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  1. Article ; Online: Maternal and newborn health priority setting partnership in rural Uganda in association with the James Lind Alliance

    James Ditai / Monicah Nakyazze / Deborah Andrinar Namutebi / Proscovia Auma / Martin Chebet / Cynthia Nalumansi / Grace Martha Nabulo / Kenneth Mugabe / Toto Anne Gronlund / Anthony Mbonye / Andrew D. Weeks

    Research Involvement and Engagement, Vol 6, Iss 1, Pp 1-

    a study protocol

    2020  Volume 16

    Abstract: Abstract Background Maternal and newborn deaths and ill health are relatively common in low income countries, but can adequately be addressed through locally, collaboratively designed, and responsive research. This has the potential to enable the ... ...

    Abstract Abstract Background Maternal and newborn deaths and ill health are relatively common in low income countries, but can adequately be addressed through locally, collaboratively designed, and responsive research. This has the potential to enable the affected women, their families and health workers themselves to explore ‘why maternal and newborn adverse outcomes continue to occur. The objectives of the study include; 1. To work with seldom heard groups of mothers, their families, and health workers to identify unanswered research questions for maternal and newborn health in villages and health facilities in rural Uganda 2. To establish locally responsive research questions for maternal and newborn health that could be prioritised together with the public in Uganda 3. To support the case for locally responsive research in maternal and newborn health by the ministry of health, academic researchers and funding bodies in Uganda. Methods The present study will follow the James Lind Alliance (JLA) Priority Setting Partnership (PSP) methodology. The project was initiated by an academic research group and will be managed by a research team at the Sanyu Africa Research Institute on a day to day basis. A steering group with a separate lay mothers’ group and partners’ group (individuals or organisations with interest in maternal and newborn health) will be recruited. The PSP will be initiated by launch meetings, then a face-to-face initial survey for the collection of raw unanswered questions; followed by data collation. A face-to-face interim prioritisation survey will then be performed to choose questions before the three separate final prioritisation workshops. The PSP will involve many participants from an illiterate, non-internet population in rural eastern Uganda, but all with an interest in strategies to avert maternal and newborn deaths or morbidities in rural eastern Uganda. This includes local rural women, their families, health and social workers, and relevant local groups or organisations. We will generate a top 10 list of maternal and newborn health research priorities from a group with no prior experience in setting a research agenda in rural eastern Uganda. Discussion The current protocol elaborates the JLA methods for application with a new topic and in a new setting translating the JLA principles not just into the local language, but into a rural, vulnerable, illiterate, and non-internet population in Uganda. The face-to-face human interaction is powerful in eliciting what exactly matters to individuals in this particular context as opposed to online surveys. This will be the first time that mothers and lay public with current or previous experience of maternal or neonatal adverse outcomes will have the opportunity to identify and prioritise research questions that matter to them in Uganda. We will be able to compare how the public would prioritise maternal health research questions over newborn health in this setting.
    Keywords Maternal ; Newborn ; Health ; Research priorities ; James Lind Alliance ; Medicine ; R ; Medicine (General) ; R5-920
    Subject code 360
    Language English
    Publishing date 2020-09-01T00:00:00Z
    Publisher BMC
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Article ; Online: The provision and impact of online patient access to their electronic health records (EHR) and transactional services on the quality and safety of health care

    Freda Mold / Beverley Ellis / Simon de Lusignan / Aziz Sheikh / Jeremy C Wyatt / Mary Cavill / Georgios Michalakidis / Fiona Barker / Azeem Majeed / Tom Quinn / Phil Koczan / Theo Avanitis / Toto Anne Gronlund / Christina Franco / Mary McCarthy / Zoe Renton / Umesh Chauhan / Hannah Blakey / Neha Kataria /
    Simon Jones / Imran Rafi

    Journal of Innovation in Health Informatics, Vol 20, Iss 4, Pp 271-

    systematic review protocol

    2013  Volume 282

    Abstract: Background Innovators have piloted improvements in communication, changed patterns of practice and patient empowerment from online access to electronic health records (EHR). International studies of online services, such as prescription ordering, online ... ...

    Abstract Background Innovators have piloted improvements in communication, changed patterns of practice and patient empowerment from online access to electronic health records (EHR). International studies of online services, such as prescription ordering, online appointment booking and secure communications with primary care, show good uptake of email consultations, accessing test results and booking appointments; when technologies and business process are in place. Online access and transactional services are due to be rolled out across England by 2015; this review seeks to explore the impact of online access to health records and other online services on the quality and safety of primary health care. Objective To assess the factors that may affect the provision of online patient access to their EHR and transactional services, and the impact of such access on the quality and safety of health care. Method Two reviewers independently searched 11 international databases during the period 1999–2012. A range of papers including descriptive studies using qualitative or quantitative methods, hypothesis-testing studies and systematic reviews were included. A detailed eligibility criterion will be used to shape study inclusion .A team of experts will review these papers for eligibility, extract data using a customised extraction form and use the Grading of Recommendations Assessment, Development and Evaluation (GRADE) instrument to determine the quality of the evidence and the strengths of any recommendation. Data will then be descriptively summarised and thematically synthesised. Where feasible, we will perform a quantitative meta-analysis. Prospero (International Prospective Register of Systematic Reviews) registration number: crd42012003091.
    Keywords electronic health records ; general practice ; medical informatics ; medical records ; patient access to records ; primary care ; transactional services ; Computer applications to medicine. Medical informatics ; R858-859.7
    Subject code 306 ; 360
    Language English
    Publishing date 2013-09-01T00:00:00Z
    Publisher BCS, The Chartered Institute for IT
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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