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https://www.readbyqxmd.com/read/28716014/the-comprehensive-post-acute-stroke-services-compass-study-design-and-methods-for-a-cluster-randomized-pragmatic-trial
#1
Pamela W Duncan, Cheryl D Bushnell, Wayne D Rosamond, Sara B Jones Berkeley, Sabina B Gesell, Ralph B D'Agostino, Walter T Ambrosius, Blair Barton-Percival, Janet Prvu Bettger, Sylvia W Coleman, Doyle M Cummings, Janet K Freburger, Jacqueline Halladay, Anna M Johnson, Anna M Kucharska-Newton, Gladys Lundy-Lamm, Barbara J Lutz, Laurie H Mettam, Amy M Pastva, Mysha E Sissine, Betsy Vetter
BACKGROUND: Patients discharged home after stroke face significant challenges managing residual neurological deficits, secondary prevention, and pre-existing chronic conditions. Post-discharge care is often fragmented leading to increased healthcare costs, readmissions, and sub-optimal utilization of rehabilitation and community services. The COMprehensive Post-Acute Stroke Services (COMPASS) Study is an ongoing cluster-randomized pragmatic trial to assess the effectiveness of a comprehensive, evidence-based, post-acute care model on patient-centered outcomes...
July 17, 2017: BMC Neurology
https://www.readbyqxmd.com/read/28713591/the-effect-of-partnership-care-model-on-mental-health-of-patients-with-thalassemia-major
#2
Afzal Shamsi, Fardin Amiri, Abbas Ebadi, Musab Ghaderi
BACKGROUND: Thalassemia major has become a public health problem worldwide, particularly in developing and poor countries, while the role of educating the family and community has not been considered enough in patients' care. OBJECTIVES: This study examines the impact of partnership care model on mental health of patients with beta-thalassemia major. MATERIALS AND METHODS: This experimental study, with pretest and posttest design, was performed on patients with beta-thalassemia major in Jiroft city...
2017: Depression Research and Treatment
https://www.readbyqxmd.com/read/28711398/comprehensive-maternity-support-and-shared-care-in-switzerland-comparison-of-levels-of-satisfaction
#3
Lucia Floris, Olivier Irion, Jocelyne Bonnet, Maria-Pia Politis Mercier, Claire de Labrusse
BACKGROUND: According to the woman-centred care model, continuous care by a midwife has a positive impact on satisfaction. Comprehensive support is a model of team midwifery care implemented in the large Geneva University Hospitals in Switzerland, which has organised shared care according to the biomedical model of practice. This model of care insures a follow up by a specific group of midwives, during perinatal period. AIM: The goal of this study was to evaluate the satisfaction and outcomes of the obstetric and neonatal care of women who received comprehensive support during pregnancy, childbirth and the postpartum period, and compare them to women who received shared care...
July 12, 2017: Women and Birth: Journal of the Australian College of Midwives
https://www.readbyqxmd.com/read/28704279/assessing-healthcare-professionals-experiences-of-integrated-care-do-surveys-tell-the-full-story
#4
Matthew D Stephenson, Jared M Campbell, Karolina Lisy, Edoardo C Aromataris
BACKGROUND: Integrated care is the combination of different healthcare services with the goal to provide comprehensive, seamless, effective and efficient patient care. Assessing the experiences of healthcare professionals (HCPs) is an important aspect when evaluating integrated care strategies. AIMS: The aim of this rapid review was to investigate if quantitative surveys used to assess HCPs' experiences with integrated care capture all the aspects highlighted as being important in qualitative research, with a view to informing future survey development...
July 12, 2017: International Journal of Evidence-based Healthcare
https://www.readbyqxmd.com/read/28702863/walking-together-towards-a-collaborative-model-for-maternal-health-care-in-pastoralist-communities-of-laikipia-and-samburu-kenya
#5
Michelle Kermode, Alison Morgan, Josephat Nyagero, Florence Nderitu, Tanya Caulfield, Matthew Reeve, John Nduba
Purpose In 2009 the Kenyan Government introduced health system reforms to address persistently high maternal and newborn mortality including deployment of skilled birth attendants (SBAs) to health facilities in remote areas, and proscription of births attended by traditional birth attendants (TBAs). Despite these initiatives, uptake of SBA services remains low and inequitably distributed. This paper describes the development of an SBA/TBA collaborative model of maternal health care for pastoralist communities in Laikipia and Samburu...
July 12, 2017: Maternal and Child Health Journal
https://www.readbyqxmd.com/read/28702862/oregon-s-coordinated-care-organizations-and-their-effect-on-prenatal-care-utilization-among-medicaid-enrollees
#6
Lisa P Oakley, S Marie Harvey, Jangho Yoon, Jeff Luck
Introduction Previous studies indicate that inadequate prenatal care is more common among women covered by Medicaid compared with private insurance. Increasing the proportion of pregnant women who receive early and adequate prenatal care is a Healthy People 2020 goal. We examined the impact of the implementation of Oregon's accountable care organizations, Coordinated Care Organizations (CCOs), for Medicaid enrollees, on prenatal care utilization among Oregon women of reproductive age enrolled in Medicaid. Methods Using Medicaid eligibility data linked to unique birth records for 2011-2013, we used a pre-posttest treatment-control design that compared prenatal care utilization for women on Medicaid before and after CCO implementation to women never enrolled in Medicaid...
July 12, 2017: Maternal and Child Health Journal
https://www.readbyqxmd.com/read/28697527/-family-health-teams-in-ontario-ideas-for-germany-from-a-canadian-primary-care-model
#7
Lisa-R Ulrich, Thuy-Nga Tia Pham, Ferdinand M Gerlach, Antje Erler
The German healthcare system is struggling with fragmentation of care in the face of an increasing shortage of general practitioners and allied health professionals, and the time-demanding healthcare needs of an aging, multimorbid patient population. Innovative interprofessional, intersectoral models of care are required to ensure adequate access to primary care across a variety of rural and urban settings into the foreseeable future. A team approach to care of the complex multimorbid patient population appears particularly suitable in attracting and retaining the next generation of healthcare professionals, including general practitioners...
July 11, 2017: Das Gesundheitswesen
https://www.readbyqxmd.com/read/28693651/models-of-care-for-traumatically-injured-patients-at-trauma-centres-in-british-columbia-variability-and-sustainability
#8
Benjamin Tuyp, Kasra Hassani, Lisa Constable, Joseph Haegert
BACKGROUND: Successful trauma systems employ a network of variably-resourced hospitals, staffed by experienced providers, to deliver optimal care for injured patients. The "model of care"-the manner by which inpatients are admitted and overseen, is an important determinant of patient outcomes. OBJECTIVES: To describe the models of inpatient trauma care at British Columbia's (BC's) ten adult trauma centres, their sustainability, and their compatibility with accreditation guidelines...
July 11, 2017: CJEM
https://www.readbyqxmd.com/read/28693580/telemedicine-and-other-care-models-in-pediatric-rheumatology-an-exploratory-study-of-parents-perceptions-of-barriers-to-care-and-care-preferences
#9
Danielle R Bullock, Richard K Vehe, Lei Zhang, Colleen K Correll
BACKGROUND: The United States pediatric rheumatology workforce is committed to a mission of providing children access to pediatric rheumatology care. With a limited number and distribution of pediatric rheumatologists, telemedicine has been proposed as one way to meet this mission, yet the adoption of this modality has been slower than expected. The purpose of this study was to explore the parent perspective on barriers to accessing pediatric rheumatology care and to explore the acceptability of telemedicine and other alternative care models...
July 11, 2017: Pediatric Rheumatology Online Journal
https://www.readbyqxmd.com/read/28692211/integrating-hiv-and-substance-use-services-a-systematic-review
#10
Victoria Haldane, Francisco Cervero-Liceras, Fiona Lh Chuah, Suan Ee Ong, Georgina Murphy, Louise Sigfrid, Nicola Watt, Dina Balabanova, Sue Hogarth, Will Maimaris, Kent Buse, Peter Piot, Martin McKee, Pablo Perel, Helena Legido-Quigley
INTRODUCTION: Substance use is an important risk factor for HIV, with both concentrated in certain vulnerable and marginalized populations. Although their management differs, there may be opportunities to integrate services for substance use and HIV. In this paper we systematically review evidence from studies that sought to integrate care for people living with HIV and substance use problems. METHODS: Studies were included if they evaluated service integration for substance use and HIV...
May 30, 2017: Journal of the International AIDS Society
https://www.readbyqxmd.com/read/28692142/big-g-and-little-g-geriatrics-education-for-physicians
#11
Kathryn E Callahan, Nina Tumosa, Rosanne M Leipzig
In the July 2016 issue of this journal, Dr. Mary Tinetti proposed that geriatric medicine abandon attempts to increase the numbers of board-certified geriatricians and change focus to the development of a "small elite workforce." What would be gained and what sacrificed by accepting this challenge? We agree that the best clinical use of a scarce resource, specialty trained geriatricians, is to care for frail, complex, severely ill elderly adults and to help design and study novel interventions in research, education, and care models to improve the care of all older adults, but for this to happen, all other providers must attain specific competency in the care of older adults...
July 10, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28689159/self-management-support-by-final-year-nursing-students-a-correlational-study-of-performance-and-person-related-associated-factors
#12
Veerle Duprez, Dimitri Beeckman, Sofie Verhaeghe, Ann Van Hecke
BACKGROUND: Chronic conditions put a heavy burden on healthcare in every country. Supporting persons with a chronic illness to take an active role in the management of their condition is a core component in the Chronic Care Model. It implies confidence and good skills from professionals. To date, there is no evidence on final year nursing students' performance in supporting patients' self-management, nor on factors associated with this performance. OBJECTIVES: To explore self-reported performance of supporting patients' self-management by final year nursing students, and person-related factors associated with this performance...
June 24, 2017: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/28687578/a-practice-based-evaluation-of-distress-screening-protocol-adherence-and-medical-service-utilization
#13
Brad Zebrack, Karen Kayser, Deborah Bybee, Lynne Padgett, Laura Sundstrom, Chad Jobin, Julianne Oktay
Background: This study examined the extent to which cancer programs demonstrated adherence to their own prescribed screening protocol, and whether adherence to that protocol was associated with medical service utilization. The hypothesis is that higher rates of service utilization are associated with lower rates of adherence to screening protocols. Methods: Oncology social workers at Commission on Cancer-accredited cancer programs reviewed electronic health records (EHRs) in their respective cancer programs during a 2-month period in 2014...
July 2017: Journal of the National Comprehensive Cancer Network: JNCCN
https://www.readbyqxmd.com/read/28686808/integrating-a-nurse-midwife-led-oral-health-intervention-into-centeringpregnancy-prenatal-care-results-of-a-pilot-study
#14
Sally H Adams, Steven E Gregorich, Sharon S Rising, Margaret Hutchison, Lisa H Chung
INTRODUCTION: National and professional organizations recommend oral health promotion in prenatal care to improve women's oral health. However, few prenatal programs include education about oral health promotion. The objective of this study was to determine if women receiving a brief, low-cost, and sustainable educational intervention entitled CenteringPregnancy Oral Health Promotion had clinically improved oral health compared to women receiving standard CenteringPregnancy care. METHODS: Women attending CenteringPregnancy, a group prenatal care model, at 4 health centers in the San Francisco Bay Area, participated in this nonrandomized controlled pilot study in 2010 to 2011...
July 7, 2017: Journal of Midwifery & Women's Health
https://www.readbyqxmd.com/read/28684357/promotora-assisted-depression-and-self-care-management-among-predominantly-latinos-with-concurrent-chronic-illness-safety-net-care-system-clinical-trial-results
#15
Kathleen Ell, María P Aranda, Shinyi Wu, Hyunsung Oh, Pey-Jiuan Lee, Jeffrey Guterman
The study evaluated depression and self-care management among patients with diabetes and/or heart disease in a 12-month randomized trial conducted in Los Angeles County Department of Health Services (LAC-DHS) community clinics. We compared LAC-DHS clinic usual care (UC) versus A-Helping-Hand (AHH) intervention in which bilingual promotoras, hired and supervised by the research project, provided 6 weekly psychoeducational sessions followed by boosters. Of 1957 screened, 348 depressed patients (PHQ-9 score≥10) were enrolled, randomized to AHH (n=178) or UC (n=170) after baseline interview assessing mental health, treatment receipt, co-morbid illness, self-care management, and environmental stressors...
July 3, 2017: Contemporary Clinical Trials
https://www.readbyqxmd.com/read/28683019/mentoring-nurse-practitioners-in-a-hospital-setting
#16
Rodica S Pop
BACKGROUND: Nursing philosophy is the foundation of nurse practitioner (NP) training. However, NP practice is based on the medical care model. Thus, the necessity of mediating between these two approaches is often problematic for new NPs who are transitioning into their new roles. Mentoring has been used successfully to facilitate role transition and role understanding for nurses, NPs, and physicians. However, mentoring has been rarely studied in NPs. PURPOSE: The purpose of this study was to develop a theory of mentoring for new NPs in a hospital setting...
August 2017: Journal of Nursing Research: JNR
https://www.readbyqxmd.com/read/28682666/oncology-and-palliative-care-integration-cocreating-quality-and-value-in-the-era-of-health-care-reform
#17
Tara L Kaufmann, Arif H Kamal
Recent payment reforms in health care have spurred thinking regarding how strengthened partnerships can cocreate quality and value. Oncology is an important area in which to consider further collaborations in patient care, as a result of increasing treatment complexity from an expanding armamentarium of interventions, large resource expenditures related to cancer care, and a growing disease prevalence related to an aging population. Many have highlighted the important role of palliative care in the routine care of patients with advanced cancer and high symptom burden...
July 6, 2017: Journal of Oncology Practice
https://www.readbyqxmd.com/read/28679345/considerations-for-developing-chronic-care-system-for-traumatic-brain-injury-based-on-comparisons-of-cancer-survivorship-and-diabetes-management-care
#18
Siobhan M Heiden, Barrett S Caldwell
Experts in traumatic brain injury (TBI) rehabilitation recently proposed the framing of TBI as a chronic disease rather than a discrete event. Within the framework of the Chronic Care Model (CCM), a systematic comparison of three diseases - cancer survivorship, diabetes management, and TBI chronic care - was conducted regarding chronic needs and the management of those needs. In addition, comparisons of these conditions require comparative evaluations of disease management characteristics and the survivor concept...
July 6, 2017: Ergonomics
https://www.readbyqxmd.com/read/28678690/emotional-freedom-techniques-to-treat-posttraumatic-stress-disorder-in-veterans-review-of-the-evidence-survey-of-practitioners-and-proposed-clinical-guidelines
#19
Dawson Church, Sheri Stern, Elizabeth Boath, Antony Stewart, David Feinstein, Morgan Clond
BACKGROUND: High prevalence rates of posttraumatic stress disorder (PTSD) in active military and veterans present a treatment challenge. Many PTSD studies have demonstrated the efficacy and safety of Emotional Freedom Techniques (EFT). OBJECTIVES: To develop clinical best practice guidelines for the use of EFT to treat PTSD, on the basis of the published literature, practitioner experience, and typical case histories. METHODS: We surveyed 448 EFT practitioners to gather information on their experiences with PTSD treatment...
2017: Permanente Journal
https://www.readbyqxmd.com/read/28678542/incorporation-of-telehealth-into-a-multidisciplinary-als-clinic-feasibility-and-acceptability
#20
Andrew Geronimo, Courtney Wright, Anne Morris, Susan Walsh, Bethany Snyder, Zachary Simmons
OBJECTIVE: The practice of telehealth in the care of patients with ALS has received little attention, but has the potential to change the multidisciplinary care model. This study was carried out to assess the feasibility and acceptability of telehealth for ALS care via real-time videoconferencing from the clinic to patients' homes. METHODS: Patients and caregivers engaged in live telehealth videoconferencing from their homes with members of a multidisciplinary ALS care team who were located in an ALS clinic, in place of their usual in-person visit to the clinic...
July 5, 2017: Amyotrophic Lateral Sclerosis and Frontotemporal Degeneration
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