keyword
https://read.qxmd.com/read/38493094/awareness-and-healthcare-seeking-behavior-of-neonatal-danger-signs-and-predictor-variables-among-mothers-caregivers-in-four-developing-regional-state-of-ethiopia
#1
JOURNAL ARTICLE
Nagasa Dida, Lonsako Abute, Tariku Dejene, Tolasa Yadate, Temesgen Geleta, Rachana Sharma, Hnin Su Mon, Tesfaye Simireta, Hailemariam Addisu
INTRODUCTION: Mothers/caregivers should be aware of a newborn's danger signs and promptly seek medical attention. Hence, this study assessed mothers'/caregivers' awareness, healthcare seeking behaviors for neonatal danger signs and their determinants in the developing regional state of Ethiopia. METHODS: A community-based cross-sectional study was employed among mothers/caregivers of neonates in the developing regional state of Ethiopia. The sample was determined in collaboration with the Central Statistics Agency of Ethiopia...
March 16, 2024: BMC Pediatrics
https://read.qxmd.com/read/38493066/digitising-diabetes-education-for-a-safer-ramadan-design-delivery-and-evaluation-of-massive-open-online-courses-in-ramadan-focused-diabetes-education
#2
JOURNAL ARTICLE
Scott C Mackenzie, Jane Dickson, Salma Mehar, Barakatun Nisak Mohd Yusof, Adhari Alselmi, Bilal Aksi, Mats Stage Baxter, Alex Bickerton, Harnovdeep Singh Bharaj, Nicholas Conway, Kirsten M Cumming, Lee-Ling Lim, Nader Lessan, Nazim Ghouri, Tracey T Flax, Hibbah A Osei-Kwasi, Michelle Es Teo, Salman Waqar, Mohamed Hassanein, Deborah J Wake
AIMS: Ramadan-focused diabetes education is critical to facilitate safer Ramadan fasting amongst Muslim people living with diabetes. We present the design, delivery, and evaluation of two parallel massive open online courses (MOOCs) in Ramadan-focused diabetes education for people with diabetes and HCPs. METHODS: Two Ramadan-focused diabetes education MOOCs were developed and delivered for Ramadan 2023: one for HCPs in English, and another for people with diabetes in English, Arabic and Malay...
March 15, 2024: Primary Care Diabetes
https://read.qxmd.com/read/38492264/-to-do-so-in-a-patient-centred-way-is-not-particularly-lucrative-the-effects-of-neoliberal-health-care-on-prep-implementation-and-delivery
#3
JOURNAL ARTICLE
Jad Sinno, Emerich Daroya, Alex Wells, Mark Hull, Nathan J Lachowsky, Darrell H S Tan, Daniel Grace
BACKGROUND: HIV pre-exposure prophylaxis (PrEP) is a highly effective biomedical intervention used by HIV-negative people to prevent HIV acquisition. Despite increased use of PrEP worldwide, several barriers to PrEP implementation have resulted in insufficient uptake, inadequate adherence, and frequent discontinuation. Our objective was to interrogate the social, political, and economic conditions shaping PrEP implementation and delivery among gay, bisexual, queer and other men who have sex with men (GBQM) in Ontario, Canada...
March 4, 2024: Social Science & Medicine
https://read.qxmd.com/read/38492231/co-design-of-an-intervention-to-improve-patient-participation-in-discharge-medication-communication
#4
JOURNAL ARTICLE
Georgia Tobiano, Sharon Latimer, Elizabeth Manias, Andrea P Marshall, Megan Rattray, Kim Jenkinson, Trudy Teasdale, Kellie Wren, Wendy Chaboyer
Patients can experience medication-related harm and hospital readmission because they do not understand or adhere to post-hospital medication instructions. Increasing patient medication literacy and, in turn, participation in medication conversations could be a solution. The purposes of this study were to co-design and test an intervention to enhance patient participation in hospital discharge medication communication. In terms of methods, co-design, a collaborative approach where stakeholders design solutions to problems, was used to develop a prototype medication communication intervention...
March 16, 2024: International Journal for Quality in Health Care
https://read.qxmd.com/read/38491895/situation-analysis-of-the-quality-of-primary-health-care-services-in-pakistan
#5
JOURNAL ARTICLE
Muhammad Navid Tahir, Nauman Ali Ch, Muhammad Waqas Farooq, Ghazanfar Mubin, Jafar Riaz Kataria
BACKGROUND: Primary health care services to promote the mental and physical health of communities include preventive, promotive, curative, general hygiene, and nutritional elements. AIM: To assess the quality of service delivery at primary healthcare settings in Punjab, Pakistan. METHODS: Quantitative surveys were conducted at 106 health facilities: 92 basic health units (BHUs) and 14 rural health centres (RHCs) across Punjab in 2020. Data from the survey were supplemented with information from observations by the researchers and all data were analysed using SPSS version 25...
February 25, 2024: Eastern Mediterranean Health Journal
https://read.qxmd.com/read/38491893/increasing-access-to-healthcare-in-the-eastern-mediterranean-region
#6
EDITORIAL
Hanan Balkhy
Lessons learnt from the COVID-19 pandemic have provided an opportunity to intensify efforts towards the health-related Sustainable Development Goals (SDGs). Innovations in digital health and advances in science witnessed during the pandemic can be harnessed to improve equitable access to healthcare and build resilient health systems. We also have stark reminders that without addressing the needs of the most vulnerable groups and societies, a simple expansion of service delivery efforts may even exacerbate existing inequities in healthcare...
February 25, 2024: Eastern Mediterranean Health Journal
https://read.qxmd.com/read/38491738/engaging-patients-in-designing-a-transmural-allied-health-pathway-a-qualitative-exploration-of-hospital-to-home-transitions
#7
JOURNAL ARTICLE
Juul W M van Grootel, Romain J Collet, Mel E Major, Suzanne Wiertsema, Hanneke van Dongen, Marike van der Leeden, Edwin Geleijn, Raymond Ostelo, Marike van der Schaaf
INTRODUCTION: The transition from hospital to home is often suboptimal, resulting in patients not receiving the necessary allied healthcare after discharge. This may, in turn, lead to delayed recovery, a higher number of readmissions, more emergency department visits and an increase in mortality and healthcare costs. This study aimed to gain insight into patients' experiences, perceptions, and needs regarding hospital-to-home transition, focusing on allied healthcare as a first step towards the development of a transitional integrated allied healthcare pathway for patients with complex care needs after hospital discharge...
April 2024: Health Expectations: An International Journal of Public Participation in Health Care and Health Policy
https://read.qxmd.com/read/38491544/generative-ai-in-healthcare-an-implementation-science-informed-translational-path-on-application-integration-and-governance
#8
JOURNAL ARTICLE
Sandeep Reddy
BACKGROUND: Artificial intelligence (AI), particularly generative AI, has emerged as a transformative tool in healthcare, with the potential to revolutionize clinical decision-making and improve health outcomes. Generative AI, capable of generating new data such as text and images, holds promise in enhancing patient care, revolutionizing disease diagnosis and expanding treatment options. However, the utility and impact of generative AI in healthcare remain poorly understood, with concerns around ethical and medico-legal implications, integration into healthcare service delivery and workforce utilisation...
March 15, 2024: Implementation Science: IS
https://read.qxmd.com/read/38491376/assessing-the-implementation-of-a-multi-component-hypertension-program-in-a-guatemalan-under-resourced-dynamic-context-an-application-of-the-re-aim-prism-extension-for-sustainability-and-health-equity
#9
JOURNAL ARTICLE
Alejandra Paniagua-Avila, Rachel C Shelton, Juan Carlos Figueroa, Ana Lissette Guzman, Laura Gutierrez, Diego Rolando Hernandez-Galdamez, Juan Manuel Ramirez, Javier Rodriguez, Vilma Irazola, Manuel Ramirez-Zea, Meredith P Fort
BACKGROUND: The COVID-19 pandemic necessitated rapid changes in healthcare delivery in Guatemala's public primary care settings. A new hypertension program, implemented as part of a type 2 hybrid trial since 2019, exemplifies an implementation effort amidst a changing context in an under-resourced setting. We assessed the implementation of an evidence-based intervention (EBI; protocol-based hypertension treatment) and one of its main implementation strategies (team-based collaborative care), raising implications for health equity and sustainability...
March 15, 2024: Implementation science communications
https://read.qxmd.com/read/38491374/can-the-reboot-coaching-programme-support-critical-care-nurses-in-coping-with-stressful-clinical-events-a-mixed-methods-evaluation-assessing-resilience-burnout-depression-and-turnover-intentions
#10
JOURNAL ARTICLE
K S Vogt, J Johnson, R Coleman, R Simms-Ellis, R Harrison, N Shearman, J Marran, L Budworth, C Horsfield, R Lawton, A Grange
BACKGROUND: Critical care nurses (CCNs) are routinely exposed to highly stressful situations, and at high-risk of suffering from work-related stress and developing burnout. Thus, supporting CCN wellbeing is crucial. One approach for delivering this support is by preparing CCNs for situations they may encounter, drawing on evidence-based techniques to strengthen psychological coping strategies. The current study tailored a Resilience-boosting psychological coaching programme [Reboot] to CCNs...
March 15, 2024: BMC Health Services Research
https://read.qxmd.com/read/38491318/cost-implications-of-competition-among-federally-qualified-health-centers
#11
JOURNAL ARTICLE
Seongwon Choi, Ganisher Davlyatov, William Opoku-Agyeman
Federally Qualified Health Centers (FQHCs) are pivotal in delivering healthcare services to underserved populations in the United States. While the number of FQHCs and FQHC look-alikes has been increasing, intensifying competition, limited research has examined the cost implications associated with this growing competition among FQHCs. This study aims to fill the research gap by analyzing the relationship between the level of competition among FQHCs and the cost of care per patient. Understanding this relationship is crucial for managers and policymakers in deriving informed decisions related to the expansion of FQHCs...
March 16, 2024: Journal of Community Health
https://read.qxmd.com/read/38490688/maintaining-essential-health-services-during-covid-19-in-ghana-a-qualitative-study
#12
JOURNAL ARTICLE
Isaac Yeboah, Duah Dwomoh, Rawlance Ndejjo, Steven Ndugwa Kabwama, Fidelia Ohemeng, Sylvia Akpene Takyi, Ibrahim Issah, Serwaa Akoto Bawuah, Rhoda Kitti Wanyenze, Julius Fobil
INTRODUCTION: Evidence suggests that non-pharmaceutical interventions such as lockdown policies, restriction of movement and physical distancing to control the novel COVID-19 contributed to the decline in utilisation of essential health services. We explored healthcare providers' and policy-makers' experiences of the barriers, interventions and response actions that contributed to ensuring the continuity of essential health services during the COVID-19 pandemic in Ghana to help inform future practice and policy...
March 15, 2024: BMJ Global Health
https://read.qxmd.com/read/38489543/a-comparative-analysis-of-spanish-clinical-encoder-based-models-on-ner-and-classification-tasks
#13
JOURNAL ARTICLE
Guillem García Subies, Álvaro Barbero Jiménez, Paloma Martínez Fernández
OBJECTIVES: This comparative analysis aims to assess the efficacy of encoder Language Models for clinical tasks in the Spanish language. The primary goal is to identify the most effective resources within this context. IMPORTANCE: This study highlights a critical gap in NLP resources for the Spanish language, particularly in the clinical sector. Given the vast number of Spanish speakers globally and the increasing reliance on electronic health records, developing effective Spanish language models is crucial for both clinical research and healthcare delivery...
March 15, 2024: Journal of the American Medical Informatics Association: JAMIA
https://read.qxmd.com/read/38489328/impact-of-covid-19-on-people-living-with-hiv-and-hiv-care-a-qualitative-study-in-the-volta-region-of-ghana
#14
JOURNAL ARTICLE
David Ayangba Asakitogum, Jerry John Nutor, Rachel G A Thompson, Robert K Alhassan, Akua O Gyamerah
The COVID-19 pandemic caused significant social changes and challenges globally, including economic slowdown and limitation of essential services. Our study explored the impact of the COVID-19 pandemic on the HIV treatment experiences and lives of people living with HIV in Ghana. Between October 2021 and January 2022, we conducted four focus group discussions with 24 people living with HIV and six in-depth interviews with healthcare providers to understand the impact of the COVID-19 epidemic on their lives and HIV treatment and care...
2024: PLOS Glob Public Health
https://read.qxmd.com/read/38489295/use-of-business-model-potential-in-dutch-academic-medical-centres-a-case-study
#15
JOURNAL ARTICLE
Ester M M Cardinaal, Joey Truijens, Patrick P T Jeurissen, Hubert Berden
Academic Medical Centres (AMCs) are large organisations with a complex structure due to various intertwined missions and (public) roles that can be conflicting. This complexity makes it difficult to adapt to changing circumstances. The literature points to the use of business models to address such challenges. A business model describes the resources, processes, and cost assumptions that an organisation makes in order to the delivery of a unique value proposition to a customer/patient. Do AMC business operations managers actually use business models to address challenges and operate in a way that enables AMCs to adapt to changing circumstances? This study explored whether the use of a business model is a starting point for bringing about change in AMC operations...
2024: PloS One
https://read.qxmd.com/read/38489291/perceived-progress-toward-scale-of-14-maternal-newborn-child-health-and-nutrition-mnchn-assets-at-subnational-level-in-burkina-faso-ethiopia-india-kenya-and-nigeria
#16
JOURNAL ARTICLE
Patricia S Coffey, Sadaf Khan, Elan Ebeling, Cyril Engmann
Inequitable coverage of evidence-based MNCHN interventions is particularly pronounced in low and middle income countries where access and delivery of these interventions can vary dramatically at the subnational level. We conducted health system assessments in nine subnational geographies in five countries (Burkina Faso, Ethiopia, India, Kenya and Nigeria) to explore progress toward scale of 14 evidence-based MNCHN interventions (iron-folic acid, oxytocin, magnesium sulfate, misoprostol; 7.1% chlorhexidine for umbilical cord care, neonatal resuscitation, kangaroo mother care, community regimen for the treatment of possible severe bacterial infection; amoxicillin dispersible tablets, multiple micronutrient supplements, balanced energy protein supplementation, early and exclusive breastfeeding, feeding of small and sick newborns, and management of severe and moderate acute malnutrition in children less than five years old)...
2024: PLOS Glob Public Health
https://read.qxmd.com/read/38488825/what-are-the-mechanisms-underlying-the-delivery-of-survivorship-care-information-in-australia-a-realist-review
#17
REVIEW
Larry Myers, Elizabeth A Johnston, Leah Zajdlewicz, Bianca Viljoen, Sarah Kelly, Nicole Perry, Anna Stiller, Fiona Crawford-Williams, Raymond J Chan, Jon D Emery, Rebecca J Bergin, Joanne F Aitken, Belinda C Goodwin
OBJECTIVE: Quality survivorship information is an essential component of cancer care. However, survivors often report not receiving this information and healthcare professionals report limited practical guidance on how to effectively deliver survivorship information. Therefore, this study used realist review methods to identify mechanisms reported within the published literature for communicating survivorship information and to understand the contextual factors that make these mechanisms effective...
March 2024: Psycho-oncology
https://read.qxmd.com/read/38488333/scopes-of-practice-for-advanced-practice-nursing-and-advanced-practice-midwifery-in-kenya-a-gap-analysis
#18
REVIEW
Eunice Ndirangu-Mugo, Rachel Wangari Kimani, Catherine Onyancha, Benard Daniel Mutwiri, Beatrice May, Isabel Kambo, Edna Tallam, Nicholas Koech, Ann Mukuna, Colette Henderson, Constance Sibongile Shumba
BACKGROUND: There is increasing global evidence on the impact of advanced nursing and midwifery practitioners, and Kenya's healthcare system has an excellent opportunity to develop scopes of practice and other regulatory frameworks for the integration of these roles. OBJECTIVE: The primary purpose of this gap analysis was to explore the existing evidence on opportunities and threats toward the integration of the advanced practice nursing (APN) and advanced practice midwifery (APM) roles in Kenya's healthcare system...
March 15, 2024: International Nursing Review
https://read.qxmd.com/read/38488218/versatile-mechanically-tunable-hydrogels-for-therapeutic-delivery-applications
#19
JOURNAL ARTICLE
Qiyao Sun, Siyuan Tao, Giovanni Bovone, Garam Han, Dhananjay Deshmukh, Mark W Tibbitt, Qun Ren, Pascal Bertsch, Gilberto Siqueira, Peter Fischer
Hydrogels provide a versatile platform for biomedical material fabrication that can be structurally and mechanically fine-tuned to various tissues and applications. Applications of hydrogels in biomedicine range from highly dynamic injectable hydrogels that can flow through syringe needles and maintain or recover their structure after extrusion to solid-like wound-healing patches that need to be stretchable while providing a selective physical barrier. In this study, a toolbox is designed using thermo-responsive poly(N-isopropylacrylamide) (PNIPAM) polymeric matrices and nanocelluloses as reinforcing agent to obtain biocompatible hydrogels with altering mechanical properties, from a liquid injectable to a solid-like elastic hydrogel...
March 15, 2024: Advanced Healthcare Materials
https://read.qxmd.com/read/38487586/improving-emergency-department-care-for-adults-presenting-with-mental-illness-a-systematic-review-of-strategies-and-their-impact-on-outcomes-experience-and-performance
#20
REVIEW
Elizabeth E Austin, Colleen Cheek, Lieke Richardson, Luke Testa, Amanda Dominello, Janet C Long, Ann Carrigan, Louise A Ellis, Alicia Norman, Margaret Murphy, Kylie Smith, Donna Gillies, Robyn Clay-Williams
BACKGROUND: Care delivery for the increasing number of people presenting at hospital emergency departments (EDs) with mental illness is a challenging issue. This review aimed to synthesise the research evidence associated with strategies used to improve ED care delivery outcomes, experience, and performance for adults presenting with mental illness. METHOD: We systematically reviewed the evidence regarding the effects of ED-based interventions for mental illness on patient outcomes, patient experience, and system performance, using a comprehensive search strategy designed to identify published empirical studies...
2024: Frontiers in Psychiatry
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