BACKGROUND Considerable racial and socio-economic disparities exist in breast cancer. In spite of the existence of numerous evidence-based interventions (EBIs) aimed at reducing breast cancer screening barriers among the underserved, there is a lack of uptake or sub-optimal uptake of EBIs in community and clinical settings. This study evaluates a theoretically based, systematically designed imp...

Abstract Objective: To evaluate the impact of a multicenter, try automated dashboard on ASP activities and its acceptance among leaders. Design: Frontline stewards were asked to participate in semi-structured interviews before after implementation web-based information providing risk-adjusted benchmarking, longitudinal trends, analysis antimicrobial usage patterns at each facility. Setting: The...

Abstract Introduction Research active healthcare organisations and staff have been shown to significantly improve performance patient outcomes1. Undertaking research is a core element of the pharmacist role, however many pharmacists report not having skills, knowledge and/or resources take part2. There are opportunities for delivery transformational within primary care, pharmacy team engagement...

BACKGROUND Chronic insomnia is among the most reported complaints of Veterans and military personnel referred for mental health services. It is highly comorbid with medical and psychiatric disorders, and is associated with significantly increased healthcare utilization and costs. Evidence-based psychotherapy, namely Cognitive Behavioral Therapy for Insomnia (CBTI), is an effective treatment and...

BACKGROUND Practice accreditation is a widely used method to assess and improve the quality of healthcare services. In the Netherlands, a practice accreditation program was implemented in primary medical care. We aimed to identify determinants of impact of a practice accreditation program, building on the experiences of primary care professionals who had participated in this program. METHODS ...

Background Understanding and addressing the needs of frail persons is an emerging health priority for Nova Scotia and internationally. Primary healthcare (PHC) providers regularly encounter frail persons in their daily clinical work. However, routine identification and measurement of frailty is not standard practice and, in general, there is a lack of awareness about how to identify and respond...

Background To improve the performance of the healthcare system, Mali’s government implemented a pilot project of performance-based financing (PBF) in the field of reproductive health. It was established in the Koulikoro region. This research analyses the process of implementing PBF at district hospital (DH) level, something which has rarely been done in Africa.   Methods...

Abstract Background Physical activity (PA) is a modifiable risk factor for postnatal depression (PND) and programs are needed to enhance PA amongst women at of PND. Key stakeholder involvement in informing development implementation such vital. However, little research demonstrates key insights inform the design delivery improving The aim this study was explore perspectives on home-based progra...

Introduction Integrating early detection and management of non-communicable diseases in primary healthcare has an unprecedented role making more accessible particularly low- middle-income countries such as Ethiopia. This study aims to design, implement evaluate evidence-based intervention guided by the HEARTS technical package implementation guide address barriers facilitators integrating hyper...