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Home visits

Jordana de Faria Bessa, Naieli Bonatto
OBJECTIVE:  To promote informed choice for women and to compare home and hospital births in relation to the Apgar score. METHODS:  Mother's profile and Apgar score of naturally born infants (without forceps assistance) in Brazil between 2011 and 2015, in both settings-hospital or home-were collected from live birth records provided by the Informatics Department of the Unified Health System (DATASUS, in the Portuguese acronym). For the analysis, were included only data from low-risk deliveries, including gestational time between 37 and 41 weeks, singleton pregnancy, at least four visits of prenatal care, infants weighing between 2,500 g, and 4,000 g, mother age between 20-40 years old, and absence of congenital anomalies...
December 12, 2018: Revista Brasileira de Ginecologia e Obstetrícia
Thomas Saïas, Caroline Clavel, Julie Bodard
In 2010, the French Ministry of Health started the implementation of the ?PRADO? process, which constitutes a way to finance two early post-partum home visits by midwives. These two visits occur between the third and twelfth day of the newborn child. However, this PRADO program has come as a supplementary service, while the Maternal and child protection services (?PMI?) were already in charge of home visitation in early postpartum up to the child's sixth birthday. Through a qualitative survey, this study aimed at evaluating the effect of the implementation of the PRADO program over the PMI structure and home visitation intervention...
October 22, 2018: Santé Publique: Revue Multidisciplinaire Pour la Recherche et L'action
Thomas Saïas, Caroline Clavel, Romain Dugravier, Augusta Bonnard, Julie Bodard
Maternal and child protection services (?PMI?) are French universal services providing prevention and health promotion services to parents and their newborn children up to the age of 6. They specifically offer home visitation services in order to reach families that could not be seen otherwise. This paper presents the results of a national survey describing these home visitation services and their local implantation. Sixty French ?départements? (59%), constituting the territorial unit for the PMI answered the survey...
October 22, 2018: Santé Publique: Revue Multidisciplinaire Pour la Recherche et L'action
Renata Machado Becker, Ivonete Teresinha Schülter Buss Heidemann, Betina Horner Schlindwein Meirelles, Maria Fernanda Baeta Neves Alonso da Costa, Fabiano Oliveira Antonini, Michelle Kuntz Durand
OBJECTIVE: To understand care practices for people with Chronic Noncommunicable Disease, developed by Primary Health Care nurses in a municipality in southern Brazil. METHOD: Qualitative study, developed through the Discourse of the Collective Subject. Twenty-three nurses from the Family Health Strategy participated. Data were collected through semi-structured interviews and analyzed by the health promotion framework. RESULTS: Nurses care practices for people with chronic disease present themselves through the home visit, individual care and collective care...
2018: Revista Brasileira de Enfermagem
Nathália Maria Lopes Dos Santos, Fernando Neves Hugo
The National Oral Health Policy emphasizes the importance of training in Primary Health Care and adapting the work processes to the new health care model. This study seeks to investigate the association between the training of Dental-Surgeons in Family Health and the work process. It involved a cross-sectional and multicentric study, with 18,114 Oral Health Teams that participated on the National Program to Enhance Access and Quality of Primary Health Care. Data were collected through interviews, using a structured questionnaire...
December 2018: Ciência & Saúde Coletiva
Juan I Muñoz-Bonet, José L López-Prats, Eva M Flor-Macián, Teresa Cantavella, Laura Bonet, Amparo Domínguez, Juan Brines
INTRODUCTION: Medical care for ventilator-dependent children must avoid hospital confinement, which is detrimental to the patient, their family and Paediatric Intensive Care Unit. Our objective was to assess the role of telemedicine in facilitating early and permanent discharge of such patients to home care. METHODS: This was a prospective clinical study (2007-2017) in tracheotomised ventilator-dependent children. We used a Big Data Telemedicine home system (Medlinecare 2...
December 11, 2018: Journal of Telemedicine and Telecare
Johanna E Bellon, Andrew Bilderback, Namita S Ahuja-Yende, Cindy Wilson, Stefanie C Altieri Dunn, Deborah Brodine, Michael L Boninger
OBJECTIVES: To compare rates of 30- and 90-day hospital readmissions and observation or emergency department (ED) returns of older adults using the University of Pittsburgh Medical Center (UPMC) Health Plan Home Transitions (HT) with those of Medicare fee-for-service (FFS) controls without HT. DESIGN: Retrospective cohort study. SETTING: Analysis of home health and hospital records from 8 UPMC hospitals in Allegheny County, Pennsylvania, from July 1, 2015, to April 30, 2017...
December 8, 2018: Journal of the American Geriatrics Society
Sara A Morgan, Mohamed M Ali
Estimation of maternal mortality ratio (MMR) in humanitarian settings ('settings of conflict, displacement and natural disaster') is challenging, particularly where communities have dissolved and geographical areas are inaccessible. During humanitarian events, the reproduction of maternal mortality figures by the media is common, and are often based on inaccurate reports. In light of such uncertainties and challenges, the aim of this article was to review and appraise the methodology and data collection tools used to measure MMR in humanitarian settings...
December 10, 2018: Health Policy and Planning
Evelyn Xiu Ling Loo, Lamony Jian Ming Chew, Atiqa Binte Zulkifli, Le Duc Huy Ta, I-Chun Kuo, Anne Goh, Oon Hoe Teoh, Hugo Van Bever, Peter D Gluckman, Fabian Yap, Kok Hian Tan, Yap Seng Chong, Bee Wah Lee, Lynette Pei-Chi Shek
Background: The prevalence of allergic diseases, such as asthma, allergic rhinitis, eczema and food allergy, has been increasing worldwide, as shown in a large number of studies, including the International Study of Asthma and Allergies in Childhood (ISAAC). However, there is significant variation in the prevalence of these diseases in different regions, suggesting that there may be location-specific factors such as environment and microbial exposure affecting allergic disease prevalence...
2018: World Allergy Organization Journal
Lauren Duquette-Rury, Roger Waldinger, Nelson Lim
Beyond the economic and social effects of international migration researchers show regular exchanges between immigrants and stay-at-homes produce political spillovers in sending countries. As a broad body of literature demonstrates, most migrants maintain at least some form of contact with key connections back home, whether through long-distance communication, remittance sending, or in person visits. We investigate if exposure to international migration affects non-migrant citizens political interest, awareness, and attitudes about the efficacy of elections using longitudinal survey data from the Mexico 2006 Panel Study...
2018: Comparative Migration Studies
L A Arola, E Barenfeld, S Dahlin-Ivanoff, G Häggblom-Kronlöf
Background: The migration process can be a threat to a person's sense of coherence (SOC) and to their ability to experience life as comprehensible, manageable, and meaningful. Seen from a salutogenic perspective, this may have a negative impact on the experience of health. Purpose: We describe the distribution of SOC and its components among older persons with an immigrant background now aging in Sweden. In addition, we evaluated whether a group-based health promotion program with a person-centered approach could support the SOC among older persons in this group...
2018: Clinical Interventions in Aging
Kathi Mooney, Meagan S Whisenant, Susan L Beck
INTRODUCTION: There is growing recognition that systematically obtaining the patient's perspective on their health experience, using patient-reported outcomes (PRO), can be used to improve patient care in real time. Few PRO systems are designed to monitor and provide symptom management support between visits. Patients are instructed to contact providers between visits with their concerns, but they rarely do, leaving patients to cope with symptoms alone at home. We developed and tested an automated system, Symptom Care at Home (SCH), to address this gap in tracking and responding to PRO data in-between clinic visits...
December 10, 2018: Medical Care
Brittany DeFeis, Silvia Chapman, Carolyn Zhu, Martina Azar, Preeti Sunderaraman, Katherine Ornstein, Yian Gu, Stephanie Cosentino
OBJECTIVE: The objective of this study was to examine whether reduced awareness of memory deficits in individuals with dementia is associated with more frequent need for Medicare home health care services. METHODS: Cross-sectional analyses were conducted in a multicenter, clinic-based cohort. In total, 192 participants diagnosed with dementia and their informants were independently asked whether or not the participant demonstrated cognitive symptoms of dementia related to memory and word-finding...
December 6, 2018: Alzheimer Disease and Associated Disorders
Lauren Lapointe-Shaw, Peter C Austin, Noah M Ivers, Jin Luo, Donald A Redelmeier, Chaim M Bell
OBJECTIVE: To determine whether patients discharged from hospital during the December holiday period have fewer outpatient follow-ups and higher rates of death or readmission than patients discharged at other times. DESIGN: Population based retrospective cohort study. SETTING: Acute care hospitals in Ontario, Canada, 1 April 2002 to 31 January 2016. PARTICIPANTS: 217 305 children and adults discharged home after an urgent admission, during the two week December holiday period, compared with 453 641 children and adults discharged during two control periods in late November and January...
December 10, 2018: BMJ: British Medical Journal
Fallon Cluxton-Keller, Melony Williams, Jennifer Buteau, Craig L Donnelly, Patricia Stolte, Maggie Monroe-Cassel, Martha L Bruce
BACKGROUND: The Federal Maternal, Infant, and Early Childhood Home Visiting Program is a national child abuse prevention strategy that serves families at risk for child maltreatment throughout the United States. Significant portions of the clients are young mothers who screen positive for clinically significant perinatal depressive symptoms and experience relational discord that worsens their symptoms. Although home visitors refer those who screen positive for depression to community-based treatment, they infrequently obtain treatment because of multiple barriers...
December 10, 2018: JMIR Mental Health
Kathy Belk, Mark P Connolly, Lisa Schlesinger, Ruben R Ben-Harari
Toxoplasmosis causes substantial morbidity and mortality in the United States (US). Clinical manifestations to toxoplasmosis vary and there is limited information on incidence or treatment patterns in the US. Treatment pathways for pyrimethamine-based regimens and trimethoprim-sulfamethoxazole (TMP-SMX) for toxoplasmosis hospitalizations were investigated using the Vizient Health Systems inpatient and outpatient data. Between January 1st , 2011 and December 31st , 2017, 10,273 hospital visits from 4,736 unique patients received a primary or secondary ICD-9/ICD-10 diagnosis for toxoplasmosis...
December 10, 2018: Pathogens and Global Health
Kenneth A Dodge
Acting alone, psychologists rarely achieve population impact on important mental health and well-being outcomes for families and young children. The traditional Institute of Medicine model of moving from efficacy trials to effectiveness trials to scaling up has not succeeded, partly due to degradation of program quality and impact during scale-up and partly due to a failure to consider system-context issues at the outset. Analysis of barriers to population impact leads to the proposal of a new comprehensive system of care that includes both top-down coordination among community agencies providing services and bottom-up outreach to every family to connect them with services...
December 2018: American Psychologist
Teresa M Waters, Cameron M Kaplan, Ilana Graetz, Mary M Price, Laura A Stevens, Barbara L McAneny
PURPOSE: We examined whether the Community Oncology Medical Home (COME HOME) program, a medical home program implemented in seven community oncology practices, was associated with changes in spending and care quality. PATIENTS AND METHODS: We compared outcomes from elderly fee-for-service Medicare beneficiaries diagnosed between 2011 and 2015 with breast, lung, colorectal, thyroid, or pancreatic cancer, lymphoma, or melanoma and served by COME HOME practices before and after program implementation versus similar beneficiaries served by other geographically proximate oncologists...
December 5, 2018: Journal of Oncology Practice
David R Colelli, Maneesha Kamra, Phavalan Rajendram, Brian J Murray, Mark I Boulos
OBJECTIVE: Continuous positive airway pressure (CPAP) has been shown to improve functional, motor and cognitive outcomes in post-stroke obstructive sleep apnea (OSA). However, rates of CPAP adherence are often low and factors impacting CPAP adherence remain under-explored. Our objective was to determine predictors of CPAP adherence in patients who had a stroke or transient ischemic attack (TIA). METHODS: We screened 313 stroke/TIA patients for OSA using in-hospital polysomnography or the ApneaLink home sleep apnea test...
October 24, 2018: Sleep Medicine
Caroline E Boeke, Vennie Nabitaka, Andrea Rowan, Katherine Guerra, Pamela Nawaggi, Vivienne Mulema, Victor Bigira, Eleanor Magongo, Patricia Mucheri, Andrew Musoke, Cordelia Katureebe
BACKGROUND: Despite gains in HIV testing and treatment access in sub-Saharan Africa, patient attrition from care remains a problem. Evidence is needed of real-world implementation of low-cost, scalable, and sustainable solutions to reduce attrition. We hypothesized that more proactive patient follow-up and enhanced counseling by health facilities would improve patient linkage and retention. METHODS: At 20 health facilities in Central Uganda, we implemented a quality of care improvement intervention package that included training lay health workers in best practices for patient follow-up and counseling, including improved appointment recordkeeping, phone calls and home visits to lost patients, and enhanced adherence counseling strategies; and strengthening oversight of these processes...
December 6, 2018: BMC Health Services Research
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