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Risk Management and Healthcare Policy

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https://www.readbyqxmd.com/read/28442938/environmental-arsenic-exposure-and-risk-of-diabetes-type-2-in-ron-phibun-subdistrict-nakhon-si-thammarat-province-thailand-unmatched-and-matched-case-control-studies
#1
Kwanyuen Sripaoraya, Wattasit Siriwong, Sumol Pavittranon, Robert S Chapman
BACKGROUND: There are inconsistent findings on associations between low-to-moderate level of arsenic in water and diabetes risk from previous epidemiological reports. In Ron Phibun subdistrict, Nakhon Si Thammarat Province, Thailand, a low level of arsenic exposure among population was observed and increased diabetes mellitus (DM) rate was identified. OBJECTIVES: We aimed to investigate the association between determinants (including low-level water arsenic exposure) of DM type 2 risk among residents of three villages of Ron Phibun subdistrict, Nakhon Si Thammarat Province...
2017: Risk Management and Healthcare Policy
https://www.readbyqxmd.com/read/28435342/patient-web-portals-disease-management-and-primary-prevention
#2
REVIEW
Steven S Coughlin, Judith J Prochaska, Lovoria B Williams, Gina M Besenyi, Vahé Heboyan, D Stephen Goggans, Wonsuk Yoo, Gianluca De Leo
BACKGROUND: Efforts aimed at health care reform and continued advances in information technologies have prompted interest among providers and researchers in patient web portals. Patient web portals are password-protected online websites that offer the patients 24-hour access to personal health information from anywhere with an Internet connection. METHODS: This article, which is based upon bibliographic searches in PubMed, reviews important developments in web portals for primary and secondary disease prevention, including patient web portals tethered to electronic medical records, disease-specific portals, health disparities, and health-related community web portals...
2017: Risk Management and Healthcare Policy
https://www.readbyqxmd.com/read/28331378/legislative-activity-related-to-the-human-papillomavirus-hpv-vaccine-in-the-united-states-2006-2015-a-need-for-evidence-based-policy
#3
Jessica Keim-Malpass, Emma M Mitchell, Pamela B DeGuzman, Mark H Stoler, Christine Kennedy
State-based policies to mandate HPV vaccination are politically challenging and have received broad criticisms. There is a critical need to understand the legislative activities that underpin subsequent policy implementation. The objective of this policy analysis was to analyze state legislation that focused on HPV vaccination from 2006-2015. A content analysis was conducted among primary sources of legislative data from HPV vaccine-related bills, including using the National Conference of State Legislatures as a search-source...
2017: Risk Management and Healthcare Policy
https://www.readbyqxmd.com/read/28260957/salt-reduction-in-china-a-state-of-the-art-review
#4
REVIEW
Shuai Shao, Yechu Hua, Ying Yang, Xiaojuan Liu, Jingruo Fan, An Zhang, Jingling Xiang, Mingjing Li, Lijing L Yan
OBJECTIVE: This study aimed to reveal the latest evidence on salt reduction initiatives in China in order to identify the contextual cost-effective interventions, as well as the barriers encountered during China's long march to reach its population salt reduction goal. BACKGROUND: Population-based salt reduction has been considered as one of the most cost-effective strategies in the world for the prevention and control of noncommunicable diseases. China, along with its sustained economic growth, faces increasing burdens from chronic diseases such as cardiovascular and kidney diseases...
2017: Risk Management and Healthcare Policy
https://www.readbyqxmd.com/read/28223852/injured-workers-perception-of-loss-and-gain-in-the-return-to-work-process
#5
Hon Sun Lai, Grace Py Szeto, Chetwyn Ch Chan
When a worker is injured at work, he has to face a tough decision-making process about when and how to return to work (RTW). This study tests how the prospect theory can be applied to influence the injured workers' perceptions about this important choice. One hundred forty-one injured workers were presented with wage- and pain-related information in four different message framing (negatively or positively) and precision (smaller or larger number) conditions. After exposure to the specific combination of this wage and pain information, the participants were asked to express intentions to RTW in terms of perceived chance, confidence, and anticipated sick leave duration...
2017: Risk Management and Healthcare Policy
https://www.readbyqxmd.com/read/28176919/management-of-obstetric-postpartum-hemorrhage-a-national-service-evaluation-of-current-practice-in-the-uk
#6
Bassel H Al Wattar, Jennifer A Tamblyn, William Parry-Smith, Mathew Prior, Helen Van Der Nelson
BACKGROUND: Postpartum hemorrhage (PPH) continues to be one of the major causes of maternal mortality and morbidity in obstetrics. Variations in practice often lead to adverse maternity outcomes following PPH. Our objective was to assess the current practice in managing PPH in the UK. METHODS: We performed a national multicenter prospective service evaluation study over one calendar month and compared the current performance to national standards for managing PPH...
2017: Risk Management and Healthcare Policy
https://www.readbyqxmd.com/read/28003774/effectiveness-of-the-multidimensional-ergonomic-intervention-model-to-reduce-musculoskeletal-discomfort-among-street-sweepers-in-chiang-rai-province-thailand
#7
Kanjanar Pintakham, Wattasit Siriwong
The aim of this study was to evaluate the effectiveness of multidimensional ergonomic intervention (MEI) model to reduce musculoskeletal discomfort (MSD) among street sweepers. A quasi-experimental study was conducted in Chiang Rai Province. The MEI model was designed on the basis of four core components: cognitive behavior therapy, ergonomic education training, stretching exercise, and the foam sleeve broom handle grip. Seventy-five street sweepers volunteered for the screening process on MSD of having level score ≥4 by physiotherapist...
2016: Risk Management and Healthcare Policy
https://www.readbyqxmd.com/read/27994491/physician-distribution-and-attrition-in-the-public-health-sector-of-ethiopia
#8
Tsion Assefa, Damen Haile Mariam, Wubegzier Mekonnen, Miliard Derbew, Wendimagegn Enbiale
BACKGROUND: Shortages and imbalances in physician workforce distribution between urban and rural and among the different regions in Ethiopia are enormous. However, with the recent rapid expansion in medical education training, it is expected that the country can make progress in physician workforce supply. Therefore, the aim of this study was to examine the distribution of physician workforce in Ethiopia and assess the role of retention mechanisms in the reduction of physician migration from the public health sector of Ethiopia...
2016: Risk Management and Healthcare Policy
https://www.readbyqxmd.com/read/27980440/using-the-failure-mode-and-effects-analysis-model-to-improve-parathyroid-hormone-and-adrenocorticotropic-hormone-testing
#9
Racheli Magnezi, Asaf Hemi, Rina Hemi
BACKGROUND: Risk management in health care systems applies to all hospital employees and directors as they deal with human life and emergency routines. There is a constant need to decrease risk and increase patient safety in the hospital environment. The purpose of this article is to review the laboratory testing procedures for parathyroid hormone and adrenocorticotropic hormone (which are characterized by short half-lives) and to track failure modes and risks, and offer solutions to prevent them...
2016: Risk Management and Healthcare Policy
https://www.readbyqxmd.com/read/27942240/impact-of-the-health-insurance-scheme-for-stateless-people-on-inpatient-utilization-in-kraburi-hospital-thailand
#10
Rapeepong Suphanchaimat, Phusit Prakongsai, Supon Limwattananon, Anne Mills
OBJECTIVES: This study sought to investigate the impact of the Thai "Health Insurance for People with Citizenship Problems" (HI-PCP) on access to care for stateless patients, compared to Universal Coverage Scheme patients and the uninsured, using inpatient utilization as a proxy for impact. METHODS: Secondary data analysis of inpatient records of Kraburi Hospital, Ranong province, between 2009 (pre-policy) and 2012 (post-policy) was employed. Descriptive statistics and multivariate analysis by difference-in-difference model were performed...
2016: Risk Management and Healthcare Policy
https://www.readbyqxmd.com/read/27895521/impact-of-a-medical-university-on-laparoscopic-surgery-in-a-service-oriented-public-hospital-in-the-caribbean
#11
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
#12
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
#13
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
#14
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
#15
REVIEW
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
#16
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
#17
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
#18
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
#19
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
#20
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
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