Smoking during pregnancy is a major public health concern and an NHS priority. In 2010, 26% of UK women smoked immediately before or during their pregnancy and 12% smoked continuously. Smoking cessation support is provided through free at the point of use Stop Smoking Services for Pregnant women (SSSP). Howe...
journal_title:BMC health services research
pub_type: 杂志文章
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更新日期:2014-03-04 00:00:00
abstract:BACKGROUND:More people in the US now die from Methicillin Resistant Staphylococcus aureus (MRSA) infections than from HIV/AIDS. Often acquired in healthcare facilities or during healthcare procedures, the extremely high incidence of MRSA infections and the dangerously low levels of literacy regarding antibiotic resista...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-12-88
更新日期:2012-04-02 00:00:00
abstract:BACKGROUND:While most breast-related research focuses on cancer, presentation of symptomatic persons in non-screened environments requires understanding the spectrum of breast diseases so as to plan services in resource-constrained settings. This study presents the variety of breast disease managed at a government, ope...
journal_title:BMC health services research
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更新日期:2017-01-21 00:00:00
abstract:BACKGROUND:Statins are among the most commonly prescribed drugs worldwide in the prevention of cardiovascular diseases and their effectiveness is largely acknowledged. The consumption of statins increased four-fold during the 2000-2010 decade in Italy and national and regional control policies were developed. Restricti...
journal_title:BMC health services research
pub_type: 杂志文章
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更新日期:2014-01-06 00:00:00
abstract:BACKGROUND:To explore the perceptions of health workers on the risks of contracting tuberculosis at Namwala District Hospital. Tuberculosis literature indicates that health workers are at risk of contracting tuberculosis while conducting their daily duties in the workplace. This is mainly attributed to low tuberculosis...
journal_title:BMC health services research
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更新日期:2020-11-12 00:00:00
abstract:BACKGROUND:Analysis of patient mobility in a country not only gives an idea of how the health-care system works, but also can be a guideline to determine the quality of health care and health disparity among regions. Even though determination of patient movement is important, it is not often realized that patient mobil...
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更新日期:2017-07-04 00:00:00
abstract:BACKGROUND:Admission to an emergency department (ED) is a key vulnerable moment when patients are at increased risk of medication discrepancies and medication histories are an effective way of ensuring that fewer errors are made. This study measured whether a pharmacist-acquired medication history in an ED focusing on ...
journal_title:BMC health services research
pub_type: 杂志文章,多中心研究,随机对照试验
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更新日期:2013-08-29 00:00:00
abstract:BACKGROUND:Pediatric admissions to intensive care outside children's hospitals are generally excluded from registry-based studies. This study compares pediatric admission to specialist pediatric intensive care units (PICU) with pediatric admissions to intensive care units (ICU) in general hospitals in an Australian pop...
journal_title:BMC health services research
pub_type: 杂志文章
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更新日期:2018-04-10 00:00:00
abstract:BACKGROUND:Like much of the developed world, healthcare costs in Canada are rising. A small proportion of patients account for a large proportion of healthcare spending and much of this spending occurs in acute care settings. The purpose of our study was to determine potentially modifiable factors related to care proce...
journal_title:BMC health services research
pub_type: 杂志文章
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更新日期:2017-11-25 00:00:00
abstract:BACKGROUND:The healthcare needs of physician are not well studied. METHODS:We surveyed physicians attending a large primary care conference about their access and perceived barriers to receiving healthcare services. RESULTS:Response rate was 46 % (270/592). The majority were trained in family medicine. The age catego...
journal_title:BMC health services research
pub_type: 杂志文章
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更新日期:2016-09-06 00:00:00
abstract:BACKGROUND:In response to long waiting lists and problems with access to primary care physiotherapy, several Primary Care Trusts (PCTs) (now Clinical Commissioning Groups CCGs) developed physiotherapy-led telephone assessment and treatment services. The Medical Research Council (MRC) funded PhysioDirect trial was a ran...
journal_title:BMC health services research
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12913-016-1349-y
更新日期:2016-03-28 00:00:00
abstract:BACKGROUND:Given the documented benefits of Patient Own Drugs (PODs) in most developed countries and scanty data on PODs management in developing countries the aim of the study was to evaluate the assessment, quality and extent of PODs use among hospitalised patients. Furthermore the perceived benefits and challenges i...
journal_title:BMC health services research
pub_type: 杂志文章
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更新日期:2019-01-11 00:00:00
abstract:BACKGROUND:The GRADE method represents a new approach to grading the quality of evidence and strength of recommendations in the preparation of Clinical Practice Guidelines (CPG). In the context of a pilot study to assess the implementability of the system in Spain, we considered it relevant to gain an insight into the ...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-6-138
更新日期:2006-10-23 00:00:00
abstract:BACKGROUND:Healthcare providers operate in a unique industry characterized by pursuit of perhaps the most noble of missions: the delivery of vital health and medical services to those in need. Distinguishing features abound, differentiating the healthcare industry from others, with such facets having the potential to c...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-017-2342-9
更新日期:2017-07-11 00:00:00
abstract:BACKGROUND:This study aims at gathering evidence about the relation between 30-day mortality and 30-day unplanned readmission and patient and hospital factors. By definition, we refer to 30-day mortality and 30-day unplanned readmission as the number of deaths and non-programmed hospitalizations for any cause within 30...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-019-4818-2
更新日期:2019-12-30 00:00:00
abstract:BACKGROUND:The number of HIV-related hospitalizations has decreased worldwide in recent years owing to the availability of highly active antiretroviral therapy. However, the change in HIV-related hospitalizations in Portugal has not been studied. Using comprehensive hospital discharge data from mainland Portuguese hosp...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-015-0801-8
更新日期:2015-04-08 00:00:00
abstract:BACKGROUND:Armenians very rarely seek healthcare services and, consequently experience more serious health conditions. With its ongoing reforms, Armenia is focusing on linking health system financing to the quality and volume of care provided. We examine the relationship between the perceived health status of the popul...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-016-1309-6
更新日期:2016-02-19 00:00:00