Wednesday 26 February 2014

A meta-analysis of how clinicians use decision aids during clinical encounters

"Clinicians' fidelity to usage instructions of point-of-care decision aids in randomized trials was suboptimal during their initial implementation in practice, which may have underestimated the potential efficacy of decision aids when used as intended."

Peering into the black box: a meta-analysis of how clinicians use decision aids during clinal encounters
KD Wyatt, ME Branda, RT Anderson, LJ Pencille, VM Montori, EP Hess, HH Ting, A LeBlanc
Implementation Science, 2014, 9:26

Read more here.

Social and organizational factors affecting implementation of evidence-informed practice

"Results also implied that the perception of accessibility and trust were significant predictors of expertise recognition."

Social and organizational factors affecting implementation of evidence-informed practice in a public health department in Ontario: a network modelling approach
R Yousefi-Nooraie, M Dobbins, A Marin
Implementation Science, 9:29

Read more here.

Involving patients in setting priorities for healthcare improvement

"Patient involvement can change priorities driving healthcare improvement at the population level."

Involving patients in setting priorities for healthcare improvement: a cluster randomized trial
A Boivin, P Lehoux, R Lacombe, J Burgers, R Grol
Implementation Science, 2014, 9:24

Read more here.

The challenge of change in acute mental health services

"VOCALISE can be used to explore staff perceptions of implementation climate and to assess how staff attitudes shape the successful outcomes of planned changes."

The challenge of change in acute mental health services: measuring staff perceptions of barriers to change and their relationship to job status and satisfaction using a new measure (VOCALISE)
C Laker, F Callard, C Flach, P Williams, J Sayer, T Wykes
Implementation Science, 2014, 9:23

Read more here.

Patient-reported confidence in primary healthcare

"Improving the delivery of primary health care services through positive interactions between patients and their usual provider and acceptability of wait times are examples of how the PHC system can be strengthened."

Patient-reported confidence in primary healthcare: are there disparities by ethnicity or language?
ST Wong, C Black, F Cutler, R Brooke, JL Haggerty, JF Levesque
BMJ Open, 2014, 4:e003884

Read more here.

NHS Right Care videos on commissioning

NHS Right Care has created four new videos to support commissioning:

  1. Integrating Hub/Prime Vendor
  2. Commissioning for Value Deep Dives
  3. Value Based Guidance for Elective Surgery
  4. Data Tools for Commissioners and Surgeons

Access the four videos via the NHS Right Care Resource Centre.

The NHS payment system: evolving policy and emerging evidence

"But the payment system for NHS-funded services is in need of reform to support a health system that meets the needs of an ageing population, with growing prevalence of multiple chronic diseases, in the context of tightly constrained resources."

The NHS payment system: evolving policy and emerging evidence
L Marshall, A Charlesworth, J Hurst
Nuffield Trust
February 2014

Read more here.

NHS payment reform: lessons from the past and directions for the future

"To ensure that the long-term reforms to the payment system support the NHS to deliver efficient, high-quality care, Monitor and NHS England need to develop an approach that is comprehensive, focused, aligned with wider system changes, transparent and evidence-based, predictable and credible."

NHS payment reform: lessons from the past and directions for the future
A Charlesworth, L Hawkins, L Marshall
Nuffield Trust
February 2014

Read more here.

NHS Right Care reading lists

NHS Right Care has updated two of their reading lists: Integrated Care and Shared Decision-Making. Access the reading lists here.

Transformative ideas for commissioners

"To support the development of the bold and transformative strategic plans, NHS England is developing a series of discussion papers to help commissioners and their partners identify transformative ideas."

A call to action: Achieving parity of esteem; transformative ideas for commissioners
NHS England
February 2014

Read more here.

Safe, compassionate care for frail older people using an integrated care pathway

"This document summarises the evidence of the effects of an integrated pathway of care for older people and suggests how a pathway can be commissioned effectively using levers and incentives across providers."

Safe, compassionate care for frail older people using an integrated care pathway: practical guidance for commissioners, providers and nursing, medical and allied health professional leaders
NHS England, South
February 2014

Read more here.

Read a summary from the Commissioning Elf here.

Safer sharps? A barometer of take-up in the UK

"However, there remains a proportion of Trusts – around one sixth – that have not revised their sharps policies; moreover, one third of Trusts are not encouraging their staff to use safety devices ‘wherever possible’, despite this being a clear piece of guidance in the relevant regulation."

Safer sharps? A barometer of take-up in the UK
MindMetre Research
February 2014

Read more here.

Patient engagement in research: a systematic review

"Patient engagement in healthcare research is likely feasible in many settings. However, this engagement comes at a cost and can become tokenistic."

Patient engagement in research: a systematic review
JP Domecq, et al.
BMC Health Services Research, 2014, 14:89

Read more here.

On decreasing inequality in health care in a cost-effective way

"To expand the knowledge base for advancing equality in a cost-effective way, scientific efforts on four levels are suggested...."

On decreasing inequality in health care in a cost-effective way
A Malmivaara
BMC Health Services Research, 2014, 14:79

Read more here.

Wednesday 19 February 2014

Global diffusion of healthcare innovation

"The study examines the importance and prevalence of specific enablers and, just as important, frontline cultural dynamics that support such adoption and change."

Global diffusion of healthcare innovation
A Darzi, G Parston
World Innovation Summit for Health
December 2013

Read more here.

Primary care quality improvement from a practice facilitator's perspective

"Practice facilitation has been pivotal in materializing the transformation in the way primary care practices deliver care."

Primary care quality improvement from a practice facilitator's perspective
CE Liddy, V Blazhko, M Dingwall, J Singh, WE Hogg
BMC Family Practice, 2014, 15:23

Read more here.

Shine: Improving the value of local healthcare services

"How healthcare teams took on the challenge to improve quality while reducing the cost of services."

Shine: Improving the value of local healthcare services
The Health Foundation
February 2014

Read more here.

Commissioning and funding general practice

"The complex commissioning environment (tendering processes and financial risk) could preclude many GPs from developing services or operating in formal partnerships."

Commissioning and funding general practice
R Addicott, C Ham
The King's Fund
February 2014

Read more here.

Read a summary from the Commissioning Elf here.

Is integration or fragmentation the starting point to improve prevention?

"Initiatives to promote integration are being introduced at all levels of the system, with a patient experience based narrative setting the standard against which success should be judged."

Is integration or fragmentation the starting point to improve prevention? Policy Paper 17
R Miller
Health Services Management Centre
January 2014

Read more here.

Focus on: Distance from home for emergency care

"This QualityWatch Focus On report examines the typical distances from home that people travel to receive emergency care, and how this has changed over time."

Focus on: Distance from home for emergency care
A Roberts, I Blunt, M Bardsley
Nuffield Trust, The Health Foundation
February 2014

Read more here.

Comparing in-person and webinar delivery of an immunization quality improvement program

"Interactive webinar delivery shows promise for considerably extending the reach of immunization quality improvement programs."

Comparing in-person and webinar delivery of an immunization quality improvement program: a process evaluation of the adolescent AFIX trial
MB Gilkey, JL Moss, AJ Roberts, AM Dayton, AH Grimshaw, NT Brewer
Implementation Science, 2014, 9:21

Read more here.

Community services: How they can transform care

"Significant numbers of patients occupying hospital beds could be cared for in other settings but only if suitable services are available and can be accessed easily."

Community services: How they can transform care
N Edwards
The King's Fund
February 2014

Read more here.

Service transformation: Lessons from mental health

"Simply moving the location of care is not good enough. New evidence-based models of care are useful, but choice of model should be driven by local need, have a clear objective and be properly evaluated."

Service transformation: Lessons from mental health
H Gilburt, E Peck, B Ashton, N Edwards, C Naylor
The King's Fund
February 2014

Read more here.

Clinical transformation through pathology innovation

"The need for transformation in models of delivery, focussing on producing great value care with the best outcomes for patients, has never been greater."

Digital First: Clinical transformation through pathology innovation
National Pathology Programme
NHS England
February 2014

Read more here.

Evidence Update: Patient experience in adult NHS services

"This Evidence Update identifies new evidence that is relevant to, and may have a potential impact on NICE clinical guideline 138 (2012) Patient experience in adult nurse services."

Evidence Update: Patient experience in adult NHS services
National Institute for Health and Care Excellence
February 2014

Read more here.

The delivery of 21st century services

"The identification of new scientific and clinical knowledge will impact on patient care through the development of new technology and the introduction of new ways of working."

The delivery of 21st century services: The implications for the evolution of the healthcare science workforce
NHS Health Education England
February 2014

Read more here.

Delivering integrated care and support

"The achievement of personal outcomes for individuals should be the focus of integrated care and support."

Delivering integrated care and support
A Petch
Institute for Research and Innovation in Social Services
February 2014

Read more here.

NICE Medtech Innovation Briefings

"Medtech Innovation Briefings provide a description of the medical technology, including its likely place in therapy, the costs of using the technology and a critical review of the strengths and weaknesses of the relevant published evidence."

Access the briefings here.

Functional health literacy and glycaemic control in older adults with type 2 diabetes

"Patients with inadequate functional health literacy presented with higher odds of poor glycaemic control. These findings reinforce the importance of addressing limited functional health literacy in clinical practice."

Functional health literacy and glycaemic control in older adults with type 2 diabetes: a cross-sectional study
JG Souza, D Apolinario, RM Magaldi, AL Busse, F Campora, W Jacob-Filho
BMJ Open, 2014, 4:e:004180

Read more here.

Perceptions and experiences of financial incentives

"In a situation where costs are unclear, incentives which are based on the improvement of profit margins have a smaller impact than incentives which provide an additional direct payment, even if this extra financial support is relatively small."

Perceptions and experiences of financial incentives: a qualitative study of dialysis care in England
I Abma, A Jayanti, S Bayer, S Mitra, J Barlow
BMJ Open, 2014, 4:e004249

Read more here.

Tuesday 11 February 2014

Innovations in global mental health

"Identify and treat mental disorders early — for example, by delivering school-based interventions for childhood mental disorders."

Transforming lives, enhancing communities - innovations in global mental health
V Patel, S Saxena
New England Journal of Medicine, 2014, 370:498-501

Read more here.

What are the effects of teaching evidence-based health care?

"EBHC teaching and learning strategies should focus on implementing multifaceted, clinically integrated approaches with assessment."

What are the effects of teaching evidence-based health care (EBHC)? Overview of systematic reviews
T Young, A Rohwer, J Volmink, M Clarke
PLoS ONE, 9(1): e86706

Read more here.

Speaking up for patient safety by hospital-based health care professionals

"Hesitancy to speak up can be an important contributing factor to communication errors. Our model helps us to understand how health care professionals think about voicing their concerns."

Speaking up for patient safety by hospital-based health care professionals: a literature review
A Okuyama, C Wagner, B Bijnen
BMC Health Services Research, 2014, 14:61

Read more here.

Healthy ageing in the 21st century: the best is yet to come

"Enabling people to experience healthy ageing is a long-term project, for which society, communities, and we as individuals, need to plan carefully."

Healthy ageing in the 21st century: the best is yet to come
Birmingham Policy Commission
February 2014

Read more here.

Guidelines: is bigger better? A review of SIGN guidelines

"Practice guidelines should be brief and based on scientific evidence."

Guidelines: is bigger better? A review of SIGN guidelines
AG Baird, JR Lawrence
BMJ Open, 2014, 4:e004278

Read more here.

Strategies to improve retention in randomised trials

"Monetary incentives and offers of monetary incentives increase postal and electronic questionnaire response."

Strategies to improve retention in randomised trials: a Cochrane systematic review and meta-analysis
VC Brueton, JF Tierney, S Stenning, S Meredith, S Harding, I Nazareth, G Rait
BMJ Open, 2014, 4:e003821

Read more here.

The Francis Report: one year on

"Many senior leaders of the acute trusts said that the publication of the Francis Report had prompted them to reflect in greater depth on the quality of care being delivered in their organisations."

The Francis Report: one year on
R Thorlby, J Smith, S Williams, M Dayan
Nuffield Trust
February 2014

Read more here.

Your hospital's path to the second curve: integration and transformation

"The health care field will ultimately shift from the "first curve," where hospitals operate in a volume-based environment, the the "second curve" where they will be building value-based care systems and business models."

Your hospital's path to the second curve: integration and transformation
American Hospital Association
January 2014

Read more here.

Wellbeing: Why it matters to health policy

"Wellbeing should be an outcome alongside other, more objective, outcomes."

Wellbeing: Why it matters to health policy
Department of Health
January 2014

Read more here.

Public health transformation nine months on: bedding in and reaching out

"This resource commissioned by the LGA and PHE describes how public health in a number of councils has started to use the opportunities of a local government setting to improve health and wellbeing."

Public health transformation nine months on: bedding in and reaching out
Local Government Association, Public Health England
February 2014

Access the collection of case studies here.

Tuesday 4 February 2014

The effect of hospital mergers on long-term sickness absence among hospital employees

"Mergers have a significant effect on employee health that should be taken into consideration when deciding to merge hospitals."

The effect of hospital mergers on long-term sickness absence among hospital employees: a fixed effects multivariate regression analysis using panel data
LE Kjekshus, VH Bernstrom, E Dahl, T Lorentzen
BMC Health Services Research, 2014, 14:50

Read more here.

Service transformation: lessons from mental health

"While nationally and internationally developed models are useful, choice of any particular model should be driven by local need, allowing flexibility for local providers to innovate."

Service transformation: lessons from mental health
H Gilburt, E Peck, B Ashton, N Edwards, C Naylor
The King's Fund
February 2014

Read more here.

Psychological wellbeing and work: improving service provision and outcomes

"This study investigates how the employment outcomes of people with common mental health problems can be improved and what policies and interventions could help them maintain or gain work."

Psychological wellbeing and work: improving service provision and outcomes
C van Stolk, J Hofman, M Hafner, B Janta
Department for Work & Pensions, Department of Health
January 2014

Read more here.

Carers included: a guide to best practice for dementia care

"Although the Triangle of Care was originally developed for use in mental health services, the standards outlined below have been found applicable in other care settings. This guide demonstrates how these standards can be used to support a partnership approach to dementia care, particularly in hospital settings."

The triangle of care: a guide to best practice for dementia care
Carers Trust, Royal College of Nursing
September 2013

Read more here.

Global atlas of palliative care at the end of life

"Only 1 in 10 people who need palliative care - that is medical care to relieve the pain, symptoms and stress of serious illness - is currently receiving it. This unmet need is mapped for the first time in the "Global atlas of palliative care at the end of life", published jointly by the WHO and the Worldwide Palliative Care Alliance (WPCA)."

Access the Atlas here.

Providing integrated care for older people with complex needs

"This report synthesises evidence from seven case study programmes, each from a different country, that are successfully delivering integrated health and social care for older people with complex needs."

Providing integrated care for older people with complex needs: lessons from seven international case studies
N Goodwin, A Dixon, G Anderson, W Wodchis
The King's Fund
January 2014

Read more here.

Nine local actions to reduce health inequalities

"The social sciences have an essential contribution to make if health inequalities are to be reduced."

"If you could do one thing..." Nine local actions to reduce health inequalities
British Academy for the Humanities and Social Sciences
January 2014

Read more here.

How clinical commissioning groups are changing the face of the NHS

"These stories demonstrate how the NHS can become patient centred and sustainable. Not only do these innovations help people to stay well or prevent them becoming ill in the first place, they also allow the NHS to make best use of precious resources."

Taking the lead: how clinical commissioning groups are changing the face of the NHS
NHS Clinical Commissioners
January 2014

Read more here.

Read a summary from the Commissioning Elf here.

Pathology quality assurance review

"Pathology is a key player in the patient pathway, and will be critical in delivering wider improvements to NHS care, such as 7 day service provision."

Pathology quality assurance review
NHS England
January 2014

Read more here.