Add wos sample results library

02-data/intermediate/wos_sample/bb9df8f1d37016719fc02897ba333d71-aveling-emma-louise/info.yaml

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+abstract: 'Background: Access to safe surgical care represents a critical gap in
+
+  healthcare delivery and development in many low-and middle-income
+
+  countries, including Ethiopia. Quality improvement (QI) initiatives at
+
+  hospital level may contribute to closing this gap. Many such quality
+
+  improvement initiatives are carried out through international health
+
+  partnerships. Better understanding of how to optimise quality
+
+  improvement in low-income settings is needed, including through
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+  partnership-based approaches. Drawing on a process evaluation of an
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+  intervention to improve surgical services in an Ethiopian hospital, this
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+  paper offers lessons to help meet this need.
+
+  Methods: We conducted a qualitative process evaluation of a quality
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+  improvement project which aimed to improve access to surgical services
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+  in an Ethiopian referral hospital through better management. Data was
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+  collected longitudinally and included: 66 in-depth interviews with
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+  surgical staff and project team members; observation (135 h) in the
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+  surgery department and of project meetings; project-related
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+  documentation. Thematic analysis, guided by theoretical constructs,
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+  focused on identifying obstacles to implementation.
+
+  Results: The project largely failed to achieve its goals. Key barriers
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+  related to project design, partnership working and the implementation
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+  context, and included: confusion over project objectives and project and
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+  partner roles and responsibilities; logistical challenges concerning
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+  overseas visits; difficulties in communication; gaps between the time
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+  and authority team members had and that needed to implement and engage
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+  other staff; limited strategies for addressing adaptive-as opposed to
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+  technical-challenges; effects of hierarchy and resource scarcity on QI
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+  efforts. While many of the obstacles identified are common to diverse
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+  settings, our findings highlight ways in which some features of
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+  low-income country contexts amplify these common challenges.
+
+  Conclusion: We identify lessons for optimising the design and planning
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+  of quality improvement interventions within such challenging healthcare
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+  contexts, with specific reference to international partnership-based
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+  approaches. These include: the need for a funded lead-in phase to
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+  clarify and agree goals, roles, mutual expectations and communication
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+  strategies; explicitly incorporating adaptive, as well as technical,
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+  solutions; transparent management of resources and opportunities;
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+  leadership which takes account of both formal and informal power
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+  structures; and articulating links between project goals and wider
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+  organisational interests.'
+affiliation: 'Aveling, EL (Corresponding Author), Univ Cambridge, Inst Publ Hlth,
+  Cambridge Ctr Hlth Serv Res, Forvie Site,Robinson Way, Cambridge CB2 0SR, England.
+
+  Aveling, EL (Corresponding Author), Harvard TH Chan Sch Publ Hlth, Dept Hlth Policy
+  \& Management, Boston, MA 02115 USA.
+
+  Aveling, Emma-Louise, Univ Cambridge, Inst Publ Hlth, Cambridge Ctr Hlth Serv Res,
+  Forvie Site,Robinson Way, Cambridge CB2 0SR, England.
+
+  Aveling, Emma-Louise, Harvard TH Chan Sch Publ Hlth, Dept Hlth Policy \& Management,
+  Boston, MA 02115 USA.
+
+  Zegeye, Desalegn Tegabu, Fed Minist Hlth, POB 1234, Addis Ababa, Ethiopia.
+
+  Silverman, Michael, Univ Leicester, Dept Infect Inflammat \& Immun, Univ Rd, Leicester
+  LE1 7RH, Leics, England.'
+article-number: '393'
+author: Aveling, Emma-Louise and Zegeye, Desalegn Tegabu and Silverman, Michael
+author-email: eaveling@hsph.harvard.edu
+author_list:
+- family: Aveling
+  given: Emma-Louise
+- family: Zegeye
+  given: Desalegn Tegabu
+- family: Silverman
+  given: Michael
+da: '2023-09-28'
+doi: 10.1186/s12913-016-1639-4
+files: []
+issn: 1472-6963
+journal: BMC HEALTH SERVICES RESEARCH
+keywords: Quality improvement; Surgery; Patient safety; Partnership; Ethiopia
+keywords-plus: PATIENT SAFETY; COMMUNITY-DEVELOPMENT; CARE; INFRASTRUCTURE; UNIVERSITY
+language: English
+month: AUG 17
+number-of-cited-references: '36'
+orcid-numbers: Zegeye, Desalegn Tegabu/0000-0002-5231-9967
+papis_id: d878e9e2d53e8f84b031f111e7ddb672
+ref: Aveling2016obstaclesimplementat
+times-cited: '17'
+title: 'Obstacles to implementation of an intervention to improve surgical services
+  in an Ethiopian hospital: a qualitative study of an international health partnership
+  project'
+type: Article
+unique-id: WOS:000381463200002
+usage-count-last-180-days: '0'
+usage-count-since-2013: '9'
+volume: '16'
+web-of-science-categories: Health Care Sciences \& Services
+year: '2016'