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Patient partner AND health

Frits M E Franssen, Dionne E Smid, Dorly J H Deeg, Martijn Huisman, Jan Poppelaars, Emiel F M Wouters, Martijn A Spruit
Chronic obstructive pulmonary disease (COPD) is associated with substantial health impact that may already become apparent in early disease. This study aims to examine the features of subjects with COPD in a Dutch population-based sample and compare their physical status, mental status, and social status to non-COPD subjects. This study made use of Longitudinal Aging Study Amsterdam (LASA) data. Demographics, clinical characteristics, self-reported diseases, post-bronchodilator spirometry, physical, mental, and social status were assessed...
August 10, 2018: NPJ Primary Care Respiratory Medicine
Jane Farmer, Christine Bigby, Hilary Davis, Karen Carlisle, Amanda Kenny, Richard Huysmans
BACKGROUND: Involving consumers in producing health services is mandated in many countries. Evidence indicates consumer partnerships lead to improved service design, quality and innovation. Involving participants from minority groups is crucial because poor understanding of distinctive needs affects individuals' service experiences and outcomes. Few studies consider service compliance with consumer partnering requirements or inclusion of minority group participants. METHODS: An online survey structured by domains of the Australian National Safety and Quality in Health Service Standards (NSQHS, 2013), was conducted...
August 10, 2018: BMC Health Services Research
Eloisa Llata, Jim Braxton, Lenore Asbel, Joan Chow, Lindsay Jenkins, Ryan Murphy, Preeti Pathela, Christina Schumacher, Elizabeth Torrone
OBJECTIVE: To examine the prevalence and treatment of rectal Chlamydia trachomatis and Neisseria gonorrhoeae infections among women reporting receptive anal intercourse in a network of sexually transmitted disease or sexual health clinics and estimate the proportion of missed infections if women were tested at the genital site only. METHODS: We conducted a cross-sectional analysis of C trachomatis and N gonorrhoeae test results from female patients reporting receptive anal intercourse in the preceding 3 months during visits to 24 sexually transmitted disease clinics from 2015 to 2016...
August 6, 2018: Obstetrics and Gynecology
Sarah Verbiest, Kristin Tully, Monica Simpson, Alison Stuebe
The weeks and months after birth are vital not only for infant health but also for the health and well-being of women and families as a whole. The first 12 weeks postpartum, also known as the 4th trimester, is part of a continuum of pregnancy to recovery and family adjustment. In the United States, this transitional period has been a neglected area for women's health, especially considering the inherent biological, physical, and social changes experienced by millions of women each year. The Patient-Centered Outcomes Research Institute supported the 4th Trimester Project to partner with new mothers, health care providers, and health advocates to better describe and understand unmet maternal postpartum health needs...
August 9, 2018: Journal of Behavioral Medicine
Katherine A Muldoon, Allegra Drumm, Tara Leach, Melissa Heimerl, Kari Sampsel
BACKGROUND: Achieving just outcomes in sexual assault cases is one of the most serious and complex problems facing the healthcare and justice systems. This study was designed to determine the prevalence and correlates of Sexual Assault Evidence Kit (SAEK) completion and release to police among sexual assault cases presenting to the ED. METHODS: Data for this retrospective study come from the Sexual Assault and Partner Abuse Care Programme (SAPACP) case registry (1 January to 31 December, 2015) at The Ottawa Hospital, a unique medical-forensic access point and the only facility offering SAEK collection in Ottawa...
August 8, 2018: Emergency Medicine Journal: EMJ
Tiago Ricardo Moreira, Luana Vieira Toledo, Renata Maria Colodette, Érica Toledo de Mendonça, Marilane de Oliveira Fani Amaro, Lilian Fernandes Arial Ayres, Bruno David Henriques
OBJECTIVE: To identify the factors associated with the self-application of insulin in adult individuals with Diabetes Mellitus. METHOD: A cross-sectional study developed in the city of Viçosa-MG, which assessed 142 patients. The data collection was performed between April and July 2013 through an interview at the participant's home. Multiple logistic regression was used. RESULTS: The prevalence of the self-administration of insulin was of 67...
August 2, 2018: Revista Gaúcha de Enfermagem
Joseph E Glass, Jennifer F Bobb, Amy K Lee, Julie E Richards, Gwen T Lapham, Evette Ludman, Carol Achtmeyer, Ryan M Caldeiro, Rebecca Parrish, Emily C Williams, Paula Lozano, Katharine A Bradley
BACKGROUND: Experts recommend that alcohol-related care be integrated into primary care (PC) to improve prevention and treatment of unhealthy alcohol use. However, few healthcare systems offer such integrated care. To address this gap, implementation researchers and clinical leaders at Kaiser Permanente Washington (KPWA) partnered to design a high-quality program of evidence-based care for unhealthy alcohol use: the Sustained Patient-centered Alcohol-related Care (SPARC) program. SPARC implements systems of clinical care designed to increase both prevention and treatment of unhealthy alcohol use...
August 6, 2018: Implementation Science: IS
Momotazur Rahman, Emily A Gadbois, Denise A Tyler, Vincent Mor
OBJECTIVE: To characterize the nature and degree of hospitals' efforts to collaborate with skilled nursing facilities (SNFs) and associated patient outcomes. DATA SOURCES/STUDY SETTING: Qualitative data were collected through 138 interviews with staff in 16 hospitals and 25 SNFs in eight markets across the United States in 2015. Quantitative data include Medicare claims data for the 290,603 patients discharged from those 16 hospitals between 2008 and 2015. STUDY DESIGN/DATA COLLECTION: Semi-structured interviews with hospital and SNF staff were coded and used to classify hospitals' collaboration efforts with SNFs into high versus low collaboration hospitals, and risk-adjusted, claims-based hospital readmission rates from SNF were compared...
August 5, 2018: Health Services Research
Douglas M Bowley, D Lamb, P Rumbold, P Hunt, J Kayani, A M Sukhera
INTRODUCTION: The WHO Constitution enshrines '… the highest attainable standard of health as a fundamental right of every human being .' Strengthening delivery of health services confers benefits to individuals, families and communities, and can improve national and regional stability and security. In attempting to build international healthcare capability, UK Defence Medical Services (DMS) assets can contribute to the development of healthcare within overseas nations in a process that is known as Defence Healthcare Engagement (DHE)...
August 4, 2018: Journal of the Royal Army Medical Corps
Kelly Kelleher, Jason Reece, Megan Sandel
: media-1vid110.1542/5799877332001PEDS-VA_2018-0261 Video Abstract : Extreme poverty and the associated effects, such as blight, housing insecurity, and crime, have debilitating consequences on child development. Health care institutions are largely ineffective in changing those outcomes 1 child at a time. We present a case study of a hospital treating the adjacent neighborhood as a "patient" to address social determinants. The community represents a largely impoverished and housing-unstable neighborhood that underwent an assessment by community partners and treatment with a multifaceted housing intervention...
August 3, 2018: Pediatrics
Jennifer N Hill, Sara M Locatelli, Barbara G Bokhour, Gemmae M Fix, Jeffrey Solomon, Nora Mueller, Sherri L LaVela
OBJECTIVE: The objective of this paper is to demonstrate the utility of the CFIR framework for evaluating broad-scale change by discussing the challenges to be addressed when planning the assessment of broad-scale change and the solutions developed by the evaluation team to address those challenges. The evaluation of implementation of Patient-centered Care and Cultural Transformation (PCC&CT) within the Department of Veterans Affairs (VA) will be used as a demonstrative example. Patient-Centered Care (PCC) is personalized health care that considers a patient's circumstances and goals...
August 4, 2018: BMC Research Notes
Arlene E Chung, Maihan B Vu, Kelly Myers, Jessica Burris, Michael D Kappelman
BACKGROUND: To build a patient-powered research network (PPRN) that prioritizes the needs of its members who have inflammatory bowel diseases (IBD), we sought to better understand patients' preferences for what are the essential features that will facilitate and sustain engagement. METHODS: We conducted a two-phase qualitative study. Seven focus groups involving 62 participants with IBD were conducted (phase 1). Focus group results informed the phase 2 cognitive interviews, which included 13 phone interviews...
August 2, 2018: Medical Care
Lauge Sokol-Hessner, Patricia Henry Folcarelli, Catherine L Annas, Samuel M Brown, Leonor Fernandez, Stephanie D Roche, Barbara Sarnoff Lee, Kenneth E Sands
BACKGROUND: Most health care organizations' efforts to reduce harm focus on physical harm, but other forms of harm are both prevalent and important. These "nonphysical" harms can be framed using the concepts of respect and dignity: Disrespect is an affront to dignity and can cause harm. Organizations should strive to eliminate disrespect to patients, to families, and among health care professionals. METHODS: A diverse, interdisciplinary panel of experts was convened to discuss strategies to guide health care systems to embrace an expanded definition of patient harm that includes nonphysical harm...
August 2018: Joint Commission Journal on Quality and Patient Safety
Tshokey Tshokey, Thupten Tshering, Ambika Rani Pradhan, Deepika Adhikari, Ragunath Sharma, Kiran Gurung, Tshewang Dorji, Sangay Wangmo, Ugen Dorji, Kinley Wangdi
INTRODUCTION: Gonorrhea is a major sexually transmitted infection (STI) globally with increasing trends. Despite limited data, gonorrhea remains an important public health problem in Bhutan. METHODS: A descriptive study was carried out in two Bhutanese hospitals; Jigme Dorji Wangchuck National Referral Hospital and Phuentsholing General Hospital in 2015. Patients suspected of gonococcal urethritis were sampled, treated and followed up at two weeks. Gonococcal isolates were identified and tested for antibiotic susceptibility by the Calibrated Dichotomous Sensitivity Test (CDS) method...
2018: PloS One
Kantaporn Yodchai, Alison M Hutchinson, Areewan Oumtanee
BACKGROUND: Despite sexual dysfunction (SD) being common among, and affecting quality of life in people with end-stage kidney disease (ESKD) receiving dialysis, sexuality is not a subject that patients and nephrology nurses usually discuss. OBJECTIVE: To explore Thai nephrology nurses' perceptions about discussing sexual health issues with patients receiving dialysis. MATERIAL AND METHODS: A phenomenological approach was applied and data were collected using semi-structured individual interviews...
July 31, 2018: Journal of Renal Care
Sarah Thirlwell, Tina M Mason, Donna Davis, Tamara P Machowski
Integration of palliative care (PC) in oncology requires changes in delivery and processes of care, such as implementation of comprehensive, evidence-based interdisciplinary plans of care (IPOCs). A multidisciplinary design team partnered with an electronic health record company and an information analytics company that specializes in online clinical practice guidelines. The team sought to develop electronic IPOCs that address the unique needs of oncology inpatients, attend to PC needs, and reflect the interdisciplinary team's contribution to quality patient outcomes...
April 2018: Journal of Hospice and Palliative Nursing: JHPN
Anand K Narayan, Efren J Flores, H Benjamin Harvey, Constance D Lehman
PURPOSE: As health care payment systems transition from fee-for-service to bundled payments, there is an increasing opportunity for radiologists to collaborate to improve population-based health care outcomes. Our purpose was to estimate the extent to which patients engaged in mammography underwent other additional imaging- and non-imaging-based preventative health services using Centers for Disease Control National Population Health Surveys. METHODS: Women aged 40 to 74 in the 2014 Behavioral Risk Factor Surveillance System cross-sectional survey without histories of breast cancer who reported having a mammogram within the past 2 years were included...
July 27, 2018: Journal of the American College of Radiology: JACR
Jeanette Fingren, Elisabet Lindholm, Charlotta Petersén, Anne-Marie Hallén, Eva Carlsson
Having ostomy surgery changes a person's life. To assess adjustment to life with an ostomy and quality of life (QOL) 1 year after ostomy surgery, a prospective, explorative study was conducted among patients of a stoma clinic at a university hospital in Sweden. All consecutive patients who had undergone nonemergent or emergency surgery involving formation of an ostomy and who received regular follow-up at the ward and at the outpatient clinic during the first year by an enterostomal therapist (ET) were prospectively included in the study; their demographic information (including age, gender, diagnosis/reason for an ostomy, nonemergent or emergency surgery, ostomy type, preoperative counselling/siting [Yes/No], self-sufficiency in stoma care, professional activity, and whether they lived with a spouse/partner) was recorded upon admission to the study...
June 2018: Ostomy/wound Management
Pavel V Chernyshov, Anastasiia Petrenko, Victoria Kopylova
Background: Acne is a common dermatologic disease that can have a profound negative impact on a patient's health-related quality of life (HRQoL). HRQoL correlates with acne severity in some, but not all, studies. In other words, patients with the same level of acne severity might experience different levels of impact on their HRQoL. Objective: We aimed to determine which HRQoL factors are negatively affected most in patients with acne who seek dermatologic consultation and treatment for their acne. Methods: One hundred patients with acne who sought treatment from a dermatologist ("active" patients) and 159 students with a confirmed diagnosis of acne ("passive" patients) who had not sought treatment from a dermatologist were assessed for HRQoL...
July 2018: Journal of Clinical and Aesthetic Dermatology
Jody-Anne Mills, James Gosney, Fiona Stephenson, Peter Skelton, Ian Norton, Valerie Scherrer, Geraldine Jacquemin, Barbara Rau
Emergency medical teams provide urgent medical and surgical care in emergencies characterized by a surge in trauma or disease. Rehabilitation has historically not been included in the acute phase of care, as teams have either not perceived it as their responsibility or have relied on external providers, including local services and international organizations, to provide services. Low- and middle-income countries, which often have limited rehabilitation capacity within their health system,  are particularly vulnerable to disaster and are usually  ill-equipped to address the increased burden of rehabilitation needs that arise...
July 9, 2018: PLoS Currents
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