Article
Medicine, General & Internal
Saskia E. van Grondelle, Sytske van Bruggen, Judith Meijer, Erik van Duin, Michiel L. Bots, Guy Rutten, Hedwig M. M. Vos, Mattijs E. Numans, Rimke C. Vos
Summary: This study identified facilitators and barriers to therapy adherence in hypertension care at the healthcare provider level and healthcare system level. Facilitators included good interpersonal skills, attention to behavioral factors, and belief in the effectiveness of treatment. Barriers included time constraints, interdisciplinary collaboration, technical and financial issues, availability of blood pressure devices, and patient education.
Article
Communication
Kennethea Wilson, Jacob Bleasdale, Sarahmona M. Przybyla
Summary: The study explores the challenges faced by healthcare providers when engaging in patient-centered communication regarding Pre-exposure prophylaxis (PrEP) for HIV prevention. It identifies factors at the individual, interpersonal, and organizational levels that impact provider engagement in discussions about PrEP, highlighting issues such as lack of knowledge, discomfort in discussing HIV risk behaviors, and competing clinical priorities. Findings suggest that multilevel interventions targeting potential PrEP-adopting healthcare providers are needed to address these challenges and facilitate effective communication with patients.
HEALTH COMMUNICATION
(2021)
Article
Public, Environmental & Occupational Health
M. P. Gray, N. Dhavalikar, R. D. Boyce, S. L. Kane-Gill
Summary: This study interviewed 25 healthcare providers and identified barriers in evaluating beta-lactam allergies, such as a lack of clear evaluation policies and confusing documentation. The study recommends healthcare systems to adopt and promote evaluation policies, and involve pharmacists in the evaluation of drug allergies.
JOURNAL OF HOSPITAL INFECTION
(2023)
Review
Health Care Sciences & Services
Pengxiang Zhou, Lu Chen, Ziyang Wu, Ente Wang, Yingying Yan, Xiaodong Guan, Suodi Zhai, Kehu Yang
Summary: This study conducted an umbrella review of systematic reviews to identify barriers and facilitators of clinical practice guidelines (CPGs) implementation. The study categorized and mapped the identified factors to the theoretical domains framework (TDF) and behavior change wheel (BCW). The findings highlighted multiple barriers and facilitators, both intrinsic and extrinsic, for implementing healthcare CPGs. The study emphasized the importance of developing knowledge translation strategies according to specified healthcare settings.
JOURNAL OF CLINICAL EPIDEMIOLOGY
(2023)
Article
Health Care Sciences & Services
Laura Tarzia, Jacqui Cameron, Jotara Watson, Renee Fiolet, Surriya Baloch, Rebecca Robertson, Minerva Kyei-Onanjiri, Gemma McKibbin, Kelsey Hegarty
Summary: Healthcare practitioners often face personal barriers in responding to intimate partner abuse, such as beliefs about interfering in private matters, frustration over lack of control, and reluctance to take responsibility for addressing the issue. Training should address these personal issues in addition to structural barriers, by encouraging reflection on values, promoting an advocacy approach, and reinforcing the critical role HCPs play in responding to IPA.
BMC HEALTH SERVICES RESEARCH
(2021)
Review
Endocrinology & Metabolism
Maureen Makama, Mamaru Ayenew Awoke, Helen Skouteris, Lisa J. Moran, Siew Lim
Summary: This systematic review identified barriers and facilitators to a healthy lifestyle in the first 2 years postpartum, including factors related to knowledge, social support, and motivation. The findings provide evidence to inform the development of interventions to support postpartum women in adopting and maintaining a healthy lifestyle.
Review
Surgery
Kali M. Kuhlenschmidt, Elias Choi, Kazi Moonmoon, James Blackwell, Paul B. Comish, Courtney Balentine, Jennifer Grant, Caroline Park, Linda A. Dultz, Thomas Shoultz, Michael W. Cripps, Ryan P. Dumas
Summary: There are significant gaps in clinician perception of time during trauma resuscitations. Clinicians tend to underestimate the time, resulting in delays in care.
JOURNAL OF SURGICAL RESEARCH
(2022)
Article
Multidisciplinary Sciences
Hazel Heng, Debra Kiegaldie, Susan C. Slade, Dana Jazayeri, Louise Shaw, Matthew Knight, Cathy Jones, Anne-Marie Hill, Meg E. Morris
Summary: This study investigated health professional views on the enablers and barriers to providing patient falls education in hospitals. Barriers included limited interprofessional communication, sub-optimal systems for falls education, and patient-related barriers. Enablers included implementing strategies to increase patient empowerment, ensuring access to effective modes of patient education, and facilitating interprofessional collaboration.
Article
Public, Environmental & Occupational Health
Christopher W. Reynolds, Leonar G. Aguiar, Christian Arbelaez, Carlos Gomez Restrepo, Andres Patino, Heidy Carranza, Lindsey Pileika, Andres Duarte
Summary: A study on healthcare access barriers for FARC ex-combatants in Colombia revealed that they face challenges such as limited resources in rural areas and lack of knowledge about health insurance programs. Potential solutions include partnerships with healthcare providers near ETCRs and training FARC health promoters as primary healthcare providers.
Article
Health Care Sciences & Services
Berit Seljelid, Cecilie Varsi, Lise Solberg Nes, Kristin Astrid Oystese, Elin Borosund
Summary: This study conducted focus groups, workshops, and project steering committee meetings with HCPs and patients from 2 outpatient clinics to identify potential determinants of implementation for a digital patient-provider communication intervention. Data were analyzed into 18 CFIR constructs, leading to important intervention tailoring and key aspects for an implementation plan, including adjustments to digital features, fitting clinical workflow, and involving key stakeholders in the implementation process.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2021)
Review
Peripheral Vascular Disease
Eva L. van der Linden, Brandon N. Couwenhoven, Erik J. A. J. Beune, Joost G. Daams, Bert-Jan H. van den Born, Charles Agyemang
Summary: The study found differences in hypertension awareness, treatment, and control levels between ethnic minority populations (EMPs) and European host populations (EHPs). African origin populations were more likely to be aware and treated for hypertension, but less likely to have their blood pressure controlled. South Asian populations were more likely to be aware of hypertension, but had similar treatment and control rates compared to EHPs.
JOURNAL OF HYPERTENSION
(2021)
Review
Public, Environmental & Occupational Health
Mobeen Ahmad, Adebisi Akande, Umair Majid
Summary: Vaccine hesitancy among nurses and physicians is influenced by distrust in health authorities and employers, as well as doubts regarding vaccine efficacy and safety. Providing accurate information can help address their concerns and increase vaccine uptake.
EUROPEAN JOURNAL OF PUBLIC HEALTH
(2022)
Article
Surgery
Jacqueline A. Murtha, Esra Alagoz, Catherine R. Breuer, Alex Finn, Susan D. Raffa, Corrine Voils, Luke M. Funk
Summary: This study aimed to identify individual-level barriers to undergoing bariatric surgery and provide improvement strategies. The results revealed that fear of surgery, concerns about lifestyle changes, and lack of social support were the major barriers. Education for patients and providers as well as strengthening social support networks are crucial in addressing these issues.
AMERICAN JOURNAL OF SURGERY
(2022)
Article
Oncology
Eline Bouwman, Saskia M. F. Pluijm, Iridi Stollman, Vera Araujo-Soares, Nicole M. A. Blijlevens, Cecilia Follin, Jeanette Falck Winther, Lars Hjorth, Tomas Kepak, Katerina Kepakova, Leontien C. M. Kremer, Monica Muraca, Helena J. H. van der Pal, Carina Schneider, Anne Uyttebroeck, Gertrui Vercruysse, Roderick Skinner, Morven C. Brown, Rosella P. M. G. Hermens, Jacqueline J. Loonen
Summary: This study identified education and training of healthcare professionals (HCPs) as key opportunities to improve health behavior support (HBS) for childhood cancer survivors (CCSs). Survivorship care clinics should work towards establishing well-integrated structured care with internal and external networks, including HBS being part of routine care. Proper understanding of facilitators and barriers should lead to better survivorship care for CCSs.
Article
Multidisciplinary Sciences
Saahith Gondi, Shellie Ellis, Mallika Gupta, Edward Ellerbeck, Kimber Richter, Jeffrey Burns, Aditi Gupta
Summary: PCPs generally believe that SMBP is a useful but underutilized tool, and have identified several facilitators for its implementation, such as physician support, trained health professionals' assistance, and patient education. Despite recognizing existing barriers, most PCPs feel that the increased data points from SMBP can improve hypertension management in primary care settings.
Article
Cardiac & Cardiovascular Systems
Jaffar Al-Sheikhli, Ian Patchett, Ven Gee Lim, Leeann Marshall, Will Foster, Michael Kuehl, Shamil Yusuf, Sandeep Panikker, Kiran Patel, Faizel Osman, Prithwish Banerjee, Nicolas Lellouche, Tarvinder Dhanjal
Summary: The feasibility study of using the DiamondTemp ablation (DTA) catheter system for ventricular tachycardia (VT) ablation in ischaemic cardiomyopathy (ICM) patients showed significant improvements in patient condition and clinical outcomes.
JOURNAL OF INTERVENTIONAL CARDIAC ELECTROPHYSIOLOGY
(2023)
Editorial Material
Pediatrics
Katherine Brown, John Pappachan, Martin McKee
ARCHIVES OF DISEASE IN CHILDHOOD
(2023)
Article
Health Care Sciences & Services
Martin McKee, Olivier J. Wouters
Summary: Regulation of health technologies, especially artificial intelligence in healthcare, needs to be rigorous to build trust. This commentary outlines the scope and challenges regulators face in dealing with AI applications in healthcare. It is crucial for the regulatory environment to keep up with the fast-evolving healthcare industry to anticipate and prevent potential risks.
INTERNATIONAL JOURNAL OF HEALTH POLICY AND MANAGEMENT
(2023)
Article
Public, Environmental & Occupational Health
Lucinda Hiam, Danny Dorling, Martin McKee
Summary: This study explores the views of public health experts on the adverse trends in life expectancy in England and Wales over the past decade, their causes and possible solutions, as well as their opinions on how the pre-pandemic situation influenced the UK's COVID-19 response. The findings show a lack of consensus among experts on the significance and explanations of the decline in life expectancy during this period. Some attributed it to data misinterpretation, widening health inequalities, and disinvestment in public services, while others emphasized social factors. The majority called for increased investment and implementation of existing evidence on reducing health inequalities, highlighting the need to address these underlying issues for pandemic preparedness.
Article
Health Care Sciences & Services
Peter Binyaruka, Antonio Andreoni, Dina Balanova, Martin Mckee, Eleanor Hutchinson, Blake Angell
Summary: This study examined the preferences of health providers for policy interventions to address informal payments in Tanzania using a discrete choice experiment. The results showed that health providers generally preferred incentive payments for non-infraction and opportunities for private practice, but disliked disciplinary measures. Preferences varied across different groups, suggesting the need for tailored interventions.
INTERNATIONAL JOURNAL OF HEALTH POLICY AND MANAGEMENT
(2023)
Article
Public, Environmental & Occupational Health
Jonathan Cylus, Jessica Walters, Martin McKee, Peter Cowley
Summary: Covid-19 vaccination rollouts not only save lives and relieve pressures on health systems but also support economic growth and generate additional tax revenues. Meeting the 85% adult population target can partially offset the costs of vaccine programs by increasing consumption tax revenues.
EUROPEAN JOURNAL OF PUBLIC HEALTH
(2023)
Editorial Material
Medicine, General & Internal
Lucinda Hiam, Danny Dorling, Martin McKee
JOURNAL OF THE ROYAL SOCIETY OF MEDICINE
(2023)
Article
Public, Environmental & Occupational Health
Thomas Stubbs, Alexandros Kentikelenis, Daniela Gabor, Jayati Ghosh, Martin McKee
Summary: Recognising the lack of preparedness for the COVID-19 pandemic, international organisations are calling for additional funding to strengthen pandemic preparedness and response systems in low-income and middle-income countries. This article examines the prospects of national health budgets increasing in such a context, revealing that public spending will decrease for almost half of these countries by 2024. The increase in public spending on repaying external debt is a key driver of this austerity wave, potentially leading to deteriorating population health and reduced public health services.
Article
Economics
Gabor Scheiring, Aytalina Azarova, Darja Irdam, Katarzyna Doniec, Martin McKee, David Stuckler, Lawrence King
Summary: An unprecedented mortality crisis occurred in Eastern Europe during the 1990s, resulting in around seven million excess deaths. This study examines the relationship between deindustrialization and mortality in Eastern Europe and proposes a theoretical framework that identifies deindustrialization as a process of social disintegration caused by shock therapy. The findings show that deindustrialization directly influenced male mortality rates and was indirectly mediated by hazardous drinking as a coping strategy.
CAMBRIDGE JOURNAL OF ECONOMICS
(2023)
Article
Public, Environmental & Occupational Health
Vincenzo Galasso, Vincent Pons, Paola Profeta, Martin Mckee, David Stuckler, Michael Becher, Sylvain Brouard, Martial Foucault
Summary: The study found that altruistic messages have stronger effects on COVID-19 vaccine intentions and behavior compared to egoistic messages. These effects are more significant in countries with high COVID-19 mortality, while weaker in countries with low mortality rates.
Meeting Abstract
Critical Care Medicine
Zachary Smith, Adolfine Hokororo, Theopista Masenge, Joseph Mwanga, Salvatory Kalabamu, Marc Berg, Boris Rozenfeld, Elias Xwatsal, Noel Pastory, Idi Msoke, Hanston Ndosi, Neema Chami, Namala Mkopi, Castory Mwanga, Ambrose Agweyu, Peter Meaney
CRITICAL CARE MEDICINE
(2023)
Review
Health Care Sciences & Services
Alexander Kentikelenis, Abdul Ghaffar, Martin McKee, Livia Dal Zennaro, David Stuckler
Summary: Health policy and systems research (HPSR) is a neglected area in global health financing, with only 2% of funding calls including a discernible HPSR component. Efforts should be made to convince global health funders to institutionalize the inclusion of HPSR components in all funding calls.
HEALTH POLICY AND PLANNING
(2023)
Article
Medicine, General & Internal
Lucinda Hiam, Theodore Estrin-Serlui, Danny Dorling, Martin Mckee, Jon Minton
Summary: The number of deaths occurring in private homes in England and Wales, particularly from 2020, has been increasing rapidly. Media reports and research have linked decomposing bodies found in private homes with pandemic-related social isolation. This study aims to determine whether these incidents are isolated or part of a larger trend.
JOURNAL OF THE ROYAL SOCIETY OF MEDICINE
(2023)