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https://www.readbyqxmd.com/read/30094343/making-the-weekend-work-a-local-quality-improvement-project-to-establish-and-improve-the-quality-of-weekend-handover
#1
Rosalie Amanda Heller, Lisi Hu
Handover is widely identified by the National Confidential Enquiry into Patient Outcome and Death, the Royal College of Physicians (RCP) and Health Foundation as an area that can lead to shortcomings in patient care. We recognised that the current weekend handover process in the Trauma and Orthopaedics department at Frimley Park Hospital was dated, time-consuming and did not promote handover of sufficient patient details. The Royal College of Surgeons, British Medical Association and RCP have guidelines on handover...
2018: BMJ Open Quality
https://www.readbyqxmd.com/read/30094275/african-american-women-perceptions-of-physician-trustworthiness-a-factorial-survey-analysis-of-physician-race-gender-and-age
#2
Jacqueline Wiltshire, Jeroan J Allison, Roger Brown, Keith Elder
Background/Objective: Physical concordance between physicians and patients is advocated as a solution to improve trust and health outcomes for racial/ethnic minorities, but the empirical evidence is mixed. We assessed women's perceptions of physician trustworthiness based on physician physical characteristics and context of medical visit. Methods: A factorial survey design was used in which a community-based sample of 313 African American (AA) women aged 45+ years responded to vignettes of contrived medical visits (routine versus serious medical concern visit) where the physician's race/ethnicity, gender, and age were randomly manipulated...
2018: AIMS Public Health
https://www.readbyqxmd.com/read/30090768/principles-of-family-medicine-practice-lessons-gleaned-over-a-lifetime-in-practice
#3
REVIEW
B C Rao, Ramakrishna Prasad
The term "principles" refers to a set of defining attributes and values that lie at the heart of a discipline. These are largely discovered by reflection and practice rather than learned by formal instruction. This article is written as a reflective dialogue between two teachers of family medicine, one who has been practicing for nearly five decades and another with training in contemporary academic family medicine, using a selection of case stories drawn from the practice of the first author. Several principles of family medicine such as "broad-based specialty"; "person and family orientation"; "continuity of care"; "community based care"; "building a trusting relationship"; "counseling"; and "an effective steward of resources" are highlighted...
March 2018: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/30087874/challenges-of-confidentiality-in-clinical-settings-compilation-of-an-ethical-guideline
#4
Mahshad Noroozi, Ladannaz Zahedi, Fataneh Sadat Bathaei, Pooneh Salari
Background: Respecting patients confidentiality and privacy are considered as the patients' rights. Confidentiality is the key virtue for trust building in physician-patient relationship. While law considers confidentiality as absolute except for legal situations, despite efforts to maintaining confidentiality, sometimes breaching confidentiality is unavoidable but not necessarily unethical. There is no Iranian unified ethical guideline to define clear approaches to patient confidentiality in clinical setting...
June 2018: Iranian Journal of Public Health
https://www.readbyqxmd.com/read/30077482/vaccine-confidence-among-mothers-of-young-children-slovenia-2016
#5
Veronika Učakar, Mario Fafangel, Alenka Kraigher
OBJECTIVES: We conducted the first nationwide survey in Slovenia to measure and characterise vaccine confidence among mothers of young children. This survey measured confidence in routine vaccines for children <2 years of age and in the information sources about these vaccinations to provide baseline data for public health actions to maintain and improve vaccination coverage. METHODS: We randomly selected women giving birth in 2014-15 from the national perinatal information system (N = 39,497)...
August 1, 2018: Vaccine
https://www.readbyqxmd.com/read/30077043/predictive-factors-of-positive-online-patient-ratings-of-spine-surgeons
#6
Saisanjana Kalagara, Adam E M Eltorai, J Mason DePasse, Alan H Daniels
BACKGROUND: Online physician rating websites are increasingly utilized by patients to evaluate their doctors. The purpose of this investigation was to evaluate factors associated with better spine surgeon ratings. METHODS: Orthopedic spine surgeons were randomly selected from the North American Spine Society directory utilizing a random number generator. Surgeon profiles on three physician rating websites, www.HealthGrades.com, www.Vitals.com, and www.RateMDs.com, were analyzed to gather qualitative and quantitative data on patients' perceptions of the surgeons...
August 1, 2018: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/30074645/effect-of-the-treatment-before-deposit-policy-on-trust-in-physicians-and-perceived-service-quality-among-patients-in-12-hospitals-in-china
#7
Shinduk Lee, Wenxin Wang, David J Washburn, Hongmei Shi, Yue Yu, Yuxian Du, Hao Zhang, Jay E Maddock
This study examined effects of the treatment-before-deposit policy on Chinese patients' trust in physicians and perceived service quality. This study included 3313 patients recruited from 12 hospitals in China. The research team used cross-sectional survey to examine Chinese patients' experience with the treatment-before-deposit policy, perceived service quality, and trust in their physicians. Using mediation analysis, we estimated direct and indirect effects of the treatment-before-deposit policy on patients' perceived service quality and trust in their physicians...
August 3, 2018: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/30064330/trustingly-bewildered-how-first-year-medical-students-make-sense-of-their-learning-experience-in-a-traditional-preclinical-curriculum
#8
Edvin Schei, Ruth E Johnsrud, Thomas Mildestvedt, Reidar Pedersen, Stefán Hjörleifsson
BACKGROUND: Traditional preclinical curricula based on memorization of scientific facts constitute learning environments which may negatively influence both factual understanding and professional identity development in medical students. Little is known of how students themselves experience and interpret such educational milieus. OBJECTIVE: To investigate first-year medical students' view of the physician role, and their perception of the relevance and quality of teaching in a science-based preclinical curriculum...
December 2018: Medical Education Online
https://www.readbyqxmd.com/read/30056404/-why-are-preventive-vaccinations-still-required
#9
Hanna Czajka
Vaccinations in Poland and other industrialized countries have been in the firing line for more than two decades. Members of the "anti-vaccine movement" and alternative medicine supporters are openly reluctant to this form of preventing infectious diseases, however their arguments are not based on reliable medical data. Contrary to false theories, the threat of infectious diseases is not lower than in the past. What is more, it has escalated in recent years as a result of the increasing number of parents who avoid vaccinations...
2018: Developmental Period Medicine
https://www.readbyqxmd.com/read/30051703/access-to-health-care-beliefs-and-behaviors-about-colorectal-cancer-screening-among-korean-americans
#10
Shin Young Lee, Eunice E Lee
Background: Colorectal cancer (CRC) is one of the most common cancers among Korean Americans (KAs) and their CRC screening rates are low. To raise the rates of CRC screening among KAs, it is necessary to improve our understanding of factors that influence their CRC screening behaviors. This study examined socio-demographics, access to health care, health and cultural beliefs, and behaviors about the fecal occult blood test (FOBT) for CRC screening among KAs aged 50 and older. Methods: Based on the health belief model, the cultural assessment model for health, and the Powe fatalism model, this study measured socio-demographics (age, gender, years in the U...
July 27, 2018: Asian Pacific Journal of Cancer Prevention: APJCP
https://www.readbyqxmd.com/read/30048992/healthcare-it-utilization-and-penetration-among-physicians-novel-it-solutions-in-healthcare-use-and-acceptance-in-hospitals
#11
Ferdinand Vogt, Fritz Seidl, Giuseppe Santarpino, Martijn van Griensven, Martin Emmert, Guenther Edenharter, Dominik Pförringer
BACKGROUND: Healthcare IT (HIT) increasingly gains public attention and clinical daily relevance. A growing number of patients and physicians increasingly relies on IT services to monitor and support well-being and recovery both in their private and professional environment. This is assumed to develop rapidly in the upcoming years. OBJECTIVE: This study examines the current status of HIT, its use and penetration among physicians in hospitals and researches utilization as well as future expectations regarding HIT...
July 26, 2018: European Surgical Research. Europäische Chirurgische Forschung. Recherches Chirurgicales Européennes
https://www.readbyqxmd.com/read/30046872/competing-and-conflicting-interests-in-the-care-of-critically-ill-patients
#12
REVIEW
Alison E Turnbull, Sarina K Sahetya, E Lee Daugherty Biddison, Christiane S Hartog, Gordon D Rubenfeld, Dominique D Benoit, Bertrand Guidet, Rik T Gerritsen, Mark R Tonelli, J Randall Curtis
Medical professionals are expected to prioritize patient interests, and most patients trust physicians to act in their best interest. However, a single patient is never a physician's sole concern. The competing interests of other patients, clinicians, family members, hospital administrators, regulators, insurers, and trainees are omnipresent. While prioritizing patient interests is always a struggle, it is especially challenging and important in the ICU setting where most patients lack the ability to advocate for themselves or seek alternative sources of care...
July 25, 2018: Intensive Care Medicine
https://www.readbyqxmd.com/read/30045654/choosing-channels-sources-and-content-for-communicating-prostate-cancer-information-to-black-men-a-systematic-review-of-the-literature
#13
Kim Walsh-Childers, Folakemi Odedina, Alexandria Poitier, Ernest Kaninjing, Greenberry Taylor
The purpose of this study was to identify effective channels, sources, and content approaches for communicating prostate cancer prevention information to Black men. The Web of Science, PubMed and GoogleScholar databases, as well as reviews of reference lists for selected publications, were searched to select articles relevant to cancer communication channels, sources or content for Black men, focused on male-prevalent cancers and published in English. Articles were excluded if they examined only patient-provider communication, dealt exclusively with prostate cancer patients or did not separate findings by race...
July 25, 2018: American Journal of Men's Health
https://www.readbyqxmd.com/read/30040274/-collaboration-between-general-practitioners-and-preventive-youth-health-physicians-room-for-improvement
#14
Nynke R Koning, Linda M M van der Schriek, Merel J van der Kooij, Frederike L Büchner, Jeroen A de Wilde, Mattijs E Numans, Mathilde R Crone
OBJECTIVE: To investigate how general practitioners and preventive youth health physicians experience their collaboration and to analyse factors involved. DESIGN: Qualitative research. METHOD: 14 general practitioners and 11 preventive youth health physicians from the Leiden and The Hague areas were interviewed in a semistructured manner. Data were analysed by thematic analysis using the 'Framework method', to identify important themes for collaboration...
May 29, 2018: Nederlands Tijdschrift Voor Geneeskunde
https://www.readbyqxmd.com/read/30035200/what-matters-most-at-the-end-of-life-for-chinese-americans
#15
Mei Ching Lee, Katherine A Hinderer, Carla S Alexander
Background: To provide optimal end-of-life (EOL) care in the Chinese American population, we need to have a better understanding of what matters most at EOL from their perspective. Experiencing a "good death" at the EOL is the optimal goal of palliative care. Studies show that the meaning and description of good death varies across cultures in different populations. In the United States, Chinese Americans comprise the largest Asian demographic. Aim: To describe EOL wishes, which define a good death for Chinese Americans...
January 2018: Gerontology & Geriatric Medicine
https://www.readbyqxmd.com/read/30031714/holistic-psychosocial-determinants-of-adherence-to-medication-in-people-with-type-2-diabetes
#16
G Reach, M Pellan, A Crine, C Touboul, A Ciocca, Y Djoudi
BACKGROUND: The aim of this study was to determine whether adherent and non-adherent patients with type 2 diabetes can be differentiated according to psychosocial characteristics. METHODS: A total of 1214 patients were included in the analysis. Data were derived from a cross-sectional observational study of adults with diabetes of the Access Santé (Access Health) panel of Kantar Health France. Patients completed a questionnaire on adherence to medication, psychological determinants (trust in physicians, constancy of habits, patience, temporal horizon, health locus of control, obedience, psychological reactivity, prevention vs promotion, optimism vs pessimism) and social deprivation...
June 20, 2018: Diabetes & Metabolism
https://www.readbyqxmd.com/read/30025937/quality-of-communication-and-trust-in-patients-with-serious-illness-an-exploratory-study-of-the-relationships-of-race-ethnicity-socioeconomic-status-and-religiosity
#17
Heather Coats, Lois Downey, Rashmi K Sharma, J Randall Curtis, Ruth A Engelberg
CONTEXT: Better understanding of clinicians' skill communicating with their patients, and of patients' trust in clinicians, is necessary to develop culturally-sensitive palliative care interventions. Race/ethnicity, socioeconomic status, and religiosity have been documented as factors influencing quality of communication and trust. OBJECTIVES: Explore associations of seriously-ill patients' race/ethnicity, socioeconomic status and religiosity with patients' ratings of the quality of clinicians' communication and trust in clinicians...
July 16, 2018: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/30016812/data-integration-for-future-medicine-difuture
#18
Fabian Prasser, Oliver Kohlbacher, Ulrich Mansmann, Bernhard Bauer, Klaus A Kuhn
INTRODUCTION: This article is part of the Focus Theme of Methods of Information in Medicine on the German Medical Informatics Initiative. Future medicine will be predictive, preventive, personalized, participatory and digital. Data and knowledge at comprehensive depth and breadth need to be available for research and at the point of care as a basis for targeted diagnosis and therapy. Data integration and data sharing will be essential to achieve these goals. For this purpose, the consortium Data Integration for Future Medicine (DIFUTURE) will establish Data Integration Centers (DICs) at university medical centers...
July 2018: Methods of Information in Medicine
https://www.readbyqxmd.com/read/30014578/artificial-intelligence-and-machine-learning-in-emergency-medicine
#19
Jonathon Stewart, Peter Sprivulis, Girish Dwivedi
Interest in artificial intelligence (AI) research has grown rapidly over the past few years, in part thanks to the numerous successes of modern machine learning techniques such as deep learning, the availability of large datasets and improvements in computing power. AI is proving to be increasingly applicable to healthcare and there is a growing list of tasks where algorithms have matched or surpassed physician performance. Despite the successes there remain significant concerns and challenges surrounding algorithm opacity, trust and patient data security...
July 16, 2018: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/30014481/trust-and-responsibility-in-molecular-tumour-boards
#20
David Merry, Christoph Schickhardt, Katja Mehlis, Eva C Winkler
Molecular tumour boards (MTBs) offer recommendations for potentially effective, but potentially burdensome, molecularly targeted treatments to a patient's treating physician. In this paper, we discuss the question of who is responsible for ensuring that there is an adequate evidence base for any treatments recommended to a patient. We argue that, given that treating oncologists cannot usually offer a robust evaluation of the evidence underlying an MTB's recommendation, members of the MTB are responsible for ensuring that the evidence level is adequate...
July 16, 2018: Bioethics
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