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https://www.readbyqxmd.com/read/29673918/-day-hospital-in-internal-medicine-a-chance-for-ambulatory-care
#1
A Grasland, E Mortier
INTRODUCTION: Internal medicine is an in-hospital speciality. Along with its expertise in rare diseases, it shares with general medicine the global care of patients but its place in the ambulatory shift has yet to be defined. The objective of our work was to evaluate the benefits of an internal medicine day-hospital devoted to general medicine. METHODS: Named "Centre Vi'TAL" to underline the link between the city and the hospital, this novel activity was implemented in order to respond quickly to general practitioners having difficulties to synthesize their complex patients or facing diagnostic or therapeutic problems...
April 16, 2018: La Revue de Médecine Interne
https://www.readbyqxmd.com/read/29665585/-outpatient-emergency-care-for-nursing-home-residents-a-status-quo-from-a-nursing-perspective
#2
Markus Bleckwenn, Linnea Bell, Rieke Schnakenberg, Klaus Weckbecker, Manuela Klaschik
AIM OF THE STUDY: At present about 2 million people need care in Germany, about one third of them live in old people's homes or nursing homes. Outpatient emergency care of nursing home residents is ensured by primary care physicians, the medical emergency service and the emergency services. Emergency care has rarely been examined from the perspective of nurses. Therefore, in our study, we investigated how the nurses perceive medical care in medical emergencies and what suggestions for improvements they have...
April 17, 2018: Das Gesundheitswesen
https://www.readbyqxmd.com/read/29659068/evolving-standards-of-care-in-the-age-of-cybertechnology
#3
Frederic G Reamer
Behavioral health professionals are making increased use of cybertechnology to deliver services to patients, communicate with patients, gather information about patients, and communicate with colleagues. The advent of cybertechnology - included the Internet, text (SMS), email, video, cloud storage of electronic records, and other forms of electronic communication and documentation - has introduced novel and unprecedented ethical and risk-management challenges. This article provides an overview of emerging issues related to informed consent; delivery of services; privacy, confidentiality, and privileged communication; boundary issues and dual relationships; documentation; and practitioners' relationships with colleagues...
March 2018: Behavioral Sciences & the Law
https://www.readbyqxmd.com/read/29658794/views-of-general-practitioners-toward-physiotherapy-management-of-osteoarthritis-a-qualitative-study
#4
Andrew Okwera, Stephen May
BACKGROUND: Osteoarthritis (OA) is a major cause of pain and physical disability, and general practitioners (GPs) are usually the first point of contact for patients. Physiotherapy has been shown as effective in the management of lower-limb OA. The aim was to explore the beliefs of GPs on the physiotherapy management of lower-limb OA in primary care. METHODS: This is a qualitative study evaluating GP views about physiotherapy in Sheffield, South Yorkshire, UK. Participating GPs were recruited by systematic sampling, and invitation was given to GPs in 10 practices in the four localities in Sheffield...
April 16, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29656390/documenting-the-growth-of-ultrasound-research-in-emergency-medicine-through-a-bibliometric-analysis-of-accepted-academic-conference-abstracts
#5
Michael I Prats, David P Bahner, Ashish R Panchal, Andrew M King, David P Way, Stephen Lin, J Christian Fox, Creagh T Boulger
OBJECTIVES: Ultrasound (US) has become an indispensable skill for emergency physicians. Growth in the use of US in emergency medicine (EM) has been characterized by practice guidelines, education requirements, and the number of EM US practitioners. Our purpose was to further document the growth of EM US by profiling the breadth, depth, and quality of US-related research presented at EM's most prominent annual research conference: the Society for Academic Emergency Medicine Annual Meeting...
April 15, 2018: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://www.readbyqxmd.com/read/29649845/-early-palliative-care-in-emergency-medicine
#6
Maximilian Spickermann, Philipp Lenz
At the end of life patients with a life-limiting disease are often admitted to emergency departments (ED). Mostly, in the setting of an ED there may not be enough time to meet the needs for palliative care (PC) of these patients. Therefore, integration of PC into the ED offers a solution to improve their treatment. In the outpatient setting a cooperation between prehospital emergency services, the patient's general practitioner and specialized outpatient PC teams may allow the patient to die at home - this is what most patients prefer at the end of life...
April 2018: Deutsche Medizinische Wochenschrift
https://www.readbyqxmd.com/read/29649285/cost-of-gastroenteritis-in-australia-a-healthcare-perspective
#7
S Fiona Barker, Ella Zomer, Joanne O'Toole, Martha Sinclair, Katherine Gibney, Danny Liew, Karin Leder
BACKGROUND: Acute gastroenteritis illness is a common illness that causes considerable morbidity, but current estimates of the cost to the Australian healthcare system are unknown. OBJECTIVE: To estimate the current healthcare utilisation and direct public healthcare system costs attributable to acute gastroenteritis illness in Australia. METHODS: This is an incidence-based cost-of-illness study focused on quantifying direct health care costs using a bottom-up approach...
2018: PloS One
https://www.readbyqxmd.com/read/29648944/parents-concerns-regarding-the-growth-characteristics-of-their-adolescents-a-qualitative-inquiry-in-iran
#8
Mohammad Ali Cheraghi, Parvaneh Rezasoltani, AbouAli Vedadhir, Ziba Taghizadeh, Seyyed Hossein Samadanifard
In recent times, parents have become increasingly concerned, both subjectively and objectively, about their adolescents' body height/weight growth. Parent-adolescent interactions about this issue and the potential socio-psychological consequences of such interactions should be considered as an important influencing factor on the future of adolescents' sexual and reproductive health. To achieve a greater understanding of such concerns, it is necessary to further elucidate parents' experiences on this topic, so as to expand the existing literature...
December 2018: International Journal of Qualitative Studies on Health and Well-being
https://www.readbyqxmd.com/read/29628333/multidisciplinary-difficult-airway-course-an-essential-educational-component-of-a-hospital-wide-difficult-airway-response-program
#9
W Robert Leeper, Elliott R Haut, Vinciya Pandian, Sajan Nakka, Jeffrey Dodd-O, Nasir Bhatti, Elizabeth A Hunt, Mustapha Saheed, Nicholas Dalesio, Adam Schiavi, Christina Miller, Thomas D Kirsch, Lauren Berkow
OBJECTIVE: A hospital-wide difficult airway response team was developed in 2008 at The Johns Hopkins Hospital with three central pillars: operations, safety monitoring, and education. The objective of this study was to assess the outcomes of the educational pillar of the difficult airway response team program, known as the multidisciplinary difficult airway course (MDAC). DESIGN: The comprehensive, full-day MDAC involves trainees and staff from all provider groups who participate in airway management...
April 5, 2018: Journal of Surgical Education
https://www.readbyqxmd.com/read/29625587/the-norwegian-national-summary-care-record-a-qualitative-analysis-of-doctors-use-of-and-trust-in-shared-patient-information
#10
Kari Dyb, Line Lundvoll Warth
BACKGROUND: This paper explores Norwegian doctors' use of and experiences with a national tool for sharing core patient health information. The summary care record (SCR; the Kjernejournal in Norwegian) is the first national system for sharing patient information among the various levels and institutions of health care throughout the country. The health authorities have invested heavily in the development, implementation and deployment of this tool, and as of 2017 all Norwegian citizens have a personalised SCR...
April 6, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29624137/multi-disciplinary-decision-making-in-general-practice
#11
Ann Kirby, Aileen Murphy, Colin Bradley
Purpose Internationally, healthcare systems are moving towards delivering care in an integrated manner which advocates a multi-disciplinary approach to decision making. Such an approach is formally encouraged in the management of Atrial Fibrillation patients through the European Society of Cardiology guidelines. Since the emergence of new oral anticoagulants switching between oral anticoagulants (OACs) has become prevalent. This case study considers the role of multi-disciplinary decision making, given the complex nature of the agents...
April 9, 2018: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/29622029/admission-rates-in-a-general-practitioner-based-versus-a-hospital-specialist-based-hospital-at-home-model-access-an-open-labelled-randomised-clinical-trial-of-effectiveness
#12
Christian Backer Mogensen, Ejnar Skytte Ankersen, Mats J Lindberg, Stig L Hansen, Jørgen Solgaard, Pia Therkildsen, Helene Skjøt-Arkil
BACKGROUND: Hospital at home (HaH) is an alternative to acute admission for elderly patients. It is unclear if should be cared for a primarily by a hospital intern specialist or by the patient's own general practitioner (GP). The study assessed whether a GP based model was more effective than a hospital specialist based model at reducing number of hospital admissions without affecting the patient's recovery or number of deaths. METHODS: Pragmatic, randomised, open-labelled multicentre parallel group trial with two arms in four municipalities, four emergency departments and 150 GPs in Southern Denmark, including + 65 years old patients with an acute medical condition that required acute hospital in-patient care...
April 5, 2018: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://www.readbyqxmd.com/read/29622005/changing-hearts-and-minds-examining-student-nurses-experiences-and-perceptions-of-a-general-practice-placement-through-a-community-of-practice-lens
#13
Robin Lewis, Shona Kelly
BACKGROUND: The recent UK Government paper 'Five year forward view' describes the need to move much patient management from secondary to primary care, and this will require a significant increase in the numbers of General Practice Nurses (GPNs). Until recently, there has been no clear recruitment strategy to address this. There have however been a number of proposed solutions to address the impending GPN recruitment crisis and to increase the numbers of new GPNs in post. General Practitioners (GPs) working in the Advanced Training Practice Scheme (ATPS) have been commissioned by Health Education England to provide placements for student nurses...
April 5, 2018: BMC Medical Education
https://www.readbyqxmd.com/read/29613873/quality-of-primary-care-provided-to-medicare-beneficiaries-by-nurse-practitioners-and-physicians
#14
Peter Buerhaus, Jennifer Perloff, Sean Clarke, Monica O'Reilly-Jacob, Galina Zolotusky, Catherine M DesRoches
OBJECTIVE: To examine differences in the quality of care provided by primary care nurse practitioners (PCNPs), primary care physicians (PCMDs), or both clinicians. DATA SOURCES: Medicare part A and part B claims during 2012-2013. STUDY DESIGN: Retrospective cohort design using standard risk-adjustment methodologies and propensity score weighting assessing 16 claims-based quality measures grouped into 4 domains of primary care: chronic disease management, preventable hospitalizations, adverse outcomes, and cancer screening...
April 2, 2018: Medical Care
https://www.readbyqxmd.com/read/29609618/what-should-the-african-health-workforce-know-about-disasters-proposed-competencies-for-strengthening-public-health-disaster-risk-management-education-in-africa
#15
Olushayo Olu, Abdulmumini Usman, Kalula Kalambay, Stella Anyangwe, Kuku Voyi, Christopher Garimoi Orach, Aklilu Azazh, Mala Ali Mapatano, Ngoy Nsenga, Lucien Manga, Solomon Woldetsadik, Francois Nguessan, Angela Benson
BACKGROUND: As part of efforts to implement the human resources capacity building component of the African Regional Strategy on Disaster Risk Management (DRM) for the health sector, the African Regional Office of the World Health Organization, in collaboration with selected African public health training institutions, followed a multistage process to develop core competencies and curricula for training the African health workforce in public health DRM. In this article, we describe the methods used to develop the competencies, present the identified competencies and training curricula, and propose recommendations for their integration into the public health education curricula of African member states...
April 2, 2018: BMC Medical Education
https://www.readbyqxmd.com/read/29609547/health-professional-perceptions-regarding-screening-tools-for-developmental-surveillance-for-children-in-a-multicultural-part-of-sydney-australia
#16
Pankaj Garg, My Trinh Ha, John Eastwood, Susan Harvey, Sue Woolfenden, Elisabeth Murphy, Cheryl Dissanayake, Katrina Williams, Bin Jalaludin, Anne McKenzie, Stewart Einfeld, Natalie Silove, Kate Short, Valsamma Eapen
BACKGROUND: Encouraging early child development and the early identification of developmental difficulties is a priority. The Ministry of Health in the Australian State of New South Wales (NSW), has recommended a program of developmental surveillance using validated screening questionnaires, namely, the Parents' Evaluation of Development Status (PEDS) and Ages and Stages Questionnaire (ASQs), however, the use of these tools has remained sub-optimal. A longitudinal prospective birth cohort "Watch Me grow" study was carried out in the South Western Sydney (SW) region of NSW to ascertain the uptake as well as the strategies and the resources required to maximise engagement in the surveillance program...
April 2, 2018: BMC Family Practice
https://www.readbyqxmd.com/read/29609529/video-recording-consultations-for-educational-purposes-in-out-of-hours-primary-care-patients-and-physicians-are-willing-to-participate
#17
Bertwin Krug, Annelies Colliers, Jan Matthys, Sibyl Anthierens, Hilde Philips, Jorn Damen, Samuel Coenen, Roy Remmen
Background Video-recordings of consultations are used by general practitioner (GP) trainees to enable reflection on aspects of knowledge, skills and attitudes. Typically, these recordings are made during office hours in general practice, but little is known about using video-recording during out of hours (OOH) care, which is an important and distinct part of a GP's work. To be able to record consultations during OOH care (i.e. at the emergency department (ED) and at the General Practitioner Cooperative (GPC)), patients must be willing to cooperate and give informed consent...
April 2, 2018: Acta Clinica Belgica
https://www.readbyqxmd.com/read/29609221/accuracy-of-medication-information-sources-compared-to-the-best-possible-medication-history-for-patients-presenting-to-the-emergency-department
#18
Hayley H Chen, Simone E Taylor, Andrew M Harding, David McD Taylor
OBJECTIVE: To assess the accuracy of medication information sources available for adult patients presenting to the ED, compared to a best possible medication history (BPMH). METHODS: This prospective observational study was undertaken in the ED of a major tertiary-referral teaching hospital. A convenience sample of consecutive adult patients taking one or more regular medications was included. A BPMH was ascertained using patient/carer interviews, where available, and confirmed with one or more other sources...
April 2, 2018: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/29601609/withstanding-austerity-equity-in-health-services-utilisation-in-the-first-stage-of-the-economic-recession-in-southern-spain
#19
Juan Antonio Córdoba-Doña, Antonio Escolar-Pujolar, Miguel San Sebastián, Per E Gustafsson
Scant research is available on the impact of the current economic crisis and austerity policies on inequality in health services utilisation in Europe. This study aimed to describe the trends in horizontal inequity in the use of health services in Andalusia, Spain, during the early years of the Great Recession, and the contribution of demographic, economic and social factors. Consultation with a general practitioner (GP) and specialist, hospitalisation and emergency care were studied through the Andalusian Health Survey 2007 (pre-crisis) and 2011-2012 (crisis), using a composite income index as socioeconomic status (SES) indicator...
2018: PloS One
https://www.readbyqxmd.com/read/29600241/a-standardized-needs-assessment-tool-to-inform-the-curriculum-development-process-for-pediatric-resuscitation-simulation-based-education-in-resource-limited-settings
#20
Nicole Shilkofski, Amanda Crichlow, Julie Rice, Leslie Cope, Ye Myint Kyaw, Thazin Mon, Sarah Kiguli, Julianna Jung
Introduction: Under five mortality rates (UFMR) remain high for children in low- and middle-income countries (LMICs) in the developing world. Education for practitioners in these environments is a key factor to improve outcomes that will address United Nations Sustainable Development Goals 3 and 10 (good health and well being and reduced inequalities). In order to appropriately contextualize a curriculum using simulation, it is necessary to first conduct a needs assessment of the target learner population...
2018: Frontiers in Pediatrics
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