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 has been one strategy. The aim of this study is to offer a more comprehensive explanation of deviations from the guideline by studying the two phenomena together. METHODS:Eight general practitioners and 10 radiologists from two counties in Norway agreed to semi-structured interviews. Topics covered in the interviews were knowledge of the guideline, barriers to and facilitators of guideline use, implementation of guidelines and factors that influence unwarranted imaging. RESULTS:Several barriers to and facilitators of guideline use were identified. Among these are lack of time, pressure from patients, and guidelines being too long, rigid or unclear. Facilitators of guideline use were easy accessibility and having the guidelines adapted to the target group. Some of the factors that influence unwarranted imaging are lack of time, pressure from patients and availability of imaging services. CONCLUSION:There are similarities between the perceived barriers for guideline adherence and the perceived factors that influence unwarranted imaging. There may be a few reasons that explains the deviation from guidelines, and the amount of unwarranted imaging.
journal_name
BMC Health Serv Resjournal_title
BMC health services researchauthors
Gransjøen AM,Wiig S,Lysdahl KB,Hofmann BMdoi
10.1186/s12913-018-3372-7subject
Has Abstractpub_date
2018-07-16 00:00:00pages
556issue
1issn
1472-6963pii
10.1186/s12913-018-3372-7journal_volume
18pub_type
杂志文章abstract:BACKGROUND:Healthcare obtained abroad may conflict with care received in the country of residence. A special concern for immigrants has been raised as they may have stronger links to healthcare services abroad. Our objective was to investigate use of healthcare in a foreign country in Turkish immigrants, their descenda...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-12-390
更新日期:2012-11-13 00:00:00
abstract:BACKGROUND:Primary health care plays an important role in addressing the burden of non-communicable diseases (NCDs) in low- and middle-income countries. In light of the rapid urbanization of Vietnam, this study aims to explore health professionals' views about the responsiveness of primary health care services at commu...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-018-3217-4
更新日期:2018-05-31 00:00:00
abstract:BACKGROUND:Most current knowledge of the incidence of medical adverse events (AEs) comes from studies carried out in hospital settings. Little is known about AEs occurring outside hospitals, in spite the fact that most of contacts between patients and health care take place in primary care. Small sample population stud...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-13-46
更新日期:2013-02-05 00:00:00
abstract:BACKGROUND:Globally, female sex workers (FSWs) are considered a key population group due to the high HIV prevalence. Studies show that there are various factors in some contexts that render FSWs marginalised, which limits their access to sexual reproductive health (SRH) services. Access to SRH services are particularly...
journal_title:BMC health services research
pub_type: 杂志文章,多中心研究
doi:10.1186/s12913-019-4552-9
更新日期:2019-10-24 00:00:00
abstract:BACKGROUND:The decision to obtain a computed tomography CT scan in the emergency department (ED) is complex, including a consideration of the risk posed by the test itself weighed against the importance of obtaining the result. In patients with limited access to primary care follow up the consequences of not making a d...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-018-2958-4
更新日期:2018-03-02 00:00:00
abstract:BACKGROUND:India has the distinction of financing its healthcare mainly through out-of-pocket expenses by individual families contributing to catastrophic health expenditure and impoverishment. Nearly 70 % of the expenditure is on medicines purchased at private pharmacies. Patients with chronic ailments are especially ...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-016-1680-3
更新日期:2016-08-22 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
doi:10.1186/s12913-017-2746-6
更新日期:2017-11-25 00:00:00
abstract:BACKGROUND:When it was initiated in 2001, England's national patient survey programme was one of the first in the world and has now been widely emulated in other healthcare systems. The aim of the survey programme was to make the National Health Service (NHS) more "patient centred" and more responsive to patient feedba...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-12-71
更新日期:2012-03-21 00:00:00
abstract:BACKGROUND:The antenatal, intrapartum, and postnatal periods are considered high-risk periods for the health of mothers and their newborns. Although the current utilization rate of some maternal and child care services in Jordan is encouraging, detailed information about the quality of these services is limited. Theref...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-019-4232-9
更新日期:2019-06-26 00:00:00
abstract:BACKGROUND:Treat-to-target is the recommended strategy for the management of rheumatoid arthritis (RA) and involves regular assessment of disease activity using validated measures and subsequent adjustment of medical therapy if patients are not in remission or low disease activity. Recommendations published in 2012 det...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-016-1633-x
更新日期:2016-08-15 00:00:00
abstract:BACKGROUND:Patient enrolment into clinical trials is based on oral information and informed consent, which includes an information sheet and a consent certificate. The written information should be complete, but at the same time risks being so complex that it may be questioned if a fully informed consent is possible to...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-016-1272-2
更新日期:2016-02-01 00:00:00
abstract:BACKGROUND:General Practitioners (GPs) in the Netherlands routinely register all patient contacts electronically. These records include longitudinally gathered clinical information of the patient contacts in coded data and free text. METHODS:Diagnoses are coded according to the International Coding of Primary Care (IC...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-018-3528-5
更新日期:2018-09-25 00:00:00
abstract:BACKGROUND:For Indigenous Australians, health transcends the absence of disease, and includes the health and wellbeing of their community and Country: their whole physical, cultural and spiritual environment. Stronger relationships with Country and greater involvement in cultural practices enhance the wellbeing of Indi...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-018-3764-8
更新日期:2018-12-12 00:00:00
abstract:BACKGROUND:Cardiovascular disease (CVD) carries a high burden of morbidity and mortality and is associated with significant utilization of health care resources, especially in the elderly. Numerous randomized trials have established the efficacy of cholesterol reduction with statin medications in decreasing mortality i...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-9-198
更新日期:2009-11-04 00:00:00
abstract:BACKGROUND:Partnerships between clinicians and researchers could increase the generalizability of research findings and increase uptake of research results across populations. Yet engaging clinicians in research is challenging. Clinical Data Research Networks (CDRNs) provide access to a broad array of clinical data, pa...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-018-3399-9
更新日期:2018-07-20 00:00:00
abstract:BACKGROUND:Uganda's under-five mortality is high, currently estimated at 66/1000 live births. Poor referral of sick children that seek care from the private sector is one of the contributory factors. The proposed intervention aims to improve referral and uptake of referral advice for children that seek care from privat...
journal_title:BMC health services research
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12913-016-1885-5
更新日期:2016-11-11 00:00:00
abstract:BACKGROUND:Rising workload in general practice has been a recent cause for concern in several countries; this is also the case in Norway. Long working hours and heavy workload seem to affect recruitment and retention of regular general practitioners (RGPs). We investigated Norwegian RGPs' workload in terms of time used...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-019-4283-y
更新日期:2019-06-28 00:00:00
abstract:BACKGROUND:The engagement of citizens in the development of evidence-based screening programs is internationally supported. The aim of our research was to explore the motivations and reasons of adult citizens in Austria for attending periodic health examinations (PHE) as well as their satisfaction with the way PHE are ...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-018-3640-6
更新日期:2018-10-30 00:00:00
abstract:BACKGROUND:Family-friendly spaces for children and families to visit inpatient mental health units are recommended in international mental health guidelines as one way to provide service delivery that is responsive to the needs of parent-consumers and families. There is a lack of evidence on the implementation of famil...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-015-0914-0
更新日期:2015-06-19 00:00:00
abstract:BACKGROUND:Concerted quality improvement (QI) efforts have been taken to discourage the practice of early elective deliveries (EEDs), but few studies have robustly examined the impact of directed QI interventions in reducing EED practices. Using quasi-experimental methods, we sought to evaluate the impact of a statewid...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-019-4033-1
更新日期:2019-04-02 00:00:00
abstract:BACKGROUND:Societal preferences have to be taken into consideration to ensure difficult healthcare decisions are legitimate and acceptable. It has been interesting to ascertain whether attitudes towards the principles of public healthcare resources allocation are homogenous. In particular, it has been thought provoking...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-015-1210-8
更新日期:2015-12-18 00:00:00
abstract:BACKGROUND:The cost of dialysis in low and middle-Income countries has not been systematically reviewed. The objective of this article is to systematically review peer-reviewed articles on the cost of dialysis across low and middle-income countries. METHODS:PubMed and Embase databases were searched for the year 1998 t...
journal_title:BMC health services research
pub_type: 杂志文章,评审
doi:10.1186/s12913-015-1166-8
更新日期:2015-11-12 00:00:00
abstract:BACKGROUND:Adverse drug events (ADEs) are frequent in hospitals, occurring either in patients before admission or as a nosocomial event, and either as a drug reaction or as a consequence of a medication error. Routine data primarily recorded for reimbursement purposes are increasingly being used on a national level bot...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-14-125
更新日期:2014-03-13 00:00:00
abstract:BACKGROUND:Serious consequences leading to the increase of infectious diseases and mortality of children justifies the importance of interventions for eradication of malnutrition. Thus, this study aimed to provide a model for the prevention of malnutrition among children under 5 years old (CU5) in Iran. METHODS:This p...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-020-05567-x
更新日期:2020-08-05 00:00:00
abstract:BACKGROUND:Computerized provider order entry (CPOE) can help providers deliver better quality care. We aimed to understand recent trends in use of CPOE by health system-affiliated ambulatory clinics. METHODS:We analyzed longitudinal data (2014-2016) for 19,109 ambulatory clinics that participated in all 3 years of the...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-020-05679-4
更新日期:2020-09-07 00:00:00
abstract:BACKGROUND:Australia's Aboriginal and Torres Strait Islander women have poorer survival and twice the disease burden from breast cancer compared to other Australian women. These disparities are influenced, but not fully explained, by more diagnoses at later stages. Incorporating breast screening, hospital and out of ho...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-019-4147-5
更新日期:2019-06-14 00:00:00
abstract:BACKGROUND:In the Netherlands, ethnic minority populations visit their general practitioner (GP) more often than the indigenous population. An explanation for this association is lacking. Recently, health literacy is suggested as a possible explaining mechanism. Internationally, associations between health literacy and...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-017-2276-2
更新日期:2017-05-15 00:00:00
abstract:BACKGROUND:Venous Thromboembolism (VTE) is a cause of hospital mortality and managing its morbidity is associated with significant expenditure. Uptake of evidenced based guideline recommendations intended to prevent VTE in hospital settings is sub-optimal. This study was conducted to explore clinicians' attitudes and t...
journal_title:BMC health services research
pub_type: 杂志文章,多中心研究
doi:10.1186/1472-6963-11-240
更新日期:2011-09-28 00:00:00
abstract:BACKGROUND:People experiencing homelessness and mental illness face multiple barriers to care. The goal of this study was to examine the association between health service use and indicators of need among individuals experiencing homelessness and mental illness in Vancouver, Canada. We hypothesized that those with more...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-14-404
更新日期:2014-09-18 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