Purpose: Much work about health reform and systems improvement in healthcare looks at shortcomings and universal problems facing health systems, but rarely are accomplishments dissected and analyzed internationally. The purpose of this paper is to address this knowledge gap by examining the...

Purpose: Globally, acute abdominal pain (AAP) is one of the most common reasons for emergency admissions, yet little is known about how this patient group experiences the delivery of fundamental care across the acute care delivery chain. The purpose of this paper is to describe how patients...

Purpose: The purpose of this paper is to describe how Finnish experts perceive future (year 2030) hospital management and leadership. Design/methodology/approach: A total of 33 experts participated in a three-round Argument Delphi process. Opposing views of management and leadership in 2030...

Purpose: The purpose of this paper is twofold: first, to present patient-level utilisation patterns of hospital-based mental health services funded by private health insurers; and second, to examine the implications of the findings for planning and delivering private mental health services in...

Purpose: Nurse navigators (NNs) coordinate patient care, improve care quality and potentially reduce healthcare resource use. The purpose of this paper is to undertake an evaluation of hospitalisation outcomes in a new NN programme in Queensland, Australia. Design/methodology/approach: A...

Purpose: The purpose of this paper is to lay out how advanced practitioner development occurs in New Zealand primary health care settings. The paper specifically focuses on mechanisms occurring across policy creation and in practice leading to successful role development....

Purpose: In order to create sustainable health systems, many countries are introducing ways to prioritise health services underpinned by a process of health technology assessment. While this approach requires technical judgements of clinical effectiveness and cost effectiveness, these are...

Purpose: The purpose of this paper is to describe the structure and impact of a Queensland Research Support Network (RSN) in emergency medicine (EM). Design/methodology/approach: This paper presents a descriptive summary of EM networks, network evaluations and the structure and development of...

Purpose: The purpose of this paper is to advance understanding about the facilitation process used in complex implementation projects, by describing the function of novice clinician facilitators, and the barriers and enablers they experience, while implementing a new model of care for managing...

Purpose: The purpose of this paper is to assess policy and management of hypertension and diabetes in Ghana. Design/methodology/approach: The authors conducted 26 key informant interviews with policy makers, payers, providers and participants from advocacy groups associated with the management...