10 Result(s)
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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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Article
Open AccessFrom data to practice change – exploring new territory for atlases of clinical variation
Despite decades of atlas production and use within multiple healthcare systems, and consistent reporting of geographical differences in the utilisation of services, significant levels of clinical variation per...
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Article
Open AccessImproving access to primary health care: a cross-case comparison based on an a priori program theory
Inequitable access to primary health care (PHC) remains a problem for most western countries. Failure to scale up effective interventions has been due, in part, to a failure to share the logic and essential el...
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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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Article
Open AccessDoes healthcare inequity reflect variations in peoples’ abilities to access healthcare? Results from a multi-jurisdictional interventional study in two high-income countries
Primary healthcare services must respond to the healthcare-seeking needs of persons with a wide range of personal and social characteristics. In this study, examined whether socially vulnerable persons exhibit...
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Open AccessOrganizational interventions improving access to community-based primary health care for vulnerable populations: a sco** review
Access to community-based primary health care (hereafter, ‘primary care’) is a priority in many countries. Health care systems have emphasized policies that help the community ‘get the right service in the rig...
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Article
Open AccessEquity of access to primary healthcare for vulnerable populations: the IMPACT international online survey of innovations
Improving access to primary healthcare (PHC) for vulnerable populations is important for achieving health equity, yet this remains challenging. Evidence of effective interventions is rather limited and fragmen...
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Open AccessThe impact of primary healthcare reform on equity of utilization of services in the province of Quebec: a 2003–2010 follow-up
In 2003, the Quebec government made important changes in its primary healthcare (PHC) system. This reform included the creation of new models of PHC, Family Medicine Groups (e.g. multidisciplinary health teams...
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Article
Open AccessPatient-centred access to health care: conceptualising access at the interface of health systems and populations
Access is central to the performance of health care systems around the world. However, access to health care remains a complex notion as exemplified in the variety of interpretations of the concept across auth...
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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...
