Article
Hematology
Aled Lloyd, Helen Jefferies, Rhodri Pyart, Gareth Roberts
Summary: There is significant variation in the prevalence of home haemodialysis (HHD) among UK renal centers. Most patients who choose HHD do not receive it, mainly due to inadequate communication among clinicians, patients changing their minds once in a dialysis unit, and lack of timely training support.
BLOOD PURIFICATION
(2023)
Article
Medicine, General & Internal
Zhiying Zhang, Ruyi Zhang, Yingchun Peng, Shaoqi Zhai, Jiaying Zhang, Qilin Jin, Jiaojiao Zhou, Hanlin Li, Jingjing Chen
Summary: This study evaluated the current state of family doctor contract services (FDCS) in Beijing, identified the roles of family doctors working with disabled older adults, and investigated the barriers and facilitators faced by family doctors in providing care for them. The findings indicate that family doctors play a pivotal role in the FDCS for disabled older adults, but the effect and quality of FDCS in China need improvement.
Article
Medicine, General & Internal
Dan Wang, Zhenmi Liu, Jing Zhou, Jie Yang, Xinrong Chen, Chengting Chang, Changqing Liu, Ka Li, Jiankun Hu
Summary: This study explores the attitudes and barriers encountered in the implementation of ERAS in China from the perspective of multidisciplinary team members. The study identifies several barriers in the implementation process, including shortage of medical resources, lack of policy support, poor doctor-patient collaboration, poor communication and collaboration among MDT members, and lack of individualized management. The current implementation of ERAS is still based on ideas rather than reality, and there is a need for further improvement and enhancement.
Review
Nursing
Sharron Rushton, Allison A. Lewinski, Soohyun Hwang, Leah L. Zullig, Katharine A. Ball Ricks, Katherine Ramos, Adelaide Gordon, Belinda Ear, Lindsay A. Ballengee, Mulugu V. Brahmajothi, Thomasena Moore, Dan V. Blalock, John W. Williams, Sarah E. Cantrell, Jennifer M. Gierisch, Karen M. Goldstein
Summary: This study aims to investigate the facilitators and barriers to the implementation of improvement coaching. Through a qualitative synthesis of 19 studies, four themes of barriers and facilitators were identified, including adaptability, knowledge and skills, engagement, and resources.
JOURNAL OF CLINICAL NURSING
(2023)
Article
Health Care Sciences & Services
Johanna Graeber, Elke Warmerdam, Svenja Aufenberg, Christopher Bull, Kristen Davies, Jan Dixon, Kirsten Emmert, Claire Judd, Corina Maetzler, Ralf Reilmann, Wan-Fai Ng, Victoria Macrae, Walter Maetzler, Hanna Kaduszkiewicz, IDEA-FAST Consortium
Summary: This study investigated the technology acceptance of seven digital medical devices for home use. Through semi-structured interviews and qualitative content analysis, key factors that determine the acceptability of these devices were identified, including ease of use, minimal disruption to daily life, and support from the study team.
Article
Multidisciplinary Sciences
Md Nazim Uzzaman, Vicky Hammersley, Kirstie McClatchey, Jessica Sheringham, G. M. Monsur Habib, Hilary Pinnock
Summary: This study aims to assess the effectiveness of reviewing asthma using asynchronous digital health interventions and explore the views of patients and healthcare professionals about the role of such interventions in delivering asthma care.
Article
Public, Environmental & Occupational Health
Huda Yusuf, Ali Golkari, Sarah Kaddour
Summary: This study aimed to assess the oral health needs of homeless individuals in London and examine their impact on oral health-related quality of life. The findings revealed numerous challenges faced by this population, such as mental health issues, stigma, costs, and chaotic lifestyles, which hindered their ability to maintain good oral health and access dental care. Results showed high levels of unmet dental needs and risky health behaviors, significantly affecting the oral health-related quality of life of the participants. Therefore, addressing the structural determinants of homelessness is crucial for improving oral and overall health outcomes in this vulnerable population.
Article
Psychology, Multidisciplinary
Gabriela Lopez-Aymes, Maria de los Dolores Valadez, Elena Rodriguez-Naveiras, Doris Castellanos-Simons, Triana Aguirre, Africa Borges
Summary: The household confinement caused by the COVID-19 pandemic has led to significant changes, such as children being forced to stay at home due to school closures. This could impact the quality of life of children by restricting their activities, including exercise.
FRONTIERS IN PSYCHOLOGY
(2021)
Review
Nursing
Tianzi Li, Aili Lv, Na Xu, Mei Huang, Yan Su, Bin Zhang, XiaoMei Li
Summary: This systematic review identified five analytical themes related to barriers and facilitators to exercise in haemodialysis patients: disease distress, perception of exercise, environmental restrictions, spirit strength, and hospital management. Future intervention measures and health policies should focus on strengthening facilitators and reducing barriers to promote exercise practice among haemodialysis patients. The study highlights the importance of utilizing facilitators and addressing barriers to improve the exercise levels of haemodialysis patients.
JOURNAL OF ADVANCED NURSING
(2021)
Article
Medicine, General & Internal
Pascal Nzasabimana, Agnieszka Ignatowicz, Barnabas Tobi Alayande, Abdul-Malik Abdul-Latif, Maria Lisa Odland, Justine Davies, Abebe Bekele, Jean Claude Byiringiro
Summary: This study aimed to identify and explore barriers to accessing quality injury care from the perspectives of injured patients, caregivers, and community leaders. Through qualitative research methods, the study found multiple barriers across various stages of care, including barriers to seeking, reaching, receiving, and remaining in care. Key barriers mentioned were the lack of community health insurance, limited access to ambulances, insufficient number of trauma care specialists, and decentralized rehabilitation services.
Article
Medicine, Research & Experimental
Katherine L. Hull, Kate Bramham, Cassandra L. Brookes, Victoria Cluley, Carmel Conefrey, Nicola J. Cooper, Helen Eborall, James Fotheringham, Matthew P. M. Graham-Brown, Laura J. Gray, Patrick B. Mark, Sandip Mitra, Gavin J. Murphy, Niamh Quann, Leila Rooshenas, Madeleine Warren, James O. Burton
Summary: The study aims to compare the impact of in-centre nocturnal haemodialysis (INHD) and conventional haemodialysis on the quality of life of chronic kidney disease patients. It is a randomized controlled trial that evaluates the efficacy of both treatments through measures such as dialysis effectiveness, sleep, and cognitive function. Adult patients are eligible to participate in the study.
Article
Medicine, General & Internal
Imran Naeem, Sameen Siddiqi, Amna Rehana Siddiqui, Rumina Hasan
Summary: This study explored the experiences and perceptions of health system stakeholders in a rural district of Sindh, Pakistan regarding the barriers to effective surveillance of communicable diseases. The study found that poor governance, lack of policy framework, resource deficiencies, and absence of private sector engagement were the major factors contributing to the weak surveillance infrastructure.
Article
Medicine, General & Internal
Lina Falkenstein, Nathalie Eckel, Simone B. Kadel, Jochem Koenig, David Litaker, Michael Eichinger
Summary: This study aims to explore the utilisation and provision of paediatric primary care services during the ongoing COVID-19 pandemic in Germany, as well as the potential barriers and facilitators. Using a convergent mixed-methods design, the study integrates findings from online surveys and semistructured interviews, and the results will be published in journals with external peer-review.
Article
Oncology
Ronnie L. Shammas, Laura J. Fish, Amanda R. Sergesketter, Anaeze C. Offodile, Brett T. Phillips, Sachi Oshima, Clara N. Lee, Scott T. Hollenbeck, Rachel A. Greenup
Summary: Breast reconstruction is associated with improved patient well-being, but factors contributing to dissatisfaction post-surgery are poorly understood. This study interviewed women who underwent breast reconstruction and identified sources of dissatisfaction, such as breast asymmetry, sexual dysfunction, and physical and psychosocial well-being issues. Targeted strategies are needed to improve education and decision making to address unexpected outcomes.
ANNALS OF SURGICAL ONCOLOGY
(2022)
Article
Respiratory System
Edward F. Nash, Jocelyn Choyce, Victoria Carrolan, Edwin Justice, Karen L. Shaw, Alice Sitch, Hema Mistry, Joanna L. Whitehouse
Summary: This study assessed the effects of home monitoring on individuals with cystic fibrosis. The results indicate that home monitoring is effective in detecting pulmonary exacerbations and does not significantly impact hospital admissions or overall health. Despite the high cost of the equipment, home monitoring is found to be more cost-effective than routine care. Patients have a positive experience with home monitoring, feeling more empowered and reassured.
THERAPEUTIC ADVANCES IN RESPIRATORY DISEASE
(2022)
Review
Health Care Sciences & Services
Fabio Gama, Daniel Tyskbo, Jens Nygren, James Barlow, Julie Reed, Petra Svedberg
Summary: This literature review demonstrates that the implementation of AI in healthcare practice is still in its early stages of development. Existing frameworks do not fully consider the unique needs of AI implementation, highlighting the need for further research to develop comprehensive implementation frameworks.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2022)
Article
Computer Science, Interdisciplinary Applications
Katherine E. Penny, Steffen Bayer, Sally Brailsford
Summary: Discrete-event simulation (DES) has long been recognized as a powerful tool for commissioning and resourcing health and social care services due to its ability to capture real-world variability. However, the complex interactions between disease progression and care provision processes can make models cumbersome and lacking transparency. This paper presents a novel hybrid simulation approach that combines DES with agent-based simulation, using statecharts to model health status in a more natural way.
JOURNAL OF SIMULATION
(2023)
Article
Health Care Sciences & Services
Petra Svedberg, Julie Reed, Per Nilsen, James Barlow, Carl Macrae, Jens Nygren
Summary: This research program aims to bridge the gap between knowledge and practice in the implementation of AI in healthcare by developing a theoretically-informed framework and conducting empirical studies. The program also seeks to apply the framework in clinical practice to build regional capacity for AI implementation. The program will use a logic model and involve collaboration between researchers, healthcare professionals, and other stakeholders.
JMIR RESEARCH PROTOCOLS
(2022)
Article
Health Policy & Services
Sally Brailsford, Steffen Bayer, Con Connell, Abraham George, Jonathan Klein, Peter Lacey
Summary: This paper presents insights from an independent evaluation of a project in Kent, England, aimed at overcoming the barriers to implementing OR methods in health and social care decision-making. The findings confirmed the lack of routine use of OR methods and highlighted issues with training delivery and problem selection.
Review
Public, Environmental & Occupational Health
Giulia Dallera, Mark Skopec, Cheryl Battersby, James Barlow, Matthew Harris
Summary: Therapeutic hypothermia is a standard treatment for HIE, but low-income settings face challenges in accessing cooling equipment. Cooling mattresses made with phase change materials offer a cost-effective alternative, and their adoption by the NHS could reduce geographical disparities in HIE treatment and improve coordination across neonatal care levels.
GLOBALIZATION AND HEALTH
(2022)
Article
Public, Environmental & Occupational Health
David Barrera Ferro, Steffen Bayer, Sally Brailsford, Honora Smith
Summary: The study combines machine learning methods and Champion's Health Belief Model to assess factors influencing women's participation in cervical cancer screening. Results show that lower income patients have lower health motivation scores, higher barrier scores, and patients who are younger and in extreme poverty are less likely to attend appointments. This method has the potential to improve the cost-effectiveness of behavioral interventions in developing countries.
Article
Medicine, General & Internal
Matthias P. Hofer, Paola Criscuolo, Nilay Shah, Anne L. J. ter Wal, James Barlow
Summary: Brexit has provided an opportunity for innovation, but the MHRA still relies on EU regulatory decision-making for novel medicines, leading to significant delays for some medicines in the UK without clear reasons. However, the MHRA has introduced innovation initiatives that show promise for faster authorization of innovative medicines, particularly in the treatment of cancer and other areas of unmet need.
FRONTIERS IN MEDICINE
(2022)
Article
Business
Danni Zhang, Regina Frei, P. K. Senyo, Steffen Bayer, Enrico Gerding, Gary Wills, Adrian Beck
Summary: The growth of online retailing has resulted in high product return rates and increased opportunities for returns fraud. During the pandemic, new types of returns fraud have emerged, and we provide strategies for retailers to combat product returns fraud in a multichannel environment.
JOURNAL OF RETAILING AND CONSUMER SERVICES
(2023)
Article
Health Policy & Services
Nancy S. Bolous, Dylan E. Graetz, Hutan Ashrafian, James Barlow, Nickhill Bhakta, Viknesh Sounderajah, Barrie Dowdeswell
Summary: This study characterizes a real-world example of healthcare tribalism being mitigated and reflects on the advantages that resulted from it.
JOURNAL OF HEALTH ORGANIZATION AND MANAGEMENT
(2022)
Article
Public, Environmental & Occupational Health
J. S. Mindell, Y. Parag, S. E. Bartington, L. Stoll, J. Barlow, K. B. Janda
Summary: This article introduces the concept of the middle-out perspective (MOP) and illustrates its application in two UK case studies. The results show that involving a wider range of middle actors can expand the reach and impact of public health advocacy, but it also highlights the potential for these actors to be manipulated by commercial interests.
PERSPECTIVES IN PUBLIC HEALTH
(2022)
Article
Management
Patrik Hidefjall, Helene Laurell, Jeaneth Johansson, James Barlow
Summary: Remote patient monitoring (RPM) has the potential to improve outcomes and reduce hospital admission and costs associated with chronic diseases. Incorporating lessons from literature on institutional logics can enhance the analytical frameworks used to understand the adoption and implementation of RPM.
INNOVATION-ORGANIZATION & MANAGEMENT
(2023)
Article
Business
Danni Zhang, Regina Frei, Gary Wills, Enrico Gerding, Steffen Bayer, Prince Kwame Senyo
Summary: Product returns in retail have negative environmental impacts and lead to increased waste. Retailers lack awareness and a comprehensive approach to addressing these impacts. Strategies and a framework for reducing the environmental impact of returns are proposed.
BUSINESS STRATEGY AND THE ENVIRONMENT
(2023)
Article
Multidisciplinary Sciences
Inger L. Abma, Gert J. Olthuis, Irma T. H. M. Maassen, Marjan L. Knippenberg, Miriam Moviat, Annie J. Hasker, A. G. Buenen, Bernard G. Fikkers, Anke J. M. Oerlemans
Summary: This study explores the experiences of triage teams using the Dutch triage guidelines for ICU triage and identifies the factors that influence decision-making. The Dutch triage guidelines serve as the main basis for triage decisions, but some teams also consider their own considerations and group processes play a role in decision-making.
Meeting Abstract
Clinical Neurology
E. Nobels-Janssen, E. Postma, I. Abma, M. Van Dijk, R. Haeren, H. Schenck, W. Moojen, H. Den Hertog, D. Nanda, A. Potgieser, B. Coert, W. Verhagen, R. Bartels, P. Van der Wees, D. Verbaan, J. Boogaarts
EUROPEAN JOURNAL OF NEUROLOGY
(2022)
Proceedings Paper
Business
Danni Zhang, Steffen Bayer, Gary Willis, Gina Frei, Enrico Gerding, P. K. Senyo
Summary: This study systematically explores the impacts of various return policies and fraud interventions on reducing different types of fraudulent behavior and the costs and benefits of associated interventions. Through literature review and interviews with retailers in the UK and North America, influential factors that lead customers to return products fraudulently are identified. A simulation model is developed to help retailers forecast fraudulent returns and explore the effects of different intervention combinations on reducing fraudulent returns and related financial impacts.
PROCEEDINGS OF THE 4TH INTERNATIONAL CONFERENCE ON FINANCE, ECONOMICS, MANAGEMENT AND IT BUSINESS (FEMIB)
(2022)