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Mixed Methods EvAluation of the high-volume low-complexity Surgical hUb pRogrammE (MEASURE): a mixed methods study protocol.

التفاصيل البيبلوغرافية
العنوان: Mixed Methods EvAluation of the high-volume low-complexity Surgical hUb pRogrammE (MEASURE): a mixed methods study protocol.
المؤلفون: Scantlebury A; York Trials Unit, Department of Health Sciences, University of York, York, UK arabella.scantlebury@york.ac.uk., Sivey P; Centre for Health Economics, University of York, York, Yorkshire, UK., Anteneh Z; Centre for Health Economics, University of York, York, Yorkshire, UK., Ayres B; St George's University Hospitals NHS Foundation Trust, London, UK., Bloor K; Department of Health Sciences, University of York, York, Yorkshire, UK., Castelli A; Centre for Health Economics, University of York, York, Yorkshire, UK., Castro-Avila AC; Department of Health Sciences, University of York, York, Yorkshire, UK., Davies F; York Trials Unit, Department of Health Sciences, University of York, York, UK., Davies S; Centre for Health and Population Sciences, Hull York Medical School, Hull, UK., Glerum-Brooks K; York Trials Unit, Department of Health Sciences, University of York, York, UK., Gutacker N; Centre for Health Economics, University of York, York, Yorkshire, UK., Lampard P; Department of Health Sciences, University of York, York, Yorkshire, UK., Rangan A; Department of Health Sciences, University of York, York, Yorkshire, UK.; Trauma and Orthopaedics, James Cook University Hospital, Middlesbrough, UK., Saad A; Opthamology, James Cook University Hospital, Middlesbrough, UK.; Hull York Medical School, Hull, UK., Street A; LSE, London, UK., Wen J; Centre for Health Economics, University of York, York, Yorkshire, UK., Adamson J; York Trials Unit, Department of Health Sciences, University of York, York, UK.
المصدر: BMJ open [BMJ Open] 2024 Apr 19; Vol. 14 (4), pp. e086338. Date of Electronic Publication: 2024 Apr 19.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: BMJ Publishing Group Ltd Country of Publication: England NLM ID: 101552874 Publication Model: Electronic Cited Medium: Internet ISSN: 2044-6055 (Electronic) Linking ISSN: 20446055 NLM ISO Abbreviation: BMJ Open Subsets: MEDLINE
أسماء مطبوعة: Original Publication: [London] : BMJ Publishing Group Ltd, 2011-
مواضيع طبية MeSH: State Medicine* , Research Design*, Humans ; England ; Qualitative Research ; Patients
مستخلص: Introduction: The waiting list for elective surgery in England recently reached over 7.8 million people and waiting time targets have been missed since 2010. The high-volume low complexity (HVLC) surgical hubs programme aims to tackle the backlog of patients awaiting elective surgery treatment in England. This study will evaluate the impact of HVLC surgical hubs on productivity, patient care and the workforce.
Methods and Analysis: This 4-year project consists of six interlinked work packages (WPs) and is informed by the Consolidated Framework for Implementation Research. WP1 : Mapping current and future HVLC provision in England through document analysis, quantitative data sets (eg, Hospital Episodes Statistics) and interviews with national service leaders. WP2 : Exploring the effects of HVLC hubs on key performance outcomes, primarily the volume of low-complexity patients treated, using quasi-experimental methods. WP3 : Exploring the impact and implementation of HVLC hubs on patients, health professionals and the local NHS through approximately nine longitudinal, multimethod qualitative case studies. WP4 : Assessing the productivity of HVLC surgical hubs using the Centre for Health Economics NHS productivity measure and Lord Carter's operational productivity measure. WP5 : Conducting a mixed-methods appraisal will assess the influence of HVLC surgical hubs on the workforce using: qualitative data (WP3) and quantitative data (eg, National Health Service (NHS) England's workforce statistics and intelligence from WP2). WP6 : Analysing the costs and consequences of HVLC surgical hubs will assess their achievements in relation to their resource use to establish value for money. A patient and public involvement group will contribute to the study design and materials.
Ethics and Dissemination: The study has been approved by the East Midlands-Nottingham Research Ethics Committee 23/EM/0231. Participants will provide informed consent for qualitative study components. Dissemination plans include multiple academic and non-academic outputs (eg, Peer-reviewed journals, conferences, social media) and a continuous, feedback-loop of findings to key stakeholders (eg, NHS England) to influence policy development.
Trial Registration: Research registry: Researchregistry9364 (https://www.researchregistry.com/browse-the-registry%23home/registrationdetails/64cb6c795cbef8002a46f115/).
Competing Interests: Competing interests: BA is the Clinical Director of Urology for National Health Service London and has been involved in the initial implementation of the high-volume low complexity surgical hubs in London.
(© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY. Published by BMJ.)
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فهرسة مساهمة: Keywords: HEALTH ECONOMICS; Health policy; ORTHOPAEDIC & TRAUMA SURGERY; Protocols & guidelines; QUALITATIVE RESEARCH; SURGERY
تواريخ الأحداث: Date Created: 20240420 Date Completed: 20240422 Latest Revision: 20240426
رمز التحديث: 20240426
مُعرف محوري في PubMed: PMC11033628
DOI: 10.1136/bmjopen-2024-086338
PMID: 38643003
قاعدة البيانات: MEDLINE
الوصف
تدمد:2044-6055
DOI:10.1136/bmjopen-2024-086338