Jean‐Frédéric Lévesque

PROTOCOL FOR THE IMPLEMENTATION AND PROCESS EVALUATIONS OF A RANDOMISED IMPLEMENTATION TRIAL COMPARING REMOTE AND FACE-TO-FACE OSTEOARTHRITIS MANAGEMENT PROGRAMS (COASTAL)

Kate Bryce, Jillian P Eyles, Vicky Duong, Venkatesha Venkatesha et autres

au, nz, us, Ghana, in, kr, il, cn (code pays fourni par la source)

General practitioners’ perspectives on Direct Access Colonoscopy services in New South Wales: a mixed-methods study using implementation science to improve a value-based healthcare initiative

Sarah Gerritsen, Tara Dimopoulos‐Bick, Katleho Limakatso, Bruce Czerniec et autres

OBJECTIVES: The aim of this study was to explore experiences of general practitioners (GPs) when referring patients with positive bowel cancer screening tests for colonoscopy, and identify enablers of and barriers to increasing referrals to public nurse-led Direct Access Colonoscopy (DAC) services …

au (code pays fourni par la source)

Of Big and Small Swings: Toward a Hybrid View of Healthcare Systems Governance

Jean‐Frédéric Lévesque

The governance of healthcare systems is inherently complex and often leads to recurring debates about the advantages and pitfalls of centralization and decentralization to address politicization in healthcare. The international experience provides insights to reflect on the analysis of the recent reforms …

au (code pays fourni par la source)

Protocol for the comparison of remote versus face-to-face osteoarthritis management programs (COASTAL): A randomized implementation trial

Shiwen Yuan, Jocelyn L. Bowden, Jillian Eyles, Vicky Duong et autres

Objective: To determine the comparative effectiveness of three evidence-informed approaches to delivering osteoarthritis (OA) care in real-world settings: face-to-face services, telehealth services or a mobile application (app). Design: COASTAL (ACTRN12624000996561) comprises two aims: the primary aim is a three-arm, non-inferiority, comparative-effectiveness, type …

au, cn, us (code pays fourni par la source)

Applying the access framework to address adult cochlear implant access

Shivani Angelique Kumar, Payal Mukherjee, Catherine McMahon, Jafri Kuthubutheen et autres

au (code pays fourni par la source)

COVID-19 research response to immediate demands: setting priorities with key stakeholders to enable health services research in NSW, Australia

Nicole Rankin, Don Nutbeam, Jean‐Frédéric Lévesque, Henry Ko et autres

PURPOSE: COVID-19 has caused unprecedented disruption to health systems. There is much to be gained by capturing what was learned from changes and adaptations made by health services and systems. The Ministry of Health in New South Wales (NSW), Australia, sought to …

au (code pays fourni par la source)

Factors affecting 12-month unplanned readmissions for chronic obstructive pulmonary disease patients: the effect of mental disorders in an Australian cohort

Shalini Wijekulasuriya, Zhisheng Sa, Tim Badgery‐Parker, Janet C. Long et autres

BACKGROUND: Many individuals with chronic obstructive pulmonary disease (COPD) experience frequent hospitalization and readmissions, which is burdensome on the health system. This study aims to investigate factors associated with unplanned readmissions and mortality following a COPD-related hospitalization over a 12-month period in …

au (code pays fourni par la source)

Health economic analysis of polygenic risk score use in primary prevention of coronary artery disease – A system dynamics model

Stephen T. Vernon, Stuart J. Brentnall, Danielle Currie, Cindy Peng et autres

Background: Primary prevention programs utilising traditional risk scores fail to identify all individuals who suffer acute cardiovascular events. We aimed to model the impact and cost effectiveness of incorporating a Polygenic risk scores (PRS) into the cardiovascular disease CVD primary prevention program …

au, mt, qa (code pays fourni par la source)

Implementation of large, multi-site hospital interventions: a realist evaluation of strategies for developing capability

Janet C. Long, Natalie Roberts, Emilie Francis‐Auton, Mitchell Sarkies et autres

BACKGROUND: This study presents guidelines for implementation distilled from the findings of a realist evaluation. The setting was local health districts in New South Wales, Australia that implemented three clinical improvement initiatives as part of a state-wide program. We focussed on implementation …

au, gb (code pays fourni par la source)

Lower urgency care in the emergency department, and the suitability of general practice care as an alternative

Amith Shetty, Jean‐Frédéric Lévesque, Walid Jammal

Dealing with these issues is vital for improved out-of-hospital care and reduced ED presentations. Governments’ plans for walk-in urgent care clinics and expanded scope urgent care services aim to cater to rapid access needs, offering alternative funding avenues in primary care.3 The …

au (code pays fourni par la source)

Impact of Mental Disorders on Unplanned Readmissions for Congestive Heart Failure Patients: A Population-Level Study

Zhisheng Sa, Tim Badgery‐Parker, Janet C. Long, Jeffrey Braithwaite et autres

AIMS: Reducing preventable hospitalization for congestive heart failure (CHF) patients is a challenge for health systems worldwide. CHF patients who also have a recent or ongoing mental disorder may have worse health outcomes compared with CHF patients with no mental disorders. This …

au, us (code pays fourni par la source)

Four System Enablers of Large‐System Transformation in Health Care: A Mixed Methods Realist Evaluation

Emilie Francis‐Auton, Janet C. Long, Mitchell Sarkies, Natalie Roberts et autres

Policy Points The implementation of large-scale health care interventions relies on a shared vision, commitment to change, coordination across sites, and a spanning of siloed knowledge. Enablers of the system should include building an authorizing environment; providing relevant, meaningful, transparent, and timely …

au, mt, qa, gb (code pays fourni par la source)