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integrated documentation in healthcare

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https://www.readbyqxmd.com/read/29773657/review-of-the-role-of-nice-in-promoting-the-adoption-of-innovative-cardiac-technologies
#1
REVIEW
Peter H Groves, Chris Pomfrett, Mirella Marlow
The National Institute for Health and Care Excellence (NICE) Medical Technologies Evaluation Programme (MTEP) promotes the adoption of innovative diagnostic and therapeutic technologies into National Health Service (NHS) clinical practice through the publication of guidance and briefing documents. Since the inception of the programme in 2009, there have been 7 medical technologiesguidance, 3 diagnostics guidance and 23 medtechinnovation briefing documents published that are relevant to the heart and circulation...
May 17, 2018: Heart: Official Journal of the British Cardiac Society
https://www.readbyqxmd.com/read/29747633/a-critique-of-the-uganda-district-league-table-using-a-normative-health-system-performance-assessment-framework
#2
Christine KirungaTashobya, Freddie Ssengooba, Juliet Nabyonga-Orem, Juliet Bataringaya, Jean Macq, Bruno Marchal, Timothy Musila, Bart Criel
BACKGROUND: In 2003 the Uganda Ministry of Health (MoH) introduced the District League Table (DLT) to track district performance. This review of the DLT is intended to add to the evidence base on Health Systems Performance Assessment (HSPA) globally, with emphasis on Low and Middle Income Countries (LMICs), and provide recommendations for adjustments to the current Ugandan reality. METHODS: A normative HSPA framework was used to inform the development of a Key Informant Interview (KII) tool...
May 10, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29743083/policy-environment-for-prevention-control-and-management-of-cardiovascular-diseases-in-primary-health-care-in-kenya
#3
Gershim Asiki, Shuai Shao, Carol Wainana, Christopher Khayeka-Wandabwa, Tilahun N Haregu, Pamela A Juma, Shukri Mohammed, David Wambui, Enying Gong, Lijing L Yan, Catherine Kyobutungi
BACKGROUND: In Kenya, cardiovascular diseases (CVDs) accounted for more than 10% of total deaths and 4% of total Disability-Adjusted Life Years (DALYs) in 2015 with a steady increase over the past decade. The main objective of this paper was to review the existing policies and their content in relation to prevention, control and management of CVDs at primary health care (PHC) level in Kenya. METHODS: A targeted document search in Google engine using keywords "Kenya national policy on cardiovascular diseases" and "Kenya national policy on non-communicable diseases (NCDs)" was conducted in addition to key informant interviews with Kenyan policy makers...
May 9, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29741673/strengthening-decentralized-primary-healthcare-planning-in-nigeria-using-a-quality-improvement-model-how-contexts-and-actors-affect-implementation
#4
Ejemai Amaize Eboreime, Nonhlanhla Nxumalo, Rohit Ramaswamy, John Eyles
Quality improvement models have been applied across various levels of health systems with varying success leading to scepticisms about effectiveness. Health systems are complex, influenced by contexts and characterized by numerous interests. Thus, a shift in focus from examining whether improvement models work, to understanding why, when and where they work most effectively is essential. Nigeria introduced DIVA (Diagnose-Intervene-Verify-Adjust) as a model to strengthen decentralized PHC planning. However, implementation has been poorly sustained...
May 8, 2018: Health Policy and Planning
https://www.readbyqxmd.com/read/29737244/the-development-of-specialized-palliative-care-in-the-community-a-qualitative-study-of-the-evolution-of-15-teams
#5
Hsien Seow, Daryl Bainbridge
BACKGROUND: Interprofessional specialized palliative care teams at home improve patient outcomes, reduce healthcare costs, and support many patients to die at home. However, practical details about how to develop home-based teams in different regions and health systems are scarce. AIM: To examine how a variety of home-based specialized palliative care teams created and grew their team over time and to identify critical steps in their evolution. DESIGN: A qualitative study was designed based on a grounded theory approach, using semi-structured interviews and other documentation...
May 1, 2018: Palliative Medicine
https://www.readbyqxmd.com/read/29726455/challenges-of-a-hl7-cda-guideline-for-telehealth-based-dmp-systems
#6
Nikola Tanjga, René Baranyi, Thomas Grechenig, Christian Gossy, Stefan Welte, Peter Kastner, Robert Modre-Osprian
BACKGROUND: Disease management programs (DMP) are a modern way of treating health conditions and are becoming a part of standard care. One telehealth DMP service has been in regular operation since 2017, named "HerzMobil Tirol". OBJECTIVES: This paper investigates, if the electronic health record standard HL7 CDA, which is widely accepted in the health care industry, could be used for telehealth DMP services as well. It is already in use in a legally required integrated element of healthcare in Austria called ELGA...
2018: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/29724108/wiisokotaatiwin-development-and-evaluation-of-a-community-based-palliative-care-program-in-naotkamegwanning-first-nation
#7
Shevaun Nadin, Maxine Crow, Holly Prince, Mary Lou Kelley
INTRODUCTION: Approximately 474 000 Indigenous people live in 617 First Nations communities across Canada; 125 of those communities are located in Ontario, primarily in rural and remote areas. Common rural health challenges, including for palliative care, involve quality and access. The need for culturally relevant palliative care programs in First Nations communities is urgent because the population is aging with a high burden of chronic and terminal disease. Because local palliative care is lacking, most First Nations people now leave their culture, family and community to receive care in distant hospitals or long-term care homes...
April 2018: Rural and Remote Health
https://www.readbyqxmd.com/read/29707659/practicing-health-promotion-in-primary-care-a-reflective-enquiry
#8
S Pati, A S Chauhan, S Mahapatra, R Sinha, S Pati
Introduction: Health promotion is an integral part of routine clinical practice. The physicians' role in improving the health status of the general population, through effective understanding and delivery of health promotion practice, is evident throughout the international literature. Data from India suggest that physicians have limited skills in delivering specific health promotion services. However, the data available on this is scarce. This study was planned to document the current health promotion knowledge, perception and practices of local primary care physicians in Odisha...
December 2017: Journal of Preventive Medicine and Hygiene
https://www.readbyqxmd.com/read/29655933/-document-management-systems-to-support-quality-management-systems-at-university-hospitals-an-interview-based-study
#9
Martin Holderried, Ann-Catrin Bökel, Elke Ochsmann
In order to save and control the processes and quality of medical services, a suitable steering system of all relevant documents is essential from the point of view of clinical quality management. Systems supporting an automated steering system of documents are called document management systems (DMS), and they also enter the healthcare sector. The use of DMS in the German healthcare sector has hardly been investigated so far. To close this knowledge gap, interviews were carried out with German university hospitals over a six-month period and subjected to a qualitative content analysis according to Mayring...
April 12, 2018: Zeitschrift Für Evidenz, Fortbildung und Qualität Im Gesundheitswesen
https://www.readbyqxmd.com/read/29618961/exploring-midwives-need-and-intention-to-adopt-electronic-integrated-antenatal-care
#10
Hosizah Markam, Harry Hochheiser, Kuntoro Kuntoro, Hari Basuki Notobroto
Documentation requirements for the Indonesian integrated antenatal care (ANC) program suggest the need for electronic systems to address gaps in existing paper documentation practices. Our goals were to quantify midwives' documentation completeness in a primary healthcare center, understand documentation challenges, develop a tool, and assess intention to use the tool. We analyzed existing ANC records in a primary healthcare center in Bangkalan, East Java, and conducted interviews with stakeholders to understand needs for an electronic system in support of ANC...
2018: Perspectives in Health Information Management
https://www.readbyqxmd.com/read/29602933/international-medical-law-and-its-impact-on-the-ukrainian-health-care-legislation
#11
Vitalii Pashkov, Larysa Udovyka, Hanna Dichko
OBJECTIVE: Introduction: The Ukrainian state has an urgent necessity of rapid search for essentially new legal and organizational forms of the healthcare system, reform of the legal regulation of healthcare services provision. In the context of European integration, the advancement of the medical industry reform is closely related to consideration of international standards and norms of health care. The aim: To study the impact of international medical law on the Ukrainian health care legislation...
2018: Wiadomości Lekarskie: Organ Polskiego Towarzystwa Lekarskiego
https://www.readbyqxmd.com/read/29568516/development-of-a-patient-centred-intervention-to-improve-knowledge-and-understanding-of-antibiotic-therapy-in-secondary-care
#12
Timothy M Rawson, Luke S P Moore, Enrique Castro-Sanchez, Esmita Charani, Bernard Hernandez, Vivian Alividza, Fran Husson, Christofer Toumazou, Raheelah Ahmad, Pantelis Georgiou, Alison H Holmes
Background: We developed a personalised antimicrobial information module co-designed with patients. This study aimed to evaluate the potential impact of this patient-centred intervention on short-term knowledge and understanding of antimicrobial therapy in secondary care. Methods: Thirty previous patients who had received antibiotics in hospital within 12 months were recruited to co-design an intervention to promote patient engagement with infection management...
2018: Antimicrobial Resistance and Infection Control
https://www.readbyqxmd.com/read/29550975/the-voice-is-as-mighty-as-the-pen-integrating-conversations-into-advance-care-planning
#13
Kunal Bailoor, Leslie H Kamil, Ed Goldman, Laura M Napiewocki, Denise Winiarski, Christian J Vercler, Andrew G Shuman
Advance care planning allows patients to articulate preferences for their medical treatment, lifestyle, and surrogate decision-makers in order to anticipate and mitigate their potential loss of decision-making capacity. Written advance directives are often emphasized in this regard. While these directives contain important information, there are several barriers to consider: veracity and accuracy of surrogate decision-makers in making choices consistent with the substituted judgement standard, state-to-state variability in regulations, literacy issues, lack of access to legal resources, lack of understanding of medical options, and cultural disparities...
March 17, 2018: Journal of Bioethical Inquiry
https://www.readbyqxmd.com/read/29550151/towards-a-standardized-nutrition-and-dietetics-terminology-for-clinical-practice-an-austrian-multicenter-clinical-documentation-analysis-based-on-the-international-classification-of-functioning-disability-and-health-icf-dietetics
#14
Gabriele Gäbler, Michaela Coenen, Deborah Lycett, Tanja Stamm
BACKGROUND: High quality, continuity and safe interdisciplinary healthcare is essential. Nutrition and dietetics plays an important part within the interdisciplinary team in many health conditions. In order to work more effectively as an interdisciplinary team, a common terminology is needed. This study investigates which categories of the ICF-Dietetics are used in clinical dietetic care records in Austria and which are most relevant to shared language in different medical areas. METHOD: A national multicenter retrospective study was conducted to collect clinical dietetic care documentation reports...
March 3, 2018: Clinical Nutrition: Official Journal of the European Society of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/29531376/-consensus-document-and-recommendations-for-the-prevention-of-cardiovascular-disease-in-italy-2018
#15
Massimo Volpe, Giuliano Tocci, Domenico Accettura, Allegra Battistoni, Simonetta Bellone, Paolo Bellotti, Marco Bertolotti, Claudio Borghi, Maurizio Casasco, Agostino Consoli, Raffaele Coppini, Alberto Corsini, Gianfranco Costanzo, Giovambattista Desideri, Claudio Ferri, Giorgio Galanti, Franco Giada, Giancarlo Icardi, Niccolò Lombardi, Maria Grazia Modena, Pietro Amedeo Modesti, Giorgio Monti, Alessandro Mugelli, Andrea Orsi, Gianfranco Parati, Roberto F.E. Pedretti, Gianluca Perseghin, Matteo Pirro, Roberta Ricotti, Damiano Rizzoni, Carlo Rotella, Speranza Rubattu, Guido Salvetti, Patrizio Sarto, Federico Tassinari, Bruno Trimarco, Saula Vigili de Kreutzenberg, Roberto Volpe
Cardiovascular prevention represents a cornerstone of modern strategies to reduce the burden of cardiovascular disease. It is of key importance to prevent cardiovascular diseases and associated events, not only to reduce morbidity and mortality, but also to increase the years of wellness in the aging population and to make the growing socio-economic burden imposed by cardiovascular events more sustainable.The current approach to prevention is based on an integrated use of effective lifestyle measures and, whenever appropriate, of antihypertensive and antidiabetic drugs, lipid-lowering agents and antiplatelet drugs...
February 2018: Giornale Italiano di Cardiologia
https://www.readbyqxmd.com/read/29500199/realist-evaluation-of-a-complex-integrated-care-programme-protocol-for-a-mixed-methods-study
#16
Milawaty Nurjono, Pami Shrestha, Alice Lee, Xin Ya Lim, Farah Shiraz, Shermin Tan, Shing Hei Wong, Kah Mun Foo, Thomas Wee, Sue-Anne Toh, Joanne Yoong, Hubertus Johannes Maria Vrijhoef
INTRODUCTION: The lack of understanding of how complex integrated care programmes achieve their outcomes due to the lack of acceptable methods leads to difficulties in the development, implementation, adaptation and scaling up of similar interventions. In this study, we evaluate an integrated care network, the National University Health System (NUHS) Regional Health System (RHS), consisting of acute hospitals, step down care, primary care providers, social services and community partners using a theory-driven realist evaluation approach...
March 1, 2018: BMJ Open
https://www.readbyqxmd.com/read/29499702/sustainability-in-health-care-by-allocating-resources-effectively-share-8-developing-implementing-and-evaluating-an-evidence-dissemination-service-in-a-local-healthcare-setting
#17
Claire Harris, Marie Garrubba, Angela Melder, Catherine Voutier, Cara Waller, Richard King, Wayne Ramsey
BACKGROUND: This is the eighth in a series of papers reporting Sustainability in Health care by Allocating Resources Effectively (SHARE) in a local healthcare setting. The SHARE Program was a systematic, integrated, evidence-based program for disinvestment within a large Australian health service. One of the aims was to explore methods to deliver existing high quality synthesised evidence directly to decision-makers to drive decision-making proactively. An Evidence Dissemination Service (EDS) was proposed...
March 2, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29499042/multidisease-testing-for-hiv-and-tb-using-the-genexpert-platform-a-feasibility-study-in-rural-zimbabwe
#18
Zibusiso Ndlovu, Emmanuel Fajardo, Elton Mbofana, Tatenda Maparo, Daniela Garone, Carol Metcalf, Helen Bygrave, Kekeletso Kao, Sekesai Zinyowera
BACKGROUND: HIV Viral Load and Early Infant Diagnosis technologies in many high burden settings are restricted to centralized laboratory testing, leading to long result turnaround times and patient attrition. GeneXpert (Cepheid, CA, USA) is a polyvalent near point-of-care platform and is widely implemented for Xpert MTB/RIF diagnosis. This study sought to evaluate the operational feasibility of integrated HIV VL, EID and MTB/RIF testing in new GeneXpert platforms. METHODS: Whole blood samples were collected from consenting patients due for routine HIV VL testing and DBS samples from infants due for EID testing, at three rural health facilities in Zimbabwe...
2018: PloS One
https://www.readbyqxmd.com/read/29490695/health-disparities-monitoring-in-the-u-s-lessons-for-monitoring-efforts-in-israel-and-other-countries
#19
Kathleen Abu-Saad, Shlomit Avni, Ofra Kalter-Leibovici
BACKGROUND: Health disparities are a persistent problem in many high-income countries. Health policymakers recognize the need to develop systematic methods for documenting and tracking these disparities in order to reduce them. The experience of the U.S., which has a well-established health disparities monitoring infrastructure, provides useful insights for other countries. MAIN BODY: This article provides an in-depth review of health disparities monitoring in the U...
February 28, 2018: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/29458363/rollout-of-rapid-point-of-care-tests-for-antenatal-syphilis-screening-in-ghana-healthcare-provider-perspectives-and-experiences
#20
Edward Tieru Dassah, Yaw Adu-Sarkodie, Philippe Mayaud
BACKGROUND: Effective implementation of rapid point of care tests (POCTs) for antenatal syphilis screening especially in settings where antenatal care attendance is high, can significantly increase screening coverage and treatment uptake. The operational challenges of introducing rapid syphilis POCTs at scale needs to be investigated. This study explores healthcare providers' experiences and challenges in antenatal syphilis screening following the national rollout of rapid syphilis POCTs in Ghana...
February 20, 2018: BMC Health Services Research
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