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Health Services Research and Managerial Epidemiology

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https://www.readbyqxmd.com/read/29761131/depression-and-anxiety-among-patients-on-chronic-opioid-therapy
#1
Muhamad Y Elrashidi, Lindsey M Philpot, Priya Ramar, William B Leasure, Jon O Ebbert
Background: Chronic noncancer pain (CNCP) and chronic opioid therapy (COT) commonly coexist with comorbid depression and anxiety. We investigated the prevalence of depression and anxiety and their correlates at the time of controlled substance agreement (CSA) enrollment among patients with CNCP and a history of depression or anxiety on COT. Methods: Retrospective analysis of 1066 patients in a Midwest primary care practice enrolled in CSAs for COT between May 9, 2013, and August 15, 2016...
January 2018: Health Services Research and Managerial Epidemiology
https://www.readbyqxmd.com/read/29657959/improvement-of-early-antenatal-care-initiation-the-effects-of-training-local-health-volunteers-in-the-community
#2
Tippawan Liabsuetrakul, Nurlisa Oumudee, Masuenah Armeeroh, Niamina Nima, Nurosanah Duerahing
Background: Although antenatal care (ANC) coverage has been increasing in low- and middle-income countries, the adherence to the ANC initiation standards at gestational age <12 weeks was inadequate including Thailand. The study aimed to improve the rate of early ANC initiation by training the existing local health volunteers (LHVs) in 3 southernmost provinces of Thailand. Methods: A clustered nonrandomized intervention study was conducted from November 2012 to February 2014...
January 2018: Health Services Research and Managerial Epidemiology
https://www.readbyqxmd.com/read/29623286/shared-care-models-in-the-treatment-of-pediatric-attention-deficit-hyperactivity-disorder-adhd-are-they-effective
#3
REVIEW
Meshal A Sultan, Carlos S Pastrana, Kathleen A Pajer
Objectives: The aim of this review is to evaluate the effectiveness of shared/collaborative care between mental health-care providers and primary care providers (PCPs) on the outcomes of children and adolescents with attention-deficit/hyperactivity disorder (ADHD). This evaluation will be very helpful in the allocation of ADHD resources for models with the strongest evidence. Methods: Using the Preferred Reporting Items for Systematic Review and Meta-analysis statement, we searched for randomized controlled trials, cohort, case-control, and cross-sectional studies on shared/collaborative care models in the treatment of ADHD...
January 2018: Health Services Research and Managerial Epidemiology
https://www.readbyqxmd.com/read/29568790/treatment-changes-in-general-practice-patients-with-chronic-mental-disorders-following-a-psychiatric-psychosomatic-consultation
#4
Michael Linden, Beate Muschalla, Nils Noack, Christoph Heintze, Susanne Doepfmer
Objective: To determine whether a psychiatric-psychosomatic consultation can identify unmet treatment needs and improve treatment of patients with mental disorders in general practice. Methods: In 40 primary care practices, 307 consecutive primary patients who met criteria for chronic mental disorders were assessed by a psychiatric-psychosomatic consultant. After random assignment, general practitioners (GPs) were informed for half of the patients about the results of the assessment and received recommendations on how to improve treatment...
January 2018: Health Services Research and Managerial Epidemiology
https://www.readbyqxmd.com/read/29568789/ending-cervical-cancer-screening-in-low-risk-women-after-age-65-understanding-barriers-to-adherence-with-evidence-based-guidelines-among-primary-care-providers
#5
Emily Boone, Michael Karp, LaVonna Lewis
Background: Current evidence-based cervical cancer testing guidelines recommend that screening of low-risk women ceases after age 65. Despite this, research suggests that continued testing by primary care providers remains common and represents unnecessary patient discomfort, cost, and consumption of valuable primary care resources. Objective: To understand why primary care providers might knowingly ignore consensus evidence-based screening guidelines for cervical cancer in low-risk women of this age-group and to identify barriers to adherence with best practice recommendations...
January 2018: Health Services Research and Managerial Epidemiology
https://www.readbyqxmd.com/read/29552599/identifying-successful-practices-to-overcome-access-to-care-challenges-in-community-health-centers-a-positive-deviance-approach
#6
Tammy Toscos, Maria Carpenter, Mindy Flanagan, Kislaya Kunjan, Bradley N Doebbeling
Background: Despite health care access challenges among underserved populations, patients, providers, and staff at community health clinics (CHCs) have developed practices to overcome limited access. These "positive deviant" practices translate into organizational policies to improve health care access and patient experience. Objective: To identify effective practices to improve access to health care for low-income, uninsured or underinsured, and minority adults and their families...
January 2018: Health Services Research and Managerial Epidemiology
https://www.readbyqxmd.com/read/29479557/benefits-and-barriers-to-teaching-medical-students-in-an-ob-gyn-clinic
#7
Michael F Fialkow, Carrie M Snead, Jay Schulkin
Introduction: As the US health-care system has evolved over the past decade, access to obstetric care in rural communities has declined, and there has been a challenge in retaining obstetrics and gynecology (OB-GYN) providers to train the next generation of physicians. The current pilot study sought to identify the factors that influence faculty who train medical students within the field of OB-GYN with the hope of influencing recruitment and retention of providers for the future. Methods: Clinical OB-GYN faculty within the University of Washington School of Medicine regional medical education program were surveyed about practice patterns and beliefs regarding medical student training as part of a pilot study on provider recruitment and retention...
January 2018: Health Services Research and Managerial Epidemiology
https://www.readbyqxmd.com/read/29450216/a-multidisciplinary-delphi-consensus-based-checklist-to-define-clinical-documentation-tools-for-both-routine-and-research-purposes
#8
Cecilia Veraar, Paul Hasler, Michael Schirmer
Background: To the best of our knowledge, a strategic approach to define the contents of structured clinical documentation tools for both clinical routine patient care and research purposes has not been reported so far, although electronic health record will become more and more structured and detailed in the future. Objective: To achieve an interdisciplinary consensus on a checklist to be considered for the preparation of disease- and situation-specific clinical documentation tools...
January 2018: Health Services Research and Managerial Epidemiology
https://www.readbyqxmd.com/read/29383325/acceptability-of-health-kiosks-within-african-american-community-settings-a-pilot-study
#9
Olufunmilola Abraham, Megha Patel, Alison Feathers
Introduction: Health kiosks have been increasingly adopted to provide health-care services to those with limited access. Kiosks have the potential to reach people who may have undiagnosed health conditions or those who are not under regular physician care. Thus far, there is limited research assessing the usefulness of health kiosks in the community. This study aimed to explore the acceptability, usability, usefulness, and overall satisfaction of health kiosks in African American majority community settings...
January 2018: Health Services Research and Managerial Epidemiology
https://www.readbyqxmd.com/read/29383324/a-predictive-algorithm-to-detect-opioid-use-disorder-what-is-the-utility-in-a-primary-care-setting
#10
Chee Lee, Maneesh Sharma, Svetlana Kantorovich, Ashley Brenton
Purpose: The purpose of this study was to determine the clinical utility of an algorithm-based decision tool designed to assess risk associated with opioid use in the primary care setting. Methods: A prospective, longitudinal study was conducted to assess the utility of precision medicine testing in 1822 patients across 18 family medicine/primary care clinics in the United States. Using the profile, patients were categorized into low, moderate, and high risk for opioid use...
January 2018: Health Services Research and Managerial Epidemiology
https://www.readbyqxmd.com/read/29376110/documentation-of-contraception-and-pregnancy-intention-in-medicaid-managed-care
#11
Heike Thiel de Bocanegra, Alia McKean, Philip Darney, Erin Saleeby, Denis Hulett
Context: Clinical guidelines recommend the documentation of pregnancy intention and family planning needs during primary care visits. Prior to the 2014 Medicaid expansion and release of these guidelines, the documentation practices of Medicaid managed care providers are unknown. Methods: We performed a chart review of 1054 Medicaid managed care visits of women aged 13 to 49 to explore client, provider, and visit characteristics associated with documentation of immediate or future plans for having children and contraceptive method use...
January 2018: Health Services Research and Managerial Epidemiology
https://www.readbyqxmd.com/read/29326964/transportation-and-other-nonfinancial-barriers-among-uninsured-primary-care-patients
#12
Akiko Kamimura, Samin Panahi, Zobayer Ahmmad, Mu Pye, Jeanie Ashby
Introduction: Nonfinancial barriers are frequent causes of unmet need in health-care services. The significance of transportation barriers can weigh more than the issues of access to care. The purpose of this cross-sectional study was to examine transportation and other nonfinancial barriers among low-income uninsured patients of a safety net health-care facility (free clinic). Methods: The survey data were collected from patients aged 18 years and older who spoke English or Spanish at a free clinic, which served uninsured individuals in poverty in the United States...
January 2018: Health Services Research and Managerial Epidemiology
https://www.readbyqxmd.com/read/29276728/a-practice-innovations-decision-model
#13
James E Rohrer
Objective: The purpose of this commentary is to propose a flexible practice innovations decision model (PIDM) for use in health services planning and management. Method: This is an example of fuzzy decision analysis. The elements of the model are explained by applying it to the decision of whether to open a primary care clinic in retail space. The model contains 10 criteria, each of which scored as 1 (met) or 0 (not met). The scores are summed to guide the decision...
January 2017: Health Services Research and Managerial Epidemiology
https://www.readbyqxmd.com/read/29124080/demographic-and-mental-health-characteristics-of-individuals-who-present-to-community-health-clinics-with-substance-misuse
#14
Praise O Iyiewuare, Colleen McCullough, Allison Ober, Kirsten Becker, Karen Osilla, Katherine E Watkins
Introduction: Community health clinics (CHCs) are an opportune setting to identify and treat substance misuse. This study assessed the characteristics of patients who presented to a CHC with substance misuse. Methods: Personnel at a large CHC administered a 5-question screener to patients between June 3, 2014, and January 15, 2016, to assess past 3-month alcohol use, prescription opioid misuse, or illicit drug use. We stratified screen-positive patients into 4 diagnostic groups: (1) probable alcohol use disorder (AUD) and no comorbid opioid use disorder (OUD); (2) probable heroin use disorder; (3) probable prescription OUD, with or without comorbid AUD; and (4) no probable substance use disorder...
January 2017: Health Services Research and Managerial Epidemiology
https://www.readbyqxmd.com/read/29051912/evaluating-diabetes-care-for-patients-with-serious-mental-illness-using-the-chronic-care-model-a-pilot-study
#15
Kelly Vaez, Lauren Diegel-Vacek, Catherine Ryan, Pamela Martyn-Nemeth
People with serious mental illness (SMI) have a higher incidence of type 2 diabetes mellitus (T2DM) and shorter life span due to medical health problems. The chronic care model (CCM) has been used to improve care of patients with T2DM. One clinical organization that provided primary care to patients with SMI had excellent diabetes outcomes but did not have information on how they achieved those outcomes. Thus, we conducted a pilot study chart review for 30 patients with T2DM and SMI to determine how well the clinic's system aligned with the overall CCM components and which components correlated with diabetes control...
January 2017: Health Services Research and Managerial Epidemiology
https://www.readbyqxmd.com/read/28959707/who-is-overdosing-an-updated-picture-of-overdose-deaths-from-2008-to-2015
#16
Gregory Eigner, Brian Henriksen, Philip Huynh, David Murphy, Christopher Brubaker, Jana Sanders, Deborah McMahan
PURPOSE: To determine the role of opioids in drug overdose deaths in Allen County, Indiana between January 1, 2008, and December 31, 2015. METHODS: File review of 418 overdose deaths was performed using Indiana State Department of Health death certificates available through the Allen County Coroner's Office. Data from autopsy and toxicology reports and coroner-requested prescribing data from Indiana's Prescription Monitoring Program were reviewed. Cause of death and available data were analyzed to identify patterns and trends related to overdose deaths...
January 2017: Health Services Research and Managerial Epidemiology
https://www.readbyqxmd.com/read/28955717/new-partner-recruitment-to-rural-versus-urban-ob-gyn-practices-a-survey-of-practicing-ob-gyns
#17
Michael F Fialkow, Carrie M Snead, Jay Schulkin
PURPOSE: The purpose of this pilot study was to investigate the recruitment efforts of practicing obstetrics and gynecology (ob-gyns) from rural and urban practices. METHOD: The authors surveyed practicing ob-gyns from 5 states in the Pacific Northwest in 2016 about their background, practice setting, practice profile, partner recruitment, and retention. RESULTS: Seventy-three patients completed the study (53.2% response rate). Thirty-seven percent of respondents work in an urban practice and 43% have a rural practice, with the remainder in a suburban setting...
January 2017: Health Services Research and Managerial Epidemiology
https://www.readbyqxmd.com/read/28944276/verification-of-neonatal-tetanus-surveillance-systems-in-katsina-state-nigeria
#18
Shafique Sani Nass, Hadi Danawi, Loretta Cain, Monoj Sharma
BACKGROUND: The incidence and mortality rates of neonatal tetanus (NNT) remain underreported in Nigeria. The goal of the study was to compare the NNT prevalence and the mortality rates from the existing surveillance system and active surveillance of health facility records in 7 selected health facilities from 2010 to 2014 in Katsina State, Nigeria. METHODS: The study is a retrospective record review using extracted data from NNT records and analyzed using descriptive statistics...
January 2017: Health Services Research and Managerial Epidemiology
https://www.readbyqxmd.com/read/28894766/potentially-preventable-hospitalizations-and-the-burden-of-healthcare-associated-infections
#19
Andrea L Lorden, Luohua Jiang, Tiffany A Radcliff, Kathleen A Kelly, Robert L Ohsfeldt
BACKGROUND: An estimated 4% of hospital admissions acquired healthcare-associated infections (HAIs) and accounted for $9.8 (USD) billion in direct cost during 2011. In 2010, nearly 140 000 of the 3.5 million potentially preventable hospitalizations (PPHs) may have acquired an HAI. There is a knowledge gap regarding the co-occurrence of these events. AIMS: To estimate the period occurrences and likelihood of acquiring an HAI for the PPH population. METHODS: Retrospective, cross-sectional study using logistic regression analysis of 2011 Texas Inpatient Discharge Public Use Data File including 2...
January 2017: Health Services Research and Managerial Epidemiology
https://www.readbyqxmd.com/read/28890911/correction-notice
#20
(no author information available yet)
[This corrects the article DOI: 10.1177/2333392814557011.].
January 2017: Health Services Research and Managerial Epidemiology
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