scholarly journals Effect of COVID‐19 on health system integration in the Netherlands: a mixed‐methods study

2021 ◽  
Vol 2 (3) ◽  
Author(s):  
Rosa Naomi Minderhout ◽  
Martine C. Baksteen ◽  
Mattijs E. Numans ◽  
Marc A. Bruijnzeels ◽  
Hedwig M.M. Vos
Keyword(s):  
Mixed Methods ◽  
The Netherlands ◽  
Health System ◽  
System Integration ◽  
Mixed Methods Study ◽  
Health System Integration

scholarly journals Outcome mapping for health system integration

2013 ◽  
pp. 99 ◽  
Author(s):  
Peter Tsasis ◽  
Evans ◽  
Forrest ◽  
Jones
Keyword(s):  
Health System ◽  
System Integration ◽  
Health System Integration

scholarly journals ‘Feminization’ of physician workforce in Bangladesh, underlying factors and implications for health system: Insights from a mixed-methods study

PLoS ONE ◽  
2019 ◽  
Vol 14 (1) ◽  
pp. e0210820 ◽  
Author(s):  
Puspita Hossain ◽  
Rajat Das Gupta ◽  
Phyoe YarZar ◽  
Mohamed Salieu Jalloh ◽  
Nishat Tasnim ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Health System ◽  
Mixed Methods Study ◽  
Physician Workforce

scholarly journals “I Wasted 3 Years, Thinking It’s Not a Problem”: Patient and Health System Delays in Diagnosis of Leprosy in India: A Mixed-Methods Study

2017 ◽  
Vol 11 (1) ◽  
pp. e0005192 ◽  
Author(s):  
Thirumugam Muthuvel ◽  
Srinivas Govindarajulu ◽  
Petros Isaakidis ◽  
Hemant Deepak Shewade ◽  
Vasudev Rokade ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Health System ◽  
Mixed Methods Study ◽  
Delays In Diagnosis ◽  
Problem Patient

scholarly journals Public health education and health system needs in Pakistan: a mixed methods study

2018 ◽  
Vol 24 (09) ◽  
pp. 813-822 ◽  
Author(s):  
Muhammad Fazal Zeeshan ◽  
Usman Raza ◽  
Saeed Anwar ◽  
Durdana Khan ◽  
Aamir Abbas ◽  
...  
Keyword(s):  
Public Health ◽  
Mixed Methods ◽  
Health Education ◽  
Health System ◽  
Public Health Education ◽  
Mixed Methods Study ◽  
Education And Health

scholarly journals Patient and Health Care Provider Experiences With a Recently Introduced Patient Portal in an Academic Hospital in the Netherlands: Mixed Methods Study

10.2196/13743 ◽  
2019 ◽  
Vol 21 (8) ◽  
pp. e13743 ◽  
Author(s):  
Maria M T Vreugdenhil ◽  
Sander Ranke ◽  
Yvonne de Man ◽  
Maaike M Haan ◽  
Rudolf B Kool
Keyword(s):  
Health Care ◽  
Mixed Methods ◽  
The Netherlands ◽  
Health Care System ◽  
Mixed Methods Study ◽  
Patient Portal ◽  
Academic Hospital ◽  
Patient Portals ◽  
Work Processes ◽  
One Year

Background In the Netherlands, the health care system and related information technology landscape are fragmented. Recently, hospitals have started to launch patient portals. It is not clear how these portals are used by patients and their health care providers (HCPs). Objective The objective of this study was to explore the adoption, use, usability, and usefulness of a recently introduced patient portal in an academic hospital to learn lessons for the implementation of patient portals in a fragmented health care system. Methods A mixed methods study design was used. In the quantitative study arm, characteristics of patients who used the portal were analyzed, in addition to the utilization of the different functionalities of the portal. In the qualitative study arms, think-aloud observations were made to explore usability. Focus group discussions were conducted among patients and HCPs of the dermatology and ophthalmology outpatient departments. Thematic content analysis of qualitative data was carried out and overarching themes were identified using a framework analysis. Results One year after the introduction of the portal, 24,514 patients, 13.49% of all patients who visited the hospital, had logged in to the portal. Adoption of the portal was associated with the age group 45 to 75 years, a higher socioeconomic status, and having at least one medical diagnosis. Overarching themes from the qualitative analyses were (1) usability and user-friendliness of the portal, (2) HCP-patient communication through the portal, (3) usefulness of the information that can be accessed through the portal, (4) integration of the portal in care and work processes, and (5) HCP and patient roles and relationships. Conclusions One year after the introduction of the patient portal, patients and HCPs who used the portal recognized the potential of the portal to engage patients in their care processes, facilitate patient-HCP communication, and increase patient convenience. Uncertainties among patients and HCPs about how to use the messaging functionality and limited integration of the portal in care and work processes are likely to have limited portal use and usefulness.

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