12 Result(s)
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Article
Open AccessImplementation of large, multi-site hospital interventions: a realist evaluation of strategies for develo** capability
This study presents guidelines for implementation distilled from the findings of a realist evaluation. The setting was local health districts in New South Wales, Australia that implemented three clinical impro...
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Article
Open AccessAudit and feedback to reduce unwarranted clinical variation at scale: a realist study of implementation strategy mechanisms
Unwarranted clinical variation in hospital care includes the underuse, overuse, or misuse of services. Audit and feedback is a common strategy to reduce unwarranted variation, but its effectiveness varies wide...
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Open AccessAvoiding unnecessary hospitalisation for patients with chronic conditions: a systematic review of implementation determinants for hospital avoidance programmes
Studies of clinical effectiveness have demonstrated the many benefits of programmes that avoid unnecessary hospitalisations. Therefore, it is imperative to examine the factors influencing implementation of the...
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Open AccessEnvisioning the future of clinical analytics: a modified Delphi process in New South Wales, Australia
Clinical analytics is a rapidly develo** area of informatics and knowledge mobilisation which has huge potential to improve healthcare in the future. It is widely acknowledged to be a powerful mediator of cl...
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Open AccessCombining patient, clinical and system perspectives in assessing performance in healthcare: an integrated measurement framework
The science of measuring and reporting on the performance of healthcare systems is rapidly evolving. In the past decade, across many jurisdictions, organisations tasked with monitoring progress towards reform ...
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Open AccessExploring variation in low-value care: a multilevel modelling study
Whether patients receive low-value hospital care (care that is not expected to provide a net benefit) may be influenced by unmeasured factors at the hospital they attend or the hospital’s Local Health District...
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Open AccessThe impact of primary care reform on health system performance in Canada: a systematic review
We aimed to synthesize the evidence of a causal effect and draw inferences about whether Canadian primary care reforms improved health system performance based on measures of health service utilization, proces...
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Open AccessPortrait of rural emergency departments in Québec and utilization of the provincial emergency department management Guide: cross sectional survey
Rural emergency departments (EDs) constitute crucial safety nets for the 20 % of Canadians who live in rural areas. Pilot data suggests that the province of Québec appears to provide more comprehensive access ...
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Open AccessImpact of Québec’s healthcare reforms on the organization of primary healthcare (PHC): a 2003-2010 follow-up
Healthcare reforms initiated in the early 2000s in Québec involved the implementation of new modes of primary healthcare (PHC) delivery and the creation of Health and Social Services Centers (HSSCs) to support...
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Article
Open AccessReforming healthcare systems on a locally integrated basis: is there a potential for increasing collaborations in primary healthcare?
Over the past decade, in the province of Quebec, Canada, the government has initiated two consecutive reforms. These have created a new type of primary healthcare – family medicine groups (FMGs) – and have est...
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Article
Open AccessImplementing a knowledge application program for anxiety and depression in community-based primary mental health care: a multiple case study research protocol
Anxiety and depressive disorders are increasingly recognized as a health care policy priority. Reducing the treatment gap for common mental disorders requires strengthening the quality of primary mental health...
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Open AccessPerceptions of unmet healthcare needs: what do Punjabi and Chinese-speaking immigrants think? A qualitative study
Unmet healthcare needs - the difference between healthcare services deemed necessary to deal with a particular health problem and the actual services received - is commonly measured by the question, "During th...
