Abstract:
BACKGROUND:Irrational use of medicines is widespread in the South-East Asia Region (SEAR), where policy implementation to encourage quality use of medicines (QUM) is often low. The aim was to determine whether public-sector QUM is better in SEAR countries implementing essential medicines (EM) policies than in those not implementing them. METHODS:Data on six QUM indicators and 25 EM policies were extracted from situational analysis reports of 20 country (2-week) visits made during 2010-2015. The average difference (as percent) for the QUM indicators between countries implementing versus not implementing specific policies was calculated. Policies associated with better (> 1%) QUM were included in regression of a composite QUM score versus total number of policies implemented. RESULTS:Twenty-two policies were associated with better (> 1%) QUM. Twelve policies were associated with 3.6-9.5% significantly better use (p < 0.05), namely: standard treatment guidelines; formulary; a government unit to promote QUM; continuing health worker education on prescribing by government; limiting over-the-counter (OTC) availability of systemic antibiotics; disallowing public-sector prescriber revenue from medicines sales; not charging fees at the point of care; monitoring advertisements of OTC medicines; public education on QUM; and a good drug supply system. There was significant correlation between the number of policies implemented out of 22 and the composite QUM score (r = 0.71, r2 = 0.50, p < 0.05). CONCLUSIONS:Country situational analyses allowed rapid data collection that showed EM policies are associated with better QUM. SEAR countries should implement all such policies.
journal_name
BMC Health Serv Resjournal_title
BMC health services researchauthors
Holloway KA,Kotwani A,Batmanabane G,Santoso B,Ratanawijitrasin S,Henry Ddoi
10.1186/s12913-018-3333-1subject
Has Abstractpub_date
2018-07-05 00:00:00pages
526issue
1issn
1472-6963pii
10.1186/s12913-018-3333-1journal_volume
18pub_type
杂志文章,多中心研究abstract:BACKGROUND:The lack of availability of skilled providers in low- and middle- income countries is considered to be an important barrier to achieving reductions in maternal and child mortality. However, there is limited research on programs increasing the availability of skilled birth attendants in developing countries. ...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-017-2284-2
更新日期:2017-05-18 00:00:00
abstract:BACKGROUND:In-hospital medication reviews are regularly performed. However, discontinuity in care could occur because secondary care providers lack insight into the outpatient history. Furthermore, for the implementation or follow-up of some medication review-based interventions, the help of primary care providers is e...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-020-05744-y
更新日期:2020-09-29 00:00:00
abstract:BACKGROUND:People who use substances experience high levels of substance-related stigma, both within and outside of health care settings, which can prevent people from help-seeking and contribute further to health inequities. Recognizing and respecting how political, social, economic, and historical conditions influenc...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-020-05915-x
更新日期:2020-11-23 00:00:00
abstract:BACKGROUND:Role clarification is consistently documented as a challenging process for inter professional healthcare teams, despite being a core tenet of interprofessional collaboration. This paper explores the role clarification process in two previously unexplored contexts: i) in the dissemination phase of a quality i...
journal_title:BMC health services research
pub_type: 杂志文章,多中心研究
doi:10.1186/s12913-018-3474-2
更新日期:2018-09-03 00:00:00
abstract:BACKGROUND:Strengthening primary care is key to Hong Kong's ongoing health system reform. Primary care remains unregulated, private sector dominated and financed mainly out-of-pocket. This study sought to examine the association between patients' socioeconomic status (SES), source of health payments and the quality of ...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-13-487
更新日期:2013-11-25 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:The Adjusted Clinical Group (ACG) system has been used in measuring an individual's and a population's morbidities. Although all required inputs for running the ACG system are readily available, patients' morbidities and their associations to health care utilizations have been rarely studied in Taiwan. There...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-8-153
更新日期:2008-07-21 00:00:00
abstract:BACKGROUND:Drug markets are very complex and, while many new drugs are registered each year, little is known about what drives the prescription of these new drugs. This study attempts to lift the veil from this important subject by analyzing simultaneously the impact of several variables on the prescription of novelty....
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-017-2775-1
更新日期:2018-01-09 00:00:00
abstract:BACKGROUND:Several previous studies conducted on cancer registry data and hospital discharge records (HDR) have found an association between hospital volume and the recourse to breast conserving surgery (BCS) for breast cancer. The aim of the current study is to depict concurrent time trends in the recourse to BCS and ...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-7-167
更新日期:2007-10-18 00:00:00
abstract:BACKGROUND:Early diagnosis is crucial for the treatment of childhood cancer as it in some cases can prevent progression of disease and improve prognoses. However, childhood cancer can be difficult to diagnose and barriers to early diagnosis are multifactorial. New knowledge about factors influencing the pathway to diag...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-020-05821-2
更新日期:2020-10-22 00:00:00
abstract:BACKGROUND:Little is known about the interventions required to build the capacity of mental health policy-makers and planners in low- and middle-income countries (LMICs). We conducted a systematic review with the primary aim of identifying and synthesizing the evidence base for building the capacity of policy-makers an...
journal_title:BMC health services research
pub_type: 杂志文章,评审
doi:10.1186/s12913-016-1853-0
更新日期:2016-10-21 00:00:00
abstract:BACKGROUND:We investigate factors affecting Australian general practitioners' decisions to adopt novel oral anticoagulants (NOACs) for the prevention of stroke/systemic embolism among patients with atrial fibrillation. Australia has a national homogeneous review and coverage system, which enables us to distinguish phys...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-019-3889-4
更新日期:2019-02-07 00:00:00
abstract:BACKGROUND:Emergency departments handle a large proportion of acute patients. In 2007, it was recommended centralizing the Danish healthcare system and establishing emergency departments as the main common entrance for emergency patients. Since this reorganization, few studies describing the emergency patient populatio...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-018-3361-x
更新日期:2018-07-13 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
pub_type: 杂志文章
doi:10.1186/1472-6963-8-162
更新日期:2008-07-30 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:As part of its ongoing healthcare reform, the Hong Kong Government introduced a voucher scheme, intended for encouraging older patients to use primary healthcare services in the private sector, thereby, reducing burden on the overwhelmed public sector. The voucher program is also considered one of the strate...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-11-255
更新日期:2011-10-07 00:00:00
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 the...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-015-0941-x
更新日期:2015-07-21 00:00:00
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
更新日期:2014-03-03 00:00:00
abstract:BACKGROUND:The Norwegian specialist health service has undergone many processes of reorganization during the last three decades. Changes are mainly initiated to increase the efficiency and quality of health care serving an ageing population under the condition of a diminishing labour supply. The aim of this study is to...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-14-411
更新日期:2014-09-19 00:00:00
abstract:BACKGROUND:A key constraint to saturating coverage of interventions for reducing the burden of childhood illnesses in Low and Middle Income Countries (LMIC) is the lack of human resources. Community health workers (CHW) are potentially important actors in bridging this gap. Evidence exists on effectiveness of CHW in ma...
journal_title:BMC health services research
pub_type: 杂志文章,评审
doi:10.1186/1472-6963-10-286
更新日期:2010-10-13 00:00:00
abstract:BACKGROUND:The National Guideline for Assessment, Treatment and Social Rehabilitation of Persons with Concurrent Substance Use and Mental Health Disorders, launched in 2012, is to be implemented in mental health services in Norway. Audit and feedback (A&F) is commonly used as the starting point of an implementation pro...
journal_title:BMC health services research
pub_type: 杂志文章,多中心研究
doi:10.1186/s12913-018-2862-y
更新日期:2018-01-31 00:00:00
abstract:BACKGROUND:Frequent pages can disrupt workflow, interrupt patient care, and may contribute to physician burnout. We hypothesized that paging volumes followed consistent temporal trends, regardless of the medical or surgical service, reflecting systems based issues present in our hospitals. METHODS:A retrospective revi...
journal_title:BMC health services research
pub_type: 杂志文章,评审
doi:10.1186/s12913-019-4844-0
更新日期:2019-12-23 00:00:00
abstract:BACKGROUND:The phased withdrawal of oral polio vaccine (OPV) and the introduction of inactivated poliovirus vaccine (IPV) is central to the polio 'end-game' strategy. METHODS:We analyzed the cost implications in Chile of a switch from the vaccination scheme consisting of a pentavalent vaccine with whole-cell pertussis...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-020-05115-7
更新日期:2020-04-09 00:00:00
abstract:BACKGROUND:Reduction of cardiovascular disease (CVD) is a worldwide health priority and innovative uses of technology-based interventions may assist patients with improving prevention behaviours. Targeting these interventions to recipients most likely to benefit requires understanding how contexts of use influence resp...
journal_title:BMC health services research
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12913-020-05597-5
更新日期:2020-08-18 00:00:00
abstract:BACKGROUND:The World Health Organization (WHO) Surgical Safety Checklist (SSC) has demonstrated beneficial impacts on a range of patient- and team outcomes, though variation in SSC implementation and staff's perception of it remain challenging. Precisely how frontline personnel integrate the SSC with pre-existing perio...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-020-4965-5
更新日期:2020-02-12 00:00:00
abstract:BACKGROUND:Hospital admission and emergency department(ED) visits are a massive burden in medical expenditures. In 2003, the Taiwanese government developed Family Physician Integrated Care Program (FPIC) to increase the quality of primary care and decrease medical expenditures. This study's goals were to determine whet...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-020-05347-7
更新日期:2020-05-26 00:00:00
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
更新日期:2017-07-19 00:00:00
abstract:BACKGROUND:Understanding the factors that influence the hospital length of stay (LOS) for patients with stroke will help in discharge planning and stroke unit management. We explored how intravenous thrombolysis (IVT) affects LOS in an acute-care hospital setting. METHODS:We analyzed adult patients with ischemic strok...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-015-1080-0
更新日期:2015-09-23 00:00:00
abstract:BACKGROUND:The use of increasingly complex payment schemes in primary care may represent a barrier to recruiting general practitioners (GP). The existing Norwegian remuneration system is fully activity based - 2/3 fee-for-service and 1/3 capitation. Given that the system has been designed and revised in close collabora...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-12-68
更新日期:2012-03-20 00:00:00
abstract::In the original publication of this article [1], there are two corrections. ...
journal_title:BMC health services research
pub_type: 杂志文章,已发布勘误
doi:10.1186/s12913-020-5052-7
更新日期:2020-03-19 00:00:00