Articles

Exploring drivers and barriers to the utilization of community client-led ART delivery model in South-Western Uganda: patients’ and health workers’ experiences

In an effort to accommodate the growing number of HIV clients, improve retention in care and reduce health care burden, the differentiated service delivery (DSD) models were introduced in 2014. One such model,...

Authors: Timothy Mwanje Kintu, Anna Maria Ssewanyana, Tonny Kyagambiddwa, Pretty Mariam Nampijja, Patience Kevin Apio, Jessica Kitaka and Jerome Kahuma Kabakyenga

Factors associated with prolonged post-operative acute care length of stay in limb amputation patients in Saskatchewan, Canada

The effect of predisposing factors on post-operative acute care length of stay (POALOS) after lower extremity amputation (LEA) has been sparsely studied with reports largely focused on major (through/proximal ...

Authors: Samuel Kwaku Essien and Audrey Zucker-Levin

A community-based program to reduce acute rheumatic fever and rheumatic heart disease in northern Australia

In Australia’s north, Aboriginal peoples live with world-high rates of rheumatic heart disease (RHD) and its precursor, acute rheumatic fever (ARF); driven by social and environmental determinants of health. W...

Authors: Vicki Kerrigan, Angela Kelly, Anne Marie Lee, Valerina Mungatopi, Alice G. Mitchell, Rosemary Wyber and Anna P. Ralph

How does job mobility relate to work commitment among rural healthcare workers? a cross-sectional study in western China

Rural healthcare workers (RHWs) are the core of the rural health system. The antecedents of turnover of RHWs have been well studied, but little is known about the consequences of job mobilities among RWHs. Thi...

Authors: Jinlin Liu, Ying Mao and Bin Zhu

Healthcare utilization and cost of cancer-related care prior to allogeneic hematopoietic cell transplantation for hematologic malignancies in the US: a retrospective real-world analysis

Hematopoietic cell transplantation (HCT) is a potentially curative therapy as well as a costly procedure. Published studies have examined the cost of HCT in the US and the complications that follow but little ...

Authors: Machaon Bonafede, Elias Anaissie, Kristin Evans and Robbin Itzler

Understanding the factors that affect the appropriateness of rheumatology referrals

Reducing inappropriate referrals to specialists is a challenge for the healthcare system as it seeks to transition from volume to value-based healthcare. Given the projection of a severe shortage of rheumatolo...

Authors: Eline van den Broek-Altenburg, Adam Atherly, Nick Cheney and Teresa Fama

The impact of multimorbidity level and functional limitations on the accuracy of using self-reported survey data compared to administrative data to measure general practitioner and specialist visits in community-living adults

Researchers often use survey data to study the effect of health and social variables on physician use, but how self-reported physician use compares to administrative data, the gold standard, in particular with...

Authors: Lauren E. Griffith, Andrea Gruneir, Kathryn A. Fisher, Rumaisa Aljied, Richard Perez, Francis Nguyen, Christopher Patterson, Maureen Markle-Reid, Jenny Ploeg and Ross Upshur

The impact that family members’ health care experiences have on patients’ trust in physicians

A family member’s negative experiences with medical care have long-term effects on a patient’s attitudes and emotions. However, the impact of family members’ experiences on patients’ trust in their own physici...

Authors: Nao Oguro, Ryo Suzuki, Nobuyuki Yajima, Kosuke Sakurai, Takafumi Wakita, Mark A. Hall and Noriaki Kurita

Australian hospital staff perceptions of barriers and enablers of domestic and family violence screening and response

Hospital presentations provide unique opportunities to detect DFV. However, up to 70% of women experiencing Domestic and Family Violence (DFV) go undetected by hospital staff. While routine DFV screening is in...

Authors: Debra K. Creedy, Kathleen Baird, Kerri Gillespie and Grace Brandjerdporn

Social participation in the unified health system of Brazil: an exploratory study on the adequacy of health councils to resolution 453/2012

Social participation is one of the guidelines of the Brazilian health system. Health councils are collegiate instances of participation established by Law 8.142/90. The most recent legal regulation for council...

Authors: Rita de Cássia Costa da Silva, Maykon Anderson Pires de Novais and Paola Zucchi

Differential diffusion of pharmaceutical innovations in a mixed market middle - income economy

Policymakers are faced with the challenge of balancing patient’s access for effective and affordable medicines to sustain the rising healthcare costs. In a mixed healthcare market such as Malaysia, coverage de...

Authors: Nurhafiza Md Hamzah and Kok Fong See

Effects of the cefazolin shortage on the sales, cost, and appropriate use of other antimicrobials

Shortages of antimicrobials lead to treatment failures, increase medical costs, and accelerate the development of antimicrobial resistance. We evaluated the effects of the serious cefazolin shortage in 2019 in...

Authors: Ryuji Koizumi, Yoshiki Kusama, Yusuke Asai, Gu Yoshiaki, Yuichi Muraki and Norio Ohmagari

SaferBirths bundle of care protocol: a stepped-wedge cluster implementation project in 30 public health-facilities in five regions, Tanzania

The burden of stillbirth, neonatal and maternal deaths are unacceptably high in low- and middle-income countries, especially around the time of birth. There are scarce resources and/or support implementation o...

Authors: Benjamin A. Kamala, Hege L. Ersdal, Estomih Mduma, Robert Moshiro, Sakina Girnary, Ole Terje Østrem, Jørgen Linde, Ingvild Dalen, Elsa Søyland, Dunstan R. Bishanga, Felix Ambrose Bundala, Ahmad M. Makuwani, Boniphace Marwa Richard, Pius David Muzzazzi, Ivony Kamala and Paschal F. Mdoe

Validity of diagnoses and procedures in Japanese dental claims data

Dental claims data have been used for epidemiological studies without establishing the validity of the recorded diagnoses or procedures. The present study aimed to examine the accuracy of diagnoses, procedures...

Authors: Sachiko Ono, Miho Ishimaru, Yusuke Ida, Hayato Yamana, Yosuke Ono, Kazuto Hoshi and Hideo Yasunaga

The cost of clinical management of SARS-COV-2 (COVID-19) infection by level of disease severity in Ghana: a protocol-based cost of illness analysis

As the global strategies to fight the SARS-COV-2 infection (COVID-19) evolved, response strategies impacted the magnitude and distribution of health-related expenditures. Although the economic consequence of t...

Authors: Hamza Ismaila, James Avoka Asamani, Virgil Kuassi Lokossou, Ebenezer Oduro-Mensah, Juliet Nabyonga-Orem and Samuel Kaba Akoriyea

Correction to: Health facility preparedness of maternal and neonatal health services: a survey in Jumla, Nepal

Authors: Pasang Tamang, Padam Simkhada, Paul Bissell, Edwin van Teijlingen, Rose Khatri and John Stephenson

The cost-saving effect of continuity of care (COC): an analysis of institutional COC on diabetic treatment costs using panel 2SLS regressions

The high costs of chronic conditions call for new treatment approaches that reduce costs while ensuring desirable health outcomes. There has been a growing transformation of care delivery models from conventio...

Authors: Yu-Ping Wen, Sandra S. Liu, Ji-Tian Sheu, Hong-Huei Wang, Edmund R. Becker and Jui-fen Rachel Lu

Health care providers’ attitudes toward and experiences delivering oral PrEP to adolescent girls and young women in Kenya, South Africa, and Zimbabwe

In Kenya, South Africa, and Zimbabwe, oral pre-exposure prophylaxis (PrEP) is recommended for adolescent girls and young women (AGYW) at high risk of HIV. Health providers play a critical role in the uptake an...

Authors: Michele Lanham, Kathleen Ridgeway, Maryline Mireku, Definate Nhamo, Diantha Pillay, Mercy Murire, Kayla Stankevitz, Jordan Kyongo and Saiqa Mullick

“There’s a huge benefit just to know that someone cares:” a qualitative examination of rural veterans’ experiences with TelePain

Veterans in the United States are at an increased risk of chronic pain and have higher reported pain prevalence and severity than nonveterans. This qualitative study aims to examine veterans’ perspectives on t...

Authors: Molly Silvestrini, Jess Indresano, Steven B. Zeliadt and Jessica A. Chen

Adherence of HIV clinics to guidelines for the delivery of TB screening among people living with HIV/AIDS in Ghana

Tuberculosis screening of people living with HIV (PLHIV) – an intervention to reduce the burden of TB among PLHIV – is being implemented at HIV clinics in Ghana since 2007, but TB screening coverage remains lo...

Authors: Solomon A. Narh-Bana, Tobias F. Chirwa, Esnat D. Chirwa, Frank Bonsu, Latifat Ibisomi and Mary Kawonga

Quality of care and patient safety at healthcare institutions in Oman: quantitative study of the perspectives of patients and healthcare professionals

Oman’s healthcare system has rapidly transformed in recent years. A recent Report of Quality and Patient Safety has nevertheless highlighted decreasing levels of patient safety and quality culture among health...

Authors: Fatma Al-Jabri, Tarja Kvist, Reijo Sund and Hannele Turunen

Adaptations and modifications to a co-designed intervention and its clinical implementation: a qualitative study in Denmark

There is a long-standing debate in implementation research on whether adaptations to evidence-based interventions (EBIs) are desirable in health care. If an intervention is adapted and not delivered as conceiv...

Authors: Jeanette Wassar Kirk, Per Nilsen, Ove Andersen, Nina Thórný Stefánsdóttir, Birk Grønfeldt, Rasmus Brødsgaard, Britt Stævnsbo Pedersen, Thomas Bandholm, Tine Tjørnhøj-Thomsen and Mette Merete Pedersen

Estimated impact of COVID-19 on preventive care service delivery: an observational cohort study

COVID-19 has caused significant healthcare service disruptions. Surgical backlogs have been estimated but not for other healthcare services. This study aims to estimate the backlog of preventive care services ...

Authors: Scott Laing and Sharon Johnston

The surgical safety checklist: a quantitative study on attitudes and barriers among gynecological surgery teams

Implementation of the surgical safety checklist (SSC) plays a significant role in improving surgical patient safety, but levels of compliance to a SSC implementation by surgical team members vary significantly...

Authors: Junming Gong, Yushan Ma, Yunfei An, Qi Yuan, Yun Li and Juan Hu

Impact of COVID-19 and mitigation plans on essential health services: institutional experience of a hospital in Ethiopia

Health systems around the world are being challenged by an on-going COVID-19 pandemic. The COVID-19 pandemic and associated response can have a significant downstream effect on access to routine health care se...

Authors: Firaol Dandena, Berhanetsehay Teklewold and Dagmawi Anteneh

The infrastructural capacity of Ghanaian health facilities to provide safe abortion and post-abortion care: a cross-sectional study

Ghana is one of few countries in sub-Saharan Africa with relatively liberal abortion laws, but little is known about the availability and quality of abortion services nationally. The aim of this study was to d...

Authors: Onikepe Owolabi, Taylor Riley, Easmon Otupiri, Chelsea B. Polis and Roderick Larsen-Reindorf

Development of a conceptual framework for linking mHealth applications to eRecord systems in Botswana

The proliferation of mHealth solutions and eRecord systems is inevitable in developing countries, and ensuring their bi-directional interoperability is essential. Interoperability has been described as the abi...

Authors: Kagiso Ndlovu, Maurice Mars and Richard E. Scott

A feasibility study to assess non-clinical community health workers’ capacity to use simplified protocols and tools to treat severe acute malnutrition in Niger state Nigeria

Severe acute malnutrition (SAM) is a major determinant of childhood mortality and morbidity. Although integrated community case management (iCCM) of childhood illnesses is a strategy for increasing access to l...

Authors: Olatunde Adesoro, Olusola Oresanya, Helen Counihan, Prudence Hamade, Dare Eguavon, Chika Emebo, Bethany Marron, Naoko Kozuki, Amina Isah, Patrick Gimba, Chris Osa Isokpunwu, Kolawole Maxwell and James K. Tibenderana

A model for national assessment of barriers for implementing digital technology interventions to improve hypertension management in the public health care system in India

There is substantial interest in leveraging digital health technology to support hypertension management in low- and middle-income countries such as India. The potential for healthcare infrastructure and broad...

Authors: Shivani A. Patel, Kushagra Vashist, Prashant Jarhyan, Hanspria Sharma, Priti Gupta, Devraj Jindal, Nikhil Srinivasapura Venkateshmurthy, Lisa Pfadenhauer, Sailesh Mohan and Nikhil Tandon

Early supported hospital discharge for foot disease: a co-design study

There are more than 10,000 admissions each year in Australia for foot disease, with an average length of hospital stay of 26 days. Early supported discharge (ESD) has been shown to improve patient satisfaction...

Authors: Rebecca Jessup, Samantha Hanna, Jaspreet Kaur, Iman Bayat and Cassandra Bramston

Developing the first pan-Canadian survey on patient engagement in patient safety

Patient safety is a worldwide problem, and the patient contribution to mitigate the risk of patient harm is now recognized as a cornerstone to its solution. In order to understand the nature of integrating pat...

Authors: Ursulla Aho-glele, Khayreddine Bouabida, Allison Kooijman, Ioana Cristina Popescu, Marie Pascale Pomey, Lisa Hawthornthwaite, Jodi Ploquin, Susan Dunn, Patricia Trbovich, Benoit Tétrault, Maiana Regina Gomes de Sousa, Louise Clément and Nelea Lungu

Burnout, lifestyle and relaxation among dentists in Lithuania: a cross-sectional study

The aim of this study was to estimate the association of burnout level with lifestyle and relaxation among dentists in Lithuania. A better understanding of this association could help in the development of tar...

Authors: Eglė Slabšinskienė, Andrej Gorelik, Aistė Kavaliauskienė and Apolinaras Zaborskis

An economic evaluation of an intervention to increase demand for medical male circumcision among men aged 25–49 years in South Africa

Studies estimate that circumcising men between the ages of 20–30 years who have exhibited previous risky sexual behaviour could reduce overall HIV prevalence. Demand creation strategies for medical male circum...

Authors: M. Holmes, R. Mukora, D. Mudzengi, S. Charalambous, C. M. Chetty-Makkan, H. Kisbey-Green, M. Maraisane and J. Grund

The information system stress, informatics competence and well-being of newly graduated and experienced nurses: a cross-sectional study

The use of information systems takes up a significant amount of nurses’ daily working time. Increased use of the systems requires nurses to have adequate competence in nursing informatics and is known to be a ...

Authors: Anu-Marja Kaihlanen, Kia Gluschkoff, Elina Laukka and Tarja Heponiemi

Primary care registration of the mental health needs of patients treated at outpatient specialized services: results from a medium-sized city in Brazil

Although matrix support seeks to promote integrating Primary Care with specialized mental health services in Brazil, little is known about the quantitative impact of this strategy on sharing cases between diff...

Authors: Carlos Alberto dos Santos Treichel, Ioannis Bakolis and Rosana Teresa Onocko-Campos

Working in a minefield; Nurses’ strategies for handling medicine administration interruptions in hospitals, -a qualtiative interview study

Administering medicines is one of the most high-risk tasks in health care. However, nurses are frequently interrupted during medicine administration, which jeopardises patient safety. Few studies have examined...

Authors: Johanne Alteren, Marit Hermstad, Lisbeth Nerdal and Sue Jordan

Adverse events in women giving birth in a labor ward: a retrospective record review study

Childbirth could negatively affect the woman’s health through adverse events. To prevent adverse events and increase patient safety it is important to detect and learn from them. The aim of the study was to de...

Authors: Annika Skoogh, Marie Louise Hall-Lord, Carina Bååth and Ann-Kristin Sandin Bojö

The Annual costs of treating genital warts in the Public Healthcare Sector in Peru

To estimate the cost of six different techniques used to treat Genital Warts and the annual average cost of treating a typical GW patient in Peru. To estimate the annual economic burden diagnosing and treating...

Authors: Enrique M Saldarriaga, Cesar P. Cárcamo, Joseph B. Babigumira and Patricia J. García

Cross-sectional study on the drug utilization and evaluation indicator of antibiotics used in pediatric population

The lack of medication standards is a serious problem in paediatrics mainly because of age-related differences in organ development and physiological functions in children. Consequently, dosage measurement bec...

Authors: Xu Hu, Xueting Zhang, Yao Wang and Xuefeng Xie

Quality of care is what we make of it: a qualitative study of managers’ perspectives on quality of care in high-performing nursing homes

Leadership has a vital role regarding quality of care in nursing homes. However, few studies have explored upper-level managers’ views on how to assure that residents receive high quality of care. Therefore, t...

Authors: Brigitte Lalude Asante, Franziska Zúñiga and Lauriane Favez

‘Fix the issues at the coalface and mental wellbeing will be improved’: a framework analysis of frontline NHS staff experiences and use of health and wellbeing resources in a Scottish health board area during the COVID-19 pandemic

Frontline healthcare staff working in pandemics have been reported to experience mental health issues during the early and post-peak stages. To alleviate these problems, healthcare organisations have been prov...

Authors: Catherine Clarissa, Sam Quinn and Rosie Stenhouse

Outpatient cardiovascular diseases and diabetes medicines dispensing in the population with government health insurance in Syria between 2018 and 2019: a retrospective analysis

Low- and middle-income countries bear the highest burden of non-communicable diseases (NCDs) mortality and morbidity. Syria has undergone an epidemiological transition from infectious diseases to NCDs in the p...

Authors: Saleh Aljadeeah, Eckhard Nagel and Veronika J. Wirtz

Factors influencing procurement behaviour and decision-making: an exploratory qualitative study in a UK healthcare provider

In 2016 the UK Department of Health and Social Care published the results of a comprehensive review of efficiency in hospitals, identifying “unwarranted variation” in procurement (or purchasing) practices for ...

Authors: Harriet Boulding and Saba Hinrichs-Krapels

Examining health facility financing in Kenya in the context of devolution

How health facilities are financed affects their performance and health system goals. We examined how health facilities in the public sector are financed in Kenya, within the context of a devolved health system.

Authors: Angela Kairu, Stacey Orangi, Boniface Mbuthia, Joanne Ondera, Nirmala Ravishankar and Edwine Barasa

Impact of universal home visits on child health in Bauchi State, Nigeria: a stepped wedge cluster randomised controlled trial

Nigeria is the second biggest contributor to global child mortality. Infectious diseases continue to be major killers. In Bauchi State, Nigeria, a stepped wedge cluster randomised controlled trial tested the h...

Authors: Khalid Omer, Altine Joga, Umar Dutse, Khalid Hasan, Amar Aziz, Umaira Ansari, Yagana Gidado, Muhd Chadi Baba, Adamu Ibrahim Gamawa, Rilwanu Mohammad, Neil Andersson and Anne Cockcroft

Spatial analysis and evaluation of medical resource allocation in China based on geographic big data

Spatial allocation of medical resources is closely related to people’s health. Thus, it is important to evaluate the abundance of medical resources regionally and explore the spatial heterogeneity of medical r...

Authors: Sida Wan, Yanming Chen, Yijia Xiao, Qiqi Zhao, Manchun Li and Shuqi Wu

A costing analysis of B-GAP: index-linked HIV testing for children and adolescents in Zimbabwe

By testing children and adolescents of HIV positive caretakers, index-linked HIV testing, a targeted HIV testing strategy, has the ability to identify high risk children and adolescents earlier and more effici...

Authors: Arthi Vasantharoopan, Hendramoorthy Maheswaran, Victoria Simms, Chido Dziva Chikwari, Tariro Chigwenah, Rudo Chikodzore, Khulamuzi Nyathi, Gertrude Ncube, Rashida A. Ferrand and Lorna Guinness

Contextual and mental health service factors in mental disorder-based disability pensioning in Finland – a regional comparison

We investigated the regional differences in all mental disorder disability pensions (DP) between 2010 and 2015 in Finland, and separately in mood disorders and non-affective psychotic disorder DP. We also stud...

Authors: Tino Karolaakso, Reija Autio, Turkka Näppilä, Helena Leppänen, Päivi Rissanen, Martti T. Tuomisto, Sakari Karvonen and Sami Pirkola

COVID-19 pandemic and waiting times in outpatient specialist care in Germany: an empirical analysis

International healthcare systems face the challenge that waiting times may create barriers to accessing medical care, and that those barriers are unequally distributed between different patient groups. The dis...

Authors: Jennifer Muschol and Christian Gissel

Assessment of segmentation and targeted counseling on family planning quality of care and client satisfaction: a facility-based survey of clients in Niger

Niger demonstrates high fertility and low contraceptive use that are typical in much of the West and Central African region. The government of Niger has committed to increasing modern contraceptive use as part...

Authors: Ilene S. Speizer, Hachimou Amani, Jennifer Winston, Souleymane Amadou Garba, Amelia Maytan-Joneydi, Illiassou Chaibou Halidou, Lisa M. Calhoun and Abdoul Moumouni Nouhou