Publications by authors named "J Camosso-Stefinovic"
Article Synopsis
- Effective healthcare measures exist to prevent maternal deaths, but putting these into practice remains difficult, particularly in low- and middle-income countries (LMICs).
- Strategies aimed at promoting guidelines have the potential to improve obstetric practices, although studies show mixed results.
- The research reviewed nine studies, indicating some positive impacts on communication, emergency management, and mortality rates, but highlights the need for further exploration to understand what makes interventions successful in different contexts.
Background: Maternal mortality remains a major international health problem in low- and middle-income countries (LMIC), and most could have been prevented by quality improvement interventions already demonstrated to be effective, such as clinical guideline implementation strategies. The aim of this systematic review was to synthesise qualitative evidence on guideline implementation strategies to improve obstetric care practice in LMIC in order to identify barriers and enablers to their successful implementation.
Methods: We searched MEDLINE and CINAHL databases for articles reporting research findings on barriers and enablers to guideline implementation strategies in obstetric care practice in LMIC.
Background: Tailored intervention strategies are frequently recommended among approaches to the implementation of improvement in health professional performance. Attempts to change the behaviour of health professionals may be impeded by a variety of different barriers, obstacles, or factors (which we collectively refer to as determinants of practice). Change may be more likely if implementation strategies are specifically chosen to address these determinants.
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- The increasing ownership of PDAs and smartphones among health professionals aims to provide evidence-based care for busy clinical staff.
- A review of studies from 2000 to 2010 identified seven relevant trials assessing PDAs in clinical settings, with only three trials meeting quality standards.
- Results indicated improved data collection quality and better decision-making for diagnoses and treatments, but overall evidence is limited, highlighting the need for further research and evaluation.
Aims: To review the evidence on interventions for reversing metabolic syndrome or preventing development of type 2 diabetes and cardiovascular disease in people with metabolic syndrome.
Methods: A systematic review and Bayesian mixed treatment comparison meta-analysis was conducted. Relevant electronic bibliographic databases were searched up to January 2010.