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https://www.readbyqxmd.com/read/28812844/clinician-perspectives-of-barriers-to-effective-implementation-of-a-rapid-response-system-in-an-academic-health-centre-a-focus-group-study
#1
John Rihari-Thomas, Michelle DiGiacomo, Jane Phillips, Phillip Newton, Patricia M Davidson
BACKGROUND: Systemic and structural issues of rapid response system (RRS) models can hinder implementation. This study sought to understand the ways in which acute care clinicians (physicians and nurses) experience and negotiate care for deteriorating patients within the RRS. METHODS: Physicians and nurses working within an Australian academic health centre within a jurisdictional-based model of clinical governance participated in focus group interviews. Verbatim transcripts were analysed using thematic content analysis...
January 1, 2017: International Journal of Health Policy and Management
https://www.readbyqxmd.com/read/28812809/trade-policy-and-health-adding-retrospective-studies-to-the-research-agenda-comment-on-the-trans-pacific-partnership-is-it-everything-we-feared-for-health
#2
Chantal Blouin
Prospective studies of the potential health consequences of trade and investment treaties, such as the Trans-Pacific Partnership, are critical. These studies can make visible to trade policy-makers the potential negative impacts associated to such treaties and can influence the outcomes of such negotiations. However, few researchers have examined retrospectively the consequences of trade agreements. With more than 400 trade agreements and more than 2000 investment treaties currently in force, researchers have a large corpus of agreements to analyse in order to assess not only their potential impacts on health system and population health, but also their actual impacts...
September 10, 2016: International Journal of Health Policy and Management
https://www.readbyqxmd.com/read/28812799/current-models-of-investor-state-dispute-settlement-are-bad-for-health-the-european-union-could-offer-an-alternative-comment-on-the-trans-pacific-partnership-is-it-everything-we-feared-for-health
#3
Martin McKee, David Stuckler
In this commentary, we endorse concerns about the health impact of the trans-pacific partnership (TPP), paying particular attention to its mechanisms for investor state dispute settlement. We then describe the different, judge-led approach being advocated by the European Commission team negotiating the Trans-Atlantic Trade and Investment Partnership, arguing that, while not perfect, it offers significant advantages.
August 20, 2016: International Journal of Health Policy and Management
https://www.readbyqxmd.com/read/28812449/balancing-performance-based-expectations-with-a-holistic-perspective-on-coaching-a-qualitative-study-of-swedish-women-s-national-football-team-coaches-practice-experiences
#4
Eva-Carin Lindgren, Natalie Barker-Ruchti
PURPOSE: The purpose of this study was to explore how an exclusive sample of women's national football team coaches described how they implement careful coaching while facing social and organizational pressure to win medals. METHOD: To consider coaches' negotiations, we drew on Noddings' concept of caring. Using an interpretive research paradigm, we conducted in-depth interviews with five Swedish women's national football team coaches. An abductive approach was used to simultaneously process the theoretical framework of "ethics of care" and the empirical data...
December 2017: International Journal of Qualitative Studies on Health and Well-being
https://www.readbyqxmd.com/read/28812229/economics-and-cost-effectiveness-of-multiple-sclerosis-therapies-in-the-usa
#5
REVIEW
Daniel M Hartung
Multiple sclerosis (MS) is a disabling, chronic disease that imposes a significant economic burden on patients and the US healthcare system. The largest cost component for individuals with MS are prescription drugs, specifically disease-modifying therapies (DMTs). Despite an increase in the number and diversity of DMTs over the past 10 years, acquisition costs for all DMTs have escalated dramatically at rates substantially higher than medical inflation. Currently, costs for most DMTs exceed $70,000 a year. Recent cost-effectiveness studies suggest the cost for nearly all DMTs exceeds generally accepted thresholds for what is considered a good value in the USA, even after factoring expected rebates...
August 15, 2017: Neurotherapeutics: the Journal of the American Society for Experimental NeuroTherapeutics
https://www.readbyqxmd.com/read/28810413/negotiations-between-health-and-social-goals-over-the-lifespan-the-role-of-future-time-perspective
#6
Kin-Kit Li
The interplay between health and social goals in relation to age and future time perspective was examined among 131 older and 131 younger adults via surveys and future time manipulations (limited, unchanged, and expansive). Being older was associated with weaker physical activity intentions and social activity intentions as mediated by a limited future time perspective. Physical activity intentions decreased in the limited condition and increased in the expansive condition, social activity intentions increased in all conditions, and preference toward health (over social) goals decreased in both the limited and expansive conditions...
February 1, 2017: Journal of Health Psychology
https://www.readbyqxmd.com/read/28810400/an-event-level-examination-of-successful-condom-negotiation-strategies-among-young-women
#7
Courtney Peasant, Erika A Montanaro, Trace S Kershaw, Gilbert R Parra, Nicole H Weiss, Jaimie P Meyer, James G Murphy, Tiarney D Ritchwood, Tami P Sullivan
This study examines the effect of condom negotiation strategies on condom use and partner type and substance use before sex as moderators of strategy effectiveness. Women reported their daily sexual behavior during the last month. Withholding sex was more strongly associated with condom use when utilized with a non-casual sex partner. Directly requesting condom use was more strongly and using deceptive reasons to influence condom use was less strongly related to condom use during substance use. Results underscore the importance of understanding the contexts in which condom negotiation strategies are successful in order to improve HIV/sexually transmitted infection prevention efforts among women...
January 1, 2017: Journal of Health Psychology
https://www.readbyqxmd.com/read/28807427/paediatric-fracture-clinic-re-design-incorporating-a-virtual-fracture-clinic
#8
Paul M Robinson, Francis Sim, Mark Latimer, Piers D Mitchell
INTRODUCTION: The use of virtual fracture clinics (VFCs) and home management protocols is increasing. The main aim of this research is to determine whether a paediatric home management programme and VFC can be used safely to manage a range of suitable fractures in children. MATERIALS AND METHODS: Protocols for the home management of stable paediatric fractures were designed by two consultant paediatric orthopaedic surgeons. These were for children between the ages of 18 months and 15 years 364 days...
August 4, 2017: Injury
https://www.readbyqxmd.com/read/28806946/improving-access-to-mental-health-care-in-an-orthodox-jewish-community-a-critical-reflection-upon-the-accommodation-of-otherness
#9
Phil McEvoy, Tracey Williamson, Raphael Kada, Debra Frazer, Chardworth Dhliwayo, Linda Gask
BACKGROUND: The English National Health Service (NHS) has significantly extended the supply of evidence based psychological interventions in primary care for people experiencing common mental health problems. Yet despite the extra resources, the accessibility of services for 'under-served' ethnic and religious minority groups, is considerably short of the levels of access that may be necessary to offset the health inequalities created by their different exposure to services, resulting in negative health outcomes...
August 14, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28805427/on-the-relative-importance-of-individual-level-characteristics-and-dyadic-interaction-effects-in-negotiations-variance-partitioning-evidence-from-a-twins-study
#10
Hillary Anger Elfenbein, Noah Eisenkraft, Jared R Curhan, Lisabeth F DiLalla
Negotiations are inherently dyadic. Negotiators' individual-level characteristics may not only make them perform better or worse in general, but also may make them particularly well- or poorly-suited to negotiate with a particular counterpart. The present research estimates the extent to which performance in a distributive negotiation is affected by (a) the negotiators' individual-level characteristics and (b) dyadic interaction effects that are defined by the unique pairings between the negotiators and their counterparts...
August 14, 2017: Journal of Applied Psychology
https://www.readbyqxmd.com/read/28805424/the-dark-side-of-subjective-value-in-sequential-negotiations-the-mediating-role-of-pride-and-anger
#11
William J Becker, Jared R Curhan
Scholars who study negotiation increasingly recognize the importance of social context, seeing negotiations not merely as 1-shot interactions but as influenced by what came before. Under this longitudinal conceptualization of negotiation, a number of recent studies demonstrate that social psychological outcomes from prior negotiations are positively related to economic performance in subsequent negotiations when negotiating repeatedly with the same counterpart. In this report, we investigate a counterexample in the context of "sequential negotiations," which we define as multiple negotiation sessions that occur within a short time frame but facing different counterparts in each session...
August 14, 2017: Journal of Applied Psychology
https://www.readbyqxmd.com/read/28804600/analysis-of-health-economics-assessment-reports-for-pharmaceuticals-in-france-understanding-the-underlying-philosophy-of-ceesp-assessment
#12
Mondher Toumi, Anastasiia Motrunich, Aurélie Millier, Cécile Rémuzat, Christos Chouaid, Bruno Falissard, Samuel Aballéa
Background: Despite the guidelines for Economic and Public Health Assessment Committee (CEESP) submission having been available for nearly six years, the dossiers submitted continue to deviate from them, potentially impacting product prices. Objective: to review the reports published by CEESP, analyse deviations from the guidelines, and discuss their implications for the pricing and reimbursement process. Study design: CEESP reports published until January 2017 were reviewed, and deviations from the guidelines were extracted...
2017: Journal of Market Access & Health Policy
https://www.readbyqxmd.com/read/28802979/navigating-professional-and-prescribing-boundaries-implementing-nurse-prescribing-in-new-zealand
#13
Anecita Gigi Lim, Nicola North, John Shaw
Non-medical prescribing is now well established in a number of countries. Because prescribing has traditionally been viewed as a medical role, there are inevitable interprofessional boundary tensions when non-medical prescribing is introduced. In New Zealand, enabling legislation has allowed nurse practitioners to apply for prescriptive authority after undertaking appropriate educational preparation. This study explored the experiences and perspectives of one of the first cohorts of nurse prescribers and their strategies in establishing the role and negotiating the associated professional boundaries...
August 8, 2017: Nurse Education in Practice
https://www.readbyqxmd.com/read/28801739/-the-new-treatment-procedures-of-the-dguv-from-the-perspective-of-an-injury-type-procedure-vav-clinic
#14
REVIEW
M Oberst
The new treatment procedures of the German Statutory Accident Insurance (DGUV) have ramifications for the injury type procedure clinics (VAV) from medical, economic and structural aspects. Whereas the latter can be assessed as positive, the medical and economical aspects are perceived as being negative. Problems arise from the partially unclear formulation of the injury type catalogue, which results in unpleasant negotiations with the occupational insurance associations with respect to financial remuneration for services rendered...
August 11, 2017: Der Unfallchirurg
https://www.readbyqxmd.com/read/28799688/developing-a-program-for-enhancing-youth-hiv-treatment-adherence-and-risk-reduction
#15
Warunee Fongkaew, Warawan Udomkhamsuk, Nongkran Viseskul, Marisa Guptaruk
Youth living with HIV face difficult and challenging situations that decrease their adherence to antiretroviral medications. In this study, we developed a pilot program to enhance HIV treatment adherence and risk reduction among youth living with HIV based on collaboration with a community hospital involving a multi-disciplinary healthcare team. Participants were 25 youth living with HIV/AIDS, 18 caregivers, and 12 healthcare providers. The action research process comprised a preliminary stage and four phases of assessment, planning, implementation, and evaluation...
August 11, 2017: Nursing & Health Sciences
https://www.readbyqxmd.com/read/28799470/referral-to-an-acute-child-and-adolescent-inpatient-unit-the-experiences-and-views-of-community-mental-health-referrers
#16
Josephine Stanton, Viktor Lahdenperä, Virginia Braun
Admission to an acute mental health inpatient unit is a significant event for a young person. The interface between inpatient and community teams negotiating the admission and later discharge can be fraught. To understand how to improve the transition between inpatient and community care, we interviewed 48 community clinicians about their experiences of engaging with an acute child and adolescent mental health inpatient unit. Through thematic analysis, we identified management of risk was a central issue. Participants wanted more time in hospital, and more communication and collaboration...
September 2017: Qualitative Health Research
https://www.readbyqxmd.com/read/28794575/caregiver-decision-making-household-response-to-child-illness-in-sub-saharan-africa
#17
Hayley Pierce, Ashley Larsen Gibby, Renata Forste
We draw upon a framework outlining household recognition and response to child illness proposed by Colvin and colleagues (2013) to examine factors predictive of treatment sought for a recent child illness. In particular, we model whether no treatment, middle layer treatment (traditional healer, pharmacy, community health worker, etc.), or biomedical treatment was sought for recent episodes of diarrhea, fever, or cough. Based on multinomial, multilevel analyses of Demographic and Health Surveys from 19 countries in sub-Saharan Africa, we determine that if women have no say in their own healthcare, they are unlikely to seek treatment in response to child illness...
October 2016: Population Research and Policy Review
https://www.readbyqxmd.com/read/28793801/return-to-work-in-the-context-of-everyday-life-7-11-years-after-spinal-cord-injury-a-follow-up-study
#18
Lisa Holmlund, Susanne Guidetti, Gunilla Eriksson, Eric Asaba
PURPOSE: The aim of this follow-up study was to explore experiences of return to work in the context of everyday life among adults 7-11 years after spinal cord injury (SCI). METHODS: This study used in-depth interviews and observations in a qualitative design with eight persons who had previously been interviewed in 2008. A narrative approach was used during data gathering and analysis. RESULTS: Return to work was experienced as something constantly needing to be negotiated in the context of everyday life...
August 9, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/28793365/saving-lives-with-caring-assessments-how-tanzanian-nurse-midwives-and-obstetricians-negotiate-postpartum-practices
#19
Thecla W Kohi, Megan Aston, Lilian T Mselle, Danielle Macdonald, Columba Mbekenga, Gail Tomblin Murphy, Maureen White, Shawna OHearn, Sheri Price, Keisha Jefferies
INTRODUCTION: The Tanzanian Government has prioritized maternal and child health as an urgent health care issue. Nurse-midwives and obstetricians are the two main providers of care throughout the prenatal and postpartum periods. THE AIMS AND OBJECTIVES: The aim was to explore the nurse-midwives and obstetricians experiences delivering postpartum care assessments and how it was constructed through personal, social and institutional discourses. DESIGN: A qualitative design guided by a feminist poststructuralist methodology...
August 9, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28793069/public-procurement-of-hepatitis-c-medicines-in-brazil-from-2005-to-2015
#20
Gabriela Costa Chaves, Claudia Garcia Serpa Osorio de Castro, Maria Auxiliadora Oliveira
This paper analyzes the Minister of Health's (MoH) procurement of medicines for hepatitis C from 2005 to 2015. Data sources were the Integrated General Services Administration (SIASG), to estimate annual expenditure for selected medicines of the MoH Clinical Protocols and Therapeutic Guidelines (PCDT) for Hepatitis C. All presentations and strengths recorded on SIASG were included. The unit prices were estimated based on the purchase with the highest volume each year. There was a 159.5 fold increase in expenditure of the selected medicines from 2005 to 2006, because procurement of those medicines became centralized...
August 2017: Ciência & Saúde Coletiva
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