Relevant bibliographies by topics / Health Services Research Centre

Academic literature on the topic 'Health Services Research Centre'

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Published: 10 December 2022
Last updated: 28 January 2023

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Journal articles on the topic "Health Services Research Centre"

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Matshonisa Seeletse, Solly, and Katlego Thabang Mokgwabone. "Effecting effective and efficient research service strategy for statistical support in Sefako Makgatho Health Sciences University." Environmental Economics 7, no. 2 (June 3, 2016): 115–21. http://dx.doi.org/10.21511/ee.07(2).2016.12.

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The focus of this paper was to determine research support benchmarks from higher education institutions (HEIs) in South Africa for application in the Sefako Makgatho Health Sciences University (SMU). These benchmarks were sought from networked international HEIs and leading research HEIs in the country. Other benchmarks were sourced from cost-effective models of deployment from other service departments within SMU. The study involved nine HEIs and SMU human resources (HR) department for benchmarking. The study found that the statistics departments were used in these HEIs for major research support. These statistics departments operated from statistics support centres, were supported holistically by their institutions, and were allowed qualified autonomy in their functions. The SMU HR department was assigning individual HR experts to various academic departments for full-time support. The paper combines the models of statistics centres and of assigning HR experts to departments for a new one in SMU. It proposes establishment of a statistical services centre in SMU, in the Department of Statistics and Operations Research (SOR). The centre could be used for statistical training and for fundraising as well. However, the core activities of the centre should be to support research on SMU campus. The centre should operate by dedicating statistics experts to various departments. That model also requires an adequate academic staffing of SOR, as well as initial funding for the entire plans and initial operations of the centre
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Yarrow, Elizabeth. "Access to sexual health services." Children and Young People Now 2014, no. 5 (March 4, 2014): 27. http://dx.doi.org/10.12968/cypn.2014.5.27.

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Elizabeth Yarrow, senior researcher at Coram Children's Legal Centre, summarises recent research that explores the impact of the law on young people's access to sexual and reproductive health services
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Soesanto, Edy, and Naufal Najib Abdurrahman. "The Role of Volunteers in Improving Services in Elderly Integrated Service Centers." South East Asia Nursing Research 2, no. 1 (March 31, 2020): 22. http://dx.doi.org/10.26714/seanr.2.1.2020.22-26.

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The elderly attendance rate at the elderly integrated service centre for healthy sources of kangkung village is only 14.31%, this is far from the national coverage rate of 80%. The role of the volunteer is one of the factors supporting the presence of the elderly, through increasing the role of volunteer it is expected to be able to increase elderly visits. The Objective of this research to describe the role of the volunteer in the elderly integrated service centre in the village of kangkung. This research used descriptive research with cross-sectional approach. The study population was a cadre of healthy elderly integrated service centre sources kangkung village mranggen district. The research sample uses a total sampling technique. Data analysis in this study used univariate. As many as 12 people (60%) volunteer played a good role as coordinators, as many as 12 people (60%) played a good role as community mobilizers, as many as 10 people (50%) played a good role as providers of health promotion, as many as 15 people (75 %) played a good role in terms of basic aid providers, as many as 16 people (80%) played a good role in the documentation. The role of coordinator, community mobilizer, basic assistance provider and documentation has been going well, the role as health promotion provider is still poor. The volunteer is expected to be more active in playing roles in improving the services of elderly integrated service centre.
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Eaton, Kenneth A., and Nigel B. Pitts. "Dental Health Services Research Unit Celebrates 30 Years." Primary Dental Care os16, no. 2 (April 2009): 51–54. http://dx.doi.org/10.1308/135576109787909445.

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Over the years, several members of the staff of the Dental Health Services Research Unit (DHSRU) at Dundee have published papers in Primary Dental Care. Furthermore, its Director, Professor Nigel Pitts, together with Drs Jan Clarkson and Gail Topping have co-edited a number of the Faculty of General Dental Practice (UK)'s standards manuals and contributed to others. It had been suggested to the Unit by several parties that, having been in funded existence for some 30 years, it would be appropriate to mark this anniversary with a conference to explore ‘Dental Health Services Research: After 30 years, what was the impact, what have we learned and where are we going?’ So, following a range of consultations, the conference was convened at the West Park Conference Centre in Dundee with a mixed audience representing both dental research and dental practice.
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Peel, V. J. "Management-Focused Health Informatics Research and Education at the University of Manchester." Methods of Information in Medicine 33, no. 03 (1994): 273–77. http://dx.doi.org/10.1055/s-0038-1635027.

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Abstract:The Health Services Management Unit was established in 1956 and the Centre for Health Informatics in 1988 as one of eight new centres of research and professional practice. New programmes of informatics education have been created to integrate many of the areas of social and management sciences with clinical work. The model, of a multi-disciplinary higher education department based at a University with very substantial departments of Bio-Medicine and Computation, enables the Centre to reflect an alternative paradigm of health informatics. Informatics practitioners from many disciplines are taught a combination of knowledge and skills through a range of educational methods. A classification scheme for educational work is offered.
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Dr. Kavita A. Jain and Savita. "Service Quality in Community Health Centre." International Journal of Engineering and Management Research 12, no. 4 (August 31, 2022): 174–77. http://dx.doi.org/10.31033/ijemr.12.4.21.

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The present study has been conducted to understand the level of awareness of people toward quality of services available at CHC level. In order to achieve the objective of this research work, the researcher applied SERVQUAL model through five factors such as Tangibility, Assurance, Responsiveness, Reliability and Empathy. In this way, primary data have been collected from 25 patients at Madina CHC. Further, the collected data have been analysed with the help of Likert five point scale and other statistical tools and techniques. The results of this study suggested that CHC administration should make some more efforts to improve the service quality in terms of Empathy and Reliability.
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Hall, Jane. "Health services research in Australia." Australian Health Review 24, no. 3 (2001): 35. http://dx.doi.org/10.1071/ah010035.

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The long-awaited Wills Implementation Committee Report (CoA 2000), which was completed by Novemberlast year, has now been released. Wills' earlier Report (CoA 1998) identified the need for the development ofhealth services research capacity in Australia, and this new Report recommends how this should be done,through the establishment and support of several large multi-disciplinary centres. These should be based aroundhealth services, health policy, health economics, public health and clinical practice and these are required to givescientific leadership to Australia's efforts in priority-driven research. They are to be funded through NHMRC,with funds rising to $10m per annum.
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Lawrence, Glenda, Isa Dinh, and Lee Taylor. "The Centre for Health Record Linkage: A New Resource for Health Services Research and Evaluation." Health Information Management Journal 37, no. 2 (June 2008): 60–62. http://dx.doi.org/10.1177/183335830803700208.

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Gaudet, Janice Cindy, and Carmen Chilton. "Milo Pimatisiwin Project." International Journal of Indigenous Health 13, no. 1 (August 23, 2018): 20–40. http://dx.doi.org/10.32799/ijih.v13i1.30264.

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The Milo Pimatisiwin Project is a community-centred initiative of John Delaney Youth Centre in the Moose Cree First Nation community in the James Bay region, Ontario, Canada. This article describes the creation of this collaborative youth-centred project and how it re-centres Indigenous values and conception of health and wellbeing. The article begins with an overview of the Cree philosophy of milo pimatisiwin, “good and healthy living.” This sets the background for the focus of the article, namely the significance of sharing pimatisiwin teachings over the local youth radio station and within land-based initiatives. The study includes the project results and feedback from the youth engaged in the project. It also describes the Youth Services Director’s vision and leadership efforts to enhance culturally relevant programming at the Youth Centre. Finally, it discusses lessons learned in the project and suggests best ways to enhance wellbeing in community-engaged research initiatives. The aim is to privilege Indigenous people, their knowledge and experiences, and their critical role in decolonizing notions of health and wellbeing within research practices and community-centred initiatives.
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Proctor, E. K., C. McMillen, S. Haywood, and P. Dore. "Advancing Mental Health Research: Washington University's Center for Mental Health Services Research." Social Work Research 32, no. 4 (December 1, 2008): 249–59. http://dx.doi.org/10.1093/swr/32.4.249.

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Dissertations / Theses on the topic "Health Services Research Centre"

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Blakey, Heather. "Participation¿why bother?: The views of Black and Minority Ethnic mental health service users on participation in the NHS in Bradford. Report of a community research process undertaken by the International Centre for Participation Studies, University of Bradford and Sharing Voices (Bradford)." International Centre for Participation Studies, 2005. http://hdl.handle.net/10454/3798.

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Yes
The International Centre for Participation Studies and Sharing Voices Bradford (for information on these organisations, see Appendices 3 and 4) maintain that participation is an important part of a healthy democracy, with benefits for all. However, participation can be anything from empowering to tokenistic, and must be critically examined if we are to understand how to use it effectively. This paper considers the contribution of participation to improved service delivery in the health service. For beneficiaries, participation can be about ownership and responsibility for the services we use, as well as rights and the chance to express what we want from them. For service providers, participation is widely recognised as an effective way of tailoring services to the needs of the different communities they serve. The NHS and other service providers have made great strides in developing mechanisms for participation by service users. However, these do not always reach all sections of the community. Many individuals feel sceptical about getting involved, unconvinced that their contribution could make a real difference. Through the Participation ¿ Why Bother? workshops, we set out to explore these feelings, to reflect on perceived barriers and identify changes that might help overcome them. The aim was not to look at the substance of service delivery issues, but to try and work out how the process of involving people in decision-making in the NHS could be improved, to make it easier for voices from Black and Minority Ethnic (BME) communities to be heard.
Bradford District Care Trust; South and West PCT; City tPCT
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Buckley, Tyra T. "Delivery of Asthma Management Services by a Federally Qualified Health Center in an Urban Setting." Digital Archive @ GSU, 2010. http://digitalarchive.gsu.edu/iph_theses/145.

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As a chronic disease, asthma presents a significant public health challenge nationally and in Georgia. In 2007, over 22 million people, including over 9 million children, had asthma in the United States. In Georgia, 230,000, or 10% of children have asthma, which is more prevalent among children less than 18 years of age than among adults. While asthma affects people of all ages and socioeconomic status, low income and minority populations have the highest asthma morbidity. This has proven to be the case with residents of Neighborhood Planning Unit V (NPU-V), a low-income minority community located in southeast Atlanta. Children comprise 35% of NPU-V's population, and over half of them live below the poverty line. Among other concerns, children with asthma have higher rates of hospitalization and absenteeism from school than their peers. The hospitalization rates for children with asthma in South Atlanta aged 0-17 years of age is almost five times the rate of North Fulton County. The Georgia State University Institute of Public Health received grant funding for the planning and implementation of the Accountable Communities: Healthy Together-Asthma (ACHT-A) program to help address the problems associated with asthma in NPU-V and among patients of Southside Medical Center (SMC). The capstone project involved development of an evaluation plan for future determinations about the program’s effectiveness in achieving desired outcomes. The evaluation process included development of a logic model and putting systems in place to track and measure specific indicators. The project culminated in a preliminary assessment of selected program activities to establish baseline information for the program, its participants, and SMC staff.
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Carpenter, Tyler, and Kate Beatty. "Demographic Fall Predictors in a Rural Level One Trauma Center." Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/etsu-works/6865.

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Falls are the number one mechanism of injury for The Trauma Center and Johnson City Medical Center (JCMC TC). JCMC TC is one of two level one trauma centers in the region and one of only six in the state. The main method for trauma prevention is outcome specific education and awareness. Injury prevention education is a critically needed area in the field of trauma and emergency care. Falls are the number one cause of injury in populations age >65. Socioeconomic status, age, gender, and race are all mitigating factors in the likelihood of greater length of stays, death in hospital, and death within one year of discharge for those who fall in a home setting. According to the CDC, people over the age of 75 are four to five times more likely than people under 75 to be admitted to a long-term care facility for more than a year. What is the relationship between patient characteristics and fall related outcomes in a level one trauma center? We looked at associations between patient demographics and associated outcomes for those admitted to the trauma center secondary to a ground level fall (GLF) in the home. Dataset: De-identified National Trauma Databank information was compiled by the JCMC Registrar for the past 8 years for the metrics: Injury Severity Score (ISS), length of stay, 48hr readmission, and disposition (home, nursing home, skilled nursing facility (SNF)).Demographic information, along with mechanism of fall, was collected for each patient. Patient age, gender, and date of injury was all used for statistical analysis and trend recognition. Statistical Analysis: Bivariate analyses included independent samples t-tests and Oneway ANOVA to find differences between groups. Results: T-test results show women are significantly more likely than men to be admit for a ground level fall (p<.001) and those with a higher ISS are more likely to have an extended stay in an inpatient setting (p<.001). One-Way ANOVA analysis of collected data shows an annual increase from 2006-2013 of trauma admissions for ground level falls (p<.01). Eight year analysis showed a two-fold increase in these admissions. Over 30% of patients admitted with a GLF are discharged to a SNF leading to higher societal costs due to Medicare reimbursement rates. Diagnosis related groups codes (DRG) dictate Medicare reimbursement rate of $14,091 per patient with an average facility cost of $14,196 per patient with no readmissions (Unplanned readmission within 180 days occurred at a rate of 8.3%). Conclusion: Fall education programs are necessary and needed in rural level one trauma centers to educate citizens on causes and methods of preventing falls in their homes. A decrease in these falls would lead to an increase in productive years of life and a reduction in strain on the hospital system.
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Van, Slingerland Krista. "Design, Implementation, and Evaluation of a Sport-Focused Mental Health Service Delivery Model Within a Canadian Centre for Mental Health and Sport." Thesis, Université d'Ottawa / University of Ottawa, 2021. http://hdl.handle.net/10393/42792.

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The overall aim of this Participatory Action Research (PAR; Chevalier & Buckles, 2013; Lewin, 1946) project was to design, implement, and evaluate a specialized sport-focused mental health service delivery model for competitive and high-performance athletes, integrated within a broader Canadian Centre for Mental Health and Sport (CCMHS). A transformative mixed methods research design (Cresswell, 2014) guided by the PAR approach was employed across three phases during which (a) a sport-specific mental health service delivery model for competitive and high-performance athletes was collaboratively designed by stakeholders (Design Phase [Study 1]), (b) the model was pilot-tested within the CCMHS (Implementation Phase [Study 2]), and (c) the model was evaluated to understand whether practitioners and service-users perceived the care delivered / received within the model to be acceptable and appropriate (Evaluation Phase [Study 3]). Design Phase (Study 1). The purpose of study 1 was to (a) perform an environmental scan of the Canadian mental health care and sport contexts, and (b) design a sport-focused mental health service delivery model for competitive and high-performance athletes within a broader CCMHS. To meet these objectives, 20 stakeholders from the sport and mental health sectors explored (a) the availability and effectiveness of mental health care for competitive and high-performance Canadian athletes, and (b) the strengths, weaknesses, opportunities and threats associated with creating a CCMHS, via two iterations of stakeholder-led focus groups (Rio-Roberts, 2011). The resulting data informed a subsequent Group Concept Mapping (GCM; Burke et al., 2005; Kane & Trochim, 2007; Rosas & Kane, 2012) activity undertaken by stakeholders, which produced an actionable framework (i.e., concept map) organized into six clusters that visually represented the elements (e.g., services, personnel, organizational structures) that stakeholders deemed important to include in the sport-focused mental health care model (e.g., bilingual services, a triage system, sport-specialized practitioners). In addition, the results revealed that misconceptions about the competitive and high-performance population’s mental health and experience of mental illness were widespread and required clarification before significant advances could be made. This led the group to develop six principles designed to establish a common language and understanding upon which to build effective models of mental health care, improved programming, and strategic education for Canada’s competitive and high-performance athletes, coaches, and organizations (Article 1). The framework that emerged from the GCM activity served to guide the remainder of the project, and supported actions (e.g., develop eligibility criteria to access services, hire a team of mental health practitioners with sport competencies [i.e., CCMHS Care Team]) to build the CCMHS and test the model during the Implementation Phase (Article 2). Implementation Phase (Study 2). The purpose of study 2 was to pilot test the mental health service delivery model designed during the first phase of the research project. To do so, an illustrative case study (Keegan et al., 2017; Stake, 1995, 2005) was carried out to demonstrate how (i.e., intake, referral, and service delivery processes) the CCMHS Care Team provided mental health care to a high-performance athlete, and what outcomes resulted from this process. Data to inform the case study was gathered through a review of the service-user’s clinical documents (e.g., intake summary, session notes), and qualitative interviews (n = 2) with the athlete’s Collaborative Care Team lead and the CCMHS Care Coordinator. Document analysis (Bowen, 2009) was used to organize the details of the case found within clinical documents under the categories of the case study framework (i.e., intake and referral process, service-user description, integrated care plan, and outcomes), while a conventional descriptive content analysis (Hsieh & Shannon, 2005) served to extract salient data from the interviews to further build out the case study. Results revealed that sport significantly influenced the onset and experience of mental illness for the athlete service-user. The lead practitioner’s sport-specific knowledge played a significant role in the diagnosis, treatment and recovery of this athlete given the nature of the athlete’s concerns and high athletic identity. Findings support the notion that specialized mental health care models and teams are necessary to address sport-related factors that can pose unique threats to the diagnosis and treatment of mental illness in athletes (Article 3). Implementation Phase (Study 3). The purpose of study 3 was to evaluate the acceptability and appropriateness of the mental health service delivery model designed during Phase 1 and implemented during Phase 2. Qualitative data from three sources (CCMHS practitioners, CCMHS service-users, and CCMHS stakeholders) were collected and analyzed using a multi-step, multi-method process, including16 one-on-one semi-structured interviews with CCMHS practitioners (n = 10) and service-users (n = 6), and a meeting with CCMHS stakeholders (captured via meeting minutes). In addition, 47 documents (e.g., clinical, procedural) created during the implementation phase of the project by CCMHS team members (i.e., practitioners, stakeholders, members of the board of directors) were used to triangulate the other data (Carter, Bryant-Lukosius, DiCenso, Blythe, and Neville, 2014). The Framework Method (Gale et al., 2013; Ritchie and Spencer, 1994) was used to analyze, synthesize, integrate, and interpret the dataset. The deductive data analysis approach taken was guided by the seven components of acceptability developed by Sekhon and colleagues (2017), and the Canadian Medical Association’s definition of appropriate care. Findings showed that the care provided and received within the CCMHS service delivery model was perceived to be acceptable and appropriate, and each component of the model uniquely contributed to practitioner and service-user experiences. For example, the collaborative interdisciplinary approach contributed to the ethicality of the model, promoted the professional development of team members, and enabled Pan-Canadian service provision. The sport-centered nature of care was perceived to enhance the ethicality of services delivered, effectiveness of care, and affective experience of service-users. Implications for further research and practice were discussed in light of areas of the model that emerged as needing improvement (e.g., prohibitive cost of care, practitioner burden from collaborative processes and procedures). Overall, the findings of the research project demonstrate that collaborative approaches to inquiry and practice can be successfully applied in sport to guide stakeholders in developing and testing novel models to improve the health outcomes of sport participants. The research also shows that an interdisciplinary team of practitioners can successfully deliver sport-focused mental health care that is acceptable and appropriate to service-users. Lastly, the project provides data on the first known empirical project to design, implement and evaluate a specialized mental health service delivery model applied nationwide in person and virtually with competitive and high-performance athletes experiencing mental health challenges and symptoms of mental illness.
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Bolton, Mychal. "Perceived Barriers to Obtaining Psychiatric Treatment at Johnson City Community Health Center." Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/honors/223.

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The purpose of this study was to describe the perceived barriers to obtaining psychiatric treatment at the Johnson City Community Health Center. The context of the study was a rural area in Eastern Tennessee. Five patients with confirmed DSM-IV mental health diagnoses were recruited during treatment and interviewed at the Johnson City Community Health Center after their scheduled appointments with a Mental Health Nurse Practitioner (MHNP). The semi-structured interview focused on perceived barriers to obtaining treatment, perceptions of treatment received, and perceived availability of treatment. From those interviews, two themes were identified and each of which had two sub-themes identified: Realities of Treatment with the sub-themes of Therapy-Related Realities and Logistics Realities, The Way It Is with the sub-themes of Take Care of It Myself and Don’t Want People to Know. The findings indicate that there is a duality of positive and negative aspects of treatment at Johnson City Community Health Center. Understanding the needs and perceptions of those with psychiatric diagnoses will assist all staff and mental health providers in developing programs that are better suited for those with psychiatric diagnoses receiving treatment from Johnson City Community Health Center.
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Wenn, Janice. "Kaupapa hauora Māori : ngā whakaaro whakahirahira o ngā kaumātua : a thesis presented in partial fulfilment of the requirements for the degree of Doctor of Philosophy in Māori Studies at Te Pumanawa Hauora Research Centre for Māori Health and Development, Massey University, Wellington, Aotearoa/New Zealand." Massey University, 2006. http://hdl.handle.net/10179/995.

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There is a requirement for all services within the New Zealand health system to be accredited with an established quality organisation and to demonstrate an ability to provide a measurable quality service to consumers. For Māori these requirements must make sense in Māori terms. This thesis is based on the view that, for Māori, the concept of health is more effectively expressed as hauora - optimal health and wellbeing for Māori. This thesis makes five contributions to Māori health and Māori health research. First, it identifies a responsive approach to engaging kaumātua effectively in the process of qualitative research. Second, it identifies a fundamental underlying conceptual framework – kaupapa hauora Māori as a means of understanding hauora – expressed in terms derived from kaumātua in Taranaki and Kahungunu. Third, it adapts this conceptual framework into an analytical research framework and then applies it to allow kaupapa hauora Māori (described in terms of worldview, values and ethics) to be identified from a range of data. Fourth, it critically analyses popular models of Māori health – Te Whare Tapa Whā, Te Wheke and Ngā Pou Mana. Finally, it proposes and details post-doctoral research that will translate kaupapa hauora Māori into a quality services framework/tool. “Kaupapa Hauora Māori” is a conceptual framework articulated by kaumātua, and has its origins in te ao Māori, from which the aronga or worldview is developed. The aronga is composed of the kaupapa or values and tikanga or ethics that provide kaumātua with the values base of hauora. These components have been identified by kaumātua and not only inform the concept of KHM but also inform the analytical research framework that is applied to the data. The values have been identified as a core set of values comprising whakapapa, wairua, whenua, whānau, tikanga te reo Māori, tinana, and hinengaro, and the associated tikanga is expressed as behaviour or ethics. These, together, influence the perception and understanding individuals have of their world and of hauora.
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Quick, Cynthia L. "Measuring Change in University Counseling Center Students: Using Symptom Reduction and Satisfaction with Services to Propose a Model for Effective Outcome Research." Thesis, University of North Texas, 1999. https://digital.library.unt.edu/ark:/67531/metadc2268/.

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Abstract This study proposes a model for meeting increasingly mandated outcome research objectives in a university counseling center setting. It is proposed that counseling centers utilize their existing intake forms, along with an annual satisfaction survey to determine the effectiveness of counseling services. Effectiveness is defined as improvement and measured by the reduction of the symptoms or presenting concerns with which the client initially presented. It also introduces the Relative-Change Index (R-Chi) as an objective way to quantify intra-individual change occurring as a result of therapy. This new mathematical procedure allows for a more meaningful assessment of the client's degree of improvement, relative to their potential for improvement. By re-administering the problem checklist, routinely included as part of the initial paperwork for each client at intake, again post-therapy, it is possible to quantify improvement by measuring the difference in distressing concerns. Additionally, including a subjective, retrospective survey question asking the client to indicate their perceived rate if improvement at follow-up provides construct validity and allows for correlational comparisons with R-Chi. Results suggest that student/client ratings of the degree to which the services they received satisfactorily addressed their presenting concerns were significantly rated to their R-Chi score. This model suggests that the framework guiding client outcome research should include measures of the client's level of distress, improvement in reducing the distress, and satisfaction with services.
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Belcher, Michael D. "The Impact of a Rural School-Based Health Center on Students and Their Families in Sneedville, Tennessee: A Case Study." [Johnson City, Tenn. : East Tennessee State University], 2004. http://etd-submit.etsu.edu/etd/theses/available/etd-0331104-125143/unrestricted/BelcherM040804f.pdf.

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Thesis (Ed. D.)--East Tennessee State University, 2004.
Title from electronic submission form. ETSU ETD database URN: etd-0331104-125143. Includes bibliographical references. Also available via Internet at the UMI web site.
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Hernández, Alison. "Enabling the performance of nurses in rural Guatemala : the role of relationships." Doctoral thesis, Umeå universitet, Epidemiologi och global hälsa, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-95114.

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Background: Enhancing the performance of front-line health workers serving vulnerable populations is crucial for redressing inequities. Traditional approaches have focused on introducing technical solutions, such as guidelines and incentives, to modify performance outcomes. Recognition of the complex social nature of health system function draws attention to the intangible software elements that shape performance, including the values, ideas, interests, and norms that guide human behavior and interactions. Insight into the operation of software elements can provide a base for people-focused solutions to support health workers and enable them to confront constraints in low resource settings. This study examines the social environment of the practice of front-line auxiliary nurses (AN) in rural Guatemala, in order to understand the role of health system software elements in enabling their performance and to gain insight into how organizational support can be strengthened through locally-relevant actions. Methods: A mixed methods approach provided a multi-level view of the AN practice environment, situated in the regional health system of the rural department of Alta Verapaz. Interviews with ANs and observations of practice were conducted to understand the values orienting them and how these shaped their relationships with patients and communities. A theory-driven case study of AN supervision was conducted in selected health posts to understand the values orienting supervisors in their role and examine how these shaped their relationships with ANs. The participatory method of concept mapping was used to examine the views of health workers, district and regional managers on actions to strengthen organizational support for the performance of ANs. Results: The values of nursing vocation and community connectedness were prominent in ANs’ interpretations of their work. In relationships, nursing principles oriented them to be attentive to understanding patient needs, and a shared ethnic identity and personal experience of local needs served as a base for engaging with local leaders in community work. The dominant orientation of supervisors in their role was managerial control, and it provided limited support. It contributed to standard-centered relationships with ANs focused on fulfillment of ministry criteria. Supervision oriented by a holistic understanding of ANs’ needs and the goal of improving patient care was more successful in enabling AN motivation. This relationship was characterized as people-centered, based in a shared interpretation of the value of work with patients and the responsive support provided to ANs’ problems. “Organizational climate of support across levels”, where working relationships are characterized by respectful treatment, attention to psycho-social well-being and responsiveness to needs, was identified by health-system actors as a top priority for improving performance. Conclusions: To enable performance, there needs to be a balance between attention to standards and attention to the human dimensions of health worker practice. The dominant approach to supervision did not recognize or build on AN values. Supervision and management should be oriented by a more holistic view of the ANs’ work and their needs, in order to promote a people-centered approach to working relationships. Locally relevant action to strengthen district and regional management’s support for AN performance should focus on operationalizing performance goals that go beyond standards to encompass care that responds to patient and community needs.
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Iyengar, Reethi. "Factors Associated with Hospital Entry into Joint Venture Arrangements with Ambulatory Surgery Centers." VCU Scholars Compass, 2011. https://scholarscompass.vcu.edu/etd/2436.

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This study presented an empirical analysis of the key market, regulatory, organizational, operational and financial factors associated with hospital entry into joint venture (JV) arrangements with Ambulatory Surgery Centers (ASCs) as examined through the framework of resource dependency theory complimented with neo-institutional theory. This study used a cross sectional design to examine hospitals that entered into a joint venture arrangement with ASCs in 2006 and 2007. The data for this study were drawn from five main sources: the American Hospital Association Annual Survey (AHA), the Area Resource File (ARF), the CMS (Center for Medicare and Medicaid Services) minimum dataset, the National Legislative Assembly Website and the CM case-mix files. Descriptive analysis and multivariate logistic regression were performed to examine the association of various factors in this study. The study found that market factors such as unemployment rate and percentage of elderly were strongly associated with the hospitals decision to joint venture with ASCs. Also organizational size (measured by bed size) was a significant factor in these decisions. Other factors which showed a marginal significance were Herfindahl-Hirschman Index, number of ASCs, certificate of need laws, ownership status, and operating expense per adjusted discharge of the hospital. This research project sheds light on joint venture arrangements between hospitals and ASCs at a very opportune time. In light of the new Health Reform Legislation, studying hospital-ASC joint ventures is very important. For hospitals and ASCs, and their collaborative interests such as joint ventures, Accountable Care Organizations (ACO’s) could either provide incentives to help improve quality of care to patients or stint on needed care by making them focus narrowly on higher margin services (Fisher and Shortell 2010; Shortell and Casalino 2010). Since policy measures should encourage the first and not the second outcome, it is important to have a transparent performance measurement system that can win the confidence of the provider organizations such as hospitals and ASCs. Lacking which, it may discourage joint venture arrangements between hospitals and ASCs in future.
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Books on the topic "Health Services Research Centre"

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Stephen, Harrison. Research into practice: Policy options for NHS purchasing authorities : a report by the Yorkshire Collaborating Centre for Health Services Research. Leeds: Nuffield Institute for Health, 1994.

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Harrison, Stephen. Research into practice: Policy options for NHS purchasing authorities : a report by the Yorkshire Collaborating Centre for Health Services Research. Leeds: Yorkshire Collaborating Centre for Health Services Research, Nuffield Institute for Health, 1994.

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Mercer, G. Researching and evaluating complementary therapies: The state of the debate : a report by the Yorkshire Collaborating Centre for Health Services Research. Leeds: Yorkshire Collaborating Centre for Health Services Research, Nuffield Institute for Health, 1995.

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Claude, Quiviger, and Canadian Council on Social Development., eds. Active communities: Research report : a study of local community health and social service centres in Canada in 1988. Ottawa: Canadian Council on Social Development, 1991.

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Smith, Iain J. Cochlear implant technology and NHS purchasing policy: A report by the Yorkshire Collaborating Centre for Health Services Research. Leeds: Yorkshire Collaborating Centre for Health Services Research, Nuffield Institute for Health, 1994.

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Eccles, Martin. The treatment of hypertension in primary care: A report by the Yorkshire Collaborating Centre for Health Services Research. Leeds: University of Leeds.Nuffield Institute for Health, 1995.

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Health care U.S.A. New York, NY: Prentice Hall, 1987.

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Health, BC Centre of Excellence for Women's. Making waves: Report for 1996-2001. [Vancouver, British Columbia]: 2001., 2001.

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Peach, Emily. Teenage pregnancy: A community issue : a literature review : a report by the Yorkshire Collaborating Centre for Health Services Research. Leeds: Yorkshire Collaborating Centre for Health Services Research, Nuffield Institute for Health, 1994.

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United States. Agency for Healthcare Research and Quality. Improving maternal health care: The next generation of research on quality, content, and use of services : conference summary report, September 18-19, 2000, Airlie Conference Center, Warrenton, VA. Rockville, MD: U.S. Department of Health and Human Services, Public Health Service, 2002.

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Book chapters on the topic "Health Services Research Centre"

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Roos, Leslie L., Jessica S. Jarmasz, Patricia J. Martens, Alan Katz, Randy Fransoo, Ruth-Ann Soodeen, Mark Smith, et al. "Health Services Information: From Data to Policy Impact (25 Years of Health Services and Population Health Research at the Manitoba Centre for Health Policy)." In Health Services Evaluation, 171–90. New York, NY: Springer US, 2019. http://dx.doi.org/10.1007/978-1-4939-8715-3_9.

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Wyrwich, Kathleen W. "Patient-Centred Comparative Effectiveness Research." In Comparative Effectiveness Research in Health Services, 1–19. Boston, MA: Springer US, 2015. http://dx.doi.org/10.1007/978-1-4899-7586-7_10-1.

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Roos, Leslie L., Jessica S. Jarmasz, Patricia J. Martens, Alan Katz, Randy Fransoo, Ruth-Ann Soodeen, Mark Smith, et al. "Health Services Information: From Data to Policy Impact (25 Years of Health Services and Population Health Research at the Manitoba Centre for Health Policy)." In Data and Measures in Health Services Research, 1–20. Boston, MA: Springer US, 2015. http://dx.doi.org/10.1007/978-1-4899-7673-4_9-1.

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Wyrwich, Kathleen W. "Patient-Centered Comparative Effectiveness Research." In Comparative Effectiveness Research in Health Services, 161–79. Boston, MA: Springer US, 2016. http://dx.doi.org/10.1007/978-1-4899-7600-0_10.

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Smith, Mark, Leslie L. Roos, Charles Burchill, Ken Turner, Dave G. Towns, Say P. Hong, Jessica S. Jarmasz, et al. "Health Services Data: Managing the Data Warehouse: 25 Years of Experience at the Manitoba Centre for Health Policy." In Data and Measures in Health Services Research, 1–26. Boston, MA: Springer US, 2015. http://dx.doi.org/10.1007/978-1-4899-7673-4_3-1.

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Ramic, H. "Health Center: Integrated Primary Health Care Resources and Services Within the District and Coordinative Role of General Practice." In Health Systems Research, 101–18. Berlin, Heidelberg: Springer Berlin Heidelberg, 1990. http://dx.doi.org/10.1007/978-3-642-83240-6_11.

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Mullner, Ross. "Health Services Data: The Centers for Medicare and Medicaid Services (CMS) Claims Records." In Data and Measures in Health Services Research, 1–16. Boston, MA: Springer US, 2015. http://dx.doi.org/10.1007/978-1-4899-7673-4_5-1.

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Jabbar, Mohammad, Steve Staal, John McIntire, and Simeon Ehui. "Economics and policy research at ILRI, 1975-2018." In The impact of the International Livestock Research Institute, 639–79. Wallingford: CABI, 2020. http://dx.doi.org/10.1079/9781789241853.0639.

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Abstract This chapter looks at the livestock policy and economics research at the International Livestock Research Institute (ILRI) and its predecessor, the International Livestock Centre for Africa (ILCA), which have focused on the following problems: (i) the historical problem of supply response; (ii) animal health services and productivity; (iii) responding to the 'Livestock Revolution'; (iv) policy and technical barriers to smallholder dairying; (v) livestock and poverty; (vi) markets, institutions and competitiveness; (vii) land tenure; and (viii) livestock master plans. The research spending and the scientific and development impacts of ILRI's policy and economics research are also highlighted.
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Sánchez Bautista, Consuelo. "Diaspora Policies, Consular Services and Social Protection for Ecuadorian Citizens Abroad." In IMISCOE Research Series, 127–46. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-51237-8_7.

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AbstractThis chapter provides a general overview of the main characteristics of Ecuadorian emigration and describes the general institutional framework whereby Ecuadorian authorities interact with nationals abroad. It then presents a general review of the main engagement policies with the Ecuadorian diaspora. Lastly, it presents the central social protection-oriented diaspora engagement policies and services currently in force to protect nationals abroad, specifically those who live overseas permanently and those in vulnerable conditions. A particular focus is put on policies in the areas of unemployment, health care, pensions, family-related benefits, and economic hardship. Overall, the chapter shows that Ecuador’s policy towards citizens abroad is connected to a political shift in the country and to the new political discourse that appeared as of 2006.
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Winland, Daphne. "Diaspora Policies, Consular Services and Social Protection for Croatian Citizens Abroad." In IMISCOE Research Series, 91–106. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-51245-3_5.

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Abstract This chapter examines the Croatian Government’s policies for Croats abroad with a focus on social protection. The history of Croatian diaspora-homeland engagement over a century culminating in the establishment of the independent state of Croatia in 1991, informs the prioritization of Croats abroad in the social policy landscape. In addition to outlining the diaspora and consular infrastructures, culture and education policies, the protection of Croats abroad in the areas of health, employment, pensions and family-related benefits is reviewed. The findings of this analysis reveal that while the Croatian government continues to profess its commitment to providing a comprehensive program of social protection for Croats abroad, policies guaranteeing substantive social protection are mainly found in those (primarily post-Yugoslav) states where Croatia has negotiated bilateral agreements for Croats identified as a minority. The provision of protection for Croats abroad in general therefore falls somewhat short in so far as a robust, concrete set of measures are concerned.
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Conference papers on the topic "Health Services Research Centre"

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Oktarina, Sri, Sri Mindayani, and Wirzam Harir. "The Utilization of Health Services by the Elderly in Lubuk Buaya Health Center in Padang City." In 4th International Symposium on Health Research (ISHR 2019). Paris, France: Atlantis Press, 2020. http://dx.doi.org/10.2991/ahsr.k.200215.080.

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WeiHua Wang, ChiHang Chen, JianGong Li, and Hao Chen. "Full life cycle health records of data base center architecture research." In 2012 IEEE 14th International Conference on e-Health Networking, Applications and Services (Healthcom 2012). IEEE, 2012. http://dx.doi.org/10.1109/healthcom.2012.6380058.

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Rosita, Amir Su’udi, Mujiati, Sri Mardikani, and Wibowo. "Availability of Health Workers of Promotion and Prevention Services at Public Health Center in Indonesia (Analysis of Health Sector Workers Research Data 2017)." In 4th International Symposium on Health Research (ISHR 2019). Paris, France: Atlantis Press, 2020. http://dx.doi.org/10.2991/ahsr.k.200215.093.

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Joshi, Mukesh, and Durgesh Pant. "Role of Cloud enabled data center for transforming E-Health services in Uttarakhand." In 2016 International Conference System Modeling & Advancement in Research Trends (SMART). IEEE, 2016. http://dx.doi.org/10.1109/sysmart.2016.7894521.

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Liu, Baoyan, Lei Zhang, Qi Xie, Huaxin Shi, and Haibin Yu. "Construction of national clinical research data center of Traditional Chinese medicine." In 2012 IEEE 14th International Conference on e-Health Networking, Applications and Services (Healthcom 2012). IEEE, 2012. http://dx.doi.org/10.1109/healthcom.2012.6380064.

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Maier, Edith, Pascale Baer-Baldauf, Peter Jaeschke, Ulrich Reimer, and Tom Ulmer. "Continuous real-time remote monitoring of severely or chronically ill children." In The 18th international symposium on health information management research. Linnaeus University Press, 2022. http://dx.doi.org/10.15626/ishimr.2020.12.

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Compared to parents of healthy children, parents of severely or chronically ill children have significantly worse physical and mental health and a lower quality of life, e.g. because of lack of sleep. The proposed solution aims at assisting caregivers by means of a remote monitoring service run by professional nursing staff which should allow parents to get a good night’s sleep. A smart algorithm has been developed to detect if a particular parameter (heart rate, respiration rate or oxygen saturation) has exceeded a pre-defined threshold and thus may imply an emergency. Parents are only alerted after a professional nurse in the monitoring centre has cross-checked vital parameter trends and carried out an audio-visual inspection. The quality and accuracy of the system has been validated through iterative testing including a test performed in a children’s hospital to ensure that the monitoring system is not inferior to a hospital set-up.
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Andrianto, Mokhamad, Hardiana Widyastuti, Farida Dewi, Nisa Zahra, and Nesti Handayani. "A Preliminary Research on Willingness to Pay Pet Lovers on Services in Animal Health Center." In 1st International Conference on Sustainable Management and Innovation, ICoSMI 2020, 14-16 September 2020, Bogor, West Java, Indonesia. EAI, 2021. http://dx.doi.org/10.4108/eai.14-9-2020.2304435.

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Özcan, Selami, Kerim Baş, and H. Yunus Taş. "Effects of Health Sector Information Asymmetry on Patient Satisfaction: An Appilication on Yalova Oral and Dental Care Centre." In International Conference on Eurasian Economies. Eurasian Economists Association, 2013. http://dx.doi.org/10.36880/c04.00673.

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Effects of excessive information level difference between providers and receivers of health care services on patients will be presented with this work. Fundamental concepts like health care service, information asymmetry and it’s effects will be explained. Information levels of attempts and treatments that were put in practice to the patients, surgical operations and billing will be studied and the outputs of the information level difference between the provider and the receiver will be determined. In this research, it will be revealed if the practical applications and the concepts in the literature overlap each other and developing a new method towards evaluating the information level difference will be attempted. Patients who received a certain number of treatments will be targeted. Survey questions that will be asked to the patients will try to reveal the amount of information on the procedure they have undertaken and the between this level of information and the their satisfaction. SPSS software is used for the analysis of the data. Resolving of the relation between patient satisfaction themeasured percentage of level of information about the procedure the subject have undertaken will be attempted during the evaluation of the survey results. The effects of gender, age and education on level of information-customer satisfaction will also be investigated while determining the patients level of information with this survey.
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Vi Costa a, Susana, Rodolfo AG Vilela a, and Marco Antonio Pereira Querolb. "Formative Intervention to Change the School Health Center Activity." In Applied Human Factors and Ergonomics Conference. AHFE International, 2021. http://dx.doi.org/10.54941/ahfe100490.

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The aim of this paper is to propose an interventionist approach for transforming a School Health Center (CSE) in São Paulo, Brazil. The Center is in a situation of crisis, providing precarious health services due to limited human and material resources. In the article we argue that the solution for the crisis depends on how it is interpreted. We present an ethnographic narrative constructed collectively by researcher and practitioners through data from interviews and a mini-intervention. The aim of this narrative was to provide a better understanding about the development of the activity of health care and education/research conducted at the CSE. As it will be argued this hypothesis is the first step towards a broader on-going intervention using a method called Change Laboratory, which is based on an Activity Theoretical approach. The narrative shows that the School Health Center’s object (primary and secondary health care) and the object of the Faculty of Public Health (research and education) have changed towards different developmental directions. The integration between these two objects is narrower than when the Center was first created, and this can be a key source of conflicts between CSE by the Faculty. The results suggest that a more effective solution to the crisis would involve the reconstruction of the object motivation (product service) produced in the activity.
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Clarkson, P. John, James Ward, Peter Buckle, Dave Stubbs, and Roger Coleman. "Design for Patient Safety: A Review of the Effectiveness of Design in the UK Health Service." In ASME 7th Biennial Conference on Engineering Systems Design and Analysis. ASMEDC, 2004. http://dx.doi.org/10.1115/esda2004-58311.

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The Department of Health and the Design Council jointly commissioned a scoping study to deliver ideas and practical recommendations for a design approach to reduce the risk of medical error and improve patient safety across the NHS. The research was undertaken by the Engineering Design Centre at the University of Cambridge, the Robens Institute for Health Ergonomics at the University of Surrey and the Helen Hamlyn Research Centre at the Royal College of Art. The research team employed diverse methods to gather evidence from literature, key stakeholders, and experts from within healthcare and other safety-critical industries. Despite the multiplicity of activities and methodologies employed, what emerged from the research was a very consistent picture. This convergence pointed to the need to better understand the health care system as the context into which specific design solutions must be delivered. Without that broader understanding there can be no certainty that any single design will contribute to reducing medical error and the consequential cost thereof.
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Reports on the topic "Health Services Research Centre"

1

Forrester, Donald, Sophie Wood, Charlotte Waits, Rebecca Jones, Dan Bristow, and Emma Taylor-Collins. Children's social services and care rates in Wales: A survey of the sector. Wales Centre for Public Policy - Cardiff University, March 2022. http://dx.doi.org/10.54454/20220311.

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Wales has seen a rise in both the number and rate of children looked after. The rate is now higher than any time since the 1980s. In addition, Wales has consistently had more children looked after per 10,000 of the population than the rest of the UK. This trend is a cause for concern; particularly the impact on the outcomes of children who are taken into care in terms of educational attainment, health, unemployment, homelessness, and criminal justice. Moreover, the Covid-19 pandemic is expected to have worsened the situation. To understand better the factors influencing care rates, the Welsh Government commissioned the Wales Centre for Public Policy and the Centre for Children’s Social Care Research and Development (CASCADE) at Cardiff University to undertake a survey with the children’s social care (CSC) workforce.
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P., DALLA VILLA. Overcoming the impact of COVID-19 on animal welfare: COVID-19 Thematic Platform on Animal Welfare. O.I.E (World Organisation for Animal Health), October 2020. http://dx.doi.org/10.20506/bull.2020.nf.3137.

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The World Organisation for Animal Health (OIE) represents 182 countries with a focus on animal health, animal welfare and veterinary public health. The OIE has several Collaborating Centres that support the work of the organisation. The Istituto Zooprofilattico Sperimentale dell’Abruzzo e del Molise ‘Giuseppe Caporale’ (IZSAM) is the Secretariat for the OIE Collaborating Centre Network on Veterinary Emergencies (EmVetNet). In April 2020, the IZSAM initiated a COVID-19 Thematic Platform on Animal Welfare. The working group represented the EmVetNet Collaborating Centres, international institutions, veterinary associations, authorities and animal welfare organisations. Lincoln Memorial University College of Veterinary Medicine recruited summer research students whom catalogued over 1,200 animal welfare related reports and provided 64 report narratives for the working group. IZSAM launched the EmVetNet website (https://emvetnet.izs.it) for public and private exchange of information, materials, and guidelines related to veterinary emergencies. The EmVetNet COVID-19 Thematic Platform on Animal Welfare continues to meet to address emerging issues, strengthen the network for future emergencies, and share information with stakeholders including national Veterinary Services responding to the epidemic.
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P., DALLA VILLA. Overcoming the impact of COVID-19 on animal welfare: COVID-19 Thematic Platform on Animal Welfare. O.I.E (World Organisation for Animal Health), October 2020. http://dx.doi.org/10.20506/bull.2020.nf.3137.

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The World Organisation for Animal Health (OIE) represents 182 countries with a focus on animal health, animal welfare and veterinary public health. The OIE has several Collaborating Centres that support the work of the organisation. The Istituto Zooprofilattico Sperimentale dell’Abruzzo e del Molise ‘Giuseppe Caporale’ (IZSAM) is the Secretariat for the OIE Collaborating Centre Network on Veterinary Emergencies (EmVetNet). In April 2020, the IZSAM initiated a COVID-19 Thematic Platform on Animal Welfare. The working group represented the EmVetNet Collaborating Centres, international institutions, veterinary associations, authorities and animal welfare organisations. Lincoln Memorial University College of Veterinary Medicine recruited summer research students whom catalogued over 1,200 animal welfare related reports and provided 64 report narratives for the working group. IZSAM launched the EmVetNet website (https://emvetnet.izs.it) for public and private exchange of information, materials, and guidelines related to veterinary emergencies. The EmVetNet COVID-19 Thematic Platform on Animal Welfare continues to meet to address emerging issues, strengthen the network for future emergencies, and share information with stakeholders including national Veterinary Services responding to the epidemic.
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David, Fely, and Fely Chin. Factors that contribute to the varying performance of BSPOs and BHWs in the delivery of family planning services in Iloilo City. Population Council, 1994. http://dx.doi.org/10.31899/rh1994.1000.

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In 1992, the Population Council established the Family Planning Operations Research and Training (FPORT) Program in the Philippines. It brought together program managers and regional researchers to identify problem areas that might benefit from operations research. From Western Visayas (Region VI), the City Population Office (CPO) of Iloilo City in collaboration with the Social Science Research Institute of the Central Philippine University, identified a problem concerning the poor performance of volunteer family planning (FP) workers and undertook to study it. The study focused on the Barangay Service Point Officers (BSPOs) who assist in the delivery of FP services under the supervision of the CPO, and Barangay Health Workers (BHWs) who concentrate on maternal and child care but have minimal involvement in FP and are supervised by the City Health Office. As this report states, the objective was to compare the FP activities and performance of the BSPOs and BHWs in Iloilo City and determine the factors that influence their performance.
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Saavedra, Lissette M., Antonio A. Morgan-Lopez, Anna C. Yaros, Alex Buben, and James V. Trudeau. Provider Resistance to Evidence-Based Practice in Schools: Why It Happens and How to Plan for It in Evaluations. RTI Press, May 2019. http://dx.doi.org/10.3768/rtipress.2019.rb.0020.1905.

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Evidence-based practice is often encouraged in most service delivery settings, yet a substantial body of research indicates that service providers often show resistance or limited adherence to such practices. Resistance to the uptake of evidence-based treatments and programs is well-documented in several fields, including nursing, dentistry, counseling, and other mental health services. This research brief discusses the reasons behind provider resistance, with a contextual focus on mental health service provision in school settings. Recommendations are to attend to resistance in the preplanning proposal stage, during early implementation training stages, and in cases in which insufficient adherence or low fidelity related to resistance leads to implementation failure. Directions for future research include not only attending to resistance but also moving toward client-centered approaches grounded in the evidence base.
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Patron, Maria Carmela, and Marilou P. Costello. The DMPA service provider: Profile, problems and prospects, August 1995. Population Council, 1995. http://dx.doi.org/10.31899/rh1995.1024.

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This report presents the results of interviews conducted with 60 trained DMPA service providers from seven of the ten local government units (LGUs) covered by Phase I of the Philippine Department of Health's DMPA Reintroduction Program. DMPA, or Depot-medroxyprogesterone acetate, is an injectable contraceptive commonly known as Depo-Provera. The interviews were undertaken as part of the DMPA Monitoring and Follow-up Studies sponsored by the Population Council under the Asia and Near East Operations Research and Technical Assistance (ANE OR/TA) Project. While the monitoring study and the follow-up survey focused on DMPA users and dropouts, this study centered on the service provider. The DMPA Reintroduction Program was launched by the DOH in April 1994 by the Philippine Bureau of Food and Drugs. The program aims to reintroduce DMPA into the Philippine Family Planning Program through training local-level doctors, nurses, and midwives as service providers, and providing free DMPA services in selected public health facilities.
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Totten, Annette, Dana M. Womack, Marian S. McDonagh, Cynthia Davis-O’Reilly, Jessica C. Griffin, Ian Blazina, Sara Grusing, and Nancy Elder. Improving Rural Health Through Telehealth-Guided Provider-to-Provider Communication. Agency for Healthcare Research and Quality, December 2022. http://dx.doi.org/10.23970/ahrqepccer254.

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Objectives. To assess the use, effectiveness, and implementation of telehealth-supported provider-to-provider communication and collaboration for the provision of healthcare services to rural populations and to inform a scientific workshop convened by the National Institutes of Health Office of Disease Prevention on October 12–14, 2021. Data sources. We conducted a comprehensive literature search of Ovid MEDLINE®, CINAHL®, Embase®, and Cochrane CENTRAL. We searched for articles published from January 1, 2015, to October 12, 2021, to identify data on use of rural provider-to-provider telehealth (Key Question 1) and the same databases for articles published January 1, 2010, to October 12, 2021, for studies of effectiveness and implementation (Key Questions 2 and 3) and to identify methodological weaknesses in the research (Key Question 4). Additional sources were identified through reference lists, stakeholder suggestions, and responses to a Federal Register notice. Review methods. Our methods followed the Agency for Healthcare Research and Quality Methods Guide (available at https://effectivehealthcare.ahrq.gov/topics/cer-methods-guide/overview) and the PRISMA reporting guidelines. We used predefined criteria and dual review of abstracts and full-text articles to identify research results on (1) regional or national use, (2) effectiveness, (3) barriers and facilitators to implementation, and (4) methodological weakness in studies of provider-to-provider telehealth for rural populations. We assessed the risk of bias of the effectiveness studies using criteria specific to the different study designs and evaluated strength of evidence (SOE) for studies of similar telehealth interventions with similar outcomes. We categorized barriers and facilitators to implementation using the Consolidated Framework for Implementation Research (CFIR) and summarized methodological weaknesses of studies. Results. We included 166 studies reported in 179 publications. Studies on the degree of uptake of provider-to-provider telehealth were limited to specific clinical uses (pharmacy, psychiatry, emergency care, and stroke management) in seven studies using national or regional surveys and claims data. They reported variability across States and regions, but increasing uptake over time. Ninety-seven studies (20 trials and 77 observational studies) evaluated the effectiveness of provider-to-provider telehealth in rural settings, finding that there may be similar rates of transfers and lengths of stay with telehealth for inpatient consultations; similar mortality rates for remote intensive care unit care; similar clinical outcomes and transfer rates for neonates; improvements in medication adherence and treatment response in outpatient care for depression; improvements in some clinical monitoring measures for diabetes with endocrinology or pharmacy outpatient consultations; similar mortality or time to treatment when used to support emergency assessment and management of stroke, heart attack, or chest pain at rural hospitals; and similar rates of appropriate versus inappropriate transfers of critical care and trauma patients with specialist telehealth consultations for rural emergency departments (SOE: low). Studies of telehealth for education and mentoring of rural healthcare providers may result in intended changes in provider behavior and increases in provider knowledge, confidence, and self-efficacy (SOE: low). Patient outcomes were not frequently reported for telehealth provider education, but two studies reported improvement (SOE: low). Evidence for telehealth interventions for other clinical uses and outcomes was insufficient. We identified 67 program evaluations and qualitative studies that identified barriers and facilitators to rural provider-to-provider telehealth. Success was linked to well-functioning technology; sufficient resources, including time, staff, leadership, and equipment; and adequate payment or reimbursement. Some considerations may be unique to implementation of provider-to-provider telehealth in rural areas. These include the need for consultants to better understand the rural context; regional initiatives that pool resources among rural organizations that may not be able to support telehealth individually; and programs that can support care for infrequent as well as frequent clinical situations in rural practices. An assessment of methodological weaknesses found that studies were limited by less rigorous study designs, small sample sizes, and lack of analyses that address risks for bias. A key weakness was that studies did not assess or attempt to adjust for the risk that temporal changes may impact the results in studies that compared outcomes before and after telehealth implementation. Conclusions. While the evidence base is limited, what is available suggests that telehealth supporting provider-to-provider communications and collaboration may be beneficial. Telehealth studies report better patient outcomes in some clinical scenarios (e.g., outpatient care for depression or diabetes, education/mentoring) where telehealth interventions increase access to expertise and high-quality care. In other applications (e.g., inpatient care, emergency care), telehealth results in patient outcomes that are similar to usual care, which may be interpreted as a benefit when the purpose of telehealth is to make equivalent services available locally to rural residents. Most barriers to implementation are common to practice change efforts. Methodological weaknesses stem from weaker study designs, such as before-after studies, and small numbers of participants. The rapid increase in the use of telehealth in response to the Coronavirus disease 2019 (COVID-19) pandemic is likely to produce more data and offer opportunities for more rigorous studies.
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Moynihan, Ray. Evaluating Health Services: A Reporter Covers the Science of Research Synthesis. New York, NY: Milbank Memorial Fund, March 2004. http://dx.doi.org/10.1599/040330moynihan.

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Quak, Evert-jan. Lessons Learned from Community-based Management of Acute Malnutrition (CMAM) Programmes that Operate in Fragile or Conflict Affected Settings. Institute of Development Studies (IDS), September 2021. http://dx.doi.org/10.19088/k4d.2021.133.

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This rapid review synthesises the literature on how community-based management of acute malnutrition (CMAM) programmes could be adapted in settings of conflict and fragility. It identifies multiple factors affecting the quality and effectiveness of CMAM services including the health system, community engagement and linkages with other programmes, including education, sanitation, and early childhood development. Family MUAC (Mid-Upper Arm Circumference) is a useful tool to increase community participation and detect early cases of moderate acute malnutrition (MAM) and severe acute malnutrition (SAM) more effectively and less likely to require inpatient care. The literature does not say a lot about m-Health solutions (using mobile devises and applications) in data collection and surveillance systems. Many of the above-mentioned issues are relevant for CMAM programmes in settings of non-emergency, emergency, conflict and fragility. However, there are special circumstance in conflict and fragile settings that need adaptation and simplification of the standard protocols. Because of a broken or partly broken health system in settings of conflict and fragility, local governments are not able to fund access to adequate inpatient and outpatient treatment centres. NGOs and humanitarian agencies are often able to set up stand-alone outpatient therapeutic programmes or mobile centres in the most affected regions. The training of community health volunteers (CHVs) is important and implementing Family MUAC. Importantly, research shows that: Low literacy of CHVs is not a problem to achieve good nutritional outcomes as long as protocols are simplified. Combined/simplified protocols are not inferior to standard protocols. However, due to complexities and low funding, treatment is focused on SAM and availability for children with MAM is far less prioritised, until they deteriorate to SAM. There is widespread confusion about combined/simplified protocol terminology and content, because there is no coherence at the global level.
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10

Sripad, Pooja. Exploring barriers and enablers of service provision for survivors of human trafficking in the Bay Area: An action research study. Population Council, 2021. http://dx.doi.org/10.31899/sbsr2021.1067.

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Despite increasing recognition of public health and rights issues associated with human trafficking globally and in the United States following the Trafficking Victims Protection Act of 2000, there has been limited research on how to systematically strengthen service access for survivors of sex and labor trafficking. The experience of service providers may provide insight into how trafficking survivor responses and service networks function in California’s Bay Area. This study explores provider perspectives on existing service networks and collaboration dynamics, including the barriers to and enablers of long-term service provision and survivor follow-up. A participatory research design included qualitative interviews with key informants working at nongovernmental organizations, organizational website reviews, and consultation with network service providers in the Greater San Francisco Bay Area. This study approach allowed for eliciting in-depth reflections of service provision, collective generation of stakeholder mapping, and consensus-driven recommendations arising from barriers and enablers to anti-trafficking service provision. This report enhances stakeholder awareness of existing organizational and policy resources and offers insights into research and programming on how anti-trafficking service response networks can be strengthened to provide survivor-centric support in the long-term.
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