Read by QxMD icon Read

Universal health access

Mncengeli Sibanda, Robert Summers, Johanna Catharina Meyer
Introduction: in November, 2005, the South African (SA) National Department of Health (NDoH) mandated that, as from the 1st December, 2005, all new clinical trials to be conducted in the country must be registered on the South African National Clinical Trials Register (SANCTR). The objective was to compare access to the information contained in and the usability of the SANCTR with five other international on-line clinical trials registers. Methods: Access to SANCTR was determined through the use of three search engines using the keywords "South African Clinical Trials...
2018: Pan African Medical Journal
Saurab Sharma, Mark P Jensen, G Lorimer Moseley, J Haxby Abbott
INTRODUCTION: Low back pain (LBP) is the leading cause of years lived with disability in Nepal and elsewhere. Management of LBP that is evidence-based, easily accessible, cost-effective and culturally appropriate is desirable. The primary aim of this feasibility study is to determine if it is feasible to conduct a full randomised clinical trial evaluating the effectiveness of pain education as an intervention for individuals with LBP in Nepal, relative to guideline-based physiotherapy treatment...
August 10, 2018: BMJ Open
Nancy A Scott, Jeanette L Kaiser, Taryn Vian, Rachael Bonawitz, Rachel M Fong, Thandiwe Ngoma, Godfrey Biemba, Carol J Boyd, Jody R Lori, Davidson H Hamer, Peter C Rockers
INTRODUCTION: Maternity waiting homes (MWHs) aim to improve access to facility delivery in rural areas. However, there is limited rigorous evidence of their effectiveness. Using formative research, we developed an MWH intervention model with three components: infrastructure, management and linkage to services. This protocol describes a study to measure the impact of the MWH model on facility delivery among women living farthest (≥10 km) from their designated health facility in rural Zambia...
August 10, 2018: BMJ Open
Philip Lindner, Ola Siljeholm, Magnus Johansson, Martin Forster, Sven Andreasson, Anders Hammarberg
INTRODUCTION: Partners and children of individuals with alcohol use disorder (AUD) present with impaired quality of life and mental health, yet seldom seek or participate in traditional supportive interventions. Engaging the parent/partner without AUD in treatment is a promising way of supporting behavioural change in both the child and the parent with AUD. Universal parent-training (PT) programmes are effective in increasing children's well-being and decreasing problem behaviours, but have yet to be tailored for children with a parent with AUD...
August 10, 2018: BMJ Open
Manfred Mörchen, Te Serey Bonn, David Lewis
BACKGROUND: Universal access and equity are salient principles of the World Health Organization global action plan 'Towards Universal Eye Health'. However, collection of disability-disaggregated data to measure access to eye hospitals in low- and middle income countries, including referral to rehabilitative services, are not routinely integrated into Health Management Information Systems. OBJECTIVE: This report presents secondary-data analysis of disability-disaggregated data collection that was introduced at a tertiary eye hospital in a rural province in Cambodia...
July 25, 2018: Disability and Health Journal
Vahagn C Nikolian, Aaron M Williams, Benjamin N Jacobs, Michael T Kemp, Jesse K Wilson, Michael W Mulholland, Hasan B Alam
BACKGROUND: Telemedicine in surgery holds promise for improving access and decreasing costs, but its role remains ill-defined. This pilot study was performed to investigate the safety, feasibility, and financial implications of providing postoperative care using an electronic clinic (eClinic) at a university hospital. METHODS: An easy-to-use and secure eClinic platform was constructed in Epic (Epic Systems Corporation, Verona, WA). Patients undergoing laparoscopic cholecystectomy, appendectomy, and hernia repairs on an adult acute care surgery service were enrolled in this program over an 11-month period (March 2017 to January 2018)...
August 7, 2018: Annals of Surgery
Sandeep Kumar, Amit Kumar, Bhumika Badiyani, Siddharth Kumar Singh, Anjali Gupta, Mohammed B Ismail
Background and aims: Internet addiction (IA) has negative consequences on the mental health and affects daily activities. This study was conducted with the aim to assess the prevalence of Internet addiction among dental university students and to determine if there is any relationship of excessive Internet use with depression and academic performance among students. Methods: This was a cross sectional study which included 384 dental students from different academic years...
July 2018: Clujul Medical (1957)
Rony Berger, Joy Benatov, Raphael Cuadros, Jacob VanNattan, Marc Gelkopf
Children in Sub-Saharan Africa are living under chronic adversity due to poverty, serious health issues, physical and sexual abuse, and armed conflicts. These highly stressful conditions have deleterious effects on their mental health and socio-emotional adjustment. Since many children lack adequate access to mental health care, culturally adapted school-based resiliency programs could provide a resource to scaffold their development and promote their mental health. This study evaluated the efficacy of a universal school-based intervention in enhancing the resiliency of Tanzanian primary school children and cultivating prosocial behaviors...
August 9, 2018: Transcultural Psychiatry
Anuli Nwaohiri, Sarah Schillie, Marc Bulterys, Athena P Kourtis
Hepatitis C Virus (HCV) infection is an important contributor to the worldwide burden of liver-related morbidity and mortality. Mother-to-child transmission of HCV ranges from 6-11% in different populations globally, but accurate estimates on the burden of pediatric HCV infection are limited because screening approaches are not consistent. Areas covered: The advent of new direct-acting antiviral agents that achieve very high rates of sustained virologic response, (representing virologic cure) with short (i...
August 9, 2018: Expert Review of Anti-infective Therapy
Olusesan Ayodeji Makinde, Abayomi Sule, Olayinka Ayankogbe, David Boone
BACKGROUND: Nigeria is considering adopting Universal Health Coverage (UHC) as an official policy target to ensure access to quality health care services for her population without financial hardship. To facilitate discussion on the topic, the President of Nigeria convened a UHC summit in March 2014 to discuss Nigeria's options and strategies to achieve UHC. A strategy for achieving UHC requires analysis of the available infrastructure to deliver the services. We review the geographic and sectoral distribution of health facilities in Nigeria and discuss implications on the UHC strategy selected...
August 9, 2018: International Journal of Health Planning and Management
Lucia Aparecida de Souza, Ricardo de Mattos Russo Rafael, Anna Tereza Miranda Soares de Moura, Mercedes Neto
OBJECTIVE: To analyze the relations between the presence and orientation of the Primary Health Care and hospitalizations due to sensitive conditions to primary care in a university hospital. METHOD: This is a sectional study with a sample of 197 subjects hospitalized from March to June 2016 in the medical clinic of a university hospital in Juiz de Fora. The assessment, conducted through interviews, used the Primary Health Care Assessment Tool, reduced version for adults, and the Brazilian list of sensitive conditions, edited by the Ministry of Health...
August 2, 2018: Revista Gaúcha de Enfermagem
Noah Ivers, Adalsteinn D Brown, Allan S Detsky
With single-payer public health insurance again on the political radar in the United States at both the state (California) and federal (Democrat party) levels, the performance of the Canadian health care system during the last 50 years and the lessons it may offer should be considered. Canadians are proud of their universal approach to health insurance based on need rather than income. The system has many strengths, such as the ease of obtaining care, relatively low costs, and low administrative costs, with effectiveness and safety roughly on par with other countries, including those, such as the United States, that spend considerably more per capita...
August 6, 2018: JAMA Internal Medicine
Maysoun Dimachkie Masri, Eyob Zere Asbu
Background: The pursuit of efficiency and productivity is one of the goals of health systems. In the era of Sustainable Development Goals and particularly the move towards universal health coverage, it is imperative to curb wastage of resources to ensure sustainable access of the population to needed and effective health services without enduring financial hardship. This study aims to assess total factor productivity change of national health systems of 20 countries in the WHO's Eastern Mediterranean Region...
2018: Global Health Research and Policy
Evan V Goldstein, Jie Cai, Anqi Liu
This article examines the initial effect of Affordable Care Act (ACA) Health Insurance Marketplace (Exchange) insurance on access to care among employed beneficiaries in a highly populated US state. Does Exchange insurance lead to better/worse health care access for employed beneficiaries, compared with similar individuals covered through standard employer-sponsored insurance (ESI) coverage? This retrospective study uses data from the 2015 Ohio Medicaid Assessment Survey, a dual-frame and computer-assisted telephone survey administered by the Ohio Colleges of Medicine Graduate Resource Center, the Ohio Department of Medicaid, the Ohio Department of Health, and Ohio State University, in conjunction with RTI International...
2018: Health Services Insights
Carolyn A Brown, Racquel E Kohler, Oaitse John, Galaletsang Motswetla, Mompati Mmalane, Neo Tapela, Surbhi Grover, Sarah Dryden-Peterson, Shahin Lockman, Scott L Dryden-Peterson
BACKGROUND: Cancer incidence is increasing in Africa, and the majority of patients are diagnosed with advanced disease, limiting treatment options and survival. We sought to understand care patterns and factors contributing to delayed diagnosis and treatment initiation among patients with cancer in Botswana. PATIENTS AND METHODS: We recruited 20 patients who were enrolled in a prospective cancer cohort in Botswana to a qualitative substudy that explored cancer care pathways and factors affecting cancer care access and quality...
August 6, 2018: Oncologist
Stephen M Modell, Toby Citrin, Sharon L R Kardia
The United States Precision Medicine Initiative (PMI) was announced by then President Barack Obama in January 2015. It is a national effort designed to take into account genetic, environmental, and lifestyle differences in the development of individually tailored forms of treatment and prevention. This goal was implemented in March 2015 with the formation of an advisory committee working group to provide a framework for the proposed national research cohort of one million or more participants. The working group further held a public workshop on participant engagement and health equity, focusing on the design of an inclusive cohort, building public trust, and identifying active participant engagement features for the national cohort...
August 3, 2018: Healthcare (Basel, Switzerland)
Hubert Amu, Kwamena Sekyi Dickson, Akwasi Kumi-Kyereme, Eugene Kofuor Maafo Darteh
BACKGROUND: Realisation of universal health coverage is not possible without health financing systems that ensure financial risk protection. To ensure this, some African countries have instituted health insurance schemes as venues for ensuring universal access to health care for their populace. In this paper, we examined variations in health insurance coverage in Ghana, Kenya, Nigeria, and Tanzania. METHODS: We used data from demographic and health surveys of Ghana (2014), Kenya (2014), Nigeria (2013), and Tanzania (2015)...
2018: PloS One
Lisa B Hightow-Weidman, Kathryn Muessig, Eli Rosenberg, Travis Sanchez, Sara LeGrand, Laura Gravens, Patrick S Sullivan
BACKGROUND: Over a fifth of all new HIV infections in the United States occur among persons aged 13 24 years, with most of these diagnoses occurring among gay and bisexual males (81%). While the epidemic of HIV in the United States has leveled off for many age groups, the annual number of new HIV diagnoses among young men who have sex with men (YMSM; 13-24 years old) remains high. Traditional approaches to continuum improvement for youth have been insufficient, and targeted interventions are urgently needed for young people at risk for or infected with HIV...
August 3, 2018: JMIR Research Protocols
Karim ReFaey, Shashwat Tripathi, Jang W Yoon, Jessica Justice, Panagiotis Kerezoudis, Ian F Parney, Bernard R Bendok, Kaisorn L Chaichana, Alfredo Quiñones-Hinojosa
BACKGROUND: Glioblastomas (GBMs) are one of the most devastating primary tumors in humans and often results in minimal survival rates. Over the past 2 decades, patients have accessed the internet to obtain information related to their diagnoses. In this study, we aimed to evaluate the accuracy and the reliability of GBM-related YouTube videos. METHODS: In June of 2017, a search was conducted on YouTube using 6 keywords. Videos were sorted using "Relevance-Based Ranking" option, and the first 3 pages for each search were selected for further analysis...
July 31, 2018: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
Lise Lafferty, T Cameron Wild, Jake Rance, Carla Treloar
BACKGROUND: Hepatitis C (HCV) is a global public health concern. There is a global prevalence of 15% among the world's prisoner population, suggesting the need for priority HCV treatment among this population group. New highly efficacious therapies with low side effects, known as directing-acting antivirals, became available under Australia's universal healthcare scheme on 1 March 2016. This creates an opportune time to trial treatment as prevention as an elimination strategy for HCV in prison settings...
August 3, 2018: Harm Reduction Journal
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"