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Health & Social Care in the Community

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https://www.readbyqxmd.com/read/28643399/distributed-health-literacy-among-people-living-with-type-2-diabetes-in-portugal-defining-levels-of-awareness-and-support
#1
Liliana Abreu, João Arriscado Nunes, Peter Taylor, Susana Silva
This study embraces a patient-centred and narrative-oriented notion of health literacy, exploring how social networks and personal experiences constitute distributed health literacy (DHL) by mapping out health literacy mediators of each individual and how they enable self-management skills and knowledge of health conditions. Semi-structured interviews with 26 patients with type 2 diabetes were conducted in a Primary Care Center of Porto (Portugal) from October 2014 to December 2015. Data were collected based on McGill Illness Narrative Interview (MINI)...
June 22, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/28627076/supportive-housing-for-chronically-homeless-individuals-challenges-and-opportunities-for-providers-in-chicago-usa
#2
Katherine Quinn, Julia Dickson-Gomez, Kelly Nowicki, Amy K Johnson, Arturo V Bendixen
Chronically homeless individuals often have extensive health, mental health and psychosocial needs that pose barriers to obtaining and maintain supportive housing. This study aims to qualitatively explore supportive housing providers' experiences and challenges with housing chronically homeless individuals and examine opportunities to improve supportive housing systems of care. In 2014, we conducted qualitative in-depth interviews with 65 programme administrators and case managers of supportive housing programmes in Chicago, IL...
June 18, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/28627051/investigating-the-job-satisfaction-of-healthcare-providers-at%C3%A2-primary-healthcare-centres-in-lebanon-a-national-cross-sectional-study
#3
Mohamad Alameddine, Maysa Baroud, Samer Kharroubi, Randa Hamadeh, Walid Ammar, Hikma Shoaib, Hiba Khodr
Low job satisfaction is linked to higher staff turnover and intensified shortages in healthcare providers (HCP). This study investigates the level of, and factors associated with, HCP job satisfaction in the national primary healthcare (PHC) network in Lebanon. The study adopts a cross-sectional design to survey HCP at 99 PHC centres distributed across the country between October 2013 and May 2014. The study questionnaire consisted of four sections: socio-demographics/professional background, employment characteristics, level of job satisfaction (Measure of Job Satisfaction scale) and level of professional burnout (Maslach Burnout Inventory-HSS scale)...
June 18, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/28620950/the-risk-typology-of-healthcare-access-and-its-association-with-unmet-healthcare-needs-in-asian-americans
#4
Yuri Jang, Nan Sook Park, Hyunwoo Yoon, Ya-Ching Huang, Min-Kyoung Rhee, David A Chiriboga, Miyong T Kim
Using data from the 2015 Asian American Quality of Life Survey (N = 2,609), latent profile analysis was conducted on general (health insurance, usual place for care and income) and immigrant-specific (nativity, length of stay in the U.S., English proficiency and acculturation) risk factors of healthcare access. Latent profile analysis identified a three-cluster model (low-risk, moderate-risk and high-risk groups). Compared with the low-risk group, the odds of having an unmet healthcare need was 1.52 times greater in the moderate-risk group and 2...
June 15, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/28608467/discourses-of-joint-commissioning
#5
Ailsa Cameron, Emer Brangan, John Gabbay, Jonathan H Klein, Catherine Pope, Lesley Wye
Increasing attention has focused on the role of joint commissioning in health and social care policy and practice in England. This paper provides an empirical examination of the three discourses of joint commissioning developed from an interpretative analysis of documents by Dickinson et al. (2013; BMC Health Services Research, 13) and applied to data from our study exploring the role of knowledge in commissioning in England. Based on interviews with 92 participants undertaken between 2011 and 2013, our analysis confirms that the three discourses of prevention or empowerment or efficiency are used by professionals from across health and social care organisations to frame their experiences of joint commissioning...
June 12, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/28608451/commissioning-and-equity-in-primary-care-in-australia-views-from-primary-health-networks
#6
Julie Henderson, Sara Javanparast, Tamara MacKean, Toby Freeman, Fran Baum, Anna Ziersch
This paper reports findings from 55 stakeholder interviews undertaken in six Primary Health Networks (PHNs) in Australia as part of a study of the impact of population health planning in regional primary health organisations on service access and equity. Primary healthcare planning is currently undertaken by PHNs which were established in 2015 as commissioning organisations. This was a departure from the role of Medicare Locals, the previous regional primary health organisations which frequently provided services...
June 12, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/28608437/-we-don-t-do-it-for-the-money-%C3%A2-the-scale-and-reasons-of-poverty-pay-among-frontline-long-term-care-workers-in-england
#7
Shereen Hussein
Demographic trends escalate the demands for formal long-term care (LTC) in the majority of the developed world. The LTC workforce is characterised by its very low wages, the actual scale of which is less well known. This article investigates the scale of poverty-pay in the feminised LTC sector and attempts to understand the perceived reasons behind persisting low wages in the sector. The analysis makes use of large national workforce pay data and a longitudinal survey of care workers, as well as interviews with key stakeholders in the sector...
June 12, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/28585296/satisfaction-and-difficulties-of-french-professional-home-caregivers-in-supporting-older-people-with-alzheimer-s-disease-or-alcohol-misuse
#8
Alba Moscato, Isabelle Varescon
In France, few studies have examined home care when it comes to ageing support and even fewer have considered alcohol misuse in this context. The studies also show that being old and having alcohol use disorders are two unfavourable conditions for receiving help, whereas for the Alzheimer's disease, there is a clear need for optimal care. In this article, we study professional home caregiver's perceptions of their job along with their difficulties and satisfactions in supporting older people with Alzheimer's disease or alcohol misuse...
June 6, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/28569431/providing-support-to-surrogate-decision-makers-for-people-living-with-dementia-healthcare-professional-organisational-and-community-responsibilities
#9
Christopher Shanley, Deirdre Fetherstonhaugh, Linda McAuliffe, Michael Bauer, Elizabeth Beattie
The prevalence of dementia will continue to increase with the ageing of the population. Many people living with dementia will reach a stage where surrogate decision-makers-mostly family carers-will need to make a range of decisions on their behalf. The aim of this study was to learn from surrogate decision-makers how they can be most effectively supported in this role. The study employed a qualitative design using semi-structured face-to-face or telephone interviews with a purposive sample of 34 surrogate decision-makers of people living with dementia...
June 1, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/28569411/regional-and-district-peer-effects-in-obesity-a-uk-panel-data-analysis
#10
Darshan Zala
Most research concerning the causes of obesity has focused on macroeconomic trends or individual-level determinants relating to socioeconomic status. There is now growing interest in the psychosocial determinants of obesity. Little research has been conducted into wide-scale peer effects and so the aim of this study was to determine whether regional and district peer effects determine individual-level obesity in the UK. Data from the British Household Panel Survey (for the years 2004 and 2006) were used to model individual-level BMI and probability of obesity as a function of regional and district BMI, controlling for a variety of other variables...
June 1, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/28569397/promoting-continuity-of-care-for-homeless-adults-with-unmet-health-needs-the-role-of-brief-interventions
#11
Denise Lamanna, Vicky Stergiopoulos, Janet Durbin, Patricia O'Campo, Daniel Poremski, Joshua Tepper
Promoting timely and continuous care for people experiencing homelessness has been a challenge in many jurisdictions, plagued by access barriers and service fragmentation. As part of a larger programme evaluation, this study used qualitative methods to examine the role of a brief interdisciplinary intervention in supporting continuity of care for this population in a large Canadian urban centre. The intervention provides time-limited case management, primary and psychiatric care, and peer accompaniment to homeless adults with unmet health needs discharged from hospital...
June 1, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/28569395/co-located-welfare-advice-in-general-practice-a-realist-qualitative-study
#12
Charlotte Woodhead, Hillliary Collins, Robin Lomas, Rosalind Raine
General practitioners (GPs) engage with patients about a variety of social issues distinct from direct clinical work ("non-health" issues), such as health-related benefits and debt. Co-located welfare advice services could provide support to practices but have usually been considered in terms of patient rather than practice outcomes. We aimed to develop an initial programme theory for how the provision of co-located advice supports specific practice outcomes, and to identify salient barriers and enabling factors...
June 1, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/28569385/engaging-indigenous-families-in-a-community-based-indigenous-early-childhood-programme-in-british-columbia-canada-a-cultural-safety-perspective
#13
Alison J Gerlach, Annette J Browne, Margo Greenwood
This article is part of a larger study that explored how an Indigenous early intervention programme in British Columbia (BC), Canada, known as the 'Aboriginal Infant Development Program' (AIDP), influenced family and children's health and well-being and was responsive to child health inequities. Postcolonial feminist and Indigenous feminist perspectives provided a critical analytical lens to this qualitative inquiry. The study was undertaken with AIDPs based in diverse community organisations located in off-reserve urban municipalities throughout the province of BC...
June 1, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/28560792/timing-of-return-to-work-and-women-s-breastfeeding-practices-in-urban-malaysia-a-qualitative-study
#14
Zaharah Sulaiman, Pranee Liamputtong, Lisa H Amir
Nearly half of the working population in Malaysia are women, and with only a short period of maternity leave, they may struggle to achieve the recommended 6 months of exclusive breastfeeding. The aim of this paper was to explore the relationship between the timing of return to work and beliefs and breastfeeding practices among women in urban Malaysia. A qualitative inquiry based on a phenomenological framework and multiple methods was used: face-to-face interview, participant diary and researcher field notes...
May 30, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/28557181/-i-don-t-want-to-look-like-an-aids-victim-a-new-zealand-case-study-of-facial-lipoatrophy
#15
Gillian Abel, Lee Thompson
The development of antiretroviral (ARV) drugs to treat HIV has turned what was once a death sentence into a chronic disorder. However, a focus on absence of disease in the form of an undetectable viral load and the dismissal of the so-called "cosmetic" complications of the disease ignores perceptions of health and well-being of those living with HIV. Facial lipoatrophy is a stigmatising side effect of treatment for HIV as it betrays the presence of the virus within the body. The study took a longitudinal qualitative approach, interviewing 11 people twice over a period of 1 year on their experience of living with HIV...
May 29, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/28486784/exploring-the-prevalence-of-and-factors-associated-with-advice-on-prescription-medicines-a-survey-of-community-pharmacies-in-an-english-city
#16
Peter H Rivers, Jon Waterfield, Martin Grootveld, David K Raynor
Service users rely upon pharmacy staff to provide advice on prescription medicines. The purpose of this study was to compare the prevalence of advice-giving in pharmacies located across different areas within an inner-city population. A questionnaire was administered with service users outside 29 community pharmacies in an English Midlands city between February and July 2014. The primary outcome measure was the percentage who had received information or advice when collecting a prescription medicine. A total of 1206 service users took part, of whom 49...
May 9, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/28470745/-what-makes-an-excellent-mental-health-doctor-a-response-integrating-the-experiences-and-views-of-service-users-with-critical-reflections-of-psychiatrists
#17
Imani Gunasekara, Sue Patterson, James G Scott
While therapeutic relationships are appropriately recognised as the foundation of mental health service, service users commonly report suboptimal experiences. With shared understanding critical to improvement in practice, we explored service users' experiences and expectations of psychiatrists and consultations, engaging psychiatrists throughout the process. Using an iterative qualitative approach we co-produced a response to the question 'what makes an excellent mental health doctor?' Experiences and expectations of psychiatrists were explored in interviews with 22 service users...
May 3, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/28470691/revealing-gendered-identity-and-agency-in-dementia
#18
Geraldine Boyle
As identity and agency are central to the well-being of people with dementia, this paper explores whether their dialogue conveys a gendered sense of identity and agency. The author discusses whether they demonstrate not just a subjective sense of being but also an understanding of their relational selves. Findings are presented from a qualitative study in the North of England which examined the everyday decisions made by married couples when one partner had dementia. Ethnographic methods were used, including participant observation and interviews...
May 3, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/26592487/pakistani-women-s-use-of-mental-health-services-and-the-role-of-social-networks-a-systematic-review-of-quantitative-and-qualitative-research
#19
REVIEW
Dharmi Kapadia, Helen Louise Brooks, James Nazroo, Mark Tranmer
Pakistani women in the UK are an at-risk group with high levels of mental health problems, but low levels of mental health service use. However, the rates of service use for Pakistani women are unclear, partly because research with South Asian women has been incorrectly generalised to Pakistani women. Further, this research has been largely undertaken within an individualistic paradigm, with little consideration of patients' social networks, and how these may drive decisions to seek help. This systematic review aimed to clarify usage rates, and describe the nature of Pakistani women's social networks and how they may influence mental health service use...
July 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/26500053/gaps-in-the-evidence-on-improving-social-care-outcomes-findings-from-a-meta-review-of-systematic-reviews
#20
REVIEW
Kelly Dickson, Katy Sutcliffe, Rebecca Rees, James Thomas
Adult social care continues to be a central policy concern in the UK. The Adult Social Care Outcomes Framework (ASCOF) is a range of measures nationally available to drive forward improvement on outcomes and quality in local councils. While there is an emphasis on improving transparency, quality and outcomes, drawing on research evidence to achieve these aims is often difficult because the evidence is not easily identifiable, is disparate or of variable quality. We conducted a meta-review to analyse and summarise systematic review-level evidence on the impact of interventions on the four outcomes set out in the ASCOF: quality of life, delaying and reducing the need for services, satisfaction with services and safeguarding of vulnerable adults...
July 2017: Health & Social Care in the Community
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