Zhaoquan Xing, Meng Ji, Yi Shan, Zhaogang Dong, Xiaofei Xu
Using the Multidimensional Health Locus of Control Scale Form C to Investigate Health Beliefs About Bladder Cancer Prevention and Treatment Among Male Patients: Cross-Sectional Study
JMIR formative research
improvements possible many areas clinical care become increasingly clear different players within health care howeverclinicians epidemiologists health services researchers educationalists social scientists economists health authoritiesoften different ideas best strategies improve practice best way making changes let us assume aggregated data collected health authorities disclose rate caesarean section specific district exceptionally high committee formed experts representatives various interests develop plans improving obstetric care hearing problem worried clinician either denies problem proposes setting well designed course increase clinicians knowledge skills ok says clinical epidemiologist first need know evidence indications caesarean section perform metaanalysis come evidence based guidelines disseminate among obstetricians says educational expert top approach strategies usually fail form small groups doctors let discuss problem using cases experiences practices basis local arrangements new routines take look facts first says health services researcher let us set multicentre audit first collect data actual variation hospitals include data casemix feeding information back hospitals probably stimulate improvement focusing much individual doctor says management expert problem doctor system analyse process decision making performing caesarean sections see structures determine process next need quality improvement team