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https://www.readbyqxmd.com/read/28910495/nursing-service-innovation-a-case-study-examining-emergency-nurse-practitioner-service-sustainability
#1
Amanda Fox, Glenn Gardner, Sonya Osborne
AIM: This research aimed to explore factors that influence sustainability of health service innovation, specifically emergency nurse practitioner service. BACKGROUND: Planning for cost effective provision of healthcare services is a concern globally. Reform initiatives are implemented often incorporating expanding scope of practice for health professionals and innovative service delivery models. Introducing new models is costly in both human and financial resources and therefore understanding factors influencing sustainability is imperative to viable service provision...
September 14, 2017: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/28887347/pharmacists-supporting-population-health-in-patient-centered-medical-homes
#2
Antoinette B Coe, Hae Mi Choe
PURPOSE: The integral role of pharmacists in supporting population health initiatives in the patient-centered medical home (PCMH) model of care is described. SUMMARY: Population health initiatives focus on the health outcomes of a group of patients; in the PCMH model, such groups of patients, known as panels, may be defined as patients assigned to a care team or provider. The basic characteristics of the PCMH model include physician-led, team-based practice; coordinated and integrated care within the PCMH and in the patient's community; provision of safe, evidence-based, high-quality care; incorporation of health information technology and continuous quality improvement strategies into panel identification, documentation, and care processes; improved access to care (e...
September 15, 2017: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/28883671/a-three-phase-decision-model-of-computer-aided-coding-for-the-iranian-classification-of-health-interventions-irchi
#3
Zahra Azadmanjir, Reza Safdari, Marjan Ghazisaeedi, Mehrshad Mokhtaran, Mohammad Esmail Kameli
INTRODUCTION: Accurate coded data in the healthcare are critical. Computer-Assisted Coding (CAC) is an effective tool to improve clinical coding in particular when a new classification will be developed and implemented. But determine the appropriate method for development need to consider the specifications of existing CAC systems, requirements for each type, our infrastructure and also, the classification scheme. AIM: The aim of the study was the development of a decision model for determining accurate code of each medical intervention in Iranian Classification of Health Interventions (IRCHI) that can be implemented as a suitable CAC system...
June 2017: Acta Informatica Medica: AIM
https://www.readbyqxmd.com/read/28882908/what-are-the-key-contextual-factors-when-preparing-for-successful-implementation-of-assistive-living-technology-in-primary-elderly-care-a-case-study-from-norway
#4
Martha Therese Gjestsen, Siri Wiig, Ingelin Testad
OBJECTIVE: To identify contextual factors at different organisational levels to guide the implementation of an assistive living technology intervention in Norwegian primary home care. DESIGN: A single embedded case study design was carried out in an urban municipality in Western Norway to get an overview of key contextual factors from the municipality's perspective. DATA COLLECTION AND ANALYSIS: The data collection was based on a triangulation of methods involving document analysis, semi-structured individual interviews and focus group interviews to get a broad insight when preparing for an intervention...
September 7, 2017: BMJ Open
https://www.readbyqxmd.com/read/28865985/extended-continuous-measures-of-functional-status-in-community-dwelling-persons-with-alzheimer-s-and-related-dementia-infrastructure-performance-tradeoffs-preliminary-data-and-promise
#5
Bradley Zylstra, George Netscher, Julien Jacquemot, Michael Schaffer, Galen Shen, Angela D Bowhay, Tamara L Braley, Katherine L Possin, Bruce L Miller, Alexandre M Bayen, A Katrin Schenk, Stephen J Bonasera
BACKGROUND: The past decades have seen phenomenal growth in the availability of inexpensive and powerful personal computing devices. Efforts to leverage these devices to improve health care outcomes promise to remake many aspects of healthcare delivery, but remain in their infancy. NEW METHOD: We describe the development of a mobile health platform designed for daily measures of functional status in ambulatory, community dwelling subjects, including those who have Alzheimer's disease or related neurodegenerative disorders...
August 30, 2017: Journal of Neuroscience Methods
https://www.readbyqxmd.com/read/28841872/from-habits-of-attrition-to-modes-of-inclusion-enhancing-the-role-of-private-practitioners-in-routine-disease-surveillance
#6
Revati K Phalkey, Carsten Butsch, Kristine Belesova, Marieke Kroll, Frauke Kraas
BACKGROUND: Private practitioners are the preferred first point of care in a majority of low and middle-income countries and in this position, best placed for the surveillance of diseases. However their contribution to routine surveillance data is marginal. This systematic review aims to explore evidence with regards to the role, contribution, and involvement of private practitioners in routine disease data notification. We examined the factors that determine the inclusion of, and the participation thereof of private practitioners in disease surveillance activities...
August 25, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28840966/the-diy-digital-medical-centre
#7
James Kenneth Timmis, Kenneth Timmis
Healthcare systems worldwide are confronted with major economic, organizational and logistical challenges. Historic evolution of health care has led to significant healthcare sector fragmentation, resulting in systemic inefficiencies and suboptimal resource exploitation. To attain a sustainable healthcare model, fundamental, system-wide improvements that effectively network, and ensure fulfilment of potential synergies between sectors, and include and facilitate coherent strategic planning and organisation of healthcare infrastructure are needed...
August 25, 2017: Microbial Biotechnology
https://www.readbyqxmd.com/read/28812949/-i-m-sure-we-made-it-a-better-study%C3%A2-experiences-of-adults-with-intellectual-disabilities-and-parent-carers-of-patient-and-public-involvement-in-a-health-research-study
#8
Carole Beighton, Christina Victor, Iain M Carey, Fay Hosking, Steve DeWilde, Derek G Cook, Paula Manners, Tess Harris
Patient and public involvement is considered integral to health research in the United Kingdom; however, studies documenting the involvement of adults with intellectual disabilities and parent carers in health research studies are scarce. Through group interviews, this study explored the perspectives and experiences of a group of adults with intellectual disabilities and a group of parent carers about their collaborative/participatory involvement in a 3-year study which explored the effectiveness of annual health checks for adults with intellectual disabilities...
January 1, 2017: Journal of Intellectual Disabilities: JOID
https://www.readbyqxmd.com/read/28812826/a-policy-analysis-on-the-proactive-prevention-of-chronic-disease-learnings-from-the-initial-implementation-of-integrated-measurement-for-early-detection-mido
#9
Roberto Tapia-Conyer, Rodrigo Saucedo-Martínez, Ricardo Mújica-Rosales, Héctor Gallardo-Rincón, Evan Lee, Craig Waugh, Lucía Guajardo, Braulio Torres-Beltrán, Úrsula Quijano-González, Mauricio López-Mendez, Elena Rose Atkinson
Mexico, like many low- and middle-income countries (LMICs), faces an epidemic of chronic non-communicable diseases (NCDs), specifically diabetes, hypertension, obesity, and lipid disorders. Many people with these NCDs may not be aware that they have a disease, pointing to the need for broader screening programs. The traditional prevention policy in Mexico was based on screening with a paper-based risk factor questionnaire. However, this was used to screen patients already seeking healthcare services at facilities, and screening goals were set as a function of the number of questionnaires applied, not number of individuals screened...
February 20, 2017: International Journal of Health Policy and Management
https://www.readbyqxmd.com/read/28799961/nurses-perceptions-of-psychosocial-care-and-barriers-to-its-provision-a-qualitative-study
#10
Cassandra Siyun Chen, Sally Wai-Chi Chan, Moon Fai Chan, Suk Foon Yap, Wenru Wang, Yanika Kowitlawakul
BACKGROUND: Psychosocial care is the culturally sensitive provision of psychological, social, and spiritual care through therapeutic communication. Current evidence suggests that effective psychosocial care improves patients' health outcomes and quality of life. PURPOSE: The aim of this study was to explore nurses' perceptions and experiences in providing psychosocial care to patients and to identify the related barriers and challenges. METHODS: An exploratory qualitative design using semistructured, individual, face-to-face interviews was adopted...
August 10, 2017: Journal of Nursing Research: JNR
https://www.readbyqxmd.com/read/28790044/access-3-project-protocol-young-people-and-health-system-navigation-in-the-digital-age-a-multifaceted-mixed-methods-study
#11
Melissa Kang, Fiona Robards, Lena Sanci, Katharine Steinbeck, Stephen Jan, Catherine Hawke, Marlene Kong, Tim Usherwood
BACKGROUND: The integration of digital technology into everyday lives of young people has become widespread. It is not known whether and how technology influences barriers and facilitators to healthcare, and whether and how young people navigate between face-to-face and virtual healthcare. To provide new knowledge essential to policy and practice, we designed a study that would explore health system access and navigation in the digital age. The study objectives are to: (1) describe experiences of young people accessing and navigating the health system in New South Wales (NSW), Australia; (2) identify barriers and facilitators to healthcare for young people and how these vary between groups; (3) describe health system inefficiencies, particularly for young people who are marginalised; (4) provide policy-relevant knowledge translation of the research data...
August 7, 2017: BMJ Open
https://www.readbyqxmd.com/read/28777799/implementation-of-a-diabetes-in-pregnancy-clinical-register-in-a-complex-setting-findings-from-a-process-evaluation
#12
Renae Kirkham, Cherie Whitbread, Christine Connors, Elizabeth Moore, Jacqueline A Boyle, Richa Richa, Federica Barzi, Shu Li, Michelle Dowden, Jeremy Oats, Chrissie Inglis, Margaret Cotter, Harold D McIntyre, Marie Kirkwood, Paula Van Dokkum, Stacey Svenson, Paul Zimmet, Jonathan E Shaw, Kerin O'Dea, Alex Brown, Louise Maple-Brown
BACKGROUND: Rates of diabetes in pregnancy are disproportionately higher among Aboriginal than non-Aboriginal women in Australia. Additional challenges are posed by the context of Aboriginal health including remoteness and disadvantage. A clinical register was established in 2011 to improve care coordination, and as an epidemiological and quality assurance tool. This paper presents results from a process evaluation identifying what worked well, persisting challenges and opportunities for improvement...
2017: PloS One
https://www.readbyqxmd.com/read/28774291/health-service-changes-to-address-diabetes-in-pregnancy-in-a-complex-setting-perspectives-of-health-professionals
#13
R Kirkham, J A Boyle, C Whitbread, M Dowden, C Connors, S Corpus, L McCarthy, J Oats, H D McIntyre, E Moore, K O'Dea, A Brown, L Maple-Brown
BACKGROUND: Australian Aboriginal and Torres Strait Islander women have high rates of gestational and pre-existing type 2 diabetes in pregnancy. The Northern Territory (NT) Diabetes in Pregnancy Partnership was established to enhance systems and services to improve health outcomes. It has three arms: a clinical register, developing models of care and a longitudinal birth cohort. This study used a process evaluation to report on health professional's perceptions of models of care and related quality improvement activities since the implementation of the Partnership...
August 3, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28771874/clinicians-perceptions-and-recognition-of-practice-improvement-strategies-to-prevent-harms-to-older-people-in-acute-care-hospitals
#14
Michele McGrath, Mari Botti, Bernice Redley
AIMS & OBJECTIVES: Explore clinicians' perceptions of practice improvement strategies used to prevent harms to older people during acute hospitalisation. BACKGROUND: Older people are vulnerable to many interrelated preventable harms during acute care hospitalisation. Improvement strategies recommend standardisation of practices to assist healthcare staff mitigate risk, however, older people continue to suffer preventable harms in acute hospitals. METHODS: A qualitative exploratory descriptive design was used to collect data using focus groups and individual interviews from a purposive sample of 33 participants...
August 3, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28747010/traditional-knowledge-to-clinical-trials-a-review-on-therapeutic-actions-of-emblica-officinalis
#15
REVIEW
Suraj Singh Yadav, Manish Kumar Singh, Pawan Kumar Singh, Vipin Kumar
Plants are the integral part of the traditional indigenous healthcare system and are becoming concrete source of new drug discovery, evident by the increasing numbers of modern drugs derived from the phytochemicals. Emblica officinalis Gaertn. or Phyllanthus emblica Linn (family Phyllanthaceae) has been explained extensively and well documented for its therapeutic efficacies in indigenous system of medicine, in India. Every part of this plant possesses high medicinal value but fruits are the most valuable part in folklore and therapeutic uses...
September 2017: Biomedicine & Pharmacotherapy, Biomédecine & Pharmacothérapie
https://www.readbyqxmd.com/read/28733191/ethnomedicobotanical-study-of-indigenous-knowledge-on-medicinal-plants-used-for-the-treatment-of-reproductive-problems-in-nalbari-district-assam-india
#16
Partha Pradip Adhikari, Simi Talukdar, Ananta Borah
ETHNOPHARMACOLOGICAL RELEVANCE: Reproductive problems are becoming the most predominant health care problems in many countries. World Health Organization (WHO), in 2012, also exemplified maternal illnesses, for instance, birth asphyxia and post birth difficulties are rising at an alarming rate. In addition, not all abnormalities of the human reproductive system have the same origin; the effects of reproductive problems would likely been affected by both male and female. For easy accessibility and affordability, medicinal plants are playing crucial role in primary healthcare services in India and their use is moreover, an integral part of the cultural heritage...
July 19, 2017: Journal of Ethnopharmacology
https://www.readbyqxmd.com/read/28711453/a-roadmap-for-evaluating-the-use-and-value-of-durable-ventricular-assist-device-therapy
#17
EDITORIAL
Sarah T Ward, Qixing Liang, Francis D Pagani, Min Zhang, Robert L Kormos, Keith D Aaronson, Andrew D Althouse, Brahmajee K Nallamothu, Donald S Likosky
Heart failure is a disease characterized by profound human suffering with limitations in survival despite treatment with guideline-directed medical therapies. Patients with heart failure frequently progress to advanced stages and often require cardiac transplantation or implantation of left ventricular assist devices (LVADs) to extend survival and improve quality of life. As the number of suitable heart donors, number of experienced medical centers and patient comorbidities place restrictions on the feasibility of cardiac transplantation, implantation of LVADs has emerged as a more frequently applied treatment as either a bridge to transplantation or as permanent therapy...
June 23, 2017: Journal of Heart and Lung Transplantation
https://www.readbyqxmd.com/read/28710222/a-developmental-evaluation-to-enhance-stakeholder-engagement-in-a-wide-scale-interactive-project-disseminating-quality-improvement-data-study-protocol-for-a-mixed-methods-study
#18
Alison Laycock, Jodie Bailie, Veronica Matthews, Frances Cunningham, Gillian Harvey, Nikki Percival, Ross Bailie
INTRODUCTION: Bringing together continuous quality improvement (CQI) data from multiple health services offers opportunities to identify common improvement priorities and to develop interventions at various system levels to achieve large-scale improvement in care. An important principle of CQI is practitioner participation in interpreting data and planning evidence-based change. This study will contribute knowledge about engaging diverse stakeholders in collaborative and theoretically informed processes to identify and address priority evidence-practice gaps in care delivery...
July 13, 2017: BMJ Open
https://www.readbyqxmd.com/read/28701232/the-three-paradoxes-of-patient-flow-an-explanatory-case-study
#19
Sara A Kreindler
BACKGROUND: Health systems in many jurisdictions struggle to reduce Emergency Department congestion and improve patient flow across the continuum of care. Flow is often described as a systemic issue requiring a "system approach"; however, the implications of this idea remain poorly understood. Focusing on a Canadian regional health system whose flow problems have been particularly intractable, this study sought to determine what system-level flaws impede healthcare organizations from improving flow...
July 12, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28693631/palliative-care-education-in-latin-america-a-systematic-review-of-training-programs-for-healthcare-professionals
#20
Cecilia Vindrola-Padros, Rosa Mertnoff, Cristina Lasmarias, Xavier Gómez-Batiste
OBJECTIVE: The integration of palliative care (PC) education into medical and nursing curricula has been identified as an international priority. PC education has undergone significant development in Latin America, but gaps in the integration of PC courses into undergraduate and postgraduate curricula remain. The aim of our review was to systematically examine the delivery of PC education in Latin America in order to explore the content and method of delivery of current PC programs, identify gaps in the availability of education opportunities, and document common barriers encountered in the course of their implementation...
July 11, 2017: Palliative & Supportive Care
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