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Evidence-Based Practice in Health Service Systems
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Evidence-Based Practice in Health Service Systems

A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601). This special issue belongs to the section "Health Care Sciences & Services".

Deadline for manuscript submissions: closed (30 November 2023) | Viewed by 5371

Special Issue Editors

Dr. Joy Parkinson

E-Mail Website
Guest Editor
Australian eHealth Research Centre, Commonwealth Scientific and Industrial Research Organization, Herston, QLD 4029, Australia
Interests: health services research; implementation science; health outcomes
Dr. Alana Delaforce

E-Mail Website
Guest Editor
Australian eHealth Research Centre, Commonwealth Scientific and Industrial Research Organization, Herston, QLD 4029, Australia
Interests: implementation science; digital health services research

Special Issue Information

Dear Colleagues,

If we are to genuinely improve health care management and guidance, research on health services is a must. We have now made significant advances in promoting the integration and sustainability of health and health equity and will continue to make more progress in this area. The awareness of the role health services play in providing individuals with opportunities to determine their health status has grown ever stronger, and the advantages of it in driving changes in public health have become increasingly clear. 

This Special Issue invites expert manuscripts that focus on the following topics: the design, implementation, and evaluation of health services, including digital services; practical innovations in health care systems; evidence-based research to improve the health outcomes in communities; and healthcare management to make health systems sustainable. 

We look forward to receiving your contributions, both qualitative and quantitative, regarding emerging issues in health services. Systematic reviews and meta-analyses will also be considered for inclusion. 

Dr. Joy Parkinson
Dr. Alana Delaforce
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. International Journal of Environmental Research and Public Health is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2500 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • health services
  • health service systems
  • health behaviours
  • health-related quality of life
  • social determinants of health
  • health promotion
  • health disparity
  • delivery of health care
  • implementation

Published Papers (2 papers)

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Research

16 pages, 625 KiB  
Article
Researcher Perceptions of Involving Consumers in Health Research in Australia: A Qualitative Study
by Joan Carlini, Rachel Muir, Annette McLaren-Kennedy and Laurie Grealish
Int. J. Environ. Res. Public Health 2023, 20(10), 5758; https://doi.org/10.3390/ijerph20105758 - 9 May 2023
Cited by 2 | Viewed by 1854
Abstract
There is growing recognition internationally of the importance of involving consumers, patients, and the public in research. This is being driven by political mandates for policies, funding, and governance that demand genuine and meaningful engagement with consumers. There are many potential benefits to [...] Read more.
There is growing recognition internationally of the importance of involving consumers, patients, and the public in research. This is being driven by political mandates for policies, funding, and governance that demand genuine and meaningful engagement with consumers. There are many potential benefits to involving consumers in research, including an increased relevance to patient needs, improved quality and outcomes, and enhanced public confidence in research. However, the current literature highlights that efforts to incorporate their contributions are often tokenistic and there is a limited understanding of the psychological factors that can impact researcher attitudes, intentions, and behaviours when working with consumers in research. To address this gap, this study conducted 25 semi-structured interviews with health researchers in Australia using the qualitative case study method. The study aim was to explore the underlying influences on researcher behaviour when involving consumers in health research. The results identified several factors that influence researchers’ behaviour, including better quality research, emotional connection and the humanisation of research, and a shift in research culture and expectations as major drivers. However, beliefs that consumers would hinder research and must be protected from risks, paternalism, and a lack of researcher skills and resources were identified as major barriers. This article presents a theory of planned behaviour for consumer involvement in the health research model. The model offers a valuable tool for policymakers and practitioners to understand the factors that influence researcher behaviours. It can also serve as a framework for future research in this area. Full article
(This article belongs to the Special Issue Evidence-Based Practice in Health Service Systems)
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17 pages, 606 KiB  
Article
Creating an Implementation Enhancement Plan for a Digital Patient Fall Prevention Platform Using the CFIR-ERIC Approach: A Qualitative Study
by Alana Delaforce, Jane Li, Melisa Grujovski, Joy Parkinson, Paula Richards, Michael Fahy, Norman Good and Rajiv Jayasena
Int. J. Environ. Res. Public Health 2023, 20(5), 3794; https://doi.org/10.3390/ijerph20053794 - 21 Feb 2023
Cited by 2 | Viewed by 2936
Abstract
(1) Background: Inpatient falls are a major cause of hospital-acquired complications (HAC) and inpatient harm. Interventions to prevent falls exist, but it is unclear which are most effective and what implementation strategies best support their use. This study uses existing implementation theory to [...] Read more.
(1) Background: Inpatient falls are a major cause of hospital-acquired complications (HAC) and inpatient harm. Interventions to prevent falls exist, but it is unclear which are most effective and what implementation strategies best support their use. This study uses existing implementation theory to develop an implementation enhancement plan to improve the uptake of a digital fall prevention workflow. (2) Methods: A qualitative approach using focus groups/interview included 12 participants across four inpatient wards, from a newly built, 300-bed rural referral hospital. Interviews were coded to the Consolidated Framework for Implementation Research (CFIR) and then converted to barrier and enabler statements using consensus agreement. Barriers and enablers were mapped to the Expert Recommendations for Implementing Change (ERIC) tool to develop an implementation enhancement plan. (3) Results: The most prevalent CFIR enablers included: relative advantage (n = 12), access to knowledge and information (n = 11), leadership engagement (n = 9), patient needs and resources (n = 8), cosmopolitanism (n = 5), knowledge and beliefs about the intervention (n = 5), self-efficacy (n = 5) and formally appointed internal implementation leaders (n = 5). Commonly mentioned CFIR barriers included: access to knowledge and information (n = 11), available resources (n = 8), compatibility (n = 8), patient needs and resources (n = 8), design quality and packaging (n = 10), adaptability (n = 7) and executing (n = 7). After mapping the CFIR enablers and barriers to the ERIC tool, six clusters of interventions were revealed: train and educate stakeholders, utilize financial strategies, adapt and tailor to context, engage consumers, use evaluative and iterative strategies and develop stakeholder interrelations. (4) Conclusions: The enablers and barriers identified are similar to those described in the literature. Given there is close agreement between the ERIC consensus framework recommendations and the evidence, this approach will likely assist in enhancing the implementation of Rauland’s Concentric Care fall prevention platform and other similar workflow technologies that have the potential to disrupt team and organisational routines. The results of this study will provide a blueprint to enhance implementation that will be tested for effectiveness at a later stage. Full article
(This article belongs to the Special Issue Evidence-Based Practice in Health Service Systems)
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