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Journal articles on the topic 'Health Care Microsystems'

Author: Grafiati

Published: 3 June 2025

Last updated: 31 July 2025

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1

Mohr, Julie J., Paul Barach, Joseph P. Cravero, et al. "Microsystems in Health Care: Part 6. Designing Patient Safety into the Microsystem." Joint Commission Journal on Quality and Safety 29, no. 8 (2003): 401–8. http://dx.doi.org/10.1016/s1549-3741(03)29048-1.

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Wasson, John H., Marjorie M. Godfrey, Eugene C. Nelson, Julie J. Mohr, and Paul B. Batalden. "Microsystems in Health Care: Part 4. Planning Patient-Centered Care." Joint Commission Journal on Quality and Safety 29, no. 5 (2003): 227–37. http://dx.doi.org/10.1016/s1549-3741(03)29027-4.

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Ng, Yeuk Fan, Ken Wah Teo, Yun Hu, Rachel Hui Fen Lim, Mable May Po Yap, and Naiying Liu. "Development and Implementation of a Unified Care Model Performance Framework in the Yishun Zone Regional Population Health System." International Journal of Integrated Care 23, S1 (2023): 204. http://dx.doi.org/10.5334/ijic.icic23074.

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Background / Objective: Governance and Leadership Subsystem (GLS) of health systems governs but also directs Service Delivery Subsystem (SDS) transformation. Performance management (PM) is a key GLS activity. Coherent PM frameworks improve SDS governance, health system performance and ultimately population health outcomes. Yishun Health (YH) is an integrated care organization within National Healthcare Group (NHG) caring for 320,000 residents in northern Singapore as the Yishun Zone Regional Population Health System (YZ). YH designed and deployed the Unified Care Model (UCM) as future-st

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Godfrey, Marjorie M., Eugene C. Nelson, John H. Wasson, Julie J. Mohr, and Paul B. Batalden. "Microsystems in Health Care: Part 3. Planning Patient-Centered Services." Joint Commission Journal on Quality and Safety 29, no. 4 (2003): 159–70. http://dx.doi.org/10.1016/s1549-3741(03)29020-1.

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5

Batalden, Paul B., Eugene C. Nelson, Julie J. Mohr, et al. "Microsystems in Health Care: Part 5. How Leaders Are Leading." Joint Commission Journal on Quality and Safety 29, no. 6 (2003): 297–308. http://dx.doi.org/10.1016/s1549-3741(03)29034-1.

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Kosnik, Linda K., and James A. Espinosa. "Microsystems in Health Care: Part 7. The Microsystem as a Platform for Merging Strategic Planning and Operations." Joint Commission Journal on Quality and Safety 29, no. 9 (2003): 452–59. http://dx.doi.org/10.1016/s1549-3741(03)29054-7.

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Likosky, Donald S. "Clinical Microsystems: A Critical Framework for Crossing the Quality Chasm." Journal of ExtraCorporeal Technology 46, no. 1 (2014): 33–37. http://dx.doi.org/10.1051/ject/201446033.

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Patients, payers, and the public have increased expectations concerning the quality, safety and costs of our health care delivery systems. Whether or not to redesign our complex delivery systems is no longer in question. In order to succeed in optimizing care and outcomes (clinical and financial) for our stakeholders, we must design and evaluate tests of change. This journey will require a fundamental shift in our traditional thinking about healthcare delivery systems, including how: (1) each of us relates (effectively or not) to one another, and (2) the value of our patient’s care is impacted

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Nelson, Eugene C., Paul B. Batalden, Karen Homa, et al. "Microsystems in Health Care: Part 2. Creating a Rich Information Environment." Joint Commission Journal on Quality and Safety 29, no. 1 (2003): 5–15. http://dx.doi.org/10.1016/s1549-3741(03)29002-x.

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GOLDSCHMIDT, KAREN A., and Peggy Gordin. "A MODEL OF NURSING CARE MICROSYSTEMS FOR A LARGE NEONATAL INTENSIVE CARE UNIT." Advances in Neonatal Care 6, no. 2 (2006): 81–88. http://dx.doi.org/10.1016/j.adnc.2006.01.003.

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Batalden, Paul B., Eugene C. Nelson, William H. Edwards, Marjorie M. Godfrey, and Julie J. Mohr. "Microsystems in Health Care: Part 9. Developing Small Clinical Units to Attain Peak Performance." Joint Commission Journal on Quality and Safety 29, no. 11 (2003): 575–85. http://dx.doi.org/10.1016/s1549-3741(03)29068-7.

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Nelson, Eugene C., Paul B. Batalden, Thomas P. Huber, et al. "Microsystems in Health Care: Part 1. Learning from High-Performing Front-Line Clinical Units." Joint Commission Journal on Quality Improvement 28, no. 9 (2002): 472–93. http://dx.doi.org/10.1016/s1070-3241(02)28051-7.

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Homan, Fay F., Cristina S. Hammond, Ellen F. Thompson, Donald O. Kollisch, and James C. Strickler. "Post-Conflict Transition and Sustainability in Kosovo: Establishing Primary Healthcare-Based Antenatal Care." Prehospital and Disaster Medicine 25, no. 1 (2010): 28–33. http://dx.doi.org/10.1017/s1049023x00007627.

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AbstractIntroduction:Kosovo is a post-conflict nation with an extensively damaged infrastructure, a weak primary care base, and poor maternal-child health outcomes. The Kosovo-Dartmouth Alliance for Healthy Newborns (the Alliance) sought to improve maternal and neonatal health in Kosovo by providing family medicine-based antenatal care (ANC).Methods:The ANC Program used a modification of the World Health Organization's four-visit, prenatal care model. The program is based in family medicine and requires minimal medical equipment, such as a blood pressure cuff, fetal doppler, measuring tape, ur

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Reis, Misty D., Shannon D. Scott, and Gwen R. Rempel. "Including Parents in the Evaluation of Clinical Microsystems in the Neonatal Intensive Care Unit." Advances in Neonatal Care 9, no. 4 (2009): 174–79. http://dx.doi.org/10.1097/anc.0b013e3181afab3c.

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14

Press, Annie, Robert Lucito, Ilene Friedman, and Samara Ginzburg. "A Clinic to Improve Care of Patients with Sickle Cell Disease and the Role of Medical Students in Quality Improvement." Blood 126, no. 23 (2015): 5586. http://dx.doi.org/10.1182/blood.v126.23.5586.5586.

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Abstract Background: At Hofstra-North Shore LIJ School of Medicine, we have opportunities for our medical students to participate in experiential quality improvement projects. As part of this initiative, some students participate on health-care improvement teams using a Clinical Microsystems approach. This approach is a conceptual framework that has been applied to various departments in the North Shore-LIJ Health System in order to improve quality and patient safety. The basis of Clinical Microsystems is to identify a need in the hospital that may be targeted in order to improve the efficacy

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Huber, Thomas P., Marjorie M. Godfrey, Eugene C. Nelson, Julie J. Mohr, Christine Campbell, and Paul B. Batalden. "Microsystems in Health Care: Part 8. Developing People and Improving Work Life: What Front-Line Staff Told Us." Joint Commission Journal on Quality and Safety 29, no. 10 (2003): 512–22. http://dx.doi.org/10.1016/s1549-3741(03)29061-4.

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Côté, André, Idrissa Beogo, Kassim Said Abasse, Maude Laberge, Maman Joyce Dogba, and Clémence Dallaire. "The clinical microsystems approach: Does it really work? A systematic review of organizational theories of health care practices." Journal of the American Pharmacists Association 60, no. 6 (2020): e388-e410. http://dx.doi.org/10.1016/j.japh.2020.06.013.

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17

Gordan, Lucio N., Basit Iqbal Chaudhry, Maen A. Hussein, et al. "Practice transformation at scale through a microsystems quality improvement (QI) approach." Journal of Clinical Oncology 39, no. 15_suppl (2021): e18667-e18667. http://dx.doi.org/10.1200/jco.2021.39.15_suppl.e18667.

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e18667 Background: How oncology providers should implement practice transformation for value-based care is unclear, particularly at scale. Organizational size enables efficient “top down” approaches, but also presents challenges such as physician engagement. Dis-economies of scale can be acute in oncology due to physician autonomy and coordination costs. We hypothesized that organizational change based in sense-making models that enhance physician engagement and use a decentralized, iterative microsystems approach will enable practice transformation to scale. Methods: Florida Cancer Specialist

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Soltani, Ali, Ali Heyrani, Ali Fakhr-Movahedi, and Abdoljavad Khajavi. "Use of Soft Systems Methodology for Implementing Clinical Practice Guidelines in a General Hospital." Journal of Research & Health 12, no. 2 (2022): 131–36. http://dx.doi.org/10.32598/jrh.12.2.1933.1.

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Background: It is challenging to implement evidence-based care and update and improve health care policy. Adhering to evidence-based Clinical Practice Guidelines (CPGs) serves as a guide for making decisions based on the best evidence and making an attempt to improve the quality of patient care and outcomes. Despite the need for implementing CPGs in Iranian hospitals, the concept and implementation method of CPGs are not clear yet. This action research aims to propose the soft systems methodology (SSM) to facilitate the implementation of CPGs in a general hospital in Iran. Methods: We employed

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Barach, P., and J. K. Johnson. "Understanding the complexity of redesigning care around the clinical microsystem." Quality in Health Care 15, suppl 1 (2006): i10—i16. http://dx.doi.org/10.1136/qshc.2005.015859.

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The microsystem is an organizing design construct in which social systems cut across traditional discipline boundaries. Because of its interdisciplinary focus, the clinical microsystem provides a conceptual and practical framework for simplifying complex organizations that deliver care. It also provides an important opportunity for organizational learning. Process mapping and microworld simulation may be especially useful for redesigning care around the microsystem concept. Process mapping, in which the core processes of the microsystem are delineated and assessed from the perspective of how t

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Francis Xavier, Josephine, Nazilla Khanlou, Lisa Seto Nielsen, and Saeed Moradian. "Enhancing Paternal Support: A Concept Analysis of Social Support for First-Time Fathers." Nursing Forum 2024 (February 17, 2024): 1–11. http://dx.doi.org/10.1155/2024/2803795.

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Introduction. Social support, as a multidimensional concept, is studied across disciplines. However, examining the concept in relation to first-time fathers in the perinatal period remains an underexplored avenue. This analysis aims to clarify what social support for first-time fathers means through an operational definition that will assist healthcare providers in supporting fathers as valuable assets to the wellbeing of their partners and children. Design. Walker and Avant’s concept analysis approach is used to identify the attributes, antecedents, and consequences of social support for firs

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Marun, Carina S. Debes, Vincent Sieben, Patrick M. Pilarski, et al. "FISH and Chips: Novel, Point of Care Technology To Detect Chromosomal Abnormalities." Blood 108, no. 11 (2006): 3402. http://dx.doi.org/10.1182/blood.v108.11.3402.3402.

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Abstract Interphase fluorescence in situ hybridization (FISH) is widely used as a diagnostic tool for known genetic abnormalities due to its sensitivity for detection of cryptic aberrations, such as t(4;14)(p16;q32) in multiple myeloma (MM). In many cancers, chromosomal abnormalities are prognostic indicators that also predict response to therapy. Tests to determine the type and extent of these abnormalities are increasingly essential for more informed diagnosis and choice of treatment strategies. However the cost and complexity of the current FISH protocols, and the variability arising from d

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Chugani, Harry T. "Imaging Brain Metabolism in the Newborn." Journal of Child Neurology 33, no. 13 (2018): 851–60. http://dx.doi.org/10.1177/0883073818792308.

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In this review, we discuss molecular brain imaging studies using positron emission tomography (PET) with 2-deoxy-2(18F)fluoro-d-glucose (FDG) in human newborns and infants, and illustrate how this technology can be applied to probe the neuropathophysiology of neonatal neurologic disorders. PET studies have been difficult to perform in sick babies because of patient transportation issues and suboptimal spatial resolution. With approval from the FDA and the institutional review board, we modified and installed the Focus 220 animal microPET scanner (Concorde Microsystems, Knoxville, TN) directly

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23

Emanuel, Linda, Don Berwick, James Conway, et al. "What Exactly Is Patient Safety?" Journal of Medical Regulation 95, no. 1 (2009): 13–24. http://dx.doi.org/10.30770/2572-1852-95.1.13.

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ABSTRACT We articulate an intellectual history and a definition, description and model of patient safety. We define patient safety as a discipline in the health care professions that applies safety science methods toward the goal of achieving a trustworthy system of health care delivery. We also define patient safety as an attribute of health care systems that minimizes the incidence and impact of adverse events and maximizes recovery from such events. Our description includes: why the field of patient safety exists (the high prevalence of avoidable adverse events); its nature; its essential f

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Moodley Naidoo, Roshini, Kailey Love, George Runger, Cameron Adams, Michael Franczak, and William Riley. "A high-performance framework to integrate primary care and behavioural health." Management in Healthcare: A Peer-Reviewed Journal 9, no. 1 (2024): 33. http://dx.doi.org/10.69554/pvlg1987.

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This paper describes a large statewide initiative in Arizona led by the Arizona Medicaid programme to integrate the delivery of primary care and behavioural services. Healthcare in the USA remains fragmented, as reflected in no small measure by the separation of primary care and mental health services, in both structure and delivery. The fact that this historical separation continues to be perpetuated is detrimental to the goals of the Triple Aim. The fragmentation between both clinical service lines is further compounded by the high rate of co-occurring physical and mental illness, shortage o

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Buser, Julie M., Carol J. Boyd, Cheryl A. Moyer, et al. "Operationalization of the Ecological Systems Theory to Guide the Study of Cultural Practices and Beliefs of Newborn Care in Rural Zambia." Journal of Transcultural Nursing 31, no. 6 (2020): 582–90. http://dx.doi.org/10.1177/1043659620921224.

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Introduction: A wide gap in knowledge exists about the factors associated with newborn care in rural Zambia. In this year of the nurse and midwife, the purpose of this article is to provide transcultural researchers with an example of how Bronfenbrenner’s Ecological Systems Theory (EST) can be used to guide an exploration of the cultural practices, knowledge, and beliefs of newborn care and health-seeking behaviors in rural Zambia. Methodology: Based on the EST, maternal knowledge represents the microsystem while family and community members embody the mesosystem. Health care organization deno

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Duan, Yinfei, Alba Iaconi, Yuting Song, et al. "ORGANIZATIONAL CONTEXT AND QUALITY INDICATORS IN NURSING HOMES: A MICROSYSTEM LOOK." Innovation in Aging 6, Supplement_1 (2022): 313. http://dx.doi.org/10.1093/geroni/igac059.1240.

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Abstract This cross-sectional quantitative sub-project assessed the association of organizational context (modifiable elements of work environments) with quality indicators (QIs) at the clinical microsystem (care unit) level. We used TREC data collected 09/2019-03/2020. The sample included 285 care units within 91 Western Canadian nursing homes. Outcomes included thirteen practice-sensitive QIs derived from the Minimum Data Set 2.0. Results from random-intercept logistic regression for each dichotomized QI showed that higher unit-aggregated scores on contextual elements as identified by the Al

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Palmer-Wackerly, Angela L., Virginia Chaidez, Caitlyn Wayment, Jonathan Baker, Anthony Adams, and Lorey A. Wheeler. "Listening to the Voices of Community Health Workers: A Multilevel, Culture-Centered Approach to Overcoming Structural Barriers in U.S. Latinx Communities." Qualitative Health Research 30, no. 3 (2019): 423–36. http://dx.doi.org/10.1177/1049732319855963.

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Community Health Workers (CHWs) are often incorporated into efforts to reduce health disparities for vulnerable populations. However, their voices are rarely the focus of research when considering how to increase their job effectiveness and sustainability. The current study addresses this gap by privileging the voices of 28 CHWs who work with Latinx communities in Nebraska through in-depth, semistructured interviews. Using a multilevel, Culture-Centered Approach (CCA) to Health Communication, we identified two key structural communication issues: (a) increasing language accommodation and (b) i

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Ramaswamy, Nithya, Emily Herchline, Melanie Joseph, et al. "NURS-05. CATALYZING AND INFORMING THE DEVELOPMENT OF MORE COMPREHENSIVE AND ACCESSIBLE PROGRAMS FOR CAREGIVERS OF YOUNG ADULT SURVIVORS OF CHILDHOOD BRAIN TUMORS." Neuro-Oncology 26, Supplement_4 (2024): 0. http://dx.doi.org/10.1093/neuonc/noae064.653.

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Abstract BACKGROUND The chronic and intensive care needs of young adult survivors of childhood brain tumors are most often addressed by their maternal caregivers with limited, specific psychosocial or other programs to reduce caregiving demands and enhance their family management. Using a social ecological perspective, the purpose of this study was to catalyze and inform the development of more comprehensive and accessible programs for caregivers of young adult survivors of childhood brain tumors. METHODS Semi-structured interviews were conducted with 21 maternal caregivers, 6 post baccalaurea

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Lim, Esther Li Ping, Giat Yeng Khee, Johan Thor, Boel Andersson Gäre, Julian Thumboo, and Monika Allgurin. "How the Esther Network model for coproduction of person-centred health and social care was adopted and adapted in Singapore: a realist evaluation." BMJ Open 12, no. 12 (2022): e059794. http://dx.doi.org/10.1136/bmjopen-2021-059794.

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ObjectivesThe Esther Network (EN) model, a person-centred care innovation in Sweden, was adopted in Singapore to promote person-centredness and improve integration between health and social care practitioners. This realist evaluation aimed to explain its adoption and adaptation in Singapore.DesignAn organisational case study using a realist evaluation approach drawing on Greenhalghet al(2004)’s Diffusion of Innovations in Service Organisations to guide data collection and analysis. Data collection included interviews with seven individuals and three focus groups (including stakeholders from th

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Leahy, D., E. Schaffalitzky, C. Armstrong, et al. "How social context impacts on the development, identification and treatment of mental and substance use disorders among young people – a qualitative study of health care workers." Irish Journal of Psychological Medicine 32, no. 1 (2015): 117–28. http://dx.doi.org/10.1017/ipm.2014.70.

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IntroductionSocial context has a major influence on the detection and treatment of youth mental and substance use disorders in socioeconomically disadvantaged urban areas, particularly where gang culture, community violence, normalisation of drug use and repetitive maladaptive family structures prevail. This paper aims to examine how social context influences the development, identification and treatment of youth mental and substance use disorders in socioeconomically disadvantaged urban areas from the perspectives of health care workers.MethodSemi-structured interviews were conducted with hea

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Quinn, James Brian. "Microsystem Management as a Promising New Methodology for Improving the Cost and Quality of Health Care." Joint Commission Journal on Quality Improvement 28, no. 9 (2002): 495–96. http://dx.doi.org/10.1016/s1070-3241(02)28053-0.

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Vimalesvaran, Sunitha, Vasilis Kokotsis, Fauzia Akhtar, and Claudia Chetcuti‐Ganado. "Improving the care of term babies at risk of hypoglycaemia: A microsystem approach." Journal of Paediatrics and Child Health 57, no. 6 (2021): 835–40. http://dx.doi.org/10.1111/jpc.15332.

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Jorm, Christine, Robyn Hudson, and Euan Wallace AM. "Turning attention to clinician engagement in Victoria." Australian Health Review 43, no. 2 (2019): 123. http://dx.doi.org/10.1071/ah17100.

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The engagement of clinicians with employing organisations and with the broader health system results in better safer care for patients. Concerns about the adequacy of clinician engagement in the state of Victoria led the Victorian Department of Health and Human Services to commission a scoping study. During this investigation more than 100 clinicians were spoken with and 1800 responded to surveys. The result was creation of a clear picture of what engagement and disengagement looked like at all levels – from the clinical microsystem to state health policy making. Multiple interventions are pos

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Laranjeira, Carlos, Daniel Carvalho, Olga Valentim, et al. "Therapeutic Adherence of People with Mental Disorders: An Evolutionary Concept Analysis." International Journal of Environmental Research and Public Health 20, no. 5 (2023): 3869. http://dx.doi.org/10.3390/ijerph20053869.

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Patient therapeutic adherence lies at the core of mental health care. Health Care professionals and organizations play a major role in promoting adherence among people with mental disorders. However, defining therapeutic adherence remains complex. We used Rodgers’ evolutionary concept analysis to explore the concept of therapeutic adherence in the context of mental health. We conducted a systematic literature search on Medline/PubMed and CINAHL for works published between January 2012 and December 2022. The concept analysis showed that major attributes of therapeutic adherence include patient,

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MacDonald, Jenni. "Addressing the Scottish burden of wounds through the Lens of Profound Knowledge." British Journal of Nursing 30, Sup20 (2021): S34—S40. http://dx.doi.org/10.12968/bjon.2021.30.sup20.s34.

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The prevalence of wounds and the cost of treating them are increasing year on year. Improving the quality of wound care will improve patient outcomes and is a financial necessity. The Lens of Profound Knowledge is a tool that can be used to support quality improvement and identify where action is needed. It allows exploration of an organisation through four aspects—appreciate the system, understanding variation, psychology, and theory of knowledge—and working on all four aspects simultaneously is believed to increase the likelihood of achieving improvement. Improvements at and between all leve

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Grooms, Heather R., Craig M. Froehle, Lloyd P. Provost, James Handyside, and Heather C. Kaplan. "Improving the Context Supporting Quality Improvement in a Neonatal Intensive Care Unit Quality Collaborative: An Exploratory Field Study." American Journal of Medical Quality 32, no. 3 (2016): 313–21. http://dx.doi.org/10.1177/1062860616644323.

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Successful quality improvement (QI) requires a supportive context. The goal was to determine whether a structured curriculum could help QI teams improve the context supporting their QI work. An exploratory field study was conducted of 43 teams participating in a neonatal intensive care unit QI collaborative. Using a curriculum based on the Model for Understanding Success in Quality, teams identified gaps in their context and tested interventions to modify context. Surveys and self-reflective journals were analyzed to understand how teams developed changes to modify context. More than half (55%

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Aeyels, Daan, Luk Bruyneel, Deborah Seys, et al. "Better hospital context increases success of care pathway implementation on achieving greater teamwork: a multicenter study on STEMI care." International Journal for Quality in Health Care 31, no. 6 (2018): 442–48. http://dx.doi.org/10.1093/intqhc/mzy197.

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AbstractObjectiveTo evaluate whether hospital context influences the effect of care pathway implementation on teamwork processes and output in STEMI care.DesignA multicenter pre–post intervention study.SettingEleven acute hospitals.ParticipantsCardiologists-in-chief, nurse managers, quality staff, quality managers and program managers reported on hospital context. Teamwork was rated by professional groups (medical doctors, nurses, allied health professionals, other) in the following departments: emergency room, catheterization lab, coronary care unit, cardiology ward and rehabilitation.Interve

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Norman, Ann-Charlott, Lena Fritzen, and Marianne Lindblad Fridh. "One Lens Missing? Clarifying the Clinical Microsystem Framework With Learning Theories." Quality Management in Health Care 22, no. 2 (2013): 126–36. http://dx.doi.org/10.1097/qmh.0b013e31828c22e2.

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McKellar, Duncan, Diana Renner, Amelia Gower, Sinead O'Brien, Andrew Stevens, and Antonietta DiNiro. "Everyone matters; everyone contributes; everyone grows: a pilot project cultivating psychological safety to promote growth-oriented service culture after the Oakden Report." Australian Health Review 44, no. 6 (2020): 867. http://dx.doi.org/10.1071/ah20156.

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The development of positive workplace culture is important for health services, with implications for patient experience, staff wellbeing and service outcomes. The Oakden Report identified dysfunctional culture in the South Australian state-wide older persons’ mental health service and established an agenda for change through a codesigned culture framework. An innovative culture change project was undertaken at Northgate House, a specialist service commissioned following the Oakden Report. The project built on the culture framework, with emphasis on developing psychological safety and employed

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Bifulco, Lauren, Sarahí Almonte, Shantel Sosa, Leila Etemad, Destiny Ruiz, and Mary L. Blankson. "A qualitative assessment of factors contributing to Spanish-speaking federally qualified health center patients’ chronic pain experiences." PLOS ONE 18, no. 5 (2023): e0285157. http://dx.doi.org/10.1371/journal.pone.0285157.

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People of Hispanic or Latino ethnicity (Latinx people) experience pain diagnosis, treatment, and care disparities relative to non-Latinx Whites. Those whose preferred language is Spanish may experience additional disparities when receiving care in a language-discordant environment. In order to better understand medically underserved Spanish-speaking Latinx patients’ pain care experience in primary care, we conducted semi-structured qualitative interviews with federally qualified health center staff members (n = 9) and Spanish-speaking adult Latinx patients with chronic pain (n = 12) to capture

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Odhus, Camlus Otieno, Ruth Razanajafy Kapanga, and Elizabeth Oele. "Barriers to and enablers of quality improvement in primary health care in low- and middle-income countries: A systematic review." PLOS Global Public Health 4, no. 1 (2024): e0002756. http://dx.doi.org/10.1371/journal.pgph.0002756.

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The quality of health care remains generally poor across primary health care settings, especially in low- and middle-income countries where tertiary care tends to take up much of the limited resources despite primary health care being the first (and often the only) point of contact with the health system for nearly 80 per cent of people in these countries. Evidence is needed on barriers and enablers of quality improvement initiatives. This systematic review sought to answer the question: What are the enablers of and barriers to quality improvement in primary health care in low- and middle-inco

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Olsan, Tobie H., Bernard Shore, and Patricia D. Coleman. "A Clinical Microsystem Model to Evaluate the Quality of Primary Care for Homebound Older Adults." Journal of the American Medical Directors Association 10, no. 5 (2009): 304–13. http://dx.doi.org/10.1016/j.jamda.2009.02.003.

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Geiling, Thomas, Lothar Dressler, Tilo Welker, and Martin Hoffmann. "Fine Dust Measurement with Electrical Fields – Concept of a Hybrid Particle Detector." Additional Conferences (Device Packaging, HiTEC, HiTEN, and CICMT) 2013, CICMT (2013): 000131–36. http://dx.doi.org/10.4071/cicmt-2013-wp15.

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Fine dust measurements are only conducted at few locations in our daily environment, although it is getting clearer that fine dust poses a high risk on human health. A reason for this deficit is the lack of suitable measurement systems, especially for indoor environments. Of special interest are particles with critical dimension smaller than 10 μm. They constitute the highest risk to human health as they are not filtered out by the respiratory system. By miniaturizing particle detector concepts point-of-care applications are rendered possible and production costs can be greatly reduced with mi

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Kuyler, Ariné, Ensa Johnson, and Juan Bornman. "Support needs of familiar caregivers caring for persons who are minimally responsive: an ecological system approach." Journal of the International Society of Physical and Rehabilitation Medicine 6, no. 4 (2023): 102–11. http://dx.doi.org/10.1097/ph9.0000000000000025.

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Objective: The main aim of this study was to identify the multidimensional support needs of familiar caregivers and to identify the lessons they had learned throughout the caregiving process. Background: Persons who are minimally responsive require continuous medical care—either at home or at a care facility. The home context is often preferred as it facilitates the care process in a familiar environment and reduces adverse health outcomes, such as mortality. Home care of the person who is minimally responsive is often managed by familiar caregivers who support these individuals in all aspects

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Colbert, Colleen Y., John D. Myers, Christian T. Cable, et al. "An Alternative Practice Model: Residents Transform Continuity Clinic and Become Systems Thinkers." Journal of Graduate Medical Education 4, no. 2 (2012): 232–36. http://dx.doi.org/10.4300/jgme-d-11-00133.1.

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Abstract Background A changing health care environment has created a need for physicians trained in health system improvement. Residency programs have struggled to teach and assess practice-based learning and improvement and systems-based practice competencies, particularly within ambulatory settings. Intervention We describe a resident-created and resident-led quality and practice-improvement council in an internal medicine continuity clinic. We conducted focus groups and report on residents' perspectives on council membership, practice management experiences, quality improvement projects, an

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Kobayashi, Leo, John W. Gosbee, and Derek L. Merck. "Development and Application of a Clinical Microsystem Simulation Methodology for Human Factors-Based Research of Alarm Fatigue." HERD: Health Environments Research & Design Journal 10, no. 4 (2016): 91–104. http://dx.doi.org/10.1177/1937586716673829.

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Objectives: (1) To develop a clinical microsystem simulation methodology for alarm fatigue research with a human factors engineering (HFE) assessment framework and (2) to explore its application to the comparative examination of different approaches to patient monitoring and provider notification. Background: Problems with the design, implementation, and real-world use of patient monitoring systems result in alarm fatigue. A multidisciplinary team is developing an open-source tool kit to promote bedside informatics research and mitigate alarm fatigue. Method: Simulation, HFE, and computer scie

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Harkness, Christopher. "Towards an understanding of the ‘therapeutic’ in foster care: an exploration of foster carers’ capacities to help heal children with trauma." Children Australia 44, no. 02 (2019): 65–72. http://dx.doi.org/10.1017/cha.2019.23.

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AbstractThis paper explores foster carers’ therapeutic capacities. This topic arises from advances in knowledge of the adverse effects of complex trauma on children’s social, emotional and cognitive development. A growing expectation of fostering agencies is that their carers work within a therapeutic framework. Knowledge of foster carers’ therapeutic capacities has importance, because while foster carers are the primary agents of therapeutic change for these children, the skills and processes in which they do so are not well understood. Eighteen foster carers who work within a therapeutic fra

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Marchlewicz, Kasper, Robert Ziółkowski, Kamil Żukowski, Jakub Krzemiński, and Elżbieta Malinowska. "Microfluidic System Based on Flexible Structures for Point-of-Care Device Diagnostics with Electrochemical Detection." Biosensors 15, no. 8 (2025): 483. https://doi.org/10.3390/bios15080483.

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Infectious diseases poses a growing public health challenge. The COVID-19 pandemic has further emphasized the urgent need for rapid, accessible diagnostics. This study presents the development of an integrated, flexible point-of-care (POC) diagnostic system for the rapid detection of Corynebacterium diphtheriae, the pathogen responsible for diphtheria. The system comprises a microfluidic polymerase chain reaction (micro-PCR) device and an electrochemical DNA biosensor, both fabricated on flexible substrates. The micro-PCR platform offers rapid DNA amplification overcoming the time limitations

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Azu, Nnanna P., Mansur Muhammad Rabiu, Muhammad Yusuf, and Manal Omran Taryam. "Influence of Eye Care Intervention Program and Teachers' Productivity on Pupils' Academic Performance: Enhancing the Potential for Sustainable Development Goals Four (SDGS-4)." Journal of Lifestyle and SDGs Review 5, no. 4 (2025): e01848. https://doi.org/10.47172/2965-730x.sdgsreview.v5.n04.pe01848.

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Objective: This study investigates the influence of eye care intervention programs and teachers' productivity on pupils' academic performance, focusing on enhancing educational outcomes in alignment with Sustainable Development Goals Four (SDGs-4). Theoretical Framework: This study, grounded in Urie Bronfenbrenner's Ecological Systems Theory, explores how environmental systems affect development. It examines teacher-pupil interactions (microsystem), parent-teacher relationships (mesosystem), policy and health services (exosystem), and broader socio-economic factors (macrosystem), with temporal

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Esan, Oluwaseun B., Nicholas K. Adjei, Samira Saberian, et al. "Systematic review of interventions to reduce ethnic health inequalities in maternal and perinatal health in the UK." BMJ Public Health 3, no. 2 (2025): e001476. https://doi.org/10.1136/bmjph-2024-001476.

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Introduction There are persistent ethnic health inequalities in maternal, neonatal and infant health outcomes in the UK. We sought to examine the available evidence on interventions to reduce ethnic health inequalities in maternal, neonatal and infant outcomes during pregnancy and up to the first year of the postnatal period. Method We conducted a systematic review searching MEDLINE, CINAHL, PsycINFO, Scopus and Web of Science (Social Science Index) databases, Journal of Health Visiting, Google Scholar and grey literature from relevant websites (from inception up to 11 August 2023). Interventi

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