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  Subjects -> HEALTH AND SAFETY (Total: 1342 journals)
    - CIVIL DEFENSE (23 journals)
    - DRUG ABUSE AND ALCOHOLISM (89 journals)
    - HEALTH AND SAFETY (555 journals)
    - HEALTH FACILITIES AND ADMINISTRATION (382 journals)
    - OCCUPATIONAL HEALTH AND SAFETY (107 journals)
    - PHYSICAL FITNESS AND HYGIENE (105 journals)
    - WOMEN'S HEALTH (81 journals)

HEALTH AND SAFETY (555 journals)                  1 2 3 | Last

Showing 1 - 200 of 203 Journals sorted alphabetically
16 de Abril     Open Access  
A Life in the Day     Hybrid Journal   (Followers: 12)
Acta Informatica Medica     Open Access   (Followers: 1)
Acta Scientiarum. Health Sciences     Open Access   (Followers: 1)
Adultspan Journal     Hybrid Journal   (Followers: 1)
Advances in Child Development and Behavior     Full-text available via subscription   (Followers: 10)
Advances in Public Health     Open Access   (Followers: 23)
African Health Sciences     Open Access   (Followers: 2)
African Journal for Physical, Health Education, Recreation and Dance     Full-text available via subscription   (Followers: 7)
African Journal of Health Professions Education     Open Access   (Followers: 6)
Afrimedic Journal     Open Access   (Followers: 2)
Ageing & Society     Hybrid Journal   (Followers: 38)
Air Quality, Atmosphere & Health     Hybrid Journal   (Followers: 4)
AJOB Primary Research     Partially Free   (Followers: 3)
American Journal of Family Therapy     Hybrid Journal   (Followers: 11)
American Journal of Health Economics     Full-text available via subscription   (Followers: 13)
American Journal of Health Education     Hybrid Journal   (Followers: 30)
American Journal of Health Promotion     Hybrid Journal   (Followers: 26)
American Journal of Health Sciences     Open Access   (Followers: 7)
American Journal of Health Studies     Full-text available via subscription   (Followers: 11)
American Journal of Preventive Medicine     Hybrid Journal   (Followers: 27)
American Journal of Public Health     Full-text available via subscription   (Followers: 200)
American Journal of Public Health Research     Open Access   (Followers: 27)
American Medical Writers Association Journal     Full-text available via subscription   (Followers: 4)
Analytic Methods in Accident Research     Hybrid Journal   (Followers: 5)
Annals of Health Law     Open Access   (Followers: 3)
Annals of Tropical Medicine and Public Health     Open Access   (Followers: 12)
Applied Biosafety     Hybrid Journal  
Applied Research In Health And Social Sciences : Interface And Interaction     Open Access   (Followers: 3)
Archive of Community Health     Open Access   (Followers: 1)
Archives of Medicine and Health Sciences     Open Access   (Followers: 3)
Arquivos de Ciências da Saúde     Open Access  
Asia Pacific Journal of Counselling and Psychotherapy     Hybrid Journal   (Followers: 9)
Asia Pacific Journal of Health Management     Full-text available via subscription   (Followers: 3)
Asia-Pacific Journal of Public Health     Hybrid Journal   (Followers: 8)
Asian Journal of Gambling Issues and Public Health     Open Access   (Followers: 3)
Atención Primaria     Open Access   (Followers: 1)
Australasian Journal of Paramedicine     Open Access   (Followers: 3)
Australian Advanced Aesthetics     Full-text available via subscription   (Followers: 4)
Australian Family Physician     Full-text available via subscription   (Followers: 3)
Australian Indigenous HealthBulletin     Free   (Followers: 6)
Autism & Developmental Language Impairments     Open Access   (Followers: 8)
Behavioral Healthcare     Full-text available via subscription   (Followers: 6)
Bijzijn     Hybrid Journal   (Followers: 2)
Bijzijn XL     Hybrid Journal   (Followers: 1)
Biomedical Safety & Standards     Full-text available via subscription   (Followers: 8)
BLDE University Journal of Health Sciences     Open Access  
BMC Oral Health     Open Access   (Followers: 6)
BMC Pregnancy and Childbirth     Open Access   (Followers: 21)
BMJ Simulation & Technology Enhanced Learning     Full-text available via subscription   (Followers: 10)
Brazilian Journal of Medicine and Human Health     Open Access  
Buletin Penelitian Kesehatan     Open Access   (Followers: 2)
Buletin Penelitian Sistem Kesehatan     Open Access  
Cadernos de Educação, Saúde e Fisioterapia     Open Access   (Followers: 1)
Cadernos Saúde Coletiva     Open Access   (Followers: 1)
Cambridge Quarterly of Healthcare Ethics     Hybrid Journal   (Followers: 11)
Canadian Family Physician     Partially Free   (Followers: 11)
Canadian Journal of Community Mental Health     Full-text available via subscription   (Followers: 9)
Canadian Journal of Human Sexuality     Hybrid Journal   (Followers: 2)
Canadian Journal of Public Health     Full-text available via subscription   (Followers: 19)
Case Reports in Women's Health     Open Access   (Followers: 3)
Case Studies in Fire Safety     Open Access   (Followers: 15)
Central Asian Journal of Global Health     Open Access   (Followers: 2)
CES Medicina     Open Access  
Child Abuse Research in South Africa     Full-text available via subscription   (Followers: 1)
Child's Nervous System     Hybrid Journal  
Childhood Obesity and Nutrition     Open Access   (Followers: 10)
Children     Open Access   (Followers: 2)
CHRISMED Journal of Health and Research     Open Access  
Christian Journal for Global Health     Open Access  
Ciência & Saúde Coletiva     Open Access   (Followers: 2)
Ciencia e Innovación en Salud     Open Access  
Ciencia y Cuidado     Open Access   (Followers: 1)
Ciencia, Tecnología y Salud     Open Access  
ClinicoEconomics and Outcomes Research     Open Access   (Followers: 2)
CME     Hybrid Journal   (Followers: 1)
CoDAS     Open Access  
Community Health     Open Access   (Followers: 3)
Conflict and Health     Open Access   (Followers: 7)
Contraception and Reproductive Medicine     Open Access  
Curare     Open Access  
Current Opinion in Behavioral Sciences     Hybrid Journal   (Followers: 4)
Day Surgery Australia     Full-text available via subscription   (Followers: 2)
Digital Health     Open Access   (Followers: 3)
Disaster Medicine and Public Health Preparedness     Hybrid Journal   (Followers: 11)
Dramatherapy     Hybrid Journal   (Followers: 2)
Drogues, santé et société     Full-text available via subscription  
Duazary     Open Access   (Followers: 1)
Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi / Journal of Duzce University Health Sciences Institute     Open Access  
Early Childhood Research Quarterly     Hybrid Journal   (Followers: 17)
East African Journal of Public Health     Full-text available via subscription   (Followers: 3)
Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity     Hybrid Journal   (Followers: 19)
EcoHealth     Hybrid Journal   (Followers: 4)
Education for Health     Open Access   (Followers: 6)
electronic Journal of Health Informatics     Open Access   (Followers: 6)
ElectronicHealthcare     Full-text available via subscription   (Followers: 3)
Elsevier Ergonomics Book Series     Full-text available via subscription   (Followers: 4)
Emergency Services SA     Full-text available via subscription   (Followers: 2)
Ensaios e Ciência: Ciências Biológicas, Agrárias e da Saúde     Open Access  
Environmental Disease     Open Access   (Followers: 2)
Environmental Sciences Europe     Open Access   (Followers: 1)
Epidemics     Open Access   (Followers: 4)
Epidemiologic Perspectives & Innovations     Open Access   (Followers: 5)
Epidemiology, Biostatistics and Public Health     Open Access   (Followers: 18)
Ethics, Medicine and Public Health     Full-text available via subscription   (Followers: 4)
Ethiopian Journal of Health Development     Open Access   (Followers: 8)
Ethiopian Journal of Health Sciences     Open Access   (Followers: 7)
Ethnicity & Health     Hybrid Journal   (Followers: 13)
Eurasian Journal of Health Technology Assessment     Open Access  
European Journal of Investigation in Health, Psychology and Education     Open Access   (Followers: 2)
European Medical, Health and Pharmaceutical Journal     Open Access  
Evaluation & the Health Professions     Hybrid Journal   (Followers: 10)
Evidence-based Medicine & Public Health     Open Access   (Followers: 6)
Evidência - Ciência e Biotecnologia - Interdisciplinar     Open Access  
Expressa Extensão     Open Access  
Face à face     Open Access   (Followers: 1)
Families, Systems, & Health     Full-text available via subscription   (Followers: 8)
Family & Community Health     Partially Free   (Followers: 12)
Family Medicine and Community Health     Open Access   (Followers: 6)
Family Relations     Partially Free   (Followers: 11)
Fatigue : Biomedicine, Health & Behavior     Hybrid Journal   (Followers: 2)
Food and Public Health     Open Access   (Followers: 12)
Food Quality and Safety     Open Access  
Frontiers in Public Health     Open Access   (Followers: 6)
Gaceta Sanitaria     Open Access   (Followers: 3)
Galen Medical Journal     Open Access  
Gazi Sağlık Bilimleri Dergisi     Open Access  
Geospatial Health     Open Access  
Gesundheitsökonomie & Qualitätsmanagement     Hybrid Journal   (Followers: 9)
Giornale Italiano di Health Technology Assessment     Full-text available via subscription  
Global Health : Science and Practice     Open Access   (Followers: 6)
Global Health Promotion     Hybrid Journal   (Followers: 15)
Global Journal of Health Science     Open Access   (Followers: 10)
Global Journal of Public Health     Open Access   (Followers: 13)
Global Medical & Health Communication     Open Access   (Followers: 2)
Global Mental Health     Open Access   (Followers: 7)
Global Security : Health, Science and Policy     Open Access   (Followers: 1)
Globalization and Health     Open Access   (Followers: 5)
Hacia la Promoción de la Salud     Open Access  
Hastane Öncesi Dergisi     Open Access  
Hastings Center Report     Hybrid Journal   (Followers: 3)
HEADline     Hybrid Journal  
Health & Place     Hybrid Journal   (Followers: 15)
Health & Justice     Open Access   (Followers: 5)
Health : An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine     Hybrid Journal   (Followers: 7)
Health and Human Rights     Free   (Followers: 9)
Health and Social Care Chaplaincy     Hybrid Journal   (Followers: 7)
Health and Social Work     Hybrid Journal   (Followers: 55)
Health Behavior and Policy Review     Full-text available via subscription   (Followers: 3)
Health Care Analysis     Hybrid Journal   (Followers: 15)
Health Inform     Full-text available via subscription  
Health Information Management Journal     Hybrid Journal   (Followers: 17)
Health Issues     Full-text available via subscription   (Followers: 2)
Health Notions     Open Access  
Health Policy     Hybrid Journal   (Followers: 42)
Health Policy and Technology     Hybrid Journal   (Followers: 4)
Health Professional Student Journal     Open Access   (Followers: 2)
Health Promotion International     Hybrid Journal   (Followers: 21)
Health Promotion Journal of Australia : Official Journal of Australian Association of Health Promotion Professionals     Full-text available via subscription   (Followers: 8)
Health Promotion Practice     Hybrid Journal   (Followers: 16)
Health Prospect     Open Access   (Followers: 1)
Health Psychology     Full-text available via subscription   (Followers: 50)
Health Psychology Research     Open Access   (Followers: 19)
Health Psychology Review     Hybrid Journal   (Followers: 40)
Health Renaissance     Open Access  
Health Research Policy and Systems     Open Access   (Followers: 13)
Health SA Gesondheid     Open Access   (Followers: 2)
Health Science Reports     Open Access  
Health Sciences and Disease     Open Access   (Followers: 2)
Health Services Insights     Open Access   (Followers: 1)
Health Systems     Hybrid Journal   (Followers: 4)
Health Voices     Full-text available via subscription  
Health, Culture and Society     Open Access   (Followers: 12)
Health, Risk & Society     Hybrid Journal   (Followers: 12)
Health, Safety and Environment     Open Access   (Followers: 21)
Healthcare     Open Access   (Followers: 3)
Healthcare in Low-resource Settings     Open Access   (Followers: 1)
Healthcare Quarterly     Full-text available via subscription   (Followers: 8)
Healthcare Technology Letters     Open Access  
HERD : Health Environments Research & Design Journal     Full-text available via subscription  
Highland Medical Research Journal     Full-text available via subscription  
Hispanic Health Care International     Full-text available via subscription  
HIV & AIDS Review     Full-text available via subscription   (Followers: 12)
Home Health Care Services Quarterly     Hybrid Journal   (Followers: 6)
Hong Kong Journal of Social Work, The     Hybrid Journal   (Followers: 2)
Hospitals & Health Networks     Free   (Followers: 4)
IEEE Journal of Translational Engineering in Health and Medicine     Open Access   (Followers: 3)
IMTU Medical Journal     Full-text available via subscription  
Indian Journal of Health Sciences     Open Access   (Followers: 3)
Indonesian Journal for Health Sciences     Open Access   (Followers: 1)
Indonesian Journal of Public Health     Open Access  
Infodir : Revista de Información científica para la Dirección en Salud     Open Access  
Inmanencia. Revista del Hospital Interzonal General de Agudos (HIGA) Eva Perón     Open Access  
Innovative Journal of Medical and Health Sciences     Open Access  
Institute for Security Studies Papers     Full-text available via subscription   (Followers: 2)
interactive Journal of Medical Research     Open Access  
International Archives of Health Sciences     Open Access  
International Health     Hybrid Journal   (Followers: 5)
International Journal for Equity in Health     Open Access   (Followers: 6)
International Journal for Quality in Health Care     Hybrid Journal   (Followers: 34)

        1 2 3 | Last

Journal Cover International Journal for Quality in Health Care
  Journal Prestige (SJR): 1.593
  Citation Impact (citeScore): 69
  Number of Followers: 34  
    
   Hybrid Journal Hybrid journal (It can contain Open Access articles)
   ISSN (Print) 1353-4505 - ISSN (Online) 1464-3677
   Published by Oxford University Press Homepage  [396 journals]
  • Spanish Abstracts*
    • PubDate: Mon, 04 Jun 2018 00:00:00 GMT
      DOI: 10.1093/intqhc/mzy117
      Issue No: Vol. 30, No. 4 (2018)
       
  • Simplified Chinese Abstracts*
    • PubDate: Mon, 04 Jun 2018 00:00:00 GMT
      DOI: 10.1093/intqhc/mzy119
      Issue No: Vol. 30, No. 4 (2018)
       
  • Traditional Chinese Abstracts*
    • PubDate: Mon, 04 Jun 2018 00:00:00 GMT
      DOI: 10.1093/intqhc/mzy120
      Issue No: Vol. 30, No. 4 (2018)
       
  • Japanese Abstracts*
    • PubDate: Mon, 04 Jun 2018 00:00:00 GMT
      DOI: 10.1093/intqhc/mzy096
      Issue No: Vol. 30, No. 4 (2018)
       
  • Portuguese Abstracts*
    • PubDate: Mon, 04 Jun 2018 00:00:00 GMT
      DOI: 10.1093/intqhc/mzy118
      Issue No: Vol. 30, No. 4 (2018)
       
  • Using routinely available data and statistical methods to monitor and
           evaluate quality of care
    • Authors: Chen W.
      Pages: 243 - 243
      PubDate: Wed, 28 Mar 2018 00:00:00 GMT
      DOI: 10.1093/intqhc/mzy039
      Issue No: Vol. 30, No. 4 (2018)
       
  • The representation of vulnerable populations in quality improvement
           studies
    • Authors: Rolnitsky A; Kirtsman M, Goldberg H, et al.
      Pages: 244 - 249
      Abstract: PurposeA mapping review to quantify representation of vulnerable populations, who suffer from disparity and often inequitable healthcare, in quality improvement (QI) research.Data sourcesStudies published in 2004–2014 inclusive from Medline, Embase and Cochrane databases for English language research with the terms ‘quality improvement’ or ‘quality control’ or ‘QI’ and ‘plan-do-study-act’ or ‘PDSA’ in the years 2004–2014 inclusively.Study selectionPublished clinical research that was a QI-themed, as identified by its declared search terms, MESH terms, abstract or title.Data extractionThree reviewers identified the eligible studies independently. Excluded were publications that were not trials, evaluations or analyses.Results of data synthesisOf 2039 results, 1660 were eligible for inclusion. There were 586 (33.5%) publications that targeted a specific vulnerable population: children (184, 10.54%), mental health patients (125, 7.16%), the elderly (100, 5.73%), women (57, 3.27%), the poor (30, 1.72%), rural residents (29, 1.66%), visible minorities (27, 1.55%), the terminally ill (17, 0.97%), adolescents (16, 0.92%) and prisoners (1 study). Seventy-four articles targeted two or more vulnerable populations, and 11 targeted three population categories. On average, there were 158 QI research studies published per year, increasing from 69 in 2004 to 396 in 2014 (R2 = 0.7, P < 0.001). The relative representation of vulnerable populations had a mean of 33.58% and was stable over the time period (standard deviation (SD) = 5.9%, R2 = 0.001). Seven countries contributed to over 85% of the publications targeting vulnerable populations, with the USA contributing 62% of the studies.ConclusionsOver 11 years, there has been a marked increase in QI publications. Roughly one-third of all published QI research is on vulnerable populations, a stable proportion over time. Nevertheless, some vulnerable populations are under-represented. Increased education, resources and attention are encouraged to improve the health of vulnerable populations through focused QI initiatives.
      PubDate: Tue, 13 Feb 2018 00:00:00 GMT
      DOI: 10.1093/intqhc/mzy016
      Issue No: Vol. 30, No. 4 (2018)
       
  • Improvement of emergency department patient flow using lean thinking
    • Authors: Sánchez M; SUÁREZ M, ASENJO M, et al.
      Pages: 250 - 256
      Abstract: ObjectiveTo apply lean thinking in triage acuity level-3 patients in order to improve emergency department (ED) throughtput and waiting time.DesignA prospective interventional study.SettingAn ED of a tertiary care hospital.ParticipantsTriage acuity level-3 patients.Intervention(s)To apply lean techniques such as value stream mapping, workplace organization, reduction of wastes and standardization by the frontline staff.Main Outcome Measure(s)Two periods were compared: (i) pre-lean: April–September, 2015; and (ii) post-lean: April–September, 2016. Variables included: median process time (time from beginning of nurse preparation to the end of nurse finalization after doctor disposition) of both discharged and transferred to observation patients; median length of stay; median waiting time; left without being seen, 72-h revisit and mortality rates, and daily number of visits. There was no additional staff or bed after lean implementation.ResultsDespite an increment in the daily number of visits (+8.3%, P < 0.001), significant reductions in process time of discharged (182 vs 160 min, P < 0.001) and transferred to observation (186 vs 176 min, P < 0.001) patients, in length of stay (389 vs 329 min, P < 0.001), and in waiting time (71 vs 48 min, P < 0.001) were achieved after lean implementation. No significant differences were registered in left without being seen rate (5.23% vs 4.95%), 72-h revisit rate (3.41% vs 3.93%), and mortality rate (0.23% vs 0.15%).ConclusionLean thinking is a methodology that can improve triage acuity level-3 patient flow in the ED, resulting in better throughput along with reduced waiting time.
      PubDate: Tue, 13 Feb 2018 00:00:00 GMT
      DOI: 10.1093/intqhc/mzy017
      Issue No: Vol. 30, No. 4 (2018)
       
  • Implementation status of morbidity and mortality conferences in Swiss
           hospitals: a national cross-sectional survey study
    • Authors: Praplan-Rudaz I; Pfeiffer Y, Schwappach D.
      Pages: 257 - 264
      Abstract: ObjectiveTo determine the implementation status and current practice of morbidity and mortality conferences (M&MCs) in Switzerland.DesignA national cross-sectional online survey was conducted in spring 2017. The questionnaire focused on overall goals, structure and procedures of hospital M&MCs. Further topics included satisfaction, perceived effectiveness and support requirements.SettingA total of 913 chief physicians of surgery and internal medicine, and specialist fields of obstetrics and gynaecology, anaesthesiology and intensive care from Swiss acute care hospitals were invited to the survey. 321 completed the questionnaire, resulting in a 35.2% response rate.ParticipantsChief or senior physicians in charge of the M&MCs in their department.InterventionNo interventionMain Outcome MeasuresNumbers and percentages of M&MCs within the surveyed disciplines fulfilling certain characteristics and procedural features.ResultsAmong 321 respondents, the majority are conducting M&MCs in their departments. Within and between the medical disciplines considerable heterogeneity was found in structural and procedural features of M&MCs. Only a small part of the reported M&MCs is following a systematic approach and meeting recommended procedural features. Although the respondents are satisfied and perceive the M&MCs as an efficient tool, they agree that there is a need for professionalization and standardization.ConclusionM&MCs are widely used to promote medical education, patient safety and quality improvements. However, the term M&MC seems to cover different types of meetings. Although the overall goals are similar, various types of M&MCs are used in practice and different objectives are pursued. Tools such as checklists, guidelines and templates are considered helpful.
      PubDate: Tue, 16 Jan 2018 00:00:00 GMT
      DOI: 10.1093/intqhc/mzx204
      Issue No: Vol. 30, No. 4 (2018)
       
  • Assessing functional status after intensive care unit stay: the Barthel
           Index and the Katz Index
    • Authors: Silveira L; Silva J, Soler J, et al.
      Pages: 265 - 270
      Abstract: ObjectiveTo assess the functional status of post-ICU patients using the Barthel Index (BI) and the Katz Index (KI) and to assess which is more suitable for this population.DesignRetrospective longitudinal study.SettingPublic tertiary hospital in São Paulo (Brazil).ParticipantsPatients aged ≥18 years old, admitted to ICU, who were treated with mechanical ventilation (MV) ≥ 24 h and were discharged to ward.Exclusion criteriaInability to answer the BI and the KI; limiting neurological or orthopaedic conditions; ICU stay ≥90 days. Patients transferred to or from other hospitals or who died in the wards were not analysed.InterventionBI and KI were scored pre-ICU and post-ICU and the variation was calculated.Main Outcome MeasuresBI and KI scores were compared using analysis based on item response theory (IRT), using degree of difficulty and discriminating items as parameters.ResultsMedian age was 52 years old, median APACHE II score was 15. Median ICU stay was 11 days and median MV duration was 4 days. BI variation was 44% and KI variation was 55%. In IRT analysis, BI considered a larger number of items with different levels of difficulty.ConclusionBoth the BI and the KI revealed significant deterioration of functional status after ICU discharge. The IRT analysis suggested that the Barthel Index might be a better scale than the Katz Index for the assessment of functional status of patients discharged from ICU, since it presented better discrimination of the ability to carry out the tasks.
      PubDate: Sat, 27 Jan 2018 00:00:00 GMT
      DOI: 10.1093/intqhc/mzx203
      Issue No: Vol. 30, No. 4 (2018)
       
  • Using statistical process control methods to trace small changes in
           perinatal mortality after a training program in a low-resource setting
    • Authors: Mduma E; Ersdal H, Kvaloy J, et al.
      Pages: 271 - 275
      Abstract: ObjectiveTo trace and document smaller changes in perinatal survival over time.DesignProspective observational study, with retrospective analysis.SettingLabor ward and operating theater at Haydom Lutheran Hospital in rural north-central Tanzania.ParticipantsAll women giving birth and birth attendants.InterventionHelping Babies Breathe (HBB) simulation training on newborn care and resuscitation and some other efforts to improve perinatal outcome.Main outcome measurePerinatal survival, including fresh stillbirths and early (24-h) newborn survival.ResultThe variable life-adjusted plot and cumulative sum chart revealed a steady improvement in survival over time, after the baseline period. There were some variations throughout the study period, and some of these could be linked to different interventions and events.ConclusionTo our knowledge, this is the first time statistical process control methods have been used to document changes in perinatal mortality over time in a rural Sub-Saharan hospital, showing a steady increase in survival. These methods can be utilized to continuously monitor and describe changes in patient outcomes.
      PubDate: Sat, 27 Jan 2018 00:00:00 GMT
      DOI: 10.1093/intqhc/mzy003
      Issue No: Vol. 30, No. 4 (2018)
       
  • Short- and long-term effects of clinical pathway on the quality of
           surgical non-small cell lung cancer care in China: an interrupted time
           series study
    • Authors: Wang X; Su S, Jiang H, et al.
      Pages: 276 - 282
      Abstract: ObjectiveTo examine the short- and long-term effect of clinical pathway for non-small cell lung cancer surgery on the length of stay, the compliance of quality indicators and risk-adjusted post-operative complication rate.DesignA retrospective quasi-experimental study from June 2011 to October 2015.SettingA tertiary cancer hospital in China.ParticipantsPatients diagnosed as non-small cell lung cancer who underwent curative resection.Intervention(s)Clinical pathway was implemented at January 2013. Hence, the study period was divided into three periods: pre-pathway, from June 2011 to December 2012; short-term period, from January 2013 to December 2013; long-term period, from January 2014 to October 2015.Main Outcome Measure(s)Three length of hospital stay indicators, four process performance indicators and one outcome indicator.ResultsITS showed there was a significant decline of 2 days (P = 0.0421) for total length of stay and 2.23 days (P = 0.0199) for post-operative length of stay right after the implementation of clinical pathway. Short-term level changes were found in the compliance rate of required number of lymph node sampling (−8.08%, P = 0.0392), and risk-adjusted complication rate (9.02%, P = 0.0001). There were no statistically significant changes in other quality of care indicators.ConclusionsThe clinical pathway had a positive impact on the length of stay but showed a transient negative effect on complication rate and the quality of lymph node sampling.
      PubDate: Thu, 01 Feb 2018 00:00:00 GMT
      DOI: 10.1093/intqhc/mzy004
      Issue No: Vol. 30, No. 4 (2018)
       
  • Loss of job-related right to healthcare is associated with reduced quality
           and clinical outcomes of diabetic patients in Mexico
    • Authors: Doubova S; Borja-Aburto V, Guerra-y-Guerra G, et al.
      Pages: 283 - 290
      Abstract: ObjectivesThe Mexican Institute of Social Security (IMSS) provides a package of health, economic and social benefits to workers employed in private firms within the formal labour market and to their economic dependants. Affiliates have a right to these benefits only while they remain contracted, thus posing a risk for the continuity of healthcare. This study evaluates the association between the time (in days) without the right to healthcare due to job loss in the formal labour market and the quality of healthcare and clinical outcomes among IMSS affiliates with Type 2 diabetes mellitus (T2DM).DesignRetrospective cohort study 2013–2015.SettingSix IMSS family medicine clinics (FMC) in Mexico City.ParticipantsT2DM patients (n = 27 217) affiliated with job-related health insurance and at least one consultation with a family doctor during 2013.Source of InformationIMSS affiliation department database and electronic health records and clinical laboratory databases.Main Outcome Measure(s)Quality of the processes (eight indicators) and outcomes (three indicators) of healthcare.ResultsThe results indicated that losing IMSS right to healthcare is frequent, occurring to one-third of T2DM patients during the follow-up period. The time without the right to healthcare in the observed period was of 120 days on average and was associated with a 43.2% loss of quality of care and a 19.2% reduction in clinical outcomes of T2DM.ConclusionPolicies aimed at ensuring access and continuity of care, regardless of job status, are critical for improving the quality of processes and outcomes of healthcare for diabetic patients.
      PubDate: Thu, 08 Feb 2018 00:00:00 GMT
      DOI: 10.1093/intqhc/mzy012
      Issue No: Vol. 30, No. 4 (2018)
       
  • Measuring care transitions in Sweden: validation of the care transitions
           measure
    • Authors: Flink M; Tessma M, Cvancarova Småstuen M, et al.
      Pages: 291 - 297
      Abstract: ObjectiveTo translate and assess the validity and reliability of the original American Care Transitions Measure, both the 15-item and the shortened 3-item versions, in a sample of people in transition from hospital to home within Sweden.DesignTranslation of survey items, evaluation of psychometric properties.SettingTen surgical and medical wards at five hospitals in Sweden.ParticipantsPatients discharged from surgical and medical wards.Main outcome measurePsychometric properties of the Swedish versions of the 15-item (CTM-15) and the 3-item (CTM-3) Care Transition Measure.ResultsWe compared the fit of nine models among a sample of 194 Swedish patients. Cronbach’s alpha was 0.946 for CTM-15 and 0.74 for CTM-3. The model indices for CTM-15 and CTM-3 were strongly indicative of inferior goodness-of-fit between the hypothesized one-factor model and the sample data. A multidimensional three-factor model revealed a better fit compared with CTM-15 and CTM-3 one factor models. The one-factor solution, representing 4 items (CTM-4), showed an acceptable fit of the data, and was far superior to the one-factor CTM-15 and CTM-3 and the three-factor multidimensional models. The Cronbach’s alpha for CTM-4 was 0.85.ConclusionsCTM-15 with multidimensional three-factor model was a better model than both CTM-15 and CTM-3 one-factor models. CTM-4 is a valid and reliable measure of care transfer among patients in medical and surgical wards in Sweden. It seems the Swedish CTM is best represented by the short Swedish version (CTM-4) unidimensional construct.
      PubDate: Thu, 08 Feb 2018 00:00:00 GMT
      DOI: 10.1093/intqhc/mzy001
      Issue No: Vol. 30, No. 4 (2018)
       
  • EQ-5D-Y for the assessment of health-related quality of life among
           Taiwanese youth with mild-to-moderate chronic kidney disease
    • Authors: Hsu C; Lin H, Pickard A, et al.
      Pages: 298 - 305
      Abstract: ObjectiveTo assess if health-related quality of life (HRQOL) of children with chronic kidney disease (CKD) and different comorbid conditions can be identified based on the EQ-5D child-friendly version (EQ-5D-Y).DesignProspective cross-sectional study.SettingA tertiary care medical center in Taiwan.Study participantsAll CKD patients aged 7–18 years treated at the center between May 2014 and December 2016.Main Outcome MeasuresHRQOL assessment was done using EQ-5D-Y. Spearman correlation tests were used for construct validity of the traditional Chinese version of EQ-5D-Y. Test-retest reliability was determined through Cohen’s kappa values and intraclass correlation coefficients (ICC). Laboratory results and CKD-related morbid conditions were ascertained and assessed their associations with HRQOL score using multivariate linear regression.ResultsOf 68 participants, 53 of them completed two HRQOL assessments of HRQOL at least 6-month. Cross-sectional analysis revealed fair to moderate correlations between EQ visual analogue score and patient characteristics. Older children at assessment (P < 0.01), girls (P = 0.03) and presence of mineral bone disorders had a significantly negative impact on HRQOL. Children self-reported EQ-5D-Y dimensions were found to be fairly to highly reliable (kappa = 0.2 to 0.8), except for ‘pain/discomfort’ and ‘anxiety/depression’.ConclusionsThe EQ-5D-Y discriminated among children with different level of CKD-related clinical burden, but the psychometric properties may be limited in some HRQOL dimensions. Further research will need to address factors that may threaten validity and reliability data provided by children and adolescents.
      PubDate: Tue, 13 Feb 2018 00:00:00 GMT
      DOI: 10.1093/intqhc/mzy011
      Issue No: Vol. 30, No. 4 (2018)
       
  • Quality of care and variability in lung cancer management across Belgian
           hospitals: a population-based study using routinely available data
    • Authors: Vrijens F; De Gendt C, Verleye L, et al.
      Pages: 306 - 312
      Abstract: ObjectiveTo evaluate the quality of care for all patients diagnosed with lung cancer in Belgium based on a set of evidence-based quality indicators and to study the variability of care between hospitals.Design, Setting, ParticipantsA retrospective study based on linked data from the cancer registry, insurance claims and vital status for all patients diagnosed with lung cancer between 2010 and 2011. Evidence-based quality indicators were identified from a systematic literature search. A specific algorithm to attribute patients to a centre was developed, and funnel plots were used to assess variability of care between centres.InterventionNone.Main outcome measureThe proportion of patients who received appropriate care as defined by the indicator. Secondary outcome included the variability of care between centres.ResultsTwenty indicators were measured for a total of 12 839 patients. Good results were achieved for 60-day post-surgical mortality (3.9%), histopathological confirmation of diagnosis (93%) and for the use of PET-CT before treatment with curative intent (94%). Areas to be improved include the reporting of staging information to the Belgian Cancer Registry (80%), the use of brain imaging for clinical stage III patients eligible for curative treatment (79%), and the time between diagnosis and start of first active treatment (median 20 days). High variability between centres was observed for several indicators. Twenty-three indicators were found relevant but could not be measured.ConclusionThis study highlights the feasibility to develop a multidisciplinary set of quality indicators using population-based data. The main advantage of this approach is that not additional registration is required, but the non-measurability of many relevant indicators is a hamper. It allows however to easily point to areas of large variability in care.
      PubDate: Thu, 01 Mar 2018 00:00:00 GMT
      DOI: 10.1093/intqhc/mzy027
      Issue No: Vol. 30, No. 4 (2018)
       
  • I am quitting my job. Specialist nurses in perioperative context and their
           experiences of the process and reasons to quit their job
    • Authors: Lögde A; Rudolfsson G, Broberg R, et al.
      Pages: 313 - 320
      Abstract: The lack of specialist nurses in operating theatres is a serious problem. The aim of this study was to describe reasons why specialist nurses in perioperative care chose to leave their workplaces and to describe the process from the thought to the decision. Twenty specialist nurses (i.e. anaesthesia, NA, and operating room nurses) from seven university- and county hospitals in Sweden participated in qualitative individual in-depth interviews. Data were analysed by systematic text condensation. We identified four themes of reasons why specialist nurses quitted their jobs: the head nurses’ betrayal and dismissive attitude, and not feeling needed; inhumane working conditions leading to the negative health effects; not being free to decide about one’s life and family life being more important than work; and, colleagues’ diminishing behaviour. Leaving one’s job was described as a process and specialist nurses had thought about it for some time. Two main reasons were described; the head nurse manager’s dismissive attitude and treatment of their employees and colleagues’ mistreatment and colleagues’ diminishing behaviour. Increasing knowledge on the role of the head nurse managers in specialist nurses’ decision making for leaving their workplace, and creating a friendly, non-violent workplace, may give the opportunity for them to take action before it is too late.
      PubDate: Tue, 06 Mar 2018 00:00:00 GMT
      DOI: 10.1093/intqhc/mzy023
      Issue No: Vol. 30, No. 4 (2018)
       
  • Development of Saudi e-health literacy scale for chronic diseases in Saudi
           Arabia: using integrated health literacy dimensions
    • Authors: Zakaria N; AlFakhry O, Matbuli A, et al.
      Pages: 321 - 328
      Abstract: ObjectiveHealth literacy has become a global issue, and it is important that patients and individuals are able to use information technology to access health information and educational services. The research objective is to develop a Saudi e-health literacy scale (SeHL) for measuring e-health literacy among Saudis suffering from non-communicable diseases (NCD).MethodsOverall, 14 relevant papers in related interdisciplinary fields were reviewed to select the most useful literacy dimensions. From these articles, we extracted the most common dimensions used to measure e-health literacy across the disciplines. Multiple workshops with multidisciplinary team members reviewed and evaluated items for SeHL.ResultsFour key aspects of e-health literacy—use of technology/media, information-seeking, usefulness and confidence—were identified and integrated as e-health literacy dimensions. These will be used to measure e-health literacy among Saudi patients with NCDs. A translation from Arabic to English was performed in order to ensure that translation process was accurate. A SeHL scale was developed to measure e-health literacy among Saudi patients. By understanding e-health literacy levels, we will be able to create a patient-education system to be used by patients in Saudi Arabia.ConclusionsAs information technology is increasingly used by people of all ages all over the world, e-health literacy has been identified as a key factor in determining health outcomes. To date, no comprehensive scale exists to assess e-health literacy levels among speakers of Arabic, particularly among people with NCD such as diabetes, cardiovascular diseases and hypertension.
      PubDate: Sat, 24 Mar 2018 00:00:00 GMT
      DOI: 10.1093/intqhc/mzy033
      Issue No: Vol. 30, No. 4 (2018)
       
  • De-freezing frozen patient management
    • Authors: Kobo-Greenhut A; SHNIFI A, TAL-OR E, et al.
      Pages: 329 - 329
      PubDate: Thu, 01 Feb 2018 00:00:00 GMT
      DOI: 10.1093/intqhc/mzy010
      Issue No: Vol. 30, No. 4 (2018)
       
 
 
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