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https://www.readbyqxmd.com/read/29036017/patient-reported-outcomes-in-asthma-clinical-trials
#1
Fulvio Braido, Ilaria Baiardini, Giorgio W Canonica
PURPOSE OF REVIEW: The review provides an overview of the results of asthma clinical trials published in peer review journals in the last 18 months that evaluated patient-reported outcomes (PROs). RECENT FINDINGS: In the last 10 years, health care moved toward a patient-centered approach, which includes patients' perspectives reflecting the impact of a disease and its treatment. SUMMARY: Surprisingly, among the almost 300 clinical trials published in the last one and a half year, PRO evaluation was performed in only 20 studies, and none of them held in a real-life setting...
October 13, 2017: Current Opinion in Pulmonary Medicine
https://www.readbyqxmd.com/read/29035905/hospital-community-partnerships-to-aid-transitions-for-older-adults-applying-the-care-transitions-framework
#2
Dorothy Hung, Quan Truong, Maayan Yakir, Francesca Nicosia
This study examined the implementation and hospitalwide scaling of a community-based transitional care program to reduce readmissions among adults 65 years or older. Our analysis was guided by the Care Transitions Framework and was based on semistructured interviews with program implementers to identify intervention successes, barriers, and outcomes beyond reducing readmissions. Such outcomes included the program's critical role in providing a safety net and transition to more advanced care, and redefining intervention success from more patient-centered perspectives...
October 13, 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/29034825/a-tale-of-four-practices
#3
Michelle Miller-Day, Janelle Applequist, Keri Zabokrtsky, Alexandra Dalton, Katherine Kellom, Robert Gabbay, Peter F Cronholm
Purpose The Patient-Centered Medical Home (PCMH) has become a dominant model of primary care re-design. This transformation presents a challenge to many care delivery organizations. The purpose of this paper is to describe attributes shaping successful and unsuccessful practice transformation within four medical practice groups. Design/methodology/approach As part of a larger study of 25 practices transitioning into a PCMH, the current study focused on diabetes care and identified high- and low-improvement medical practices in terms of quantitative patient measures of glycosylated hemoglobin and qualitative assessments of practice performance...
September 18, 2017: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/29033553/a-critical-analysis-of-national-policies-systems-and-structures-of-patient-empowerment-in-england-and-greece
#4
REVIEW
Markella Boudioni, Susan McLaren, Graham Lister
BACKGROUND: Comparison of patient empowerment (PE) policies in European countries can provide evidence for improvement and reform across different health systems. It may also influence patient and public involvement, patient experience, preference, and adherence. OBJECTIVE: The objective of this study was to compare PE within national policies, systems, and structures in England and Greece for achieving integrated people-centered health services. METHODS: We performed a critical search and review of policy and legislation papers in English and Greek languages...
2017: Patient Preference and Adherence
https://www.readbyqxmd.com/read/29033551/healthcare-provider-relational-quality-is-associated-with-better-self-management-and-less-treatment-burden-in-people-with-multiple-chronic-conditions
#5
David T Eton, Jennifer L Ridgeway, Mark Linzer, Deborah H Boehm, Elizabeth A Rogers, Kathleen J Yost, Lila J Finney Rutten, Jennifer L Sauver, Sara Poplau, Roger T Anderson
PURPOSE: Having multiple chronic conditions (MCCs) can lead to appreciable treatment and self-management burden. Healthcare provider relational quality (HPRQ) - the communicative and interpersonal skill of the provider - may mitigate treatment burden and promote self-management. The objectives of this study were to 1) identify the associations between HPRQ, treatment burden, and psychosocial outcomes in adults with MCCs, and 2) determine if certain indicators of HPRQ are more strongly associated than others with these outcomes...
2017: Patient Preference and Adherence
https://www.readbyqxmd.com/read/29033105/public-attitudes-toward-expanded-newborn-screening
#6
Jane M DeLuca
PURPOSE: There is limited research available on public knowledge and understanding of expanded newborn screening (NBS). The aims of this study were to assess current public knowledge and understanding of newborn screening disorders and procedures, perceived education needs, and preferences for the delivery of NBS information and education. An additional aim was to develop a beginning understanding of public attitudes toward screening for complex, severe, and in some cases untreatable disorders...
October 12, 2017: Journal of Pediatric Nursing
https://www.readbyqxmd.com/read/29032349/organizational-home-care-models-across-europe-a-cross-sectional-study
#7
Liza Van Eenoo, Henriëtte van der Roest, Graziano Onder, Harriet Finne-Soveri, Vjenka Garms-Homolova, Palmi V Jonsson, Stasja Draisma, Hein van Hout, Anja Declercq
BACKGROUND: Decision makers are searching for models to redesign home care and to organize health care in a more sustainable way. OBJECTIVES: The aim of this study is to identify and characterize home care models within and across European countries by means of structural characteristics and care processes at the policy and the organization level. DATA SOURCES: At the policy level, variables that reflected variation in health care policy were included based on a literature review on the home care policy for older persons in six European countries: Belgium, Finland, Germany, Iceland, Italy, and the Netherlands...
September 21, 2017: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/29030831/practical-considerations-for-using-online-methods-to-engage-patients-in-guideline-development
#8
Sean Grant, Glen S Hazlewood, Holly L Peay, Ann Lucas, Ian Coulter, Arlene Fink, Dmitry Khodyakov
Clinical practice guidelines (CPGs) have been widely used in healthcare policy, practice, and for suggesting future research. As patients increasingly become involved in CPG development to produce patient-centered recommendations, more research is needed on methods to engage patients, particularly methods allowing for scalable engagement of large, diverse, and geographically distributed groups of patients. In this article, we discuss practical considerations for using online methods to engage patients in CPG development...
October 13, 2017: Patient
https://www.readbyqxmd.com/read/29030128/expansion-of-diabetes-education-in-a-united-states-mexico-border-community-expanding-services-for-patients-to-acquire-new-skills-set-goals-and-improve-overall-knowledge
#9
Melissa Carrillo, Jeri Sias, Jacquelyn P Navarrete, Sam Aboud, Enrique Valenzuela
OBJECTIVES: To describe the process used by a pharmacy team at a community health center to coordinate and expand diabetes education services (English and Spanish) for a predominantly Hispanic, Spanish-speaking population. SETTING: The project was implemented at 2 clinics in a federally qualified community health center system based in a low-income southwest U.S.-Mexico border community. PRACTICE INNOVATION: This project enhanced accessibility to diabetes education to improve knowledge, skills, and goal setting through existing pharmacy services at the primary clinic and 1 rural satellite clinic...
October 10, 2017: Journal of the American Pharmacists Association: JAPhA
https://www.readbyqxmd.com/read/29029759/patient-centered-research-priorities-in-ovarian-cancer-a-systematic-review-of-potential-determinants-of-guideline-care
#10
REVIEW
Rachel A Pozzar, Donna L Berry
OBJECTIVE: To (a) determine what is known about the individual and contextual factors that may influence whether a woman with ovarian cancer receives guideline care, and (b) identify patient-centered research priorities in ovarian cancer. METHODS: A systematic review of the PubMed, MEDLINE, CINAHL Complete, and PsycInfo online databases. Eligible articles were published in English, described original research, and either (a) identified factors associated with the receipt of guideline care for ovarian cancer, or (b) described treatment decision making by women with ovarian cancer...
October 10, 2017: Gynecologic Oncology
https://www.readbyqxmd.com/read/29029668/the-de-pharm-project-a-pharmacist-driven-deprescribing-initiative-in-a-nursing-facility
#11
Jennifer Pruskowski, Steven M Handler
OBJECTIVE: Many residents with life-limiting illnesses are being prescribed and taking potentially inappropriate medications (PIMs) and questionably beneficial medications either near or at the end of life. These medications can contribute to adverse drug reactions, increase morbidity, and increase unnecessary burden and cost. It is crucial that the process of deprescribing be incorporated into the care of these residents. After developing a clinical pharmacist-driven deprescribing initiative in the nursing facility, the objective of this project was to reduce the number of PIMs via accepted recommendations from the clinical pharmacist to the primary team...
August 1, 2017: Consultant Pharmacist: the Journal of the American Society of Consultant Pharmacists
https://www.readbyqxmd.com/read/29029606/patient-centered-professional-practice-models-for-managing-low-back-pain-in-older-adults-a-pilot-randomized-controlled-trial
#12
Christine M Goertz, Stacie A Salsbury, Cynthia R Long, Robert D Vining, Andrew A Andresen, Maria A Hondras, Kevin J Lyons, Lisa Z Killinger, Fredric D Wolinsky, Robert B Wallace
BACKGROUND: Low back pain is a debilitating condition for older adults, who may seek healthcare from multiple providers. Few studies have evaluated impacts of different healthcare delivery models on back pain outcomes in this population. The purpose of this study was to compare clinical outcomes of older adults receiving back pain treatment under 3 professional practice models that included primary medical care with or without chiropractic care. METHODS: We conducted a pilot randomized controlled trial with 131 community-dwelling, ambulatory older adults with subacute or chronic low back pain...
October 13, 2017: BMC Geriatrics
https://www.readbyqxmd.com/read/29028774/seeking-humanizing-care-in-patient-centered-care-process-a-grounded-theory-study
#13
Mohammad Ali Cheraghi, Maryam Esmaeili, Mahvash Salsali
Patient-centered care is both a goal in itself and a tool for enhancing health outcomes. The application of patient-centered care in health care services globally however is diverse. This article reports on a study that sought to introduce patient-centered care. The aim of this study is to explore the process of providing patient-centered care in critical care units. The study used a grounded theory method. Data were collected on 5 critical care units in Tehran University of Medical Sciences. Purposive and theoretical sampling directed the collection of data using 29 semistructured interviews with 27 participants (nurses, patients, and physician)...
November 2017: Holistic Nursing Practice
https://www.readbyqxmd.com/read/29025699/adoption-acceptability-and-effectiveness-of-a-mobile-health-app-for-personalized-prostate-cancer-survivorship-care-protocol-for-a-realist-case-study-of-the-ned-app
#14
Quynh Pham, Joseph A Cafazzo, Andrew Feifer
BACKGROUND: By 2030, prostate cancer will be the most commonly diagnosed cancer in North America. To mitigate this impending challenge, comprehensive support mechanisms for disease- and treatment-specific changes in health and well-being must be proactively designed and thoughtfully implemented for streamlined survivorship care. mHealth apps have been lauded as a promising complement to current outpatient treatment and monitoring strategies, but have not yet been widely used to support prostate cancer survivorship needs...
October 12, 2017: JMIR Research Protocols
https://www.readbyqxmd.com/read/29025135/current-perspective-on-the-use-of-opioids-in-perioperative-medicine-an-evidence-based-literature-review-national-survey-of-70-000-physicians-and-multidisciplinary-clinical-appraisal
#15
Jonathan S Jahr, Sergio D Bergese, Ketan R Sheth, Nicholas M Bernthal, Hung S Ho, Nicoleta Stoicea, Christian C Apfel
Objective: Opioids represent an important analgesic option for physicians managing acute pain in surgical patients. Opioid management is not without its drawbacks, however, and current trends suggest that opioids might be overused in the United States. An expert panel was convened to conduct a clinical appraisal regarding the use of opioids in the perioperative setting. Methods: The clinical appraisal consisted of the review, presentation, and assessment of current published evidence as it relates to the statement "Opioids are not overused in the United States, even though opioid adjunct therapy achieves greater pain control with less risk...
August 16, 2017: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/29025001/using-patient-reported-outcome-measurement-to-improve-patient-care
#16
John Øvretveit, Lisa Zubkoff, Eugene C Nelson, Susan Frampton, Janne Lehmann Knudsen, Eyal Zimlichman
Patients at the center of care is often the stated focus of clinicians and healthcare services. The quality and safety movement has shown that effective organization of care is needed, in addition to professional skills. This movement has provided professionals and others with methods to improve both organization and practice for patients. These methods include measurement to give those carrying out improvement feedback about the effects of their changes. New types of measures that enable patients to report treatment outcomes can now be use in quality improvement and quality reporting to bring a renewed focus on making care more patient-centered...
August 22, 2017: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29024974/functional-recovery-in-major-depressive-disorder-providing-early-optimal-treatment-for-the-individual-patient
#17
Oloruntoba J Oluboka, Martin A Katzman, Jeffrey Habert, Diane McIntosh, Glenda M MacQueen, Roumen V Milev, Roger S McIntyre, Pierre Blier
Major depressive disorder (MDD) is an often chronic and recurring illness. Left untreated, MDD may result in progressive alterations in brain morphometry and circuit function. Recent findings, however, suggest that pharmacotherapy may halt and possibly reverse those effects. These findings, together with evidence that a delay in treatment is associated with poorer clinical outcomes, underscore the urgency of rapidly treating depression to full recovery. Early optimized treatment, using measurement-based care and customizing treatment to the individual patient, may afford the best possible outcomes for each patient...
September 8, 2017: International Journal of Neuropsychopharmacology
https://www.readbyqxmd.com/read/29023648/improvements-in-hospice-utilization-among-patients-with-advanced-stage-lung-cancer-in-an-integrated-health-care-system
#18
Donald R Sullivan, Linda Ganzini, Jodi A Lapidus, Lissi Hansen, Patricia A Carney, Molly L Osborne, Erik K Fromme, Seiko Izumi, Christopher G Slatore
BACKGROUND: Hospice, a patient-centered care system for those with limited life expectancy, is important for enhancing quality of life and is understudied in integrated health care systems. METHODS: This was a retrospective cohort study of 21,860 decedents with advanced-stage lung cancer diagnosed from January 2007 to June 2013 in the national US Veterans Affairs Health Care System. Trends over time, geographic regional variability, and patient and tumor characteristics associated with hospice use and the timing of enrollment were examined...
October 10, 2017: Cancer
https://www.readbyqxmd.com/read/29020377/the-effect-of-a-hepatitis-pay-for-performance-program-on-outcomes-of-patients-undergoing-antiviral-therapy
#19
Tsung-Tai Chen, Ya-Seng Arthur Hsueh, Chun-Hsiung Ko, Ling-Na Shih, Sien-Sing Yang
Background: To examine the effect of a participatory pay-for-performance (P4P) program in Taiwan on health outcomes for patients with severe hepatitis B or C. Methods: This study adopted 4-year panel data from the databases of the National Health Insurance Administration (NHIA) in Taiwan. Using the caliper matching method to match patients in the P4P (experimental) group with those in the potential comparison group on a one-to-one basis for the year 2010, we tracked patients up to the year 2013 and employed Cox proportional-hazards regression models to evaluate the effect on patient outcomes...
August 23, 2017: European Journal of Public Health
https://www.readbyqxmd.com/read/29016515/performance-measures-for-contraceptive-care-a-new-tool-to-enhance-access-to-contraception
#20
Michelle H Moniz, Loretta E Gavin, Vanessa K Dalton
Contraception is an essential health service for reducing unintended pregnancy rates, improving health outcomes, and reducing health care costs. However, contraceptive services may not consistently provide access to the full method mix and to patient-centered care. Improving the quality of contraceptive care is a critical strategy to improve contraceptive use, health outcomes, and the patient experience of care. We here describe the three National Quality Forum-endorsed performance measures for contraceptive care, which are intended to monitor 1) provision of most and moderately effective methods, 2) access to long-acting reversible contraception, and 3) provision of most and moderately effective methods and access to long-acting reversible contraception after childbirth...
October 6, 2017: Obstetrics and Gynecology
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