Primary Health Care (International)
Nurses as substitutes for doctors in primary care The aim of this Cochrane Review was to investigate the impact of nurses working as substitutes for primary care doctors on: patient outcomes; processes of care; and utilisation, including volume and cost.
Interventions for increasing the use of shared decision making by healthcare professionals The objective of this Cochrane Review was to determine the effectiveness of interventions for increasing the use of shared decision making by healthcare professionals. The authors considered interventions targeting patients, interventions targeting healthcare professionals, and interventions targeting both.
Medications that reduce emergency hospital admissions: an overview of systematic reviews and prioritisation of treatments Rates of emergency hospitalisations are increasing in many countries, leading to disruption in the quality of care and increases in cost. Therefore, identifying strategies to reduce emergency admission rates is a key priority. There have been large-scale evidence reviews to address this issue; however, there have been no reviews of medication therapies, which have the potential to reduce the use of emergency health-care services. The objectives of this study, published in BMC Medicine, were to review systematically the evidence to identify medications that affect emergency hospital admissions and prioritise therapies for quality measurement and improvement.
Impact of clinical pharmacist services delivered via telemedicine in the outpatient or ambulatory care setting: A systematic review Utilization of telemedicine allows pharmacists to extend the reach of clinical interventions, connecting them with patients and providers, but the overall impact of these services is under-studied. Published in Research in Social and Administrative Pharmacy, the aim of this research was to assess the impact of clinical pharmacist telemedicine interventions on clinical outcomes, subsequently defined as clinical disease management, patient self-management, and adherence, in outpatient or ambulatory settings.
Frameworks for self-management support for chronic disease: a cross-country comparative document analysis In a number of countries, frameworks have been developed to improve self-management support (SMS) in order to reduce the impact of chronic disease. The frameworks potentially provide direction for system-wide change in the provision of SMS by healthcare systems. Although policy formulation sets a foundation for health service reform, little is currently known about the processes which underpin SMS framework development as well as the respective implementation and evaluation plans. Published in BMC Health Services Research, the aim of this study was to conduct a cross-country comparative document analysis of frameworks on SMS for chronic diseases in member countries of the Organisation for Economic Cooperation and Development.
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