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health care for doctors

Antonio Iudici, Maria Quarato, Jessica Neri
The phenomenon of hearing voices is currently a much-discussed topic, both in the field of research and in the field of care services. The majority of people who report "hearing voices" do not subsequently receive services or receive a diagnosis of psychopathology. This topic raises questions for professionals in the health field about the lack of tools that can help illuminate the phenomenon. The purposes of this work are (a) to highlight the psychological studies that approach the phenomenon in a non-psychopathological way and (b) to determine which concepts could aid the comprehension of the phenomenon...
December 10, 2018: Community Mental Health Journal
Enora Le Roux, Hélène Mellerio, Paul Jacquin, Aurélie Bourmaud, Sophie Guilmin-Crépon, Albert Faye, Sophie Matheron, Rym Boulkedid, Corinne Alberti
Background: The last 20 years have seen many attempts to improve transition to adult healthcare for adolescents with chronic disease, but there is currently no established consensus on generic practices. Our goal was to identify relevant and pragmatic guidelines for transition practice for each step of this process (before, during and after transfer), applicable to a wide range of chronic illnesses and health services, via a participatory approach involving all the key stakeholders. Methods: We conducted interviews and a literature review to elaborate a questionnaire for use in an online 2-round Delphi survey...
December 6, 2018: European Journal of Public Health
Labasangzhu, E Bjertness, E B McNeil, Deji, Y Guo, P Songwathana, V Chongsuvivatwong
Background: The maternal mortality ratio (MMR) of the Tibet Autonomous Region (hereinafter "Tibet") is still five times higher than the national average. This study aims to identify the successes and pitfalls of the health system that might be related to the high mortality rate based on the WHO health system building blocks, focusing on human resources for health and health infrastructure and the impact on maternal health and outcomes. Methods: Sources of information include China's central government and Tibet's local government policies and regulations, health statistical yearbooks, maternal and child health routine reporting system, and English and Chinese online research articles...
2018: Risk Management and Healthcare Policy
Betty E Thomas, Thomas Ledowski
PURPOSE OF REVIEW: Against the background of increasing healthcare costs and diminishing budgets, this review aims to present clinicians with ethically viable options to overcome budgetary restraints when seeking to introduce novel products. RECENT FINDINGS: Healthcare administrators and primary healthcare providers are not unlikely to have different opinions when discussing the introduction of novel products. However, rather than taking a 'no' for an answer, doctors may be able to argue for a change - even if this may seem to come at a higher cost...
December 6, 2018: Current Opinion in Anaesthesiology
V Wy Lee, F Wt Cheng, F Yh Fong, E En Ng, L Lh Lo, L Ys Ngai, A Sm Lam
INTRODUCTION: The aim of the present study was to evaluate the understanding of generic substitution among health care professionals and members of the general public ("general public") in Hong Kong. METHODS: This cross-sectional descriptive study was performed by using a self-completed anonymous questionnaire from March 2015 to May 2017. The questionnaire included demographic data, knowledge of generic drugs, experiences of generic substitution, and views on policy...
December 3, 2018: Hong Kong Medical Journal, Xianggang Yi Xue za Zhi
Karen Roush, Mary Tesoro
BACKGROUND: Final scholarly projects are the culmination of the DNP educational process and as such reflect the achievement of doctoral level scholarship that prepares graduates to be leaders in providing high quality, accessible health care and creating health care systems that are effective and responsive to the needs of a diverse population. PURPOSE: The purpose of this study was to determine the rigor and value of final scholarly projects being produced by DNP graduates in the United States...
November 2018: Journal of Professional Nursing: Official Journal of the American Association of Colleges of Nursing
Moninne M Howlett, Brian J Cleary, Cormac V Breatnach
BACKGROUND: The use of health information technology (HIT) to improve patient safety is widely advocated by governmental and safety agencies. Electronic-prescribing and smart-pump technology are examples of HIT medication error reduction strategies. The introduction of new errors on HIT implementation is, however, also recognised. To determine the impact of HIT interventions, clear medication error definitions are required. This study aims to achieve consensus on defining as medication errors a range of either technology-generated, or previously unaddressed infusion-related scenarios, common in the paediatric intensive care setting...
December 7, 2018: BMC Medical Informatics and Decision Making
Jiaojiao Fei, Yanhua Li, Weifei Gao, Junwei Li
BACKGROUND: The impact of evidence-based medicine (EBM) training techniques in primary healthcare professionals remains to be determined. METHODS: A non-randomized controlled trial (NRCT) was performed aiming to assess the two methods of evidence-based medicine training for primary healthcare professionals by assessing evidence based practice (EBP) related knowledge (EBP-K), attitude (EBP-A), personal application (EBP-P), anticipated future use (EBP-F), and community management of hypertension...
December 7, 2018: BMC Medical Education
Prasanna N de Silva
This article reviews currently available appropriate technologies which have been used in mental health, in order to reduce confusion and delay. Confusion (for example when and where to refer) can lead to error and waste. Similarly delay impacts quality and accessibility of the whole range of mental health services. As most secondary care mental health services use electronic patient records, it is arguably easier to apply technology in this speciality. However, consideration needs to be given to confidentiality and data security...
December 2, 2018: British Journal of Hospital Medicine
Lois J Loescher, Amy L Howerter, Kelly M Heslin, Christina M Azzolina, Myra L Muramoto
Background: Skin cancer is the most common cancer in the US. Training massage therapists (MTs) in skin cancer prevention and detection creates opportunity for reducing skin cancer burden. Little is known about MTs' perceptions of skin cancer prevention and detection, their discussions of these topics with clients, or their referral recommendations for suspicious skin lesions. Purpose: We surveyed MTs' perceptions of their role in engaging in conversations about skin cancer prevention, viewing the skin for suspicious lesions, and referring clients with such lesions to health care providers...
December 2018: International Journal of Therapeutic Massage & Bodywork
Izet Masic
Introduction: Austro-Hungarian monarchy had great impact on healthcare system in Bosnia and Herzegovina (B&H), and consequences of that exist today. Aim: To launch of the section "The Most Influential Physicians in the Development of Health Care in Bosnia and Herzegovina", in which, within next issues of the Medical Archives will be presented the prominent physicians, dentists and pharmacists who gave contribution to development of healthcare system in B&H...
November 2018: Medical Archives
Sujit Balodiya, Ashwin Kamath
BACKGROUND: Advances in the clinical management of diseases have been accompanied by increasing complexity of treatment regimens. The complexity of medication regimen is of concern for patients as well as doctors as it may adversely affect patient compliance and treatment outcomes. It may result in medication errors, increased utilization of health resources owing to a reduction in treatment effectiveness, and increased risk of therapeutic failure. OBJECTIVE: To assess the complexity of medication regimen prescribed to patients on hospital discharge using the medication regimen complexity index (MRCI)...
December 6, 2018: Current Drug Safety
Belinda J Anderson, Sai Jurawanichkul, Benjamin E Kligler, Paul R Marantz, Roni Evans
OBJECTIVES: The combination of biomedicine and traditional and complementary medicine (T&CM) is often referred to as integrative medicine. However, the degree to which the medical disciplines are integrated varies between medical settings, and it is believed by some to be impossible due to epistemological and paradigmatic differences. Clinicians' perspectives are important determinants of how different medical disciplines are used together. This study explores the perspectives of experienced Chinese medicine practitioners when asked about the most ethical model (opposition, integration, or pluralism) for the relationship between biomedicine and T&CM...
December 5, 2018: Journal of Alternative and Complementary Medicine: Research on Paradigm, Practice, and Policy
Serawit Lakew, Alaso Ankala, Fozia Jemal
BACKGROUND: Patient satisfaction to Antenatal care services has traditionally been linked to the quality of services given and the extent to which specific needs are met. Even though data in this area was limited in Ethiopia, improving quality of care was one of the strategies in health sector development program IV. This study, therefore, attempted to assess client satisfaction to skilled antenatal care services in the study area. METHODS AND MATERIALS: A cross-sectional facility based survey was conducted among women who were attending antenatal care clinic, using quantitative method triangulated with qualitative data collection...
December 6, 2018: BMC Pregnancy and Childbirth
Katja Becker, Armin Schmidtke, Nadine Glasow
Possibilities for Suicide Prevention Through Architecture in Child and Adolescent Psychiatry Abstract. In Germany, departments of Child and Adolescent Psychiatry are responsible for the treatment of young people with acute suicidal tendencies. Therefore, it is important to consider means of preventing suicide already during the construction and business operations of these institutions. Approaches to structural suicide prevention can be divided into restrictive and atmospheric-therapeutic measures. The latter includes ways to create an antisuicidal environment and to establish a setting amenable to close support and care by mental-health professionals...
December 7, 2018: Zeitschrift Für Kinder- und Jugendpsychiatrie und Psychotherapie
Juliana L Torres, Silvia L A da Silva, Fabiane R Ferreira, Liliane P S Mendes, Luciana A Machado
Background: Chronic pain is known to increase health care use in high-income countries, but in Brazil, little is known. Objective: To investigate the association between chronic pain and health care use among Brazilian older adults and explore the relationship between pain severity and health care use. Methods: This cross-sectional study was derived from the population-based study Frailty in Brazilian Older People-FIBRA. Chronic pain, pain intensity and pain-related disability were assessed through additional telephone interviews...
December 5, 2018: Family Practice
Wei-Hua Tian
OBJECTIVES: In Taiwan, although the implementation of the National Health Insurance (NHI) program reduced financial barriers and enhanced accessibility for individuals to utilize health care services, an unequal distribution of medical care resources still exists. This paper is focusing on analyzing factors that are associated with unmet health care needs among the middle-aged and elderly under the NHI in Taiwan. METHODS: Statistical analysis from the 2007 Survey of Health and Living Status of the Elderly in Taiwan...
December 5, 2018: International Journal of Health Planning and Management
Michael G Fadel, Krishan Parekh, Paul Hayden, Priya Krishnan
Introduction: Treatment escalation plans (TEPs) are important to ensure that every patient has their ceiling of care discussed and documented formally. At Medway Foundation Trust, we introduced TEP forms in September 2016 which are to be completed by the relevant consultant within 24 hours of admission. Aims and methods: To evaluate whether TEP forms had been effective at improving escalation planning and whether they had a subsequent impact in do not attempt cardiopulmonary resuscitation (DNACPR) decision-making...
2018: BMJ Open Quality
Sabur Safi, Thomas Thiessen, Kurt Jg Schmailzl
BACKGROUND: This study discusses the acceptance of new medical technologies in health care settings and resistance to these technologies from hospitals, doctors' surgical centers, electronic health (eHealth) centers, and related institutions. We suggest a novel method of identifying factors that influence the acceptance of, and resistance to, new technologies by medical staff and patients. OBJECTIVE: The objective of this study was to determine and evaluate the factors that influence acceptance and resistance to achieve a successful implementation of new technologies...
December 4, 2018: JMIR Research Protocols
Sara Tookey, Cristina Renzi, Jo Waller, Christian von Wagner, Katriina L Whitaker
BACKGROUND: 'Candidacy' is concerned with the way people consider their eligibility for accessing health services. We used the Candidacy Framework to explore how the doctor-patient relationship can influence perceived eligibility to visit their General Practitioner (GP) among people experiencing cancer alarm symptoms. METHODS: We carried out a secondary analysis of qualitative interviews with 29 women and 33 men, aged ≥50 years experiencing cancer alarm symptoms, recruited through primary care...
December 4, 2018: BMC Health Services Research
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