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Risk Management and Healthcare Policy

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https://www.readbyqxmd.com/read/27895521/impact-of-a-medical-university-on-laparoscopic-surgery-in-a-service-oriented-public-hospital-in-the-caribbean
#1
Shamir O Cawich, Suresh Pooran, Barbara Amow, Ernest Ali, Fawwaz Mohammed, Marlon Mencia, Samuel Ramsewak, Seetharaman Hariharan, Vijay Naraynsingh
INTRODUCTION: The Caribbean lags behind global trends for volume and complexity of laparoscopic operations. In an attempt to promote laparoscopy at a single facility, a partnership was formed between the University of the West Indies (UWI) and the Port of Spain General Hospital in Trinidad and Tobago. This study seeks to document the effect of this partnership on laparoscopic practice. MATERIALS AND METHODS: In this partnership, the UWI took the bold step of volunteering to staff a surgical team if the Ministry of Health provided the necessary legislative changes...
2016: Risk Management and Healthcare Policy
https://www.readbyqxmd.com/read/27877071/the-sweet-spots-study-a-real-world-interpretation-of-the-2012-american-diabetes-association-position-statement-regarding-individualized-a1c-targets
#2
Nella Bieszk, Michael Grabner, Wenhui Wei, Nicole G Bonine, Judith J Stephenson
OBJECTIVE: To evaluate awareness of the 2012 American Diabetes Association (ADA) Position Statement among physicians and assess its effects on patient-centered glycated hemoglobin (A1C) goals in the management of type 2 diabetes (T2D). RESEARCH DESIGN AND METHODS: The Summarizing Real-World Individualized TrEatmEnT GoalS and Potential SuppOrT Systems in Type 2 Diabetes (SWEET SPOTS) study used the HealthCore claims database to identify T2D patients, stratified by risk, and their treating physicians to assess primary care physician and endocrinologist awareness of the 2012 ADA Position Statement...
2016: Risk Management and Healthcare Policy
https://www.readbyqxmd.com/read/27790048/quality-measure-attainment-with-dapagliflozin-plus-metformin-extended-release-as-initial-combination-therapy-in-patients-with-type-2-diabetes-a-post-hoc-pooled-analysis-of-two-clinical-studies
#3
Kelly F Bell, Arie Katz, John J Sheehan
BACKGROUND: The use of quality measures attempts to improve safety and health outcomes and to reduce costs. In two Phase III trials in treatment-naive patients with type 2 diabetes, dapagliflozin 5 or 10 mg/d as initial combination therapy with metformin extended-release (XR) significantly reduced glycated hemoglobin (A1C) from baseline to 24 weeks and allowed higher proportions of patients to achieve A1C <7% vs dapagliflozin or metformin monotherapy. OBJECTIVE: A pooled analysis of data from these two studies assessed the effect of dapagliflozin 5 or 10 mg/d plus metformin XR (combination therapy) compared with placebo plus metformin XR (metformin monotherapy) on diabetes quality measures...
2016: Risk Management and Healthcare Policy
https://www.readbyqxmd.com/read/27729819/the-importance-of-public-health-in-managing-health-care-costs-in-the-united-kingdom-national-health-service
#4
Meelad Sayma, Tomos Luke Treharne, Hywel Rhys Williams
No abstract text is available yet for this article.
2016: Risk Management and Healthcare Policy
https://www.readbyqxmd.com/read/27695373/police-custody-health-care-a-review-of-health-morbidity-models-of-care-and-innovations-within-police-custody-in-the-uk-with-international-comparisons
#5
Iain G McKinnon, Stuart Dm Thomas, Heather L Noga, Jane Senior
This paper is a scoping review of the available evidence regarding health care issues in police custody. It describes the types and prevalence of health disorders encountered in custody and provides an overview of current practice and recent innovations in police custody health care. In contrast to the health of prisoners, the health of police custody detainees has, until recently, received little academic or clinical attention. Studies on health care in police custody identified for this review are limited to a few geographical jurisdictions, including the UK, continental Europe, North America, and Australia...
2016: Risk Management and Healthcare Policy
https://www.readbyqxmd.com/read/27695372/the-impact-of-shift-work-on-the-psychological-and-physical-health-of-nurses-in-a-general-hospital-a-comparison-between-rotating-night-shifts-and-day-shifts
#6
Paola Ferri, Matteo Guadi, Luigi Marcheselli, Sara Balduzzi, Daniela Magnani, Rosaria Di Lorenzo
BACKGROUND: Shift work is considered necessary to ensure continuity of care in hospitals and residential facilities. In particular, the night shift is one of the most frequent reasons for the disruption of circadian rhythms, causing significant alterations of sleep and biological functions that can affect physical and psychological well-being and negatively impact work performance. OBJECTIVES: The aim of this study was to highlight if shift work with nights, as compared with day work only, is associated with risk factors predisposing nurses to poorer health conditions and lower job satisfaction...
2016: Risk Management and Healthcare Policy
https://www.readbyqxmd.com/read/27574477/dengue-infection-severity-score-improvised-disease-management
#7
Syed Uzair Mahmood, Maryam Jamil Syed, Aisha Jamal, Maria Shoaib
No abstract text is available yet for this article.
2016: Risk Management and Healthcare Policy
https://www.readbyqxmd.com/read/27574476/no-fault-compensation-for-ventilator-dependent-children-a-reasonable-settlement-value-for-lifetime-attendant-care
#8
Randall C Jenkins, Brian W Boelens, Kari L Aasheim, Nikolaus Gravenstein
Severe neurological outcomes sustained in childhood often result in lifetime health care needs that are beyond the financial means of most families. When severe neurological deficits are alleged to have resulted from professional negligence, relief may be sought through litigation; however, the American tort system often yields inconsistent results or no compensation for patients. We sought to identify a reasonable, objective, and data-based monetary range for a no-fault compensation system with high- and low-financial limits for those with severe neurological deficits...
2016: Risk Management and Healthcare Policy
https://www.readbyqxmd.com/read/27555801/medicine-reclassification-processes-and-regulations-for-proper-use-of-over-the-counter-self-care-medicines-in-japan
#9
Kaori Nomura, Yuki Kitagawa, Yasukatsu Yuda, Hiromi Takano-Ohmuro
OBJECTIVES: Japan has actively reclassified substances ranging from prescription drugs to over-the-counter (OTC) drugs in recent years. The sale of most OTC drugs was deregulated several times and pharmacists' supervision was deemed no longer mandatory. Japan established a new OTC evaluation system in 2015 to hear opinions from various stakeholders regarding medicine types to be reclassified. This study aimed to examine the new framework to identify candidate substances for reclassification...
2016: Risk Management and Healthcare Policy
https://www.readbyqxmd.com/read/27528804/occupational-management-in-the-workplace-and-impact-on-workers-compensation-board-claims-duration-and-cost-a-prospective-longitudinal-cohort
#10
Mark E Lemstra
Few workplaces have prospectively reviewed workplace and worker issues simultaneously and assessed their impact on Workers' Compensation Board (WCB) claims. In January of 2014, each worker in a large workplace in Saskatchewan, Canada, was prospectively followed for 1 year to determine factors that impact injury claim incidence, recovery, and costs. In total, 207 out of 245 workers agreed to complete the baseline survey (84.5%). In 2014, 82.5% of workers had self-reported pain, but only 35.5% submitted a WCB claim...
2016: Risk Management and Healthcare Policy
https://www.readbyqxmd.com/read/27471417/the-lebanese-syrian-crisis-impact-of-influx-of-syrian-refugees-to-an-already-weak-state
#11
Zeinab Cherri, Pedro Arcos González, Rafael Castro Delgado
BACKGROUND: Lebanon, a small Middle Eastern country facing constant political and national unity challenges with a population of approximately 300,000 Palestinian and Iraqi refugees, has welcomed more than 1.2 million Office of the United Nations Commissioner for Refugees (UNHCR)-registered Syrian refugees since 2012. The Government of Lebanon considers individuals who crossed Lebanese-Syrian borders since 2011 as "displaced", emphasizing its long-standing position that Lebanon is not a state for refugees, refusing to establish camps, and adopting a policy paper to reduce their numbers in October 2014...
2016: Risk Management and Healthcare Policy
https://www.readbyqxmd.com/read/27471416/occupational-hazards-among-the-abattoir-workers-associated-with-noncompliance-to-the-meat-processing-and-waste-disposal-laws-in-malaysia
#12
Auwalu Abdullahi, Azmi Hassan, Norizhar Kadarman, Yakubu Muhammad Junaidu, Olanike Kudrat Adeyemo, Pei Lin Lua
PURPOSE: This study aims to investigate the occupational hazards among the abattoir workers associated with noncompliance to the meat processing and waste disposal laws in Terengganu State, Malaysia. Occupational hazards are the major source of morbidity and mortality among the animal workers due to exposure to many hazardous situations in their daily practices. Occupational infections mostly contracted by abattoir workers could be caused by iatrogenic or transmissible agents, including viruses, bacteria, fungi, and parasites and the toxins produced by these organisms...
2016: Risk Management and Healthcare Policy
https://www.readbyqxmd.com/read/27462182/multimorbidity-in-chronic-disease-impact-on-health-care-resources-and-costs
#13
REVIEW
Steven M McPhail
Effective and resource-efficient long-term management of multimorbidity is one of the greatest health-related challenges facing patients, health professionals, and society more broadly. The purpose of this review was to provide a synthesis of literature examining multimorbidity and resource utilization, including implications for cost-effectiveness estimates and resource allocation decision making. In summary, previous literature has reported substantially greater, near exponential, increases in health care costs and resource utilization when additional chronic comorbid conditions are present...
2016: Risk Management and Healthcare Policy
https://www.readbyqxmd.com/read/27445510/community-knowledge-and-the-role-of-health-extension-workers-on-integrated-diseases-among-households-in-east-hararghe-zone-ethiopia
#14
Ayichew Seyoum, Kedir Urgessa, Tesfaye Gobena
BACKGROUND: Ethiopia constitutes approximately 1% of the world's population but it contributes to 7% of the world's HIV/AIDS cases. Malaria is the most important disease of humans in terms of mortality, morbidity, and long-term effects upon quality of life, especially in Ethiopia. Despite the ongoing efforts and progress in fighting HIV/AIDS and malaria, these diseases remain the leading cause of morbidity and mortality in the country. In this study, we assessed community knowledge and the role of health extension workers on integrated diseases among households in East Hararghe Zone, Ethiopia...
2016: Risk Management and Healthcare Policy
https://www.readbyqxmd.com/read/27382344/are-doctors-risk-takers
#15
Dvora Pikkel, Yael Sara Pikkel Igal, Adi Sharabi-Nov, Joseph Pikkel
OBJECTIVE: Risk taking affects human behavior in general and decisions in medicine in particular. We used game theory to assess physicians' risk-taking tendencies. METHODS: Physicians were recruited to the study by advertisement. It was explained that they would receive a sum of money for correct prediction of the flipping of a coin. They could try to sell their opportunity to flip the coin for an amount of money they determined. The sum offered by the participants was considered an indicator of risk taking...
2016: Risk Management and Healthcare Policy
https://www.readbyqxmd.com/read/27354834/impact-of-disasters-on-child-stunting-in-nepal
#16
Surya Gaire, Tefera Darge Delbiso, Srijana Pandey, Debarati Guha-Sapir
BACKGROUND: Stunting is a major public health problem that results from inadequate nutritional intake over a long period of time. Disasters have major implications in poor and vulnerable children. The aim of this study was, therefore, to assess the impact of disasters on child stunting in Nepal. METHOD: A sample consisting of 2,111 children aged 6-59 months was obtained from the 2011 Nepal Demographic and Health Survey. We used bivariate and multivariate analyses to examine moderate and severe stunting against disaster, controlling for all possible confounders...
2016: Risk Management and Healthcare Policy
https://www.readbyqxmd.com/read/27330332/insecticide-treated-net-ownership-and-utilization-and-factors-that-influence-their-use-in-itang-gambella-region-ethiopia-cross-sectional-study
#17
Aklilu Habte Watiro, Worku Awoke
BACKGROUND: Malaria remains a major public health problem in Ethiopia. Consequently, Ethiopia designed the 2011-2015, Malaria Prevention and Control Strategic Plan to fight the vector. It was discovered that most of the studies conducted on the use of insecticide-treated nets (ITNs) were not in line with the strategic plan of the country. This study aimed to assess ITN ownership and utilization, and includes barriers related to its use among the target-area population at household (HH) level...
2016: Risk Management and Healthcare Policy
https://www.readbyqxmd.com/read/27313481/information-security-risk-management-for-computerized-health-information-systems-in-hospitals-a-case-study-of-iran
#18
Javad Zarei, Farahnaz Sadoughi
BACKGROUND: In recent years, hospitals in Iran - similar to those in other countries - have experienced growing use of computerized health information systems (CHISs), which play a significant role in the operations of hospitals. But, the major challenge of CHIS use is information security. This study attempts to evaluate CHIS information security risk management at hospitals of Iran. MATERIALS AND METHODS: This applied study is a descriptive and cross-sectional research that has been conducted in 2015...
2016: Risk Management and Healthcare Policy
https://www.readbyqxmd.com/read/27307774/haiti-s-progress-in-achieving-its-10-year-plan-to-eliminate-cholera-hidden-sickness-cannot-be-cured
#19
Victoria Koski-Karell, Paul E Farmer, Benito Isaac, Elizabeth M Campa, Loune Viaud, Paul C Namphy, Ralph Ternier, Louise C Ivers
Since the beginning of the cholera epidemic in Haiti 5 years ago, the prevalence of this deadly water-borne disease has fallen far below the initial rates registered during its explosive outset. However, cholera continues to cause extensive suffering and needless deaths across the country, particularly among the poor. The urgent need to eliminate transmission of cholera persists: compared to the same period in 2014, the first 4 months of 2015 saw three times the number of cholera cases. Drawing upon epidemiology, clinical work (and clinical knowledge), policy, ecology, and political economy, and informed by ethnographic data collected in a rural area of Haiti called Bocozel, this paper evaluates the progress of the nation's 10-year Plan for the Elimination of Cholera...
2016: Risk Management and Healthcare Policy
https://www.readbyqxmd.com/read/27307773/the-impact-of-a-regional-patient-centered-medical-home-initiative-on-cost-of-care-among-commercially-insured-population-in-the-us
#20
Daniel Dukjae Maeng, Joann P Sciandra, Janet F Tomcavage
The impact of a patient-centered medical home (PCMH) in reducing total cost of care remains a subject of debate, particularly among the non-elderly adult population. This study examines a 6-year experience of a large integrated regional health care delivery system in the US implementing PCMH among its commercially insured population. A regional health plan's claims data from 2008 through 2013 among its commercially insured members were obtained and analyzed. Over the 6-year period, the PCMH implementation beyond the first 6 months of exposure was associated with a lower total cost of care of ∼9% (P<0...
2016: Risk Management and Healthcare Policy
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