Health Services Research

Urban Health ◽  
2019 ◽  
pp. 207-216
Author(s):  
Michael K. Gusmano

The physical and social environment clearly characterize cities and influence the health of their residents. Cities, however, also represent places where a wealth of services can be available their residents, thus contributing to their well-being. While the foundations of health are social, cultural, and economic, health services are a critical part of curative care and can contribute to overall health indicators—and health gaps—in urban areas. This chapter grounds the reader in how health services perspectives can inform our understanding of health in cities, offering examples of how health services research can both answer questions and point the way to the next generation of questions that inform urban health scholarship.

2004 ◽  
Vol 184 (S46) ◽  
pp. s45-s52 ◽  
Author(s):  
Daniel Chisholm ◽  
Sue Conroy ◽  
Nine Glangeaud-Freudenthal ◽  
Margaret R. Oates ◽  
Paul Asten ◽  
...  

BackgroundLittle is known about the availability and uptake of health and welfare services by women with postnatal depression in different countries.AimsWithin the context of a cross cultural research study, to develop and test methods for undertaking quantitative health services research in postnatal depression.MethodInterviews with service planners and the collation of key health indicators were used to obtain a profile of service avail ability and provision. A service use questionnaire was developed and administered to a pilot sample in a number of European study centres.ResultsMarked differences in service access and use were observed between the centres, including postnatal nursing care and contacts with primary care services. Rates of use of specialist services were generally low. Common barriers to access to care included perceived service quality and responsiveness. On the basis of the pilot work, a postnatal depression version of the Service Receipt Inventory was revised and finalised.ConclusionsThis preliminary study demonstrated the methodological feasibility of describing and quantifying service use, highlighted the varied and often limited use of care in this population, and indicated the need for an improved understanding of the resource needs and implications of postnatal depression.


2005 ◽  
Author(s):  
Ruth Elwood Martin ◽  
Greg Hislop ◽  
Veronika Moravan ◽  
Garry Grams ◽  
Betty Calam

2007 ◽  
Vol 30 (4) ◽  
pp. 33
Author(s):  
D. Rosenfield ◽  
C. Abrahams ◽  
S. Verma

The maldistribution of and lack of access to health professionals continues to be a major issue for policymakers at all levels of government. Additionally, the basis by which Health Human Resource (HHR) policy is determined is unclear. Publications found in independent reports, peer-reviewed journals and most importantly, grey literature, can significantly influence or inform major policy decisions for “hot button” HHR issues (1) . We propose a framework that can be used to classify, rank and evaluate HHR policy/planning documents. Our framework creates six major criteria that are used to evaluate policy documents. These criteria are: 1) literature review, 2) source of primary information, 3) nature of recommendations, 4) implementation strategies, 5) credibility of authors and 6) credibility of publisher. Within each category, a score from zero to three (for criteria 1-4) or zero to two (criteria 5-6) is assigned, depending on the caliber of the document. Summing the scores from each section yields a document’s overall score. The intent of this measure is two-fold. Firstly, we want to create a tool that can be widely utilized by policymakers to help inform their decisions. Secondly, it can be used as a springboard to stimulate discussion and debate around HHR planning and policy formulation. National Information Center on Health Services Research and Health Care Technology. (NICHSR) Health Services Research and Health Policy Grey Literature Project: Summary Report. 2006. http://www.nlm.nih.gov/ nichsr/greylitreport_06.html. Accessed February 20, 2007.


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