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 weight-for-age index (underweight). Although the introduction of length measurements in GMP is recommended by the World Health Organization, concerns about the reliability of length measurements collected in rural outreach settings have been expressed by stakeholders. Our aim was to describe the reliability and challenges associated with community health personnel measuring length for rural outreach GMP activities. METHODS:Two reliability studies (A and B), using 10 children less than 24 months each, were conducted in the GMP services of a rural district in Ghana. Fifteen nurses and 15 health volunteers (HV) with no prior experience in length measurements were trained. Intra- and inter-observer technical error of measurement (TEM), average bias from expert anthropometrist, and coefficient of reliability (R) of length measurements were assessed and compared across sessions. Observations and interviews were used to understand the ability and experiences of health personnel with measuring length at outreach GMP. RESULTS:Inter-observer TEM was larger than intra-observer TEM for both nurses and HV at both sessions and was unacceptably (compared to error standards) high in both groups at both time points. Average biases from expert's measurements were within acceptable limits, however, both groups tended to underestimate length measurements. The R for lengths collected by nurses (92.3%) was higher at session B compared to that of HV (87.5%). Length measurements taken by nurses and HV, and those taken by an experienced anthropometrist at GMP sessions were of moderate agreement (kappa = 0.53, p < 0.0001). CONCLUSIONS:The reliability of length measurements improved after two refresher trainings for nurses but not for HV. In addition, length measurements taken during GMP sessions may be susceptible to errors due to overburdened health personnel and crowded GMP clinics. There is need for both pre- and in-service training of nurses and HV on length measurements and procedures to improve reliability of length measurements.
journal_name
BMC Health Serv Resjournal_title
BMC health services researchauthors
Laar ME,Marquis GS,Lartey A,Gray-Donald Kdoi
10.1186/s12913-018-2909-0subject
Has Abstractpub_date
2018-02-17 00:00:00pages
118issue
1issn
1472-6963pii
10.1186/s12913-018-2909-0journal_volume
18pub_type
杂志文章abstract:BACKGROUND:The aim of the study is to translate and cross-culturally adapt, for use in the Italian context, the Communication Assessment Tool (CAT) developed by Makoul and colleagues. METHODS:The study was performed in the out-patient clinic of the Surgical Department of Cardarelli Hospital in Naples, Italy. It involv...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-016-1411-9
更新日期:2016-04-29 00:00:00
abstract:BACKGROUND:To reduce inappropriate admissions and stays with the application of an improvement cycle in patients admitted to a University Hospital. The secondary objective is to analyze the hospital cost saved by reducing inadequacy after the implementation of measures proposed by the group for improvement. METHODS:Pr...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-12-361
更新日期:2012-10-17 00:00:00
abstract:BACKGROUND:Ocular conditions are common following stroke and frequently occur in combination with pre-existing ophthalmologic disease. The Medicare International Statistical Classification of Diseases and Related Health Problems (ICD-10) coding system for identifying vision related health conditions provides a much hig...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-020-05484-z
更新日期:2020-07-08 00:00:00
abstract:BACKGROUND:Healthcare organisations differ in performance even if they are located in the same country or region. Suitable managerial practices and organisational processes can lead to better health outcomes. As a result, hospitals are constantly looking for managerial arrangements that can improve outcomes and keep co...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-020-05796-0
更新日期:2020-10-16 00:00:00
abstract:BACKGROUND:Innovative and sustainable programs are required to support the well-being of stroke survivors. Peer support is a potentially low cost way to enhance well-being of recent stroke survivors and the well-being and community reintegration of their peer supporters. This article describes the perceptions of stroke...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-14-256
更新日期:2014-06-16 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: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
doi:10.1186/1472-6963-14-6
更新日期:2014-01-06 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: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 an...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-017-2222-3
更新日期:2017-05-02 00:00:00
abstract:BACKGROUND:Research shows us that auditory hallucinations or 'hearing voices' may be more common than previously thought, particularly in childhood and adolescents. Importantly, not all individuals are affected negatively by their voice hearing experiences, yet child and adolescent mental health services (CAMHS) have t...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-014-0527-z
更新日期:2014-11-05 00:00:00
abstract:BACKGROUND:Rotavirus has been identified as the most common pathogen associated with severe diarrhoea. Two effective vaccines against the pathogen have been licensed. However, many countries including Indonesia have yet to introduce the vaccine into their national immunisation programs. This study aimed to examine the ...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-015-1187-3
更新日期:2015-11-30 00:00:00
abstract:BACKGROUND:Strengthening primary health care is critical to reducing health inequity between Indigenous and non-Indigenous Australians. The Audit and Best practice for Chronic Disease Extension (ABCDE) project has facilitated the implementation of modern Continuous Quality Improvement (CQI) approaches in Indigenous com...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-10-129
更新日期:2010-05-19 00:00:00
abstract:BACKGROUND:There is increasing evidence that psychological constructs, such as emotional intelligence and emotional labor, play an important role in various organizational outcomes in service sector. Recently, in the "emotionally charged" healthcare field, emotional intelligence and emotional labor have both emerged as...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-12-463
更新日期:2012-12-17 00:00:00
abstract:BACKGROUND:Academic detailing (AD; also known as educational visiting) facilitates the translation of evidence into practice and has been widely adopted internationally to facilitate practice change. The potential of AD linked to a specific patient and delivered by a specialist physician to general practitioners has no...
journal_title:BMC health services research
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12913-015-0861-9
更新日期:2015-05-09 00:00:00
abstract:BACKGROUND:International studies have shown a contribution of psychiatric comorbidity to high utilization rates in out-of-hour primary care (OOHC). Up to now, the impact of psychiatric comorbidity in German OOHC remains unclear. Therefore, we aimed to investigate reasons for encounter (RFE), possible psychiatric comorb...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-017-2749-3
更新日期:2017-11-28 00:00:00
abstract:BACKGROUND:Venous thromboembolism (VTE) prophylaxis in an important aspect of the care of hospitalised patients, for which the National Institute for Health and Care Excellence (NICE) has issued guidance. Guidance compliance continues to be a concern. Junior doctors are the main group responsible for prescribing thromb...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-016-1480-9
更新日期:2016-07-15 00:00:00
abstract:BACKGROUND:A comprehensive Compensation Plan for pharmacy services delivered by community pharmacists was implemented in Alberta, Canada in July 2012. Services covered by the Compensation Plan include care planning services, prescribing services such as adapting prescriptions, and administering a drug or publicly-funde...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-017-2734-x
更新日期:2017-11-23 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
pub_type: 杂志文章
doi:10.1186/s12913-020-05254-x
更新日期:2020-06-22 00:00:00
abstract:BACKGROUND:This paper presents a protocol for a randomised controlled trial of the Cardiac-Diabetes Transcare program which is a transitional care, multi-modal self-management program for patients with acute coronary syndrome comorbid with type 2 diabetes. Prior research has indicated people hospitalised with dual card...
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/s12913-017-2043-4
更新日期:2017-02-02 00:00:00
abstract:BACKGROUND:Increasingly, nurse practitioners (NPs) are deployed in teams along with general practitioners (GPs) to help meet the demand for out-of-hours care. The purpose of this study was to explore factors influencing collaboration between GPs and NPs in teams working out-of-hours. METHODS:A descriptive qualitative ...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-017-2548-x
更新日期:2017-08-23 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:P.Re.Val.E. is the most comprehensive comparative evaluation program of healthcare outcomes in Lazio, an Italian region, and the first Italian study to make health provider performance data available to the public. The aim of this study is to describe the P.Re.Val.E. and the impact of releasing performance d...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-12-25
更新日期:2012-01-27 00:00:00
abstract:BACKGROUND:Limited health literacy (HL) and numeracy have been shown to be associated with a wide array of poor health-related outcomes, knowledge, and behaviors. The purpose of this study was to evaluate the clinical utility of brief HL and numeracy screening items in identifying Spanish-speaking adults' HL and numera...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-015-1046-2
更新日期:2015-09-14 00:00:00
abstract:BACKGROUND:Non-communicable diseases, including diabetes mellitus and hypertension, continue to disproportionately burden low- and middle-income countries. However, little research has been done to establish current practices and management of chronic disease in these settings. The objective of this study was to examin...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-017-2075-9
更新日期:2017-02-28 00:00:00
abstract:BACKGROUND:Patients seek care from physical therapists for neck pain but it is unclear what the association of the timing of physical therapy (PT) consultation is on 1-year healthcare utilization and costs. The purpose of this study was to compare the 1-year healthcare utilization and costs between three PT timing grou...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-018-3699-0
更新日期:2018-11-26 00:00:00
abstract:BACKGROUND:Acute myocardial infarction (AMI) is one of the more frequent reasons diabetic patients are admitted to hospital, and there are reports that the long-term prognosis after an AMI is much worse in these patients than in non-diabetic patients. This study aims to compare hospital admissions and costs in Spanish ...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-10-59
更新日期:2010-03-08 00:00:00
abstract:BACKGROUND:There is a large "treatment gap" for depression worldwide. This study aimed to better understand the treatment gap in rural India by describing health care use and treatment-seeking for depression. METHODS:Data were analysed from a two round cross-sectional community survey conducted in rural Madhya Pradesh...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-020-05162-0
更新日期:2020-04-06 00:00:00
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
更新日期:2020-10-31 00:00:00
abstract:BACKGROUND:Residential care infrastructure, in terms of the characteristics of the organisation (such as proprietary status, size, and location) and the physical environment, have been found to directly influence resident outcomes. This review aimed to summarise the existing literature of economic evaluations of reside...
journal_title:BMC health services research
pub_type: 杂志文章,评审
doi:10.1186/s12913-017-2165-8
更新日期:2017-03-21 00:00:00
abstract:BACKGROUND:Much of the research on high-cost patients in healthcare has taken a static approach to studying what is actually a dynamic process. High-cost patients often utilize services across multiple sectors along care pathways, but due to the cross-sectional nature of many study designs, we lack a clear understandin...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-018-3639-z
更新日期:2018-11-15 00:00:00