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Critical care outreach

Dawn M Klein, Kassi Pham, Leila Samy, Adam Bluth, Kim M Nazi, Matthew Witry, J Stacey Klutts, Kathleen M Grant, Adi V Gundlapalli, Gary Kochersberger, Laurie Pfeiffer, Sergio Romero, Brian Vetter, Carolyn L Turvey
INTRODUCTION: Information continuity is critical to person-centered care when patients receive care from multiple healthcare systems. Patients can access their electronic health record data through patient portals to facilitate information exchange. This pilot was developed to improve care continuity for rural Veterans by (1) promoting the use of the Department of Veterans Affairs (VA) patient portal to share health information with non-VA providers, and (2) evaluating the impact of health information sharing at a community appointment...
October 11, 2016: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
Elizabeth A Kessler, Ashley K Sherman, Mara L Becker
BACKGROUND: There is a critical shortage of pediatric rheumatologists in the US. Substantial travel to clinics can impose time and monetary burdens on families. The aim of this study was to evaluate the cost of in-person pediatric rheumatology visits for families and determine if telemedicine clinics resulted in time and cost savings. Factors associated with interest in telemedicine were also explored. METHODS: Surveys were offered to parents and guardians of patients in Pediatric Rheumatology follow-up clinics in Kansas City, Missouri, the primary site of in-person care, and at a telemedicine outreach site 160 miles away, in Joplin, Missouri...
September 20, 2016: Pediatric Rheumatology Online Journal
Elizabeth Brooks, Nancy K Dailey, Byron D Bair, Jay H Shore
OBJECTIVES: Many work to ensure that women veterans receive appropriate and timely health care, yet the needs of those living in rural areas are often ignored. This is a critical oversight given the multitude of reports documenting rural access problems and health disparities. Lacking this, we are unable to plan for and evaluate appropriate care for this specific group. In this project, we spoke with rural women veterans to document service needs and quality of care from their perspective...
September 2016: Military Medicine
Caroline Kovacs
No abstract text is available yet for this article.
October 2016: International Journal of Nursing Practice
R Colby Passaro, Connie A Haley, Hugo Sanchez, Sten H Vermund, Aaron M Kipp
BACKGROUND: The HIV prevalence among men who have sex with men (MSM) in Peru (12.4 %) is 30 times higher than in the general adult population (0.4 %). It is critical for community-based organizations to understand how to provide HIV services to MSM while maximizing limited resources. This study describes the HIV prevalence and risk profiles of MSM seeking HIV services at a community-based organization in Lima, Peru. It then compares HIV prevalence between those who found out about the HIV services through different sources...
2016: BMC Public Health
Alireza Jeddian, Karla Hemming, Antje Lindenmeyer, Arash Rashidian, Leila Sayadi, Nazila Jafari, Reza Malekzadeh, Tom Marshall
PURPOSE: This trial evaluates implementation of critical care outreach in a middle-income country. MATERIALS AND METHODS: Critical care outreach delivered by a team of intensive care nurses was implemented across general hospital wards in an Iranian university hospital. The order of implementation was randomized with wards stratified by predicted mortality rates. Effectiveness was evaluated using a stepped wedge cluster randomized controlled trial design, comparing outcomes between patients admitted before and after implementation...
July 26, 2016: Journal of Critical Care
Sukumar Vellakkal, Adyya Gupta, Zaky Khan, David Stuckler, Aaron Reeves, Shah Ebrahim, Ann Bowling, Pat Doyle
BACKGROUND: In 2005, India launched the National Rural Health Mission (NRHM) to strengthen the primary healthcare system. NRHM also aims to encourage pregnant women, particularly of low socioeconomic backgrounds, to use institutional maternal healthcare. We evaluated the impacts of NRHM on socioeconomic inequities in the uptake of institutional delivery and antenatal care (ANC) across high-focus (deprived) Indian states. METHODS: Data from District Level Household and Facility Surveys (DLHS) Rounds 1 (1995-99) and 2 (2000-04) from the pre-NRHM period, and Round 3 (2007-08), Round 4 and Annual Health Survey (2011-12) from post-NRHM period were used...
August 10, 2016: Health Policy and Planning
S Adam Granato, Stephen Gloyd, Julia Robinson, Serge A Dali, Irma Ahoba, David Aka, Seydou Kouyaté, Doroux A Billy, Samuel Kalibala, Ahoua Koné
INTRODUCTION: Loss-to-follow-up (LTFU) in the prevention of mother-to-child HIV transmission (PMTCT) programmes can occur at multiple stages of antenatal and follow-up care. This paper presents findings from a national assessment aimed at identifying major bottlenecks in Côte d'Ivoire's PMTCT cascade, and to distinguish characteristics of high- and low-performing health facilities. METHODS: This cross-sectional study, based on a nationally representative sample of 30 health facilities in Côte d'Ivoire used multiple data sources (registries, patient charts, patient booklets, interviews) to determine the magnitude of LTFU in PMTCT services...
2016: Journal of the International AIDS Society
Joseph L Nates, Mark Nunnally, Ruth Kleinpell, Sandralee Blosser, Jonathan Goldner, Barbara Birriel, Clara S Fowler, Diane Byrum, William Scherer Miles, Heatherlee Bailey, Charles L Sprung
OBJECTIVES: To update the Society of Critical Care Medicine's guidelines for ICU admission, discharge, and triage, providing a framework for clinical practice, the development of institutional policies, and further research. DESIGN: An appointed Task Force followed a standard, systematic, and evidence-based approach in reviewing the literature to develop these guidelines. MEASUREMENTS AND MAIN RESULTS: The assessment of the evidence and recommendations was based on the principles of the Grading of Recommendations Assessment, Development and Evaluation system...
August 2016: Critical Care Medicine
Joseph A Dearani, Jeffrey P Jacobs, R Morton Bolman, JaBaris D Swain, Luca A Vricella, Samuel Weinstein, Emily A Farkas, John H Calhoon
Noncommunicable diseases account for 38 million deaths each year, and approximately 75% of these deaths occur in the developing world. The most common causes include cardiovascular diseases, cancer, respiratory diseases, and diabetes mellitus. Many adults with acquired cardiothoracic disease around the world have limited access to health care. In addition, congenital heart disease is present in approximately 1% of live births and is therefore the most common congenital abnormality. More than one million children in the world are born with congenital heart disease each year, and approximately 90% of these children receive suboptimal care or have no access to care...
September 2016: Annals of Thoracic Surgery
(no author information available yet)
After qualifying as a nurse in 1987, Alison Dinning held a variety of clinical roles before taking up a critical care outreach nurse post in 2000.
June 15, 2016: Nursing Standard
J Ruiz Moreno, J M Nicolás Arfelis, V Gómez Tello, M J Esteve Paños, R Corcuera Romero de la Devesa, E González Marín, P Castro Rebollo, P Merino de Cos, N Franco Garrobo, F Baigorri González
No abstract text is available yet for this article.
December 2015: Intensive Care Medicine Experimental
N Muchoki
No abstract text is available yet for this article.
December 2015: Intensive Care Medicine Experimental
Nicole R Schultz, Rociel Martinez, Michael A Cucciare, Christine Timko
BACKGROUND: Because substance use disorder (SUD) treatment is expanding, and detoxification (detox) is often the entry point to SUD treatment, it is critical to provide ready access to detox services. OBJECTIVES: The purpose of the current study was to examine patient, program, and system barriers or facilitators to detox access within an integrated health care system with variable rates of detox utilization across facilities. METHODS: Inpatient and outpatient providers from 31 different U...
August 23, 2016: Substance Use & Misuse
Eric R Pedersen, Joan S Tucker, Stephanie A Kovalchik
Drop-in centers for homeless youth address basic needs for food, hygiene, and clothing but can also provide critical services that address youth's "higher level" needs (e.g., substance use treatment, mental health care, HIV-related programs). Unlike other services that have restrictive rules, drop-in centers typically try to break down barriers and take a "come as you are" approach to engaging youth in services. Given their popularity, drop-in centers represent a promising location to deliver higher level services to youth that may not seek services elsewhere...
August 2016: Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine
Shengnan Wang, Helen Smith, Zhuoxin Peng, Biao Xu, Weibing Wang
This study used a system evaluation method to summarize China's experience on improving the coverage of hepatitis B vaccine, especially the strategies employed to improve the uptake of timely birth dosage. Identifying successful methods and strategies will provide strong evidence for policy makers and health workers in other countries with high hepatitis B prevalence.We conducted a literature review included English or Chinese literature carried out in mainland China, using PubMed, the Cochrane databases, Web of Knowledge, China National Knowledge Infrastructure, Wanfang data, and other relevant databases...
May 2016: Medicine (Baltimore)
Jacqueline F Kauff, Elizabeth Clary, Kristin Sue Lupfer, Pamela J Fischer
OBJECTIVE: Accessing Supplemental Security Income (SSI) and Social Security Disability Insurance (SSDI) is challenging for people experiencing or at risk of homelessness. The federally funded SSI/SSDI Outreach, Access and Recovery (SOAR) project aims to improve access to SSI and SSDI through technical assistance (TA) to communities for promoting collaboration among agencies that serve this population and training professionals to assist people with applications. This study examined how SOAR TA has influenced community implementation efforts and the outcomes of these efforts...
May 2, 2016: Psychiatric Services: a Journal of the American Psychiatric Association
Nickolas D Zaller, Emily J Patry, Lauri B Bazerman, Amanda Noska, Irene Kuo, Ann Kurth, Curt G Beckwith
Hepatitis C virus (HCV) affects between five and seven million individuals in the United States and chronic infection can lead to liver disease, cirrhosis, and hepatocellular carcinoma. Probation/parole offices are a novel setting for rapid HCV testing, providing outreach to populations at increased risk for HCV infection and/or transmitting HCV to others. While some correctional facilities offer HCV testing, many individuals who present to probation/parole offices are never or briefly incarcerated and may not access medical services...
2016: Journal of Health Care for the Poor and Underserved
Shira M Goldenberg, Godfrey Muzaaya, Monica Akello, Paul Nguyen, Josephine Birungi, Kate Shannon
OBJECTIVE: Sex workers (SWs) in sub-Saharan Africa face a disproportionate HIV burden and growing concerns of severe human rights violations. Given the dearth of evidence on the burden and correlates of HIV among SWs in sub-Saharan Africa, particularly within conflict-affected settings, we examined the relationship between structural determinants (eg, war-related abduction, incarceration) and HIV infection among conflict-affected SWs in Northern Uganda. DESIGN: Cross-sectional community-based research study among female SWs in conflict-affected Gulu, Northern Uganda...
September 1, 2016: Journal of Acquired Immune Deficiency Syndromes: JAIDS
Sarah Drew, Christopher Lavy, Rachael Gooberman-Hill
OBJECTIVES: To conduct a systematic synthesis of previous research to identify factors that affect treatment-seeking for clubfoot and community-level interventions to improve engagement in low- and middle-income counties. METHODS: A search of five databases was conducted, and articles screened using six criteria. Quality was appraised using the Critical Appraisal Skills Programme checklist. Eleven studies were identified for inclusion. Analysis was informed by a social ecological model, which specifies five inter-related factors that may affect treatment-seeking: intrapersonal, interpersonal, institutional, community or socio-cultural factors and public policy...
May 2016: Tropical Medicine & International Health: TM & IH
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