Study protocol for two randomized controlled trials examining the effectiveness and safety of current weekend allied health services and a new stakeholder-driven model for acute medical/surgical patients versus no weekend allied health services
نویسندگان
چکیده
منابع مشابه
Study protocol for two randomized controlled trials examining the effectiveness and safety of current weekend allied health services and a new stakeholder-driven model for acute medical/surgical patients versus no weekend allied health services
BACKGROUND Disinvestment from inefficient or ineffective health services is a growing priority for health care systems. Provision of allied health services over the weekend is now commonplace despite a relative paucity of evidence supporting their provision. The relatively high cost of providing this service combined with the paucity of evidence supporting its provision makes this a potential c...
متن کاملChallenges, uncertainties and perceived benefits of providing weekend allied health services—a managers’ perspective
BACKGROUND Health services that operate 7 days per week are under pressure to show the increased cost of providing weekend services can be measured in improved patient outcomes. The evidence for weekend allied health services in acute medical and surgical wards is weak and there is wide variation between the services offered at different hospitals. METHODS This qualitative study was undertake...
متن کاملWhat makes weekend allied health services effective and cost-effective (or not) in acute medical and surgical wards? Perceptions of medical, nursing, and allied health workers
BACKGROUND There is strong public support for acute hospital services to move to genuine 7-day models, including access to multidisciplinary team assessment. This study aimed to identify factors that might enable an effective and cost-effective weekend allied health services on acute hospital wards. METHODS This qualitative study included 22 focus groups within acute wards with a weekend alli...
متن کاملImpact of disinvestment from weekend allied health services across acute medical and surgical wards: 2 stepped-wedge cluster randomised controlled trials
BACKGROUND Disinvestment (removal, reduction, or reallocation) of routinely provided health services can be difficult when there is little published evidence examining whether the services are effective or not. Evidence is required to understand if removing these services produces outcomes that are inferior to keeping such services in place. However, organisational imperatives, such as budget c...
متن کاملApplication of a novel disinvestment research design to the use of weekend allied health services on acute medical and surgical wards - randomised trial and economic evaluation protocol
Background Some currently provided health services have an absence of evidence for effectiveness, cost-effectiveness and/or safety. These are candidates for disinvestment. It is possible that such services would prove valuable if trials were to be conducted however, making disinvestment a clear risk. Provision of these services in the context of usual care is a considerable barrier to conductin...
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ژورنال
عنوان ژورنال: Trials
سال: 2015
ISSN: 1745-6215
DOI: 10.1186/s13063-015-0619-z