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https://www.readbyqxmd.com/read/28813541/reflections-on-medical-tourism-from-the-2016-global-healthcare-policy-and-management-forum
#1
Valorie A Crooks, Meghann Ormond, Ki Nam Jin
In October 2016, the Global Healthcare Policy and Management Forum was held at Yonsei University, Seoul, South Korea. The goal of the forum was to discuss the role of the state in regulating and supporting the development of medical tourism. Forum attendees came from 10 countries. In this short report article, we identify key lessons from the forum that can inform the direction of future scholarly engagement with medical tourism. In so doing, we reference on-going scholarly debates about this global health services practice that have appeared in multiple venues, including this very journal...
2017: BMC Proceedings
https://www.readbyqxmd.com/read/28812827/-seeing-the-difference-the-importance-of-visibility-and-action-as-a-mark-of-authenticity-in-co-production-comment-on-collaboration-and-co-production-of-knowledge-in-healthcare-opportunities-and-challenges
#2
Jo Cooke, Joe Langley, Dan Wolstenholme, Susan Hampshaw
The Rycroft-Malone paper states that co-production relies on 'authentic' collaboration as a context for action. Our commentary supports and extends this assertion. We suggest that 'authentic' co-production involves processes where participants can 'see' the difference that they have made within the project and beyond. We provide examples including: the use of design in health projects which seek to address power issues and make contributions visible through iteration and prototyping; and the development of 'actionable outputs' from research that are the physical embodiment of co-production...
October 17, 2016: International Journal of Health Policy and Management
https://www.readbyqxmd.com/read/28812813/do-management-and-leadership-practices-in-the-context-of-decentralisation-influence-performance-of-community-health-fund-evidence-from-iramba-and-iringa-districts-in-tanzania
#3
Chakupewa Joseph, Stephen Oswald Maluka
BACKGROUND: In early 1990s, Tanzania like other African countries, adopted health sector reform (HSR). The most strongly held centralisation system that informed the nature of services provision including health was, thus, disintegrated giving rise to decentralisation system. It was within the realm of HSR process, user fees were introduced in the health sector. Along with user fees, various types of health insurances, including the Community Health Fund (CHF), were introduced. While the country's level of enrolment in the CHF is low, there are marked variations among districts...
September 26, 2016: International Journal of Health Policy and Management
https://www.readbyqxmd.com/read/28806744/sustainability-of-knowledge-implementation-in-a-low-and-middle-income-context-experiences-from-a-facilitation-project-in-vietnam-targeting-maternal-and-neonatal-health
#4
Leif Eriksson, Anna Bergström, Dinh Thi Phuong Hoa, Nguyen Thu Nga, Ann Catrine Eldh
BACKGROUND: In a previous trial in Vietnam, a facilitation strategy to secure evidence-based practice in primary care resulted in reduced neonatal mortality over a period of three years. While little is known as to what ensures sustainability in the implementation of community-based strategies, the aim of this study was to investigate factors promoting or hindering implementation, and sustainability of knowledge implementation strategies, by means of the former Neonatal Knowledge Into Practice (NeoKIP) trial...
2017: PloS One
https://www.readbyqxmd.com/read/28805448/stakeholders-views-on-data-sharing-in-multicenter-studies
#5
Kathleen M Mazor, Allison Richards, Mia Gallagher, David E Arterburn, Marsha A Raebel, W Benjamin Nowell, Jeffrey R Curtis, Andrea R Paolino, Sengwee Toh
AIM: To understand stakeholders' views on data sharing in multicenter comparative effectiveness research studies and the value of privacy-protecting methods. MATERIALS & METHODS: Semistructured interviews with five US stakeholder groups. RESULTS: We completed 11 interviews, involving patients (n = 15), researchers (n = 10), Institutional Review Board and regulatory staff (n = 3), multicenter research governance experts (n = 2) and healthcare system leaders (n = 4)...
August 14, 2017: Journal of Comparative Effectiveness Research
https://www.readbyqxmd.com/read/28796024/addressing-occupational-fatigue-in-nurses-current-state-of-fatigue-risk-management-in-hospitals-part-1
#6
Linsey M Steege, Barbara J Pinekenstein, Jessica G Rainbow, Élise Arsenault Knudsen
OBJECTIVE: The aim of this study was to describe the current state of fatigue risk management systems (FRMS) to address nurse fatigue in hospitals. BACKGROUND: Although multiple studies have examined sources and consequences of fatigue, little is known about the current state of FRMS. METHODS: This study used a sequential exploratory mixed-method design including a survey of nurse leaders from across the United States. FINDINGS: Although healthcare organizations have implemented strategies to address fatigue, most participants' organizations did not have a formal FRMS in place...
August 8, 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/28792571/-improving-population-mental-health-by-integrating-mental-health-care-into-primary-care
#7
Matthew Menear, Michel Gilbert, Marie-Josée Fleury
Objective The objectives of this review were to identify and compare major international initiatives aiming to integrate mental health services in primary care and to summarize the lessons learned for similar integration efforts in the province of Quebec, Canada.Methods We conducted a narrative review of the literature guided by a conceptual framework drawn from the literature on integrated care. We identified relevant initiatives to support primary mental health care integration through Pubmed searches and through previous systematic reviews on this topic...
2017: Santé Mentale Au Québec
https://www.readbyqxmd.com/read/28780315/closed-loop-communication-improves-task-completion-in-pediatric-trauma-resuscitation
#8
Ibrahim Abd El-Shafy, Jennifer Delgado, Meredith Akerman, Francesca Bullaro, Nathan A M Christopherson, Jose M Prince
BACKGROUND: Pediatric trauma care requires effective and clear communication in a time-sensitive manner amongst a variety of disciplines. Programs such as Crew Resource Management in aviation have been developed to systematically prevent errors. Similarly, teamSTEPPS has been promoted in healthcare with a strong focus on communication. We aim to evaluate the ability of closed-loop communication to improve time-to-task completion in pediatric trauma activations. METHODS: All pediatric trauma activations from January to September, 2016 at an American College of Surgeons verified level I pediatric trauma center were video recorded and included in the study...
August 2, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28771860/the-nexus-of-nursing-leadership-and-a-culture-of-safer-patient-care
#9
Melanie Murray, Deborah Sundin, Vicki Cope
AIMS AND OBJECTIVES: To explore the connection between+6 nursing leadership and enhanced patient safety. BACKGROUND: Critical reports from the Institute of Medicine in 1999 and Francis QC report of 2013 indicate that healthcare organisations, inclusive of nursing leadership, were remiss or inconsistent in fostering a culture of safety. The factors required to foster organisational safety culture include supportive leadership, effective communication, an orientation program and ongoing training, appropriate staffing, open communication regarding errors, compliance to policy and procedure, and environmental safety and security...
August 3, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28770256/focus-on-you-cancer-clinical-trials-perspectives
#10
Brandi N Robinson, Antoinette F Newman, Sherrie F Wallington, Sandra M Swain
BACKGROUND: Clinical trials test new ways to prevent, detect, diagnose, or treat diseases. Researchers have found that minority patients are willing to participate in clinical trials, yet these patients have barriers which hinder their access to trials. METHODS: To explore African American women's participation in breast cancer clinical trials, eight focus groups were conducted with breast cancer patients, family members/care givers, religious leaders, and healthcare providers to gather information on the perspectives and opinions on the topic...
December 15, 2016: Contemporary Clinical Trials Communications
https://www.readbyqxmd.com/read/28768506/a-qualitative-exploration-of-cervical-and-breast-cancer-stigma-in-karnataka-india
#11
Laura Nyblade, Melissa Stockton, Sandra Travasso, Suneeta Krishnan
BACKGROUND: Breast and cervical cancer are two of the most common cancers among women worldwide and were the two leading causes of cancer related death for women in India in 2013. While it is recognized that psychosocial and cultural factors influence access to education, prevention, screening and treatment, the role of stigma related to these two cancers has received limited attention. METHODS: Two qualitative exploratory studies. One focusing on cervical cancer, the other on breast cancer, were conducted in Karnataka, India using in-depth interviews and focus group discussions...
August 2, 2017: BMC Women's Health
https://www.readbyqxmd.com/read/28764728/how-do-stakeholders-from-multiple-hierarchical-levels-of-a-large-provincial-health-system-define-engagement-a-qualitative-study
#12
Jill M Norris, Deborah E White, Lorelli Nowell, Kelly Mrklas, Henry T Stelfox
BACKGROUND: Engaging stakeholders from varied organizational levels is essential to successful healthcare quality improvement. However, engagement has been hard to achieve and to measure across diverse stakeholders. Further, current implementation science models provide little clarity about what engagement means, despite its importance. The aim of this study was to understand how stakeholders of healthcare improvement initiatives defined engagement. METHODS: Participants (n = 86) in this qualitative thematic study were purposively sampled for individual interviews...
August 1, 2017: Implementation Science: IS
https://www.readbyqxmd.com/read/28754424/pharmacist-perceptions-of-competency-identifying-priority-areas-for-a-competency-program-development-at-an-academic-medical-center
#13
Jami E Mann, Lindsey B Amerine, Kayla Waldron, Michael D Wolcott, Jacqueline E McLaughlin
BACKGROUND: Competency-based education models can serve as valuable resources for providing quality continuing education and professional development in healthcare. However, competency development programs can be stifled by scarce stakeholder involvement and insufficient recognition of resource challenges. Engaging pharmacists in program development can inform program design and prioritization of needs. OBJECTIVE: To describe a process to assess pharmacist perceptions about competency development and to inform program design by identifying high priority topic areas based on perceived value, confidence in abilities, and frequency of use by pharmacists...
July 24, 2017: Research in Social & Administrative Pharmacy: RSAP
https://www.readbyqxmd.com/read/28752653/who-often-feels-lonely-a-cross-sectional-study-about-loneliness-and-its-related-factors-among-older-home-dwelling-people
#14
Solveig Tomstad, Bjørg Dale, Kari Sundsli, Hans Inge Saevareid, Ulrika Söderhamn
AIM AND OBJECTIVES: To investigate the prevalence of individuals who often feel lonely among a sample of Norwegian older home-dwelling people aged ≥65 years old, as well as to identify any possible factors explaining their loneliness. BACKGROUND: Loneliness is known to be common among older people. To identify those older adults who are lonely, and to acquire knowledge about the complexity of their loneliness, is important to provide them with adequate help and support...
July 28, 2017: International Journal of Older People Nursing
https://www.readbyqxmd.com/read/28747089/advances-in-nanopore-sensing-promises-to-transform-healthcare
#15
Farzin Haque, Shaoying Wang, Taoxiang Wu, Peixuan Guo
International Conference on Nanopore Technology (Shenzhen), 30 March-1 April 2017, Shenzhen, China The International Conference on Nanopore Technology (Shenzhen) was held from 30 March to 1 April 2017 in Shenzhen, China. The goal of the meeting was threefold: leverage the unique properties of nanopore technology to promote transformative advances in medicine, encourage cross-disciplinary collaborations in the research community within China and abroad; and discuss critical challenges that need to be addressed to rapidly advance the field...
July 27, 2017: Nanomedicine
https://www.readbyqxmd.com/read/28742989/agricultural-leaders-influence-on-the-safety-culture-of-workers
#16
Frank A Gasperini
Most US farmers are small, independent owner-operators, many of whom are exempt from safety regulation and enforcement, as well as age restrictions relative to family members performing hazardous tasks. These smaller farms account for a disproportionate share of the total fatality and injury statistics from farming incidents, contributing to an agriculture-industry death rate that is seven times greater than all occupations combined. In contrast, large agricultural enterprises that employ larger numbers of non-family workers are more regulated and more highly incentivized by economic, supply chain, and societal factors to implement cultures of safety, and are more readily influenced by agricultural opinion leaders, agribusinesses, farm organizations, and agricultural media...
July 25, 2017: Journal of Agromedicine
https://www.readbyqxmd.com/read/28715105/a-simulation-based-approach-to-measuring-team-situational-awareness-in-emergency-medicine-a-multicenter-observational-study
#17
Elizabeth D Rosenman, Aurora J Dixon, Jessica M Webb, Sarah Brolliar, Simon J Golden, Kerin A Jones, Sachita Shah, James A Grand, Steve W J Kozlowski, Georgia T Chao, Rosemarie Fernandez
OBJECTIVES: Team situational awareness (TSA) is critical for effective teamwork and supports dynamic decision-making in unpredictable, time-pressured situations. Simulation provides a platform for developing and assessing TSA; but these efforts are limited by suboptimal measurement approaches. The objective of this study was to develop and evaluate a novel approach to TSA measurement in interprofessional emergency medicine teams. METHODS: We performed a multicenter, prospective, simulation-based observational study to evaluate an approach to TSA measurement...
July 17, 2017: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/28710296/priorities-for-cardiovascular-outcomes-research-a-report-of-the-national-heart-lung-and-blood-institute-s-centers-for-cardiovascular-outcomes-research-working-group
#18
REVIEW
Prateeti Khazanie, Harlan M Krumholz, Catarina I Kiefe, Nancy R Kressin, Barbara Wells, Tracy Y Wang, Eric D Peterson
The Centers for Cardiovascular Outcomes Research (CCORs) held a meeting to review how cardiovascular outcomes research had evolved in the decade since the National Heart, Lung, and Blood Institute 2004 working group report and to consider future directions. The conference involved representatives from governmental agencies, outcomes research thought leaders, and public and private healthcare partners. The main purposes of this meeting were to (1) advance collaborative high-yield, high-impact outcomes research; (2) identify priorities and barriers to important cardiovascular outcomes research; and (3) define future needs for the field...
July 2017: Circulation. Cardiovascular Quality and Outcomes
https://www.readbyqxmd.com/read/28707743/workplace-continuing-education-for-nurses-caring-for-hospitalised-older-people
#19
Jennifer Baumbusch, Maureen Shaw, Marie-Eve Leblanc, Mary Kjorven, Jae-Yung Kwon, Lorraine Blackburn, Barb Lawrie, Marilyn Shamatutu, Angela C Wolff
AIMS AND OBJECTIVES: To develop, implement and evaluate a workplace continuing education programme about nursing care of hospitalised older people. BACKGROUND: The healthcare system cannot rely solely upon nurses' prelicensure education to prepare them to meet the evolving needs of hospitalised older patients. Over the past decade, there has been a dramatic rise in the proportion of older people in hospitals, yet many nurses do not have specialised knowledge about the unique care needs of this population...
July 14, 2017: International Journal of Older People Nursing
https://www.readbyqxmd.com/read/28700259/mixed-method-study-to-investigate-models-of-australian-integrative-oncology
#20
EunJin Lim, Janette L Vardy, Byeongsang Oh, Haryana M Dhillon
OBJECTIVES: This study explored the models of services and experiences of coordinators and directors engaged in providing complementary and alternative medicine (CAM) or integrative medicine (IM) in oncology centers throughout Australia. DESIGN: Fourteen leaders of IM programs from ten systematically selected Australian oncology centers were interviewed. Participants described their center's service model. Interview transcripts were thematically analyzed to identify underlying themes...
July 12, 2017: Journal of Alternative and Complementary Medicine: Research on Paradigm, Practice, and Policy
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