Health Services Insights最新文献_第9页

Screening for Cystic Fibrosis Related Complications in the Context of a Pandemic and Altered Models of Care. 在大流行病和改变护理模式的背景下筛查囊性纤维化相关并发症。

IF 2.8

Health Services Insights Pub Date : 2023-10-16 eCollection Date: 2023-01-01 DOI: 10.1177/11786329231205145

Michael Doumit, Roxanne Strachan, Raynuka Lazarus, Peter Middleton, Ruth Dentice, Jessica Marouvo, Laura Jeffrey, Hiran Selvadurai, Sheila Sivam, Verity Pacey, Adam Jaffe, Kelly Gray

{"title":"Screening for Cystic Fibrosis Related Complications in the Context of a Pandemic and Altered Models of Care.","authors":"Michael Doumit, Roxanne Strachan, Raynuka Lazarus, Peter Middleton, Ruth Dentice, Jessica Marouvo, Laura Jeffrey, Hiran Selvadurai, Sheila Sivam, Verity Pacey, Adam Jaffe, Kelly Gray","doi":"10.1177/11786329231205145","DOIUrl":"https://doi.org/10.1177/11786329231205145","url":null,"abstract":"Background: Standard of care recommend that patients with cystic fibrosis (CF) require screening investigations to assess for complications. Changing models of care due to the COVID19 pandemic may have impacted completion of recommended screening.Objective: To compare the frequency of screening investigations completed in people with CF before and after the onset of the COVID19 pandemic.Methods: Medical records were reviewed at 4 CF-specialist centers to identify screening investigations completed in the 12-months before and after pandemic onset.Results: Records of 625 patients were reviewed. Prior to pandemic onset, there was between center variability in completion of screening investigations. There was greatest baseline variation between centers in performing oral glucose tolerance test (OGTT); range 38%-69%, exercise tests; 3%-51% and sputum screening for non-tuberculous mycobacteria; 53%-81%. Following pandemic onset, blood tests, and sputum cultures were maintained at the highest rates. Exercise testing, CXR and OGTT exhibited the greatest declines, with reductions at individual centers ranging between 10%-24%, 22%-43%, and 20%-26%, respectively. Return to in-person visits following pandemic onset was variable, ranging from 16% to 74% between centers.Conclusion: Completion of screening investigations varies between CF centers and changes in models of care, such as increased virtual care in response to COVID19 pandemic was associated with reduction in completion of investigations. Centers would benefit from auditing their adherence to standards of care, particularly considering recent changes in care delivery.","PeriodicalId":12876,"journal":{"name":"Health Services Insights","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2023-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10580724/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49676812","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Multidisciplinary Team Meeting in the Core of Nasopharyngeal Cancer Management Improved Quality of Care and Survival of Patients. 癌症管理核心多学科团队会议提高了患者的护理质量和生存率。

IF 2.8

Health Services Insights Pub Date : 2023-10-16 eCollection Date: 2023-01-01 DOI: 10.1177/11786329231204757

Kartika W Taroeno-Hariadi, Camelia Herdini, Aulia S Briliant, Henry K Husodoputro, Wigati Dhamiyati, Sagung Rai Indrasari, Setiyani P Lestari, Yulestrina Widyastuti, Herindita Puspitaningtyas, Risa Rahmasari, Innayah Nur Rachmawati, Ibnu Purwanto, Nurhuda H Setyawan, Ericko Ekaputra, Susanna H Hutajulu, Sri R Dwidanarti, Torana Kurniawan, Lidya Meidania, Seize E Yanuarta, Mardiah S Hardianti, Johan Kurnianda

{"title":"Multidisciplinary Team Meeting in the Core of Nasopharyngeal Cancer Management Improved Quality of Care and Survival of Patients.","authors":"Kartika W Taroeno-Hariadi, Camelia Herdini, Aulia S Briliant, Henry K Husodoputro, Wigati Dhamiyati, Sagung Rai Indrasari, Setiyani P Lestari, Yulestrina Widyastuti, Herindita Puspitaningtyas, Risa Rahmasari, Innayah Nur Rachmawati, Ibnu Purwanto, Nurhuda H Setyawan, Ericko Ekaputra, Susanna H Hutajulu, Sri R Dwidanarti, Torana Kurniawan, Lidya Meidania, Seize E Yanuarta, Mardiah S Hardianti, Johan Kurnianda","doi":"10.1177/11786329231204757","DOIUrl":"10.1177/11786329231204757","url":null,"abstract":"Nasopharyngeal cancer (NPC) cases are often diagnosed in advanced stages. The complexity of clinical management for advanced-stage NPC requires thorough communication and shared decisions between medical professionals and allied teams. Incorporating a multidisciplinary team meeting (MDTM) for newly diagnosed NPC patients was chosen to facilitate collaboration and communication between physicians. This retrospective study aimed to compare the quality of care, clinical responses and survival between NPC patients treated with and without MDTM. Data on clinical responses, assessment visits, date of progression and death with progression-free survival (PFS), overall survival (OS), and hazard ratio (HR) were collected and analyzed with 95% confidence interval (CI) and significance set as P < .05. There were 87 of 178 NPC patients treated with MDTM. Revisions of diagnosis and stage occurred in 5.7% and 52.9% of cases during the MDTM. More clinical responses were achieved by patients treated with MDTM (69.0%vs 32.0%, P < .00). NPC patients who received MDTM treatment recommendation had a lower risk for progression (median PFS 59.89 months vs 12.68 months; HR 0.267, 95% CI: 0.17-0.40, P < .00) and mortality (median OS was not reached vs 13.44 months; HR 0.134, 95% CI: 0.08-0.24, P < .00) compared to patients without MDTM. Incorporating the MDTM approach into NPC management improves patients' clinical responses and survival.","PeriodicalId":12876,"journal":{"name":"Health Services Insights","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2023-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/83/24/10.1177_11786329231204757.PMC10578065.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41234701","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Tracking Needs-Based Community and Specialized Services of Young Adults and Their Parents Before and During a First Episode of Psychosis (FEP): Highlighting Intervention Trajectories in FEP. 在首次精神病发作之前和期间跟踪年轻人及其父母基于需求的社区和专业服务：强调精神病发作的干预轨迹。

IF 2.8

Health Services Insights Pub Date : 2023-09-30 eCollection Date: 2023-01-01 DOI: 10.1177/11786329231200707

Marie-Hélène Morin, Maryse Proulx

{"title":"Tracking Needs-Based Community and Specialized Services of Young Adults and Their Parents Before and During a First Episode of Psychosis (FEP): Highlighting Intervention Trajectories in FEP.","authors":"Marie-Hélène Morin, Maryse Proulx","doi":"10.1177/11786329231200707","DOIUrl":"10.1177/11786329231200707","url":null,"abstract":"Aim: This article aims to document 10 service trajectories of young adults (YA) and their parents, informed by healthcare professionals (HP), before and during a first episode of psychosis (FEP).Design: Based on a crisis model perspective of the Life Course Theory (Elder; Elder and Shanahan) developed by Carpentier and White, and adapted to the current context to track community and specialized services trajectories. Thematic analysis was used to code responses to open-ended questions around the need for help and accessing services by young adults affected by a psychotic disorder, and their parents.Setting: In collaboration with FEP clinics, setting of choice by YA and their parents.Participants: 5 YA, 12 parents, and 6 HP.Results: 10 individual service trajectories grouped into 3 distinct types of trajectories (optimal, typical, and complex) based on grouping 5 similar characteristics, highlighting service access complexity and early intervention in FEP.Conclusion: This study is the first of its kind to examine the experiences of those who seek needs-based community and specialized services leading up to and during a FEP. Findings provide key insights related to early intervention in FEP and recommendations on improving access to such services in Quebec.","PeriodicalId":12876,"journal":{"name":"Health Services Insights","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/23/8d/10.1177_11786329231200707.PMC10542222.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41127527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Patient as an Actor in His Care Pathway: Insights From the French Case. 患者在其护理路径中扮演的角色：法国案例的启示。

IF 2.8

Health Services Insights Pub Date : 2023-09-28 eCollection Date: 2023-01-01 DOI: 10.1177/11786329231196029

Isabelle Aubert, Frédéric Kletz, Jean-Claude Sardas

{"title":"The Patient as an Actor in His Care Pathway: Insights From the French Case.","authors":"Isabelle Aubert, Frédéric Kletz, Jean-Claude Sardas","doi":"10.1177/11786329231196029","DOIUrl":"https://doi.org/10.1177/11786329231196029","url":null,"abstract":"In France, patients' right to take part in decisions regarding their health has been recognized by law since 2002. This legal recognition was the outcome of a long-standing call to allow all individuals to be \"actors in their own health\" and to co-develop their care pathway with the professionals involved. In practice, care pathways simultaneously intertwine both standardization and personalization dynamics, which involve different forms of professional-patient interaction. This article analyses the links between the organizational variables of care pathways, and the ways in which patients are involved in the management of their own pathway. To date, these links have received little attention in the management science and health literatures. We draw on material from a case study carried out in 2 French territories, combining the analysis of patient pathways with interviews conducted with professionals and carers. Building on this analysis, we propose a typology of patient profiles which distinguishes between their different forms of involvement in the development of their care pathway, based on its organizational characteristics.","PeriodicalId":12876,"journal":{"name":"Health Services Insights","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2023-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c9/8d/10.1177_11786329231196029.PMC10540579.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41132462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Integrating Digital Innovation Mechanisms in Digital Infrastructures: The Case of Digital Remote Care. 在数字基础设施中整合数字创新机制：以数字远程护理为例。

IF 2.4

Health Services Insights Pub Date : 2023-09-26 eCollection Date: 2023-01-01 DOI: 10.1177/11786329231200704

Anne Ks Ajer, Egil Øvrelid

{"title":"Integrating Digital Innovation Mechanisms in Digital Infrastructures: The Case of Digital Remote Care.","authors":"Anne Ks Ajer, Egil Øvrelid","doi":"10.1177/11786329231200704","DOIUrl":"10.1177/11786329231200704","url":null,"abstract":"Digital innovation (DIN) is crucial for managing the growth of resource use in the hospital sector and for providing citizens with services aligned with the requirements of the modern world. DIN includes the co-creation of novel services, such as digital remote care (DRC) solutions. The healthcare sector, with a plethora of applications, is an example of a large digital infrastructure. Our study aims to explore how DRC initiatives can be integrated in large-scale digital infrastructures. Our in-depth case study, which explores 72 different DRC trajectories at 9 hospital health trusts in Norway, reveals the dynamic interplay among 3 key mechanisms - idealistic entrepreneurship, anchoring and remote infrastructure. Our contribution to the DIN literature is a model that shows the interplay among these key mechanisms, which increases the innovation pace, improves the innovations' scalability and provides a robust organisation that constantly implements innovations. As a contributions to DRC practice, lessons learned to speed up the innovation pace are offered: (1) Create a DRC organisational structure. (2) Ensure financial predictability. (3) secure anchoring upward in the governance structure. (4) Make the remote infrastructure appropriate for integration with the current digital infrastructure. (5) Advocate the success across the organisation to spur others to innovate.","PeriodicalId":12876,"journal":{"name":"Health Services Insights","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2023-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10524064/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41127409","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Adolescent and Caregiver Perspectives on Family Navigation to Improve Healthcare Access and Use for Managing Pediatric Obesity. 青少年和护理人员对家庭导航的看法，以改善儿童肥胖的医疗保健机会和使用。

IF 2.8

Health Services Insights Pub Date : 2023-09-26 eCollection Date: 2023-01-01 DOI: 10.1177/11786329231200863

Geoff Dc Ball, Marcus G O'Neill, Mitchell Rath, Maryam Kebbe, Arnaldo Perez, Ian Zenlea, Josephine Ho

{"title":"Adolescent and Caregiver Perspectives on Family Navigation to Improve Healthcare Access and Use for Managing Pediatric Obesity.","authors":"Geoff Dc Ball, Marcus G O'Neill, Mitchell Rath, Maryam Kebbe, Arnaldo Perez, Ian Zenlea, Josephine Ho","doi":"10.1177/11786329231200863","DOIUrl":"https://doi.org/10.1177/11786329231200863","url":null,"abstract":"We interviewed families to explore their views on the role of family navigation (FN) to improve access to and use of health services for managing pediatric obesity. From March to December, 2020, we conducted individual, structured telephone interviews with adolescents with obesity (13-17 years old) and their caregivers from Edmonton and Calgary, Canada. Among our 37 participants (14 adolescents, 23 caregivers), most (n = 27; 73.0%) reported FN could improve their access to obesity management. Participants recommended several activities to support healthcare access and use, including appointment reminders, evening/weekend appointments, parking/transportation support, and in-clinic childcare, all of which help families to attend appointments over an extended period to support obesity management. Most participants preferred FN be offered by healthcare professional 'navigators' who were approachable, empathic, and compassionate since issues regarding health and obesity can be sensitive, emotional topics to discuss. Overall, families supported integrating FN into multidisciplinary pediatric obesity management to improve healthcare access and use by navigators who apply a range of practical strategies and relational skills to enhance long-term access and adherence to care.","PeriodicalId":12876,"journal":{"name":"Health Services Insights","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2023-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10524045/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41134014","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Healthcare Professionals' Resilience During the COVID-19 and Organizational Factors That Improve Individual Resilience: A Mixed-Method Study. 新冠肺炎期间医疗保健专业人员的复原力和提高个人复原力的组织因素：一项混合方法研究。

IF 2.4

Health Services Insights Pub Date : 2023-09-19 eCollection Date: 2023-01-01 DOI: 10.1177/11786329231198991

Raquel Simões de Almeida, Ana Costa, Inês Teixeira, Maria João Trigueiro, Artemisa Rocha Dores, António Marques

{"title":"Healthcare Professionals' Resilience During the COVID-19 and Organizational Factors That Improve Individual Resilience: A Mixed-Method Study.","authors":"Raquel Simões de Almeida, Ana Costa, Inês Teixeira, Maria João Trigueiro, Artemisa Rocha Dores, António Marques","doi":"10.1177/11786329231198991","DOIUrl":"10.1177/11786329231198991","url":null,"abstract":"Healthcare workers are a susceptible population to be psychologically affected during health crises, such as the recent COVID-19 pandemic. Resilience has been pointed out in the literature as a possible protective factor against psychological distress in crisis situations. This can be influenced by internal and external factors, such as individual characteristics and organizational factors. Thus, this study aims to characterize the overall resilience levels among healthcare professionals in Portugal and to understand the perspectives of this healthcare workers regarding organizational factors that improve individual resilience. This is a mixed-method study: a first quantitative study using a cross-sectional design to administer the Resilience Scale for Adults (RSA) to 271 healthcare professionals (Mage 33.90, SD = 9.59 years, 90.80% female), followed by a qualitative study through 10 in-depth interviews. The mean score for the total RSA was 178.17 (SD = 22.44) out of a total of 231. Qualitative analysis showed 4 major themes on factors that enhance resilience: \"Professional's Training,\" \"Support and Wellbeing Measures,\" \"Reorganization of Services\" and \"Professional Acknowledgment.\" The findings may contribute to the development of targeted interventions and support systems to enhance resilience and well-being among healthcare workers.","PeriodicalId":12876,"journal":{"name":"Health Services Insights","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2023-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10510343/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41124943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Acknowledging the Complexity of Antipsychotic Use in Long-Term Care During the COVID-19 Pandemic. 承认新冠肺炎大流行期间长期护理中抗精神病药物使用的复杂性。

IF 2.8

Health Services Insights Pub Date : 2023-09-19 eCollection Date: 2023-01-01 DOI: 10.1177/11786329231195211

Luke Andrew Turcotte, Caitlin McArthur, Jeff W Poss, George Heckman, Lori Mitchell, John Morris, Andrea D Foebel, John P Hirdes

{"title":"Acknowledging the Complexity of Antipsychotic Use in Long-Term Care During the COVID-19 Pandemic.","authors":"Luke Andrew Turcotte, Caitlin McArthur, Jeff W Poss, George Heckman, Lori Mitchell, John Morris, Andrea D Foebel, John P Hirdes","doi":"10.1177/11786329231195211","DOIUrl":"https://doi.org/10.1177/11786329231195211","url":null,"abstract":"that an increase in administration also occurred in the previous year among Alberta residents. Our analysis was a comparison of the pandemic period against the 2 most recent historical years and did not test for year-over-year trends. Interrupted time series analysis by Hoben et al 3 supports Dr. Quail’s argument that the inappropriate use of antipsychotic medications increased in the years leading up to the pandemic in Alberta. However, in alignment with our own findings, the rate of that increase accelerated significantly during the pandemic period. We offer supplemental analysis of pairwise comparisons back to 2013/2014 when Alberta was first included in the annual CIHI “Quick Stats” report (Figure 1). This illustrates that (1) the increase during the pandemic period was significant relative to all years since 2014/2015 and (2) the magnitude of the increase observed in recent years was largest during the pandemic period. Without question, a greater percentage of residents received inappropriate antipsychotic medications during the pandemic period.","PeriodicalId":12876,"journal":{"name":"Health Services Insights","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2023-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/92/88/10.1177_11786329231195211.PMC10510341.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41178625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluation of the Response Rates of Hospitals in the Prevention and Control of COVID-19 in Hamadan Province of Iran. 伊朗哈马丹省医院对预防和控制 COVID-19 的响应率评估。

IF 2.4

Health Services Insights Pub Date : 2023-07-21 eCollection Date: 2023-01-01 DOI: 10.1177/11786329231187825

Mohammad Ali Seif Rabiei, Fariba Keramat, Iraj Sedighi, Ebrahim Jalili, Mahshid Nikooseresht, Seyed Saman Talebi, Seyedeh Melika Kharghani Moghadam

{"title":"Evaluation of the Response Rates of Hospitals in the Prevention and Control of COVID-19 in Hamadan Province of Iran.","authors":"Mohammad Ali Seif Rabiei, Fariba Keramat, Iraj Sedighi, Ebrahim Jalili, Mahshid Nikooseresht, Seyed Saman Talebi, Seyedeh Melika Kharghani Moghadam","doi":"10.1177/11786329231187825","DOIUrl":"10.1177/11786329231187825","url":null,"abstract":"The COVID-19 pandemic has challenged the capacity of health systems in various countries. This study was designed to evaluate the response rates of hospitals in the prevention and control of COVID-19 in Hamadan province, Iran. In this cross-sectional study, all 20 hospitals in Hamadan province were monitored in February 2020. The instrument used in this study was the WHO checklist, entitled \"Infection prevention and control health-care facility response for COVID-19.\" In each hospital, the hospital infection control officials completed the checklists under the supervision of the hospital managers and were then provided to the project manager. Data analyzed by SPSS 22 software. There were 3482 hospital beds (the average beds of each hospital was 174) in the studied hospitals. Of 15 055 patients admitted to all hospitals, 2196 (14.6%) individuals were COVID-19 patients. The total average score obtained from the checklist was 62.25. Among 7 domains studied, the lowest scores belonged to 2 domains of \"infrastructure and equipment\" and \"patient screening and triage.\" The scores of domains \"IPC programs\" and \"visitors\" were significantly higher in hospitals with ICU beds than other hospitals (P-value = .03 in both domains). A comparison between university-teaching hospitals with other hospitals and those in Hamadan city with other cities revealed no significant differences in any of the domains. The mean response rate (62.25) of hospitals in terms of COVID-19 in Hamadan province indicates their relative readiness to prevent and control the COVID19 pandemic. The shortage of infrastructure and equipment and screening and triage problems of patients were the main challenges of hospitals in managing the COVID-19 pandemic in Hamadan province, Iran.","PeriodicalId":12876,"journal":{"name":"Health Services Insights","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2023-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/6a/0e/10.1177_11786329231187825.PMC10363683.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9870085","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Quality of Municipal Long-Term Care in Different Models of Care: A Cross-Sectional Study From Norway. 不同护理模式下的市政长期护理质量：挪威的一项横断面研究。

IF 2.4

Health Services Insights Pub Date : 2023-07-17 eCollection Date: 2023-01-01 DOI: 10.1177/11786329231185537

Hanne Marie Rostad, Lisa Victoria Burrell, Marianne Sundlisæter Skinner, Ragnhild Hellesø, Maren Kristine Raknes Sogstad

{"title":"Quality of Municipal Long-Term Care in Different Models of Care: A Cross-Sectional Study From Norway.","authors":"Hanne Marie Rostad, Lisa Victoria Burrell, Marianne Sundlisæter Skinner, Ragnhild Hellesø, Maren Kristine Raknes Sogstad","doi":"10.1177/11786329231185537","DOIUrl":"10.1177/11786329231185537","url":null,"abstract":"The quality of care remains a critical concern for health systems around the globe, especially in an era of unprecedented financial challenges and rising demands. Previous research indicates large variation in several indicators of quality in the long-term care setting, highlighting the need for further investigation into the factors contributing to such disparities. As different ways of delivering long-term care services likely affect quality of care, the objectives of our study is to investigate (1) variation in structure, process and outcome quality between municipalities, and (2) to what extent variation in quality is associated with municipal models of care and structural characteristics. The study had a cross-sectional approach and we utilized data on the municipal level from 3 sources: (1) a survey for models of care (2) Statistics Norway for municipal structural characteristics and (3) the National Health Care Quality Indicator System. Descriptive statistics showed that the Norwegian long-term care sector performs better (measured as percentage or probability) on structure (85.53) and outcome (84.86) quality than process (37.85) quality. Hierarchical linear regressions indicated that municipal structural characteristics and model of care had very limited effect on the quality of long-term care. A deeper understanding of variation in service quality may be found at the micro level in healthcare workers' day-to-day practice.","PeriodicalId":12876,"journal":{"name":"Health Services Insights","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2023-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10354822/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10293243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0