Journal of Health Services Research and Policy
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How to review a paper
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Peer review is integral to assuring the quality of papers that are published in the scientific literature. Many health professionals at some point in their career will be invited by a journal editor to review a manuscript that has been submitted for publication. What resources are available on the web to support reviewers in this task? This edition of ‘What's on the web’ pulls together some of the essential websites that provide guidance, tips, background information and current debates about the process of peer review.
If you would like to alert readers to useful web pages or suggest topics for this column, pl...
Source: Journal of Health Services Research and Policy - September 17, 2009 Category: Health Management Authors: Harden, M., Wright, K., Misso, K. Tags: What's on the web? Source Type: journals
Images in health care: potential and problems
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Although communication issues within health care have received greater research and policy attention in recent years, one growing aspect of such communication has been largely overlooked. In this paper we suggest that visual forms of communication, at both the individual and population level, are increasingly used and relied upon. This seems appropriate given a general shift towards a more visual and visually literate society, and the potential of images to convey complex information and influence both beliefs and emotion. However, we also argue that the widespread use of such a potentially powerful tool necessitates a sol...
Source: Journal of Health Services Research and Policy - September 17, 2009 Category: Health Management Authors: Williams, B., Cameron, L. Tags: Perspective Source Type: journals
Assessment and accountability
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(Source: Journal of Health Services Research and Policy)
Source: Journal of Health Services Research and Policy - September 17, 2009 Category: Health Management Authors: Relman, A. Tags: Worth a second look Source Type: journals
Equity in the distribution of community pharmacies in England: impact of regulatory reform
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Conclusion
Deregulation was associated with more community pharmacies per capita and a small increase in geographic equity of community pharmacy distribution at PCT level. Future research should continue to monitor how pharmacy distribution changes over time and assess the extent to which the new regulatory framework has allowed clustering of pharmacies which could result in increased inequity below PCT level. (Source: Journal of Health Services Research and Policy)
Source: Journal of Health Services Research and Policy - September 17, 2009 Category: Health Management Authors: Wagner, A., Hann, M., Noyce, P., Ashcroft, D. Tags: Original research Source Type: journals
Evaluation of the impact of program budgeting and marginal analysis in Vancouver Island Health Authority
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Conclusion
Faced with claims that typically outstrip available resources, health care decision-makers need a process to guide allocation decisions. PBMA has demonstrated at VIHA an ability to handle some of the key issues associated with this challenge. Our analysis has produced lessons that should facilitate future implementation but has also shown that resource allocation criteria selection and the extent of executive discretion are likely to be ongoing challenges. (Source: Journal of Health Services Research and Policy)
Source: Journal of Health Services Research and Policy - September 17, 2009 Category: Health Management Authors: Dionne, F., Mitton, C., Smith, N., Donaldson, C. Tags: Original research Source Type: journals
A Bayesian method for the synthesis of evidence from qualitative and quantitative reports: the example of antiretroviral medication adherence
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Conclusions
The utility of Bayesian methods for synthesizing qualitative and quantitative research findings at the participant level may depend on the nature of the relationship being synthesized and on how well the findings are represented in the individual reports. (Source: Journal of Health Services Research and Policy)
Source: Journal of Health Services Research and Policy - September 17, 2009 Category: Health Management Authors: Voils, C., Hassselblad, V., Crandell, J., Chang, Y., Lee, E., Sandelowski, M. Tags: Original research Source Type: journals
Commentary: Motes, beams and evidence-based practice
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(Source: Journal of Health Services Research and Policy)
Source: Journal of Health Services Research and Policy - September 17, 2009 Category: Health Management Authors: Fisher, P., Katz, D. Tags: Original research Source Type: journals
Evidence-based practice in British complementary and alternative medicine: double standards?
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Conclusions
This discloses double standards in UK health care which may compromise patient safety. (Source: Journal of Health Services Research and Policy)
Source: Journal of Health Services Research and Policy - September 17, 2009 Category: Health Management Authors: Hunt, K., Ernst, E. Tags: Original research Source Type: journals
'There are too many of us to fix.' Patients' views of acceptable waiting times for hip and knee replacement
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Conclusions
Patients' views of acceptable waiting times are important for a fair process of establishing waiting time benchmarks for joint replacement. (Source: Journal of Health Services Research and Policy)
Source: Journal of Health Services Research and Policy - September 17, 2009 Category: Health Management Authors: Conner-Spady, B., Sanmartin, C., Johnston, G., McGurran, J., Kehler, M., Noseworthy, T. Tags: Original research Source Type: journals
Bringing genetics into primary care: findings from a national evaluation of pilots in England
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Conclusions
More wide-ranging policy and organizational support is required if the aim of entrenching genetics knowledge and practice across the Health Service is to be realized. (Source: Journal of Health Services Research and Policy)
Source: Journal of Health Services Research and Policy - September 17, 2009 Category: Health Management Authors: Martin, G., Currie, G., Finn, R. Tags: Original research Source Type: journals
What medical specialists like and dislike about health technology assessment reports
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Conclusions
HTA producers cannot afford to overlook medical specialists who play a key role in the adoption of health technologies. Establishing a transparent dialogue between producers and users of HTA reports could enrich policy recommendations. (Source: Journal of Health Services Research and Policy)
Source: Journal of Health Services Research and Policy - September 17, 2009 Category: Health Management Authors: Lehoux, P., Hivon, M., Denis, J.-L., Tailliez, S. Tags: Original research Source Type: journals
Evidence-based design of health care facilities
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(Source: Journal of Health Services Research and Policy)
Source: Journal of Health Services Research and Policy - September 17, 2009 Category: Health Management Authors: Codinhoto, R., Aouad, G., Kagioglou, M., Tzortzopoulos, P., Cooper, R. Tags: Editorials Source Type: journals
The theory and practice of markets in health care
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(Source: Journal of Health Services Research and Policy)
Source: Journal of Health Services Research and Policy - September 17, 2009 Category: Health Management Authors: Ham, C., Ellins, J., Parker, H. Tags: Editorials Source Type: journals
National clinical guidance
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(Source: Journal of Health Services Research and Policy)
Source: Journal of Health Services Research and Policy - June 17, 2009 Category: Health Management Authors: Harden, M., Light, K., Misso, K. Tags: What's on the web? Source Type: journals
In praise of chiropractic
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The rationales used in chiropractic are largely in keeping with current evidence-based guidance. When listening to debates for and against the scientific basis of chiropractic, it is important to be aware of the selective use of evidence on both sides and of the limitations of logical positivistic arguments when it comes to health care areas that have a substantial psychosocial component. (Source: Journal of Health Services Research and Policy)
Source: Journal of Health Services Research and Policy - June 17, 2009 Category: Health Management Authors: Breen, A. Tags: Perspective Source Type: journals
UK chiropractic: regulated but unruly
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Since 1994 chiropractic has been regulated by statute in the UK. Despite this air of respectability, a range of important problems continue to bedevil this profession. Professional organizations of chiropractic and their members make numerous claims which are not supported by sound evidence. Many chiropractors adhere to concepts which fly in the face of science and most seem to regularly violate important principles of ethical behaviour. The advice chiropractors give to their clients is often dangerously misleading. If chiropractic in the UK is to grow into an established health care profession, the General Chiropractic Co...
Source: Journal of Health Services Research and Policy - June 17, 2009 Category: Health Management Authors: Ernst, E. Tags: Perspective Source Type: journals
Measuring the quality of medical care
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(Source: Journal of Health Services Research and Policy)
Source: Journal of Health Services Research and Policy - June 17, 2009 Category: Health Management Authors: Holland, W. Tags: Worth a second look Source Type: journals
What is the relationship between patients' and clinicians' reports of the outcomes of elective surgery?
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Conclusions
Patients' views of their level of disability reflect clinicians' views and can be relied upon to assess this dimension of health status. In addition, patients are the ‘gold standard’ judges of symptoms and quality of life. Given these findings, clinicians, provider managers, commissioners and politicians can be confident that patients' reports provide an accurate indication of the outcome of elective surgery. (Source: Journal of Health Services Research and Policy)
Source: Journal of Health Services Research and Policy - June 17, 2009 Category: Health Management Authors: Bream, E., Black, N. Tags: Review Source Type: journals
Reducing waiting times for hospital treatment: lessons from the English NHS
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In recent years, the English NHS has achieved substantial reductions in waiting times for hospital treatment. This paper considers first whether the data used by the Government provide an accurate description of changes in waiting times and identifies some of the limitations of the measures used. It then attempts to identify how reductions have been achieved. It argues that some features of central government policy have been important – such as the use of targets – others, such as the introduction of new private sector capacity have not. It also shows that changes at local level have been critical to achieving...
Source: Journal of Health Services Research and Policy - June 17, 2009 Category: Health Management Authors: Harrison, A., Appleby, J. Tags: Essay Source Type: journals
Tackling climate change close to home: mobile breast screening as a model
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Conclusions
Decentralizing health care delivery can potentially provide substantial reductions in emissions at the same time as improving the patient experience. Thus, the ‘care close to home’ agenda can simultaneously improve health outcomes and the environment. (Source: Journal of Health Services Research and Policy)
Source: Journal of Health Services Research and Policy - June 17, 2009 Category: Health Management Authors: Bond, A., Jones, A., Haynes, R., Tam, M., Denton, E., Ballantyne, M., Curtin, J. Tags: Original research Source Type: journals
Developing a framework for transferring knowledge into action: a thematic analysis of the literature
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Conclusion
Our framework provides a foundation for gathering evidence from case studies of knowledge transfer interventions. We propose that future empirical work is designed to test and refine the relevance, importance and applicability of each of the components in order to build a more useful model of knowledge transfer which can serve as a practical checklist for planning or evaluating knowledge transfer activities. (Source: Journal of Health Services Research and Policy)
Source: Journal of Health Services Research and Policy - June 17, 2009 Category: Health Management Authors: Ward, V., House, A., Hamer, S. Tags: Original research Source Type: journals
Patient and hospital characteristics associated with claims and compensations for patient injuries in coronary artery bypass grafting in Finland
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Conclusions
Although high-risk patients file a claim more frequently than low-risk patients, the latter have a higher probability of getting their claims accepted and receiving compensation. This risk pattern is probably a reflection of compensation practices related to patient injuries involving an infection. (Source: Journal of Health Services Research and Policy)
Source: Journal of Health Services Research and Policy - June 17, 2009 Category: Health Management Authors: Jarvelin, J., Rosenqvist, G., Hakkinen, U., Sintonen, H. Tags: Original research Source Type: journals
Delivering health care through community pharmacies: are working conditions deterring female pharmacists' participation?
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Conclusions
Family-friendly flexible work environments, adequate staffing levels and improved management support, might be more effective in increasing workforce participation than enhanced salary levels in this group of workers. (Source: Journal of Health Services Research and Policy)
Source: Journal of Health Services Research and Policy - June 17, 2009 Category: Health Management Authors: Gidman, W., Day, J., Hassell, K., Payne, K. Tags: Original research Source Type: journals
Sources of variation in the costs of health care for asthma patients in Australia
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Conclusions
Those with poorly-controlled asthma and the elderly require more carefully targeted strategies to improve their health and ensure appropriate use of resources. Access to appropriate services for those living outside of major cities should be improved. Co-payments for the middle-income groups and those living outside major cities should be reduced to improve equity in the use of services. (Source: Journal of Health Services Research and Policy)
Source: Journal of Health Services Research and Policy - June 17, 2009 Category: Health Management Authors: Kenny, P., Hall, J., King, M., Lancsar, E. Tags: Original research Source Type: journals
Paying for better outcomes - the English way
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(Source: Journal of Health Services Research and Policy)
Source: Journal of Health Services Research and Policy - June 17, 2009 Category: Health Management Authors: Sussex, J. Tags: Editorials Source Type: journals
Opportunity value
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(Source: Journal of Health Services Research and Policy)
Source: Journal of Health Services Research and Policy - June 17, 2009 Category: Health Management Authors: Gray, M., Porter, T. Tags: Editorials Source Type: journals
Health policy websites
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(Source: Journal of Health Services Research and Policy)
Source: Journal of Health Services Research and Policy - March 18, 2009 Category: Health Management Authors: Light, K., Misso, K. Tags: What's on the web? Source Type: journals
Myth: In health care, more is always better
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(Source: Journal of Health Services Research and Policy)
Source: Journal of Health Services Research and Policy - March 18, 2009 Category: Health Management Authors: Canadian Health Services Research Foundation Tags: Mythbusters Source Type: journals
Health services research: the gradual encroachment of ideas
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There is increasing pressure on researchers and research funding bodies to demonstrate the value of research. Simple approaches, consistent with the biomedical paradigm, based on relating the cost of research to its supposed impact are being investigated and adopted in laboratory and clinical research. While this may be appropriate in such research areas, it should not be applied to health services research which aims to alter the ways policy-makers and managers think about health, disease and health care or, as John Maynard Keynes put it, ‘the gradual encroachment of ideas’. By considering six fundamental assu...
Source: Journal of Health Services Research and Policy - March 18, 2009 Category: Health Management Authors: Black, N. Tags: Perspective Source Type: journals
Author's response
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(Source: Journal of Health Services Research and Policy)
Source: Journal of Health Services Research and Policy - March 18, 2009 Category: Health Management Authors: Spicker, P. Tags: Response Source Type: journals
Commentary on 'What is a priority?' by Paul Spicker
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(Source: Journal of Health Services Research and Policy)
Source: Journal of Health Services Research and Policy - March 18, 2009 Category: Health Management Authors: Hansen, P. Tags: Comment Source Type: journals
What is a priority?
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What does it mean to say that something is a ‘priority’? Priority setting is used to balance competing claims for resources, but the nature of the exercise is ambiguous. The priorities which are claimed might be for time, resources, process, rights or service. The setting of priorities might refer to importance, relative value, precedence, special status or lexical ordering. And there are different ways of ranking priorities including simple ordering, optimization, triage and satisficing. There is a fundamental distinction between preference rankings and precedence rankings, which can lead to strongly different...
Source: Journal of Health Services Research and Policy - March 18, 2009 Category: Health Management Authors: Spicker, P. Tags: Essay Source Type: journals
Partnerships for knowledge exchange in health services research, policy and practice
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Within the health services research community there is a growing strength of feeling that ongoing partnerships between researchers and decision-makers are critically important to effective transfer and exchange of knowledge generated from health services research. A body of literature is emerging around this idea that favours a particular model of partnership based on decision-maker involvement in research. This model is also gaining favour among health research funding bodies internationally. We argue that it is premature for the health services community to privilege any particular model of partnership between researcher...
Source: Journal of Health Services Research and Policy - March 18, 2009 Category: Health Management Authors: Mitchell, P., Pirkis, J., Hall, J., Haas, M. Tags: Essay Source Type: journals
Does the culture of a medical practice affect the clinical management of diabetes by primary care providers?
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Conclusions
Attention is beginning to focus on physician behavior in the context of different organizational environments. This study provides additional support for the suggestion that organization-level interventions (especially focused on practice culture) may offer an opportunity to reduce health care disparities and improve the quality of care. (Source: Journal of Health Services Research and Policy)
Source: Journal of Health Services Research and Policy - March 18, 2009 Category: Health Management Authors: Shackelton, R., Link, C., Marceau, L., McKinlay, J. Tags: Original research Source Type: journals
Impacts of case management for frail elderly people: a qualitative study
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Conclusion
Case management was highly valued by patients and their carers, but there were few major differences in outcomes between Evercare and other models. (Source: Journal of Health Services Research and Policy)
Source: Journal of Health Services Research and Policy - March 18, 2009 Category: Health Management Authors: Sheaff, R., Boaden, R., Sargent, P., Pickard, S., Gravelle, H., Parker, S., Roland, M. Tags: Original research Source Type: journals
Experience of continuity of care of patients with multiple long-term conditions in England
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Conclusions
Across a range of long-term conditions, patients' experiences of health care can be understood in terms of nuanced understandings of relational and management continuity. Continuity experiences, meanings and expectations, as well as barriers and facilitators, are influenced by the model of care rather than type of condition. (Source: Journal of Health Services Research and Policy)
Source: Journal of Health Services Research and Policy - March 18, 2009 Category: Health Management Authors: Cowie, L., Morgan, M., White, P., Gulliford, M. Tags: Original research Source Type: journals
Feasibility and cost of obtaining informed consent for essential review of medical records in large-scale health services research
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Conclusions
A high consent rate for review of medical notes is achievable but at a cost. There needs to be renewed debate about the automatic need for consent to review medical records where the chance of personal harm is negligible and the purpose of the review is to provide robust evidence to save lives, prevent needless suffering, and improve the effectiveness and efficiency of health care delivery. (Source: Journal of Health Services Research and Policy)
Source: Journal of Health Services Research and Policy - March 18, 2009 Category: Health Management Authors: Noble, S., Donovan, J., Turner, E., Metcalfe, C., Lane, A., Rowlands, M.-A., Neal, D., Hamdy, F., Ben-Shlomo, Y., Martin, R. Tags: Original research Source Type: journals
Tight budgetary control: a study of clinical department managers' perceptions in Swedish hospitals
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Conclusions
Perception of tight budgetary control by managers depends on both their personal characteristics and the financial situation of their departments. Differences between men and women, and doctors and non-doctors call for additional research about the possible impact of changes in the composition of clinical department managers on how budgetary responsibility is exercised. (Source: Journal of Health Services Research and Policy)
Source: Journal of Health Services Research and Policy - March 18, 2009 Category: Health Management Authors: Nylinder, P. Tags: Original research Source Type: journals
Unhealthy markets: financial crisis, fiscal crisis ... health care crisis?
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(Source: Journal of Health Services Research and Policy)
Source: Journal of Health Services Research and Policy - March 18, 2009 Category: Health Management Authors: Evans, R. Tags: Editorials Source Type: journals
Clinically integrated health care in the English NHS
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(Source: Journal of Health Services Research and Policy)
Source: Journal of Health Services Research and Policy - March 18, 2009 Category: Health Management Authors: Enthoven, A. Tags: Editorials Source Type: journals
How to find research before publication
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(Source: Journal of Health Services Research and Policy)
Source: Journal of Health Services Research and Policy - December 22, 2008 Category: Health Management Authors: Light, K., Misso, K., Stirk, L. Tags: What's on the web? Source Type: journals
Non-adherence to medicines: not solved but solvable
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Non-adherence to medicines is common, with convincing evidence for adverse effects on patient health and costs to health systems. At least half of reported non-adherence is intentional. An extensive body of research suggests that, while patient characteristics may contribute to this behaviour, key influences are linked to beliefs and experiences of an illness and its medicines. Characteristics of the health system such as patient–practitioner relationships and access are also significant drivers. Inadvertent effects of some policies, such as co-payments, reduce adherence. Interventions to improve adherence have not u...
Source: Journal of Health Services Research and Policy - December 22, 2008 Category: Health Management Authors: Elliott, R. Tags: Perspective Source Type: journals
Reconstructing continuity of care in mental health services: a multilevel conceptual framework
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Continuity of mental health care is a key issue in the organization and evaluation of services for patients with disabling chronic conditions. Over many years, health services researchers have been exploring the conceptual boundaries between continuity of care and other service characteristics. On the basis of papers published over the past decade, we argue that while conceptual consensus is growing, there is room to improve continuity measures, and the development of practical interventions is still at an early stage.
There is growing consensus that continuity of care is a multidimensional concept. We identified four core...
Source: Journal of Health Services Research and Policy - December 22, 2008 Category: Health Management Authors: Wierdsma, A., Mulder, C., de Vries, S., Sytema, S. Tags: Essays Source Type: journals
From quasi-market to market in the National Health Service in England: what does this mean for the purchasing of health services?
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The purchasing function was first developed within the British National Health Service as part of a quasi-market introduced by a Conservative government in 1990 and retained by the Labour government on coming to power in 1997. Since 2002 further reforms in England have begun to transform the quasi-market into a ‘real’ market with greater diversity of supplier, including from the private sector, a payment regime designed to reward additional hospital activity and new rights for patients to choose their provider. Evidence from the quasi-market era suggests that the purchasing function made little significant impa...
Source: Journal of Health Services Research and Policy - December 22, 2008 Category: Health Management Authors: Lewis, R., Smith, J., Harrison, A. Tags: Essays Source Type: journals
Are home sampling kits for sexually transmitted infections acceptable among men who have sex with men?
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Conclusion
The widespread acceptability of using HSKs for the diagnosis of STIs could have important public health impacts in terms of earlier diagnosis of asymptomatic infections and thus a decrease in the rate of onward transmission. In addition, HSKs could potentially optimize the use of genitourinary medicine services and facilitate patient choice. (Source: Journal of Health Services Research and Policy)
Source: Journal of Health Services Research and Policy - December 22, 2008 Category: Health Management Authors: Llewellyn, C., Pollard, A., Smith, H., Fisher, M., on behalf of the Home Sampling Kit Study Group Tags: Original research Source Type: journals
Is it feasible to pool funds for local children's services in England? Evidence from the national evaluation of children's trust pathfinders
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Conclusions
Sharing money for local children's services requires shared objectives, trust, and legal and accounting expertise. Several different mechanisms are permitted and many are feasible but programme budgeting for children's services could make them more effective. (Source: Journal of Health Services Research and Policy)
Source: Journal of Health Services Research and Policy - December 22, 2008 Category: Health Management Authors: Lorgelly, P., Bachmann, M., Shreeve, A., Reading, R., Thorburn, J., Mugford, M., O'Brien, M., Husbands, C. Tags: Original research Source Type: journals
'We can't get anything done because...': making sense of 'barriers' to Practice-based Commissioning
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Conclusion
Weick's concept of ‘organizational sensemaking’ provides a useful framework within which to explore the problems encountered when implementing policy. Observational methods are a powerful tool in understanding sensemaking. The variations in sensemaking that we observed suggest that the use of ‘barrier’ metaphors in descriptions of implementation problems risks homogenizing the portrayal of situations that differ greatly in reality. This implies that top-down or centrally driven solutions to such situations will often be inappropriate. (Source: Journal of Health Services Research and Policy)
Source: Journal of Health Services Research and Policy - December 22, 2008 Category: Health Management Authors: Checkland, K., Coleman, A., Harrison, S., Hiroeh, U. Tags: Original research Source Type: journals
Public attitudes to the storage of blood left over from routine general practice tests and its use in research
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Conclusion
Despite its limitations, this first survey of a general practice population suggests that the majority would be willing to consider giving open-ended consent for the use of blood left over from routine clinical tests in general practice to be stored and used later for medical research. (Source: Journal of Health Services Research and Policy)
Source: Journal of Health Services Research and Policy - December 22, 2008 Category: Health Management Authors: Treweek, S., Doney, A., Leiman, D. Tags: Original research Source Type: journals
The influence of professional values on the implementation of Aboriginal health policy
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Conclusion
The findings highlight the role that a myriad of values play in influencing which aspects of a policy are implemented by organizations and their agents. Comprehensive and equitable implementation of policy requires an investigation and awareness of different professional values, and an examination of whose voices will be privileged in the decision-making process. If the advances in developing evidence-based, culturally-appropriate and inclusive policy are to be translated into practice, then care needs to be taken to monitor and influence whose values are being included at what point in the policy implementation...
Source: Journal of Health Services Research and Policy - December 22, 2008 Category: Health Management Authors: Lloyd, J., Wise, M., Weeramanthri, T., Nugus, P. Tags: Original research Source Type: journals
Audit of submissions: July 2007 to June 2008
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(Source: Journal of Health Services Research and Policy)
Source: Journal of Health Services Research and Policy - December 22, 2008 Category: Health Management Authors: Black, N., Mays, N., Rivett-Carnac, C. Tags: Editorials Source Type: journals
