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

abstract：BACKGROUND:The Italian National Health System was revised in the last 20 years, introducing new elements such as efficacy, efficiency and competitiveness. Devolution to regional authorities has created a quasi-market system where patients can choose the hospital in which to be treated. Patient mobility therefore become...

journal_title：BMC health services research

authors： Messina G,Forni S,Collini F,Quercioli C,Nante N

更新日期：2013-02-12 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

authors： Miller L,Kent RM,Tennant A

更新日期：2004-05-03 00:00:00

abstract：BACKGROUND:The aim of this study is to evaluate the performance of the first certified regional trauma network in Germany, the Trauma Network Eastern Bavaria (TNO) addressing the following specific research questions: Do standard and maximum care facilities produce comparable (risk-adjusted) levels of patient outcome? ...

journal_title：BMC health services research

authors： Koller M,Ernstberger A,Zeman F,Loss J,Nerlich M,Trauma Network Eastern Bavaria (TNO).

更新日期：2016-07-11 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

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

更新日期：2020-04-15 00:00:00

abstract：BACKGROUND:'Failure to rescue' of hospitalized patients with deteriorating physiology on general wards is caused by a complex array of organisational, technical and cultural failures including a lack of standardized team and individual expected responses and actions. The aim of this study using a learning collaborative...

journal_title：BMC health services research

authors： Subbe CP,Kellett J,Barach P,Chaloner C,Cleaver H,Cooksley T,Korsten E,Croke E,Davis E,De Bie AJ,Durham L,Hancock C,Hartin J,Savijn T,Welch J,Crisis Checklist Collaborative.

更新日期：2017-05-08 00:00:00

abstract：BACKGROUND:To improve the effectiveness of interventions targeting non-adherence in older adults, a systematic approach to intervention design is required. The content of complex interventions and design decisions are often poorly described in published reports which makes it difficult to explore why they are ineffecti...

journal_title：BMC health services research

authors： Patton DE,Ryan C,Hughes CM

更新日期：2020-05-13 00:00:00

abstract：BACKGROUND:Health reforms in Bulgaria have introduced major changes to the financing, delivery and regulation of health care. As in many other countries of Central and Eastern Europe, these included introducing general practice, establishing a health insurance system, reorganizing hospital services, and setting up new ...

journal_title：BMC health services research

authors： Rechel B,Blackburn CM,Spencer NJ,Rechel B

更新日期：2011-09-17 00:00:00

abstract：:In the original publication of this article [1], there are two corrections. ...

journal_title：BMC health services research

authors： Bazyar M,Rashidian A,Sakha MA,Mahdavi MRV,Doshmangir L

更新日期：2020-03-19 00:00:00

abstract：BACKGROUND:Demand side financing (DSF) is a widely employed strategy to enhance utilization of healthcare. The impact of DSF on health care seeking in general and that of maternal care in particular is already known. Yet, its effect on financial access to care, out-of-pocket spending (OOPS) and provider motivations is ...

journal_title：BMC health services research

authors： Gopalan SS,Durairaj V

更新日期：2012-09-15 00:00:00

abstract：BACKGROUND:Person-centered quality for family planning has been gaining increased attention, yet few interventions have focused on this, or measured associations between person-centered quality for family planning and family planning outcomes (uptake, continuation, etc.). In India, the first point of contact for family...

journal_title：BMC health services research

authors： Diamond-Smith N,McDonell C,Sahu AB,Roy KP,Giessler K

更新日期：2020-12-11 00:00:00

abstract：BACKGROUND:According to the World Health Organization, essential surgery should be recognized as an essential component of universal health coverage. In Ghana, insurance is associated with a reduction in maternal mortality and improved access to essential medications, but whether it eliminates financial barriers to sur...

journal_title：BMC health services research

authors： Okoroh J,Sarpong DO,Essoun S,Riviello R,Harris H,Weissman JS

更新日期：2020-01-17 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

authors： Thuan NT,Lofgren C,Lindholm L,Chuc NT

更新日期：2008-07-30 00:00:00

abstract：BACKGROUND:Inadequate antenatal care (ANC) can lead to missed diagnosis of danger signs or delayed referral to emergency obstetrical care, contributing to maternal mortality. In developing countries, ANC quality is often limited by skill and knowledge gaps of the health workforce. In 2011, the Mentorship, Enhanced Supe...

journal_title：BMC health services research

authors： Manzi A,Nyirazinyoye L,Ntaganira J,Magge H,Bigirimana E,Mukanzabikeshimana L,Hirschhorn LR,Hedt-Gauthier B

更新日期：2018-02-23 00:00:00

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

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

更新日期：2012-03-09 00:00:00

abstract：BACKGROUND:Care-managers are responsible for the public administration of individual healthcare decisions and decide on the volume and content of community healthcare services given to a population. The purpose of this study was to investigate the conflicting expectations and ethical dilemmas these professionals encoun...

journal_title：BMC health services research

authors： Tønnessen S,Ursin G,Brinchmann BS

更新日期：2017-09-07 00:00:00

abstract：BACKGROUND:Mental health presentations are considered to be a difficult aspect of emergency care. Although emergency department (ED) staff is qualified to provide emergency mental health care, for some, such presentations pose a challenge to their training, confidence, and time. Providing access to relevant and respons...

journal_title：BMC health services research

authors： Saurman E,Kirby SE,Lyle D

更新日期：2015-04-14 00:00:00

abstract：BACKGROUND:Sexually transmissible infection (STI) and blood-borne virus (BBV) diagnoses data are a core component of the Australian National Notifiable Diseases Surveillance System (NNDSS). However, the NNDSS data alone is not enough to understand STI and BBV burden among priority population groups, like Aboriginal and...

journal_title：BMC health services research

authors： Bradley C,Hengel B,Crawford K,Elliott S,Donovan B,Mak DB,Nattabi B,Johnson D,Guy R,Fairley CK,Wand H,Ward J,and the Centre of Research Excellence in Aboriginal Sexual Health investigator group.

更新日期：2020-08-20 00:00:00

abstract：BACKGROUND:The involvement of mental health service users and their caregivers in health system policy and planning, service monitoring and research can contribute to mental health system strengthening, but as yet there have been very few efforts to do so in low- and middle-income countries (LMICs). METHODS:This syste...

journal_title：BMC health services research

authors： Semrau M,Lempp H,Keynejad R,Evans-Lacko S,Mugisha J,Raja S,Lamichhane J,Alem A,Thornicroft G,Hanlon C

更新日期：2016-03-01 00:00:00

abstract：BACKGROUND:Previous self-harm is one of the strongest predictors of future self-harm and suicide. Increased risk of repeated self-harm and suicide exists amongst patients presenting to hospital with high-risk self-harm and major self-harm repeaters. However, so far evidence-based training in the management of self-harm...

journal_title：BMC health services research

authors： Arensman E,Troya MI,Nicholson S,Sadath A,Cully G,Ramos Costa AP,Benson R,Corcoran P,Griffin E,Williamson E,Eustace J,Shiely F,Browne J,Rigby J,Jeffers A,Cassidy E

更新日期：2020-06-22 00:00:00

abstract：BACKGROUND:Objective was to describe variations in how social insurance officers conceive the cooperation with the health care in their daily work with sick leave. METHODS:Fifteen social insurance officers (SIOs) working with administration of sickness benefits were interviewed. They were purposefully recruited to rep...

journal_title：BMC health services research

authors： Thorstensson CA,Mathiasson J,Arvidsson B,Heide A,Petersson IF

更新日期：2008-11-07 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

authors： Fullerton B,Erler A,Pöhlmann B,Gerlach FM

更新日期：2012-01-10 00:00:00

abstract：BACKGROUND:Quality indicators (QI) are used in health care to measure quality of service and performance improvement. Health care professionals and organizations caring for patients with injuries need information regarding the quality of care provided and the outcomes experienced in order to target improvement efforts....

journal_title：BMC health services research

authors： Stelfox HT,Boyd JM,Straus SE,Gagliardi AR

更新日期：2013-01-27 00:00:00

abstract：BACKGROUND:Reablement is a time-limited intervention that aims to support people to regain independence and enable them to resume their daily activities after they return home from an in-patient care setting, or to maintain independence to enable them to remain at home. There is some evidence that reablement can enhanc...

journal_title：BMC health services research

authors： Mann R,Beresford B,Parker G,Rabiee P,Weatherly H,Faria R,Kanaan M,Laver-Fawcett A,Pilkington G,Aspinal F

更新日期：2016-08-11 00:00:00

abstract：BACKGROUND:The organisation of cancer follow-up is under scrutiny in many countries, and general practice is suggested to become more involved. A central focus is timely detection of recurring previous cancer and new second primary cancer. More knowledge on the patient pathway before cancer recurrence and second primar...

journal_title：BMC health services research

authors： Rasmussen LA,Jensen H,Virgilsen LF,Falborg AZ,Møller H,Vedsted P

更新日期：2019-12-05 00:00:00

abstract：BACKGROUND:Optimising health professionals' contribution is an essential step in effective and efficient health human resources utilisation. However, despite the considerable efforts made to implement advanced practice nursing roles, including those in primary care settings (PHCNP), the optimisation of these roles rema...

journal_title：BMC health services research

authors： Côté N,Freeman A,Jean E,Denis JL

更新日期：2019-11-21 00:00:00

abstract：BACKGROUND:Substantial government funding has been invested to support the training of General Practitioners (GPs) in Australia to serve rural communities. However, there is little data on the impact of this expanded training on smaller communities, particularly for smaller rural and more remote communities. Improved u...

journal_title：BMC health services research

authors： Kanakis K,Young L,Reeve C,Hays R,Gupta TS,Malau-Aduli B

更新日期：2020-08-31 00:00:00

abstract：BACKGROUND:The decreased life expectancy and care costs of mental disorders could be enormous. However, research that compares mortality and utilization concurrently across the major category of mental disorders is absent. This study investigated all-cause mortality and medical utilization among patients with and witho...

journal_title：BMC health services research

authors： Wang JY,Chang CC,Lee MC,Li YJ

更新日期：2020-03-18 00:00:00

abstract：BACKGROUND:In 2004 an allocation formula for primary care services was introduced in England and Wales so practices would receive equitable pay. Modifications were made to this formula to enable local health authorities to pay practices. Similar pay formulae were introduced in Scotland and Northern Ireland, but these a...

journal_title：BMC health services research

authors： Rhys G,Beerstecher HJ,Morgan CL

更新日期：2010-06-08 00:00:00

abstract：BACKGROUND:Diagnostic imaging has been a part of medicine for the last century. It has been difficult to implement guidelines in this field, and unwarranted imaging has been a frequent problem. Some work has been done to explain these phenomena separately. Identifying the barriers to and facilitators of guideline use h...

journal_title：BMC health services research

authors： Gransjøen AM,Wiig S,Lysdahl KB,Hofmann BM

更新日期：2018-07-16 00:00:00

abstract：BACKGROUND:The implementation of strategic health system change is often complicated by the informal politics and power of health systems, such as competing interests and resistant groups. Evidence from other industries shows that strategic leaders need to be aware of and manage such 'organisational politics' when impl...

journal_title：BMC health services research

authors： Waring J,Bishop S,Clarke J,Exworthy M,Fulop NJ,Hartley J,Ramsay AIG

更新日期：2018-12-03 00:00:00