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1

Vassalos, Constantine. "ECONOMETRICS AND HEALTHCARE – THE MODEL OF THE GREEK NATIONAL PRIMARY HEALTHCARE NETWORK (PEDY)." PERIOPERATIVE NURSING 4, no. 3 (2015): 152–64. https://doi.org/10.5281/zenodo.44231.

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Abstract Introduction: Nowadays, the development of econometric techniques has important applications in the health sector. Econometrics facilitates the understanding of the environment where health agencies function so that they can make decisions in order to improve their performance. Moreover, the evaluation of the efficiency of health organizations contributes to the health system. This study included searching on Greek and international electronic databases by using keywords such as econometrics, health, National Health System, Social Insurance Institution, Health Centre, decision-making
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Hemadeh, Randa, Ola Kdouh, Rawan Hammoud, Tarek Jaber, and Lama A. Khalek. "The primary healthcare network in Lebanon: a national facility assessment." Eastern Mediterranean Health Journal 26, no. 6 (2020): 700–707. http://dx.doi.org/10.26719/emhj.20.003.

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Zakariassen, Erik, and Steinar Hunskaar. "GPs’ use of defibrillators and the national radio network in emergency primary healthcare in Norway." Scandinavian Journal of Primary Health Care 26, no. 2 (2008): 123–28. http://dx.doi.org/10.1080/02813430801990302.

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Li, Qunna, Minn Soe, Allan Nkwata, Victoria Russo, Margaret Dudeck, and Jonathan Edwards. "Surgical Site Infection Trend Analysis Following Abdominal Hysterectomy, National Healthcare Safety Network, 2009–2018." Infection Control & Hospital Epidemiology 41, S1 (2020): s396—s397. http://dx.doi.org/10.1017/ice.2020.1039.

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Background: Surveillance data for surgical site infections (SSIs) following abdominal hysterectomy (HYST) have been reported to the CDC NHSN since 2005. Beginning in 2012, HYST SSI surveillance coverage expanded substantially as a result of a CMS mandatory reporting requirement as part of the Hospital Inpatient Quality Reporting Program. A trend analysis of HYST SSI using data submitted to the NHSN has not been previously reported. To estimate the overall trend of HYST SSI incidence rates, we analyzed data reported from acute-care hospitals with surgery performed between January 1, 2009, and D
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Sweeny, Amy, Lisa van den Berg, Julia Hocking, et al. "A Queensland research support network in emergency healthcare." Journal of Health Organization and Management 33, no. 1 (2019): 93–109. http://dx.doi.org/10.1108/jhom-02-2018-0068.

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Purpose The purpose of this paper is to describe the structure and impact of a Queensland Research Support Network (RSN) in emergency medicine (EM). Design/methodology/approach This paper presents a descriptive summary of EM networks, network evaluations and the structure and development of the Emergency Medicine Foundation’s (EMF) RSN in Queensland, including an observational pre- and post-study of research metrics. Findings In two years, the RSN supported 33 Queensland emergency departments (EDs), of which 14 developed research strategies. There was an increase in research active clinicians,
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Mu, Yi, Jonathan R. Edwards, Teresa C. Horan, Sandra I. Berrios-Torres, and Scott K. Fridkin. "Improving Risk-Adjusted Measures of Surgical Site Infection for the National Healthcare Safely Network." Infection Control & Hospital Epidemiology 32, no. 10 (2011): 970–86. http://dx.doi.org/10.1086/662016.

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Background.The National Healthcare Safety Network (NHSN) has provided simple risk adjustment of surgical site infection (SSI) rates to participating hospitals to facilitate quality improvement activities; improved risk models were developed and evaluated.Methods.Data reported to the NHSN for all operative procedures performed from January 1, 2006, through December 31, 2008, were analyzed. Only SSIs related to the primary incision site were included. A common set of patient- and hospital-specific variables were evaluated as potential SSI risk factors by univariate analysis. Some ific variables
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Lapygin, Yury N., and Evgeny A. Kovalev. "Cluster Approach in the Implementation of the National Project "Health" in the Region." Administrative consulting, no. 3 (147) (June 7, 2021): 80–89. https://doi.org/10.22394/1726-1139-2021-3-80-89.

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The practice of implementing the national project “Healthcare” at the regional level indicates a lag in the set rates, which causes the need to adjust the organizational structure of the healthcare system of the constituent entities of the Russian Federation. At the same time, the implementation of the recommendations of the Ministry of Health of the Russian Federation regarding the formation of a network of medical organizations of primary health care in combination with the recommendations of the Ministry of Health on the creation of centers for organizing primary health care in
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Li, Qunna, Minn Soe, Allan Nkwata, Victoria Russo, Margaret Dudeck, and Jonathan Edwards. "Surgical Site Infection Trend Analysis Following Colon Surgeries, National Healthcare Safety Network, 2009–2018." Infection Control & Hospital Epidemiology 41, S1 (2020): s397. http://dx.doi.org/10.1017/ice.2020.1040.

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Background: Hospitals have submitted surveillance data for surgical site infections (SSIs) following colon surgeries (COLO) to the Centers for Disease Control and Prevention’s National Healthcare Safety Network (NHSN) since 2005. COLO SSI data submissions to NHSN have increased substantially beginning in 2012 as result of a Centers for Medicare and Medicaid Services (CMS) mandatory reporting requirement that began that year. A trend analysis of COLO SSIs, using data submitted to NHSN, has not been previously reported. To estimate the national trend of COLO SSI rates, we analyzed data reported
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Nankervis, Richard, Heather Alexander, David Briggs, et al. "COVID 19 - Perceptions of a Primary Health Network in Australia." Asia Pacific Journal of Health Management 15, no. 3 (2020): 29–38. http://dx.doi.org/10.24083/apjhm.v15i3.463.

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The Covid-19 pandemic is still current but has been particularly well addressed, so far, in the Australian context. This article presents an analysis of management practice to describe the experience of one Primary Health Network (PHN) and its approach and response to the pandemic within its geographical region in accordance with Federal government directives. The PHN is a large geographic area that includes the Central Coast, just north of the Sydney basin, the Newcastle and Hunter Valley region and the Northwest/New England region that extends from Tamworth to the Queensland Border. 
 T
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Elhadi, Yasir Ahmed Mohammed, Abdelmuniem Ahmed, Ramy Mohamed Ghazy, et al. "Healthcare Utilization with Drug Acquisition and Expenses at the National Health Insurance Fund in Sudan." Healthcare 10, no. 4 (2022): 630. http://dx.doi.org/10.3390/healthcare10040630.

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Background: Understanding the pattern of care use can provide valuable information for reform interventions. This study investigates the pattern of healthcare utilization and its association with drug acquisition patterns and expenses in the National Health Insurance Fund (NHIF) of Al Jazira State in Sudan. Methods: A cross-sectional survey was conducted at NHIF primary healthcare centers of Al Jazirah state in Sudan. Results: A total of 768 beneficiaries were interviewed, of which 63.2% reported using out-of-network physician care, while 36.8% receive care from the NHIF physician network only
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Tan, C. C. "National Disease Management Plans for Key Chronic Non-communicable Diseases in Singapore." Annals of the Academy of Medicine, Singapore 31, no. 4 (2002): 415–18. https://doi.org/10.47102/annals-acadmedsg.v31n4p415.

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In Singapore, chronic, non-communicable diseases, namely coronary heart disease, stroke and cancer, account for more than 60% of all deaths and a high burden of disability and healthcare expenditure. The burden of these diseases is likely to rise with our rapidly ageing population and changing lifestyles, and will present profound challenges to our healthcare delivery and financing systems over the next 20 to 30 years. The containment and optimal management of these conditions require a strong emphasis on patient education and the development of integrated models of healthcare delivery in plac
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Pinazo, Maria-Jesus, Mirko Rojas-Cortez, Ruth Saravia, et al. "Results and evaluation of the expansion of a model of comprehensive care for Chagas disease within the National Health System: The Bolivian Chagas network." PLOS Neglected Tropical Diseases 16, no. 2 (2022): e0010072. http://dx.doi.org/10.1371/journal.pntd.0010072.

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Background Most people with chronic Chagas disease do not receive specific care and therefore are undiagnosed and do not receive accurate treatment. This manuscript discusses and evaluates a collaborative strategy to improve access to healthcare for patients with Chagas in Bolivia, a country with the highest prevalence of Chagas in the world. Methods With the aim of reinforcing the Chagas National Programme, the Bolivian Chagas Platform was born in 2009. The first stage of the project was to implement a vertical pilot program in order to introduce and consolidate a consensual protocol-based he
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Lechowski, Łukasz, and Angelika Jasion. "Spatial Accessibility of Primary Health Care in Rural Areas in Poland." International Journal of Environmental Research and Public Health 18, no. 17 (2021): 9282. http://dx.doi.org/10.3390/ijerph18179282.

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The aim of the study was to assess the spatial accessibility of basic and universal healthcare (understood as primary healthcare (PHC) facilities) in rural statistical localities in Poland. Data from the National Health Fund, Central Statistical Office, National Register of Geographic Names and OpenStreetMap were used in the research. The research was carried out on the basis of modelled distance from the rural statistical localities to the nearest PHC facility. The methods used included network analysis, characteristics of normal point distribution, Theil index, and spatial autocorrelation. A
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Murphy, Barbara, Chris Gibbs, Kate Hoppe, Deepika Ratnaike, and Harry Lovelock. "Change in mental health collaborative care attitudes and practice in Australia." Journal of Integrated Care 26, no. 1 (2018): 29–37. http://dx.doi.org/10.1108/jica-10-2017-0033.

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Purpose The Mental Health Professionals Network (MHPN) was established to support and enhance collaborative care among health professionals working in primary mental healthcare. The MHPN has two primary arms: face-to-face network meetings and online webinars. The purpose of this paper is to investigate attitudinal and practice changes amongst health professionals after participation in MHPN’s network meetings. Design/methodology/approach In April 2016, an online survey was e-mailed to health professionals who had attended at least one network meeting during 2015. The survey asked about practic
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Feng, Tianxing, Meiyi Chen, Xuran Zhao, et al. "Ten proposed measures to improve vaccination: Health care providers’ perspectives on promoting the vaccination intake of children with special healthcare needs in China." BMJ Paediatrics Open 9, no. 1 (2025): e002797. https://doi.org/10.1136/bmjpo-2024-002797.

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IntroductionChildren with special healthcare needs (CSHCN) often experience vaccination delays or missed vaccines in China. The coverage rate of the age-appropriate National Immunisation Programme vaccine was suboptimal. This study aimed to explore attitudes, behaviours, and suggestions regarding the improvement of routine vaccination services for CSHCN among healthcare providers.MethodsThis study conducted local, cross-sectional interviews involving vaccination services for CSHCN. A purposive sampling strategy was used to recruit interviewees including primary care providers, paediatricians a
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Eickhoff, Christiane, Nina Griese-Mammen, Uta Mueller, André Said, and Martin Schulz. "Primary healthcare policy and vision for community pharmacy and pharmacists in Germany." Pharmacy Practice 19, no. 1 (2021): 2248. http://dx.doi.org/10.18549/pharmpract.2021.1.2248.

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Germany is the highest populated country in Europe with a population of 82.3 million in 2019. As in many other developed countries, it has an aging population. Approximately 10% of the gross domestic product is spent on healthcare. The healthcare system is characterized by its accessibility. Patients are generally free to choose their primary care physicians, both family doctors and specialists, pharmacy, dentist, or emergency service. Up to a certain income, health insurance is mandatory with the statutory health insurance (SHI) system, covering 88% of the population. Major challenges are the
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Jánosy, Orsolya, Gergely Harsanyi, and János Nagy. "Settlement network, demographic circumstances, healthcare, social service and educations in Szabolcs-Szatmár-Bereg county." Acta Agraria Debreceniensis, no. 61 (September 18, 2014): 105–13. http://dx.doi.org/10.34101/actaagrar/61/2052.

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Szabolcs-Szatmár-Bereg county shares its borders with three countries: Romania, Ukraine and Slovakia. The county is part of the North Great Plain Region, it is the third largest county of Hungary in terms of its population. The peripheric geographical location of the county gained importance by the EU accession, as the county represents a significant part of the eastern border of the EU.
 Szabolcs-Szatmár-Bereg county is one of the counties of the Great Plain with significant population in the outlying areas, out of the six counties of the Great Plain the population of outlying areas is t
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Mononen, Niina, Marika Pohjanoksa-Mäntylä, Marja SA Airaksinen, and Katri Hämeen-Anttila. "How far are we from a medication use process aiming at well-informed adherent patients with long-term medications in Finland? Qualitative study." BMJ Open 10, no. 6 (2020): e036526. http://dx.doi.org/10.1136/bmjopen-2019-036526.

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ObjectiveFinland is one of the few countries that has established a national Medicines Information (MI) Strategy. The ultimate goal of the strategy is a well-implemented medication use process resulting in well-informed adherent patients. This study aimed at evaluating the implementation of the strategy 3 years after its launch.DesignThe evaluation applied a pragmatic approach and was conducted by interviewing stakeholders involved in the National MI Network enhancing the MI Strategy’s implementation. The network comprises national key stakeholders producing and using MI. Data were deductively
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Fattahi, Hamed, Alireza Raeisi, Jafar Sadegh Tabrizi, Babak Farokhi, and MohamadReza Rahbar. "Community Health Workers’ Role in Preventing and Controlling the COVID-19 Pandemic." Depiction of Health 13, Suppl 1 (2022): 22–29. http://dx.doi.org/10.34172/doh.2022.13.

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Background. From the start of the COVID-19 pandemic in February 2019 in Iran, the Iranian health system, following its mission, began planning with the goal of pandemic prevention and control. Various steps were taken, and the program of National Mobilization against COVID-19 was devised to provide services for individuals in the community, mainly the sick and vulnerable, and promote people's knowledge and skills regarding the crisis. Given the role of Community Health Workers (Behvarzes and Moragheb-e-Salamats) in preventing and controlling infectious diseases, this study was carried out to i
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Keller, Sara C., Darren R. Linkin, Neil O. Fishman, and Ebbing Lautenbach. "Variations in Identification of Healthcare-Associated Infections." Infection Control & Hospital Epidemiology 34, no. 7 (2013): 678–86. http://dx.doi.org/10.1086/670999.

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Objective.Little is known about whether those performing healthcare-associated infection (HAI) surveillance vary in their interpretations of HAI definitions developed by the Centers for Disease Control and Prevention's National Healthcare Safety Network (NHSN). Our primary objective was to characterize variations in these interpretations using clinical vignettes. We also describe predictors of variation in responses.Design.Cross-sectional study.Setting.United States.Participants.A sample of US-based members of the Society for Healthcare Epidemiology of America (SHEA) Research Network.Methods.R
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Brangan, Emer, Jonathan Banks, Heather Brant, Anne Pullyblank, Hein Le Roux, and Sabi Redwood. "Using the National Early Warning Score (NEWS) outside acute hospital settings: a qualitative study of staff experiences in the West of England." BMJ Open 8, no. 10 (2018): e022528. http://dx.doi.org/10.1136/bmjopen-2018-022528.

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ObjectivesEarly warning scores were developed to improve recognition of clinical deterioration in acute hospital settings. In England, the National Early Warning Score (NEWS) is increasingly being recommended at a national level for use outside such settings. In 2015, the West of England Academic Health Science Network supported the roll-out of NEWS across a range of non-acute-hospital healthcare sectors. Research on the use of NEWS outside acute hospitals is limited. The objective of this study was to explore staff experiences of using NEWS in these new settings.DesignThematic analysis of qua
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Bello, Aminu K., Paul E. Ronksley, Navdeep Tangri, et al. "A national surveillance project on chronic kidney disease management in Canadian primary care: a study protocol." BMJ Open 7, no. 8 (2017): e016267. http://dx.doi.org/10.1136/bmjopen-2017-016267.

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IntroductionEffective chronic disease care is dependent on well-organised quality improvement (QI) strategies that monitor processes of care and outcomes for optimal care delivery. Although healthcare is provincially/territorially structured in Canada, there are national networks such as the Canadian Primary Care Sentinel Surveillance Network (CPCSSN) as important facilitators for national QI-based studies to improve chronic disease care. The goal of our study is to improve the understanding of how patients with chronic kidney disease (CKD) are managed in primary care and the variation across
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Douglas, Jacinta, Di Winkler, Adam McLeod, et al. "Primary healthcare needs and service utilisation of people with disability: a data linkage protocol." BMJ Open 13, no. 4 (2023): e068059. http://dx.doi.org/10.1136/bmjopen-2022-068059.

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IntroductionGeneral practitioners (GPs) play a crucial role in the early management and treatment of the comorbidities and complications experienced by people with disability. However, GPs experience multiple constraints, including limited time and disability-related expertise. Knowledge gaps around the health needs of people with disability as well as the frequency and extent of their engagement with GPs mean evidence to inform practice is limited. Using a linked dataset, this project aims to enhance the knowledge of the GP workforce by describing the health needs of people with disability.Me
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Bartos, Maria Carolina, Regiane Matias Da Silva, Vanessa de Oliveira Lucchesi, Clóvis Wanzinack, and Marcos Claudio Signorelli. "The COVID-19 pandemic and cases of domestic violence: perceptions of primary healthcare professionals in the context of social isolation." Cadernos Ibero-Americanos de Direito Sanitário 13, no. 1 (2024): 102–18. http://dx.doi.org/10.17566/ciads.v13i1.1009.

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Objective: to analyze the perceptions of primary health care professionals in Paranaguá/PR about the relationship between the COVID-19 pandemic and cases of domestic violence in their assigned territories, identifying challenges in the approach, impacts on families and case management. Methodology: qualitative research was conducted using semi-structured interviews and focus groups with 36 professionals from two primary health care units in Paranaguá, on the Paraná coast. Results: Primary health care professionals unanimously reported an increase in the number of domestic violence cases in tho
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Kim, Hwayoung, and Phong Nha Nguyen. "Optimizing ferry route networks for sustainable island development using social network analysis: A study of Mokpo, South Korea." Journal of Infrastructure, Policy and Development 8, no. 14 (2024): 9861. http://dx.doi.org/10.24294/jipd9861.

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South Korea’s over 3300 islands play vital roles in the nation’s geography, economy, culture, and national security. Despite their importance, these islands face significant challenges, including population decline, aging demographics, and a severe lack of healthcare, childcare, and education facilities. With only 20% of inhabited islands connected to the mainland by bridges, coastal ferries are the primary transportation mode. However, the infrequent ferry services and numerous intermediate stops cause considerable inconvenience. This study conducts an analysis of the coastal ferry route conn
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Clarke, Jonathan, Thomas Beaney, Azeem Majeed, Ara Darzi, and Mauricio Barahona. "Identifying naturally occurring communities of primary care providers in the English National Health Service in London." BMJ Open 10, no. 7 (2020): e036504. http://dx.doi.org/10.1136/bmjopen-2019-036504.

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ObjectivesPrimary Care Networks (PCNs) are a new organisational hierarchy with wide-ranging responsibilities introduced in the National Health Service (NHS) Long Term Plan. The vision is that PCNs should represent ‘natural’ communities of general practices (GP practices) collaborating at scale and covering a geography that fits well with practices, other healthcare providers and local communities. Our study aims to identify natural communities of GP practices based on patient registration patterns using Markov Multiscale Community Detection, an unsupervised network-based clustering technique t
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Oliphant, Nicholas Paul, Nicolas Ray, Khaled Bensaid, et al. "Optimising geographical accessibility to primary health care: a geospatial analysis of community health posts and community health workers in Niger." BMJ Global Health 6, no. 6 (2021): e005238. http://dx.doi.org/10.1136/bmjgh-2021-005238.

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BackgroundLittle is known about the contribution of community health posts and community health workers (CHWs) to geographical accessibility of primary healthcare (PHC) services at community level and strategies for optimising geographical accessibility to these services.MethodsUsing a complete georeferenced census of community health posts and CHWs in Niger and other high-resolution spatial datasets, we modelled travel times to community health posts and CHWs between 2000 and 2013, accounting for training, commodities and maximum population capacity. We estimated additional CHWs needed to opt
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Kainth, Pinay, Niamh Murphy, Silvia Rossi, et al. "Management of Migraine and the Accessibility of Specialist Care – Findings from a Multi-national Assessment of 28 Healthcare Networks." European Neurological Review 13, no. 2 (2018): 103. http://dx.doi.org/10.17925/enr.2018.13.2.103.

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Introduction:Migraine is one of the leading reasons for patient access to neurology services. Waiting lists can limit patients’ ability to access specialist care, even at specialised headache centres. Our study aims to investigate this issue, identify possible root causes and also document existing good practices.Methods:We conducted a study in a sample of 28 headache centres and their networks in six countries by performing in-depth interviews with 166 healthcare professionals.Results:The waiting list for new patients and follow-up visits exceeded 3 months in 61% and 36% of centres, respectiv
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Nicholson, Kathryn, Amanda L. Terry, Martin Fortin, Tyler Williamson, Michael Bauer, and Amardeep Thind. "Examining the Prevalence and Patterns of Multimorbidity in Canadian Primary Healthcare: A Methodologic Protocol using a National Electronic Medical Record Database." Journal of Comorbidity 5, no. 1 (2015): 150–61. http://dx.doi.org/10.15256/joc.2015.5.61.

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In many developed countries, the burden of disease has shifted from acute to long-term or chronic diseases – producing new and broader challenges for patients, healthcare providers, and healthcare systems. Multimorbidity, the coexistence of two or more chronic diseases within an individual, is recognized as a significant public health and research priority. This protocol aims to examine the prevalence, characteristics, and changing burden of multimorbidity among adult primary healthcare (PHC) patients using electronic medical record (EMR) data. The objectives are two-fold: (1) to measure the p
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Shyshka, Іhor, Olga Mashchenko, and Viktoriia Tomareva. "THEORETICAL AND METHODOLOGICAL FOUNDATIONS OF THE HEALTHCARE SYSTEM OF UKRAINE." Baltic Journal of Economic Studies 9, no. 4 (2023): 253–61. http://dx.doi.org/10.30525/2256-0742/2023-9-4-253-261.

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The aim of this article is to establish the theoretical and methodological basis for the operation of Ukraine's healthcare system through the definition of its objectives and functions, examination of its primary structural elements and performance indicators between 2010-2019, and identification of the key classification features that categorise the present healthcare system as belonging to a specific model of medical systems. Methodology. The study is based on theoretical research on the concepts of healthcare system functioning. Results. The article defines the "healthcare system" as a hier
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SHUAIBU, Umar, Abdullahi M. ADAMU, Hassan F. HASSAN, et al. "Preferences for Public and Private Healthcare Providers among Enrollees of Gombe State Contributory Healthcare Scheme." International Journal of Research and Scientific Innovation VIII, no. VII (2024): 680–88. http://dx.doi.org/10.51244/ijrsi.2024.1107052.

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Any nation’s healthcare system consists of private and public healthcare outlets with a network of health facilities providing primary, secondary, and tertiary services to satisfy customers’ needs and wants. Gombe State Government established the Gombe State Contributory Healthcare Management Agency popularly called (GoHealth) through a law in 2019, it was established in line with the decentralization of the National Health Insurance Agency (NHIA) that paved the way for the establishment of State Social Health Insurance Schemes (SSHIS) in the country to provide an affordable care. This study d
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Advani, Sonali D., and Mohamad G. Fakih. "The evolution of catheter-associated urinary tract infection (CAUTI): Is it time for more inclusive metrics?" Infection Control & Hospital Epidemiology 40, no. 6 (2019): 681–85. http://dx.doi.org/10.1017/ice.2019.43.

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AbstractCatheter-associated urinary tract infection (CAUTI) has long been considered a preventable healthcare-associated infection. Many federal agencies, the Centers for Medicare and Medicaid Services (CMS), and public and private healthcare organizations have implemented strategies aimed at preventing CAUTIs. To monitor progress in CAUTI prevention, the National Healthcare Safety Network (NHSN) CAUTI metric has been adopted nationally as the primary outcome measure and has been refined over the past decades. However, this surveillance metric may underestimate infectious and noninfectious cat
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Rex, Malin, Thomas Brezicka, Eric Carlström, Margda Waern, and Lilas Ali. "Coexisting service-related factors preceding suicide: a network analysis." BMJ Open 12, no. 4 (2022): e050953. http://dx.doi.org/10.1136/bmjopen-2021-050953.

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ObjectivesThe overall objective was to analyse service-related factors involved in the complex processes that precede suicide in order to identify potential targets for intervention.Design and settingExplorative network analysis study of post-suicide root cause analysis data from Swedish primary and secondary healthcare.Participants217 suicide cases reported to the Swedish national root cause analysis database between 2012 and 2017.Primary and secondary outcome measuresA total of 961 reported incidents were included. Demographic data and frequencies of reported deficiencies were registered. To
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Schweighoffer, R., E. Reeves, and B. Liebig. "Collaborative Networks in Primary and Specialized Palliative Care in Switzerland - Perspectives of Doctors and Nurses." Open Public Health Journal 13, no. 1 (2020): 36–43. http://dx.doi.org/10.2174/1874944502013010036.

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Purpose: To date, information about collaborative networks of doctors and nurses in palliative care is still scarce, yet of great importance in revealing gaps in collaboration. This paper investigates the collaboration frequencies of medical doctors and nurses within, and across, different settings of palliative care. Methods: The study was based on a Swiss national survey on “Collaboration and cooperation in Palliative Care”. The subjects surveyed included service providers in the primary and specialized palliative care sectors, as well as support services (N=1111). Information about ties bet
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Flores-Quispe, Maria del Pilar, Suele Manjourany Silva Duro, Cauane Blumenberg, Luiz Facchini, Alexsandro Behrens Zibel, and Elaine Tomasi. "Quality of newborn healthcare in the first week of life in Brazil’s primary care network: a cross-sectional multilevel analysis of the National Programme for Improving Primary Care Access and Quality – PMAQ." BMJ Open 12, no. 4 (2022): e049342. http://dx.doi.org/10.1136/bmjopen-2021-049342.

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ObjectiveTo estimate the prevalence of good quality child care in the first week of life in primary care services in Brazil and identify associated factors related to maternal, primary healthcare (PHC) facility and municipality characteristics.SettingBrazilian PHC.Participants6715 users of PHC facilities aged over 18 years with children under 2 years of age.Primary outcomeThe good quality child care was defined when the following health interventions were performed during postnatal check-up in the first week of life: the child was weighed and measured; the healthcare professional observed brea
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Lapygin, Y. N., and E. A. Kovalev. "Cluster Approach in the Implementation of the National Project “Health” in the Region." Administrative Consulting, no. 3 (May 23, 2021): 80–89. http://dx.doi.org/10.22394/1726-1139-2021-3-80-89.

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The practice of implementing the national project “Healthcare” at the regional level indicates a lag in the set rates, which causes the need to adjust the organizational structure of the healthcare system of the constituent entities of the Russian Federation. At the same time, the implementation of the recommendations of the Ministry of Health of the Russian Federation regarding the formation of a network of medical organizations of primary health care in combination with the recommendations of the Ministry of Health on the creation of centers for organizing primary health care in the regions
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Casey, Eunice, Emma Kaplan-Lewis, Kruti Gala, and Rebecca Lakew. "Successful Integration of HIV PrEP in Primary Care and Women’s Health Clinical Practice: A Model for Implementation." Viruses 15, no. 6 (2023): 1365. http://dx.doi.org/10.3390/v15061365.

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Ending the HIV Epidemic is contingent upon the increased utilization of pre-exposure prophylaxis (PrEP). The majority of PrEP in the United States is prescribed in specialty care settings; however, to achieve national implementation goals, it is necessary to expand PrEP services in primary care and women’s health clinics. To this end, a prospective cohort study was conducted of health care providers participating in one of three rounds of a virtual program aimed at increasing the number of PrEP prescribers in primary care and women’s health clinics within the NYC Health and Hospitals network,
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38

Soucy, Jean-Paul R., Marcelo Low, Kamal Raj Acharya, et al. "Evaluation of an automated feedback intervention to improve antimicrobial prescribing among primary care physicians (OPEN Stewardship): protocol for an interrupted time-series and usability analysis in Ontario, Canada and Southern Israel." BMJ Open 11, no. 1 (2021): e039810. http://dx.doi.org/10.1136/bmjopen-2020-039810.

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IntroductionAntimicrobial resistance undermines our ability to treat bacterial infections, leading to longer hospital stays, increased morbidity and mortality, and a mounting burden to the healthcare system. Antimicrobial stewardship is increasingly important to safeguard the efficacy of existing drugs, as few new drugs are in the developmental pipeline. While significant progress has been made with respect to stewardship in hospitals, relatively little progress has been made in the primary care setting, where the majority of antimicrobials are prescribed. OPEN Stewardship is an international
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Blåhed, Hanna, Frida Jonsson, and Anna-Karin Hurtig. "In-Between Policy Vision and Practical Realities of Primary Healthcare: A Case Study in Rural Northern Sweden." International Journal of Health Policy and Management 13 (November 18, 2024): 8372. http://dx.doi.org/10.34172/ijhpm.8372.

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Background: In the context of a broader vision for primary healthcare (PHC) informed health systems, Sweden is following international trends by introducing the national "Good Quality and Local Health Care" reform. This reform seeks to establish a health system with primary care (PC) at the centre by emphasising aspects such as interorganisational collaboration and e-Health innovation. Since translating policy into practice may be challenging in rural areas due to resource constrains and normatively urban perspectives in national policy-making, this study explores how rural PC actors navigate
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Hammoud, Rawan, Sandy Laham, Ola Kdouh, and Randa Hamadeh. "Setting up a patient complaint system in the national primary healthcare network in Lebanon (2016–2020): Lessons for Low‐ and Middle‐Income Countries." International Journal of Health Planning and Management 37, no. 1 (2021): 387–402. http://dx.doi.org/10.1002/hpm.3347.

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41

Idowu, Bukunmi Michael, and Tolulope Adebayo Okedere. "Diagnostic Radiology in Nigeria: A Country Report." Journal of Global Radiology 2020 6, no. 1 (2020): 1072. https://doi.org/10.7191/jgr.2020.1072.

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Nigeria is located in West Africa. The Nigerian healthcare system is stratifed into three tiers corresponding to the three tiers of government: primary (local), secondary (state), and tertiary (federal). In addition to this public health structure, private facilities play a significant role in healthcare delivery. Nigeria has a shortage of healthcare equipment and personnel, with a doctor per 1,000 population ratio of 0.17, which is one of the lowest on the African continent. Despite these challenges, a wide range of medical imaging services is available in the country, through a network of pu
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Burtseva, Tatiana E., V. V. Arzhakova, N. M. Gogolev, N. I. Douglas, E. A. Borisova, and L. N. Afanasyeva. "Provision of population of the republic of Sakha (Yakutia) with medical personnel." Perm Medical Journal 38, no. 6 (2021): 103–8. http://dx.doi.org/10.17816/pmj386103-108.

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Objective. To analyze the provision of the population of the Republic of Sakha (Yakutia) with medical personnel.
 Materials and methods. The article presents an analysis of the human resources of the healthcare of the Republic of Sakha (Yakutia) for 20002020. The main trends in the medical personnel provision of the Republic of Sakha (Yakutia) are determined according to the data of the Yakut Republican Medical Information and Analytical Center.
 Results. The personnel resource of healthcare is its fundamental component. The problem of providing the population with medical personnel
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Andreichenko, Andrii, Serhii Zhurylo, and Oleksii Podmazko. "MECHANISMS OF PUBLIC ADMINISTRATION OF HEALTHCARE DEVELOPMENT IN UKRAINE: REGIONAL DIMENSION (CASE STUDY OF IZMAIL TERRITORIAL COMMUNITY)." Economic scope, no. 201 (June 10, 2025): 259–63. https://doi.org/10.30838/ep.201.259-263.

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The article is devoted to a comprehensive analysis of public management mechanisms for healthcare development at the regional level (using the example of Izmail territorial community in Odesa region) and the development of scientifically substantiated recommendations for their improvement under decentralization conditions. The research was conducted using systematic and comparative analysis, statistical methods, and situational analysis when studying the peculiarities of the healthcare system functioning in the Izmail territorial community. As a result, key problems of regional public healthca
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Paula, Antonio da Cruz, José Manuel Santos de Varge Maldonado, and Carlos Augusto Grabois Gadelha. "Healthcare telemonitoring and business dynamics: challenges and opportunities for SUS." Revista de Saúde Pública 54 (July 16, 2020): 65. http://dx.doi.org/10.11606/s1518-8787.2020054001996.

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OBJECTIVE: To point out challenges and opportunities for the Brazilian Unified Health System (SUS) with the use of telemonitoring to face the increasing costs of non-communicable chronic diseases, based on its general panorama in Brazil, business dynamics and reapplication of data from American studies. METHODS: Quali-quantitative approach with exploratory research. The field work focused on the analysis of the national market from private companies, since no experiences or studies related to this theme were identified in the SUS. To analyze the panorama and market dynamics, we investigated th
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Sotirović, Jelena, Nemanja Rančić, Ljubomir Pavićević, et al. "Surgical Site Infection after Primary Open Surgery for Laryngeal Cancer in a Tertiary Hospital in Belgrade, Serbia: A 10-Year Prospective Cohort Study." Antibiotics 13, no. 10 (2024): 918. http://dx.doi.org/10.3390/antibiotics13100918.

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Background: Surgical site infection (SSI) in laryngeal cancer (LC) patients significantly increases morbidity and may postpone adjuvant therapy. Additionally, SSI can prolong hospitalization, thus representing a burden for the healthcare system. Most of the published studies refer to SSI after salvage laryngectomy. Methods: The present prospective cohort study aimed to clarify the incidence and factors associated with SSI in patients after primary open surgery for LC. Through regular hospital surveillance of patients who underwent primary partial or total laryngectomy, we gathered 24 putative
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Wolford, Hannah M., Kelly M. Hatfield, Prabasaj Paul, Sarah H. Yi, and Rachel B. Slayton. "The projected burden of complex surgical site infections following hip and knee arthroplasties in adults in the United States, 2020 through 2030." Infection Control & Hospital Epidemiology 39, no. 10 (2018): 1189–95. http://dx.doi.org/10.1017/ice.2018.184.

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AbstractBackgroundAs the US population ages, the number of hip and knee arthroplasties is expected to increase. Because surgical site infections (SSIs) following these procedures contribute substantial morbidity, mortality, and costs, we projected SSIs expected to occur from 2020 through 2030.MethodsWe used a stochastic Poisson process to project the number of primary and revision arthroplasties and SSIs. Primary arthroplasty rates were calculated using annual estimates of hip and knee arthroplasty stratified by age and gender from the 2012–2014 Nationwide Inpatient Sample and standardized by
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47

Bejarano-Quisoboni, Daniel, Nathalie Pelletier-Fleury, Rodrigue S. Allodji, et al. "Health care expenditures among long-term survivors of pediatric solid tumors: Results from the French Childhood Cancer Survivor Study (FCCSS) and the French network of cancer registries (FRANCIM)." PLOS ONE 17, no. 5 (2022): e0267317. http://dx.doi.org/10.1371/journal.pone.0267317.

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Background Childhood cancer survivors (CCS) may require lifelong medical care due to late effects of cancer treatments. Little is known about of their healthcare utilization and expenditures at long-term especially in publicly funded health care system. We aim to estimate and describe the health care expenditures among long-term CCS in France. Methods A total of 5319 five-year solid CCS diagnosed before the age of 21 between 1945 and 2000 in France were identified in the French Childhood Cancer Survivors Study cohort (FCCSS) and the French cancer registry. Information about health care expendi
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See, Isaac, Martha Iwamoto, Kathy Allen-Bridson, Teresa Horan, Shelley S. Magill, and Nicola D. Thompson. "Mucosal Barrier Injury Laboratory-Confirmed Bloodstream Infection: Results from a Field Test of a New National Healthcare Safety Network Definition." Infection Control & Hospital Epidemiology 34, no. 8 (2013): 769–76. http://dx.doi.org/10.1086/671281.

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Objective.To assess challenges to implementation of a new National Healthcare Safety Network (NHSN) surveillance definition, mucosal barrier injury laboratory-confirmed bloodstream infection (MBI-LCBI).Design.Multicenter field test.Setting.Selected locations of acute care hospitals participating in NHSN central line-associated bloodstream infection (CLABSI) surveillance.Methods.Hospital staff augmented their CLABSI surveillance for 2 months to incorporate MBI-LCBI: a primary bloodstream infection due to a selected group of organisms in patients with either neutropenia or an allogeneic hematopo
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O'Connor, Raymond, Patrick J. Murphy, Michael E. O'Callaghan, et al. "Development of a primary care research network focused on chronic disease: a feasibility study for both practices and research networks." HRB Open Research 4 (August 16, 2021): 89. http://dx.doi.org/10.12688/hrbopenres.13311.1.

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Background: High quality data should be a key resource for research and planning of healthcare, but low quality general practice data has been documented internationally. This study assessed the feasibility of collecting reliable chronic disease data in Irish general practice, using a program of training and feedback to improve the quality of coding for chronic conditions in practice information systems. Methods: Training in chronic disease coding and reporting was provided to a purposive sample of general practices in Ireland. From July to December 2020, practices reported the number of patie
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Opanga, Yvonne, Saida Kassim, Gilbert Wangalwa, et al. "Critical Success Factors for Deployment of Primary Health Care Networks and their Impact in Kenya." East African Journal of Health and Science 7, no. 1 (2024): 10–21. http://dx.doi.org/10.37284/eajhs.7.1.1696.

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The Government of Kenya through the Bottom-up Economic Transformational Agenda (BETA) acknowledges Primary Health Care (PHC) as a cost-effective and efficient means to achieve Universal Health Coverage (UHC). The aim is to enhance equitable access to high-quality and affordable healthcare for all Kenyan citizens. Primary Health Care Networks (PCNs) are gaining traction as the main mode of achieving PHC in Low- and Middle-Income Countries, and Kenya is no exception. In Kenya, PCNs approach seeks to empower local communities at subcounty level through mobilizing resources and strengthening their
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