keyword
MENU ▼
Read by QxMD icon Read
search

Healthcare delivery

keyword
https://www.readbyqxmd.com/read/29928649/spacer-devices-for-inhaled-therapy-why-use-them-and-how
#1
REVIEW
Walter Vincken, Mark L Levy, Jane Scullion, Omar S Usmani, P N Richard Dekhuijzen, Chris J Corrigan
We present an extensive review of the literature to date pertaining to the rationale for using a spacer/valved holding chamber (VHC) to deliver inhaled therapy from a pressurised, metered-dose inhaler, a discussion of how the properties of individual devices may vary according to their physical characteristics and materials of manufacture, the potential risks and benefits of ancillaries such as valves, and the evidence that they contribute tangibly to the delivery of therapy. We also reiterate practical recommendations for the correct usage and maintenance of spacers/VHCs, which we trust offer practical help and advice to patients and healthcare professionals alike...
April 2018: ERJ Open Research
https://www.readbyqxmd.com/read/29927520/complications-of-home-enteral-nutrition-mechanical-complications-and-access-issues-in-the-home-setting
#2
REVIEW
Brian P Strollo, Stephen A McClave, Keith R Miller
Home enteral nutrition (HEN) is an essential component in the care of patients with an array of underlying etiologies resulting in the inability to meet caloric needs through volitional intake alone. Although some would include oral nutrition supplementation as HEN, for the purposes of this review, the term is limited to a patient's requiring an enteral access device for the delivery of exogenous nutrients. Complications related to such devices remain a difficult problem in the hospital setting, and these issues are often amplified when encountered in the home setting...
December 2017: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/29926271/addressing-health-insurance-literacy-gaps-in-an-urban-african-american-population-a-qualitative-study
#3
Nida M Ali, Ryan M Combs, Baraka Muvuka, Suur D Ayangeakaa
Health insurance and health systems literacy needs are evolving with changes to the U.S. healthcare system. Following the implementation of the Affordable Care Act, many residents in West Louisville, Kentucky, a predominantly African American community, gained health insurance coverage for the first time. A qualitative study was conducted to assess residents' health insurance and health systems needs and to identify ways of assisting residents with navigating the healthcare system and utilizing their health insurance coverage...
June 20, 2018: Journal of Community Health
https://www.readbyqxmd.com/read/29925416/does-quality-influence-utilization-of-primary-health-care-evidence-from-haiti
#4
Anna D Gage, Hannah H Leslie, Asaf Bitton, J Gregory Jerome, Jean Paul Joseph, Roody Thermidor, Margaret E Kruk
BACKGROUND: Expanding coverage of primary healthcare services such as antenatal care and vaccinations is a global health priority; however, many Haitians do not utilize these services. One reason may be that the population avoids low quality health facilities. We examined how facility infrastructure and the quality of primary health care service delivery were associated with community utilization of primary health care services in Haiti. METHODS: We constructed two composite measures of quality for all Haitian facilities using the 2013 Service Provision Assessment survey...
June 20, 2018: Globalization and Health
https://www.readbyqxmd.com/read/29925356/integration-of-care-for-hypertension-and-diabetes-a-scoping-review-assessing-the-evidence-from-systematic-reviews-and-evaluating-reporting
#5
Kristy C Yiu, Anke Rohwer, Taryn Young
BACKGROUND: With the rise in pre-mature mortality rate from non-communicable disease (NCD), there is a need for evidence-based interventions. We evaluated existing systematic reviews on effectiveness of integration of healthcare services, in particular with focus on delivery of care designed to improve health and process outcomes in people with multi-morbidity, where at least one of the conditions was diabetes or hypertension. METHODS: We searched MEDLINE, EMBASE, Cochrane Library, and Health Evidence to November 8, 2016 and consulted experts...
June 20, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29924866/a-mobile-clinic-approach-to-the-delivery-of-community-based-mental-health-services-in-rural-haiti
#6
J Reginald Fils-Aimé, David J Grelotti, Tatiana Thérosmé, Bonnie N Kaiser, Giuseppe Raviola, Yoldie Alcindor, Jennifer Severe, Emmeline Affricot, Katherine Boyd, Rupinder Legha, Shin Daimyo, Stephanie Engel, Eddy Eustache
This study evaluates the use of a mental health mobile clinic to overcome two major challenges to the provision of mental healthcare in resource-limited settings: the shortage of trained specialists; and the need to improve access to safe, effective, and culturally sound care in community settings. Employing task-shifting and supervision, mental healthcare was largely delivered by trained, non-specialist health workers instead of specialists. A retrospective chart review of 318 unduplicated patients assessed and treated during the mobile clinic's first two years (January 2012 to November 2013) was conducted to explore outcomes...
2018: PloS One
https://www.readbyqxmd.com/read/29924659/antenatal-hospital-utilization-among-women-at-risk-for-disability
#7
Karen M Clements, Monika Mitra, Jianying Zhang
BACKGROUND: Little is known about the effect of potentially disabling health conditions on healthcare utilization during pregnancy. Using hospital discharge data, we identified women at risk for disability and evaluated antenatal hospital utilization, including emergency department (ED), observational stay (OS), and inpatient (IP) visits, by underlying health condition. MATERIALS AND METHODS: Massachusetts Pregnancy to Early Life Longitudinal data system linked 2007-2009 birth certificates to 2006-2009 discharges...
June 20, 2018: Journal of Women's Health
https://www.readbyqxmd.com/read/29922642/a-mixed-methods-approach-to-evaluate-partnerships-and-implementation-of-the-massachusetts-prevention-and-wellness-trust-fund
#8
Rebekka M Lee, Shoba Ramanadhan, Gina R Kruse, Charles Deutsch
Background: Strong partnerships are critical to integrate evidence-based prevention interventions within clinical and community-based settings, offering multilevel and sustainable solutions to complex health issues. As part of Massachusetts' 2012 health reform, The Prevention and Wellness Trust Fund (PWTF) funded nine local partnerships throughout the state to address hypertension, pediatric asthma, falls among older adults, and tobacco use. The initiative was designed to improve health outcomes through prevention and disease management strategies and reduce healthcare costs...
2018: Frontiers in Public Health
https://www.readbyqxmd.com/read/29922349/a-retrospective-review-of-the-clinical-characteristics-and-blood-glucose-data-from-cellnovo-system-users-using-data-collected-from-the-cellnovo-online-platform
#9
REVIEW
Olivia Hautier-Suply, Yasmin Friedmann, Julian Shapley
Technological advances have led to innovative insulin delivery systems for patients with type 1 diabetes mellitus. In particular, the combination of miniature engineering and software algorithms contained in continuous subcutaneous insulin infusion (CSII) system pumps provide the user and the healthcare practitioner with an opportunity to review and adjust blood glucose (BG) levels according to system feedback, and to modify or programme their regimen according to their needs. While CSII pumps record a number of data parameters such as BG level, carbohydrate intake, activity and insulin delivered, these data are generally 'locked in' and can only be accessed by uploading to a cloud-based system, thus information is not contemporaneous...
April 2018: European Endocrinology
https://www.readbyqxmd.com/read/29920839/integrating-smoking-cessation-care-in-alcohol-and-other-drug-treatment-settings-using-an-organisational-change-intervention-a-systematic-review
#10
REVIEW
Eliza Skelton, Flora Tzelepis, Anthony Shakeshaft, Ashleigh Guillaumier, Sam McCrabb, Billie Bonevski
BACKGROUND AND AIMS: Organisational change interventions involve systems and cultural change within healthcare services to make smoking cessation care delivery part of usual treatment. Six strategies for organisational change have been proposed. This study examined the evidence for organisational change interventions in the alcohol and other drug (AOD) setting on: a) smoking cessation care; and b) smoking cessation and cessation-related outcomes. METHODS: A systematic review with narrative synthesis was conducted...
June 19, 2018: Addiction
https://www.readbyqxmd.com/read/29920679/systematic-review-and-meta-analysis-of-studies-on-delivery-preferences-in-brazil
#11
REVIEW
Marilia Reiter, Ana P Betrán, Fernando K Marques, Maria R Torloni
BACKGROUND: Cesarean delivery rates in Brazil are among the highest in the world. User preference is often mentioned as an important factor driving this. OBJECTIVES: To identify, appraise, and synthesize the results of studies into delivery preferences in Brazil. SEARCH STRATEGY: MEDLINE, LILACS, and PsycINFO databases were searched, without language restrictions, using "delivery" and "preference" from inception to November 4, 2017...
June 19, 2018: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/29916738/emerging-technologies-for-diabetes-care
#12
Timothy S Bailey, John Walsh, Jenine Y Stone
New therapies, monitoring, and revolutionary enabling technologies applied to healthcare represent an historic opportunity to improve the lives of people with diabetes. These advances enable more meaningful monitoring of blood glucose values with the facilitation of more optimal insulin dosing and delivery. Newer insulins and delivery systems are in development that seek to mitigate both hyperglycemia and hypoglycemia and increase time in range. Information systems now exist that may be leveraged to merge data from previously discrete systems into new models of connected care...
June 2018: Diabetes Technology & Therapeutics
https://www.readbyqxmd.com/read/29916433/health-impact-is-the-invisible-side-of-terrorism
#13
Bidhu K Mohanti
Since 201 4, there is a shift in terror targets, with a 1 72% increase in the deaths of common citizens. India ranks fourth in the global terrorism index. Intelligence, security and counter-terrorism conjointly form the contours of priority for governance and public engagement but the attendant aspects of health system remain neglected. Recurring acts of global terrorism have given rise to unique medical requirements that can be termed as 'terror medicine', geared towards managing health impacts of terrorism and not just a single patient...
September 2017: National Medical Journal of India
https://www.readbyqxmd.com/read/29915670/early-changes-in-intervention-coverage-and-mortality-rates-following-the-implementation-of-an-integrated-health-system-intervention-in-madagascar
#14
Andres Garchitorena, Ann C Miller, Laura F Cordier, Victor R Rabeza, Marius Randriamanambintsoa, Hery-Tiana R Razanadrakato, Lara Hall, Djordje Gikic, Justin Haruna, Meg McCarty, Andriamihaja Randrianambinina, Dana R Thomson, Sidney Atwood, Michael L Rich, Megan B Murray, Josea Ratsirarson, Mohammed Ali Ouenzar, Matthew H Bonds
Introduction: The Sustainable Development Goals framed an unprecedented commitment to achieve global convergence in child and maternal mortality rates through 2030. To meet those targets, essential health services must be scaled via integration with strengthened health systems. This is especially urgent in Madagascar, the country with the lowest level of financing for health in the world. Here, we present an interim evaluation of the first 2 years of a district-level health system strengthening (HSS) initiative in rural Madagascar, using estimates of intervention coverage and mortality rates from a district-wide longitudinal cohort...
2018: BMJ Global Health
https://www.readbyqxmd.com/read/29914494/development-of-an-exercise-intervention-for-the-prevention-of-musculoskeletal-shoulder-problems-after-breast-cancer-treatment-the-prevention-of-shoulder-problems-trial-uk-prosper
#15
Helen Richmond, Clare Lait, Cynthia Srikesavan, Esther Williamson, Jane Moser, Meredith Newman, Lauren Betteley, Beth Fordham, Sophie Rees, Sarah E Lamb, Julie Bruce
BACKGROUND: Musculoskeletal shoulder problems are common after breast cancer treatment. There is some evidence to suggest that early postoperative exercise is safe and may improve shoulder function. We describe the development and delivery of a complex intervention for evaluation within a randomised controlled trial (RCT), designed to target prevention of musculoskeletal shoulder problems after breast cancer surgery (The Prevention of Shoulder Problems Trial; PROSPER). METHODS: A pragmatic, multicentre RCT to compare the clinical and cost-effectiveness of best practice usual care versus a physiotherapy-led exercise and behavioural support intervention in women at high risk of shoulder problems after breast cancer treatment...
June 18, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29914185/the-role-of-communities-in-mental-health-care-in-low-and-middle-income-countries-a-meta-review-of-components-and-competencies
#16
REVIEW
Brandon A Kohrt, Laura Asher, Anvita Bhardwaj, Mina Fazel, Mark J D Jordans, Byamah B Mutamba, Abhijit Nadkarni, Gloria A Pedersen, Daisy R Singla, Vikram Patel
Community-based mental health services are emphasized in the World Health Organization’s Mental Health Action Plan , the World Bank’s Disease Control Priorities , and the Action Plan of the World Psychiatric Association. There is increasing evidence for effectiveness of mental health interventions delivered by non-specialists in community platforms in low- and middle-income countries (LMIC). However, the role of community components has yet to be summarized. Our objective was to map community interventions in LMIC, identify competencies for community-based providers, and highlight research gaps...
June 16, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29912967/patients-perceptions-of-their-experiences-with-nurse-patient-communication-in-oncology-settings-a-focused-ethnographic-study
#17
Engle Angela Chan, Fiona Wong, Man Yin Cheung, Winsome Lam
BACKGROUND: The nursing shortage and its impact on patient care are well-documented global issues. Patients living with cancer as a chronic illness have many psychosocial problems and often lack adequate support as a result of ineffective nurse-patient communication. A review of the literature on factors influencing the delivery of psychosocial care to cancer patients indicates that the delivery of psychosocial care in routine cancer nursing within a biomedical healthcare system has not been widely explored...
2018: PloS One
https://www.readbyqxmd.com/read/29912897/hepatitis-c-virus-notification-rates-in-australia-are-highest-in-socioeconomically-disadvantaged-areas
#18
Samuel W Hainsworth, Paul M Dietze, David P Wilson, Brett Sutton, Margaret E Hellard, Nick Scott
BACKGROUND: Poor access to health services is a significant barrier to achieving the World Health Organization's hepatitis C virus (HCV) elimination targets. We demonstrate how geospatial analysis can be performed with commonly available data to identify areas with the greatest unmet demand for HCV services. METHODS: We performed an Australia-wide cross-sectional analysis of 2015 HCV notification rates using local government areas (LGAs) as our unit of analysis...
2018: PloS One
https://www.readbyqxmd.com/read/29911473/better-patients-treatment-experiences-are-associated-with-better-postoperative-results-in-dupuytren-s-disease
#19
Ralph Poelstra, Ruud W Selles, Harm P Slijper, Mark J W van der Oest, Reinier Feitz, Steven E R Hovius, Jarry T Porsius
This prospective study investigates the extent to which a better experience with healthcare delivery is associated with better postoperative treatment outcomes after surgery for Dupuytren's contracture. Patients undergoing limited fasciectomy or percutaneous needle fasciotomy for Dupuytren's contractures completed the Michigan Hand Outcomes Questionnaire before and 3 months after surgery, together with a patient reported experience measure, while hand therapists assessed the straightness of the finger with a goniometer...
January 1, 2018: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/29911446/views-of-healthcare-professionals-on-training-for-and-delivery-of-a-fatigue-self-management-program-for-persons-with-multiple-sclerosis
#20
Stefan Peters, Amanda Wilkinson, Hilda Mulligan
PURPOSE: To explore the experiences and perspectives of the healthcare professionals who were trained to and delivered "Minimise Fatigue, Maximise Life" (MFML), a patient-centered group-based fatigue self-management program for persons with multiple sclerosis. METHODS: A qualitative descriptive study with semi-structured individual interviews at two time points. Data were analyzed for themes. Six healthcare professional facilitators who were trained to and delivered "Minimise Fatigue, Maximise Life" participated in a first interview, and five in a second...
June 17, 2018: Disability and Rehabilitation
keyword
keyword
19646
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"