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Colnar S, Radević I, Martinović N, Lojpur A, Dimovski V. The role of information communication technologies as a moderator of knowledge creation and knowledge sharing in improving the quality of healthcare services. PLoS One 2022; 17:e0272346. [PMID: 35921361 PMCID: PMC9348677 DOI: 10.1371/journal.pone.0272346] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2021] [Accepted: 07/18/2022] [Indexed: 11/18/2022] Open
Abstract
This study examines the role of knowledge creation, knowledge sharing and information communication technologies, which are organizational factors that influence the quality of healthcare services. In today’s knowledge-intensive environment, understanding and gaining in-depth knowledge on how to improve the quality of healthcare services is gaining in importance and recognition. Quantitative data collected in 2019 with 151 respondents employed in healthcare organizations was used. Running a series of hierarchical linear regression models, we found a significant positive relationship between knowledge creation and quality of healthcare services, and a significant positive relationship between knowledge sharing and quality of healthcare services. Empirical data additionally provides support for information communication technologies that act as a moderator both in the relationship between knowledge creation and knowledge sharing with quality of healthcare services. With our data, we provide empirical backing for the impact of knowledge creation, knowledge sharing and information communication technologies on the quality of healthcare services that are provided by Montenegrin healthcare organizations. Our paper offers theoretical and practical implications derived from our research study.
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Affiliation(s)
- Simon Colnar
- School of Economics and Business, University of Ljubljana, Ljubljana, Slovenia
| | - Ivan Radević
- Faculty of Economics, University of Montenegro, Podgorica, Montenegro
- * E-mail:
| | - Nikola Martinović
- Faculty of Economics, University of Montenegro, Podgorica, Montenegro
| | - Anđelko Lojpur
- Faculty of Economics, University of Montenegro, Podgorica, Montenegro
| | - Vlado Dimovski
- School of Economics and Business, University of Ljubljana, Ljubljana, Slovenia
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Daneshvar E, Otterbach S, Alameddine M, Safikhani H, Sousa-Poza A. Sources of anxiety among health care workers in Tehran during the COVID-19 pandemic. Health Policy Plan 2022; 37:310-321. [PMID: 34791255 PMCID: PMC8690063 DOI: 10.1093/heapol/czab136] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2021] [Revised: 09/21/2021] [Accepted: 11/10/2021] [Indexed: 01/16/2023] Open
Abstract
By applying multivariate regression to 2020 survey data from four Tehran hospitals, we measure eight recognized sources of Coronavirus disease 2019 (COVID-19) pandemic-related anxiety among 723 healthcare workers (HCWs) with diverse sociodemographic characteristics employed across different hospital areas and positions. The most prominent anxiety source identified is the risk of workplace COVID-19 contraction and transmission to family, followed by uncertainty about organizational support for personal and family needs in the event of worker infection. A supplemental qualitative analysis of 68 respondents in the largest hospital identifies four additional anxiety sources, namely, health, finances, workload, and leadership. This evidence of the multifaceted nature of anxiety sources among HCWs highlights the differentiated approaches that hospital policymakers must take to combat anxiety.
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Affiliation(s)
- Elahe Daneshvar
- Institute for Health Care & Public Management, University of Hohenheim, Fruwirthstr. 48, Stuttgart 70599, Germany
| | - Steffen Otterbach
- Institute for Health Care & Public Management, University of Hohenheim, Fruwirthstr. 48, Stuttgart 70599, Germany
| | - Mohamad Alameddine
- University of Sharjah, College of Health Sciences, University City, Sharjah, P.O. Box 27272, United Arab Emirates
| | - Hamidreza Safikhani
- Economics & Health Management, Strategic Council at National Research Network for Policy Making, Tehran, Iran
- Health Economics Association of Iran, Tehran, Iran
| | - Alfonso Sousa-Poza
- Institute for Health Care & Public Management, University of Hohenheim, Fruwirthstr. 48, Stuttgart 70599, Germany
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Radević I, Dimovski V, Lojpur A, Colnar S. Quality of Healthcare Services in Focus: The Role of Knowledge Transfer, Hierarchical Organizational Structure and Trust. KNOWLEDGE MANAGEMENT RESEARCH & PRACTICE 2021. [DOI: 10.1080/14778238.2021.1932623] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Affiliation(s)
- Ivan Radević
- Faculty of Economics, University of Montenegro, Podgorica, Montenegro
| | - Vlado Dimovski
- School of Economics and Business, University of Ljubljana, Ljubljana, Slovenia
| | - Anđelko Lojpur
- Faculty of Economics, University of Montenegro, Podgorica, Montenegro
| | - Simon Colnar
- School of Economics and Business, University of Ljubljana, Ljubljana, Slovenia
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Zarit SH, Chiusano C, Harrison AS, Sewell L, Krause C, Liu Y. Rehabilitation of persons with dementia: using technology to improve participation. Aging Ment Health 2021; 25:543-550. [PMID: 31941356 DOI: 10.1080/13607863.2020.1711864] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
OBJECTIVES The current study examined how a technology system, "It's Never 2 Late" (iN2L), may help augment traditional rehabilitation strategies for older adults with dementia by improving engagement in therapy sessions and achieving better functional outcomes. METHOD The study used a two group quasi-experimental design. Older adults with dementia (N = 96) were recruited from two rehabilitation departments housed within residential care communities. Participants received daily occupational and physical therapy sessions using treatment as usual (TAU) at one site (n = 49) or treatment with iN2L (n = 47) at the other site. A goal attainment approach was used to assess functional outcomes. It was hypothesized that patients whose therapists used iN2L in treatment will show greater attainment of therapy goals and greater engagement during OT and PT sessions than patients receiving TAU. It was also hypothesized that levels and improvement in engagement will mediate the association of treatment type (iN2L or TAU) with greater goal attainment. RESULTS Participants in the iN2L treatment had significantly higher goal attainment than TAU, significantly higher levels of engagement at baseline, and significantly steeper increases in engagement over the course of therapy. The effects of treatment on goal attainment was significantly mediated by increases in engagement. CONCLUSION Findings suggest that iN2L technology has the potential to increase treatment engagement and enhance rehabilitation outcomes among older adults with dementia.
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Affiliation(s)
- Steven H Zarit
- Department of Human Development and Family Studies, The Pennsylvania State University, University Park, PA, USA
| | | | | | - Lynne Sewell
- Presbyterian SeniorCare Network, Oakmont, PA, USA
| | | | - Yin Liu
- Department of Human Development and Family Studies, Utah State University, Logan, UT, USA
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Zarit SH, Liu Y, Bangerter LR, Rovine MJ. Exploring the benefits of respite services to family caregivers: methodological issues and current findings. Aging Ment Health 2017; 21:224-231. [PMID: 26729467 PMCID: PMC5550302 DOI: 10.1080/13607863.2015.1128881] [Citation(s) in RCA: 29] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
OBJECTIVES There is growing emphasis on empirical validation of the efficacy of community-based services for older people and their families, but research on services such as respite care faces methodological challenges that have limited the growth of outcome studies. We identify problems associated with the usual research approaches for studying respite care, with the goal of stimulating use of novel and more appropriate research designs that can lead to improved studies of community-based services. METHOD Using the concept of research validity, we evaluate the methodological approaches in the current literature on respite services, including adult day services, in-home respite and overnight respite. RESULTS Although randomized control trials (RCTs) are possible in community settings, validity is compromised by practical limitations of randomization and other problems. Quasi-experimental and interrupted time series designs offer comparable validity to RCTs and can be implemented effectively in community settings. CONCLUSION An emphasis on RCTs by funders and researchers is not supported by scientific evidence. Alternative designs can lead to development of a valid body of research on community services such as respite.
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Affiliation(s)
- Steven H. Zarit
- Department of Human Development and Family Studies, The Pennsylvania State University
| | - Yin Liu
- Department of Human Development and Family Studies, The Pennsylvania State University
| | - Lauren R. Bangerter
- Department of Human Development and Family Studies, The Pennsylvania State University
| | - Michael J. Rovine
- Department of Human Development and Family Studies, The Pennsylvania State University
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van Hoeven LR, Janssen MP, Roes KCB, Koffijberg H. Aiming for a representative sample: Simulating random versus purposive strategies for hospital selection. BMC Med Res Methodol 2015; 15:90. [PMID: 26497748 PMCID: PMC4619525 DOI: 10.1186/s12874-015-0089-8] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2015] [Accepted: 10/19/2015] [Indexed: 12/05/2022] Open
Abstract
Background A ubiquitous issue in research is that of selecting a representative sample from the study population. While random sampling strategies are the gold standard, in practice, random sampling of participants is not always feasible nor necessarily the optimal choice. In our case, a selection must be made of 12 hospitals (out of 89 Dutch hospitals in total). With this selection of 12 hospitals, it should be possible to estimate blood use in the remaining hospitals as well. In this paper, we evaluate both random and purposive strategies for the case of estimating blood use in Dutch hospitals. Methods Available population-wide data on hospital blood use and number of hospital beds are used to simulate five sampling strategies: (1) select only the largest hospitals, (2) select the largest and the smallest hospitals (‘maximum variation’), (3) select hospitals randomly, (4) select hospitals from as many different geographic regions as possible, (5) select hospitals from only two regions. Simulations of each strategy result in different selections of hospitals, that are each used to estimate blood use in the remaining hospitals. The estimates are compared to the actual population values; the subsequent prediction errors are used to indicate the quality of the sampling strategy. Results The strategy leading to the lowest prediction error in the case study was maximum variation sampling, followed by random, regional variation and two-region sampling, with sampling the largest hospitals resulting in the worst performance. Maximum variation sampling led to a hospital level prediction error of 15 %, whereas random sampling led to a prediction error of 19 % (95 % CI 17 %-26 %). While lowering the sample size reduced the differences between maximum variation and the random strategies, increasing sample size to n = 18 did not change the ranking of the strategies and led to only slightly better predictions. Conclusions The optimal strategy for estimating blood use was maximum variation sampling. When proxy data are available, it is possible to evaluate random and purposive sampling strategies using simulations before the start of the study. The results enable researchers to make a more educated choice of an appropriate sampling strategy. Electronic supplementary material The online version of this article (doi:10.1186/s12874-015-0089-8) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Loan R van Hoeven
- Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Universiteitsweg 100, 3584 CG, Utrecht, The Netherlands. .,Sanquin Blood Supply, Transfusion Technology Assessment Department, Sanquin Research, Amsterdam, Universiteitsweg 100, 3584 CG, Utrecht, The Netherlands.
| | - Mart P Janssen
- Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Universiteitsweg 100, 3584 CG, Utrecht, The Netherlands. .,Sanquin Blood Supply, Transfusion Technology Assessment Department, Sanquin Research, Amsterdam, Universiteitsweg 100, 3584 CG, Utrecht, The Netherlands.
| | - Kit C B Roes
- Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Universiteitsweg 100, 3584 CG, Utrecht, The Netherlands.
| | - Hendrik Koffijberg
- Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Universiteitsweg 100, 3584 CG, Utrecht, The Netherlands. .,Department of Health Technology & Services Research, MIRA Institute for biomedical technology and technical medicine, University of Twente, Drienerlolaan 5, 7522, NB, Enschede, The Netherlands.
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Mustila T, Keskinen P, Luoto R. Behavioral counseling to prevent childhood obesity--study protocol of a pragmatic trial in maternity and child health care. BMC Pediatr 2012; 12:93. [PMID: 22759439 PMCID: PMC3499399 DOI: 10.1186/1471-2431-12-93] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/18/2012] [Accepted: 06/25/2012] [Indexed: 12/11/2022] Open
Abstract
Background Prevention is considered effective in combating the obesity epidemic. Prenatal environment may increase offspring's risk for obesity. A child starts to adopt food preferences and other behavioral habits affecting weight gain during preschool years. We report the study protocol of a pragmatic lifestyle intervention aiming at primary prevention of childhood obesity. Methods/Design A non-randomized controlled pragmatic trial in maternity and child health care clinics. The control group was recruited among families who visited the same clinics one year earlier. Eligibility criteria was mother at risk for gestational diabetes: body mass index ≥ 25 kg/m2, macrosomic newborn in any previous pregnancy, immediate family history of diabetes and/or age ≥ 40 years. All maternity clinics in town involved in recruitment. The gestational intervention consisted of individual counseling on diet and physical activity by a public health nurse, and of two group counseling sessions. Intervention continues until offspring’s age of five years. An option to participate a group counseling at child’s age 1 to 2 years was offered. The intervention includes advice on healthy diet, physical activity, sedentary behavior and sleeping pattern. The main outcome measure is offspring BMI z-score and its changes by the age of six years. Discussion Early childhood is a critical time period for prevention of obesity. Pragmatic trials targeting this period are necessary in order to find effective obesity prevention programs feasible in normal health care practice. Trial registration Clinical Trials gov NCT00970710
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Affiliation(s)
- Taina Mustila
- Seinäjoki Central Hospital, Hanneksenrinne 7, 60220 Seinäjoki, Finland.
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Posthumus JA, Raaijmakers MAJ, Maassen GH, van Engeland H, Matthys W. Sustained effects of incredible years as a preventive intervention in preschool children with conduct problems. JOURNAL OF ABNORMAL CHILD PSYCHOLOGY 2012; 40:487-500. [PMID: 22006348 PMCID: PMC3319886 DOI: 10.1007/s10802-011-9580-9] [Citation(s) in RCA: 36] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
The present study evaluated preventive effects of the Incredible Years program for parents of preschool children who were at risk for a chronic pattern of conduct problems, in the Netherlands. In a matched control design, 72 parents of children with conduct problems received the Incredible Years program. These families (intervention group) were compared with 72 families who received care as usual (control group). Two years after termination of the intervention, it appeared that observed and selfrated parenting skills were significantly improved in the intervention group. Likewise, in this group, observed child conduct problems showed sustained intervention effects. The decrease in observed critical parenting mediated the decrease in observed child conduct problems over time. In addition, it appeared that parental influence increased over time.
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Affiliation(s)
- Jocelyne A Posthumus
- Department of Child- and Adolescent Psychiatry, Rudolf Magnus Institute of Neuroscience, University Medical Centre Utrecht, Utrecht, The Netherlands.
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Impact of a Medication Management System on Nursing Home Admission Rate in a Community-Dwelling Nursing Home–Eligible Medicaid Population. ACTA ACUST UNITED AC 2011; 9:69-79. [DOI: 10.1016/j.amjopharm.2011.02.008] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/10/2011] [Indexed: 11/18/2022]
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Bryant DM, Willits K, Hanson BP. Principles of designing a cohort study in orthopaedics. J Bone Joint Surg Am 2009; 91 Suppl 3:10-4. [PMID: 19411494 DOI: 10.2106/jbjs.h.01597] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Abstract
A well-designed and executed prospective cohort study can provide high-quality evidence in the evaluation of the effectiveness of surgical interventions. In designing a cohort study to evaluate orthopaedic interventions, it is important to recognize the limitations of the design as well as the methodological features that can be incorporated to strengthen the validity of the conclusions. In this article, we discuss the importance of the appropriate selection of participants for a control group, the management of confounders, the selection of outcomes with established measurement properties (reliability, validity, and sensitivity to change), the blinded assessment of outcomes, and the impact of nonparticipants and patients lost to follow-up.
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Affiliation(s)
- Dianne M Bryant
- Faculty of Health Sciences, The University of Western Ontario, Elborn College, 1201 Western Road, London, ON N6G 1H1, Canada.
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