Journal Articles

Healthcare is Not Something You Can Isolate from Life in General: Factors Influencing Successful Clinical Capacity Building in the Pacific

This article presents factors that influenced the implementation of a capacity building assistance program in the U.S. Affiliated Pacific Island jurisdictions that worked with health professionals to develop local organizational and clinical HIV capacity. It also evaluates the program to understand the contextual factors affecting the delivery of services. [adapted from introduction]

Meeting the Challenge of HIV Clinical Training within 2.5 Million Square Miles of the Pacific Ocean

To improve clinician ability to recognize HIV and understand treatment, Hawai’s AIDS Education and Training Center developed innovative ways of training and building capacity. This is a report of the program and the experiences with these clinicians. [adapted from introduction]

Junior Doctors' and Medical Students' Commitment to Working in Areas of Workforce Shortage

The purpose of this study was to report on the preparedness of medical students and junior doctors to commit to working in areas of workforce shortage. [from abstract]

Evidence-Based Health Workforce Model for Primary and Community Care

The objective of this article is to describe the development of an evidence-informed, needs-based health workforce model to support the delivery of best-practice interdisciplinary chronic disease management in the primary and community care setting using diabetes as a case exemplar. [from abstract]

Training Family Physicians in Community Health Centers: A Health Workforce Solution

For more than 25 years, family medicine residencies have worked with community health centers (CHCs) to train family physicians. This study compares CHC and non-CHC-trained family physicians regarding practice location, job and training satisfaction, and recruitment and retention to underserved areas. [from author]

Human Resources for Maternal, Newborn and Child Health: from Measurement and Planning to Performance for Improved Health Outcomes

This paper focuses on the collection and use of strategic information on human resources for health for decision making and performance monitoring to achieve the MDGs for maternal and child health. It collected and analyzed cross-nationally comparable data on HRH availability, distribution, roles and functions from new and existing sources, and information from country reviews of HRH interventions that are associated with positive impacts on health services delivery and population health outcomes. [from author]

Workplace Violence and Gender Discrimination in Rwanda's Health Workforce: Increasing Safety and Gender Equality

This article reexamines a set of study findings that directly relate to the influence of gender on workplace violence, synthesizes these findings with other research from Rwanda, and examines the subsequent impact of the study on Rwanda’s policy environment. [from abstract]

Teaching Evidence Based Medicine Literature Searching Skills to Medical Students During the Clinical Years: a Protocol for a Randomised Controlled Trial

This study sought evidence to inform whether skills in evidence based medicine should be taught to medical students during their preclinical years, or delivered during both the preclinical and clinical years of study as an important component of curriculum design.

Integrating HIV Screening into Routine Health Care in Resource-Limited Settings

This article reviews the benefits of knowledge of HIV serostatus and evidence from multiple countries surrounding the successes and pitfalls of provider-initiated testing in health care and home-based settings.

Task Shifting and Integration of HIV Care into Primary Care in South Africa: The Development and Content of the Streamlining Tasks and Roles to Expand Treatment and Care for HIV (STRETCH) Intervention

Task shifting and the integration of HIV care into primary care services have been identified as possible strategies for improving access to antiretroviral treatment. This paper describes the development and content of an intervention involving these two strategies. [from abstract]

Can Computerized Clinical Decision Support Systems Improve Practitioners' Diagnostic Test Ordering Behavior? A Decision-Maker-Researcher Partnership Systematic Review

Decision support technology purports to optimize the use of diagnostic tests in clinical practice. The objective of this review was to assess whether computerized clinical decision support systems (CCDSSs) are effective at improving ordering of tests for diagnosis, monitoring of disease, or monitoring of treatment. The outcome of interest was effect on the diagnostic test-ordering behavior of practitioners. [from abstract]

Computerized Clinical Decision Support Systems for Chronic Disease Management: a Decision-Maker-Researcher Partnership Systematic Review

Computerized clinical decision support systems (CCDSSs) may help practitioners meet the requirements of chronic care. These systems analyze a patient’s characteristics to provide tailored recommendations for diagnosis, treatment, patient education, adequate follow-up, and timely monitoring of disease indicators. The objective of this review was to determine if CCDSSs improve the processes of chronic care and associated patient outcomes. [adapted from author]

Implementation of Integrated Care: the Empirical Validation of the Development Model for Integrated Care

This study empirically validated a model for integrated care in practice by assessing the relevance, implementation and plans of the elements in three integrated care service settings in The Netherlands. [from abstract]

Controlled Trial of Mental Ilness Related Stigma Training for Medical Students

This study aimed to examine the impact of mental illness related stigma training on third year medical students’ knowledge, attitudes and behaviour related to people with mental illness. [from abstract]

Mentorship Needs at Academic Institutions in Resource-Limited Settings: a Survey at Makerere University College of Health Sciences

There is increasing global emphasis on mentorship of young scientists in order to train and develop the next leaders in global health. However, mentoring efforts are challenged by the high clinical, research and administrative demands. This study evaluated the status and nature of mentoring practices at Makerere College of Health Sciences. [from abstract]

Bachelor of Rural Health Care: Do We Need Another Cadre of Health Practitioners in Rural Areas?

This article proposes the idea of a new degree course in medicine of a shorter duration to encourage students from rural areas to take up medicine and then provide services in their local areas. [from author]

Interventions Encouraging the Use of Systematic Reviews by Health Policymakers and Managers: a Systematic Review

This article systematically reviewed the evidence on the impact of interventions for seeking, appraising, and applying evidence from systematic reviews in decision making by health policymakers or managers. [from abstract]

Human Resources for Health and Decentralization Policy in the Brazilian Health System

This paper assesses whether the process of decentralizing human resources for health management and organization to the level of the state and municipal health departments has involved investments in technical, political and financial resources at the national level. [from abstract]

Safety during the Monitoring of Diabetic Patients: Trial Teaching Course on Health Professionals and Diabetics - SEGUDIAB Study

This study analyzed the effect of an educational intervention both on the attitudes and motivations of health professionals and on the degree of control over the diabetes for health workers and patients. [adapted from abstract]

Occupational Segregation, Gender Essentialism and Male Primacy as Major Barriers to Equity in HIV Care Giving: Findings from Lesotho

In 2008 the Capacity Project partnered with the Lesotho Ministry of Health and Social Welfare in a study of the gender dynamics of HIV/AIDS caregiving in three districts of Lesotho to account for men’s absence in HIV/AIDS caregiving and investigate ways in which they might be recruited into the community and home-based care workforce. [from abstract]

Community Case Management Using ACT and RDT in Two Districts in Zambia: Achieving High Adherence to Test Results Using Community Health Workers

This article outlines a prospective evaluation of the effectiveness of using community health workers as delivery points for ACT and RDTs in the home management of malaria in two districts in Zambia. [from abstract]

Devolution and Human Resources in Primary Healthcare in Rural Mali

Devolution, as other types of decentralization (e.g. deconcentration, delegation, privatization), profoundly changes governance relations in the health system. This article assesses the key advantages and dilemmas associated with devolution such as responsiveness to local needs, downward accountability and health worker retention. Challenges of politics and capacities are also addressed in relation to human resources for health at the local level. [from abstract]

Collaboration to Change the Landscape of Nursing: A Journey between Urban and Remote Practice Settings

This article describes an innovative strategy to test a health human resource (HHR) planning and employment model to foster inter-organizational collaboration, knowledge transfer and exchange of nurses between an urban academic health science centre and a remote region in northern Ontario. [from introduction]

Nurse Prescribing of Medicines in Western Europe and Anglo-Saxon Countries: a Systematic Review of the Literature

The aim of this review was to gain insight into the scientific and professional literature describing the extent to and the ways in which nurse prescribing has been realised or is being introduced in Western European and Anglo-Saxon countries; and to identify possible mechanisms underlying the introduction and organisation of nurse prescribing. [adapted from abstract]

Current Shortage and Future Surplus of Doctors: a Projection of the Future Growth of the Japanese Medical Workforce

The purpose of this research is to project the future growth of the Japanese medical doctor workforce from 2008 to 2050 and to forecast whether the proposed additional increase in the student quota will cause a doctor surplus. [from abstract]

Integrating Telecare for Chronic Disease Management in the Community: What Needs to be Done?

This study aimed to identify factors inhibiting the implementation and integration of telecare systems for chronic disease management in the community. [from abstract]

Still Too Little Qualitative Research to Shed Light on Results from Reviews of Effectiveness Trials: a Case Study of Cochrane Review on the Use of Lay Health Workers

In a Cochrane review on the effects of using lay health workers on maternal and child health and infectious disease control, the authors identified 82 trials that showed promising benefits but whose results were heterogeneous. The objective of this research was to use qualitative studies conducted alongside these trials to explore factors and processes that might have influenced intervention outcomes. [adapted from abstract]

Protocol for a Systematic Review of Knowledge Translation Strategies in the Allied Health Professions

Knowledge translation aims to close the gap between knowledge and practice in order to realize the benefits of research through improved health outcomes, more effective health services and products, and strengthened healthcare systems. The objective of this study is to systematically review published research on knowledge translations strategies in five allied health disciplines. [adapted from abstract]

Impact of Retail-Sector Delivery of Artemether–Lumefantrine on Malaria Treatment of Children under Five in Kenya: A Cluster Randomized Controlled Trial

This study in western Kenya aimed to evaluate the impact of providing subsidized artemether–lumefantrine, an antimalarial treatment, for febrile children aged 3–59 months through retail providers. [adapted from abstract]

Non medical Prescribing Leads Views on Their Role and the Implementation of Non Medical Prescribing from a Multi-Organizational Perspective

In the United Kingdom, non-medical prescribing (NMP) has been identified as one way to improve healthcare quality and efficiency. Healthcare organisations are charged with overseeing the clinical governance of NMP and guidance recommends the identification of a lead director to be responsible for its implementation. The aim of this research was to explore the role of the organisational NMP lead across a range of practice settings and consider the development of NMP from a multi-organisational perspective. [from abstract]