keyword
https://read.qxmd.com/read/38525756/a-proposal-for-a-multidisciplinary-integrated-oral-health-network-for-patients-undergoing-major-orthopaedic-surgery-iohn-os
#21
JOURNAL ARTICLE
Matteo Briguglio, Thomas W Wainwright, Marialetizia Latella, Aurora Ninfa, Claudio Cordani, Cecilia Colombo, Giuseppe Banfi, Luca Francetti, Stefano Corbella
The passing of the years of life physiologically leads to the accumulation of changes in tissues in the oral cavity, influencing dentition, chewing and swallowing mechanisms, and the oral microbiota. Some diseases and medications can aggravate oral symptoms and negatively influence eating behaviours, increasing the likelihood of becoming malnourished. This could make older individuals more vulnerable to complications when undergoing major orthopaedic surgery. Hidden infection foci in the oral cavity are a recognised cause of post-operative periprosthetic joint infections...
March 19, 2024: Geriatrics
https://read.qxmd.com/read/38525641/evaluation-of-the-impact-of-pepfar-transition-on-retention-in-care-in-south-africa-s-western-cape-province
#22
JOURNAL ARTICLE
J Chiliza, R Laing, F G Feeley, A T Brennan
BACKGROUND: Research on the impact of the US President's Emergency Plan for AIDS Relief (PEPFAR) transition in South Africa (SA) in 2012 found varying results in retention in care (RIC) of people living with HIV (PLWH). OBJECTIVES: To investigate the factors that impacted RIC during the PEPFAR transition in Western Cape Province, SA, in 2012. METHODS: We used aggregate data from 61 facilities supported by four non-governmental organisations from 2007 to 2015...
December 31, 2023: South African Medical Journal
https://read.qxmd.com/read/38525526/comorbidities-healthcare-use-and-contact-with-healthcare-transition-services-in-older-veterans-after-incarceration
#23
JOURNAL ARTICLE
Alison R Hwong, Lisa C Barry, Yixia Li, Amy L Byers
BACKGROUND: The Health Care for Reentry Veterans (HCRV) program was established to support community reintegration for veterans after incarceration. Yet, it is unclear how those with and without HCRV contact differ. We sought to evaluate differences in medical and psychiatric conditions and healthcare utilization among mid-to late-life reentry veterans who did and did not receive HCRV outreach. METHODS: Study participants were veterans aged ≥50 years who qualified for Medicare fee-for-service, had experienced incarceration for ≥1 year, and were released from incarceration between October 1, 2006, and September 30, 2018 (N = 9733)...
March 25, 2024: Journal of the American Geriatrics Society
https://read.qxmd.com/read/38525089/the-role-of-telepharmacy-in-the-delivery-of-clinical-pharmacy-services-following-the-covid-19-pandemic-a-descriptive-report
#24
JOURNAL ARTICLE
Allison Hursman, Chapleur Vang, Taylor Thooft, Kirsten Stone
Background: Telepharmacy, which utilizes telecommunication technology to provide pharmaceutical care remotely, has gained significance in expanding access to pharmacists, particularly in areas with limited health care facility access. The COVID-19 pandemic, with its restrictions on in-person interactions, underscored the importance of telepharmacy in ensuring continuity of care. Objectives: The objective of this study was to determine the impact of telepharmacy on the delivery of clinical pharmacy services before and after the COVID-19 pandemic...
April 2024: Journal of Pharmacy Technology: JPT: Official Publication of the Association of Pharmacy Technicians
https://read.qxmd.com/read/38524835/reducing-discharge-medication-reconciliation-errors-at-a-pediatric-neurology-inpatient-unit
#25
JOURNAL ARTICLE
Sara Adducchio, Ethan D Grant, Laura D Fonseca, Abiodun Omoloja, Gogi Kumar
BACKGROUND AND OBJECTIVES: Medication reconciliation errors are a common problem in health care, particularly during transitions of care. Discharge medication reconciliation (DMR) errors in a pediatric setting can range from 26% to 42.2%. We conducted a quality improvement project to decrease DMR error rate at Dayton Children's Hospital in Dayton, Ohio. METHODS: We conducted 2 interventions, each with 3 Plan-Do-Study-Act cycles from September 2021 through February 2023...
April 2024: Neurology. Clinical Practice
https://read.qxmd.com/read/38524387/alternative-payment-models-and-patient-reported-quality-of-preparation-for-discharge-a-retrospective-longitudinal-study
#26
JOURNAL ARTICLE
Sunny C Lin, Julia Adler-Milstein, John M Hollingsworth, Andrew Ryan
Preparing patients for posthospital care may improve readmission risk. Alternative payment models (APMs) incent hospitals to reduce readmissions by tying payment to outcomes. The impact of APMs on preparation for discharge is not well understood. We assessed whether patient-reported preparation for posthospital care was associated with reduced readmissions, and whether APM participation was associated with improved preparation for posthospital care. We used mixed-effects regression on retrospective (2013-2017) observational data for 2685 U...
2024: Journal of Patient Experience
https://read.qxmd.com/read/38524155/healthcare-utilization-and-clinical-characteristics-of-genetic-epilepsy-in-electronic-health-records
#27
JOURNAL ARTICLE
Christian M Boßelmann, Alina Ivaniuk, Mark St John, Sara C Taylor, Gokul Krishnaswamy, Alex Milinovich, Costin Leu, Ajay Gupta, Elia M Pestana-Knight, Imad Najm, Dennis Lal
Understanding the clinical characteristics and medical treatment of individuals affected by genetic epilepsies is instrumental in guiding selection for genetic testing, defining the phenotype range of these rare disorders, optimizing patient care pathways and pinpointing unaddressed medical need by quantifying healthcare resource utilization. To date, a matched longitudinal cohort study encompassing the entire spectrum of clinical characteristics and medical treatment from childhood through adolescence has not been performed...
2024: Brain communications
https://read.qxmd.com/read/38523658/a-qualitative-analysis-of-adolescent-motherhood-within-the-broader-family-context-in-peru
#28
JOURNAL ARTICLE
Elizabeth J Levey, Alejandra E Morfín Rodriguez, Andrew R Chang, Marta B Rondon, Maria Luisa Jimenez Sanchez, Alexandra M Harrison, Bizu Gelaye, Anne E Becker
OBJECTIVE: The purpose of this study was to characterize the impact of adolescent pregnancy on families and describe the needs of adolescent mothers and their infants in order to assess the need for intervention and identify potential intervention targets. BACKGROUND: Adolescent mothers and their offspring face an increased risk of mental health problems. Adolescent mothers and their families also face significant resource constraints; 95% live in low- and middle-income countries (LMICs)...
April 2024: Family Relations
https://read.qxmd.com/read/38523400/advantages-and-limits-of-remote-consultations-for-hiv-pre-exposure-prophylaxis-health-pathway-eprep-qualitative-study
#29
JOURNAL ARTICLE
Cathie Faussat, Alicia Bonnin, Daniel Hilt, Fabien Rivière-Da Silva, Christine Baissin, David Michels, Guillaume Gras, Céline Leclerc, Catherine Aumond, Leslie Grammatico-Guillon
OBJECTIVE: Because of a high rate of HIV diagnosis and restricted medical access in the Centre-Val de Loire region in France , remote consultations (RC) with a community-based approach has been implemented to promote access to healthcare. Our study aimed to determine whether RC could improve access to pre-exposure prophylaxis (PrEP) for men who have sex with men (MSM) as part of the healthcare pathway associated with PrEP. MATERIALS AND METHODS: A qualitative approach involving semi-structured interviews with 17 MSM and 3 physicians from specialized sexual health centres was performed, with a mean duration of interview over one hour...
March 2, 2024: J Epidemiol Popul Health
https://read.qxmd.com/read/38523259/letting-go-of-control-a-qualitative-descriptive-study-exploring-parents-perspectives-on-their-child-s-transition-from-pediatric-to-adult-care-for-inflammatory-bowel-disease
#30
JOURNAL ARTICLE
Allison Bihari, Karen J Goodman, Eytan Wine, Cynthia H Seow, Karen I Kroeker
Parents of young adults with chronic disease are important stakeholders in their child's transition from pediatric to adult care. There remains a gap in characterizing the parent experience during transition. This study describes the experiences of 13 mothers of young adults with inflammatory bowel disease during their child's transition. Most parents expressed fear and sadness about their child transitioning. Themes relating to involvement in their child's adult care included: direct involvement (sub-themes: disease management; logistics of care); and indirect involvement...
March 24, 2024: Journal of Health Psychology
https://read.qxmd.com/read/38523061/long-and-short-term-frequent-attenders-perceptions-of-patient-centredness-in-finnish-primary-healthcare-a-cross-sectional-survey-and-the-equivalence-of-the-factor-structure-of-the-36-item-patient-centred-primary-care-instrument
#31
JOURNAL ARTICLE
Huhtakangas Moona, Tolvanen Mimmi, Kyngäs Helvi, Kanste Outi
AIM: The study aimed to compare long- and short-term frequent attenders' (FAs) perceptions of patient-centredness and to assess the equivalence of the factor structure of patient-centred primary care (PCPC) instrument for long- and short-term FAs. METHODS: A cross-sectional survey of long-term (n = 234) and short-term (n = 261) FAs within the primary healthcare of one city in Finland. The data collected in January-July 2020 via 'the 36-item PCPC instrument' were analysed using Pearson's chi-squared test, Mann-Whitney U-test, Cronbach's alpha, and multigroup confirmatory factor analysis (MGCFA)...
March 24, 2024: Scandinavian Journal of Caring Sciences
https://read.qxmd.com/read/38522434/creating-a-framework-for-change-transitioning-to-value-based-healthcare-in-queensland
#32
JOURNAL ARTICLE
Belinda Gavaghan, Jennifer Finch, Katelyn Clarke
Value-based healthcare has been described as the sustainable, equitable and transparent use of healthcare resources to achieve improved experiences and outcomes for people and communities. It is supported by all levels of government in Australia, with recent initiatives championing a shift away from traditional, clinician-centric care delivery to a more contemporary, value-based approach. To date, however, efforts in Queensland have focused on smaller scale siloed models of care and have not extended to the transformational change required to create equitable and sustainable healthcare delivery...
March 25, 2024: Australian Health Review: a Publication of the Australian Hospital Association
https://read.qxmd.com/read/38520827/does-group-based-parent-support-during-the-transition-to-parenthood-affect-child-socio-emotional-problems-and-health-care-utilization-a-randomized-controlled-trial
#33
JOURNAL ARTICLE
Tea Trillingsgaard, Hanne Nørr Fentz, Marianne Simonsen
As government-funded universal programs for new parents continue to expand, it is critical to investigate their short- and longer-term effects. The level of knowledge, especially on the effect of group-based interventions, is sparse. This study is the second report from a large trial of a widely implemented universal group-based parenting program in Denmark and includes outcomes on child socio-emotional problems and use of health services. A sample of 1701 unborn children from families representative within the area, were randomized to intervention or care as usual beginning November 2014...
March 11, 2024: Social Science & Medicine
https://read.qxmd.com/read/38520586/continuation-of-pediatric-care-after-transfer-to-adult-care-among-autistic-youth-overlap-of-pediatric-and-adult-care
#34
JOURNAL ARTICLE
Joseph Sirrianni, Christopher Hanks, Steve Rust, Laura C Hart
The transition from pediatric to adult health care is a vulnerable time period for autistic adolescents and young adults (AYA) and for some autistic AYA may include a period of receiving care in both the pediatric and adult health systems. We sought to assess the proportion of autistic AYA who continued to use pediatric health services after their first adult primary care appointment and to identify factors associated with continued pediatric contact. We analyzed electronic medical record (EMR) data from a cohort of autistic AYA seen in a primary-care-based program for autistic people...
March 23, 2024: Journal of Autism and Developmental Disorders
https://read.qxmd.com/read/38520497/-we-want-to-change-the-system-a-qualitative-study-on-emergency-medicine-physician-leadership
#35
JOURNAL ARTICLE
J Stempien, M Gibson, A Harrison
OBJECTIVE: The significance of physician leadership to help transform the healthcare system has been increasingly discussed. This study looked at the qualities of emergency medicine (EM) physicians that support or inhibit their work as healthcare leaders. METHODS: Through an iterative process of semi-structured interviews and then focus groups, we examined why EM physicians pursue leadership roles, the strengths they bring and the frustrations they encounter. Thematic analysis identified factors that facilitate and inhibit the work of EM physicians as they enter leadership roles...
March 23, 2024: CJEM
https://read.qxmd.com/read/38520432/emerging-adults-with-type-2-diabetes-understanding-illness-experience-and-transition-to-adult-care
#36
JOURNAL ARTICLE
Emma K Edmondson, Stephanie M Garcia, Emily F Gregory, Mary Ellen Vajravelu, Dava Szalda, Judy A Shea, Senbagam Virudachalam
PURPOSE: Youth-onset type 2 diabetes (T2D) is increasingly common and is often diagnosed shortly before transition from pediatric to adult care. Little is known about the experience of emerging adults (EAs) with T2D and the readiness, barriers, and facilitators to transition. This study sought to describe the illness experience of EAs with T2D and perceptions about transition, and explore themes by "transition readiness," measured by the Transition Readiness Assessment Questionnaire (TRAQ)...
March 21, 2024: Journal of Adolescent Health
https://read.qxmd.com/read/38519952/progress-with-the-learning-health-system-2-0-a-rapid-review-of-learning-health-systems-responses-to-pandemics-and-climate-change
#37
JOURNAL ARTICLE
Carolynn L Smith, Georgia Fisher, Putu Novi Arfirsta Dharmayani, Shalini Wijekulasuriya, Louise A Ellis, Samantha Spanos, Genevieve Dammery, Yvonne Zurynski, Jeffrey Braithwaite
BACKGROUND: Pandemics and climate change each challenge health systems through increasing numbers and new types of patients. To adapt to these challenges, leading health systems have embraced a Learning Health System (LHS) approach, aiming to increase the efficiency with which data is translated into actionable knowledge. This rapid review sought to determine how these health systems have used LHS frameworks to both address the challenges posed by the COVID-19 pandemic and climate change, and to prepare for future disturbances, and thus transition towards the LHS2...
March 22, 2024: BMC Medicine
https://read.qxmd.com/read/38519016/a-quality-improvement-initiative-to-improve-health-care-transition-planning-at-adolescent-well-visits
#38
JOURNAL ARTICLE
Abigail Arons, Rebecca K Tsevat, Emily Hotez, Holly Huang, Rohini Nott, Hayoung Ahn, Needhi Mehta, Lynn Nguyen, Van Nguyen, Ariana Gonzalez Rebollar, Susan Duan, Janet Ma
OBJECTIVE: Health care transition (HCT) planning supports adolescents as they move from pediatric to adult health care and is recommended for all youth. HCT planning uptake remains low, with little known about HCT in the adolescent well child check (WCC) setting. We sought to increase rates of HCT planning at WCCs by adapting best practices for HCT from specialty and chronic care. METHODS: This quality improvement initiative at 12 to 17-year-old WCCs at four Internal Medicine-Pediatrics primary care clinics, was based on the first three of the "Six Core Elements" of HCT framework and integrated into the electronic health record...
March 20, 2024: Academic Pediatrics
https://read.qxmd.com/read/38517005/the-indian-academy-of-pediatrics-and-directorate-general-of-health-services-government-of-india-white-paper-on-transition-of-care-for-youth-with-special-health-care-needs
#39
JOURNAL ARTICLE
Jagdish Chandra, Mamta Manglani, Satinder Aneja, K P Vinayan, Aditi Sinha, Piali Mandal, Devendra Mishra, Rajeev Seth, Upendra Kinjawadekar
Over the years, survival of children with chronic diseases has significantly improved and a large proportion of them now are entering into adult hood. Transition of Care (ToC) of such patients with having childhood onset of chronic diseases to the adult health care system is well organized in developed countries, although it is an emerging concept in India. In situations where the systems for ToC are not in place, such cases are fraught with unsatisfactory health outcomes. With proper ToC in place, these patients are likely to receive uninterrupted care by the adult care physicians and hence reach their full potential...
March 19, 2024: Indian Pediatrics
https://read.qxmd.com/read/38516992/transforming-diagnostics-the-implementation-of-digital-pathology-in-clinical-laboratories
#40
REVIEW
Christine Bruce, Ioannis Prassas, Mark Mokhtar, Blaise Clarke, Elaria Youssef, Catherine Wang, George M Yousef
Digital pathology (DP) has emerged as a cutting-edge technology that promises to revolutionise diagnostics in clinical laboratories. This perspective article explores the implementation planning and considerations of DP in a single multicentre institution in Canada, the University Health Network, discussing benefits, challenges, potential implications and considerations for future adopters. We examine the transition from traditional microscopy to digital slide scanning and its impact on pathology practice, patient care and medical research...
March 22, 2024: Histopathology
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