Abstract:
BACKGROUND:Recently, several initiatives have focused on how to create true person-centred health services. This calls for a new understanding of health-related empowerment in relation to people living with one or more chronic conditions. We report on a Delphi investigation among participants in the European Innovation Partnership on Active and Healthy Ageing that has led to a new understanding of health-related empowerment. METHODS:The Delphi process was conducted in three sequential rounds. In the first round, we presented a suggested first version for a definition of "health-related empowerment" divided into nine statements. One hundred and twenty-two experts were then asked if they agreed or not with each individual statement, and in the case they disagreed, to state the reasons for their disagreement. After revisions, the experts who had replied to the first version were asked again, if they agreed or not with each individual statement of the second version and to elaborate on disagreements. Finally, in the third round the experts were asked to provide comments to the final proposed definition in general and not by each statement. RESULTS:A total of 33 experts responded to the first version. The following revision included a merging of two statements, and the addition of health literacy as part of the understanding. The second version was sent out to the 33 experts and a total of 19 experts commented with moderate consensus. Changes included removal of "self-esteem" and change of "self-confidence" to confidence. Third version was sent out to all 122 experts with 16 respondents. Strong consensus was obtained for this third version, and is with one minor change presented as the final version. CONCLUSION:We propose a new understanding of the concept health-related empowerment, by focusing on the individual as a co-manager with freedom to choose and focus on their own well-being.
journal_name
BMC Health Serv Resjournal_title
BMC health services researchauthors
Kayser L,Karnoe A,Duminski E,Somekh D,Vera-Muñoz Cdoi
10.1186/s12913-019-4082-5subject
Has Abstractpub_date
2019-04-24 00:00:00pages
242issue
1issn
1472-6963pii
10.1186/s12913-019-4082-5journal_volume
19pub_type
杂志文章abstract:BACKGROUND:Research regarding the decision to adopt and implement technological innovations in radiation oncology is lacking. This is particularly problematic since these technologies are often complex and rapidly evolving, requiring ongoing revisiting of decisions regarding which technologies are the most appropriate ...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-11-178
更新日期:2011-07-31 00:00:00
abstract:BACKGROUND:Against a background of rising numbers of frail older people, there is a need to improve quality and safety of services whilst containing costs. Improving patient outcomes requires change across hospital and community systems. Our objective was to change practice in order to deliver a Hospital at Home progra...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-017-2334-9
更新日期:2017-06-05 00:00:00
abstract:BACKGROUND:Compared to patients with cancer, heart failure patients are seldom candidates for palliative care. Numerous studies have investigated reasons why heart failure patients do not receive palliative care; however, none of these studies have ever evaluated the situation in the German health care setting. This st...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-016-1609-x
更新日期:2016-08-08 00:00:00
abstract:BACKGROUND:A significant number of Lebanese medical graduates have emigrated from Lebanon. The objective of this study was to evaluate the hypothesis that the repatriation of Lebanese physicians educated abroad has contributed to the international emigration of recent Lebanese medical graduates. METHODS:We analyzed th...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-8-195
更新日期:2008-09-24 00:00:00
abstract:BACKGROUND:Accurate and timely data on cause of death are critically important for guiding health programs and policies. Deaths certified by doctors are implicitly considered to be reliable and accurate, yet the quality of information provided in the international Medical Certificate of Cause of Death (MCCD) usually va...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-017-2628-y
更新日期:2017-10-02 00:00:00
abstract:BACKGROUND:Ghana has been providing HIV and AIDS services since the identification of the first case in 1986 and added highly active antiretroviral therapy to its comprehensive care in 2003.This study aimed at assessing availability of HIV services along the continuum of HIV care in Ghana. METHOD:A cross sectional stu...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-018-3485-z
更新日期:2018-09-26 00:00:00
abstract:BACKGROUND:Patients education is considered a valuable mean to prevent and control healthcare-associated infections (HAIs). This cross-sectional study aims to assess declared practices of healthcare workers (HCWs) regarding the delivery of information about HAIs to patients. METHODS:A 14-item multiple-choice questionn...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-017-2021-x
更新日期:2017-01-23 00:00:00
abstract:BACKGROUND:While local context costing evidence is relevant for healthcare planning, budgeting and cost-effectiveness analysis, it continues to be scarce in Ethiopia. This study assesses the cost of providing a prevention of mother-to-child transmission of HIV/AIDS (PMTCT) service across heterogeneous prevalence (high,...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-019-3978-4
更新日期:2019-03-06 00:00:00
abstract:BACKGROUND:Hospital treatment for hip fracture is complex, often involving sequential episodes for acute orthopaedics, rehabilitation and care of contingent conditions. Most reports of hospital length of stay (LOS) address only the acute phase of care. This study identifies the frequency and mean duration of the compon...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-015-0697-3
更新日期:2015-01-22 00:00:00
abstract:BACKGROUND:Peripheral intravenous catheters (PIVCs) account for a mean of 38% of catheter associated bloodstream infections (CABSI) with Staphylococcus aureus, which are preventable if deficiencies in best practice are addressed. There exists no feasible and reliable quality surveillance tool assessing all important ar...
journal_title:BMC health services research
pub_type: 杂志文章,多中心研究
doi:10.1186/s12913-019-4497-z
更新日期:2019-09-05 00:00:00
abstract:BACKGROUND:The "practice makes perfect" concept considers the more frequent a hospital performs a procedure, the better the outcome of the procedure. We aimed to study this concept by investigating whether patient outcomes improve in hospitals with a significantly increased volume of high-risk surgery over time and whe...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-020-05126-4
更新日期:2020-04-01 00:00:00
abstract:BACKGROUND:Understanding the perceptions and attitudes of physicians is important. This knowledge assists in the efforts to reduce the impact of their interactions with the pharmaceutical industry on clinical practice. It appears that most studies on such perceptions and attitudes have been conducted in high-income cou...
journal_title:BMC health services research
pub_type: 杂志文章,评审
doi:10.1186/s12913-016-1299-4
更新日期:2016-02-17 00:00:00
abstract:BACKGROUND:Evidence for efficacy of cognitive-behavioural therapy (CBT) in treatment of schizophrenia is growing. CBT is effective and cost efficient in treating positive and negative symptoms. To effectively meet the needs of diverse cultural groups, CBT needs to be adapted to the linguistic, cultural and socioeconomi...
journal_title:BMC health services research
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12913-017-2740-z
更新日期:2017-12-06 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:There has been evidence in recent years that people with intellectual disabilities in acute hospitals are at risk of preventable deterioration due to failures of the healthcare services to implement the reasonable adjustments they need. The aim of this paper is to explore the challenges in monitoring and pre...
journal_title:BMC health services research
pub_type: 杂志文章,多中心研究
doi:10.1186/1472-6963-14-432
更新日期:2014-09-24 00:00:00
abstract:BACKGROUND:UK and US policy initiatives have suggested that, in the future, patients and clinicians in mainstream medicine could use genetic information to prevent common illnesses. There are no studies on patients' experience and understanding of the process of testing for common genetic susceptibilities in mainstream...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-7-82
更新日期:2007-06-12 00:00:00
abstract:BACKGROUND:Massive efforts in Canada have been made to renew primary healthcare. However, although early evaluations of initiatives and research on certain aspects of the reform are promising, none have examined the link between patient assessments of care and health outcomes or the impacts at a population level. The g...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-10-258
更新日期:2010-09-03 00:00:00
abstract:BACKGROUND:Clinical quality indicators are used to monitor the performance of healthcare services and should wherever possible be based on research evidence. Little is known however about the extent to which indicators in common use are based on research. The objective of this study is to measure the extent to which cl...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-017-2324-y
更新日期:2017-07-21 00:00:00
abstract:BACKGROUND:The precipitous closure of rural maternity services in British Columbia (BC), Canada, and internationally has demanded a reevaluation of how to meet the perinatal surgical needs of rural women in accordance with the Triple Aim objectives of safety, cost-effectiveness, and satisfaction of all key stakeholders...
journal_title:BMC health services research
pub_type: 杂志文章,评审
doi:10.1186/s12913-016-1629-6
更新日期:2016-08-13 00:00:00
abstract:BACKGROUND:Reading problems are frequently reported by visually impaired persons. A closed-circuit television (CCTV) can be helpful to maintain reading ability, however, it is difficult to learn how to use this device. In the Netherlands, an evidence-based rehabilitation program in the use of CCTVs was lacking. Therefo...
journal_title:BMC health services research
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1186/1472-6963-10-62
更新日期:2010-03-10 00:00:00
abstract:BACKGROUND:The aim of this study was to understand the quality of discharge guidance for patients with chronic diseases, to clarify the gap between patient needs and the content of discharge guidance, and to provide a reference for health education and clinical path management of patients with chronic diseases in the f...
journal_title:BMC health services research
pub_type: 杂志文章,多中心研究
doi:10.1186/s12913-020-05518-6
更新日期:2020-07-11 00:00:00
abstract:BACKGROUND:Failure to attend the clinic without prior intimation, known as "Did Not Attend" (DNA) is a significant global issue. There have been no published studies attempting to reduce DNA rates in breast clinics. We aimed to assess the impact of contacting patients prior to clinic attendance and Short Message Servic...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-020-05627-2
更新日期:2020-08-17 00:00:00
abstract:BACKGROUND:Several approaches to medication optimisation by identifying drug-related problems in older people have been described. Although some interventions have shown reductions in drug-related problems (DRPs), evidence supporting the effectiveness of medication reviews on clinical and economic outcomes is lacking. ...
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/s12913-020-5056-3
更新日期:2020-03-17 00:00:00
abstract:BACKGROUND:Anganwadi Workers (AWWs) are a group of 1.4 million community health workers that operate throughout rural India as a part of the Integrated Child Development Services program. AWWs are responsible for disseminating key health information regarding nutrition, family planning, and immunizations to the women a...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-020-05857-4
更新日期:2020-12-07 00:00:00
abstract:BACKGROUND:The NHS spends billions of pounds annually on repeat prescriptions in primary care, but data on their extent and use is out of date. Understanding the scale of repeat prescribing and for whom it is prescribed is important for the NHS to plan services and develop policies to improve patient care. METHOD:Anon...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-14-76
更新日期:2014-02-19 00:00:00
abstract:BACKGROUND:Over the last 20 years governments around the world have promoted user involvement in an effort to improve the quality of health services. Despite the growing emphasis placed on user involvement in England, there is a paucity of recent studies looking at how service users and professionals perceive the outco...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-014-0491-7
更新日期:2014-10-25 00:00:00
abstract:BACKGROUND:Health care professionals (HCP) are known key elements of effective patient's counselling and education. For patients taking warfarin, education about the dose, side effects, and toxicity is clearly identified as a cornerstone of achieving improved health and quality of life. The study objective was to evalu...
journal_title:BMC health services research
pub_type: 杂志文章,多中心研究
doi:10.1186/s12913-018-2874-7
更新日期:2018-02-01 00:00:00
abstract:BACKGROUND:The aim of this study was to compare the expressed levels of career satisfaction of three groups of comparable dental healthcare professionals, working in Trinidad, the United Kingdom and New Zealand. METHODS:Three questionnaire surveys were carried out of comparable dental healthcare professionals. Dental ...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-6-32
更新日期:2006-03-14 00:00:00
abstract:BACKGROUND:Industry partnerships can help leverage resources to advance HIV/AIDS vaccine research, service delivery, and policy advocacy goals. This often involves capacity building for international and local non-governmental organizations (NGOs). International volunteering is increasingly being used as a capacity bui...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-13-378
更新日期:2013-10-02 00:00:00
abstract:BACKGROUND:Population-based funding formulae act as an important means of promoting equitable health funding structures. To evaluate how policy makers in different jurisdictions construct health funding formulae and build an understanding of contextual influences underpinning formula construction we carried out a compa...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-13-470
更新日期:2013-11-08 00:00:00