Developing a framework of quality indicators for healthcare business cases: a qualitative document analysis consolidating insight from expert guidance and current practice.

Abstract:

BACKGROUND:Business cases are used to provide a structured justification in favour of investing in new projects, services or interventions. Despite the use of business cases in determining how limited resources will be allocated within England's National Health Service (NHS), guidance concerning how to develop and evaluate business cases in the context of healthcare is inconstant and of varying relevance. This study aimed to develop a new framework of quality indicators for healthcare-related business cases by analysing the content of expert guidance documents and a sample of NHS business cases. METHODS:Qualitative document analysis was conducted on guidance documents (n = 7) and existing NHS business case documents (n = 18). Documents were purposefully sampled using criteria to ensure the framework reflected a diverse spread of expert opinion, and a varied sample of example business cases from current practice. Data were analysed using thematic and content analysis, and are presented in a visualised framework. RESULTS:Seven themes were identified within the qualitative document analysis (purpose, strategic priorities, options, benefits, costs, risks and evaluation). These themes were described and presented with a framework of quality indicators for healthcare-related business cases. CONCLUSION:To ou`r knowledge, this is the first framework of business case quality indicators designed specifically for use in a healthcare context. The framework presented in this study has implications for how business cases are developed and evaluated by decision makers. In the future it would be beneficial to investigate how the framework could be used in practice as a tool for critical appraisal.

journal_name

BMC Health Serv Res

authors

Linton MJ,Coast J,Williams I,Copping J,Owen-Smith A

doi

10.1186/s12913-019-4269-9

subject

Has Abstract

pub_date

2019-06-28 00:00:00

pages

433

issue

1

issn

1472-6963

pii

10.1186/s12913-019-4269-9

journal_volume

19

pub_type

杂志文章
  • Moderate and deep sedation for non-invasive paediatric procedures in tertiary maternity and children's hospitals in China: a questionnaire survey from China.

    abstract:BACKGROUND:Moderate and deep sedation are well-established techniques in many developed countries, and several guidelines have been published. However, they have received attention in China only in recent years. The aim of this study is to investigate current paediatric sedation practices in tertiary children's hospita...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-019-4885-4

    authors: Li B,Zhang R,Huang Y,Zhang K,Wat CY,Bai J,Zhang M,Zheng J

    更新日期:2020-01-08 00:00:00

  • Correction to: Healthcare professionals' perspectives on working conditions, leadership, and safety climate: a cross-sectional study.

    abstract::In the original publication of this article [1], the authors missed that reverse coding was necessary for the item "Do you work separate from your colleagues?" before calculating the scale 'social relations'. So they corrected the analysis accordingly. The results with the revised scale show that there are no longer a...

    journal_title:BMC health services research

    pub_type: 已发布勘误

    doi:10.1186/s12913-019-4838-y

    authors: Wagner A,Rieger MA,Manser T,Sturm H,Hardt J,Martus P,Lessing C,Hammer A,WorkSafeMed Consortium.

    更新日期:2020-01-22 00:00:00

  • Pay for performance: an analysis of the context of implementation in a pilot project in Tanzania.

    abstract:BACKGROUND:Pay for performance schemes are increasingly being implemented in low income countries to improve health service coverage and quality. This paper describes the context within which a pay for performance programme was introduced in Tanzania and discusses the potential for pay for performance to address health...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-14-392

    authors: Olafsdottir AE,Mayumana I,Mashasi I,Njau I,Mamdani M,Patouillard E,Binyaruka P,Abdulla S,Borghi J

    更新日期:2014-09-16 00:00:00

  • Managerial competences in public organisations: the healthcare professionals' perspective.

    abstract:BACKGROUND:Human resources play a critical role in encouraging efficient performance within organisations, especially for public healthcare organisations, where competences of staff are key aspects of the quality of services provided. In this context, the enhancement of competences are strategic objectives for Human Re...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-020-05179-5

    authors: Fanelli S,Lanza G,Enna C,Zangrandi A

    更新日期:2020-04-15 00:00:00

  • Improving patient safety culture in Saudi Arabia (2012-2015): trending, improvement and benchmarking.

    abstract:BACKGROUND:Measuring patient safety culture can provide insight into areas for improvement and help monitor changes over time. This study details the findings of a re-assessment of patient safety culture in a multi-site Medical City in Riyadh, Kingdom of Saudi Arabia (KSA). Results were compared to an earlier assessmen...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-017-2461-3

    authors: Alswat K,Abdalla RAM,Titi MA,Bakash M,Mehmood F,Zubairi B,Jamal D,El-Jardali F

    更新日期:2017-08-02 00:00:00

  • Manifestations of verbal and physical violence towards doctors: a comparison between hospital and community doctors.

    abstract:BACKGROUND:Healthcare workers, in the hospital and in community clinics, are frequently exposed to verbal and physical abuse that can lead to frustration and despair. This study's objectives were to evaluate trends in violence towards hospital and community doctors in the Negev region of Israel and to compare them to t...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-019-4700-2

    authors: Nevo T,Peleg R,Kaplan DM,Freud T

    更新日期:2019-11-26 00:00:00

  • A centralised public information resource for randomised trials: a scoping study to explore desirability and feasibility.

    abstract:BACKGROUND:There are currently several concerns about the ways in which people are recruited to participate in randomised controlled trials, the low acceptance rates among people invited to participate, and the experiences of trial participants. An information resource about on-going clinical trials designed for potent...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-5-39

    authors: Langston AL,Campbell MK,Entwistle VA,Skea Z

    更新日期:2005-05-24 00:00:00

  • Differences in sickness absence between self-employed and employed doctors: a cross-sectional study on national sample of Norwegian doctors in 2010.

    abstract:BACKGROUND:Doctors have a low prevalence of sickness absence. Employment status is a determinant in the multifactorial background of sickness absence. The effect of doctors' employment status on sickness absence is unexplored. The study compares the number of sickness absence days during the last 12 months and the impa...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-14-199

    authors: Rosta J,Tellnes G,Aasland OG

    更新日期:2014-05-02 00:00:00

  • Patients' understanding of genetic susceptibility testing in mainstream medicine: qualitative study on thrombophilia.

    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

    authors: Saukko PM,Ellard S,Richards SH,Shepherd MH,Campbell JL

    更新日期:2007-06-12 00:00:00

  • Factors affecting general practitioners' decisions about plain radiography for back pain: implications for classification of guideline barriers--a qualitative study.

    abstract:BACKGROUND:General practitioners often diverge from clinical guidelines regarding spine radiography. This study aimed to identify and describe A) factors general practitioners consider may affect their decisions about ordering plain radiography for back pain and B) barriers to guideline adherence suggested by such fact...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-3-8

    authors: Espeland A,Baerheim A

    更新日期:2003-03-24 00:00:00

  • Improving access to care in low and middle-income countries: institutional factors related to enrollment and patient outcome in a cancer drug access program.

    abstract:BACKGROUND:Limited access to drugs is a crucial barrier to reducing the growing impact of cancer in low- and middle-income countries. Approaches based on drug donations or adaptive pricing strategies yield promising but varying results across countries or programs, The Glivec International Patient Assistance Program (G...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-13-304

    authors: Tekinturhan E,Audureau E,Tavolacci MP,Garcia-Gonzalez P,Ladner J,Saba J

    更新日期:2013-08-10 00:00:00

  • Factors associated with free adult preventive health care utilization among physically disabled people in Taiwan: nationwide population-based study.

    abstract:BACKGROUND:Few previous studies have specifically addressed the health care utilization situation of the physically disabled. This study aimed to investigate the utilization of free adult preventive health care for physically disabled people and its' affecting factors. METHODS:The data was obtained from three nationwi...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-014-0610-5

    authors: Yen SM,Kung PT,Tsai WC

    更新日期:2014-12-05 00:00:00

  • Referring to multimodal rehabilitation for patients with musculoskeletal disorders - a register study in primary health care.

    abstract:BACKGROUND:In 2008, the Swedish government introduced a National Rehabilitation Program, in which the government financially reimburses the county councils for evidence-based multimodal rehabilitation (MMR) interventions. The target group is patients of working age with musculoskeletal disorders (MSD), expected to retu...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-016-1948-7

    authors: Sennehed CP,Holmberg S,Stigmar K,Forsbrand M,Petersson IF,Nyberg A,Grahn B

    更新日期:2017-01-07 00:00:00

  • Correction to: Hepatitis B virus perceptions and health seeking behaviors among pregnant women in Uganda: implications for prevention and policy.

    abstract::In the original publication of this article [1], some values are missing in the Figure 1, Figure 2 and Figure 3. These errors were introduced during typesetting; thus the publisher apologizes for this error. Additionally, the original manuscript has also been updated to amend this error. The correct figures are shown ...

    journal_title:BMC health services research

    pub_type: 已发布勘误

    doi:10.1186/s12913-019-4767-9

    authors: Nankya-Mutyoba J,Aizire J,Makumbi F,Ocama P,Kirk GD

    更新日期:2019-12-20 00:00:00

  • Effects of job rotation and role stress among nurses on job satisfaction and organizational commitment.

    abstract:BACKGROUND:The motivation for this study was to investigate how role stress among nurses could affect their job satisfaction and organizational commitment, and whether the job rotation system might encourage nurses to understand, relate to and share the vision of the organization, consequently increasing their job sati...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-9-8

    authors: Ho WH,Chang CS,Shih YL,Liang RD

    更新日期:2009-01-12 00:00:00

  • Stakeholders' participation in planning and priority setting in the context of a decentralised health care system: the case of prevention of mother to child transmission of HIV programme in Tanzania.

    abstract:BACKGROUND:In Tanzania, decentralisation processes and reforms in the health sector aimed at improving planning and accountability in the sector. As a result, districts were given authority to undertake local planning and set priorities as well as allocate resources fairly to promote the health of a population with var...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-13-273

    authors: Shayo EH,Mboera LE,Blystad A

    更新日期:2013-07-12 00:00:00

  • Rate and predictors for non-attendance of patients undergoing hospital outpatient treatment for chronic diseases: a register-based cohort study.

    abstract:BACKGROUND:Failure to keep medical appointments results in inefficiencies and, potentially, in poor outcomes for patients. The aim of this study is to describe non-attendance rate and to investigate predictors of non-attendance among patients receiving hospital outpatient treatment for chronic diseases. METHODS:We con...

    journal_title:BMC health services research

    pub_type: 杂志文章,多中心研究

    doi:10.1186/s12913-019-4208-9

    authors: Wolff DL,Waldorff FB,von Plessen C,Mogensen CB,Sørensen TL,Houlind KC,Bogh SB,Rubin KH

    更新日期:2019-06-14 00:00:00

  • Human health benefit and burden of the schizophrenia health care pathway in Belgium: paliperidone palmitate long-acting injections.

    abstract:BACKGROUND:Environmental impact assessments of pharmaceuticals typically consider only a part of the pharmaceutical supply chain, e.g. tablet formulation. While the environmental impact can be expressed in environmental Human Health burden due to resource use and emissions, the Human Health benefit of the pharmaceutica...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-019-4247-2

    authors: Debaveye S,De Smedt D,Heirman B,Kavanagh S,Dewulf J

    更新日期:2019-06-19 00:00:00

  • Support for a tax increase to provide unrestricted access to an Alzheimer's disease medication: a survey of the general public in Canada.

    abstract:BACKGROUND:Public drug insurance plans provide limited reimbursement for Alzheimer's disease (AD) medications in many jurisdictions, including Canada and the United Kingdom. This study was conducted to assess Canadians' level of support for an increase in annual personal income taxes to fund a public program of unrestr...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-9-246

    authors: Oremus M,Tarride JE,Clayton N,Raina P

    更新日期:2009-12-29 00:00:00

  • Analysis of the quality of seasonal malaria chemoprevention provided by community health Workers in Boulsa health district, Burkina Faso.

    abstract:BACKGROUND:Since 2014, the Burkina Faso government has made Seasonal Malaria Chemoprevention (SMC) a priority in its strategic plan to fight against malaria among children aged from 3 to 59 months. Very few studies have examined the care provided by community health workers in the framework of this strategy. The purpos...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-019-4299-3

    authors: Kombate G,Guiella G,Baya B,Serme L,Bila A,Haddad S,Bicaba A

    更新日期:2019-07-10 00:00:00

  • Telemedical monitoring of patients with chronic heart failure has a positive effect on total health costs.

    abstract:BACKGROUND:Telemedical programs for patients with chronic heart failure have shown inconsistent effects on survival and hospitalization. Few studies analyzed effects of telemedical interventions on health costs, although this outcome may determine whether or not a successful program will be adopted by health insurance ...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-018-3070-5

    authors: Herold R,Hoffmann W,van den Berg N

    更新日期:2018-04-10 00:00:00

  • Surgeons and preventive health: a mixed methods study of current practice, beliefs and attitudes influencing health promotion activities amongst public hospital surgeons.

    abstract:BACKGROUND:Little is known about the participation of surgeons in preventative health activities in the non-admitted hospital care setting. The aim of this study was to identify which preventive health activities surgeons practice and to explore their attitudes towards preventive health. METHODS:A mixed methods study ...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-019-4186-y

    authors: Barrett S,Begg S,Sloane A,Kingsley M

    更新日期:2019-06-06 00:00:00

  • Planning the scale up of brief psychological interventions using theory of change.

    abstract:BACKGROUND:A large mental health treatment gap exists among conflict-affected populations, and Syrian refugees specifically. Promising brief psychological interventions for conflict-affected populations exist such as the World Health Organization's Problem Management Plus (PM+) and the Early Adolescent Skills for Emoti...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-020-05677-6

    authors: Fuhr DC,Acarturk C,Sijbrandij M,Brown FL,Jordans MJD,Woodward A,McGrath M,Sondorp E,Ventevogel P,Ikkursun Z,El Chammay R,Cuijpers P,Roberts B

    更新日期:2020-08-26 00:00:00

  • Patient satisfaction in an acute medicine department in Morocco.

    abstract:BACKGROUND:Patients' satisfaction is an important indicator for quality of care. Measuring healthcare quality and improving patient satisfaction have become increasingly prevalent, especially among healthcare providers and purchasers of healthcare. This is mainly due to the fact that consumers are becoming increasingly...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-10-149

    authors: Soufi G,Belayachi J,Himmich S,Ahid S,Soufi M,Zekraoui A,Abouqal R

    更新日期:2010-06-02 00:00:00

  • Measuring productivity of healthcare services under environmental constraints: evidence from China.

    abstract:BACKGROUND:Despite the growing literature on the efficiency and productivity of the Chinese healthcare system, less attention has been given to examining the undesirable outputs linked to healthcare services, including environmental pollution. Taking the atmospheric environmental pollution resulting from the incinerati...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-020-05496-9

    authors: Yu J,Liu Z,Zhang T,Hatab AA,Lan J

    更新日期:2020-07-22 00:00:00

  • Evaluating the effectiveness of a CRSCE-based de-escalation training program among psychiatric nurses: a study protocol for a cluster randomized controlled trial.

    abstract:BACKGROUND:The high incidence of workplace violence (WPV) in clinical mental health settings has caused a series of negative impacts on nurses, which has subsequently increased public concern. De-escalation (DE) is recommended as a training program which aims at providing nurses with skills and strategies to more effec...

    journal_title:BMC health services research

    pub_type: 杂志文章,多中心研究

    doi:10.1186/s12913-020-05506-w

    authors: Ye J,Xiao A,Wang C,Xia Z,Yu L,Li S,Lin J,Liao Y,Xu Y,Zhang YL

    更新日期:2020-07-10 00:00:00

  • Pilot randomised controlled trial of culturally adapted cognitive behavior therapy for psychosis (CaCBTp) in Pakistan.

    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

    authors: Husain MO,Chaudhry IB,Mehmood N,Rehman RU,Kazmi A,Hamirani M,Kiran T,Bukhsh A,Bassett P,Husain MI,Naeem F,Husain N

    更新日期:2017-12-06 00:00:00

  • Implementation of a national policy for improving health and social care: a comparative case study using the Consolidated Framework for Implementation Research.

    abstract:BACKGROUND:Comprehensive policies are becoming common for addressing wicked problems in health and social care. Success of these policies often varies between target organizations. This variation can often be attributed to contextual factors. However, there is a lack of knowledge about the conditions for successful pol...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-019-4591-2

    authors: Strehlenert H,Hansson J,Nyström ME,Hasson H

    更新日期:2019-10-22 00:00:00

  • Design and methods for a randomized clinical trial comparing three outreach efforts to improve screening mammography adherence.

    abstract:BACKGROUND:Despite the demonstrated need to increase screening mammography utilization and strong evidence that mail and telephone outreach to women can increase screening, most managed care organizations have not adopted comprehensive outreach programs. The uncertainty about optimum strategies and cost effectiveness h...

    journal_title:BMC health services research

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/1472-6963-11-145

    authors: Costanza ME,Luckmann R,White MJ,Rosal MC,Cranos C,Reed G,Clark R,Sama S,Yood R

    更新日期:2011-06-03 00:00:00

  • Self-reported occupational exposure to HIV and factors influencing its management practice: a study of healthcare workers in Tumbi and Dodoma Hospitals, Tanzania.

    abstract:BACKGROUND:Blood borne infectious agents such as hepatitis B virus (HBV), hepatitis C virus (HCV) and human immune deficiency virus (HIV) constitute a major occupational hazard for healthcare workers (HCWs). To some degree it is inevitable that HCWs sustain injuries from sharp objects such as needles, scalpels and spli...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-13-276

    authors: Mashoto KO,Mubyazi GM,Mohamed H,Malebo HM

    更新日期:2013-07-17 00:00:00