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https://www.readbyqxmd.com/read/29050541/the-development-and-evaluation-of-peer-facilitated-dementia-workshops-in-general-practice
#1
Tony Foley, Aisling Jennings, Siobhan Boyle, W Henry Smithson
BACKGROUND: Rising dementia prevalence rates, combined with the policy objectives of integrated care in the community, means that general practitioners (GPs) are playing an increasing and pivotal role in dementia care. However, GPs are challenged by dementia care and have identified it as an area of learning need. We describe the development, roll-out and evaluation of peer-facilitated workshops for GPs, as part of a national programme to support GPs in their delivery of dementia care...
October 20, 2017: Education for Primary Care
https://www.readbyqxmd.com/read/29042848/integrated-diabetes-care-delivered-by-patients-a-case-study-from-bulgaria
#2
Verena Struckmann, Francesco Barbabella, Antoniya Dimova, Ewout van Ginneken
INTRODUCTION: Increasing numbers of persons are living with multiple chronic diseases and unmet medical needs in Bulgaria. The Bulgarian 'Diabetic care' non-profit (DCNPO) programme aims to provide comprehensive integrated care focusing on people with diabetes and their co-morbidities. METHODS: The DCNPO programme was selected as one of eight 'high potential' programmes in the Innovating Care for People with Multiple Chronic Conditions (ICARE4EU) project, covering 31 European countries...
March 31, 2017: International Journal of Integrated Care
https://www.readbyqxmd.com/read/29031933/relevant-models-and-elements-of-integrated-care-for-multi-morbidity-results-of-a-scoping-review
#3
Verena Struckmann, Fenna R M Leijten, Ewout van Ginneken, Markus Kraus, Miriam Reiss, Anne Spranger, Melinde R S Boland, Thomas Czypionka, Reinhard Busse, Maureen Rutten-van Mölken
BACKGROUND: In order to provide adequate care for the growing group of persons with multi-morbidity, innovative integrated care programmes are appearing. The aims of the current scoping review were to i) identify relevant models and elements of integrated care for multi-morbidity and ii) to subsequently identify which of these models and elements are applied in integrated care programmes for multi-morbidity. METHODS: A scoping review was conducted in the following scientific databases: Cochrane, Embase, PubMed, PsycInfo, Scopus, Sociological Abstracts, Social Services Abstracts, and Web of Science...
October 6, 2017: Health Policy
https://www.readbyqxmd.com/read/29029967/-10-years-of-external-quality-assurance-in-dialysis-in-germany-results-and-future-prospects
#4
Dorothea Büchtemann, Stefan Meinhold, Peter Follert
BACKGROUND: In 2006, the Federal Joint Committee introduced a quality assurance programme for ambulatory dialysis treatment in Germany. Regarding the impact of chronic dialysis treatment on the quality of life of patients and on health care costs, quality assurance in dialysis is considered highly relevant. The directive on Quality Assurance in Dialysis (QSD-RL) established an external quality assurance programme based on the assessment of certain quality parameters combined with an internal quality management system based on benchmarking parameters in all dialysis practices and centres...
October 10, 2017: Zeitschrift Für Evidenz, Fortbildung und Qualität Im Gesundheitswesen
https://www.readbyqxmd.com/read/29021576/the-recording-and-characteristics-of-pulmonary-rehabilitation-in-patients-with-copd-using-the-health-information-network-thin-primary-care-database
#5
Ali Hakamy, Tricia M McKeever, Jack E Gibson, Charlotte E Bolton
Pulmonary rehabilitation is recommended for patients with COPD to improve physical function, breathlessness and quality of life. Using The Health Information Network (THIN) primary care database in UK, we compared the demographic and clinical parameters of patients with COPD in relation to coding of pulmonary rehabilitation, and to investigate whether there is a survival benefit from pulmonary rehabilitation. We identified patients with COPD, diagnosed from 2004 and extracted information on demographics, pulmonary rehabilitation and clinical parameters using the relevant Read codes...
October 11, 2017: NPJ Primary Care Respiratory Medicine
https://www.readbyqxmd.com/read/28993389/innovative-telemonitoring-enhanced-care-programme-for-chronic-heart-failure-itec-chf-to-improve-guideline-compliance-and-collaborative-care-protocol-of-a-multicentre-randomised-controlled-trial
#6
Hang Ding, Rajiv Jayasena, Andrew Maiorana, Alison Dowling, Sheau Huey Chen, Mohan Karunanithi, Jamie Layland, Iain Edwards
INTRODUCTION: Chronic heart failure (CHF) is a life-threatening chronic disease characterised by periodic exacerbations and recurrent hospitalisations. In the management of CHF, patient compliance with evidence-based clinical guidelines is essential, but remains difficult practically. The objective of this study is to examine whether an Innovative Telemonitoring Enhanced Care Programme for CHF (ITEC-CHF) improves patients' compliance, and associated health and economic outcomes. METHODS AND ANALYSIS: An open multicentre randomised controlled trial has been designed...
October 8, 2017: BMJ Open
https://www.readbyqxmd.com/read/28992159/compliance-with-accreditation-and-recommended-hospital-care-a-danish-nationwide-population-based-study
#7
Anne Mette Falstie-Jensen, Søren Bie Bogh, Erik Hollnagel, Søren Paaske Johnsen
Objective: To examine the association between compliance with accreditation and recommended hospital care. Design: A Danish nationwide population-based follow-up study based on data from six national, clinical quality registries between November 2009 and December 2012. Setting: Public, non-psychiatric Danish hospitals. Participants: Patients with acute stroke, chronic obstructive pulmonary disease, diabetes, heart failure, hip fracture and bleeding/perforated ulcers...
October 1, 2017: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/28982818/impact-of-policy-support-on-uptake-of-evidence-based-continuous-quality-improvement-activities-and-the-quality-of-care-for-indigenous-australians-a-comparative-case-study
#8
Ross Bailie, Veronica Matthews, Sarah Larkins, Sandra Thompson, Paul Burgess, Tarun Weeramanthri, Jodie Bailie, Frances Cunningham, Ru Kwedza, Louise Clark
OBJECTIVES: To examine the impact of state/territory policy support on (1) uptake of evidence-based continuous quality improvement (CQI) activities and (2) quality of care for Indigenous Australians. DESIGN: Mixed-method comparative case study methodology, drawing on quality-of-care audit data, documentary evidence of policies and strategies and the experience and insights of stakeholders involved in relevant CQI programmes. We use multilevel linear regression to analyse jurisdictional differences in quality of care...
October 5, 2017: BMJ Open
https://www.readbyqxmd.com/read/28976834/managing-real-world-venous-leg-ulcers-with-fetal-bovine-acellular-dermal-matrix-a-single-centre-retrospective-study
#9
J A Paredes, S Bhagwandin, Polanco T, J C Lantis
OBJECTIVE: As compression treatment offers moderate improvement, especially to recurrent venous leg ulcers (VLUs), several alternative therapies using cellular based and/or tissue-derived products (CTPs) have emerged from bovine, porcine, and equine sources. Our aim was to look at the effect of a CTP in 'real-life' VLUs. METHODS: This study looked at complex patients with chronic, large wounds in a single-centre retrospective review. All patients were treated with fetal bovine acellular dermal matrix (FBADM) for VLUs at our outpatient urban wound care programme...
October 1, 2017: Journal of Wound Care
https://www.readbyqxmd.com/read/28972652/shared-decision-making-for-people-with-asthma
#10
REVIEW
Kayleigh M Kew, Poonam Malik, Krishnan Aniruddhan, Rebecca Normansell
BACKGROUND: Asthma is a chronic inflammatory disease that affects the airways and is common in both adults and children. It is characterised by symptoms including wheeze, shortness of breath, chest tightness, and cough. People with asthma may be helped to manage their condition through shared decision-making (SDM). SDM involves at least two participants (the medical practitioner and the patient) and mutual sharing of information, including the patient's values and preferences, to build consensus about favoured treatment that culminates in an agreed action...
October 3, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28970751/understanding-the-attributes-of-implementation-frameworks-to-guide-the-implementation-of-a-model-of-community-based-integrated-health-care-for-older-adults-with-complex-chronic-conditions-a-metanarrative-review
#11
Ann McKillop, Jay Shaw, Nicolette Sheridan, Carolyn Steele Gray, Peter Carswell, Walter P Wodchis, Martin Connolly, Jean-Louis Denis, G Ross Baker, Timothy Kenealy
INTRODUCTION: Many studies have investigated the process of healthcare implementation to understand better how to bridge gaps between recommended practice, the needs and demands of healthcare consumers, and what they actually receive. However, in the implementation of integrated community-based and integrated health care, it is still not well known which approaches work best. METHODS: We conducted a systematic review and metanarrative synthesis of literature on implementation frameworks, theories and models in support of a research programme investigating CBPHC for older adults with chronic health problems...
June 27, 2017: International Journal of Integrated Care
https://www.readbyqxmd.com/read/28963304/protocol-for-a-randomised-controlled-implementation-trial-of-point-of-care-viral-load-testing-and-task-shifting-the-simplifying-hiv-treatment-and-monitoring-stream-study
#12
Jienchi Dorward, Nigel Garrett, Justice Quame-Amaglo, Natasha Samsunder, Hope Ngobese, Noluthando Ngomane, Pravikrishnen Moodley, Koleka Mlisana, Torin Schaafsma, Deborah Donnell, Ruanne Barnabas, Kogieleum Naidoo, Salim Abdool Karim, Connie Celum, Paul K Drain
INTRODUCTION: Achieving the Joint United Nations Programme on HIV and AIDS 90-90-90 targets requires models of HIV care that expand antiretroviral therapy (ART) coverage without overburdening health systems. Point-of-care (POC) viral load (VL) testing has the potential to efficiently monitor ART treatment, while enrolled nurses may be able to provide safe and cost-effective chronic care for stable patients with HIV. This study aims to demonstrate whether POC VL testing combined with task shifting to enrolled nurses is non-inferior and cost-effective compared with laboratory-based VL monitoring and standard HIV care...
September 27, 2017: BMJ Open
https://www.readbyqxmd.com/read/28940618/predictors-and-moderators-of-quality-of-life-in-caregivers-of-amputee-patients-by-type-2-diabetes
#13
Maria Suely Alves Costa, Maria Graça Pereira
BACKGROUND: The amputation of a foot or a leg is one of the complications caused by diabetes that creates fear. After the amputation, the patient becomes dependent on a caregiver, who is often not prepared for this new phase of life. Knowing the factors that influence care delivery in caregivers of amputee type 2 diabetes patients is important from an heuristic point of view, since very few studies have focused on this population. OBJECTIVES: This study analysed the predictors and moderators of quality of life, in caregivers of amputee patients due to type 2 diabetes...
September 22, 2017: Scandinavian Journal of Caring Sciences
https://www.readbyqxmd.com/read/28939571/determinants-of-community-pharmacists-quality-of-care-a-population-based-cohort-study-using-pharmacy-administrative-claims-data
#14
Nancy Winslade, Robyn Tamblyn
OBJECTIVE: To determine if a prototype pharmacists' services evaluation programme that uses linked community pharmacy claims and health administrative data to measure pharmacists' performance can be used to identify characteristics of pharmacies providing higher quality of care. DESIGN: Population-based cohort study using community pharmacy claims from 1 November 2009 to 30 June 2010. SETTING: All community pharmacies in Quebec, Canada. PARTICIPANTS: 1742 pharmacies dispensing 8 655 348 antihypertensive prescriptions to 760 700 patients...
September 21, 2017: BMJ Open
https://www.readbyqxmd.com/read/28928190/interdisciplinary-model-of-care-radicals-for-early-detection-and-management-of-chronic-obstructive-pulmonary-disease-copd-in-australian-primary-care-study-protocol-for-a-cluster-randomised-controlled-trial
#15
Jenifer Liang, Michael J Abramson, Nicholas Zwar, Grant Russell, Anne E Holland, Billie Bonevski, Ajay Mahal, Benjamin van Hecke, Kirsten Phillips, Paula Eustace, Eldho Paul, Kate Petrie, Sally Wilson, Johnson George
INTRODUCTION: Up to half of all smokers develop clinically significant chronic obstructive pulmonary disease (COPD). Gaps exist in the implementation and uptake of evidence-based guidelines for managing COPD in primary care. We describe the methodology of a cluster randomised controlled trial (cRCT) evaluating the efficacy and cost-effectiveness of an interdisciplinary model of care aimed at reducing the burden of smoking and COPD in Australian primary care settings. METHODS AND ANALYSIS: A cRCT is being undertaken to evaluate an interdisciplinary model of care (RADICALS - Review of Airway Dysfunction and Interdisciplinary Community-based care of Adult Long-term Smokers)...
September 18, 2017: BMJ Open
https://www.readbyqxmd.com/read/28922083/strategies-in-recommending-influenza-vaccination-in-europe-and-us
#16
Caterina Rizzo, Gianni Rezza, Walter Ricciardi
There is potential for influenza vaccine programmes to make a substantial impact on the disease burden. The World Health Organization (WHO) has identified young children, pregnant women, persons with chronic medical conditions, and the elderly as being at risk for severe influenza disease and therefore important groups to be considered for influenza vaccination. Applying the methodology of scoping review of grey and scientific literature we described the European and the US approach to influenza vaccine prevention...
September 18, 2017: Human Vaccines & Immunotherapeutics
https://www.readbyqxmd.com/read/28899392/care-beyond-the-hospital-ward-understanding-the-socio-medical-trajectory-of-herpes-simplex-virus-encephalitis
#17
Jessie Cooper, Ciara Kierans, Sylviane Defres, Ava Easton, Rachel Kneen, Tom Solomon
BACKGROUND: Herpes simplex virus (HSV) encephalitis is a life-threatening infection of the brain, which has significant physical, cognitive and social consequences for survivors. Despite increasing recognition of the long-term effects of encephalitis, research and policy remains largely focused on its acute management, meaning there is little understanding of the difficulties people face after discharge from acute care. This paper aims to chart the problems and challenges which people encounter when they return home after treatment for HSV encephalitis...
September 12, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28893078/assessing-home-based-rehabilitation-within-the-development-of-an-integrated-model-of-care-for-people-living-with-hiv-in-a-resource-poor-community
#18
Saul Cobbing, Jill Hanass-Hancock, Hellen Myezwa
BACKGROUND: People living with HIV (PLHIV) are living longer lives but are at a greater risk of developing disability. South Africa has the largest antiretroviral therapy (ART) programme in the world, shifting HIV from a deadly to a chronic disease. The integration of rehabilitation into chronic care is therefore now crucial to ensure the highest quality of life of PLHIV. AIM: To describe how a home-based rehabilitation (HBR) programme adhered to the fundamental principles of a theoretical model of integrated care developed for the study setting in KwaZulu-Natal, South Africa...
August 31, 2017: African Journal of Primary Health Care & Family Medicine
https://www.readbyqxmd.com/read/28879545/real-life-use-of-onabotulinumtoxina-for-symptom-relief-in-patients-with-chronic-migraine-repose-study-methodology-and-baseline-data
#19
Brendan Davies, Charly Gaul, Paolo Martelletti, Juan Carlos García-Moncó, Stephanie Brown
BACKGROUND: Migraine is a debilitating neurological disorder that affects 14.1% of the US and 14.7% of the European populations. Chronic migraine (CM) is broadly defined as headache occurring on ≥15 days per month for ≥3 months, and has an estimated worldwide prevalence of 1.4% to 2.2%. OnabotulinumtoxinA is currently approved for the treatment of CM in most European countries, and is the only preventative treatment approved for adults with CM, based on results from the PREEMPT clinical trial programme...
September 6, 2017: Journal of Headache and Pain
https://www.readbyqxmd.com/read/28872291/prevention-programmes-in-primary-health-care-8-aspects-of-their-effective-implementation
#20
Karolina Zakrzewska, Natalia Parda, Magdalena Rosińska
INTRODUCTION: Primary health care (PHC) is an optimal setting for the purpose of primary and secondary prevention. Health education, vaccinations, screening may be successfully introduced to the PHC settings. Consequently, it would ensure better access to services and their accessibility for all social groups. OBJECTIVE: The purpose of this paper was to determine factors which have an impact on the implementation of prevention programmes in the PHC settings as well as actions which improve the effectiveness of such programmes in Europe and worldwide with a special attention paid to the prevention programmes concerning chronic infectious diseases...
2017: Przegla̧d Epidemiologiczny
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