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Health services research

About: Health services research is a(n) research topic. Over the lifetime, 18321 publication(s) have been published within this topic receiving 748422 citation(s). more


Journal ArticleDOI: 10.1097/00005650-199206000-00002
01 Jun 1992-Medical Care
Abstract: A 36-item short-form (SF-36) was constructed to survey health status in the Medical Outcomes Study. The SF-36 was designed for use in clinical practice and research, health policy evaluations, and general population surveys. The SF-36 includes one multi-item scale that assesses eight health concepts: 1) limitations in physical activities because of health problems; 2) limitations in social activities because of physical or emotional problems; 3) limitations in usual role activities because of physical health problems; 4) bodily pain; 5) general mental health (psychological distress and well-being); 6) limitations in usual role activities because of emotional problems; 7) vitality (energy and fatigue); and 8) general health perceptions. The survey was constructed for self-administration by persons 14 years of age and older, and for administration by a trained interviewer in person or by telephone. The history of the development of the SF-36, the origin of specific items, and the logic underlying their selection are summarized. The content and features of the SF-36 are compared with the 20-item Medical Outcomes Study short-form. more

Topics: Health services research (58%), Health equity (58%), Health policy (58%) more

31,597 Citations

Open accessJournal ArticleDOI: 10.1146/ANNUREV.PUBLHEALTH.19.1.173
Abstract: Community-based research in public health focuses on social, structural, and physical environmental inequities through active involvement of community members, organizational representatives, and researchers in all aspects of the research process. Partners contribute their expertise to enhance understanding of a given phenomenon and to integrate the knowledge gained with action to benefit the community involved. This review provides a synthesis of key principles of community-based research, examines its place within the context of different scientific paradigms, discusses rationales for its use, and explores major challenges and facilitating factors and their implications for conducting effective community-based research aimed at improving the public’s health. more

4,368 Citations

Open accessJournal ArticleDOI: 10.1186/1471-2288-13-117
Nicola Gale1, Gemma Heath1, Elaine Cameron2, Sabina Rashid3  +1 moreInstitutions (3)
Abstract: The Framework Method is becoming an increasingly popular approach to the management and analysis of qualitative data in health research. However, there is confusion about its potential application and limitations. The article discusses when it is appropriate to adopt the Framework Method and explains the procedure for using it in multi-disciplinary health research teams, or those that involve clinicians, patients and lay people. The stages of the method are illustrated using examples from a published study. Used effectively, with the leadership of an experienced qualitative researcher, the Framework Method is a systematic and flexible approach to analysing qualitative data and is appropriate for use in research teams even where not all members have previous experience of conducting qualitative research. more

Topics: Qualitative marketing research (63%), Exploratory research (62%), Qualitative research (59%) more

4,078 Citations

Journal ArticleDOI: 10.1016/S0140-6736(12)60240-2
Karen Barnett1, Stewart W Mercer2, Michael Norbury1, Graham Watt2  +2 moreInstitutions (2)
07 Jul 2012-The Lancet
Abstract: Summary Background Long-term disorders are the main challenge facing health-care systems worldwide, but health systems are largely configured for individual diseases rather than multimorbidity. We examined the distribution of multimorbidity, and of comorbidity of physical and mental health disorders, in relation to age and socioeconomic deprivation. Methods In a cross-sectional study we extracted data on 40 morbidities from a database of 1 751 841 people registered with 314 medical practices in Scotland as of March, 2007. We analysed the data according to the number of morbidities, disorder type (physical or mental), sex, age, and socioeconomic status. We defined multimorbidity as the presence of two or more disorders. Findings 42·2% (95% CI 42·1–42·3) of all patients had one or more morbidities, and 23·2% (23·08–23·21) were multimorbid. Although the prevalence of multimorbidity increased substantially with age and was present in most people aged 65 years and older, the absolute number of people with multimorbidity was higher in those younger than 65 years (210 500 vs 194 996). Onset of multimorbidity occurred 10–15 years earlier in people living in the most deprived areas compared with the most affluent, with socioeconomic deprivation particularly associated with multimorbidity that included mental health disorders (prevalence of both physical and mental health disorder 11·0%, 95% CI 10·9–11·2% in most deprived area vs 5·9%, 5·8%–6·0% in least deprived). The presence of a mental health disorder increased as the number of physical morbidities increased (adjusted odds ratio 6·74, 95% CI 6·59–6·90 for five or more disorders vs 1·95, 1·93–1·98 for one disorder), and was much greater in more deprived than in less deprived people (2·28, 2·21–2·32 vs 1·08, 1·05–1·11). Interpretation Our findings challenge the single-disease framework by which most health care, medical research, and medical education is configured. A complementary strategy is needed, supporting generalist clinicians to provide personalised, comprehensive continuity of care, especially in socioeconomically deprived areas. Funding Scottish Government Chief Scientist Office. more

Topics: Comorbidity (56%), Health services research (54%), Health care (54%) more

3,883 Citations

Open accessJournal ArticleDOI: 10.2105/AJPH.89.9.1322
Abstract: Progress in public health and community-based interventions has been hampered by the lack of a comprehensive evaluation framework appropriate to such programs. Multilevel interventions that incorporate policy, environmental, and individual components should be evaluated with measurements suited to their settings, goals, and purpose. In this commentary, the authors propose a model (termed the RE-AIM model) for evaluating public health interventions that assesses 5 dimensions: reach, efficacy, adoption, implementation, and maintenance. These dimensions occur at multiple levels (e.g., individual, clinic or organization, community) and interact to determine the public health or population-based impact of a program or policy. The authors discuss issues in evaluating each of these dimensions and combining them to determine overall public health impact. Failure to adequately evaluate programs on all 5 dimensions can lead to a waste of resources, discontinuities between stages of research, and failure to improve ... more

Topics: Health promotion (59%), Public health (57%), Health services research (57%) more

3,718 Citations

No. of papers in the topic in previous years

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Topic's top 5 most impactful authors

Scott Reeves

41 papers, 3.1K citations

Michel Wensing

39 papers, 1.9K citations

Jeremy M. Grimshaw

38 papers, 3.1K citations

John N. Lavis

33 papers, 1.7K citations

Thomas Benfield

24 papers, 17 citations

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