scholarly journals Complex Governance Does Increase Both the Real and Perceived Registration Burden: The Case of the Netherlands Comment on "Perceived Burden Due to Registrations for Quality Monitoring and Improvement in Hospitals: A Mixed Methods Study"

2021 ◽  
Author(s):  
Patrick PT Jeurissen ◽  
Niek Klazinga ◽  
Luc Hagenaars
Keyword(s):  
Mixed Methods ◽  
The Netherlands ◽  
Operational Efficiency ◽  
Mixed Methods Study ◽  
Quality Monitoring ◽  
System Level ◽  
Policy Agenda ◽  
Perceived Burden ◽  
Rigorous Study ◽  
Different Levels

The burden of registrations for professionals should be more firmly on the policy agenda. In a rigorous study, Marieke Zegers and colleagues make a compelling argument why that should be the case. In Dutch hospitals, the average professional spends 52.3 minutes a day on quality registries and monitoring instruments. Many more administrative duties exist. These represent substantial resources and ultimately could become a drag on the intrinsic motivation of the care professions. We agree with Zegers et al that we are in need for more operational efficiency. However, the issue at hand is very complex and also intensely connected to the entire healthcare system and its different levels. More operational efficiency alone will not solve this problem. We are also in need for better governance of data-issues at the macro-system level.

scholarly journals Zegers, et al. Provide More Evidence that the Healthcare Administrative Burden is Real, Widespread and Has Serious Consequences; Comment on "Perceived Burden Due to Registrations for Quality Monitoring and Improvement in Hospitals: A Mixed Methods Study"

2021 ◽  
Author(s):  
Albert J. Heuer
Keyword(s):  
Mixed Methods ◽  
Process Improvement ◽  
Mixed Methods Study ◽  
Quality Monitoring ◽  
Valuable Contribution ◽  
Limited Sample ◽  
Reporting Requirements ◽  
Perceived Burden ◽  
Quality Of Health Services

Countries around the world have implemented programs to help monitor and enhance the quality of health services provided. Inherent in these programs and internal process improvement initiatives are an array of reporting requirements which often place a burden on clinicians and the organizations in which they function. Zegers and colleagues performed a mixed methods study on the perceived burden which these reporting requirements place on doctors, nurses, and other clinicians within three hospitals in the Netherlands. Like all studies, theirs has some minor limitations; most notably possible limits on generalizability from a limited sample. Nonetheless, their project makes a valuable contribution to the growing body of research which suggests that the burden has deleterious effects on clinicians and may well have an erosive impact on patient care.

scholarly journals Integrated decision-making model for community-based rehabilitation service utilisation among persons with severe mental illness in China: protocol for a cross-sectional, mixed-methods study

BMJ Open ◽  
2018 ◽  
Vol 8 (12) ◽  
pp. e021528 ◽  
Author(s):  
Ruoxi Wang ◽  
Shangfeng Tang ◽  
Ian Shaw ◽  
Zhanchun Feng ◽  
Zhuo Chen ◽  
...  
Keyword(s):  
Decision Making ◽  
Mental Illness ◽  
Mixed Methods ◽  
Mixed Methods Study ◽  
Service Utilisation ◽  
Community Based ◽  
Cross Sectional ◽  
Community Based Rehabilitation ◽  
Integrated Decision Making ◽  
Different Levels

IntroductionA common problem low-income and middle-income countries face is the scarcity of community-based rehabilitation (CBR) resources and low service utilisation among persons with severe mental illness (SMI). Despite this problem, the factors and pathways followed influencing one’s decision on service utilisation in China have not been fully comprehended. This study aims to develop a theory-based model that systematically describes the integrated decision-making process of mental health CBR utilisation among persons with SMI in China.Methods/DesignThis cross-sectional, mixed-methods study involves three main stages and is expected to last 3 years, from January 2018 to December 2020. In stage 1, the Social Exchange Theory is deployed as an analytical framework to comprehensively capture factors associated with tendency to use CBR services in China using semistructured interview methodology involving patients with SMI, their primary caregivers and CBR service providers. In stage 2, interpretive structural modelling will be applied to analyse the relationships between factors in different dimensions, at different levels and with different levels of impact. Stage 3 involves a multiregion survey among at least 300 family decision-makers (either the patient or their caregivers) in six communities in three cities to statistically validate the initial model derived in stage 2 using a further structural equation modelling.Ethics and disseminationEthical approval was granted by the Ethics Committee of Tongji Medical College, Huazhong University of Science and Technology (No 2017S319). All interviewees will be provided with written information about the study, and a signed consent will be retrieved prior to the interview. Rules on confidentiality and anonymity of data will be strictly followed. The findings of this study will be disseminated via international and domestic peer-reviewed journals, reports, conference presentations and symposium discussions. Reports will be submitted to the National Natural Science Foundation of China.

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.

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 Effectiveness of simulation training and assessment of PICU nurses' resuscitation skills: A mixed methods study from the Netherlands

2021 ◽  
Author(s):  
Ada van den Bos-Boon ◽  
Susan Hekman ◽  
Robert-Jan Houmes ◽  
Lilian Vloet ◽  
Saskia Gischler ◽  
...  
Keyword(s):  
Mixed Methods ◽  
The Netherlands ◽  
Simulation Training ◽  
Mixed Methods Study

scholarly journals Unplanned early hospital readmission among critical care survivors: a mixed methods study of patients and carers

2018 ◽  
Vol 27 (11) ◽  
pp. 915-927 ◽  
Author(s):  
Eddie Donaghy ◽  
Lisa Salisbury ◽  
Nazir I Lone ◽  
Robert Lee ◽  
Pamela Ramsey ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Focus Groups ◽  
Hospital Readmission ◽  
Rating Scales ◽  
Mixed Methods Study ◽  
System Level ◽  
Importance Rating ◽  
Questionnaire Data ◽  
Psychosocial Needs ◽  
Medical Issues

BackgroundMany intensive care (ICU) survivors experience early unplanned hospital readmission, but the reasons and potential prevention strategies are poorly understood. We aimed to understand contributors to readmissions from the patient/carer perspective.MethodsThis is a mixed methods study with qualitative data taking precedence. Fifty-eight ICU survivors and carers who experienced early unplanned rehospitalisation were interviewed. Thematic analysis was used to identify factors contributing to readmissions, and supplemented with questionnaire data measuring patient comorbidity and carer strain, and importance rating scales for factors that contribute to readmissions in other patient groups. Data were integrated iteratively to identify patterns, which were discussed in five focus groups with different patients/carers who also experienced readmissions. Major patterns and contexts in which unplanned early rehospitalisation occurred in ICU survivors were described.ResultsInterviews suggested 10 themes comprising patient-level and system-level issues. Integration with questionnaire data, pattern exploration and discussion at focus groups suggested two major readmission contexts. A ‘complex health and psychosocial needs’ context occurred in patients with multimorbidity and polypharmacy, who frequently also had significant psychological problems, mobility issues, problems with specialist aids/equipment and fragile social support. These patients typically described inadequate preparation for hospital discharge, poor communication between secondary/primary care, and inadequate support with psychological care, medications and goal setting. This complex multidimensional situation contrasted markedly with the alternative ‘medically unavoidable’ readmission context. In these patients medical issues/complications primarily resulted in hospital readmission, and the other issues were absent or not considered important.ConclusionsAlthough some readmissions are medically unavoidable, for many ICU survivors complex health and psychosocial issues contribute concurrently to early rehospitalisation. Care pathways that anticipate and institute anticipatory multifaceted support for these patients merit further development and evaluation.

scholarly journals Indonesian language education in Australia

2020 ◽  
pp. 1-19
Author(s):  
Michelle Kohler
Keyword(s):  
Mixed Methods ◽  
Intrinsic Value ◽  
Language Education ◽  
The State ◽  
Mixed Methods Study ◽  
Government Schools ◽  
National Report ◽  
Nuanced Understanding ◽  
Substantial Decline ◽  
Different Levels

Abstract Since the introduction of Indonesian in the 1950s, the nature and extent of programs for studying the language in Australian schools has varied significantly. A decade on from the national report on the state of Indonesian language education in Australian schools that indicated a substantial decline in provision (Kohler & Mahnken, 2010), it is timely to take stock and consider how Indonesian is faring and why. This paper reports on a mixed methods study exploring the state and nature of Indonesian language provision in government schools in Australia. The findings indicate that while some decline continues overall, patterns of provision vary, particularly at different levels of schooling. The findings highlight the need for a nuanced understanding of the confluence of factors impacting on Indonesian (including contending ideologies), none of which adequately capture the intrinsic value and distinctiveness of studying Indonesian in the Australian context.

Investigating trust in the Israeli banking system from the reciprocating perspectives of customers and bankers: a mixed methods study

2021 ◽  
Vol 39 (1) ◽  
pp. 167-188
Author(s):  
Aviv Kidron
Keyword(s):  
Mixed Methods ◽  
Design Methodology ◽  
Banking System ◽  
Mixed Methods Study ◽  
System Level ◽  
Price Fairness ◽  
Content Type ◽  
The Individual ◽  
Retail Banks ◽  
Practical Implications

PurposeThis study identifies predictors of customers' trust in banks at both the banking system level and toward individual banks. A mixed methods technique is utilized which combines both customers' and bankers' perspectives.Design/methodology/approachThe study utilizes mixed methods, including a questionnaire survey of 1017 bank customers from retail banks, together with qualitative research derived from ten interviews with Israeli bankers.FindingsThe quantitative study shows that transparency is mediated between perception of price fairness and integrity of the banking system level and trust toward individual banks. Customer satisfaction was found to be a mediator between integrity of the banking system and trust in the individual bank. Qualitative analysis of interviews with bankers yielded six themes: integrity, transparency, price perception, service, bank image and regulation.Research limitations/implicationsThis study adumbrates specific aspects of the banking system and of individual banks. Cultural differences pertaining to trust might validate the findings when the study is replicated in other countries.Originality/valueSince customers are universally considered as key bank stakeholders, insights are provided concerning determinants at the banking system level and toward individual banks, both crucial to explain trust. From both managerial and policymaking perspectives, this study contains valuable practical implications.

Sign in / Sign up

Export Citation Format

Share Document