scholarly journals Exploring Factors Influencing Immunization Utilization in Nigeria—A Mixed Methods Study

2019 ◽  
Vol 7 ◽  
Author(s):  
Ngozi N. Akwataghibe ◽  
Elijah A. Ogunsola ◽  
Jacqueline E. W. Broerse ◽  
Oluwafemi A. Popoola ◽  
Adanna I. Agbo ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Mixed Methods Study ◽  
Factors Influencing

A Mixed-Methods Study of Multi-Level Factors Influencing Mammography Overuse: Implications for De-implementation.

2021 ◽  
Author(s):  
Jessica D. Austin ◽  
Parisa Tehranifar ◽  
Carmen B. Rodriguez ◽  
Laura Brotzman ◽  
Mariangela Agovino ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Older Women ◽  
Survey Data ◽  
Mammography Screening ◽  
Care Delivery ◽  
Interview Data ◽  
Mixed Methods Study ◽  
Spanish Speaking ◽  
Factors Influencing ◽  
Multi Level

Abstract Background There is growing concern that routine mammography screening is overused among older women. Successful and equitable de-implementation of mammography will require a multi-level understanding of the factors contributing to mammography overuse. Methods This explanatory, sequential, mixed-methods study collected survey data (n = 52, 73.1% Hispanic, 73.1% Spanish-speaking) from women ≥ 70 years of age at the time of screening mammography, followed by semi-structured interviews with a subset of older women completing the survey (n = 19, 63.2% Hispanic, 63.2% Spanish-speaking) and providers (n = 5, 4 primary care, 1 obstetrics and gynecology) to better understand multi-level factors influencing mammography overuse and inform potential de-implementation strategies. We conducted descriptive analysis of survey data and content analysis of qualitative interview data. Survey and interview data were examined separately, compared, integrated, and organized according to Norton and Chambers Continuum of Factors Influencing De-Implementation Process. Results Survey findings show that 87.2% of older women believe it is important to plan for an annual mammogram, 80.8% received a provider recommendation, and 78.9% received a reminder in the last 12 months to schedule a mammogram. Per interviews with older women, the majority were unaware of or did not experience overuse and intended to continue mammography screening. Findings from interviews with older women and providers suggest that there are multiple opportunities for older women to obtain a mammogram. Per provider interviews, almost all reported that overuse was not viewed as a priority by the system or other providers. Providers also discussed that variation in mammography screening practices across providers, fear of malpractice, and monetary incentives may be reasons for overuse. Providers identified potential strategies including patient and provider education around harms of screening, leveraging the electronic health record to identify women who may no longer benefit from screening, customizing system-generated reminder letters, and organizing workgroups to develop a standard process of care around mammography screening. Conclusions Multi-level factors contributing to mammography overuse are dynamic and reinforced. To ensure equitable de-implementation, there is a need for more refined theories, models, and frameworks for de-implementation with a strong patient-level component that considers the interplay between multilevel factors and the larger care delivery process.

scholarly journals Perceptions of factors influencing the introduction and adoption of electronic immunization registries in Tanzania and Zambia: a mixed methods study

2020 ◽  
Vol 1 (1) ◽  
Author(s):  
Samantha B. Dolan ◽  
Mary E. Alao ◽  
Francis Dien Mwansa ◽  
Dafrossa C. Lymo ◽  
Ngwegwe Bulula ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Mixed Methods Study ◽  
Factors Influencing

scholarly journals Prevalence of Mobile Phones and Factors Influencing Usage by Caregivers of Young Children in Daily Life and for Health Care in Rural China: A Mixed Methods Study

PLoS ONE ◽  
2015 ◽  
Vol 10 (3) ◽  
pp. e0116216 ◽  
Author(s):  
Michelle Helena van Velthoven ◽  
Ye Li ◽  
Wei Wang ◽  
Li Chen ◽  
Xiaozhen Du ◽  
...  
Keyword(s):  
Health Care ◽  
Mixed Methods ◽  
Young Children ◽  
Mobile Phones ◽  
Daily Life ◽  
Rural China ◽  
Mixed Methods Study ◽  
Factors Influencing

Victorian local government priority for Aboriginal health and wellbeing: a mixed-methods study

2019 ◽  
Vol 25 (5) ◽  
pp. 457
Author(s):  
Yudit Aron ◽  
Kim Rounsefell ◽  
Jennifer Browne ◽  
Ruth Walker ◽  
Catherine Helson ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Local Government ◽  
Program Development ◽  
Local Governments ◽  
Aboriginal Health ◽  
Mixed Methods Study ◽  
Key Factors ◽  
Aboriginal Community ◽  
Health And Wellbeing ◽  
Factors Influencing

The aim of this study is to identify if Victorian local governments prioritise Aboriginal health and wellbeing issues through policy and explore the key factors influencing policy and program development and implementation. A sequential explanatory mixed-methods study design utilised a survey to quantify commitment to Aboriginal health policy followed by in-depth interviews that explored how and why policy or programs were in place. Data were analysed separately and then interpreted together. Representatives from 39 of Victoria’s 79 local governments (49%) responded to the survey and 14 were interviewed. Seventy-four per cent had policy and programs addressing Aboriginal health and wellbeing. The key factors influencing policy and program development were: (i) the process of policy and program development and implementation and the role of other policies; (ii) the influence of Aboriginal community characteristics; and (iii) advocacy for Aboriginal health and wellbeing. Underpinning these factors was that local government is ‘working together (in partnership and through collaboration) towards reconciliation’. Victorian local governments that participated in this study appear to prioritise Aboriginal health and wellbeing, especially where collaboration with the Aboriginal community is strong. The effect of policies and their subsequent programs on the health of Aboriginal peoples warrants further exploration.

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