Abstract:
BACKGROUND:The necessity of outpatient postpartum care has increased due to shorter hospital stays. In a health care system, where postpartum care after hospital discharge must be arranged by families themselves, this can be challenging for those experiencing psychosocial disadvantages. Therefore, we compared characteristics of users of a midwifery network which referred women to outpatient postpartum care providers with those of women organising care themselves. Additionally, we investigated benefits of the network for women and health professionals. METHODS:Evaluation of the services of a midwifery network in Switzerland. We combined quantitative secondary analysis of routine data of independent midwives with qualitative telephone interviews with users and a focus group with midwives and nurses. Descriptive statistics and logistic regression modelling were done using Stata 13. Content analysis was applied for qualitative data. RESULTS:Users of the network were more likely to be: primiparas (OR 1.52, 95% CI [1.31-1.75, p < 0.001]); of foreign nationality (OR 2.36, 95% CI [2.04-2.73], p < 0.001); without professional education (OR 1.89, 95% CI [1.56-2.29] p < 0.001); unemployed (OR 1.28, 95% CI [1.09-1.51], p = 0.002) and have given birth by caesarean section (OR 1.38, 95% CI [1.20-1.59], p < 0.001) compared to women organising care themselves. Furthermore, users had cumulative risk factors for vulnerable transition into parenthood more often (≥ three risk factors: 4.2% vs. 1.5%, p < 0.001). Women appreciate the services provided. The collaboration within the network facilitated work scheduling and the better use of resources for health professionals. CONCLUSIONS:The network enabled midwives and nurses to reach families who might have struggled to organise postpartum care themselves. It also facilitated the work organisation of health professionals. Networks therefore provide benefits for families and health professionals.
journal_name
BMC Health Serv Resjournal_title
BMC health services researchauthors
Grylka-Baeschlin S,Iglesias C,Erdin R,Pehlke-Milde Jdoi
10.1186/s12913-020-05359-3subject
Has Abstractpub_date
2020-06-22 00:00:00pages
565issue
1issn
1472-6963pii
10.1186/s12913-020-05359-3journal_volume
20pub_type
杂志文章abstract:BACKGROUND:Multimorbidity is not uncommon and the associated impact it places on healthcare utilisation and societal costs is of increased concern. The aim of the current study was to estimate the economic burden of multimorbidity among older adults in Singapore by investigating its association with the healthcare and ...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-016-1421-7
更新日期:2016-05-10 00:00:00
abstract:BACKGROUND:Improving healthcare utilization is essential as health systems around the world grapple with the escalating demands for acute hospital resources. Evidence suggests that transitional care programs are effective to improve utilization of healthcare. However, the evidence for transitional care programs that en...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-015-0750-2
更新日期:2015-03-14 00:00:00
abstract:BACKGROUND:After election in 1994, the South African government implemented national and regional programmes, such as the Wild Coast Spatial Development Initiative (SDI), to provoke economic growth and to decrease inequities. CIET measured development in the Wild Coast region across four linked cross-sectional surveys ...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-11-S2-S5
更新日期:2011-12-21 00:00:00
abstract:BACKGROUND:Psychosocial job characteristics require nursing staff with high self-consistency and good mental health. However, the attention and effort of such study remained very limited in China. METHODS:A self-administered questionnaire was distributed to the bedside nurses in an affiliated hospital of Hebei Medical...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-016-1463-x
更新日期:2016-06-28 00:00:00
abstract:BACKGROUND:Despite public health care being free at the point of delivery in Timor-Leste, wealthier patients access hospital care at nearly twice the rate of poorer patients. This study seeks to understand the barriers driving inequitable utilisation of hospital services in Timor-Leste from the perspective of community...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-016-1762-2
更新日期:2016-09-30 00:00:00
abstract:BACKGROUND:HIV treatment models in Africa are labour intensive and require a high number of skilled staff. In this context, task-shifting is considered a feasible alternative for ART service delivery. In 2006, a lay health cadre of expert patients (EPs) at a tertiary referral HIV clinic in Zomba, Malawi was capacitated...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-017-2291-3
更新日期:2017-05-09 00:00:00
abstract:BACKGROUND:The World Health Organisation has designed a pregnancy registry to investigate the effect of maternal drug use on pregnancy outcomes in resource-limited settings. In this sentinel surveillance system, detailed health and drug use data are prospectively collected from the first antenatal clinic visit until de...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-014-0525-1
更新日期:2014-10-31 00:00:00
abstract:BACKGROUND:Out-of-hospital emergency care (OHEC), also known as prehospital care, has been shown to reduce morbidity and mortality from serious illness. We sought to summarize literature for low and low-middle income countries to identify barriers to and key interventions for OHEC delivery. METHODS:We performed a syst...
journal_title:BMC health services research
pub_type: 杂志文章,评审
doi:10.1186/s12913-018-3091-0
更新日期:2018-04-19 00:00:00
abstract:BACKGROUND:Recent developments have made screening tests for foetal abnormalities available earlier in pregnancy and women have a range of testing options accessible to them. It is now recommended that all women, regardless of their age, are provided with information on prenatal screening tests. General Practitioners (...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-8-114
更新日期:2008-05-28 00:00:00
abstract:BACKGROUND:Wellbeing of healthcare workers is important for the effective functioning of health systems. The aim of this study was to explore the conceptualisations of wellbeing, stress and burnout among healthcare workers in primary healthcare settings in rural Ethiopia in order to inform the development of contextual...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-017-2370-5
更新日期:2017-06-19 00:00:00
abstract:BACKGROUND:The rapid HIV antibody test is the diagnostic tool of choice in low and middle-income countries. Previous evidence suggests that rapid HIV diagnostic tests may underperform in the field, failing to detect a substantial number of infections. A research study inadvertently discovered that a clinic rapid HIV te...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-10-73
更新日期:2010-03-22 00:00:00
abstract:BACKGROUND:Predicting pharmacy service fees is crucial to sustain the health insurance budget and maintain pharmacy management. However, there is no evidence on how to predict pharmacy service fees at the population level. This study compares the status of pharmacy services and constructs regression model to project an...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-018-3067-0
更新日期:2018-05-03 00:00:00
abstract:BACKGROUND:Hypertension is a public health problem and a major risk factor for cardiovascular disease. The purpose of this study is to compare the effectiveness of a multidisciplinary program based on group and individual care versus group-only care, to promote blood pressure control in hypertensive patients in primary...
journal_title:BMC health services research
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12913-016-1703-0
更新日期:2016-08-31 00:00:00
abstract:BACKGROUND:Hospitalized patients are designated alternate level of care (ALC) when they no longer require hospitalization but discharge is delayed while they await alternate disposition or living arrangements. We assessed hospital costs and complications for general internal medicine (GIM) inpatients who had delayed di...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-019-4760-3
更新日期:2019-12-04 00:00:00
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 h...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-018-3372-7
更新日期:2018-07-16 00:00:00
abstract:BACKGROUND:The aim of this study was to assess the frequency of chest pain presentations and the subsequent non-cardiac chest pain diagnoses in an emergency department (ED) over a 3 year period. METHODS:Administrative data on ED attendances to an urban general hospital in Northern Ireland between March 2013 and March ...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-017-2493-8
更新日期:2017-08-09 00:00:00
abstract:BACKGROUND:Rural hospitals face unique challenges to adopting Enhanced Recovery protocols after colorectal surgical procedures. There are few examples of successful implementation in the United States, and fewer yet of prospective, outcomes-based trials. METHODS:This study drew data from elective bowel resection prosp...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-020-05971-3
更新日期:2020-12-03 00:00:00
abstract:BACKGROUND:This systematic review and meta-analysis aims at assessing the composition and performance of care management models evaluated in the last decade and their impact on patient important outcomes. METHODS:A comprehensive literature search of electronic bibliographic databases was performed to identify care man...
journal_title:BMC health services research
pub_type: 杂志文章,meta分析,评审
doi:10.1186/1472-6963-12-72
更新日期:2012-03-22 00:00:00
abstract:BACKGROUND:Teamwork and job satisfaction are important among the multidisciplinary team who care patients with chronic illnesses such as heart failure (HF) patients. TeamSTEPPS teamwork perceptions questionnaire (T-TPQ) and Minnesota Satisfaction Questionnaire "short form" (MSQ-short) are both self-report questionnaire...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-020-05451-8
更新日期:2020-06-26 00:00:00
abstract:BACKGROUND:Social Prescribing is a service in primary care that involves the referral of patients with non-clinical needs to local services and activities provided by the third sector (community, voluntary, and social enterprise sector). Social Prescribing aims to promote partnership working between the health and the ...
journal_title:BMC health services research
pub_type: 杂志文章,评审
doi:10.1186/s12913-018-2893-4
更新日期:2018-02-07 00:00:00
abstract:BACKGROUND:Evidence-based clinical algorithms (EBCA) are knowledge tools to promote evidence use by codifying evidence into action plans to facilitate appropriate care. However, their impact on process and outcomes of care varies considerably across practice settings and providers, highlighting the need for tailoring o...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-019-4008-2
更新日期:2019-03-20 00:00:00
abstract:BACKGROUND:Immigrants and their Norwegian-born children make up approximately 18% of the total population in Norway. While several studies have been conducted on immigrants' utilization of healthcare services, immigrant families are systematically underrepresented in international studies of children with disabilities....
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-020-5004-2
更新日期:2020-02-22 00:00:00
abstract:BACKGROUND:Chronic low back pain (CLBP) is a highly prevalent condition that has substantial impact on patients, the healthcare system and society. Pain management services (PMS), which aim to address the complex nature of back pain, are recommended in clinical practice guidelines to manage CLBP. Although the effective...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-020-5013-1
更新日期:2020-03-12 00:00:00
abstract:BACKGROUND:There is a trend towards value-based health service, striving to cut costs while generating value for the patient. The overall objective comprises higher-quality health services and improved patient safety and cost efficiency. The approach could align with patient-centred care, as it entails a focus on the p...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-016-1957-6
更新日期:2017-01-11 00:00:00
abstract:BACKGROUND:Tort law has legitimate social purposes of deterrence, punishment and compensation, but medical tort law does none of these well. Tort law could be counterproductive in medicine, encouraging costly defensive practices that harm some patients, restricting access to care in some settings and discouraging innov...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-10-150
更新日期:2010-06-02 00:00:00
abstract:BACKGROUND:As a result of the previous part of this trial, many patients with cardiovascular disease were expected to receive a statin for the first time. In order to provide these patients with comprehensive information on statins, as recommended by professional guidance, education at first and second dispensing of st...
journal_title:BMC health services research
pub_type: 杂志文章,随机对照试验
doi:10.1186/1472-6963-11-313
更新日期:2011-11-16 00:00:00
abstract:BACKGROUND:Numerous drugs used in the treatment of psychiatric disorders are substrates of cytochrome P450 enzymes and are potential candidates for drug-drug interactions (DDIs). METHODS:Claims data of a German statutory health insurance company from severely mentally ill patients who registered in an integrated care ...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-016-1724-8
更新日期:2016-09-08 00:00:00
abstract:BACKGROUND:Clinical social franchising is a rapidly growing delivery model in private healthcare markets in low- and middle-income countries. Despite this growth, little is known about providers' perceptions of the benefits and challenges of social franchising or clients' reasons for choosing franchised facilities over...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-015-0709-3
更新日期:2015-02-01 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:Because of the increasing costs and anticipated shortage of Ear Nose and Throat (ENT) specialists in the care for hearing-impaired persons, an integrated care pathway that includes direct hearing aid provision was developed. While this direct pathway is still under investigation, in a survey we examined expe...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-7-57
更新日期:2007-04-19 00:00:00