Medical leaders occupy a prominent position in healthcare policy in many countries, both in terms of the governance of quality and safety within healthcare organisations, and in broader system-wide governance. There is evidence that having doctors on hospital boards is associated with higher quality services. What is not known is how they have this effect. Analysing data collected from observations, interviews and documents from 15 healthcare providers in England (2014-2019), we elaborate the role of medical directors in healthcare governance as 'translation work', 'diplomatic work', and 'repair work'. Our study highlights the often enduring emotional effects of repeated structural changes to clinical services. It also contributes to theories of professional restratification, showing the work of medical directors as regional 'political elites', and as 'corporate elites' in publicly-funded healthcare systems.
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http://dx.doi.org/10.1016/j.socscimed.2021.113882 | DOI Listing |
J Adv Nurs
December 2024
La Trobe University, Melbourne, Victoria, Australia.
Aim: To examine the role of cultural safety within a human rights-based approach to improving the health of Indigenous Peoples.
Design: Guided by Askey and O'Malley's scoping review framework, the literature was examined on cultural safety and prioritised Indigenous voices to inform culturally safe practices. Relevant literature from 2009 to 2021 was included.
Int J Nurs Stud Adv
June 2025
Nursing Department, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Background: Evidence-based venous thromboembolism prevention and management is a priority for global health services. Low adoption of venous thromboembolism guidelines can result in compromised patient outcomes. Understanding clinicians' and patients' perceptions of barriers to and facilitators for guideline implementation and mapping identified barriers and facilitators to the Consolidated Framework for Implementation Research may inform theoretical interventions to improve guideline adoption rates.
View Article and Find Full Text PDFHeliyon
December 2024
AIMS Lab, IRIIC, United International University, Dhaka, Bangladesh.
This paper presents a comprehensive study on the development and performance evaluation of "," a mobile health (mHealth) app designed to facilitate eye screening for impaired visual acuity (VA) in Bangladesh. Recognizing the critical importance of vision and the challenges posed by visual impairments, particularly in low-resource settings, this study explores an innovative solution to enhance eye care accessibility. The app, developed for Android devices, integrates features such as VA testing using adapted Bengali letters, color blindness tests, and eye health education, aiming to make eye care more user-friendly and accessible.
View Article and Find Full Text PDFCureus
November 2024
Department of Obstetrics and Gynecology and Urology, New York Medical College, Valhalla, USA.
Background The United States continues to rank as one of the most expensive healthcare systems in the world, and cataract surgery, the most commonly performed surgery, is one of the primary drivers of healthcare expenditure. Increasing efforts have been made to try to minimize U.S.
View Article and Find Full Text PDFDiabetes Res Clin Pract
December 2024
Duke-NUS Medical School, 8 College Road, Singapore 169857, Singapore; Centre of Population Health and Implementation Research, SingHealth Regional Health System, Singapore; Department of Family Medicine and Continuing Care, Singapore General Hospital, Singapore. Electronic address:
Objective: The escalating prevalence of Type 2 Diabetes Mellitus (T2DM) overwhelms healthcare systems. Lifestyle interventions enhancing patient monitoring and adherence vary in efficacy, emphasizing the need to understand differential response across patient subgroups. This study aimed to segment patients with T2DM into distinct latent classes and identify characteristics associated with optimal 12-month glycated haemoglobin (HbA1c) reduction.
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